Body: RULAC Type: Agenda Meeting: Committee Date: June 11, 2012 Collection: Council Agendas Municipality: Frontenac County

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Document Text

City of Kingston

County of Frontenac

Rural Urban Liaison Advisory Committee (RULAC) Monday, June 11, 2012 at 9:00 a.m. County Administration Office

AGENDA Page 1.

Welcome

Adoption of Notes -

3-7

a)

February 13, 2012 RULAC Meeting Notes

Communications

Fairmount Home

8-10 11-12 13-37 38-52 53-54 55-56 57-58 59-61

a)

2012 1st Quarter Activity Update

b)

Fairmount Home 2011 4th Quarter Financial Summary and 2012 1st Quarter Financial Summary

c)

Fairmount Home 2012 1st Quarter Consolidated Statistical Report

d)

Strategic Plan

e)

Case Mix Index

f)

Property Easement

g)

2011 Year in Review

h)

Accreditation

i)

Grapevine Gazette - Jan. to May 2012 Editions

LSR Services

62-65 66-74

a)

Community and Family Services - LSR Q4 2011 and Q1 2012

b)

Community and Family Services - Discussion Re: Ontario Works Discretionary Benefit Funding

75-76 77-78

c)

Emergency Services - 2012 1st Quarter Activity Report

d)

Emergency Services - 2011 4th Quarter Financial Summary and 2012 1st Quarter Financial Summary

Page 1 of 160

Page 5.

LSR Services

79-83 84-85

e)

Emergency Services - Legislated Response Time Performance Plans

f)

Emergency Services - Ratification of the Collective Agreement with OPSEU Local 462 Representing the Frontenac Paramedic Services Paramedics

86-87

g)

Emergency Services - North Frontenac Joint Land Ambulance Fire Station Project manager Award of Contract

88-92

h)

Emergency Services - North Frontenac Land Ambulance Fire Station Development Update 2012-01

i)

Emergency Services - 2012 Ontario Special Olympics Provincial Spring Games

j)

Housing - Dawn House Shelter Funding

k)

Housing - Housing Department Information

l)

Housing - Housing Programs Reporting

m)

Housing - RFP for Consolidated Homelessness Prevention Program (CHPP) Evaluation

n)

Housing - Rent Supplement Program Information Report

o)

Housing - Status of Committee Reviewed Programs Information Report

p)

Provincial Offences - 2011 4th Quarter Report

q)

Provincial Offences - 2012 1st Quarter Report

93-95 96-111 112-115 116-141 142-146 147-155 156-158 159 160 6.

Other Business

Confirmation of Next Meeting a)

Next RULAC Meeting: Monday, September 11, 2012 at 9:00 a.m at City of Kingston

Adjournment

Page 2 of 160

Agenda Item # 2a)

RULAC Kingston-Frontenac LSR/CMSM Local Service Protocol

Meeting Notes Date:

Monday February 13, 2012

Place:

Councillors’ Lounge, 3rd floor, City Hall

Time:

9:00-10:30 a.m.

  1. Welcome: Desiree Kennedy assumed the Chair and called the meeting to order at 9:10 a.m. As there was no quorum, this was an information sharing meeting only.
  2. Adoption of Notes: June 13, 2011 (no RULAC meeting was held in October as previously scheduled). It was noted that Janet Gutowski was not present at the meeting on June 13, 2011; meeting notes will be amended accordingly.
  3. Communications: Nil
  4. Reports on Current and Previous RULAC Agendas: Fairmount Home: Julie Shillington provided the following: – Third Quarter 2011 activity update – work was completed around the septic tank at the home. – PSW funding – old policy required increased PSW hours but language has been changed to show increase in provincially funded PSW hours, resulting in no need to increase staff. This is viewed as a huge success. – Auditorium – ventilation and a/c challenges were outlined. Programs were cancelled in the summer because of the old ventilation/a/c system. Asked council for funding to improve system. – Septic System – need to drill a new well in the spring; existing well will be decommissioned. Water permit has been renewed. – Quality improvement consolidated report to council: indicators connect back to goals and objectives. Will be reported to council quarterly. – Master control panel on elevator stopped functioning; 7 months to have it rebuilt. – Social work services are now compliant with Long Term Care legislation. – Financials: in good position; will be a small surplus (under budget in benefits); $200K increase in funding from the Ministry. Community & Family Services and Housing: Sheldon Laidman provided the following: – $20K added for extreme clean in 2011 and continuing in 2012 Meeting Notes RULAC February 13, 2012

February 13, 2012 RULAC Meeting Notes

Page 1 of 5

Page 3 of 160

Agenda Item # 2a)

CHPP funding – Service Manager has extended annual agreement for 7 agencies ($3.1M share); will update review of services in March and report to council in April. Will determine if the city should provide funding for the remainder of the year (one agency has only 1/3 funding) Investment in affordable housing funding – announced last year for four years; six categories for Service Manager to choose from. We anticipate $4.75M for four years. Chose three funding items: Ontario Renovates, Rent supplements and capital investment in housing; approved by council (report presented to housing committee). Note that the funding cannot be carried over to another year except rent supplement dollars (so recommended half of money be invested in rent supplements for a longer term benefit). Ontario Renovates program replaces RAP program from CMHC. The province has provided funding for a three year period for the new program only. Housing need survey – done by dept to determine what type of amenities and areas of interest to people on waiting list (locations) to make decisions in future in city and county. Gave person choice of any area in the city. Did not consider existing population density. Ms. Gutowski asked to take one step further to match current locations with preferred locations. Ms. Hurdle indicated that gaps will be found because housing areas are currently in Rideau Heights etc. Ms. Savill indicated that rural areas needs are sometimes hidden. Emergency shelter report – new shelter purchased at 333 Kingscourt Ave (former BridgeHouse); this is a 12-14 bed family shelter. Funded thru remaining CHPP funds ($175K left unallocated and a portion is used for this project). Will be provided per diem funding as well. Loan for Verona septic system – $200K from SHCRF to replace septic at KFHC site in Verona. It is a loan that will be paid back to the fund.

Childcare: Adele Lafrance provided the following: – Childcare management strategies – these strategies are municipal, not a provincial undertaking. Develop strategies that aligned with CSP. Manage challenge of more demand than $$. Fee Subsidies: – 20% of childcare population moving to Full Day Kindergarten (FDK) causing reduced utilization of childcare spaces but increasing fees.. Strategies developed involve tighter entitlement policies for fee subsidy Wage Subsidies: – policy of equitable distribution of wage subsidies remains; Short half million to fully fund wage subsidies alone. Transition and Stabilization: – 2 rural childcare centres identified as destabilizing: the Child Centre in Sharbot Lake and Helen Tuft Nursery School in Kingston. The CC in Sharbot Lake being impacted by FDK, HTNS impacted by restrictions on fee subsidies for “referral families” , those with parents not engaged in education or employment. Dedicated transitional funding renewed in 2011 with the understanding that they would provide business plans to continue to receive dedicated funding in 2012. – Business case from the Child Centre in Sharbot Lake details a number of adjustments and remedies. May need an ongoing special priority for rural childcare. – Imposed hold on new eligibility for wage subsidies until the end of FDK rollout. Meeting Notes RULAC February 13, 2012

February 13, 2012 RULAC Meeting Notes

Page 2 of 5

Page 4 of 160

Agenda Item # 2a)

Unconditional Fund: – Surplus funds allocated from Best Start Unconditional fund – dedicate to one time stabilization costs. There is a balance of approximately $800K in allocated Unconditional funds remaining. Recommended strategy is to retain these funds for a one time use rather than using to offset operating shortfalls. – Investigating web based licensed childcare registry. Attract full fee paying parents to stabilize budget. Will provide stats and data. Ms. Gutowski asked if there is public awareness about special daycare programs for Aboriginal children in rural areas. Important to ensure that the rural daycares are supported by web site. –

– –

– –

Mr. Laidman indicated that the Housing Services Act received royal assent Jan 1. It is hoped that over time the Act will give the Service Manager more flexibility to meet local needs. Not sure what our abilities under this act will be. No guidelines yet from province on how to implement. Continue operating their portfolios under existing legislation. Work is underway this year with service providers to optimize opportunities in the new Act. 12-001 home ownership report – funding for city residents only but provincial program will continue to administer funding for the county Operating Surpluses – social housing retrofit program has been successful. Want to find a way to continue this program (service providers want capital repairs). Annual surpluses by housing providers will be put in the SHCRF to provide loans for capital repairs on their facilities. Criteria for Affordable Housing reserve and reserve funds – two new programs in report approved by council. $1M per year for the next 5 years (city only) Land Acquisition Program and Capital Investment in Affordable Housing program … same funding for each program…. $50K per unit for private developers to include AH as incentive to increase number of units and reduce waiting list (city only), investment in AH operated under provincial guidelines. An RFP will be issued in 2012 so housing providers can take advantage of funding. There are two other reserve funds; important to recognize how the funds are to be used and that they do get used and under what terms. Affordable loan program – criteria that will be used to determine provision of forgivable loans for surplus funds in reserve fund Ms. Hurdle offered to present to County Council on the strategies for housing to bring context to our longer term plans.

Third Quarter Financials for Housing and Ontario Works: Adele Lafrance provided the following: – OW admin trending below budget (staffing vacancies and imposed restriction on discretionary spending, some Q4 invoices not yet in). Q4 is on budget. Under budget on allowance side although case load continued to increase but at a lesser rate than 2009 &2010. – Childcare – admin was on track. Program delivery was at budget but in Sept/Oct as demand continued to increase, had to impose wait list as was tracking to go over budget. By year end overspent by $70K in fee subsidy but were able to reallocate from other another area so there was no municipal deficit. Plan to open up the wait list in 2012 but will be limited and overall management is difficult at this time. Meeting Notes RULAC February 13, 2012

February 13, 2012 RULAC Meeting Notes

Page 3 of 5

Page 5 of 160

Agenda Item # 2a)

Mr. Laidman indicated that housing admin is trending under budget. At the end of 2011 were under budget due to two staff positions remaining unfilled for most of the year. Received additional money for rent supplement admin funding. Housing programs: had to make additional payments to housing providers but don’t anticipate any significant changes.

Provincial Offenses (POA): Hal Linscott reported the following: – POA Q3 revenues ahead of overall annual budget of $1.7 but don’t have final year end calculations but know we will exceed (likely around $1.9M). Expenditures are on budget for Q3 and expect they will be on for Q4. O/S receivables (fines not yet collected)….$6M were fines unpaid when city assumed management of POA from province in 2000; $6M are additional unpaid fines accumulated since then. Some will be written off as uncollectable. A/R table shows how unpaid fines have accrued since 2006. Last chart shows since 2007 the major enforcement agencies and amount of charges they have laid. No control on enforcement agencies activities but they have been consistent. Emergency Transportation Services: Paul Charbonneau reported the following: – 2010 ambulance service review….certification process every 3 years… received certificate in 2010 – Q3 operating report – 3 staff received Governor General’s award – Ambulance and Emergency Response Vehicle Visual Identification Program - Committee to improve appearance of ambulances; a graphic artist has developed a new design incorporating reflective tape and blue yellow combo (for day/night visibility). 5 new ambulances have been done and the rest will be done through the 2012 budget – Expanded ST Elevation Myocardial Infarction Bypass Initiative – KGH is the stroke centre… bypass emergency department and go directly to cath lab at KGH… instead of going to nearest hospital. – Roof on Palace Road – have applied and been approved for Microfit solar panel program – Q4 report: Participated in disaster exercise at airport which generated ideas especially for radio operability. North Frontenac fire station – have received all approvals to ahead. Will go to tender for design build with the end of November as completion date. New structure but replacing a current station on Scott Road. 2011 will be under budget due to revenue received by WSIB; received a NEER refund of approx $250K. 5. 2012 Budgets: From a brief discussion of highlights from the 2012 budget, the following was noted: – POA: shows fine revenue increase of $230K from 2011. Revenue split for city/county based on 80.457 / 19.543. Has been adjusted from last year to reflect updated weighted assessments. Expenditures: small change – LSR: net numbers have been reported. OW allowances reflect upload savings. Weighted assessment cost sharing based on 2009 rate (used consistently in all budgets). OW rate increase (1%) prescribed by the province. Did not budget for caseload growth. Childcare: there is not enough money to meet demand, but continue to apply strategies to contain costs to within limited funds. Meeting Notes RULAC February 13, 2012

February 13, 2012 RULAC Meeting Notes

Page 4 of 5

Page 6 of 160

Agenda Item # 2a)

Housing: trying to address housing shortages and are committed to changes; more money for contracted services to implement strategy and changes to Housing Services Act, new housing admin positions, housing programs: increase of $500K. Fairmount: CMI now confirmed at 99.26; also increase in revenue from ministry confirmed $250K. Expenditures: significant increase for OMERS. Council directed 0% increase for operating Bottom line is a net levy increase due to capital costs. Capital costs: new well/trenching and elevator and bldg automation system, carpeting, new flooring have been factored in. Land ambulance: Currently 3.3% budget increase. Decreases in fuel (eco-run system). Overall projected to be 2.06% increase. Capital projects being finished up with grant dollars; only fire station project coming up (being funded through reserve fund… no new levy or increase to taxes).

  1. Proposed Schedule of Joint Management & RULAC Meetings for 2012 Joint Management January 30, 2012 (City) May 30, 2012 (County) August 29, 2012 (City) October 31, 2012 (County)

RULAC February 13, 2012 (City) June 11, 2012 (County) September 10, 2012 (City) November 12, 2012 (County

Status Complete Scheduled To be discussed in May/June To be discussed in May/June

  1. Confirmation of Next Meeting – confirmed as May 30, 2012 for Joint Management and June 11, 2012 for RULAC. Both meetings to be held at the County offices.
  2. Adjournment

Meeting Notes RULAC February 13, 2012

February 13, 2012 RULAC Meeting Notes

Page 5 of 5

Page 7 of 160

Agenda Item # 4a)

ADMINISTRATIVE REPORT To:

WARDEN AND COUNCIL OF THE COUNTY OF FRONTENAC

From:

Elizabeth Savill CAO

Prepared By:

Julie Shillington Administrator of Fairmount

Date Prepared:

March 22, 2012

Date of Meeting:

April 18, 2012

Re:

Fairmount Home – 1st Quarter Activity Update

Background The following are some of the highlights from January 1 to March 31, 2012 of which County Council should be aware.

Comment Elevator The work on the lobby elevator continues. The control panel has been installed and the technicians are working on the fire recall system which involves coordination with our fire system maintenance technicians and our contracted electrician. Staff Mandatory Training The second in a series of mandatory information training days was held for staff. Training included the zero tolerance for abuse and neglect policy; ethics, resident rights; workplace violence; lifts and transfers; health and safety responsibilities; mission and vision statements and infection prevention and control. The next mandatory training day is scheduled for May. Behavioural Supports Ontario Initiative I attended several sessions regarding this initiative which will see three new Mobile Behavioural Teams of health professionals (RNs, RPNs, PSWs), employed by Providence Care, as part of the Behavioural Support Services program in the South East LHIN. When the BSS project is fully implemented, long-term care homes will be able to access additional staff support 24-hours a day when a resident is experiencing behavioural challenges related to dementia or other neurological conditions. A cooperation agreement has been developed by Providence Care in collaboration with the LTC sector, and has been reviewed by Providence Care’s legal services provider. It was recommended that legal advice be sought by each long-term care home prior to signature as the agreement does make reference to hands on care being provided by members of the team and allowing this may contravene the collective agreements of some homes. Administrative Report Fairmount Home – 1st Quarter Activity Update April 18, 2012

2012 1st Quarter Activity Update

Page 1 of 3

Page 8 of 160

Agenda Item # 4a)

Arbitration I attended collective bargaining arbitration the outcome of which is not anticipated until summer. Auditorium Fundraising Committee The first meeting of the Committee is scheduled for April 11th at Fairmount. Pay Equity Training The Director of Resident Care and I attended pay equity training to ensure our understanding of the process required to be undertaken to ensure our continued compliance with the Pay Equity Act. Supervisory Health & Safety Training The first of several health and safety training sessions specific to the roles and responsibilities set out in the Occupational Health Act was provided by the Occupational Health Nurse to some of our Managers, RNs, RPNs, and Cooks as well as the Volunteer & Special Events Coordinator and Lead Hand. General Staff Meetings Two general staff meetings were held this quarter. Frontenac Housing Forum I attended the Frontenac Housing Forum held in the Frontenac Room at the County. Code White Update A debrief session open to all staff was held. Coming out of this session an interdisciplinary team of staff from Fairmount, Frontenac Paramedic Services and County Administration has been formed to draft the procedures to be undertaken by staff during a violent person episode. Education Session – Program Evaluation The management team attended an education session on program evaluation at Hastings Manor in Belleville. The purpose of this session was to provide us with the tools to formally evaluate the Long Term Care Homes Act required programs. Residents’ Council & Residents’ Food Committee Residents’ Council and the Residents’ Food Committee met in January, February and March. The Council has requested that education be provided to its members each month and have scheduled a variety of topics from Fire Safety to Abuse and Neglect. The Food Committee has reviewed the proposed spring and summer menu and the Manager of Dietary Services and Dietitian are currently working on the changes. NRC – Range of Motion Pilot Project In collaboration with Centric Health, our physiotherapy provider, we are piloting a Range of Motion Nursing Restorative Care program on 1South. Outbreak A respiratory outbreak and an enteric outbreak were declared in March. Actions taken to control the outbreak included a daily outbreak management team meeting; increased cleaning in the affected areas; regular discussion with staff about hand hygiene and the use of personal protective equipment (PPE) as well as audits each shift on hand hygiene and the use of PPE. 15 Year Celebration March 27th saw the 15th anniversary of the County’s relationship with Sodexo. Sodexo provided cake and fruit to staff to celebrate this occasion. As you are aware Sodexo provides Administrative Report Fairmount Home – 1st Quarter Activity Update April 18, 2012

2012 1st Quarter Activity Update

Page 2 of 3

Page 9 of 160

Agenda Item # 4a)

management services for the environment and dietary departments as well as dietitian services to the residents.

Recommendation RESOLVED THAT Council of the County of Frontenac receive the Fairmount Home – 1st Quarter Activity Update report for information only.

Organizations, Departments and Individuals Consulted and/or Affected Residents Staff Volunteers Centric Health

Administrative Report Fairmount Home – 1st Quarter Activity Update April 18, 2012

2012 1st Quarter Activity Update

Page 3 of 3

Page 10 of 160

Agenda Item # 4b)

COUNTY OF FRONTENAC Variance to December 31, 2011

Fairmount Home for the Aged

2011 Budget

2011 Year End Actual

Variance

% Total Annual

$

$

$

Budget

REVENUE Provincial - Operations Provincial Subtotal

4,860,815 4,860,815

5,303,810 5,303,810

442,995 442,995

110.48% 110.48%

Residents - Accommodation Fees Other Revenue

2,915,811 0

2,697,166 922

-218,645 922

92.50%

Revenue Subtotal Before Municipal Contribution

7,776,626

8,001,898

225,272

103.70%

19,556

10,236

-9,320

3.32%

7,796,182

8,012,134

215,952

102.77%

Program and Support Services Direct Nursing and Personal Care Nurse Practitioner Nursing and Personal Care Administration Raw Food Dietary Services Housekeeping Services Laundry and Linen Services Building and Property Facility Costs General and Administrative Less: Non-Cash Items Net: General and Administrative

386,701 4,335,380 124,249 1,245,125 347,594 855,900 596,623 238,354 526,477 323,000 1,521,547 -524,096 912,427

392,822 4,337,012 127,479 1,220,595 341,036 888,279 580,812 234,731 488,760 262,445 1,492,794 -539,137 953,657

6,121 1,632 3,230 -24,530 -6,558 32,379 -15,811 -3,623 -37,717 -60,555 -28,753 -15,041 41,230

101.58% 100.04% 102.60% 98.03% 98.11% 103.78% 97.35% 98.48% 92.84% 81.25% 149.66% 634.10% 104.52%

Current Expenditures Subtotal

9,976,854

9,827,628

-149,226

99.35%

Capital Improvements City Share of Surplus Retained County Share of Surplus Retained

410,128 -203,482 -95,756

242,016 -99,932 -47,024

-168,112 103,550 48,732

59.01% 49.11% 49.11%

Total Expenditures Reserve transfer

10,087,744 39,000

9,922,688 39,000

-165,056 0

99.20% 100.00%

Total expenditure and reserve transfer

10,126,744

9,961,688

-165,056

99.20%

Municipal Contribution

2,330,562

1,949,554

-381,008

96.66%

City of Kingston Share County of Frontenac Share

1,584,782 745,780

1,325,697 623,857

-259,085 -121,922

99.63% 99.63%

Transfers - Reserves/Reserve Funds TOTAL REVENUE EXPENSE

Fairmount Home 2011 4th Quarter Financial Summary and 2012 1st Quarter Financial Summary

Page 11 of 160

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Fairmount Home 2011 4th Quarter Financial Summary and 2012 1st Quarter Financial Summary

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Page 12 of 160

Agenda Item # 4c)

ADMINISTRATIVE REPORT To:

WARDEN AND COUNCIL OF THE COUNTY OF FRONTENAC

From:

Elizabeth Savill CAO

Prepared By:

Julie Shillington Administrator of Fairmount

Date Prepared:

April 30, 2012

Date of Meeting:

May 16, 2012

Re:

Fairmount Home – 2012 1st Quarter Consolidated Statistical Report

Background As the “licensee” of the home under the Long-Term Care Homes Act and as a requirement for Accreditation, Council needs to be aware of the performance measures that are being collected at Fairmount, the results of those measures and any action plans that may be developed as a result. The home also has a responsibility under the Quality Improvement section of the Act to report our quality improvement activities to our residents, staff, volunteers and family members. With this in the mind, Fairmount’s Quality Assurance and Assessment Committee (QAAC) has developed a Quality Improvement Consolidated Statistical Report (Appendix A). This report contains information on all of the performance measures that were being collected in the home in the first quarter of 2012 and includes information such as goals (if established) and comments about the information collected.

Comment A review of the programming measures indicates that we are meeting the requirements of the Long-Term Care Homes Act in terms of providing weekend and evening programming and that a high percentage of our residents participate in at least one program each month. It is nice to see that 1,644 volunteer hours were provided to Fairmount in the first quarter. You will note that this number would have been even higher however some volunteer-led programs had to be cancelled in March due to enteric and respiratory outbreaks. You will note there are several new measures in the programming and volunteer departments which have been developed based on a review of the programs in 2011. In the dietary department you will notice some new quality initiatives that have been implemented which includes weekly dietary meetings. The results from the various audits are shared with the staff and discussions held as to how to improve the results. Administrative Report Fairmount Home – 2012 1st Quarter Consolidated Statistical Report May 16, 2012

Fairmount Home 2012 1st Quarter Consolidated Statistical Report

Page 1 of 4

Page 13 of 160

Agenda Item # 4c)

The results of the Goldcheck audits in housekeeping remain constant. Routine cleaning results were a little lower in the first quarter of 2012 due to the outbreaks. During outbreak, housekeeping staff is regularly redirected to the outbreak unit to ensure deep cleaning of high touch areas. Some complete routine cleaning activities are suspended or rescheduled. You will note a new measure in the laundry department regarding lost clothing. This has been added as a result of the annual Resident & Family Satisfaction Survey. We want to track how often lost clothing complaints come in and how many of those complaints are resolved with the clothing being located. A new measure focusing on regulatory testing is in place for the maintenance department. This is to ensure that all regulatory testing and inspections such as fire systems, gas fireplace, generator, etc. are completed as scheduled. The number of residents using a restraint remains constant from 2011. While the percentage of residents with complete restraint documentation remains good, the percentage of complete restraint flow sheets documentation requires improvement. To clarify, the first measure tracks whether or not staff have documented why the resident needs a restraint, what other alternatives have been considered/attempted and if there is a medical order for the restraint. The flow sheet measure tracks the daily required monitoring by the RPNs and PSWs. The Assistant Director of Care has been following up with the staff on the importance of and requirement for this documentation. Timeliness of completion of regulatory nursing tasks such as testing for MRSA/VRE, labelling of resident personal items, Mantoux testing, etc., has been a challenge in the first quarter of 2012 however there has been improvement over 2011. For example, in the last quarter of 2011 only 41% of resident personal items were labelled within 48 hours. In the first quarter of 2012 72% were labelled on time. Nursing managers continue to work with the nursing staff to ensure timely completion. Please note a new measure regarding staffing levels. One of the requirements in the LongTerm Care Homes Act is an annual evaluation of our nursing staffing levels. Two indicators were developed which, in additional to the hazards and complaints related to the nursing department, will be used to assist the home in evaluating the nursing staffing levels. In the area of Infection Prevention & Control you will note that 32 residents had symptoms that ultimately were related to an infection. This was primarily a result of the enteric and respiratory outbreaks. The number of falls is consistent with the last quarter of 2011 and is much lower in the first quarter of 2012 as compared to the first quarter of 2011 where there were 87 falls recorded in February/March alone. Pressure ulcer incidence is higher due in part to a resident being admitted with several wounds. The others were in-house Stage 1 (reddened areas only) so they were caught very early. Two of those needed to be reassessed for pressure relief when we found that what was being used wasn’t working and one resident consistently refuses to be repositioned from his back. There were 146 documented resident incidents, 100 of which were related to falls, near miss falls and medication incidents. There were 14 incidents related to resident aggression. There was one attempted elopement (exterior of building); three elopements (from secure unit to another unit in the home) and two times residents were found unescorted in a non-public area of the home – once in the stairwell by the public elevator and another time in the service hallway. Staff members were reminded that it does take a few seconds for the magnetic locks to lock Administrative Report Fairmount Home – 2012 1st Quarter Consolidated Statistical Report May 16, 2012

Fairmount Home 2012 1st Quarter Consolidated Statistical Report

Page 2 of 4

Page 14 of 160

Agenda Item # 4c)

once a door has been opened so they must remain vigilant and ensure that a resident has not followed them into a stairwell. Looking at health and safety, it is important to note that there has been an improvement in the timeliness of both the employee and management workplace inspections. As well, there was a significant amount of lost time due to workplace injuries in the first quarter but these were primarily related to the enteric outbreak. If a staff member has been exposed at work and displays the same symptoms as the residents, we have to report the illness to WSIB and the Ministry of Labour as it may be deemed to be a workplace acquired illness. There were a variety of hazards documented through Risk IDs, inspections, observation, etc. On two occasions it was noted that the medication fridge needed to be defrosted. Water temperatures were found to be high on two occasions in the quarter as well. There were two occasions where chemicals were not stored where residents could not access them – once was on a housekeeping cart and the other on a nursing care cart. There were four instances where the loading dock door was not closing properly. In all instances immediate actions were taken to ensure the safety of the residents and staff. The Resident/Family Satisfaction Survey was completed in March with 15 individuals responding. Residents and their family members were provided with two options for completing the survey – on paper or on-line through Survey Monkey. Overall satisfaction was high with only two areas of concern – lost clothing and the ability to open resident windows. A piece has been included in the May Grapevine Gazette regarding the need to label resident clothing and what do to if clothing is lost as well as why we do not encourage residents to open their windows and what they should do if they insist on doing so. We have included two new staffing measures related to absenteeism and turnover. We have also added two new measures related to the goals set out in the Religious and Spiritual Care program. We will be sharing these results with Residents’ Council, family members and staff in the coming month.

Sustainability Implications Measuring performance is essential to providing a high quality service. It allows an organization to identify areas where improvement is needed and triggers discussion as to how this can be done.

Financial Implications Measuring performance is a part of the home’s risk management and compliance processes. Failure to manage risk and assess compliance can lead to financial implications.

Recommendation That Council of the County of Frontenac receive the Fairmount Home – 2012 1st Quarter Consolidated Statistical Report for information only.

Organizations, Departments and Individuals Consulted and/or Affected Administrative Report Fairmount Home – 2012 1st Quarter Consolidated Statistical Report May 16, 2012

Fairmount Home 2012 1st Quarter Consolidated Statistical Report

Page 3 of 4

Page 15 of 160

Agenda Item # 4c)

Fairmount Management Team Staff Residents Volunteers

Administrative Report Fairmount Home – 2012 1st Quarter Consolidated Statistical Report May 16, 2012

Fairmount Home 2012 1st Quarter Consolidated Statistical Report

Page 4 of 4

Page 16 of 160

Fairmount Home 2012 1st Quarter Consolidated Statistical Report

FAIRMOUNT HOME QUALITY ASSURANCE & ASSESSMENT COMMITTEE (QAAC)

Quality Improvement (QI) Consolidated Statistical Report 2012

Agenda Item # 4c)

Page 17 of 160

Fairmount Home 2012 1st Quarter Consolidated Statistical Report

PROGRAMMING Statistic / Audit

Measurement

Program Attendance: First floor

residents

attending at least one program

(monthly)

/ # total residents

Program Attendance: Second floor

residents

attending at least one program

(monthly)

/ # total residents

Activity Calendar

1st floor programs

& # 2nd floor programs

(monthly)

Goal

1st Quarter Results

2nd Quarter Results

3rd Quarter Results

4th Quarter Results

Jan 57/60

Feb 59/62

Mar 62/63

Apr

May

Jun

Jul

Aug

Sep

Oct

Nov

Dec

Jan 57/62

Feb 62/63

Mar 60/64

Apr

May

Jun

Jul

Aug

Sep

Oct

Nov

Dec

Jan 28:17

Feb 22:17

Mar 23:18

Apr

May

Jun

Jul

Aug

Sep

Oct

Nov

Dec

Comments

(to ensure equitable)

weekend

programs in the quarter / # total weekends

Page 18 of 160 QAAC – QI Consolidated Statistical Report 2012 Page | 1

45/12.5

The LTC Homes Act requires weekend programming March #’s higher than usual (staff on every w/e)

Agenda Item # 4c)

Activity Calendar

Fairmount Home 2012 1st Quarter Consolidated Statistical Report

evening

programs in the quarter

9/13

The LTC Homes Act requires evening programming

3/18

It was noted that Generation Jamborie had a huge impact on male residents, although not intended for male residents only

0

Intent was to pilot the form for Walk for Memories - there was some misunderstanding re. which form to use – will trial it with Pancakes for Parkinson’s in April

/ # weeks in the quarter NEW - Programs directed at male residents

programs aimed

at our male population /total # programs

NEW - Large group activity evaluations

large group

activity evaluations completed

100%

/total # large group activities

VOLUNTEERS Goal

1st Quarter Results

Volunteer Hours

volunteer hours

6500

1644.5 (programs cancelled with outbreak)

Volunteer Survey

% of surveys returned

35% return rate

/ 64 surveys issued

QAAC – QI Consolidated Statistical Report 2012 Page | 2

0 surveys issued 0 surveys returned

2nd Quarter Results

3rd Quarter Results

4th Quarter Results

Comments

Agenda Item # 4c)

Page 19 of 160

Measurement

Statistic/Audit

Fairmount Home 2012 1st Quarter Consolidated Statistical Report

of satisfied

volunteers

95% satisfaction rate

0 surveys issued 0 surveys returned

4 programs / 12+ programs

0 programs reviewed

4 e-newsletters per year

0

/ #of volunteers surveyed

Volunteer Program Review

of programs

reviewed / # of volunteer assisted programs 100% of volunteer suggestions to improve programs considered

NEW Quarterly enewsletter

volunteer enewsletters

distributed

Page 20 of 160

NEW – Recognition of volunteer contributions

methods used to

ensure communication of volunteer contributions each quarter

QAAC – QI Consolidated Statistical Report 2012 Page | 3

Unavailable at time of printing

Agenda Item # 4c)

/4 quarters

Fairmount Home 2012 1st Quarter Consolidated Statistical Report

DIETARY Statistic/Audit

st

Goal

1 Quarter Results

Daily Food Temperature Audit

Weekly audit of individual meals where food temperature was taken and documented

100%

85.23%

Refrigerator & Freezer Temperature Log

Monthly audit of days temperatures were taken and documented

100%

94%

Daily Warewashing Sanitation Logs

Monthly audit of days sanitation logs information was documented

100%

86%

NEW - Dietary referrals

dietary referrals

completed

100%

Compiling information at time of printing

NEW - Quality initiatives

new quality

initiatives undertaken

3

4

(annual)

Page 21 of 160 QAAC – QI Consolidated Statistical Report 2012 Page | 4

2nd Quarter Results

3rd Quarter Results

4th Quarter Results

Comments New initiative for compliance will be in place as of May 1st.

Whipped topping for desserts New thickener & thickened products introduced Labeling of foods in the serverys Weekly dietary meetings

Agenda Item # 4c)

Measurement

Fairmount Home 2012 1st Quarter Consolidated Statistical Report

HOUSEKEEPING Statistic/Audit

st

Measurement

Goal

1 Quarter Results

Goldcheck

Weekly audits, monthly and quarterly reports indicating % of perceived cleanliness

100%

82%

New - Routine Cleaning Audit

Routine cleaning of resident rooms as recorded by staff. % calculated on number of opportunities vs. completed

100%

1N - 93.4% 1S – 90.9% 2N – 83.9% 2S – 99%

new product &

processes tested

100%

NEW – New products & processes testing

2nd Quarter Results

3rd Quarter Results

4th Quarter Results

Comments

Overall – 91.9%

Page 22 of 160 QAAC – QI Consolidated Statistical Report 2012 Page | 5

Agenda Item # 4c)

/total number of new products & processes implemented

Not available at time of printing

Fairmount Home 2012 1st Quarter Consolidated Statistical Report

LAUNDRY Statistic/Audit

Measurement

Laundry Poundage

Measured daily compiled monthly

NEW - Lost Clothing

lost clothing

found

Goal

1st Quarter Results

2nd Quarter Results

3rd Quarter Results

4th Quarter Results

Comments

3rd Quarter Results

4th Quarter Results

Comments

66000 lbs 90%

Not available at time of printing

/total # lost clothing forms submitted

MAINTENANCE Statistic/Audit Work Orders

Measurement

completed

st

Goal

1 Quarter Results

100%

Completed 1142 Issued 1190 – 95.9%

100%

Not available at time of printing

100%

Not available at time of printing

2nd Quarter Results

/total # work orders

of inspections

completed / # of new inspections

Page 23 of 160

NEW – Regulatory Testing

regulatory

testing completed /total # regulatory testing scheduled

QAAC – QI Consolidated Statistical Report 2012 Page | 6

Agenda Item # 4c)

Electrical Inspection Admission

Fairmount Home 2012 1st Quarter Consolidated Statistical Report

NURSING Statistic/Audit Restraint Use (monthly)

1 Quarter Results

2nd Quarter Results

3rd Quarter Results

4th Quarter Results

Jan

Feb

Mar

Apr

Jul

Oct

13

14

19

19

Average # of restraints used (including bedrails)

28

32

35

38

of residents

using a restraint

17

22

22

25

3/3

6/8

1/1

3/3

100 %

75%

100%

100 %

4/17

10/14

11/20

7/23

77%

71%

55%

70%

Measurement

Goal

Average # of restraints used (excluding bedrails)

residents with

complete restraint documentation

100%

/ # resident charts audited 100%

Page 24 of 160

/ # resident charts audited

QAAC – QI Consolidated Statistical Report 2012 Page | 7

May

Jun

Aug

Sep

Nov

Comments

Dec

Agenda Item # 4c)

residents with

complete flow sheet documentation

st

Fairmount Home 2012 1st Quarter Consolidated Statistical Report

PostAdmission Audit

100%

MRSA/VRE on time = 58% 1st Mantoux on time= 75% Other sections complete on chart = 66%

Medication Reconciliation Verified

of time

admission meds are reconciled/# of admissions

100%

100%

Medication Sign-off (MDSRAI audits)

% assessments with all meds signed in 7days

100%

72%

N/A

MSSA (completed annually) CIHI measures

Medication Incidents

medication

incidents

22

14

medication

incidents resulting in harm to resident

0

0

discrepancies in

count of narcotic &

0

0

QAAC – QI Consolidated Statistical Report 2012 Page | 8

#’s reflect last quarter of 2011

Agenda Item # 4c)

Page 25 of 160

CIHI Statistics (see attached)

Fairmount Home 2012 1st Quarter Consolidated Statistical Report

controlled drugs / # time counted

adverse drug

reactions

0

0

Chart Audits

completed

84

Resident Incident Reports

Quarterly reports for trending

146 – 78 falls/14 medication/14 aggression

Palliative Care

Number of residents with PPS 30% or less monthly

Jan

Feb

Mar

4

2

2

of compliments

from Memory Book quarterly

4 compliments/6 deaths

NEW - Staffing Plan Evaluation

#validated workload complaints from staff

0

Page 26 of 160

nursing staff

injuries on day shift when three staff on unit /total # nursing

QAAC – QI Consolidated Statistical Report 2012 Page | 9

0

Will start tracking in 2nd quarter

Agenda Item # 4c)

/total # complaints

Fairmount Home 2012 1st Quarter Consolidated Statistical Report

staff injuries

NEW - Resident Personal Items Labeling

% admission assessments & labeling completed on time

90%

Agenda Item # 4c)

Page 27 of 160 QAAC – QI Consolidated Statistical Report 2012 Page | 10

72%

Fairmount Home 2012 1st Quarter Consolidated Statistical Report

INFECTION PREVENTION & CONTROL Statistic/Audit Symptoms

Measurement

Goal

st

1 Quarter Results

2nd Quarter Results

3rd Quarter Results

4th Quarter Results

32/128 (UTI’s not included)

residents

displaying symptoms resulting in an infection

Comments Respiratory (5 cases) and Enteric outbreaks in March

/ 128 MRSA/CDif

nosocomial

infections

0

Wheelchair Cleaning

wheelchairs

cleaned

100%

(monthly)

/ # scheduled

compliant/total

opportunities observed

50%

PPE Use

staff using

proper PPE

100%

Page 28 of 160

/ # staff observed

QAAC – QI Consolidated Statistical Report 2012 Page | 11

1 in April

Jan

Feb

Mar

351 428

323 421

353 430

84%

77%

83%

Apr

May

Jun

Jul

Aug

Sep

Oct

Nov

Dec

Agenda Item # 4c)

Hand Hygiene (x2/yr)

0

Fairmount Home 2012 1st Quarter Consolidated Statistical Report

FALLS Statistic/Audit Falls

Measurement

of falls

st

Goal 30

(monthly)

residents who

have fallen

1 Quarter Results

2nd Quarter Results

3rd Quarter Results

4th Quarter Results

Jul

Oct

Feb

Mar

Apr

23

25

30

18

17

22

22

15

1

0

3

1

1

2

5

3

4/4

4/4

6/6

3/3

100%

100%

100%

100%

0

0

0

0

May

Jun

Aug

Sep

Nov

Dec

/ 128 Severity of falls

1

of near miss

falls

of residents

who have fallen 2 or more times in a week on whom falls round were conducted

100%

/ # of residents who have fallen 2 or mores times in a week where falls rounds were not conducted QAAC – QI Consolidated Statistical Report 2012 Page | 12

Agenda Item # 4c)

Page 29 of 160

Jan

Comments

Fairmount Home 2012 1st Quarter Consolidated Statistical Report

falls prevention

education opportunities offered to staff, residents & family members

At least once per year to each group

0

0

0

Agenda Item # 4c)

Page 30 of 160 QAAC – QI Consolidated Statistical Report 2012 Page | 13

Falls display to all – all categories took part

Fairmount Home 2012 1st Quarter Consolidated Statistical Report

INCONTINENT & BOWEL MANAGEMENT st

Statistic/Audit

Measurement

Goal

1 Quarter Results

Voiding record

residents with

completed 3d voiding record on admission

100%

12

2nd Quarter Results

3rd Quarter Results

4th Quarter Results

Comments

2nd Quarter Results

3rd Quarter Results

4th Quarter Results

Comments

Jul

Oct

100%

12

/ #admissions

SKIN & WOUND MANAGEMENT st

Statistic/Audit

Measurement

Goal

1 Quarter Results

Pressure Ulcer Prevalence

of residents with

pressure ulcers

5%

TBA

of residents with

new pressure ulcers

5%

Jan 2.3%

Feb 2.3%

Mar 7.8%

Apr 1.5%

Wound Care Sheets

audits

completed

100%

No data

21/21

17/17

17/17

(monthly)

/ # audits scheduled

100%

100%

100%

(annually) Pressure Ulcer Incidence

May

Jun

Aug

Sep

Nov

Dec

Page 31 of 160

QAAC – QI Consolidated Statistical Report 2012 Page | 14

Unable to do audits

Agenda Item # 4c)

(monthly)

Fairmount Home 2012 1st Quarter Consolidated Statistical Report

HEALTH & SAFETY / RISK MANAGEMENT Statistic/Audit Fire Drill Attendance (annually)

st

Measurement

Goal

1 Quarter Results

2nd Quarter Results

3rd Quarter Results

staff attending at

least one fire drill per year

100%

n/a

n/a

n/a

100%

100%

100%

100%

0

62%

4th Quarter Results

Comments Only measured in December

/ total # of staff Employee Workplace Inspections

inspections

completed on time / # of inspections scheduled

Management Workplace Inspections

inspections

completed on time / # of inspections scheduled

lost time injuries

High Risk Activity Verification Process

staff knowing 1

identifier

Hazards

Quarterly hazard reports for

/ # of total injuries

(21/34)

100%

4/8 = 50%

/ # staff knowing 2 identifiers

QAAC – QI Consolidated Statistical Report 2012 Page | 15

2 med fridge needs defrosting; 2 water

1st quarter – 18 related to outbreaks

Agenda Item # 4c)

Page 32 of 160

Employee Incident Reports (from OHN quarterly updates)

Fairmount Home 2012 1st Quarter Consolidated Statistical Report

trending

Agenda Item # 4c)

Page 33 of 160 QAAC – QI Consolidated Statistical Report 2012 Page | 16

temperatures high; four loading dock door not closing properly; 2 chemicals not stored properly

Fairmount Home 2012 1st Quarter Consolidated Statistical Report

EDUCATION &TRAINING Statistic/Audit Inservice Attendance

Measurement

Goal

staff in

attendance at all inservices

of staff that

attend at least one inservice per year

st

1 Quarter Results

2nd Quarter Results

3rd Quarter Results

4th Quarter Results

Comments

186

70%


75%

15

/ 185 (total # of staff) (annual) Inservice Evaluations

evaluations

completed

62% / # inservices offered Topics

Page 34 of 160

of educational

needs addressed / # of educational needs identified (annual)

100%


of staff attended

sessions on mandatory topics

100%

30

QAAC – QI Consolidated Statistical Report 2012 Page | 17

Agenda Item # 4c)

(annual)

24

Fairmount Home 2012 1st Quarter Consolidated Statistical Report

GENERAL Statistic/Audit Family/Resident Satisfaction Survey (annual) Staff Satisfaction Survey (annual) NEW - Staff Absenteeism Rate

Measurement

respondents

satisfied

st

2nd Quarter Results

3rd Quarter Results

4th Quarter Results

Goal

1 Quarter Results

Comments

90%

97.5%

80%

n/a first quarter

Survey to be issued later in year

3%

563 days = 8%

Average 522 shifts/3918 hrs per week

6 staff = 3%

Based on 168 staff – 2 terminations & 4 resignations

Survey closed March 31- 15 respondents

/ total # respondents

respondents

satisfied / total #respondents

sick days taken

/average # shifts scheduled

(not including full 15 week leaves)

staff leaving

employment /total # staff Complaints

Page 35 of 160

(trended quarterly) Bed Occupancy

verbal

complaints

0

4

written

complaints

0

0

98%

99.3%

days bed

actually occupied

QAAC – QI Consolidated Statistical Report 2012 Page | 18

Agenda Item # 4c)

NEW - Staff Turnover

Fairmount Home 2012 1st Quarter Consolidated Statistical Report

/ total number of days

PAIN & SYMPTOM MANAGEMENT Statistic/Audit

Measurement

Goal

1st Quarter Results

Prevalence of Daily ModerateSevere Pain scores

of residents with

moderate-severe daily pain scores

10%

5: Moderate (3.9%) 0: Severe

Incidence of new Daily ModerateSevere Pain scores

of new resident

with moderatesevere daily pain scores

10%

3: Moderate (2.3%) 0: Severe

2nd Quarter Results

3rd Quarter Results

4th Quarter Results

Comments

/ 128 residents 1 of the 3 new cases was a new admission

/ 128 residents

Agenda Item # 4c)

Page 36 of 160 QAAC – QI Consolidated Statistical Report 2012 Page | 19

Fairmount Home 2012 1st Quarter Consolidated Statistical Report

RELIGIOUS & SPIRITUAL CARE Statistic/Audit NEW - Pastoral Visiting

(monthly) NEW - Multifaith Services provided

Measurement

resident

receiving a pastoral visit

st

Goal

1 Quarter Results

2nd Quarter Results

3rd Quarter Results

4th Quarter Results

90%

Jan

Feb

Mar

Apr

July

Oct

n/a

n/a

n/a

May

June

Aug

Sep

Nov

Dec

Comments Data collection started in April

/ total # respondents

weeks with at

least one multifaith service provided

80%

83%

Two services cancelled first quarter due to outbreak

/ total # weeks

Agenda Item # 4c)

Page 37 of 160 QAAC – QI Consolidated Statistical Report 2012 Page | 20

Agenda Item # 4d)

ADMINISTRATIVE REPORT To:

WARDEN AND COUNCIL OF THE COUNTY OF FRONTENAC

From:

Elizabeth Savill CAO

Prepared By:

Julie Shillington Administrator of Fairmount

Date Prepared:

May 2, 2012

Date of Meeting:

May 16, 2012

Re:

Fairmount Home – Strategic Plan

Background In April 2006, Fairmount’s first five-year strategic plan was approved by County Council. In 2010, the management team at Fairmount started discussions with staff, residents, family members and volunteers in preparation for the development of a new five year strategic plan. Unfortunately, due to a variety of challenges, the draft plan has not been ready for Council’s review and discussion until now. The challenges we faced and the subsequent delay of the plan were recognized as being valid by Accreditation Canada during our recent accreditation survey however we are expected to have an approved strategic plan as well as an operating plan in place within the year.

Comment In this report I refer to both a strategic plan and an operational plan. The easiest way to differentiate the two is to think of the strategic plan as the document that outlines at a very high level what we want to achieve and the operational plan as the document that details how we are going to achieve it. Operational plans should establish the activities and budgets for each part of the organization for the next years. They link the strategic plan with the activities the organization will deliver and the resources required to deliver them. An operational plan is the basis for, and justification of an annual operating budget request. You will find our draft five-year strategic plan attached as Appendix A. We have made an attempt to capture the highlights of the past five years as well as documenting some of the possible focus areas for the next five years. Please note that by approving the strategic plan Council is not approving the operational plan. A multi-year operational plan will be brought forward for Council’s discussion upon approval of the strategic plan. One of the first tasks we undertook during our planning exercise was the revision of the home’s mission and vision statements. During our staff consultations in 2010, it became very clear that Administrative Report Fairmount Home – Strategic Plan May 16, 2012

Strategic Plan

Page 1 of 3

Page 38 of 160

Agenda Item # 4d)

the current statements were just too long for staff to remember and communicate. The following are the current statements – you will find the proposed statements on Appendix A: Current Vision Statement: In response to changing needs of residents and the community, we will continue to develop and implement innovative “best practices” and programs. We will continue to foster and grow an environment of mutual respect for residents and all members of our caring community. We will promote the principles and practices of Continuous Quality Improvement for all aspects of Fairmount’s caring community, and we will maintain the ethical balance between innovation and resident choice, safety and risk management. Building on the foundation of strong relationships, Fairmount will seek to increase the involvement of the wider community by bringing our citizens into Fairmount through the sharing of our expertise, our location, and our excellent programming. Fairmount will also reach out into the wider community as a leader and participant, sharing its knowledge and resources to plan and implement activities that will improve the lives of the elderly throughout the entire area. Current Mission Statement: Fairmount is an accredited long-term care home for 128 residents, dedicated to providing the best quality of life to those who live and work here. The Fairmount community fosters a creative and responsive environment in which all members – staff, families, volunteers, students, community partners and the residents themselves – respect and promote the strengths and abilities of each other, especially those for whom this is home. A full range of high quality programs are provided with the caring expertise of a dedicated, multi-disciplinary, team, responding to the unique needs and wishes of our residents. All members of our Community are advocates for all those who live and work here. There are no proposed changes to the current values of the home. Once the proposed vision, mission and values were in place we were able to turn our focus to the home’s priorities. We were extremely pleased when Council formally established its priorities in the fall of 2011 as this allowed us to ensure that the priorities and goals established in the home’s strategic plan support the strategic priorities established by Council. As you can see in Appendix A of the draft plan, a multitude of discussions have been held with staff, residents, family members and other community partners all leading to the development of a draft strategic plan for Council’s discussion and, ultimately, approval.

Sustainability Implications An organization needs a road map to follow for success. The strategic plan is that road map that provides direction to staff and, through the subsequent operational plan performance measures, allows demonstration of achievement. Administrative Report Fairmount Home – Strategic Plan May 16, 2012

Strategic Plan

Page 2 of 3

Page 39 of 160

Agenda Item # 4d)

Financial Implications There are no direct financial implications in the strategic plan as Council is not being asked to approve specific projects. The specific projects, thus direct financial implications, will come forward in the operational plan.

Recommendation That Council of the County of Frontenac receive the Fairmount Home – Strategic Plan report and; that the Council of the County of Frontenac approve the Fairmount Home Strategic Plan 20122017 as attached.

Organizations, Departments and Individuals Consulted and/or Affected Residents Staff Volunteers Family Members Centric Health Bagot Street Medical Center KFL&A Public Health

Administrative Report Fairmount Home – Strategic Plan May 16, 2012

Strategic Plan

Page 3 of 3

Page 40 of 160

Agenda Item # 4d)

Strategic Plan

Strategic Plan

Page 41 of 160

Agenda Item # 4d)

Introduction Fairmount Home is a 128-bed long-term care home owned and operated by the County of Frontenac. At Fairmount staff practices the Gentlecare philosophy - resident focused care which empowers residents to make as many choices as possible. Staff knows each resident and responds to their social as well as psychological and physical needs. They put the resident first before the task at hand and acknowledge that risk is a normal part of life. Most importantly, they treat the residents as they would wish to be treated. Fairmount underwent an operational review in 2008 during which the consultants stated: Fairmount truly stands out among long-term care homes, due to its innovation, its initiative and its ability to actually live out the Gentlecare philosophy. We repeatedly heard staff, residents, representatives of their families, the CCAC, the local LHIN and the surrounding community suggest ‘Fairmount Home is a model for long term care’. The Osborne Group agrees with this view. We provide 24-hour nursing care which incorporates nursing restorative care and have a medical team consisting of physicians and a full-time Nurse Practitioner. We provide support services including physiotherapy, occupational therapy and social work. We also provide recreational activities, dietary, housekeeping & laundry services as well as maintenance and administrative services. We meet the needs of our residents while ensuring staff live out the Gentlecare philosophy. Fairmount is funded through the Ministry of Health & Long-Term Care, the South East LHIN, resident accommodation fees, the City of Kingston, the County of Frontenac and the generous donations from individuals in our community. Our strategic plan has been created with the cooperation of staff, residents, volunteers, family members and our community partners. Appendix A to the plan provides the dates of our strategic planning meetings. Our plan outlines our mission, vision and values and identifies our strategic priorities and desired outcomes. Our plan is aligned with the vision and strategic priorities identified by Frontenac County Council.

Strategic Plan

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Agenda Item # 4d)

The Last Five Years Fairmount’s first five-year strategic plan was approved by County Council on March 15, 2006. Since its implementation there have been many changes, both at Fairmount and in the longterm care sector as a whole, that have had a significant impact on our residents, staff, volunteers, family members and community. Resident and family satisfaction rates have continued to be assessed annually and have been consistently high. Our Residents’ Council has been active but unfortunately our Family Council folded in 2011. Our waiting list has remained lengthy over the last five years. With the opening of another LTC home in Kingston we did see the list reduced somewhat, especially the list for secure beds, but it has grown longer again. The introduction of the Local Health Integration Networks in 2006, forced long-term care homes to look at their role in the health care system from the perspective of the broader health care spectrum, not just as a single sector or provider. Fairmount senior staff has been involved in a variety of LHIN committees and discussions and continue to participate in quarterly LTC meetings which include the participation of a LHIN representative. The South East LHIN has developed an Integrated Health Sustainability Plan (IHSP) which is the three-year strategic plan for the South East health care system. The Plan is entitled Reaching for Excellence and challenges health-care providers across the South East LHIN to explore possibilities for integration and improvements in the delivery of care, to meet goals and measure results. In 2011, the South East LHIN announced an initiative entitled the Regional Clinical Services Roadmap that examines different services currently provided to varying degree by the seven hospitals and the South East Community Care Access Centre (CCAC) across this region, and considers ways in which to improve access to the right care, at the right time, in the right place. The focus is on effective chronic disease management, patient self management, reduction of hospital re-admission rates, and the improved coordination of care between sectors and providers. A Long-Term Care Service Accountability Agreement (L-SAA) was signed with the South East LHIN in 2009 and requires that strategic plans be submitted by LTC homes to the LHIN every three years. In 2009, Health Quality Ontario (HQO) introduced public reporting of indicators. HQO has been mandated by the provincial government to measure and report to the public on the quality of long-term care and resident satisfaction. Fairmount was one of the first homes to volunteer with HQO for public reporting of measures in areas such as falls prevention, pressure ulcer prevalence and bowel and continence management. In 2010, HQO introduced Residents First, the purpose of which is to grow capacity for quality improvement, so that the quality of each resident’s care is the best in Canada and comparable to leading jurisdictions the world over. Fairmount was one of five homes in Ontario to participate in a LEAN quality improvement exercise through Residents First.

Strategic Plan

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Agenda Item # 4d)

The implementation of the Long-Term Care Homes Act (LTCHA) in 2010 introduced increased and new program and reporting requirements and inspection processes to long-term care homes. The Act saw an increase in the requirement for food service worker and dietitian hours; the introduction of social work services; new mandatory reporting requirements; details about staff training and emergency planning as well as new quality improvement requirements. Significant responsibilities have been placed upon County Council under the Act requiring members to be up to date on the activities of the home. New funding for PSWs, RPNs, RAI Coordinators, physician on-call and safety initiatives was announced in the last five years. With the introduction of the LTCHA came an increase in base funding from the Ministry of Health & Long-Term Care. In 2010, the Province moved away from the Alberta Classification System for determining Case Mix Index (CMI) and commenced using the RAI MDS 2.0 system. The CMI is the factor applied to the base funding for the nursing envelope to determine how much funding a home will receive for its nursing services. As an early adopter of the RAI MDS system, Fairmount had been frozen at a CMI of 106.77 until 2010 at which time the CMI was formally based on the RAI MDS assessments and went to 1.0168 and further dropped to .9915 in 2011. As the assessments are primarily based on documentation by staff, significant efforts have been made to educate staff on the RAI MDS system and their responsibility for ensuring accurate and complete documentation. Efforts at accessing grant monies have been successful. We have been able to offer volunteer education, youth volunteer training, art instruction and intergenerational music activities to our residents and community through a variety of grants. In 2010, County Council directed that there be no increase to the municipal contribution to the home related to operating costs for 2011, 2012 and 2013. This direction was met in 2011 however it did require reductions in PSW and RPN staffing. It was met again in 2012 with no staffing reductions. Staff satisfaction has continued to be assessed annually. Satisfaction rates continued to be high until 2011 at which time the Accreditation Canada Worklife Pulse survey was administered which demonstrated a decline in satisfaction and trust in the organization. An independent facilitator was brought into the home to meet with staff to gain an understanding about the decline in satisfaction and it was made clear that the results were directly related to staffing reductions made in the nursing department in 2011. However, even with the decline in satisfaction, staff turnover rates remain extremely low. Fairmount continues to be a learning organization, providing placement opportunities to students through the Limestone Board of Education, Trillium College, Queen’s University, St. Lawrence College and the Kingston Learning Centre to name a few. We have provided placements for future PSWs, RNs, RPNs, Dietitians, Food Service Managers, Administrative workers and Nurse Practitioners. We also provide co-op placements for high school students from Sydenham High School and LaSalle Secondary School. Our volunteer program has remained strong over the past five years with an annual average of 120 active volunteers. A volunteer satisfaction survey was administered in 2011 the results of which confirmed a high rate of volunteer satisfaction. Staff was also surveyed about their understanding of and satisfaction with the volunteer program. The results demonstrated that staff highly values the contributions of volunteers in the home.

Strategic Plan

Page 44 of 160

Agenda Item # 4d)

Looking at information technology, there have been significant advancements made over the last five years. Access to the Ontario Telemedicine Network (OTN) was provided to Fairmount in 2009. Currently we, and some members of our community, use the OTN at Fairmount to access education and training sessions. Digital pens for the ordering of medications were implemented in 2009. Computers on wheels (COWs) were introduced in 2009 to meet mobile IT needs. Most recently staff has been introduced to electronic scheduling and is now expected to submit all time off requests and shift trades electronically.

Strategic Plan

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Agenda Item # 4d)

The Next Five Years It is difficult to know exactly what will happen in the future given the ever changing world of longterm care however there are some certainties and some expectations that can be solidly addressed. We do know that the South East LHIN has the highest percentage of residents aged sixty-five and older in the province. We also know that there is significant pressure on the acute care sector to reduce the number of patients deemed to be Alternate Level of Care (ALC) waiting in hospital, many waiting for LTC beds. It is very important that we continue to be engaged in discussion opportunities at the local, LHIN and provincial levels to ensure we understand the role we play within the LHIN’s vision of the health care system and are able to participate in and/or provide feedback on suggested initiatives. We expect that the performance measures referenced in the L-SAA will be fully developed, implemented and publicly reported. It is expected that HQO will expand the number of LTC performance measures that it publicly reports and that this will no longer be voluntary. We know that the L-SAA requirement for nursing staffing plans will be introduced. What we don’t know is what will be required in the staffing plans. However we can reference the Sharkey Report which gives us a possible benchmark. The Ministry of Health and Long Term Care commissioned an independent review in the fall of 2007 to look at staffing and care standards for Long-Term Care Homes in Ontario. Directed by Shirlee Sharkey, President and CEO of Saint Elizabeth Health Care, the findings of the report were published in May, 2008. The report is entitled People Caring for People: Impacting the Quality of Life and Care of Residents of Long-Term Care Homes. Sharkey proposes that “The addition of 3,200 nurses (including 1,200 RPNs announced in the 2007/08 provincial budget) and 2,500 PSWs will increase the average hours of care provided by nursing, personal care and allied health professionals to approximately 3.5 hours.” Looking at quality improvement, it is anticipated that the implementation of the Excellent Care for All Act will be introduced to the long-term care sector. This legislation requires the development of quality improvement committees; quality plans and staff/family/resident surveys much of which is already required under the Long-Term Care Homes Act. We expect that it will be several years before we fully understand and are comfortable with the new Ministry of Health & Long-Term Care Inspection process. We know that we must continue our efforts to maximize our CMI through nursing restorative care and documentation. We should also continue seeking revenue and cost recovery opportunities. Looking at our capital infrastructure, we anticipate that our Auditorium will undergo redevelopment to ensure a fully functional resource for our residents and our community. A new well will be drilled in 2012. Our building automation system will need to be replaced and we will need to ensure adequate resources for ongoing capital requirements. Our information technology needs are changing. Many LTC homes have moved towards electronic medication administration records (e-MARs) and full use of computerized nursing documentation systems. We do feel that staff has had sufficient opportunity over the past five years to gain some comfort with the computerized environment and plan on moving forward with

Strategic Plan

Page 46 of 160

Agenda Item # 4d)

these projects. We anticipate the ability to expand the use of the Ontario Telemedicine Network to allow residents to access medical specialist services without leaving the comfort of the home. We also see more and more residents and family members wishing to have access to internet services in the home. The current average age of our employees is 43 years. 24% of our employees are between the ages of 50 and 70 years with 10 of them over the age of 60. In five years 41%, almost half, of our employees will be between the ages of 50 and 70. The average age of Fairmount’s management team is 55 years. Given these facts, succession planning must be a priority for Fairmount. There is a constant need to continue the learning of knowledge and skills of all those directly involved in Fairmount – staff, volunteers, families and residents on site – and those who someday may become a part of Fairmount – students. Legislated training requirements have increased in the past two years and must be met. Education and training needs identified by staff must also be considered. Accessibility legislation will have an impact on the home especially in the areas of human resources and access to information and services. Most importantly, we must ensure that we communicate effectively both internally and externally. We anticipate that our website will be a primary resource for communicating externally so a focused effort will be made on ensuring it is informative and user friendly. Finally, our relationships with our residents, staff, family members, volunteers and community partners are extremely important to our success. We will continue to celebrate our current relationships while seeking out opportunities to build new ones.

Strategic Plan

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Agenda Item # 4d)

Frontenac County Council Priorities In 2009 the County undertook a County-wide approach towards planning for a sustainable future. The Directions for Our Future document outlines the project’s vision as follows: County of Frontenac – Fresh with Opportunity: Growing Vibrant, Innovative, Natural, Sustainable Places It also outlines the four pillars of sustainability (social, cultural, economic and environmental) and thirteen focus areas that were recognized as valuable and important in the consideration and development of sustainability policies, programs and projects in the Frontenacs. As well, at its meeting on October 19, 2011, Frontenac County Council approved the following strategic priorities for its four-year term: a) Implement an active program of communications with taxpayers, stakeholders, townships and other partners b) In collaboration, develop a County Official Plan with 10-20 year timeframes c) Start planning now to manage solid waste and reduce pressure on landfills d) Target and achieve long-range sustainable development while maintaining consideration for the environment e) Establish a rural transportation system f) Develop a long-term strategy that considers increasing pressures on Fairmount, longterm care, other facilities and the general housing supply g) Explore strategies related to mobile health care/primary care prevention. h) Complete and open the K&P Trail i) Lead by engaging expertise and collaborating with partners to repurpose/ revitalize under-utilized or tired rural properties for alternative use j) Support efforts to develop the local food production and marketing system k) Strengthen direct and personal relationships with businesses to support their contribution to the economy l) Establish at least one Community Improvement Plan (CIP) in each township. m) Establish an active program to support staff recruitment/retention, succession plans and other activities to ensure a skilled, committed staff The Directions for Our Future document and Council’s established priorities provide a firm foundation on which to build Fairmount’s strategic plan.

Strategic Plan

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Agenda Item # 4d)

Our Vision Fairmount is recognized as a home of choice thanks to our Gentlecare™ philosophy; the dedication of staff, volunteers, students and community partners; our sustainable practices and our quest for continuous quality improvement.

Our Mission Members of the Fairmount community are treated with dignity and respect in a creative and responsive environment in which all members are dedicated to promoting the individual strengths and abilities of each other.

Our Values CRE– A– T– I– V– E–

Caring and Compassionate Responsive and Respectful Expertise, Enabling Acceptance, Advocacy, Appreciation Team Work Independent and Innovative Vibrant, Visionary Ethical

C– O– M– M– U– N– I– T– Y–

Community-Oriented Opportunity and Openess Meaningful and Mindful Motivated Unique Neighbourly Inclusive Togetherness YOU – our focus

Our Priorities Our Residents Fairmount will ensure a holistic lifestyle for all residents by responding to their unique needs and wishes related to learning and desired experiences to satisfy their physical, social, emotional, spiritual, mental and cultural needs and by ensuring that all members of the Fairmount community are knowledgeable and accepting of our Mission, Vision and Values and put them into practice all day, every day. Our Staff & Volunteers Fairmount will be a positive learning environment based on best practices and mutual respect, creativity and innovation and will maintain a strategy for recruitment, training and retention to ensure an exceptional group of staff and volunteers. Our Community Fairmount will continue seeking the involvement of the wider community by bringing members into Fairmount through the sharing of our expertise, our location and our excellent programming and by reaching out to members as a leader and a participant, sharing our knowledge and resources to plan and implement activities that will improve the lives of the elderly throughout the entire area.

Strategic Plan

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Agenda Item # 4d)

Our Relationships Fairmount will continue to develop new relationships, while recognizing the value of our current ones, to ensure the highest quality of care and programming for Fairmount and the long-term care sector. Our Communications Fairmount will maintain an open and accountable program of accessible communications with its residents, staff, volunteers, family members and members of its greater community. Our Infrastructure Fairmount will ensure that its activities are supported by good quality, well maintained, well managed and, where required, accessible infrastructure. Our Sustainability Fairmount will strive to become a sustainable organization by seeking out opportunities and resources that will allow us to reduce our financial and environmental impact upon our community.

Strategic Plan

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Agenda Item # 4d)

Measurement & Reporting A multi-year operational plan will be developed and implemented upon approval of the strategic plan by County Council. An annual report will be provided to County Council, Residents’ Council, staff, volunteers and family members on the home’s progress towards meeting the activities set out in the plan. Operational plan performance indicators will be established and documented in the Consolidated Statistical Report that is shared with Council on a quarterly basis.

Strategic Plan

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Agenda Item # 4d)

Appendix A Initial meetings, discussions and/or presentations: April 12, 2010 – Volunteer Coordinator April 15, 2010 – Dietary Aides, OT, Rehab Assist, Restorative Care Nurse April 16, 2010 – Recreationists, Maintenance, Administration April 19, 2010 – Cooks, Housekeeping, Laundry May 3, 2010 – PSW May 4, 2010 – RPN May 7, 2010 – Documentation Assistants, RNs May 14, 2010 – NP December, 2010 – Volunteers June 20, 2011 – Family Members October 26, 2011 – Family Members October 28, 2011 – Management Team March 14, 2012 – Professional Advisory Committee (Medical Team; Public Health; Pharmacy; Physiotherapy) March 19, 2012 – General Staff Meeting March 15, 22, 23, 30, April 3, 5, 10 – Nursing Meetings April 12 – Dietary Team April 3 – 16 – Display in lobby for all including general public April 24 – Residents’ Council May 1 – Frontenac Senior Management

Strategic Plan

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Agenda Item # 4e)

ADMINISTRATIVE REPORT To:

WARDEN AND COUNCIL OF THE COUNTY OF FRONTENAC

From:

Elizabeth Savill CAO

Prepared By:

Julie Shillington Administrator of Fairmount

Date Prepared:

February 7, 2012

Date of Meeting:

February 15, 2012

Re:

Fairmount Home – 2012 Case Mix Index (CMI)

Background CMI is a numerical value calculated using Resource Utilization Groups (RUGs) that is then applied to the nursing envelope base funding. The RUGs score is calculated using information obtained through the RAI MDS resident assessment process conducted quarterly, and more frequently where required, by staff at the Home. The CMI is calculated once annually by the Ministry of Health and Long Term Care and applied to the funding envelope the following April.

Comment For 2012, our CMI is based on the RUGs scores for the period ending March 31, 2011. Our CMI in 2011 was 0.9915 and we are pleased that our CMI for 2012 is 0.9926. This represents a revenue increase of $3,432 over what was estimated in the budget document circulated late last week. We are pleased to see our CMI continue to rise. Our staff continues to put great effort into timely and accurate documentation and carrying out our nursing restorative care and therapy programs which all contribute to not only the CMI but also the health and well-being of our residents.

Sustainability Implications We provide quality care for our residents and offer a valuable social and cultural hub for our community of residents, staff, family members volunteers and other stakeholders. Provincial funding is essential to allowing the continuation of the quality of care provided to Fairmount Home residents.

Administrative Report Fairmount Home – 2012 Case Mix Index (CMI) February 15, 2012

Case Mix Index

Page 1 of 2

Page 53 of 160

Agenda Item # 4e)

Financial Implications This increase in Fairmount’s CMI will result in a projected operating decrease in the proposed 2012 Fairmount budget of $3.00.

Recommendation That Council of the County of Frontenac receive this Fairmount Home – 2012 Case Mix Index (CMI) report for information only.

Organizations, Departments and Individuals Consulted and/or Affected Residents Staff Ministry of Health and Long Term Care

Administrative Report Fairmount Home – 2012 Case Mix Index (CMI) February 15, 2012

Case Mix Index

Page 2 of 2

Page 54 of 160

Agenda Item # 4f)

ADMINISTRATIVE REPORT To:

WARDEN AND COUNCIL OF THE COUNTY OF FRONTENAC

From:

Elizabeth Savill CAO

Prepared By:

Julie Shillington Administrator of Fairmount

Date Prepared:

February 7, 2012

Date of Meeting:

February 15, 2012

Re:

Fairmount Home – Property Easement

Background About 10 years ago, in preparation for the Fairmount Redevelopment project, the property line between the Home and Country Pines Apartments next door was adjusted. During this past summer, consultants working on the Fairmount Water Project and Permit to Take Water renewal advised that the Country Pines well was now on County property.

Comment Through discussion with our legal counsel, Ministry of the Environment representatives, water consultants, County Council and staff at Kingston Municipal Non-Profit Housing Corporation, the owner and operator of Country Pines, it was agreed than an easement of some property surrounding the well would be conveyed to Country Pines. A property survey has been completed and an easement agreement prepared by our legal counsel. It is our understanding the Board of Directors for Town Homes Kingston has approved the agreement for its representatives’ signatures.

Sustainability Implications Granting of the easement will ensure the best long-term use of the property.

Financial Implications Costs for the survey and legal fees are being borne by the County.

Administrative Report Fairmount Home – Property Easement February 15, 2012

Property Easement

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Agenda Item # 4f)

Recommendation RESOLVED THAT Council of the County of Frontenac receive the Fairmount Home – Property Easement report; AND FURTHER THAT Council of the County of Frontenac authorize the Warden and Clerk to execute the Property Easement agreement with the Kingston Municipal Non-Profit Housing Corporation

Organizations, Departments and Individuals Consulted and/or Affected Kingston Municipal Non-Profit Housing Corporation Country Pines Tenants Ministry of the Environment Genivar

Administrative Report Fairmount Home – Property Easement February 15, 2012

Property Easement

Page 2 of 2

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Agenda Item # 4g)

ADMINISTRATIVE REPORT To:

WARDEN AND COUNCIL OF THE COUNTY OF FRONTENAC

From:

Elizabeth Savill CAO

Prepared By:

Julie Shillington Administrator of Fairmount

Date Prepared:

February 17, 2012

Date of Meeting:

March 21, 2012

Re:

Fairmount Home – 2011 Year in Review

Background In order to preserve the Home’s history, an annual pictorial review of resident, staff and volunteer activities is assembled and shared.

Comment 2011 was another exciting year at Fairmount Home with new opportunities and challenges presenting themselves to staff, volunteers and residents. The Fairmount Home 2011 Year in Review CD is attached.

Sustainability Implications By viewing the Year in Review, one can be assured that Fairmount provides quality care for our residents and offers a valuable social and cultural hub for our community of residents, staff, family members, volunteers and other stakeholders.

Financial Implications None.

Recommendation That Council of the County of Frontenac receive this Fairmount Home – 2011 Year in Review report for information only.

Administrative Report Fairmount Home – 2011 Year in Review March 21, 2012

2011 Year in Review

Page 1 of 2

Page 57 of 160

Agenda Item # 4g)

Organizations, Departments and Individuals Consulted and/or Affected Residents Staff Volunteers

Administrative Report Fairmount Home – 2011 Year in Review March 21, 2012

2011 Year in Review

Page 2 of 2

Page 58 of 160

Agenda Item # 4h)

ADMINISTRATIVE REPORT To:

WARDEN AND COUNCIL OF THE COUNTY OF FRONTENAC

From:

Elizabeth Savill CAO

Prepared By:

Julie Shillington Administrator of Fairmount

Date Prepared:

March 2, 2012

Date of Meeting:

March 21, 2012

Re:

Fairmount Home – 2012 Accreditation Results

Background The Accreditation Canada surveyors were on site at Fairmount Home on January 23, 24 and 25, 2012. During that time they spoke to staff, volunteers, residents, family members, community partners and the Warden of Frontenac County.

Comment Fairmount is once again accredited. We met 93% (374 out of 401) of the accreditation standards and fulfilled 90% (28 out of 31) of the Required Organizational Practices. By July 12, 2012 we will have to report to Accreditation Canada on our progress in meeting the three Required Organizational Practices in order to maintain our accreditation. I have listed them below along with some commentary:

  1. The organization has identified and implemented a list of abbreviations, symbols and dose designations that are not to be used in the organization. The Home does have policy on abbreviations, symbols and dose designations which was in the policy manual provided to the surveyors. Unfortunately, the staff interviewed during the survey were not aware of the policy. Our plan is to re-educate and ensure the policy is easily accessible in each dispensary.
  2. The organization’s leaders implement an effective preventative maintenance program for medical devices, medical equipment and medical technology. The Home does have a preventative maintenance program and most of the nursing equipment such as lifts, tubs chairs, commodes, etc. is on the program however some items such as SPOT machines, bladder scanner, etc. have not been included in the program as the preventative maintenance for those items is not conducted by our Administrative Report Fairmount Home – 2012 Accreditation Results March 21, 2012

Accreditation

Page 1 of 3

Page 59 of 160

Agenda Item # 4h)

maintenance staff. Moving forward we are identifying all medical equipment and entering it into our program regardless of who maintains it. 3. The organization evaluates its compliance with accepted hand-hygiene practices. Fairmount has participated in the “Just Wash Your Hands” project which requires hand hygiene auditing on a semi-annual basis. In the Fall of 2011 we started to audit hand hygiene more frequently as our hand hygiene compliance needed improvement. The surveyors felt that as long as we continue the more frequent audits we will easily meet this required practice. By January, 2013 we must report on progress on meeting the high priority standards that the surveyors did not feel that we met. I have listed them, with some commentary, as follows:

  1. Customized Effective Organization – Standard 2.4 The organization’s leaders develop and implement an ethics framework. The home has a complete ethics policy and framework and had provided some training to staff on the policy in December, 2011 however the surveyors noted that most staff they spoke to were not familiar with identifying what constitutes an “ethical issue”. Further training will be provided to enhance the awareness of staff.
  2. Patient Safety – Standard 16.6 The team identifies reports, records and monitors, in a timely way, sentinel events, near misses and adverse events. The home has a comprehensive policy on the identification and reporting of these events however the surveyors noted that the staff they spoke to were not able to readily identify or define a sentinel event. Further training will be provided to enhance the awareness of staff.
  3. Customized Effective Organization – 9.3 The organization stores client records safety and securely. The resident records are stored in cupboards at the care stations. The surveyors would like to see the cupboards locked. We are currently investigating options. Please note that reporting progress not only includes advising the actions taken but also providing an audit trail which will provide proof to Accreditation Canada that our actions taken have been effective. A copy of the Accreditation Report Executive Summary is attached.

Sustainability Implications Achieving our accreditation confirms for Council, residents, staff, volunteers and our greater community that we provide high quality programs and services for our residents.

Administrative Report Fairmount Home – 2012 Accreditation Results March 21, 2012

Accreditation

Page 2 of 3

Page 60 of 160

Agenda Item # 4h)

Financial Implications With accreditation status we will continue to receive $0.33 per resident per day from the Ministry of Health and Long-Term Care.

Recommendation That Council of the County of Frontenac receive this Fairmount Home – 2012 Accreditation Results report for information only.

Organizations, Departments and Individuals Consulted and/or Affected Accreditation Canada Residents Staff Volunteers

Administrative Report Fairmount Home – 2012 Accreditation Results March 21, 2012

Accreditation

Page 3 of 3

Page 61 of 160

Community and Family Services - LSR Q4 2011 and Q1 2012

City of Kingston Analysis - OW, ODSP, CHILDCARE & HOUSING: LSR YTD QUARTERLY REPORT YEAR: 2011

PROGRAM DESCRIPTION

QUARTER: 2011 Consolidated Net Budget

2011 Consolidated % Consolidated Actual Costs to Date Budget Expended

4th

PERIOD ENDING DATE: 31/12/2011

2011 City Net Approved Budget

City Actual Costs to Date

City % Budget Expended

Comments

ONTARIO WORKS OW Administration incl SAIL

$

3,033,147 $

2,771,672

91.4%

$

2,467,313 $

2,230,004

90.4%

OW Program Delivery OW Allowances Employment Assistance Delivery Subtotal OW Program Costs

$ $ $

4,822,539 $ 631,285 $ 5,453,824 $

4,736,951 677,680 5,414,631

98.2% 107.3% 99.3%

$ $ $

4,359,383 $ 562,944 $ 4,922,327 $

4,303,242 613,697 4,916,939

98.7% 109.0% 99.9%

Total OW Admin & Program Costs

$

8,486,971 $

8,186,303

96.5%

$

7,389,640 $

7,146,944

96.7%

Actual OW Allowance & Benefit Ratio YTD OW Caseload Average

Admin costs @ 79.986% City / 20.014% County

90.808% 2734

3,013

Page 62 of 160

Childcare Programs Fee Subsidy (DNA, ELCC, OW Formal) Fee Subsidy (Informal OW) Wage Subsidy (DNA, ELCC) Special Needs (DNA & ELCC) Other Net CC Program Delivery Total Childcare Costs

$

286,035 $

288,198

100.8%

$

$ $ $ $

825,222 10,000 523,937 128,005

823,219 2,386 523,897 127,255 (383) 1,476,373

99.8% 23.9% 100.0% 99.4%

$

$ $ $ $ $ 1,487,164 $

99.3%

$ $ $ $ $ $

770,050 9,800 426,196 117,350 1,323,396

$

1,773,199 $

1,764,571

99.5%

$

YTD Cumulative Days of Care

232,675 $

230,518

99.1%

$ $ $ $ $ $

780,956 2,386 426,164 117,126 (358) 1,326,274

101.4% 24.3% 100.0% 99.8%

1,556,071 $

1,556,792

100.0%

139,672

Admin costs @ 79.986% City / 20.014% County

share by Wt assesment @ 79.986%

100.2%

Includes 100% Provincial Best Start, ELCD, Extended Day & Stabilization

133,164

HOUSING SERVICES

Housing Administration Housing Program Costs Total Housing Admin & Prog Costs

$ $ $

910,214 $ 9,065,839 $ 9,976,053 $

721,252 8,997,855 9,719,107

79.2% 99.3% 97.4%

$ $ $

743,205 $ 8,598,379 $ 9,341,584 $

580,298 8,501,360 9,081,658

78.1% 98.9% 97.2%

Total City-County LSR Soc Serv Costs

$

20,236,223 $

19,669,981

97.2%

$

18,287,295 $

17,785,393

97.3%

Under budget due to vacancy in Director and Financial Analyst roles in 2011 as well as Extreme Clean Program $19K under budget. Additional $18K STRSP revenue and $25K AH Admin funding.

Agenda Item # 5a)

CHILDCARE SERVICES Childcare Admin. (Reg & ELCC)

Community and Family Services - LSR Q4 2011 and Q1 2012

County Analysis - OW, ODSP, CHILDCARE & HOUSING: LSR YTD QUARTERLY REPORT YEAR: 2011

PROGRAM DESCRIPTION

QUARTER: 2011 Consolidated Net Budget

4th

2011 Consolidated % Consolidated Actual Costs to Date Budget Expended

2011 County Net Draft Budget

PERIOD ENDING DATE: 31/12/2011 County % County Actual Budget Costs to Date Expended

Comments

ONTARIO WORKS OW Administration incl SAIL

$

3,033,147 $

2,771,672

91.4%

$

565,834 $

554,722

98.0%

OW Program Delivery OW Allowances Employment Assistance Delivery Subtotal OW Program Costs

$ $ $

4,822,539 $ 631,285 $ 5,453,824 $

4,736,951 677,680 5,414,631

98.2% 107.3% 99.3%

$ $ $

463,156 $ 68,341 $ 531,497 $

433,708 63,983 497,692

93.6% 93.6% 93.6%

Total OW Admin & Program Costs

$

8,486,971 $

8,186,303

96.5%

$

1,097,331 $

1,052,414

95.9%

9.192% 279

3,013

Page 63 of 160

CHILDCARE SERVICES Childcare Admin (Reg & ELCC)

$

286,035 $

288,198

100.8%

$

53,360 $

57,680

108.1%

Childcare Programs Fee Subsidy (DNA, ELCC, OW Formal) Fee Subsidy (Informal OW) Wage Subsidy ( DNA, ELCC) Special Needs (DNA & ELCC) Other Subtotal CC Program Delivery

$ $ $ $ $ $

825,222 10,000 523,937 128,005 1,487,164

$ $ $ $ $ $

823,219 2,386 523,897 127,255 (383) 1,476,373

99.8% 23.9% 100.0% 99.4%

55,172 200 97,741 10,655 163,768

$ $ $ $ $ $

42,263 104,853 10,128 (25) 157,219

76.6% 0.0% 107.3% 95.1%

99.3%

$ $ $ $ $ $

Total Childcare Costs

$

1,773,199 $

1,764,571

99.5%

$

217,128 $

214,899

99.0%

YTD Cumulative Days of Care

139,672

Admin costs @ 79.986% City / 20.014% County

shared by wt assessment 20.014%

96.0%

6,508

Includes 100% Provincial Best Start, ELCD & Stabilization

HOUSING SERVICES

Housing Administration

$

910,214 $

721,252

79.2%

$

167,009 $

144,186

86.3%

Housing Program Costs Total Housing Admin & Prog Costs

$ $

9,065,839 $ 9,976,053 $

8,997,855 9,719,107

99.3% 97.4%

$ $

467,460 $ 634,469 $

496,495 640,681

106.2% 101.0%

Total City-County LSR Soc Serv Costs

$

20,236,223 $

19,669,981

97.2%

$

1,948,928 $

1,907,994

97.9%

County share at 20.014% weighted assessment except Extreme Clean costs $827 which are 100% City. $10K additional subsidy to Loughborough & N. Frontenac Housing Corp due to year-end reconciliations. Verona RGI tenant revenue $20K less than budget causing 2011 subsidy to increase.

Agenda Item # 5a)

Actual OW Allowance & Benefit Ratio YTD OW Caseload Average

Admin costs @ 79.986% City / 20.014% County

Community and Family Services - LSR Q4 2011 and Q1 2012

City of Kingston Analysis ‐ OW, ODSP, CHILDCARE & HOUSING: LSR YTD QUARTERLY REPORT YEAR: 2012

PROGRAM DESCRIPTION

QUARTER: 2012 Consolidated Net Budget

2012 Consolidated % Consolidated Actual Costs to Date Budget Expended

1st

PERIOD ENDING DATE: 31‐Mar‐12

2012 City Net Approved Budget

City Actual Costs to Date

City % Budget Expended

Comments For cost share based on wt assessm’t, budgeted @ 80.457 City / 19.543 County; Actual is 79.986 City / 20.014 County

ONTARIO WORKS OW Administration

$

3,671,409 $

773,293

21.1%

$

3,014,410 $

631,270

20.9%

OW Allowances Employment Assistance Delivery Subtotal OW Program Costs

$ $ $

4,409,147 $ 76,272 $ 4,485,419 $

1,057,775 5,002 1,062,777

24.0% 6.6% 23.7%

$ $ $

3,994,830 $ 69,222 $ 4,064,052 $

956,361 4,330 960,692

23.9% 6.3% 23.6%

Total OW Admin & Program Costs

$

8,156,828 $

1,836,070

22.5%

$

7,078,462 $

1,591,962

22.5%

OW Program Delivery

Actual OW Allowance & Benefit Ratio YTD OW Caseload Average

2012 cost share = 82.8% Provincial, 17.2% Municipal

90.394% 2722

2,993

CHILDCARE SERVICES Childcare Admin. (Reg & ELCC)

Total Childcare Costs

288,233 $

70,127

24.3%

$

$ $ $ $

209,741 ‐ 178,026 42,668 ‐ 430,435

25.5% 0.0% 34.0% 33.3%

$

$ $ $ $ $ 1,477,161 $

29.1%

$ $ $ $ $ $

770,170 2,811 421,544 118,276 ‐ 1,312,801

$

1,765,394 $

500,562

28.4%

$

822,220 3,000 523,937 128,004

231,904 $

56,092

24.2%

$ $ $ $ $ $

193,020 ‐ 142,396 39,316 ‐ 374,732

25.1% 0.0% 33.8% 33.2%

1,544,705 $

430,824

27.9%

Based on three months actual claims. Based on four months cash flow. Based on four months cash flow.

28.5%

HOUSING SERVICES

Page 64 of 160

Housing Administration

$

996,806 $

117,959

11.8%

$

804,969 $

94,351

11.7%

Housing Program Costs Total Housing Admin & Prog Costs

$ $

9,568,221 $ 10,565,027 $

2,659,811 2,777,770

27.8% 26.3%

$ $

9,037,100 $ 9,842,069 $

2,536,577 2,630,928

28.1% 26.7%

Total City‐County LSR Soc Serv Costs

$

20,487,249 $

5,114,402

25.0%

$

18,465,236 $

4,653,713

25.2%

Consulting expense not fully incurred in Q1. Also, received $100K Investment in Affordable Housing Subsidy in Q1. Greater than 25% of budget due to property tax cashflow.

Agenda Item # 5a)

Childcare Programs Fee Subsidy (DNA, ELCC, OW Formal) Fee Subsidy (Informal OW) Wage Subsidy (DNA, ELCC) Special Needs (DNA & ELCC) Other Net CC Program Delivery

$

Community and Family Services - LSR Q4 2011 and Q1 2012

County Analysis ‐ OW, ODSP, CHILDCARE & HOUSING: LSR YTD QUARTERLY REPORT YEAR: 2012

PROGRAM DESCRIPTION

QUARTER: 2012 Consolidated Net Budget

1st

2012 Consolidated % Consolidated Actual Costs to Date Budget Expended

2012 County Net Draft Budget

PERIOD ENDING DATE: 31‐Mar‐12 County % County Actual Budget Costs to Date Expended

Comments

ONTARIO WORKS OW Administration

$

3,671,409 $

773,293

21.1%

$

656,999 $

142,023

21.6%

County share = WA‐1.648%

OW Allowances Employment Assistance Delivery Subtotal OW Program Costs

$ $ $

4,409,147 $ 76,272 $ 4,485,419 $

1,057,775 5,002 1,062,777

24.0% 6.6% 23.7%

$ $ $

414,317 $ 7,050 $ 421,367 $

101,414 672 102,085

24.5% 9.5% 24.2%

2012 cost share = 82.8% Provincial, 17.2% Municipal

Total OW Admin & Program Costs

$

8,156,828 $

1,836,070

22.5%

$

1,078,366 $

244,108

22.6%

OW Program Delivery

Actual OW Allowance & Benefit Ratio YTD OW Caseload Average

9.606% 271

2,993

CHILDCARE SERVICES Childcare Admin (Reg & ELCC)

$

288,233 $

24.3%

$

56,329 $

14,035

24.9%

Childcare Programs Fee Subsidy (DNA, ELCC, OW Formal) Fee Subsidy (Informal OW) Wage Subsidy ( DNA, ELCC) Special Needs (DNA & ELCC) Other Subtotal CC Program Delivery

$ $ $ $ $ $

822,220 3,000 523,937 128,004 ‐ 1,477,161

$ $ $ $ $ $

209,741 ‐ 178,026 42,668 ‐ 430,435

25.5% 0.0% 34.0% 33.3% 29.1%

$ $ $ $ $ $

52,050 189 102,393 9,728 ‐ 164,360

$ $ $ $ $ $

16,721 ‐ 35,630 3,352 ‐ 55,703

32.1% 0.0% 34.8% 34.5% #DIV/0! 33.9%

Total Childcare Costs

$

1,765,394 $

500,562

28.4%

$

220,689 $

69,738

31.6%

Housing Administration

$

996,806 $

117,959

11.8%

$

191,837 $

23,608

12.3%

Housing Program Costs Total Housing Admin & Prog Costs

$ $

9,568,221 $ 10,565,027 $

2,659,811 2,777,770

27.8% 26.3%

$ $

531,121 $ 722,958 $

123,234 146,842

23.2% 20.3%

Total City‐County LSR Soc Serv Costs

$

20,487,249 $

5,114,402

25.0%

$

2,022,013 $

460,689

22.8%

HOUSING SERVICES

Based on three months acutal. Based on four months cash flow. Based on four months cash flow.

Consulting expense not fully incurred in Q1. Also, received $100K Investment in Affordable Housing Subsidy in Q1.

Page 65 of 160

Agenda Item # 5a)

70,127

Agenda Item # 5b)

Community and Family Services - Discussion Re: Ontario Works Discretionary Benefit Funding

Page 66 of 160

Agenda Item # 5b)

Community and Family Services - Discussion Re: Ontario Works Discretionary Benefit Funding

Page 67 of 160

Agenda Item # 5b)

Community and Family Services - Discussion Re: Ontario Works Discretionary Benefit Funding

Page 68 of 160

Community and Family Services - Discussion Re: Ontario Works Discretionary Benefit Funding

COUNTY OW UPLOAD

Year 2010 2011 2012 2013 2014 2015 2016 2017 2018

Updated May 2012

Net Municipal Cost with % Upload upload 3% $ 445,556 6% $ 440,411 14% $ 411,341 29% $ 323,832 43% $ 259,978 57% $ 196,124 71% $ 132,269 86% $ 63,854 100% $

Gross County OW Municipal Share @ Allow & Benefits 20% $ 2,296,678 $ 459,336 $ 2,342,612 $ 468,522 $ 2,391,515 $ 478,303 $ 2,280,507 $ 456,101 $ 2,280,507 $ 456,101 $ 2,280,507 $ 456,101 $ 2,280,507 $ 456,101 $ 2,280,507 $ 456,101 $ 2,280,507 $ 456,101

Municipal Savings due to Upload Notes $ 13,780 based on budget $ 28,111 based on budget $ 66,962 based on budget - $54.9K for discretionary bens capping July 1, 2012 $ 132,269 1%↑ in bens rate - $54.9K disc cap and $111K CSUMB elimination $ 196,124 2013 rates & caseload, capped disc & no CSUMB $ 259,978 based on 2014 allowance, same rate and stable caseload $ 323,832 based on 2014 allowance, same rate and stable caseload $ 392,247 based on 2014 allowance, same rate and stable caseload $ 456,101 based on 2014 allowance, same rate and stable caseload

DISCRETIONARY BENEFIT MAINTENANCE FORECAST

2012 caseload estimate:

$

2012 Jan-July Status Quo Jul-Dec 2012 Expenditure Estimate for Status Quo Jul-Dec 2012 Allocation & Cost Share per Cap 2012 Total Discretionary Costs & Cost Share

$ $ $ $

56,500 56,500 49,712 113,000

$

46,782

$

9,718

$ $

41,162 87,944

$ $

15,338 25,056

$ $ $ $ $ $

113,000 113,000 113,000 113,000 113,000 113,000

$ $ $ $ $ $

85,306 88,090 90,874 93,658 96,641 99,424

$ $ $ $ $ $

27,694 discretionary benefit spending level 24,910 22,126 19,342 16,359 13,576

$

Gross 111,044

$

Provincial 90,168

$

Future Years 2013 2014 2015 2016 2017 2018

Provincial $ 89,165

$

Municipal 20,644

3000(OW) & 5850 (ODSP) = 8850 cases Caseload apportionment = 90.638% City & 9.362% County

based on above 2012 caseload and

COMMUNITY START UP & MAINTENANCE BENEFIT (CSUMB) 2011 Apportioned Actual Issuance

Municipal 20,876 apportionment estimated at 9.163% of consolidated expenditure

Agenda Item # 5b)

Page 69 of 160

2011 Actual Gross Expenditure

Gross 109,809

Agenda Item # 5b)

2010 Ontario Budget and Social Assistance Questions and Answers Social Assistance Rates Q.

Are social assistance rates increasing in 2012? The 2012 Budget announced that social assistance rates will be maintained at current levels in 2012.

Community Start-Up and Maintenance Benefit (CSUMB) Q. What changes are being made to CSUMB? The 2012 Budget announced that, as part of the first phase of consolidation under the Long-Term Affordable Housing Strategy, the Community Start Up and Maintenance Benefit is being removed from social assistance, with a portion of funding to be included in a new consolidated program administered by municipalities to provide housing and homelessness services and supports. Q. What is the effective date of change? CSUMB will be removed from social assistance as the new consolidated housing and homelessness program is introduced in January 2013. Q. What is included in CSUMB? CSUMB is a mandatory social assistance benefit that provides funding to eligible recipients to assist with the costs of: o establishing a new residence o preventing eviction or discontinuation of heating or utilities o maintaining an existing residence Q. How many clients receive CSUMB each month? All Ontario Works and ODSP clients may be eligible to access CSUMB which provides up to a maximum of $799 for an eligible single recipient and $1500 for an eligible family on social assistance over a 24-month period. Q. What is the cost sharing of CSUMB? Under ODSP, CSUMB is 100% provincially funded while under Ontario Works CSUMB is currently cost shared 82.8% provincial – 17.2% municipal and is part of the scheduled upload of Ontario Works financial assistance costs.

1

Community and Family Services - Discussion Re: Ontario Works Discretionary Benefit Funding

Page 70 of 160

Agenda Item # 5b)

Q. Will this affect monthly income allowances for people on social assistance? These benefits are provided on a case-by-case basis to eligible clients. As such, these changes will not impact the amount an individual or family receives in their monthly income allowance. Q. Are First Nations homelessness-related programs part of consolidation? The Ministry of Community and Social Services will retain homelessness-related funding for First Nations and will be engaging First Nations delivery partners on how best to provide these services Home Repairs Q. What changes are being made to home repair benefits in social assistance? The 2012 Budget announced that home repair benefits are being removed from social assistance. There are other programs that will continue to assist eligible Ontarians with home repairs including Ontario Renovates and the Residential Rehabilitation Assistance Program for First Nations communities. Persons with disabilities can also seek funding for home modifications from the Home and Vehicle Modification Program, which is funded by MCSS and administered by the Ontario March of Dimes. Approvals for funding are based on priority criteria. Priorities include modifications required to allow persons with disabilities to continue to live safely in their homes and to avoid job loss. Q. What is the effective date of change? This change will come into effect on January 1, 2013 Q. What is included in home repairs? Home repairs are provided as a mandatory benefit through ODSP and as a discretionary benefit through Ontario Works. The cost of a necessary home repair may be provided if no other funding is available and: o The recipient could be forced to vacate the home if these repairs are not done; o There is a risk to the health or well-being of a member of the benefit unit; and/or o Extensive damage will result to the home if the repairs are not undertaken immediately.

Q. Are home repair benefits cost-shared? 2

Community and Family Services - Discussion Re: Ontario Works Discretionary Benefit Funding

Page 71 of 160

Agenda Item # 5b)

The ODSP Home Repair Benefit is 100% provincially funded while Ontario Works discretionary benefits, including home repairs, are currently cost-shared 82.8% provincial – 17.2% municipal and are part of the scheduled upload of Ontario Works financial assistance costs. Q. Will this affect monthly income allowances for people on social assistance? These benefits are provided on a case-by-case basis to eligible clients. As such, this change will not impact monthly income allowances for people on social assistance. Q. How will recipients pay for necessary repairs that allow them to continue to live in their home? Ontario Renovates is a new municipal housing program that is available to assist low-income Ontarians, including social assistance recipients with the cost of necessary home repairs. Social assistance recipients living in First Nations communities can apply to the federal Residential Rehabilitation Assistance Program (RRAP) for assistance with the cost of necessary home repairs. Persons with disabilities can also seek funding for home modifications from the Home and Vehicle Modification Program, which is funded by MCSS and administered by the Ontario March of Dimes. Discretionary Benefits Q.

What changes are being made to discretionary benefits in Ontario Works? The 2012 Budget announced that the government would revise the funding of discretionary benefits provided through Ontario Works by replacing the existing formula for determining the maximum amount eligible for provincial cost-sharing. The existing formula of $8.75 per case for non-health related discretionary benefits would be replaced with a new formula of $10 per case on combined health and non-health related discretionary benefits. The range of needs that can be addressed through discretionary benefits would not change with the exception of the removal of home repairs. Delivery agents will continue to set local policies based on their clients’ needs and their priorities. Ontario Works discretionary benefits will continue to be available to ODSP recipients and members of their benefit unit on a case-by-case basis, at the discretion of Ontario Works administrators.

Q.

What is the effective date of the change? 3

Community and Family Services - Discussion Re: Ontario Works Discretionary Benefit Funding

Page 72 of 160

Agenda Item # 5b)

This change will come into effect on July 1, 2012. Q.

Will this new cost-sharing formula reduce supports for people on social assistance? The range of needs that can be addressed through discretionary benefits for both Ontario Works and ODSP recipients would not change, with the exception of the removal of home repairs. Delivery agents will continue to set local policies based on their clients’ needs and their priorities.

Q.

What is included in Ontario Works health related discretionary benefits? Health related discretionary benefits include:  dental care for adults on Ontario Works and adult children of ODSP clients;  eye-glasses for adults on Ontario Works and adult children of ODSP clients;  a portion of the costs of prosthetic appliances;  funerals and burials; and  any other special service, item or payment authorized by the Director of Ontario Works (e.g. child care costs in situations where a recipient requires child care to attend a medical appointment).

Q.

What is included in Ontario Works non-health related discretionary benefits? Non-health related discretionary benefits include:  vocational training and retraining;  travel and transportation that is not for health-related purposes;  moving expenses; and  any other special service, item or payment authorized by the Director of Ontario Works

Q.

How many clients receive these benefits each month? All Ontario Works and ODSP clients may be eligible to access Ontario Works discretionary benefits, which are provided by delivery agents on a case by case basis. The number and types of discretionary benefits provided vary by Ontario Works delivery agents based on local priorities and are not tracked at the provincial level.

Employment Services Integration 4

Community and Family Services - Discussion Re: Ontario Works Discretionary Benefit Funding

Page 73 of 160

Agenda Item # 5b)

Q.

What changes are being considered for employment services in social assistance? The government will be looking at opportunities to integrate Ontario Works and ODSP employment services with the broader Employment Ontario network

Q. Does this mean the government will no longer provide employment supports to social assistance recipients and persons with disabilities? No decisions have been made yet about integrating employment services. Ministry staff will be working closely with the Ministry of Training, Colleges and Universities and our municipal partners to explore this idea.

5

Community and Family Services - Discussion Re: Ontario Works Discretionary Benefit Funding

Page 74 of 160

Agenda Item # 5c)

ADMINISTRATIVE REPORT To:

Warden and Council Members of the County of Frontenac

From:

Elizabeth Savill CAO

Prepared by:

Paul J. Charbonneau Director of Emergency & Transportation Services/Chief of Paramedic Services

Date prepared:

March 22, 2012

Date of meeting:

April 18, 2012

Re:

Emergency and Transportation Services – 2012 1st Quarter Activity Update

Background This report is presented to Council to provide an update on the various ongoing activities and special projects during the 1st quarter of 2012.

Comment Meetings Attended County Council – Regular Meeting County Council – Special Meeting County Council – Joint Council Joint Management and RULAC County Emergency Management Program Committee City of Kingston Emergency Management Program CACC Advisory Regional Paramedic Program of Eastern Ontario (RPPEO) Fire/Paramedic Labour Relations Committee OPSEU Local 462 Labour Management Committee CUPE Local 109 Labour Management Committee County Health & Safety Committee EMO Loyalist Sector Meeting Regional Acute Care Stroke Protocol Committee LHIN - Cardiovascular Roadmap Project

Administrative Report st Emergency and Transportation Services – 2012 1 Quarter Activity Update April 18, 2012

Emergency Services - 2012 1st Quarter Activity Report

Dates January 22, February 15, March 21 March 13 January 30, February 13 February 8 February 28

January 31 (Collective Bargaining) February 21

Page 1 of 2

Page 75 of 160

Agenda Item # 5c)

Committee Activities

  1. Association of Emergency Medical Services of Ontario (AMEMSO) Board: January 20, 25, February 16, March 15

  2. AMEMSO Eastern Ontario Chiefs: None this period

  3. Emergency Medical Services Chiefs of Canada (Executive and Board): January 4, February 6, 13 and 21, March 12 Special Projects/Other Activities

  4. The Tema Conter Memorial Trust Gala On February 4th I attended the annual Gala in Vaughan; for over 10 years I have sat as a member of the Advisory Board for this organization. Emergency services and military personnel witness traumatic events as part of their daily routine. Yet they continue to perform their essential duty of saving lives – often in the face of unspeakable tragedy. So unspeakable, in fact, that many of these heroic individuals struggle quietly with the physical, psychological and emotional effects of their jobs. The Tema Conter Memorial Trust was established to end the silence and ease the suffering. The charity was founded by Mr. Vince Savoia, an attending paramedic at the murder scene of Ms. Tema Conter in 1988. The trusts purpose is two-fold: to honour the memory of Ms. Tema Conter and call attention to the psychological trauma encountered by emergency services and military personnel.

  5. National Association of Emergency Medical Services Physicians (NAEMSP) From January 10th to 14th I travelled, with several Eastern Ontario EMS Chiefs and staff from the Regional Paramedic Program of Eastern Ontario (RPPEO), to the annual NAEMSP conference in Tucson, Arizona. This opportunity, funded by RPPEO, was very beneficial in allowing me to meet like minded individuals and participate in several workshops regarding EMS Research and Community Paramedicine.

Recommendation That the Council of the County of Frontenac accept this Emergency and Transportation Services – 2012 1s Quarter Activity Update report for information only.

Organizations, Departments and Individuals Consulted and/or Affected

Administrative Report st Emergency and Transportation Services – 2012 1 Quarter Activity Update April 18, 2012

Emergency Services - 2012 1st Quarter Activity Report

Page 2 of 2

Page 76 of 160

Agenda Item # 5d)

% Total

COUNTY OF FRONTENAC

2011

2011

Variance to December 31, 2011

Budget

Year End Actual

Variance

Annual

$

$

$

Budget

Land Ambulance Services Detail

Provincial Subsidy - Ministry of Health Sale of Vehicle/Defibs Other

6,697,598 39,000 72,000

6,697,599 0 122,422

1 -39,000 50,422

100.00% 0.00% 170.03%

TOTAL REVENUE

6,808,598

6,820,021

11,423

100.17%

Service Delivery (includes approved enhancements) Less: Non Cash Items Net: Service Delivery Reserve for Vehicle, Equipment Replacement & Other Projects

14,120,601 -500,252 13,620,349

13,647,553 -590,827 13,056,726

-473,048 -90,575 -563,623

100.20% #DIV/0! 95.86%

617,263

767,263

150,000

124.30%

TOTAL DIRECT SERVICE

14,237,612

13,823,989

-413,623

97.09%

Net Operating Expenditure

7,429,014

7,003,968

-425,046

94.28%

39,000

71,034

32,034

67.00%

Total Ambulance Expenditure

7,468,014

7,075,002

-393,012

93.89%

City Of Kingston 79.986% est Frontenac 20.014% est

6,008,615 1,459,399

5,659,011 1,415,991

-349,604 -43,408

93.89% 93.89%

From Reserves Total Revenue and Reserve Transfer

819,170 819,170

930,493 930,493

111,323 111,323

64.08% 64.08%

Vehicle New Vehicle Replacement Equipment New Equipment Replacement

0 736,510 0 121,660

0 805,241 71,034 125,251

0 68,731 71,034 3,591

0.00% 109.33% 100.00% 102.95%

Total Capital Cost

858,170

1,001,527

143,357

116.70%

Net Capital Cost

39,000

71,034

32,034

182.14%

Offload Nursing Revenue Expense Total

131,402 131,400 2

131,402 131,402 0

0 2 -2

100.00% 100.00% 0.00%

Net Capital Expenditure

Ambulance Capital

Emergency Services - 2011 4th Quarter Financial Summary and 2012 1st Quarter Financial Summary

Page 77 of 160

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Agenda Item # 5e)

ADMINISTRATIVE REPORT To:

Warden and Council Members of the County of Frontenac

From:

Elizabeth Savill CAO

Prepared by:

Paul J. Charbonneau Director of Emergency & Transportation Services/Chief of Paramedic Services

Date prepared:

February 23, 2012

Date of meeting:

March 21, 2012

Re:

Emergency and Transportation Services – Legislated Response Time Performance Plans

Background In 2006, in conjunction with the Association of Municipalities of Ontario (AMO), the provincial government established a Land Ambulance Committee (LAC) to review ambulance response time standards. On July 31, 2008 changes were made to the Ambulance Act, Ontario Regulation 267/08, amending O. Reg. 257/00 with the heading Section 22: Part VIII, Response Time Performance Plans, Sections 22 and 23. PART VIII – RESPONSE TIME PERFORMANCE PLANS 23. (1) In this section, “response time” means the time measured from the time a notice is received to the earlier of the following: a) The arrival on-scene of a person equipped to provide any type of defibrillation to sudden cardiac arrest patients. b) The arrival on-scene of the ambulance crew. O. Reg. 267/08, s. 1 (2). (2) No later than October 1 in each year after 2011, every upper-tier municipality and every delivery agent responsible under the Act for ensuring the proper provision of land ambulance services shall establish, for land ambulance service operators selected by the upper-tier municipality or delivery agent in accordance with the Act, a performance plan for the next calendar year respecting response times. O. Reg. 267/08, s. 1 (2); O. Reg. 368/10, s. 1 (1). (3) An upper-tier municipality or delivery agent to which subsection (2) applies shall ensure that the plan established under that subsection sets response time targets for responses to notices respecting patients categorized as Canadian Triage Acuity Scale (“CTAS”) 1, 2, 3, 4 and 5, and that such targets are set for each land ambulance service operator

Administrative Report Emergency and Transportation Services – Legislated Response Time Performance Plans March 21, 2012

Emergency Services - Legislated Response Time Performance Plans

Page 1 of 5

Page 79 of 160

Agenda Item # 5e)

selected by the upper-tier municipality or delivery agent in accordance with the Act. O. Reg. 267/08, s. 1 (2). (4) An upper-tier municipality or delivery agent to which subsection (2) applies shall ensure that throughout the year the plan established under that subsection is continuously maintained, enforced and evaluated and, where necessary, updated, whether in whole or in part. O. Reg. 267/08, s. 1 (2). (5) An upper-tier municipality or delivery agent to which subsection (2) applies shall provide the Director with a copy of the plan established under that subsection no later than October 31 in each year, and a copy of any plan updated, whether in whole or in part, under subsection (4) no later than one month after the plan has been updated. O. Reg. 267/08, s. 1 (2). (6) An upper-tier municipality or delivery agent to which subsection (2) applies shall report to the Director, as required from time to time by the Director and on forms or in a manner provided or determined by the Director, on any matter relating to, a) the nature and scope of the plan established under that subsection or updated under subsection (4); and b) the establishment, maintenance, enforcement, evaluation and updating of the plan. O. Reg. 267/08, s. 1 (2). (7) Without limiting the generality of subsection (6), no later than March 31 in each year after 2013, an upper-tier municipality or delivery agent to which subsection (2) applies shall report to the Director on the following matters for the preceding calendar year:

  1. 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.
  2. 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.
  3. The percentage of times that an ambulance crew has arrived on-scene to provide ambulance services to patients categorized as CTAS 2, 3, 4 and 5 within the response time targets set by the upper-tier municipality or delivery agent under its plan established under subsection (2). O. Reg. 267/08, s. 1 (2); O. Reg. 368/10, s. 1 (2). (8) Without limiting the generality of subsection (6), an upper-tier municipality or delivery agent to which subsection (2) applies shall report to the Director on the performance of each land ambulance service operator selected by the upper-tier municipality or delivery agent in accordance with the Act in respect of the targets set for that operator under subsection (3). O. Reg. 267/08, s. 1 (2).

The municipality is to submit its Response Time Plan to the Ministry of Health and Long-Term Care (MOHLTC), Emergency Health Services Branch (EHSB) Director no later than October 31 of each year, after 2011 (Section 23 (5)), which are to include performance targets for sudden cardiac arrest, CTAS 1, CTAS 2, 3, 4 and 5. By March 31 of each year the same table with the actual times achieved in the year previous will be reported to the MOHLTC. Canadian Triage and Acuity Scale (CTAS), is a priority setting scale to describe the severity of a patient’s condition. In this scale, “CTAS 1” is the most serious, and CTAS 5 the least.

Administrative Report Emergency and Transportation Services – Legislated Response Time Performance Plans March 21, 2012

Emergency Services - Legislated Response Time Performance Plans

Page 2 of 5

Page 80 of 160

Agenda Item # 5e)

Comment The previous emergency response time standard had been based on 1996 performance that differed for each upper tier. Since then, the ambulance system and associated demands have changed. The new regulation provides flexibility for each municipality to establish its own percentages of time that it expects to meet its target times considering local resources. In some categories, municipalities can establish their own targets in both time and percentage. The County of Frontenac’s 90th percentile response time measurement in 1996, 14 minutes 52 seconds, establishes that 90 of 100 calls were responded to in under 14:52. The new reporting process simply restates this performance in relation to a set time, as a percentage of calls. Specifically:

  1. Sudden Cardiac Arrest calls will have a target percentage of the calls having a Defibrillator on scene within 6 minutes;
  2. Sudden Cardiac Arrest and CTAS 1 calls will have a target percentage of the calls where a paramedic resource is on scene within 8 minutes;
  3. CTAS 2, 3, 4, and 5 will have a target percentage of the calls where a paramedic resource is on scene in a determined timeframe. Under both the old and the new process, the times identified to the Province are applicable to the entire service area of the County of Frontenac. There are no provisions in the regulations to provide for variations in population or call volume density. It is important to note that response time performance is increased in densely populated areas. The response time performance reported is an amalgamation of calls throughout the service area, and expectations should be tempered as such. Under this regulation, municipalities will be credited when any defibrillator is used to assist a victim of sudden cardiac arrest including a public access defibrillator or a tiered response agency. In addition, Emergency Response Vehicles with one paramedic will continue to be calculated in the response time calculations. With the new standard, the response time will be measured based on the severity of the call, as found by the paramedic (vs. how it was dispatched), which is in keeping with how medical evaluations are conducted. It is intended to propel the stakeholders to continue to pursue system improvements to more accurately identify patients in the greatest need through the ambulance dispatch call interrogation process. It is suggested that the Response Time Plan reflect current performance elements, so that a year over year benchmarking of response times can be evaluated. Possible options are to ‘under-promise and over-deliver’, or conversely establish targets in excess of the current performance and enhance service to meet those targets. Municipalities under the Eastern Ontario Warden’s Caucus (EWOC) are working together to identify opportunities regarding the new Response Time Performance Plans and further reports will come to County Council over the next several months with the final recommendation for adoption of a Plan coming within the timeframes dictated by the Province.

Sustainability Implications

Administrative Report Emergency and Transportation Services – Legislated Response Time Performance Plans March 21, 2012

Emergency Services - Legislated Response Time Performance Plans

Page 3 of 5

Page 81 of 160

Agenda Item # 5e)

Good stewardship of the County’s financial resources and most appropriate care of our residents and visitors when in need of paramedic services.

Administrative Report Emergency and Transportation Services – Legislated Response Time Performance Plans March 21, 2012

Emergency Services - Legislated Response Time Performance Plans

Page 4 of 5

Page 82 of 160

Agenda Item # 5e)

Financial Implications None at this time.

Recommendation That the Council of the County of Frontenac accept this Emergency and Transportation Services – Legislated Response Time Performance Plans report for information only;

Organizations, Departments and Individuals Consulted and/or Affected

Administrative Report Emergency and Transportation Services – Legislated Response Time Performance Plans March 21, 2012

Emergency Services - Legislated Response Time Performance Plans

Page 5 of 5

Page 83 of 160

Agenda Item # 5f)

ADMINISTRATIVE REPORT To:

Warden and Council Members of the County of Frontenac

From:

Elizabeth Savill CAO

Prepared By:

Colleen Hickey Human Resources Specialist – Labour Relations

Date prepared:

January 25, 2012

Date of meeting:

February 15, 2012

Re:

Human Resources – Ratification of the Collective Agreement with OPSEU Local 462 Representing the Frontenac Paramedic Services Paramedics

Background The County of Frontenac’s Paramedics are represented by Local 462 of the Ontario Public Service Employees Union. The County’s collective agreement with OPSEU Local 462 expired as of December 31, 2010. Negotiations began in July 2011 and several days of positive negotiations were held. A conciliator from the Ministry of Labour was agreed to by both parties to work through the remaining items that were outstanding and subsequently a three-year agreement was reached January 9, 2012. The union membership’s ratification vote affirmed the agreement and it is presented to Council for its consideration.

Comment The County Negotiating Team considers this to be a fair settlement. Arising out of this round of negotiations is a collective agreement that has changes to language as well as other housekeeping items. These language changes are operationally positive for the County of Frontenac. Other key elements brought the contract in line, or maintained our position, with other County contracts and staffing responsibilities. The tentative agreement has a 3-year term, beginning January 1, 2011 through to December 31, 2013.

Administrative Report Human Resources – Ratification of the Collective Agreement with OPSEU Local 462 Representing the Frontenac Paramedic Services Paramedics February 15, 2012 Page 1 of 2

Emergency Services - Ratification of the Collective Agreement with OPSEU Local 462 Representing the Frontenac Paramedic Services

Page 84 of 160

Agenda Item # 5f)

Sustainability Implications This collective agreement allows us to move forward with effective employee relations which allow us to provide professional health services to the residents of the County of Frontenac and the City of Kingston while maintaining economic sustainability.

Financial Implications Wage and benefit increases reflect industry trends. Our agreed to financial package (wages and benefits) is comparable and maintains our wage position with other paramedic services throughout the Eastern region.

Recommendation RESOLVED THAT Council of the County of Frontenac accept this Human Resources – Ratification of the Collective Agreement with OPSEU Local 462 Representing the Frontenac Paramedic Services Paramedics report; AND FURTHER Council authorize the Warden and Clerk to execute the Collective Agreement effective from January 1, 2011 to December 31, 2013.

Organizations, Departments and Individuals Consulted and/or Affected Frontenac Paramedic Services Staff and Management County of Frontenac Finance and Human Resources Staff OPSEU Local 462

Administrative Report Human Resources – Ratification of the Collective Agreement with OPSEU Local 462 Representing the Frontenac Paramedic Services Paramedics February 15, 2012 Page 2 of 2

Emergency Services - Ratification of the Collective Agreement with OPSEU Local 462 Representing the Frontenac Paramedic Services

Page 85 of 160

Agenda Item # 5g)

ADMINISTRATIVE REPORT To:

Warden and Council Members of the County of Frontenac

From:

Elizabeth Savill CAO

Prepared by:

Marian VanBruinessen Treasurer Paul Charbonneau Director of Emergency and Transportation Services/Chief of Paramedics

Date prepared:

March 14, 2011

Date of meeting:

March 21, 2011

Re:

Financial Services – North Frontenac Joint Land Ambulance/Fire Station Project Manager Award of Contract

Background At its meeting of January 27, 2012 County Council received the Emergency and Transportation Services – North Frontenac Joint Land Ambulance/Fire Station Update report and passed the following resolution:

Motion #16 - 12

Moved by: Councillor Clayton Seconded by: Councillor Purdon

That the Council of the County of Frontenac accept this Emergency and Transportation Services – North Frontenac Joint Land Ambulance/Fire Station Update report for information; AND FURTHER, that Council authorize the Warden and Clerk to execute the agreement between the County of Frontenac and the Township of North Frontenac; AND FURTHER, that Council authorize the release of the Request for Proposal (RFP) for Project Management, awarding of the RFP and authorize the Warden and Clerk to execute the agreement between the County of Frontenac and the successful proponent; AND FINALLY, that Council authorize the release of the Request for Proposal of a Design Build Project, awarding of the RFP and authorize the Administrative Report Financial Services – North Frontenac Joint Land Ambulance/Fire Station Project Manager Award of Contract March 21, 2012 Page 1 of 2

Emergency Services - North Frontenac Joint Land Ambulance Fire Station Project manager Award of Contract

Page 86 of 160

Agenda Item # 5g)

Warden and Clerk to execute the agreement between the County of Frontenac and the successful proponent. Comment The Request for Proposals (RFP), prepared by the County and reviewed by Township staff, was released on February 6th. Two proposals were received for the Project Manager contract for the project. Company Name TCMS GD Jewell

Contract Price $56.972 + HST $63,055 + HST

Interviews were held on February 17th, with S. Riddell and G. Gorrie representing the Township and P. Charbonneau and M. VanBruinessen representing the County making up the interview panel. After an assessment of the proposals and the interview, TCMS was deemed to be the successful proponent.

Financial Implications The low bid is reasonable for the project

Recommendation THAT County Council receive this Financial Services – North Frontenac Joint Land Ambulance/Fire Station Project Manager Award of Contract for information only.

Organizations, Departments and Individuals Consulted and/or Affected Cheryl Robson, CAO, Township of North Frontenac Steve Riddell, Chief of Fire Services, Township of North Frontenac George Gorrie, Chief Building Officer, Township of North Frontenac

Administrative Report Financial Services – North Frontenac Joint Land Ambulance/Fire Station Project Manager Award of Contract March 21, 2012 Page 2 of 2

Emergency Services - North Frontenac Joint Land Ambulance Fire Station Project manager Award of Contract

Page 87 of 160

Agenda Item # 5h)

ADMINISTRATIVE REPORT To:

Warden and Council Members of the County of Frontenac

From:

Elizabeth Savill CAO

Prepared by:

Paul J. Charbonneau Director of Emergency & Transportation Services/Chief of Paramedic Services

Date prepared:

May 2, 2012

Date of meeting:

May 16, 2012

Re:

Emergency and Transportation Services – North Frontenac Joint Land Ambulance/Fire Station Development Update 2012-01

Construction Update The report prepared by our Project Manager, Patrick Thompson, TCMS, for the period is attached.

Change Orders No change orders are being brought forward.

Other Matters The Project Manager, Township of North Frontenac staff and County staff continue to work with the four (4) Design/Build proponents on details of the RFP.

Sustainability Implications Good stewardship of the County’s financial resources and most appropriate care of our residents and visitors when in need of paramedic services.

Financial Implications None at this time. Administrative Report Emergency and Transportation Services – North Frontenac Joint Land Ambulance/Fire Station Development Update 2012-01 May 16, 2012 Page 1 of 2

Emergency Services - North Frontenac Land Ambulance Fire Station Development Update 2012-01

Page 88 of 160

Agenda Item # 5h)

Recommendation That the Council of the County of Frontenac accept this Emergency and Transportation Services – North Frontenac Joint Land Ambulance/Fire Station Development Update 2012-01 report for information only.

Organizations, Departments and Individuals Consulted and/or Affected Patrick Thompson, Project Manager, TCMS Township of North Frontenac Staff Marian VanBruinessen, County Treasurer

Administrative Report Emergency and Transportation Services – North Frontenac Joint Land Ambulance/Fire Station Development Update 2012-01 May 16, 2012 Page 2 of 2

Emergency Services - North Frontenac Land Ambulance Fire Station Development Update 2012-01

Page 89 of 160

Agenda Item # 5h)

CONSTRUCTION OF A NEW NORTH FRONTENAC JOINT LAND AMBULANCE / FIRE STATION THE COUNTY OF FRONTENAC / THE TOWNSHIP OF NORTH FRONTENAC

PROGRESS REPORT NO. 1

Prepared by TCMS

Emergency Services - North Frontenac Land Ambulance Fire Station Development Update 2012-01

May 4, 2012

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Agenda Item # 5h)

NEW NORTH FRONTENAC JOINT LAND AMBULANCE / FIRE STATION PROGRESS REPORT NO. 1 INDEX PROGRESS SUMMARY…………………………………………………………………………………………….1 CONTRACT CHANGE SUMMARY………………………………………………………………………………..2 PROPOSED AND ACTUAL CASHFLOW – CONSTRUCTION ONLY…………………………………………3,4 PROPOSED AND ACTUAL CASHFLOW – TOTAL PROJECT…………………………………………………4,5

Emergency Services - North Frontenac Land Ambulance Fire Station Development Update 2012-01

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Agenda Item # 5h)

NEW NORTH FRONTENAC JOINT LAND AMBULANCE / FIRE STATION PROGRESS SUMMARY The following activities have been completed during the current report period. ● Project start-up meeting with key stakeholders – March 08, 2012, Plevna, ON ● Call for Expression of Interest from design-build contractors, March, 2012. ● Review and selection of four (4) design-build contractors. ● Development of project mandatory design requirements. ● Preparation of Request for Proposal (RFP) and Instructions to Bidders documents. ● Completion of a geotechnical evaluation of the site – April 5, 2012. ● Preparation and issuance of RFP addenda. ● Evaluation of environmental issues affecting the site.

Emergency Services - North Frontenac Land Ambulance Fire Station Development Update 2012-01

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Agenda Item # 5i)

ADMINISTRATIVE REPORT To:

Warden and Council Members of the County of Frontenac

From:

Elizabeth Savill CAO

Prepared by:

Paul J. Charbonneau Director of Emergency & Transportation Services/Chief of Paramedic Services

Date prepared:

March 11, 2012

Date of meeting:

March 21, 2012

Re:

Emergency and Transportation Services – 2012 Ontario Special Olympics Provincial Spring Games, Kingston Ontario

Background Birth of Special Olympics in Canada In the early sixties, testing of children with intellectual disabilities revealed that they were only half as physically fit as their non-disabled peers. It was assumed that their low fitness levels were a direct result of their disabilities. A Toronto researcher and professor, Dr. Frank Hayden, questioned this assumption. Working with a control group of children on an intense fitness program, he demonstrated that given the opportunity, intellectually disabled people could become physically fit and acquire the skills necessary to participate in sport. His research proved that low levels of fitness and lack of motor skills development in people with intellectual disabilities were a result of nothing more than a sedentary life style. Mission Statement To provide year-round sports training and athletic competition for individuals with intellectual disabilities. Special Olympics promotes opportunities to develop physical fitness, demonstrate courage, experience joy, and develop skills and friendship with their families, other Special Olympic athletes and the community. Over the past 40 years Special Olympics has grown from a modest program serving local athletes to become the world’s largest movement dedicated to promoting respect, acceptance, inclusion, and human dignity for people with intellectual disabilities through sports.

Administrative Report Emergency and Transportation Services – 2012 Ontario Special Olympics Provincial Spring Games, Kingston Ontario March 21, 2012 Page 1 of 3

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Agenda Item # 5i)

Comment The 2012 ONTARIO SPECIAL OLYMPICS PROVINCIAL SPRING GAMES are being hosted by Special Olympics Ontario Region 12 and held in Kingston from May 31-June 3, 2012. The lead agencies for the games are the OPP and Kingston Police Force. The theme this year is “Side by Side”. Dr. Andrew Reed, our associate base hospital medical director from the Regional Paramedic Program of Eastern Ontario (RPPEO) and the OPP Physician, has accepted the position of Medical Lead for the games. In his capacity, as Medical Lead, Dr. Reed as contacted Frontenac Paramedic Services (FPS) regarding paramedic coverage of the games. Dr. Reed states, “I truly believe this is an important public service but also a fantastic opportunity to show how FPS supports the community”. As the Special Olympics rely on sponsorship to hold these games, they are requesting that FPS provide this service for no fee. In exchange, the Spring Games Committee is willing to provide a Bronze Sponsorship Benefits package in exchange for the services provided. This will include: • • • • • • • •

An opportunity to showcase the County’s vehicle(s) at the opening ceremonies An opportunity for a representative of the County’s service to escort one of the regional teams into the opening ceremonies Opportunities for members of Frontenac EMS to present medals to athletes during medal ceremonies The County’s logo on the Games Website A Commemorative 2012 Spring Games Plaque Recognized support of two Adopt an Athlete participants VIP Honoured guest passes to events for Frontenac EMS participants Recognition at the Opening Ceremonies

Dr. Reed has also requested he be allowed to invite the other EMS providers in our region to come to Kingston to provide an EMS unit to the Opening Ceremonies, and one event on Friday and Saturday each. These partner services would be Hastings-Quinte EMS, Lennox & Addington EMS, and Leeds and Grenville EMS. This would facilitate paramedic coverage at all venues and events without placing the financial burden on the County of Frontenac.

Sustainability Implications Good stewardship of the County’s financial resources and most appropriate care of our residents and visitors when in need of paramedic services.

Financial Implications The cost to provide one (1) paramedic unit for the Opening Ceremonies on Thursday, one (1) sporting event venue on Friday, the social event on Friday night, one sporting event venue on Saturday and the Closing Ceremonies on Saturday will be $3,552. These costs can be covered within the current 2012 budget allocation and will require no special funding request to County Council.

Administrative Report Emergency and Transportation Services – 2012 Ontario Special Olympics Provincial Spring Games, Kingston Ontario March 21, 2012 Page 2 of 3

Emergency Services - 2012 Ontario Special Olympics Provincial Spring Games

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Agenda Item # 5i)

Recommendation That the Council of the County of Frontenac accept this Emergency and Transportation Services – 2012 Ontario Special Olympics Provincial Spring Games, Kingston Ontario report for information only.

Organizations, Departments and Individuals Consulted and/or Affected Dr. Andrew Reed - OPP Physician Chief Steve Tanner - Kingston Police Force Chief Doug Socha - Hastings-Quinte EMS Chief Mark Schjerning - County of Lennox and Addington EMS Chief Chris Lloyd - United Counties of Leeds and Grenville EMS

Administrative Report Emergency and Transportation Services – 2012 Ontario Special Olympics Provincial Spring Games, Kingston Ontario March 21, 2012 Page 3 of 3

Emergency Services - 2012 Ontario Special Olympics Provincial Spring Games

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Agenda Item # 5j)

CITY OF KINGSTON

REPORT TO COUNCIL Report No.: 12-141 TO:

Mayor and Members of Council

FROM:

Lanie Hurdle, Commissioner, Community Services

RESOURCE STAFF:

Sheldon Laidman, Director, Housing Department

DATE OF MEETING:

April 17, 2012

SUBJECT:

Dawn House Women’s Shelter Daytime Funding for 2012

EXECUTIVE SUMMARY: Between 2007 and 2011, Dawn House Women’s Shelter (Dawn House) received $175,000 annually from the Consolidated Homelessness Prevention Program (CHPP). This funding is provided for community-based programs and services for people who are homeless or at risk of becoming homeless. City staff conducted an operational review of all CHPP funded agencies in 2011 and a number of deficiencies and non-compliance issues were identified at Dawn House Women’s Shelter. Accordingly, in November, 2011 Council approved interim funding to Dawn House Women’s Shelter from January 1, until April 30, 2012 rather than the full year funding. This funding was taken from the Social Services Stabilization Fund and not through the CHPP fund. This funding was flowed to Dawn House to provide it an opportunity to stabilize operations and address the issues identified in the May 2011 review. Council directed that City staff complete another review of the agency in March 2012 after which a recommendation would be made regarding further funding in 2012 for daytime services at Dawn House. The second review of Dawn House was conducted on March 29, 2012, and staff noted that while the agency has addressed a number of issues and is working diligently to implement changes to improve efficiencies, there are still concerns regarding the adequacy of programming and the financial viability of the organization. City staff have reviewed options for continued funding for Dawn House and have completed a financial analysis on each option.

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REPORT TO COUNCIL

April 17, 2012

Report No.: 12-141

RECOMMENDATION: THAT Council approve $14,500 per month to Dawn House Women’s Shelter for the eight month period from May 1, 2012 to December 31, 2012 with $33,300 coming from the Consolidated Homelessness Prevention Program (CHPP) and the balance of $82,700 being re-allocated from the Local Services Realignment (LSR) Stabilization Fund.

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REPORT TO COUNCIL

April 17, 2012

Report No.: 12-141

AUTHORIZING SIGNATURES:


Lanie Hurdle, Commissioner, Community Services


Gerard Hunt, Chief Administrative Officer CONSULTATION WITH THE FOLLOWING COMMISSIONERS: Cynthia Beach, Sustainability & Growth

N/R

Denis Leger, Transportation, Properties & Emergency Services

N/R

Jim Keech, President and CEO, Utilities Kingston

N/R

(N/R indicates consultation not required)

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REPORT TO COUNCIL

April 17, 2012

Report No.: 12-141

OPTIONS/DISCUSSION: Background The City of Kingston, as Service Manager, receives approximately $1.3M yearly in funding from the Ministry of Community and Social Services to deliver programs under the “Consolidated Homelessness Prevention Program” (CHPP). This funding is provided to municipalities to address a prescribed range of community-based programs and services for people who are homeless or at risk of becoming homeless throughout the service area. Programs supported through the CHPP funding are in addition to the per diem funding to maintain emergency shelter beds. In 2007, City Council decided to supplement the provincial program by creating the municipal “Housing/Homelessness Strategic Fund” (HHSF) program and $150,000 was dedicated to the HHSF program which has been funded by the City for the past five years. As part of the service manager’s responsibilities to ensure compliance and effective service, staff completed an operational review of each of the CHPP and HHSF funded organizations in 2011. These reviews included client, management, and front line staff interviews as well as site visits. The review of one of the agencies, Dawn House Women’s Shelter, identified deficiencies in programming, reporting, staffing, corporate governance and finance. City staff met with the agency to review the results and in August 2011 Dawn House submitted an action plan to address the issues. In October 2011, the agency advised the City of obstacles preventing it from completing the necessary actions included in its plan. In September, Dawn House Women’s Shelter lost two of its long term board members and the agency was uncertain if the board would be able to maintain quorum to direct operations. Between 2007 and 2011, Dawn House Women’s shelter annually received $175,000 from the Consolidated Homelessness Prevention Program (CHPP). Due to their non-compliance and issues identified in the review, Council approved $14,500 per month (equivalent to the former CHPP funding in the amount of $175K annually) from the Social Services Stabilization Fund to Dawn House Women’s Shelter for a period of four (4) months, until April 30, 2012. This funding was intended to enable Dawn House to stabilize its operation, with the provision that the City would complete another agency review in March 2012 after which a recommendation would be made to Council regarding the continuation of further funding for daytime services to Dawn House for the remainder of 2012. City staff conducted the second review of Dawn House on March 29, 2012 which included interviews with front-line staff, the Executive Director and present and former shelter residents as well as a review of files and general observations in the shelter. It should also be noted that on April 2, 2012 Council approved the issuance of a Request for Proposal (RFP) in 2012 for the allocation of annual Consolidated Homelessness Prevention Program (CHPP) funding and $150,000 municipal Homelessness/Housing Strategy funds (HHSF) for the period 2013 to 2014. Dawn House and all other community agencies will need to

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REPORT TO COUNCIL

April 17, 2012

Report No.: 12-141

submit proposals and meet the eligibility criteria in the RFP such as ability to meet CHPP goals, provision of a required community homeless service and financial sustainability. Dawn House Review The general findings of the March 2012 Dawn House review coupled with feedback received during ongoing discussions with the Executive Director are as follows: a. Clients and Programming A new Executive Director (ED) was hired in January 2012 and is working diligently to implement changes to improve efficiencies within the organization. It should be noted though that Dawn House has had a high turnover of executive directors - at least six (6) executive directors in the past five (5) years. There have been efforts by past EDs and Boards of Directors to improve efficiencies, however, due to varying reasons there has not been a stable ED in place to follow through on these changes for any substantial period of time since 2006. With such a high turnover in leadership, the agency suffers from instability and inconsistency in their policies, procedures, program delivery and client services. Dawn House has been coined by staff and residents as a “home” for homeless women. A place for women and children to call “home” has traditionally taken precedence at Dawn House over any programming, however, the initial CHPP proposal submitted by Dawn House in 2006 indicated that programming and support services would be provided during daytime hours. Interviews conducted with staff and clients at the shelter during the March review did indicate that enhanced programming, life skills training and workshops have been introduced recently at the shelter. The CHPP funding is provided to offer these supports not simply to keep the facility open during the daytime so that residents have a place to stay. As a result of the review, City staff continue to have concerns about the daytime programming being offered at the shelter meeting the requirements of CHPP funding. Dawn House Women’s Shelter is one of six (6) emergency shelters funded in the community. Exhibit “A” provides details on all emergency shelters funded in the City as well as any additional services provided by these agencies and the type and amount of funding provided for this purpose. b. Staffing The agency is still in negotiations under their collective bargaining agreement. The current Collective Agreement expired on March 31, 2011 and negotiations have been ongoing since before its expiry. An offer submitted by the employer which would reduce vacation entitlements and hence operating costs was rejected by the employees on April 4, 2012. Dawn House is incurring large legal bills throughout the collective bargaining process, which is contributing to their annual deficit. The constant negotiating with the Union is time consuming for the ED limiting her ability to concentrate on other issues at the shelter and implementing changes throughout. This has been a continual observation by former EDs, the Board of

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Directors and City staff. The issues surrounding the labour situation and the sustainability of labour costs continues to be a concern that will need to be monitored by the Service Manager. c. Governance Due to the hard work and diligence of the previous ED as well as the new EDs, nine individuals have now been appointed to the Dawn House Board of Directors. Each member has a diverse background and brings with them a wealth of knowledge that will certainly benefit the organization, however, as a new board much work will be required to bring the organization up to appropriate standards. There is certainly greater governance stability for Dawn House at the Board and ED levels which is encouraging, however, staff have identified continued areas of concern which will need to be monitored by the Service Manager. d. Financial Viability City staff reviewed Dawn House’s budget as well as trending expenditures and revenues to develop conservative 2012 budget estimates. These budget estimates anticipate Dawn House running a deficit of a minimum of $10K for 2012 even with funding equivalent to the CHPP dollars previously provided – i.e. $175K annually. In 2008, Dawn House had an accumulated surplus of $66,000. Each year beginning in 2009, Dawn House has operated in a deficit position which has reduced their accumulated surplus to a current balance of approximately $10K and City staff’s conservative estimates show Dawn House may be in an accumulated deficit position by the end of 2012. The 2012 budget also provides for $35,000 in fundraising and donations. Should Dawn House be unable to reach this fundraising goal, their financial position would be even further compromised. Dawn House may have to use some of its client support fund to help bridge their operational gap should their 2012 deficit exceed their existing accumulated surplus. Options for Consideration of Continuation of Further Funding for Daytime Services to Dawn House for the Remainder of 2012 As a result of the agency review, City staff have considered four options regarding the continuation of funding for Dawn House. These options are outlined more fully as follows. Option 1 Continuation of full funding for daytime services This option would see the agency undergo very few changes in that the shelter would remain open 24 hours a day; there would be no required changes to staff schedules; the agency could continue in its efforts to stabilize operations and the new Executive Director and Board of Directors could continue in their efforts to implement enhanced programming, revised policies and procedures.

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REPORT TO COUNCIL

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Report No.: 12-141

Option 1 - Funding Necessary - $116,000 Dawn House has received $175K CHPP funding annually from January 1, 2007 to December 31, 2011. From January 1, 2012 until April 30, 2012, Dawn House has continued to receive funding equivalent to the CHPP dollars from the Social Services Stabilization fund ($58,000). To continue to fund Dawn House for 2012 at the same rate would cost an additional $116,000 from May to December 2012. Option 1 - Impacts to Clients/Programs City staff would continue to monitor Dawn House to ensure that it was providing the programs and services for which funding would be provided for the next eight (8) months. Still being open 24 hours a day would benefit clients in that they would not need to leave the shelter in the daytime. Option 1 - Financial Viability Essentially, Dawn House requires more than $175K to provide daytime services to clients. This can be directly attributed to the high operating costs of a smaller organization inclusive of the salaries/benefits that Dawn House pays compared to similar agencies as well as their high legal expenses. In 2011, salaries and benefits made up over 75% of Dawn House’s expenditures for the year and legal expenses were approximately 5% of total expenses. Even with full funding, it is anticipated Dawn House would most likely operate in a deficit of about $10K which would fully deplete their accumulated operating surplus. The organization will need to review its operations and service delivery model to ensure long term financial sustainability. Option 2 Partial Funding to Allow Shelter to Provide Programming and Remain Open from 5 p.m. until 9:00 a.m. This would allow Dawn House to be open to provide emergency shelter services as per their mandate as well as offer some core programming to clients in the late afternoon/evening and in the early morning. Option 2 - Funding Necessary - $81,500 If the funding to Dawn House was reduced so that it was open only from 5 p.m. until 9 a.m., it is anticipated it would cost approximately $81,500 from May to December 2012. It is anticipated that this operational change could help reduce the estimated operational deficit. Option 2 – Impact to Clients/Programs In discussions with staff and residents, City staff were advised that during the daytime hours many residents are busy with housing searches, attending appointments, job searching and preparing for upcoming moves. As well, Dawn House has recently begun working with outside agencies to provide information sessions and workshops to its residents. If Dawn House was closed from 9 a.m. until 5 p.m., clients could be issued bus passes so that they could go off site for the day to attend appointments, take part in programming offered at other locations and do housing searches.

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Report No.: 12-141

Dawn House could consider making alternative arrangements and supporting their clients to access day time programming in other facilities. Option 2 – Impacts to Dawn House Staff This reduction in hours of operation would likely mean that full-time and part-time staff would be affected. This reduction in hours of operation would mean that a revised work schedule would need to be designed. Option 2 - Financial Viability Should Dawn House receive partial funding from May to December 2012 at $82,000, it is anticipated that they could stay on budget if they are able to make appropriate operational changes. Option 3 Partial Funding to Allow the Shelter to Remain Open from 8 p.m. until 8:00 a.m. Very limited programming could be offered if the shelter was open during these hours only. The main purpose of the facility would be as outlined in the per diem funding agreement with the City – i.e. to provide emergency shelter. This would be more in line with some of the other shelters in the City which are not open during the daytime, some of which have partnerships with other organizations– i.e. Kingston Youth Shelter Project (Hotel Dieu Hospital), Harbour Light (Salvation Army) or which have expanded operations to maximize funding potential – i.e. Ryandale Transition House. Option 3 - Necessary Funding - $60,000 If funding was reduced so that Dawn House was open only from 8 p.m. until 8 a.m., it is anticipated it would cost approximately $60,000 for the eight month period from May to December 2012. Option 3 – Impacts to Clients/Programs If Dawn House was only open from 8 p.m. until 8 a.m., it would not allow much time to offer any programming to residents. Dawn House would be operating as an emergency shelter providing a place for women to go to sleep. With these hours of operation, Dawn House would need to consider changing its mandate so that it provides shelter to women without children or only those with older children. Since Lily’s Place is now open 24 hours a day and has a playroom and playground equipment for children as well as an agreement with Better Beginnings to provide programming for parents and children, women with children could be accommodated in the community. Option 3 – Impacts to Dawn House Staff This reduction in hours of operation would mean that full-time and part-time staff hours would be affected. This reduction in hours of operation would mean that a revised work schedule would need to be designed based on a 12 hour shift rotation.

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Report No.: 12-141

Option 3 - Financial Viability If Dawn House receives the full amount of partial funding forecasted to allow them to remain open 12 hours a day ($60,000) for the period May to December 2012. It is anticipated that they could stay on budget if they are able to make appropriate operational changes. Option 4 Only Per Diem Funding Dawn House would need to decide what hours they wish to remain open with only per diem funding and would then need to access an alternate source of funding. This would be in line with some of the other shelters in the City which only receive per diem funding from the City and have partnerships with other organizations – i.e. Kingston Youth Shelter Project, Salvation Army Harbour Light. Option 4 - Funding Necessary - $0 If the City was to provide only shelter per diem funding to Dawn House, it would need to access an alternate funding source – i.e. United Way, churches, community groups or grants. An analysis of the current budget estimates prepared by City staff indicates that if Dawn House was to reduce its hours of operation to 11 p.m. until 7 a.m. the agency would still require $32,298 in additional funding for the 8 month period from May to December 2012. Option 4 – Impacts to Clients/Programs Reducing hours of operation to 11 p.m. to 7 a.m. would not serve homeless women with children in the community well. These hours of operation would mean that women with children could potentially be on the street until 11 p.m. which would be unsafe and not recommended. Option 4 – Impacts to Dawn House Staff Reducing hours of operation to 8 hours per day would mean that some full and part time staff would be laid off and/or have their hours substantially reduced. Option 4 - Financial Viability Without any funding in addition to shelter per diem funding, the shelter would most likely not be able to remain open. Dawn House would most likely run in a deficit position and would be at risk of closing operations before the end of 2012 unless they were able to access funding from an alternate source. EXISTING POLICY/BY LAW: N/A NOTICE PROVISIONS: N/A ACCESSIBILITY CONSIDERATIONS: N/A

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REPORT TO COUNCIL

April 17, 2012

Report No.: 12-141

FINANCIAL CONSIDERATIONS: Four funding options have been considered by City staff regarding the continuation of daytime program funding to Dawn House for 2012. Should any further funding be provided to the agency in 2012, City staff have identified the following funding sources:

  1. There is currently $33.3K unallocated in the CHPP fund which could be allocated to Dawn House.
  2. The Local Services Realignment (LSR) Stabilization Fund currently has a balance of $300K. This reserve was used in the past to offset shortfalls in OMPF funding but with the upload of ODSP and OW benefits to the Province, the City no longer receives OMPF funding and there is no identified continued purpose for this fund. CONTACTS: Lanie Hurdle, Commissioner, Community Services

613-546-4291 ext. 1231

OTHER CITY OF KINGSTON STAFF CONSULTED: Lee Campbell, Housing Programs Administrator, Housing Department Melanie Bale, Financial Analyst, Housing Department Katie Clarke, Manager, Ontario Works Program Alan McLeod, Senior Legal Counsel, City of Kingston Desiree Kennedy, Director of Financial Services & City Treasurer EXHIBITS ATTACHED: Exhibit A – Emergency Shelters Kingston and Frontenac Exhibit B – Shelter and Drop-in Centres Hours of Operation

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12-141 Exhibit A – Emergency Shelters Kingston and Frontenac

page 1

The City of Kingston currently funds 78 shelter beds by way of Administration Agreements with six (6) non-profit agencies. The City purchases emergency hostel services to fund shelter beds using a purchase of service for bed nights on a per diem basis through Ontario Works’ “Emergency Hostel Services” funding, which is currently (2011) cost-shared with the Province on a 82.8 /17.2 basis. The municipal cost-share portion is being reduced as OW allowance and benefit costs are slowly uploaded back to the province over a 9 year period ending in 2018. The per diem rate is presently $43.50 with an additional $4.40 for added costs related to the provision of personal needs assistance (PNA). Hostels receive the shelter bed based on the per diem and PNA amounts and client eligibility. Some hostels provide PNA funds back to the clients and absorb personal needs item provisions into other non-municipal/provincial resource lines. The OW emergency hostel service per diem rate is prescribed (capped) by the Province. Some emergency shelters also receive additional funding under the Consolidated Homelessness Prevention Program (CHPP) or municipal Housing & Homelessness Strategic Fund (HHSF). Details on the six emergency shelters including number of beds and additional funding and services is outlined below: Name and Location of Shelter Mandate

Hours of Operation

Number of Beds funded

Ryandale Family Shelter 23 Elm Street

Mon – Sun 4pm-8am

15

Mon-Sun 4pm-9am

7

N/A

Mon-Sun 8pm-8am

24

HHSF $45K

Families and Singles Kingston Youth Shelter 234 Brock Street

Annual CHPP or HHSF Funding received HHSF $55K

Additional Service Provided with CHPP or HHSF funding

Additional staff member to allow families with young children, nightemployed residents and disabled residents remain in shelter during daytime hours

Youth aged 16 – 24 years In From the Cold 426 Barrie Street Single men and women

Due to high needs of clients and high numbers of clients served nightly – additional staff member for safety and security

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Exhibit A – Emergency Shelters Kingston and Frontenac Name and Location of Shelter Mandate

Hours of Operation

Number of Beds funded

Annual CHPP or HHSF Funding received CHPP $155K

Lily’s Place 333 Kingscourt

24 hours/day

14

Mon-Sun 4pm-11pm

8

N/A

24 hours/day

10

2011 $175K CHPP 2012 – under review

Families and single women

Harbour Light (Salvation Army) 562 Princess Street Single men Dawn House Women’s Shelter 302 Victoria Street Women and children

Additional Service Provided with CHPP or HHSF funding

Daytime programming; support services for residents to assist them in working through the barriers that prevent them from securing long-term housing; phone, computers and meeting space to assist clients in their housing searches; Access to the Hostel Case Manager; Counseling one on one and group sessions. Parenting support; literacy and education support;

Daytime programming – counseling, life skills, parenting, budgeting, finding permanent housing, and assistance with drug and alcohol treatment.

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12-141 Exhibit B – Shelter & Drop –In Centre Hours Drop In Centres The shaded area indicates the hours that the agency is open. X indicates the hours of operation for The Gathering Place during an Extreme Temperature alert/warning and is above and beyond their regular hours of operation. MONDAY 8 9 10 11 12 1 2 3 4 5 6 7 8 9 am am am am pm pm pm pm pm pm pm pm pm pm Housing Help Centre Open 8 am - 2 pm 426 Barrie St. 613-531-3779 Martha’s TableFriendship Room629 Open 10 am - 3 pm Princess St.613530-3771 The Gathering X X X X X X X X Place Will Open 3 pm - 7 pm 342 Patrick St. (if extreme temp alert/warning issued) 613-548-4411 ext. 35 TUESDAY 8 9 10 11 12 1 2 3 4 5 6 7 8 9 am am am am pm pm pm pm pm pm pm pm pm pm Housing Help Centre Open 8 am - 2 pm 426 Barrie St. 613-531-3779 Martha’s Table Friendship Room Open 10 am - 3 pm 629 Princess St. 613-530-3771 The Gathering Place 342 Patrick St. Open 2:30 pm - 7:30 pm 613-548-4411 Ext 35

Housing - Dawn House Shelter Funding

Drop In Centres WEDNESDAY Housing Help Centre 426 Barrie St. 613-531-3779 Martha’s Table Friendship Room 629 Princess St. 613-530-3771 Rideau Heights Friendship Café 183 Weller Ave. 613-541-3947 The Gathering Place 342 Patrick St. 613-548-4411 ext. 35 THURSDAY

8 am

9 am

10 am

11 am

12 pm

1 pm

2 pm

3 pm

4 pm

5 pm

6 pm

7 pm

8 pm

9 pm

8 pm

9 pm

Open 8 am - 2 pm

Open 10 am - 3 pm

Open 11:30 am - 2 pm X

X

X

X

X

X

X

X

Will Open 3 pm - 7 pm (if extreme temp alert/warning issued) 8 am

9 am

10 am

11 am

12 pm

1 pm

2 pm

3 pm

4 pm

5 pm

6 pm

7 pm

Agenda Item # 5j)

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Housing Help Centre 426 Barrie St. 613-531-3779 Martha’s Table Friendship Room 629 Princess St. 613-530-3771 The Gathering Place 342 Patrick St. 613-548-4411 ext. 35

The shaded area indicates the hours that the agency is open. X indicates the hours of operation for The Gathering Place during an Extreme Temperature alert/warning and is above and beyond their regular hours of operation.

Open 8 am - 2 pm

Open 10 am - 3 pm

Open 2:30 pm - 7:30 pm

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Drop In Centres

FRIDAY Housing Help Centre 426 Barrie St. 613-531-3779 Martha’s Table Friendship Room 629 Princess St. 613-530-3771 The Gathering Place 342 Patrick St. 613-548-4411 ext. 35 SATURDAY

The Gathering Place 342 Patrick St. 613-548-4411 ext.

8 am

9 am

10 am

11 am

12 pm

1 pm

2 pm

3 pm

4 pm

5 pm

6 pm

7 pm

8 pm

9 pm

8 pm

9 pm

Open 8 am - 2 pm

Open 10 am - 3 pm Will Open 3 pm - 7 pm (if extreme temp alert/warning issued)

8 am

9 am

10 am

11 am

12 pm

1 pm

X

2 pm

X

3 pm

X

4 pm

X

X

5 pm

X

X

6 pm

X

7 pm

Open 8 am - 1 pm (Nov 5, 2011 - April 29, 2012)

Agenda Item # 5j)

Page 110 of 160

Housing Help Centre 426 Barrie St. 613-531-3779 Martha’s Table Friendship Room 629 Princess St. 613-530-3771

The shaded area indicates the hours that the agency is open. X indicates the hours of operation for The Gathering Place during an Extreme Temperature alert/warning and is above and beyond their regular hours of operation.

Open 10 am - 3 pm

Open 2:30 pm - 7:30 pm

Council Meeting 13 April 17, 2012

75

Housing - Dawn House Shelter Funding

SUNDAY Housing Help Centre426 Barrie St.613-531-3779 The Gathering Place 342 Patrick St. 613-548-4411 ext. 35

8 am

9 am

10 am

11 am

12 pm

1 pm

2 pm

3 pm

4 pm

5 pm

6 pm

7 pm

8 pm

9 pm

Open 8 am - 1 pm (Nov 5, 2011 - April 29, 2012) XXXX Will Open 10 am - 2:30 pm (if extreme temp alert/warning issued)

Open 2:30 pm 5:30 pm

XXXX Will Open 5:30 pm 7 pm

(if extreme temp alert/warning issued)

Agenda Item # 5j)

Page 111 of 160 Council Meeting 13 April 17, 2012

76

Agenda Item # 5k)

CITY OF KINGSTON

INFORMATION REPORT TO HOUSING AND HOMELESSNESS ADVISORY COMMITTEE Report No.: HHC-12-008 TO:

Chair, Housing and Homelessness Advisory Committee

FROM:

Lanie Hurdle, Commissioner, Community Services

RESOURCE STAFF:

Sheldon Laidman, Director, Housing Department

DATE OF MEETING:

February 16, 2012

SUBJECT:

Housing Department Information Reports to the Housing and Homelessness Advisory Committee

EXECUTIVE SUMMARY: At the January 30, 2012 meeting of the Housing and Homelessness Advisory Committee, members of the Committee requested an information update report from the Housing Department on a regular basis. This report outlines the programs and information that the Housing Department will report to the Committee bi-annually in March and September of each year. RECOMMENDATION: This report is for information only.

24 Housing - Housing Department Information

Page 112 of 160

Agenda Item # 5k)

INFORMATION REPORT TO HOUSING AND HOMELESSNESS ADVISORY COMMITTEE Report No.: HHC-12-008 February 16, 2012

AUTHORIZING SIGNATURES:


Lanie Hurdle, Commissioner, Community Services


Gerard Hunt, Chief Administrative Officer CONSULTATION WITH THE FOLLOWING COMMISSIONERS: Cynthia Beach, Sustainability & Growth

N/R

Denis Leger, Transportation, Properties & Emergency Services

N/R

Jim Keech, President and CEO, Utilities Kingston

N/R

(N/R indicates consultation not required)

25 Housing - Housing Department Information

Page 113 of 160

Agenda Item # 5k)

INFORMATION REPORT TO HOUSING AND HOMELESSNESS ADVISORY COMMITTEE Report No.: HHC-12-008 February 16, 2012

OPTIONS/DISCUSSION: The Housing Department is responsible for a number of housing and homelessness programs including: The Social Housing Registry Program which administers the Centralized Waiting List; Funding and oversight of the operations of 16 social housing providers; Administration of agreements and programs with homeless service providers and emergency shelters; Administration of the various components under the provincial affordable housing programs – Investment in Affordable Housing (IAH) and Affordable Housing Program (AHP); Administration of various provincial and municipal rent supplement programs; Administration of municipal affordable housing Incentives including Home Ownership; Land Acquisition and Disposition; and the Capital Investment Program; and Recommendations under the Municipal Housing Strategy The Housing Department prepares regular statistical reports for these programs for review and analysis. Some reports may be of assistance to members of the Housing and Homelessness Advisory Committee to carry out their roles and responsibilities under the Committee’s Terms of Reference and mandate. Accordingly, the Housing Department will provide members of the Committee, on a bi-annual basis, the following information: a) Social Housing Registry waiting list numbers by household size and type; b) Social Housing Registry statistics on households housed and applications received; c) Update on capital project developments under the IAH and AHP programs; d) Rent Supplement program updates; e) Emergency shelter usage; f) Ontario Renovates statistics; g) Homeownership statistics; h) Update on Affordable Housing Land Acquisition and Disposition program; i) Update on Affordable Housing Capital Investment Program; The bi-annual report to the Committee will cover information and statistics related to the first and second halves of the year and will be presented as soon after that period as possible, taking into consideration the submission and compilation of data and the timing of Committee meetings. It is anticipated that these bi-annual reports will be submitted to the Committee in March and September of each year. In addition to this report to the Committee, recommendation #6 of the Municipal Housing Strategy (MHS) states that “the City report on MHS progress regularly and publish an annual report card identifying key indicator status”. Housing Department staff will be tasked to prepare this annual report card which will build off many of the above reports.

26 Housing - Housing Department Information

Page 114 of 160

Agenda Item # 5k)

INFORMATION REPORT TO HOUSING AND HOMELESSNESS ADVISORY COMMITTEE Report No.: HHC-12-008 February 16, 2012

EXISTING POLICY/BY LAW: N/A NOTICE PROVISIONS: N/A ACCESSIBILITY CONSIDERATIONS: N/A FINANCIAL CONSIDERATIONS: N/A CONTACTS: Lanie Hurdle, Commissioner, Community Services

613-546-4291 ext. 1231

OTHER CITY OF KINGSTON STAFF CONSULTED: Sheldon Laidman, Director, Housing Department Lee Campbell, Acting Manager, Housing Department Mary McIntyre, Housing Programs Administrator, Housing Department EXHIBITS ATTACHED: N/A

27 Housing - Housing Department Information

Page 115 of 160

Agenda Item # 5l)

CITY OF KINGSTON

INFORMATION REPORT TO HOUSING AND HOMELESSNESS ADVISORY COMMITTEE Report No.: HHC-12-009 TO:

Chair, Housing and Homelessness Advisory Committee

FROM:

Lanie Hurdle, Commissioner, Community Services

RESOURCE STAFF:

Sheldon Laidman, Director, Housing Department

DATE OF MEETING:

March 8, 2012

SUBJECT:

Housing Programs Reporting

EXECUTIVE SUMMARY: At the January 30th meeting of the Housing and Homelessness Advisory Committee, members of the Committee requested an information update report from the Housing Department on a regular basis. At the February 16th meeting, Report #HHC-12-008 provided an outline of the programs and information that the Housing Department will report to the Committee in March and September of each year. Accordingly, this report to the Committee will essentially cover information and statistics related to the last half of 2011. RECOMMENDATION: This report is for information only.

17 Housing - Housing Programs Reporting

Page 116 of 160

Agenda Item # 5l)

REPORT TO HOUSING & HOMLESSNESS ADVISORY COMMITTEE Report No.: HHC-12-009 March 8, 2012


Lanie Hurdle, Commissioner, Community Services


Gerard Hunt, Chief Administrative Officer CONSULTATION WITH THE FOLLOWING COMMISSIONERS: Cynthia Beach, Sustainability & Growth

N/R

Denis Leger, Transportation, Properties & Emergency Services

N/R

Jim Keech, President and CEO, Utilities Kingston

N/R

(N/R indicates consultation not required)

18 Housing - Housing Programs Reporting

Page 117 of 160

Agenda Item # 5l)

REPORT TO HOUSING & HOMLESSNESS ADVISORY COMMITTEE Report No.: HHC-12-009 March 8, 2012

19 Housing - Housing Programs Reporting

Page 118 of 160

Agenda Item # 5l)

REPORT TO HOUSING & HOMLESSNESS ADVISORY COMMITTEE Report No.: HHC-12-009 March 8, 2012

20 Housing - Housing Programs Reporting

Page 119 of 160

Agenda Item # 5l)

REPORT TO HOUSING & HOMLESSNESS ADVISORY COMMITTEE Report No.: HHC-12-009 March 8, 2012

21 Housing - Housing Programs Reporting

Page 120 of 160

Agenda Item # 5l)

REPORT TO HOUSING & HOMLESSNESS ADVISORY COMMITTEE Report No.: HHC-12-009 March 8, 2012

  1. Social Housing Renovation and Retrofit Program (SHRRP) – SHRRP is part of the Canada-Ontario Affordable Housing Initiative. It is a capital grant program that assisted local eligible social housing providers to renovate, upgrade and in certain circumstances regenerate aging social housing projects. Strong emphasis was placed on improving the health and safety of tenants and increasing the energy efficiency and physical accessibility of the buildings. The Service Manager received a total Notional Allocation of $4,856,825for renovation and repair. Over 300 individual jobs were created and all monies were spent. An additional SHRRP Notional Allocation of $590,402 was received for Renewable Energy Initiatives. Through this program 6 Photovoltaic Systems were installed. These housing providers will enhance revenues by selling electricity to the grid through the MicroFIT Program. In addition, 4 Solar Thermal Hot water Systems were installed whereby housing providers will reduce their operating costs by using solar energy to pre-heat domestic hot water. SHRRP was an unanticipated funding program that allowed local housing providers to bring their housing stock back to an improved level of repair thus increasing the long term viability of our housing stock. It also allowed for entry into the world of renewable energy so that we are more in line with the sustainable Kingston focus.
  2. Options for Homes In 2011, Council endorsed the issuance of a note receivable equivalent to the deferral of development charges and impost fees for Options for Homes Non-Profit Corporation related to the construction of the condominium at 362 Bagot Street to a maximum of $857,124. This note receivable is to be repaid to the City at any time before the 10th anniversary of the building permit application. This program is to provide assistance to reduce mortgages to homebuyers. Council report 11-031 is attached for more detailed information. Options for Homes is still in the process of selling the condos at 362 Bagot Street and no City investment has been made at this point. EXISTING POLICY/BY LAW: N/A NOTICE PROVISIONS: N/A ACCESSIBILITY CONSIDERATIONS: N/A FINANCIAL CONSIDERATIONS: N/A CONTACTS: Lanie Hurdle, Commissioner, Community Services

613-546-4291 ext. 1231

22 Housing - Housing Programs Reporting

Page 121 of 160

Agenda Item # 5l)

REPORT TO HOUSING & HOMLESSNESS ADVISORY COMMITTEE Report No.: HHC-12-009 March 8, 2012

23 Housing - Housing Programs Reporting

Page 122 of 160

Agenda Item # 5l)

Exhibit A

Registry Applicant Income Distribution Applicant Status: Eligible

SUMMARY Income Category Ont. Disability Support Program Ontario Works C.P.P. (Canada Pension Plan) Part Time Employment Full Time Employment Old Age Security/G.I.S. Other Income Employment Insurance (E.I.) O.S.A.P Other Pensions Support Payments Gains -Aced Company Pension W.S.I.B. (Short Term) W.S.I.B. (Long Term ) Spouses Allowance Self Employment Annuity (R.I.F.) Income from Assets Other Interest -Bank Other Country Social Security Student Grants Total

Applicant Income Records 521 400 190 120 101 93 86 49 24 13 12 10 9 9 6 5 4 3 2 2 1 1 1 1662

% 31.3 24.1 11.4 7.2 6.1 5.6 5.2 2.9 1.4 0.8 0.7 0.6 0.5 0.5 0.4 0.3 0.2 0.2 0.1 0.1 0.1 0.1 0.1

Note: Some households have more than one income source are therefore listed in more than one category

24 Housing - Housing Programs Reporting

Page 123 of 160

Agenda Item # 5l)

Exhibit B ELIGIBLE REGISTRY APPLICANTS BY AGE On the Centralized Waiting List As At December 31, 2011

Age 0 to 5 years 6 to 10 years 11 to 15 years 16 to 20 years 21 to 25 years 26 to 30 years 31 to 35 years 36 to 40 years 41 to 45 years 46 to 50 years 51 to 55 years 56 to 60 years 61 to 64 years 65 to 70 years 71 to 75 years 76 to 80 years 81 to 85 years 86 to 90 years 91 to 96 years

Number of Eligible Applicants on CWL 289 134 116 139 159 167 133 107 131 145 125 135 91 53 27 23 8 1 1

Total Eligible Persons = 1984 Note: This includes all household members on the wait list.

25 Housing - Housing Programs Reporting

Page 124 of 160

Agenda Item # 5l)

Exhibit C - Eligible Households on the Wait List for RGI– Household Size & Type – July to September 2011

SP-Special Priority HP-Homeless Priority CHChronological

July

August

S P

HP

C H

Total on CWL

S P

HP

1 Bedroom

33

84 581

698

40

2 Bedrooms

16

33 195

244

3 Bedrooms

8

15

76

4 Bedrooms

5

3

5 Bedrooms

0

Senior

2

Total

September

CH

Total on CWL

SP

HP

CH

Total on CWL

93

585

718

39

87

585

711

19

33

196

248

18

32

196

246

99

9

13

72

94

7

10

78

95

28

36

4

5

29

38

0

3

28

31

3

15

18

0

2

16

18

1

2

14

17

2

74

78

0

0

77

77

0

1

78

79

64 140 969

1173

72 146

975

1193

65 135

979

1179

Bedroom(s)

26 Housing - Housing Programs Reporting

Page 125 of 160

Agenda Item # 5l)

Exhibit C – Eligible Households on the Wait List for RGI– Household Size & Type – October to December 2011 SP-Special Priority HP-Homeless Priority CHChronological

October

November

S P

HP

C H

Total on CWL

S P

HP

1 Bedroom

46

90 591

727

44

2 Bedrooms

18

30 189

237

3 Bedrooms

10

14

71

4 Bedrooms

0

3

5 Bedrooms

1

Senior

0

Total

December

CH

Total on CWL

SP

HP

CH

Total on CWL

87

600

731

48

10

681

739

19

31

190

240

16

25

197

238

95

9

11

78

98

12

15

75

102

29

32

2

2

31

35

2

1

35

38

1

15

17

2

1

16

19

1

0

16

17

1

73

74

0

2

72

74

0

2

73

75

75 139 968

1182

76 134

987

1197

79

53 1077

1209

Bedroom(s)

27 Housing - Housing Programs Reporting

Page 126 of 160

Agenda Item # 5l)

Exhibit D Kingston & Frontenac - 2011 Households Housed from RGI Wait List by Month Jul

Aug Sep Oct Nov Dec TOTAL 42 7 4 4 6 11 71 8 17 17 9 11

Chronological Special Priority

10 9

Homeless Priority

1

1

4

4

2

1

13

20

16

25

25

17

23

126

TOTAL

% 33% 56% 10%

Total Applications Received Jul 2011

83 14 20.29

Total Applications

83

Aug Sep Oct Nov Dec TOTAL 459 89 76 90 74 47 -26 3 -3 8 3 -26 -2.5 4.49 -3.80 9.76 4.23 -35.62 89

76

90

74

47

459

Reasons for Households Removed from CWL Reason Cancelled Ineligible Housed TOTAL

Jul 32 48 20 100

Aug Sep Oct Nov Dec TOTAL 106 6 19 23 7 19 340 57 64 59 54 58 126 16 25 25 17 23 79 108 107 78 100 572

Cancelled: Incomplete-pending over one year; Deceased; as per request; Joining of files/Duplicate record; Administrative - overhoused/supportive transfer i.e. moved out

Ineligible – No response to annual review; Former tenant arrears; 3 refusals; income over the HILS’s’ Repayment agreement not in good standing; Unable to live independently; Inability to contact; Misrepresentation of income.

28 Housing - Housing Programs Reporting

Page 127 of 160

Capital Funding Source (AHP or DOOR)

Capital Amount

Joseph Street

14

14

hard to house

RGI

AHP

406,000

84,000

Jul-06

Elizabeth Fry Society

Russell Street

6

6

women/ conflict with the law

RGI

AHP

174,000

30,468

May07

49

49

seniors

80% CMHC

AHP

3,430,000

290,031 Dec-07

118

93

none

AHP

2,071,921

484,809 Jun-08

AHP

140,000

0 Feb-07

K&FHC Paul Martin Construction

Van Order Dr Bath Road

Page 128 of 160

Tipi Moza

Johnson Street

3

2

disabled

Home Base Housing Fresh Start Phase 2

Joseph Street

24

24

hard to house

RGI

AHP

1,680,000

144,000 Sep-09

FCMHS

Lyons St

43

43

mental illness

RGI

AHP

3,956,000

322,000 Feb-11

29

Agenda Item # 5l)

100% CMHC 1 - RGI 1 - 80% CHMC

Status

Rent Levels

Home Base Housing Fresh Start Phase 1

Completion Date

Location

Construction Reserve Fund Allocation (Development Charges)

Proponent

Target Group

Housing Capital Projects

Total # of Units In Project Total # of Affordable Units

Housing - Housing Programs Reporting

Exhibit E – page 1

1,464,399

families in poverty disabled & VDV

Home Ownership 5 - 80% 15-RGI

Home Ownership

100,000

52,876

Oct-09

AHP

2,400,000

108,630

Oct-10

5

seniors

80% CMHC

DOOR

625,000

0

Apr-11

1

1

disabled

RGI

DOOR

128,500

0

Jun-12

9

9

men released from prison

RGI

DOOR

859,914

0 Nov-11

27

27

seniors

80% CMHC

DOOR

77

10

seniors

RGI

Municipal Funding

10

10

singles

6 - RGI 4 - 80%

DOOR

4

4

65

20

Sharbot Lake

5

Cataraqui Co-op

Elliot Avenue

John Howard Society

Montreal Street

Home Base Housing TOTAL

Montreal Street

474 330

30

0 Sep-10

Bldg permit In works

On Schedule Under 539,500 0 Dec-12 Construct Remedia1,100,000 0 2013 tion Plan w/MOE $22,315,234 $1,635,019 3,240,000

118,205

Jul-12

Agenda Item # 5l)

J. Fern Inc.

Queen Mary Rd Canatara Court

Status

DOOR

Completion Date

RGI

Construction Reserve Fund Allocation (Development Charges)

VDV

13

K&FHC

Page 129 of 160

19

Capital Amount

Stephen Street Division Street Blackburn Mews

Capital Funding Source (AHP or DOOR)

Interval House Habitat for Humanity Jay Patry Inc North Frontenac Housing

Rent Levels

Location

Target Group

Proponent

Housing Capital Projects

Total # of Units In Project Total # of Affordable Units

Housing - Housing Programs Reporting

Exhibit E – page 2

Agenda Item # 5l)

Exhibit F

RGI RENT SUPPLEMENT PROGRAMS (Included in 2003 RGI units) Regular Rent Supplement Number of Units 376 Selects Tenant: KFHC refers 2 names to Landlord Initial Rent Calculation: Registry Ongoing Rent Calculation: KFHC Maintains Tenant File: KFHC Pays Rent Subsidy: KFHC Homestead, Skyline, Realstar, Town Homes Kingston (THK), KFHC, Central Frontenac Housing Corporation Regular Rent Supplement Number of Units: 41 Selects Tenant: Housing Provider Initial Rent Calculation: Registry (Housing Provider assists) Ongoing Rent Calculation: Housing Provider Maintains Tenant File: Housing Provider Pays Rent Subsidy: KFHC Home Based Housing (HBH), E. Fry, Tipi Moza In-Situ Rent Supplement Number of Units: 3 Selects Tenant: Registry determines eligibility Initial Rent Calculation: Registry – Part B Ongoing Rent Calculation: Service Manager Maintains Tenant File: Service Manager Pays Rent Subsidy: Service Manager THK, Tipi Moza, private landlord Strong Communities Rent Supplement Note: Although rents are RGI these units are not included in the legislated 2003 RGI units Number of Units 85 Selects Tenant: KFHC refers 2 names to Landlord Initial Rent Calculation: Registry Ongoing Rent Calculation: KFHC Maintains Tenant File: KFHC Pays Rent Subsidy: KFHC Homestead, Skyline, Realstar

31 Housing - Housing Programs Reporting

Page 130 of 160

Agenda Item # 5l)

Exhibit G

NON – HOUSING SERVICES ACT RENT SUPPLEMENT PROGRAMS (Rents based on income) Kingston Rent Subsidy Program – AHP Units Number of Units: 71 Selects Tenant: Housing Provider Initial Rent Calculation: Housing Provider Ongoing Rent Calculation: Housing Provider Maintains Tenant File: Housing Provider Pays Rent Subsidy: Service Manager HBH, FCMHAS STRSP – Short Term Rent Support Program (ends March 31, 2013) Number of Units: 30 Selects Tenant: Service Manager Initial Rent Calculation: Service Manager Ongoing Rent Calculation: Service Manager Maintains Tenant File: Service Manager Pays Rent Subsidy: Service Manager Investment in Affordable Housing (IAH) – (to begin April 2012) Number of Units:

approx 20 (2012 – 2013) Approx 70 including above STRSP units (2013-2014) Approx. 25 (2014 – 2015) Selects Tenant: Service Manager Initial Rent Calculation: Service Manager Ongoing Rent Calculation: Service Manager Maintains Tenant File: Service Manager Pays Rent Subsidy: Service Manager

32 Housing - Housing Programs Reporting

Page 131 of 160

Agenda Item # 5l)

Exhibit H– Emergency Shelter Usage - Actual Bed Nights

2011 Actual Bed Nights - Paid Res. Days January February Ryandale 403 173 Dawn House 221 250 Harbour Light 201 127 KYSP 223 165 In From The Cold 500 461 Total Res. Days 1548 1176

Res. Days Ryandale Dawn House Harbour Light KYSP In From The Cold Total Res. Days

March 198

April 378

May 255

June 242

294

286

193

249

80 228

138 242

154 250

99 169

409

455

423

299

1209

1499

1275

1058

July 361

Aug 394

Sept 371

Oct 389

Nov 328

Dec YTD Total 421 3913

274

197

323

293

266

275

3121

142 258

198 231

199 238

173 347

139 281

42 194

1692 2826

485

541

660

645

600

500

5978

1520

1561

1791

1847

1614

1432

17,530

33 Housing - Housing Programs Reporting

Page 132 of 160

Agenda Item # 5l)

Exhibit H– Emergency Shelter Usage - Approved Bed Nights

2011 Approved Bed Nights 31 Bed Nights January Ryandale 465 Dawn House 310 Harbour Light 217 KYSP 248 In From The Cold 744 Total Res. Days 1984

Bed Nights Ryandale Dawn House Harbour Light KYSP In From The Cold Total Res. Days

28 February 420

31 March 465

30 April 450

31 May 465

30 June 450

280

310

300

310

300

196 224

217 248

210 240

217 248

210 240

672

744

720

744

720

1792

1984

1920

1984

1920

31 July 465

31 Aug 465

30 Sept 450

31 Oct 465

30 Nov 450

31 Dec YTD Total 465 5475

310

310

300

310

300

310

3650

217 248

217 248

210 240

217 248

210 240

217 248

2555 2920

744

744

720

744

720

744

8760

1984

1984

1920

1984

1920

1984

23,360

34 Housing - Housing Programs Reporting

Page 133 of 160

Agenda Item # 5l)

Exhibit I- Report 11-031

CITY OF KINGSTON

REPORT TO COUNCIL

I Report No.: 11-031 TO:

Mayor and Council

FROM:

Lanie Hurdle, Commissioner, Community Services Cynthia Beach , Commissioner Sustainability & Growth

RESOURCE STAFF:

Jim de Hoop, Director, Community and Family Services Paul Maclatchy, Director, Environment & Sustainable Initiatives

DATE OF MEETING:

February 15, 2011

SUBJECT:

Financial Assistance to Support Affordable Home Ownership and Transfer of Brownfield CIP Benefits: Options for Homes

Development at 326 Bagot Street EXECUTIVE SUMMARY, This r~ is provided for two putpOses as follows: a

To attain Council’s approval for the issuance d a note receivitlle withoot interest fOf up 10 ten years 10 support Affordable Home ONnershp - Options for Homes Development a1 326 Bagot Street

b

To aU1horize the transfer of brownfield CIP berefits re lated to the 326 Bagot Street property to the current owner.

On January 111" 2011 , SHS ConsuRing and ReiFad Consulting proided Coundl with an update on the City cI Kingston Housing Strategy. The t e oovered the importance of baking at a oontinuum of housing affordability and for the City to oonsider various tools to fi nd creatie ways to adciess the needs within this oontinuum of affordctlility This report provides the City wrth an owortunity to use creatie tools to provide affordctlle home CM’rership for a segment of the population City staff recogniZes th at this prO!ed will not addess the needs c:f all inchiduals on the current Central Waiting List but this is ore r:J the roach es that the City can ta<e to proide opIions for ~ inoome individ.Jalslfamilies. 11 should be noted th at this type c:f project has beerI implemented in other municipalies including Toronto, Guelph and Kitchener. The purpose c:f this report is to recommend financia l suppor1 for an affordlble home ownership pro;Jram in the form r:J a note receivable representing the amount equivalent to the deferral of payment of development dlarges and impost fees The City would pay the amount rue and payable at the issuance c:f th e builcing permit and take back a note receivable. Options for Homes Non-Profit Corporation (Options) purdlased the vacant property at the corner cI Queen and Bagot Streets Subject to a successful rezoning apphcation, Options winbuild a 117 unit ’ no frills’ oonoominium building whidl aims to provide some affordable home cwnership Home ONnership AHe rn atives (HOA) is a nOl’)-profit oorporation that finances the builcing constrllClion and provide3 the option of a 3econd mortgage called the ‘alternative mortgage’ to all initial purcha3er3. Thi3 alternati ve mortgage is eqJalto the dfference be!ween the araised value and the actual cost d oonstrudion. This alter nati~e

35 Housing - Housing Programs Reporting

Page 134 of 160

Agenda Item # 5l)

Report No.: 11’{)31

REPORT TO COUNCIL Finandal Assistance to Support Affordable Home Ownership and Transfer of Brownfield Benefits for Options for Homes February 15, 2011 • Page 2 -

mortgage is offered to all purchasers and it is only due for repayment when the initial purchaser sells its unit. For example, an initial purchaser could initially pay $t50.CXXJ for a unit >Mth a market price of $200.CXXJ if helshe is provided ‘Mth a $50.00J alternative mortgage. The $50.CXXJ alternative mortgage is only repayable whe fl the O’Nfler sells its unit. at which time. the martiet value of the unit should have increased. In order to increase the amount of the alternative mortgage which assjsts ho u se h ds ‘Mth 10’Ner incomes to purchase a home, Options and HOA are requesting an amount eqLivaient to defEnal of the payment of development charges and impost fees for a pefiod of ten (10) years. The vatue of this deferral will be applied drecy to a number of mortgages to enable 10’N6f income indviduals/families to purchase a home. As the Development ChargeJIlllXlst by-law.; require payment at buitdng permit issuaflOO, this proposal provides that the oty would pay the necessary funds to Ihose resme funds and take a note back for Ihe 10 years, recorded as a nole receivatje on the City’s balance sheet HOA ‘Mil enter into an a!Jeement ‘Mth the City which states thai they ‘MIl use the value ollhe oote 10 provide an alternative mortgage to 10’Ner income indvidualsffamilies. Final number 01 units 10 receive an ina-eased mortgage and fundng support required ‘Mil be determined through Ihe sale process and reported back to Council in Ihe spring. Any unused portion of the note ‘Mil be returned to Ihe City after the dosing date of the sale of the final unit in the development In addition, when a qualified purchaser repays their increased alternative mortgage, HOA ‘MIl in tlln pay the aty that JXlftion d" the note. At the end 01 ten years the balance of the note will be fully paid to the City. The Oty ‘Mil enter into such security instruments as are reqlired to ensure the repayment Development-reJated fees charges are estimated at 5857,CXXJ for this project. The note has an estimated cost to the City of S210,CXXl in interest based on present value and a rale 012"A!. II is proposed thaI the interest cost be covered by the Werking Fund Reserve as a one-time translS", which is in acccrdance >Mlh the policy. While the Oty has an affordable housing reserve ‘Mlh a balance, it has been used primarily for grant offsets to devaopment lees, and in the absence of a policy update, the Working Fund Reserve is the more appropriate source. In ad<ilion, and in accordance ‘Mth the aty’s Brownfields program, under the previous owner (Kincore HoIdngs), the property was approved for a maximum benefillrom the Brownfields Corrmunity Improvement Plan (CIP) 01 up to $757.750 in tax cancellation and tax rebates to allow reca.’ery 01 eligible costs incurred as pat althe emironmental dean-up 01 the property Options lor Homes have requested the remaining portions 01 these brownfi eld benefits be transferred to them to support this prOject

RECOMMENDATION: THAT Counal approve the issuance of a note receivae equivalent to the calculation for defEfral of development charges and impost lees for Options rcr Homes Non-Profit Corporation related to construction d the condomi rium at 326 Bagot Street. of a maximum of $857.124 on the loIlO’Mng terms a Options for Homes obtains all reqlired appfOvals for the site to the satisfaction of the City: b Home Ownership Alternative ‘Mil use all the proceeds that would otherv.ise be payae to the aty to redJce the cos! and provide assistance to initial homebuyers: c. Re-payment to the Oty of the portion of the no!e nol allocated as assistance to initial homebuyers a! time of the occupancy permit; d. The rEmaining nole shall be repaid in fu ll 10 the Oty by HOA on or at any time before the l ()h anniversary of the blilding permit application >Mlhout interest:

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Report No.: 11’{)31

2

THAT Counal aut hofize the Mayoc and Q9"“k. to execute the required agreements and securi ty documents for the provision of the note in a form satsfactory 10 the Director of Legal Services; and

3

THAT Council <llPfove the use of a maximum of $210.CXXJ from the Wock.ing Fund Reserve to finance lost interests reiated to the note; and

  1. THAT staff report back to Council v.ith the number of units impacted by an increased mortgage opportunity through this progr<ITI; 5

THAT Council authocize the transfer of the Brownfield Financial Tax Incentive Program (BFTIP - tax cancellation) croots plus potential trownfield incentives in the form of Tax Increment-Based Rehabilitation Grant Progra11 (TIRGP) rebates to a maximl.Jl1 of S7S7,7'3J fer the property at 326 Bagct Street frem Kincere Holdings Ltd. to the Options for Homes Non-Profit Corporation;

AND FURTHER THAT Counal direct staff to negotiate a Brownfields Site Agreement v.ith the Options lor Homes NonProfit Corporation lor the property at 326 Bagot Street, in a lorm satisfactory to the Director of Legal Services Division, and that the Mayor and Clerk. be authcrized to execute the Agreement

AUTHORIZING SIGNATURES:

Lenie Hurd e, Comrrission er, Community SffVices

CynUi a Beach, Comrrissioner, Suslainat:ility & Grov.th

Gerard Hunt, C!“Iief AOOin istrabve OfTicer

CONSULTATION WITH THE FOLLOWING COMMISSIONERS: Denis Leger, Transportation, Prcper/ies & Emergency SeNireS

NlR

J m Keech, Presidenl and CEO, Uti5lies Kings/on

NlR

(N/R indicates consu/ratioo not required}

37 Housing - Housing Programs Reporting

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Agenda Item # 5l)

Report No.: 11 ‘{)31

REPORT TO COU NCIL Finandat Assistance to Support Affordable Home Ownership and Transfer of Brownfield Benefits for Options for Homes February 15, 2011 • Page 4 -

OPTIONS/DISCUSSION , Options for Homes No n~Prolit Gorpaation (Options). under the legal name of Anna Lane G<roperative Development Corporation. has purchased the vacant land at the corner of Queen and Bagot Streets foc cJe.relqxnent of a 117 unit condominium buildirg. Units v.ill not have costly extras such as granite countertops oc amenities such as exercise rooms, pools, and saunas. The buildng will indude bachelor, one, tv.u, and three becioorn units. Although the mark et values a-e expected to be bel’M:len 8 136,000 and 8284,000, home buyers”";l1 have access to a reduced iniUal pLrchasing ~i ce throu gh an alternative mortgage. Home O’Mlership Alternatives (HOA) provides start up funding as well as an alternative mortgage to all initial purchasers. The alternative mcrtgage is equivalent to the difference between the ad ual purchase i ce and market value and is not repaid until the home O’Mler sells or rents the unit HOA ‘Mluld like to offer alternative m!l"tgages and Oty staff believe that increased alternative mortgages should be provided to househotds v.ith lower incomes and increased financial needs. The final number of urlls to receive an increased alternative mortgage will be determined through the sale process. City staff “";11’Mlrk dosely “";Ih Opti ons Ill” Homes and”";l1 report back to Council on the final number of units provid ng increased mortgage affordability as a result of this prograTl. Deferral of Development Charges Request In ocder to fi nance the assistance, HOA is requesting deferral of development-related charges (DC and Impost fees) to a maximum of $857,124, based on estimated fees The Oty does not provide such deferral options in the respective by-laws. HO’oWlVEr, staff consider this request attrac!ive for the purposes of creating additional affordable housing O’Mlership opportunities. On a one-time basis for experience purposes wth this non-profi t corpaation, staff a-e recanmending that the Oty pay from cash sources the charges and take bad< a note receivable secured and recorded on the City’s Balance Sheet Repayment to the City of the nole receivabl e ‘Mluld be made as follows: 1 Any portion not used to assist qualified purchasers by the dosing date of the sale of the final units in the development v.ill be repaid forthv.i th to the aty: 2 The balance of any unpa d nole receivable v.ill be paid in full on the 10th anniversary ci the blilclng permit application v.ithout interest: and 3 All payments v.ill be v.i thout intCfCl:i in the past, the Oty of Kingston has provided grants to offset development-related charges as ‘Nell as oth er fmns of financial support to proponents for the construction of affordable rental units built under the Canada-Ontario Affocdable Housing Progam as well as selected homeownership projects, namely Habitat for Hurranity. These grants have been registered on title foc I’M:lnty (20) years but a-e not repaid unless the proponent is in default of the terms of the Municipal Contribution A!1eement. This note receivable in an amount equal to development charges and irrpost fees deferral. to HOA. ‘Mluld be repaid in full in ten years and is not a grant. The cost to the Oty ‘NOUld be the inlerest foregone from investment of funds CHef the 10 year period. The present value of that sum is estimated at $210.CXXl and v.ill be paid up front from the Wooing Fund Reserve as a recognition c( the affordable housing opportunity. Options for Homes: Options for Homes Non-Profi t Corporation (Opons) is a Toronto-based non-j)“ofil organization started in 1992. Options fadl itate the construction of low cost quality condominiums for low to moderate income households using a ’ no frills ’ approach to marketing and development. In comparison with condominiums offering units a a comparable size. Options typically culs cJe.relopment costs swstantially by eliminating cosUy shared amSf1ities (like swmming pods. rroeation areas and saunas).

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expensive sates lX"ograms and marXeting commissions charged Of others

Report No.: 11 ‘{)31

In addition, the ongoing condominium fees we lower than those

O~ions initiate a lX"oject by securing the land and approvals. selecting a builder and lXeparing preliminay ~ans II then marXets the lX"oposalto interested purchasers through fiye-s. a Web site and new.;Jelle-s. ‘word of mouth’ and infermation sessions II does not build model sutes or undertake media campaigns.

Purchasers are required to make a down payment of at least 5% of the purchase price from their O’Nn resources. Once at least 8O"k of the units are lX"e-sold, construction of the build ng can begin. The buyers form a co-operative corporaton Yttlich hires Options to act as the development consultant. Options· fee is 2% of the capital costs and is part of the lX"ojected cost of construction. FotlooMng construction completion, the projed lX"oceeds to condominium registrabon The original eo-operative corpcration is replaced by a condominium ropcration oMth a boa"d of directOfs elected from among its owners. At the pa nt of condominium registration there is no legal dfference ool’Mlen an Options fa Homes 1X"00ed and any other condominium prOject. Home Ownership Alternatives: Home Ownership Alternatives (HOA) is a non-profit fi nancial corporation that was established in t998. HOA finances new affordable home developments, such as Options for Homes. oMth ifitial project financing. Their primary function is to hold all alternative mcrtgages of the iri tial purchasers until they are discharged throu gh sale of the unit or become payable as the owner no longer resicles in the unit. With the eventual repayment of the altern ative mcrtgage, funds are invested and are made available fOf future developments. The Alternati ve Mortgage: The alternative mortgage, v.tJich is offered to all initial home plJ’chaSerS, is the value of the dffa-ence bel’.wJen the cost of producing the units and the apprci sed market value for the unit. Typically, that val ue is about 1()‘15% ct the at-cost selling lX"ice. The home O’Nne- is not required to make any payments on this alternative mortgage as long as they own and reside in the uri t although they can choose to buyout the mortgage at any lime. The mortgage must be repaid when the unit is resold er the owner no longa- resides in it Awroximately 3O"k of the plJ’chasers repay this mortgage upon closing either because the uri t ‘.’.111 be rented or the purchaser does not want er reqJire the financi al assistance. Deferring the alternabve mcrtgage payment has a significant impact on the afferdability of the unit. Since there is no payment on the alternative mortgage until resale, the owner can carry the unit at a substanUaily 10’Ner monthly cost than a convenbonal market unit. This, in turn, lO’Ners the income tt.eshold fer purchasing the home. The alternative mortgage is a shaed appreciation mortgage (“SAM”). A SAM is d ffa-ent from a conventional mcrtgage because it does not bear a specific rate of interest. Instead, it earns interest at a rate equal to any increase in the value of the home. This money then goes into an equity pool that is used to de.relop other similar prOjects. For example • Construction cost is $200,000. Market Value is $226,000 • HOA hold.; alternative mortgage of $26,OCKl • Home is sold for 5282,500 wtich is 25% increase in value of the home • HOA receives $32,500 ($26,000 + 25%) • Homeowner receives S250,OOO (5200,000 + 25%)

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REPORT TO COUNCIL Finandal Assistance to Support Affordable Home Ownership and Transfer of Brownfield Benefits for Options for Homes February 15, 2011 • Page 6 -

Report No.: 11’{)31

The In creased Alternative Mortgage: For some 100 income households. even the cost of an Options for Home condominium is not affcrdable. They req uire addibonal funcing to reduce the 5% down payment requirement and/or reduce the amount of the first mcrtgage so monthly payments are Iooer. The alilily to obtain a fi rst mortgage may be dependent !..pOn an increased alternative moctgage HOA is pursuing measures to increase its alility to provide an increased alternative mortgage for these households. A note receivable in an amount of g-eater than development fees deaeases the amount of fundng req uired dJring construction thereby ma:.irg it avail~ e foc increased alternative mortgages. Subsequent Sale of Units: It must be noted that there are no fi nandal benefits passed on to subsequent purchasers. All initial home buyers are able to sell their units at fair m<Yket value at any time. Once the alta-natve mortgage is paid, Home Ownership Alternatives is no longer assoaated v.ith that unit

  1. Transfer of Previously Approved Brownfield CIP Benefits to Options for Homes from Previous OWner The property at 326 Bagot Street was formerly used for autOOlobile repair and retail fuel sales and suffered sell contamination due to those previOUS uses. An envirorrnental clean-up (remooaiion) was required prior to any redevelopment to residential uses and the City’s Brownfield COOlmunity Improvement Plan was sought by the previous own€( as a soluton to offset the costs of clean-up and ace the redevelopment on an ’even playing field’ v.ith Greenfield development At ils May 18, 2006 meeting the Planrlng Commttee endorsed a reest by Kincore Hotdngs Ltd. (Kincore) to include the property at 326 Bagot Street wthin the area designated as the BrO’Mlfleids Corrmunity Irrvovement Plan area and to deem the redeve’opment of the property as eligible to receive benefits (Brownfields Financial Tax Incentive Program and Tax IncrOOlental Based Rehabilitation Q-ant Program) wthin the Brownfietds Community Improvement Plan Program. Kingston aty Council aoved Planning COOlmittee’s endorsement at their May 23, 2Cffi meeting and, mae spedficalty, authorized the foflov.;ng That the application fcr brownfields fund ng be aoved foc Ihe property at 326 Bagol Street. Thai staff complete a BrO’M1fieids Site Agreement wlh the property owner. That a bylaw be brought forward to cancel property and education taxes for a period of three ye<Ys (BFTIP portion of the Brownfi etds CIP),

  2. That a f(jl or partial exemption from Development and Impost fees be permitted and that the Commissioner of Sustai nablity and Grov.1h be delegated authority to calculate the ~opriate amount of exemption.

In keeping v.;th the implementation of the BrO’Mlfletds CIP, exemption from Development and Impost Fees is considered only when Ihe incremental property tax dfference between pre and post develqxnent is insufficient to allow the developer to recover eligitje remedation costs wthin the 10-year wndow of the TIRGP. This report 00es not recorrmend transferring Development and Impost Fee exemptions to the new owner, given that the tax differental wll CO’Tlpensate foc dean-up costs prioc to the expiration of tax years. Foflov.i ng Coundl"s approval for brownfields eligiblity the cEvetoper (Kincore) underlool<; an excavation of the property v.ith removal of contaminated soils and g-ounctwater. The property, in its present condton was confirmed as “dean” by a third party engineering fi rm and a Record of Site Condition (RSC) was p–epaed and submitted to the Ontario Winistry of the Environment. Some dSClJssion of eligible remedalion costs incurred has taken place between the fcrmer owner and the Oty of Kin gston but

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REPORT TO COUNCIL Finandal Assistance to Support Affordable Home Ownership and Transfer of Brownfield Benefits for Options for Homes February 15, 2011 • Page 7 -

Report No.: 11’{)31

there has been no fi nal resolution of approved costs to be funded through the brownfields program and no aud ted statement of costs has been provided As per Ihe Brownfi elds Financial Tax Incenfive Program (BFTIP) portion of the Brownfields GIP. education and p-operty laxes ‘M!I"e cancelled for the property for the three-year period of 2007. 2008 and 2009 foc a tola of just over SSO.OClO In accordance ‘Mth the brownfield program implementation guidelines, the amount of tax cancellation ‘Mil be subtracted from the remedation costs eligible for rebate It"rough the Tax Inaemental Rebate Qant Program (TIRGP) portion of the Brownfields CIP. In 2010, Kincore Hildngs adJertised the remeciated but undeveloped property for sale and also inducled infamation about the property’s eligibility for brownfields fundng. The new owner, Options for Homes, plans to complete the redevelopment by construc1ing an affordable housing prect in the for m of condominiums wtlere special financing provisions are put in place to allow the purchase price to be set at below market rates for qualified purchasers. Options for Homes have now requested that the remaining brownfield benefits be transferred from Kincore to them so that they may recoup the cost of property remedation that was, presumably, purdlased with the land. Prior to corrrnencement of any benefit to Options for Homes a new Brownfields SHe Agreement will be required ‘With the aty of Ki ngston This transfer is appropriate and therefore reccrnmended EXISTING POLICY/BY LAW: Municipal Housi ng Facilities By-Law No. 2003 ~ 6 t 2005 Kingston Model for Ac1ion- Affordable Housing Supply By-law 2009-136 °Oty of Kingston Development Charges By-law 2009” This proposal ‘Will require some amemInents to the Zoning as there is a site specific zoning now for the previous development. It ‘Mil also req uire Site Plan Control app-oval. The prcponent has a pre-consultation meeting on February 151h. There have been some informal meetings between staff and the proponent NOTICE PROVISIONS: NfA ACCESSIBILITY CONSIDERATIONS: This report is available in an alternative format upon requested FINANCIAL CONSIDERATIONS: The estimated amount of development-related charges associated ‘Mth this project is S857,124. The City will provide a transfer to the respective reserves for Development Charges and IfTllOSt fees so that the oqectives of those by-laws are met ‘With no loss of funds or interest A note recognizing the amount for the deferral, from City general fu nds, ‘With security ‘Will be registered. The interest that ‘M)uld be earn ed over the time period has a p-esent value of approximately S210,C01 As this is a one-time expendtlJe it is recommended that this interest fee be funded from the Working Reserve Fund. Transfer of remai ting Brownfield CIP benefits rep-esents a maximum rebate of property taxes over 10 years of S757,7W. The new owner, Oions for HOO1es, must still present an account of incurred eligible remedation expenses, ‘With third party audt verification, to the Oty before an amount is fi nalized and reccrnmended bad< to Gity Council

41 Housing - Housing Programs Reporting

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Agenda Item # 5l)

Report No.: 11’{)31

REPORT TO COUNCIL Finandal Assistance to Support Affordable Home Ownership and Transfer of Brownfield Benefits for Options for Homes February 15, 2011 • PageS-

CONTACTS:

Jim de Hoop. Direclor. Canmunily and Family Services Lee Campbell. AcUng Manager. Housing Programs Pall MacLatchy. Directcr. Environment & Sustainat)e Initiatives

ext. 4957

ext 4916 ext. 1226

OTHER CITY OF KINGSTON STAFF CONSULTED: Gerard Hunt, Chief Adninistrative Officer Hal Linscott, Direclcr, Legal Services Desiree Kennedy, Qty Treasurer Alan McLeod, Senior Legal Counsel Pat Garrol, Manager, Taxation & Revenue Terry Willing, Chief Building Offidal Del Stowe, Superviscr, Buildng & Licensing Mary Mcintyre, Housing Programs Adninistrator EXHIBITS ATTACHED: NlA

42 Housing - Housing Programs Reporting

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Agenda Item # 5m)

CITY OF KINGSTON

INFORMATION REPORT TO HOUSING AND HOMELESSNESS ADVISORY COMMITTEE Report No.: HHC-12-010 TO:

Chair, Housing & Homelessness Advisory Committee

FROM:

Lanie Hurdle, Commissioner, Community Services

RESOURCE STAFF:

Sheldon Laidman, Director, Housing Department

DATE OF MEETING:

March 8, 2012

SUBJECT:

Request for Proposal for Consolidated Homelessness Prevention Program (CHPP) Evaluation and Selection Process

EXECUTIVE SUMMARY: At the February 16th meeting, members of the Housing and Homelessness Advisory Committee requested clarification on the evaluation and selection process for the award of contracts through a Request for Proposal (RFP) which is being recommended to allocate the Consolidated Homelessness Prevention Program (CHPP) funding. This report provides further information on the RFP process and evaluation criteria for the allocation of funding under the CHPP. RECOMMENDATION: This report is for information only.

1 Housing - RFP for Consolidated Homelessness Prevention Program (CHPP) Evaluation

Page 142 of 160

Agenda Item # 5m) INFORMATION REPORT TO HOUSING AND HOMELESSNESS COMMITTEE Report No.: HHC-12-010 March 8, 2012


Lanie Hurdle, Commissioner, Community Services


Gerard Hunt, Chief Administrative Officer

CONSULTATION WITH THE FOLLOWING COMMISSIONERS: Cynthia Beach, Sustainability & Growth

N/R

Denis Leger, Transportation, Properties & Emergency Services

N/R

Jim Keech, President and CEO, Utilities Kingston

N/R

(N/R indicates consultation not required)

2 Housing - RFP for Consolidated Homelessness Prevention Program (CHPP) Evaluation

Page 143 of 160

Agenda Item # 5m) INFORMATION REPORT TO HOUSING AND HOMELESSNESS COMMITTEE Report No.: HHC-12-010 March 8, 2012

To improve access to service and connect households that are homeless with the system of community services; To support households experiencing homelessness to obtain and keep longer-term housing; To assist households at risk of homelessness to retain their housing.

Report HHC-12-005 listed services which have been identified as priorities by community agencies and clients through community consultations and reviews. Based upon this consultation and review process, the following “Local Priorities” will be targeted and will be evaluated on meeting the outcomes of the program without duplicating services: • • • • • • • • • •

A housing help centre Drop-in centres with life skills programming and appropriate hours of operation to cover gaps in current community services Eviction prevention services Support services and life skills for women and men in conflict with the law Rent deposit assistance program Rural services (case management and financial assistance banks) Support services for youth Support services for those already housed Transportation Intensive case management

City staff are presently working with United Way to organize an inter-agency homeless service provider committee to provide opportunities for more interaction of agencies assisting this client group. Award of funding under this RFP will be contingent upon regular participation on this committee for information sharing and better coordination of services. This will also assist these agencies in their ability to make referrals to other agencies thereby providing better customer service. Items to be included in RFP submissions which will be used for the evaluation of proposals: • • • •

Price and related costs (itemized and detailed) Financial Viability – i.e. budget, audited financial statements; Demonstration proposal meets goals of CHHP Program Demonstration proposal meets goals of identified Local Priorities

3 Housing - RFP for Consolidated Homelessness Prevention Program (CHPP) Evaluation

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Agenda Item # 5m) INFORMATION REPORT TO HOUSING AND HOMELESSNESS COMMITTEE Report No.: HHC-12-010 March 8, 2012

Demonstration of ability to serve or accommodate rural clients accessing services in the City or County; Demonstrated experience in working with the client group and the documented need for the proposed service; Demonstration of ability to meet changing demands throughout the 3 year term. Demonstrated evaluation that service is not duplicating that which is already being offered elsewhere by another service provider or, if it is, demonstration that additional services are justified Quantitative client outcome measurement for past service of this nature; Percentage of total costs proposed to be allocated to Direct Service Delivery

As part of the evaluation process, City staff intend to conduct a site visit to all agencies which submit funding proposals. These reviews may include management, front line staff and client interviews and questionnaires. Allocation of funding will take into consideration the results of these site visits which will include a review of staffing, statistical reporting, budgeting, programming and Board governance. The intention of this review is to ensure that the service provider can indeed competently and efficiently provide the service they are proposing to offer. Agencies eligible for the HHSF will need to meet all of the same criteria for the CHHP program RFP except for the CHHP program goals. City staff will meet with homeless service providers in the community prior to the release of the RFP to discuss the expectations and evaluation process. The needs of individuals who are homeless or at risk of homelessness are very complex and varied. This RFP will give agencies and the community an opportunity to review current services and embrace the opportunity to provide more comprehensive service to this client group. EXTERNAL CONSULTATION: Susan Beckel, Deputy Clerk, County of Frontenac EXISTING POLICY/BY LAW: None NOTICE PROVISIONS: No notice requirements ACCESSIBILITY CONSIDERATIONS: This report is available in alternative formats upon request. FINANCIAL CONSIDERATIONS: CHPP funding is annualized 100% provincial funding and there will be no impact on the 2013 municipal operating budget. The $150,000 HHSF funding is included in the City’s annual operating budget. CONTACTS: Lanie Hurdle, Commissioner, Community Services

613-546-4291 ext. 1231

4 Housing - RFP for Consolidated Homelessness Prevention Program (CHPP) Evaluation

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Agenda Item # 5m) INFORMATION REPORT TO HOUSING AND HOMELESSNESS COMMITTEE Report No.: HHC-12-010 March 8, 2012

5 Housing - RFP for Consolidated Homelessness Prevention Program (CHPP) Evaluation

Page 146 of 160

Agenda Item # 5n)

CITY OF KINGSTON

INFORMATION REPORT TO HOUSING AND HOMELESSNESS ADVISORY COMMITTEE Report No.:

HHC-12-012

TO:

Chair, Housing and Homelessness Advisory Committee

FROM:

Lanie Hurdle, Commissioner, Community Services Group

RESOURCE STAFF:

Sheldon Laidman, Director, Housing Department

DATE OF MEETING:

April 12, 2012

SUBJECT:

Rent Supplement Program Information Report

EXECUTIVE SUMMARY: The City administers a number of separate programs under the umbrella of the “Rent Supplement Program”. Members of the Housing and Homelessness Committee have requested that information be provided to the Committee regarding this program so that the Committee can become better informed about this program. This report provides an overview of the Rent Supplement Program and its sub programs. The report also describes challenges facing this program and the Department’s intent to further evaluate the overall program and the risks to the program in 2012. RECOMMENDATION: This report is for information only.

1

Housing - Rent Supplement Program Information Report

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Agenda Item # 5n)

INFORMATION REPORT TO HOUSING AND HOMELESSNESS COMMITTEE Report No.: HHC-12-012 April 12, 2012


Lanie Hurdle, Commissioner, Community Services


Gerard Hunt, Chief Administrative Officer CONSULTATION WITH THE FOLLOWING COMMISSIONERS: Cynthia Beach, Sustainability and Growth Denis Leger, Transportation, Emergency Services

Properties

NR &

N/R

Jim Keech, President and CEO, Utilities Kingston

N/R

(N/R indicates consultation not required)

2

Housing - Rent Supplement Program Information Report

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Agenda Item # 5n)

INFORMATION REPORT TO HOUSING AND HOMELESSNESS COMMITTEE Report No.: HHC-12-012 April 12, 2012

  1. Regular Rent Supplement Program Part of the 2003 RGI mandated units Funded through Provincial funds Presently represents 420 units Presently 395 of the units are administered by KFHC where they select the tenants for the landlord, maintain tenant files, and perform the ongoing rent calculations for each unit The remaining 22 units are administered by the individual housing provider There are agreements with approximately 14 separate landlords for this program (see Exhibit A)
  2. In Situ Rent Supplement Program Part of the 2003 RGI mandated units Funded through Provincial funds Presently represents 3 units Represent unique housing requirements that cannot be accommodated within the social housing portfolio
  3. Strong Communities Rent Supplement Program Units are RGI but are not part of mandated 2003 units

3

Housing - Rent Supplement Program Information Report

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Agenda Item # 5n)

INFORMATION REPORT TO HOUSING AND HOMELESSNESS COMMITTEE Report No.: HHC-12-012 April 12, 2012

  1. Kingston Rent Subsidy Program Represents 71 units Funded by the City Supplements rent for projects associated with Affordable Housing Projects (AHP) Individual provider administers the program Agreements with two providers
  2. Short Term Rent Support Program (STRSP) Provincial funding program that ends March 31, 2013 Represents 30 units Supplements rent for persons on the Social Housing Registry waiting list where they are currently living Service Manager administers program
  3. Investment in Affordable Housing Program (IAH) Funding from Province begins April 1, 2012 Funding available for 10 years Anticipate funding 40-50 rent supplements Service Manager will administer program Challenges There are a number of challenges related to the overall rent supplement program: Funding – Each of the programs has their own funding mechanism. Some of the program funding is constant meaning less money available for rent supplements due to rent increases, some of the program funding is based on actual dollars spent which the City is reimbursed for directly, while other program funding is benchmarked. This means it is complicated to budget for each year. Rent Calculation Changes – The amount of money spent in each program fluctuates due to the changing portion of the rent paid by each tenant each year. Trying to determine the number of units that can be funded under each program is difficult since the per unit cost changes on an ongoing basis. The Department wants to maximize the funding and maximize the number of units that can be funded under each program but this is difficult due to the changing nature of the rent calculation formula. In general, the lower the agreed upon rental cost in the agreement results in lower overall costs and more units that can be funded.

4

Housing - Rent Supplement Program Information Report

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Agenda Item # 5n)

INFORMATION REPORT TO HOUSING AND HOMELESSNESS COMMITTEE Report No.: HHC-12-012 April 12, 2012

5

Housing - Rent Supplement Program Information Report

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Agenda Item # 5n)

INFORMATION REPORT TO HOUSING AND HOMELESSNESS COMMITTEE Report No.: HHC-12-012 April 12, 2012

613-546-4291 ext. 1231

OTHER CITY OF KINGSTON STAFF CONSULTED: Mary McIntyre, Housing Programs Administrator, Housing Department EXHIBITS ATTACHED: Exhibit A - Agreements for Regular and Strong Communities Rent Supplement Program Exhibit B - Detailed Description of Each Rent Supplement Program

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Housing - Rent Supplement Program Information Report

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Agenda Item # 5n)

Exhibit A - Agreements for Regular and Strong Communities Rent Supplement Program

Sum of No. Units Central Frontenac Housing Corporation

2

B&N Enterprise

1

CJM Blommestyn Construction Ltd.

19

Elizabeth Fry Society/Kaye Healey

6

Fountas Holding Corporation

1

Homestead Landholdings Limited

274

J. Paul Martin

1

Kingston & Frontenac Housing Corporation

10

Kingston Home Base Non-Profit Housing

15

Norjan Investments

1

Pembridge Square

1

Skyline Incorporated

157

Tipi Moza (Iron Homes)

1

Kingston Municipal Non-Profit

4

Grand Total

493

7

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Agenda Item # 5n)

Exhibit B - Detailed Description of Each Rent Supplement Program – Page 1

RGI RENT SUPPLEMENT PROGRAMS (Included in 2003 RGI units)

Regular Rent Supplement Number of Units 395 Selects Tenant: KFHC refers 2 names to Landlord Initial Rent Calculation: Registry Ongoing Rent Calculation: KFHC Maintains Tenant File: KFHC Pays Rent Subsidy: KFHC Landlords : Homestead, Skyline, Pembridge, Town Homes Kingston (THK), Kingston Frontenac Housing Corporation (KFHC), Martin, Fountas, B & N, Norjan, Bloomstyn, Regular Rent Supplement Number of Units: 22 Selects Tenant: Housing Provider Initial Rent Calculation: Registry (Housing Provider assists) Ongoing Rent Calculation: Housing Provider Housing Provider Maintains Tenant File: Pays Rent Subsidy: KFHC Landlords: Home Base Housing (HBH), Elizabeth Fry (E Fry), Tipi Moza In-Situ Rent Supplement Number of Units: 3 Selects Tenant: Registry determines eligibility Initial Rent Calculation: Registry – Part B Ongoing Rent Calculation: Service Manager Maintains Tenant File: Service Manager Pays Rent Subsidy: Service Manager Landlords: THK, Tipi Moza, private landlord Strong Communities Rent Supplement Note: Although rents are RGI these units are not included in the legislated 2003 RGI units Number of Units 73 Selects Tenant: KFHC refers 2 names to Landlord Initial Rent Calculation: Registry Ongoing Rent Calculation: KFHC Maintains Tenant File: KFHC Pays Rent Subsidy: KFHC Landlords : Homestead, Skyline

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Exhibit B - Detailed Description of Each Rent Supplement Program – Page 2 NON – HOUSING SERVICES ACT RENT SUPPLEMENT PROGRAMS (Rents based on income) Kingston Rent Subsidy Program – AHP Units Number of Units: 71 Selects Tenant: Housing Provider Initial Rent Calculation: Housing Provider Ongoing Rent Calculation: Housing Provider Maintains Tenant File: Housing Provider Pays Rent Subsidy: Service Manager Landlords: HBH, Frontenac Community Mental Health & Addiction Services (FCMHAS) STRSP – Short Term Rent Support Program (ends March 31, 2013) Number of Units: 30 Selects Tenant: Service Manager Initial Rent Calculation: Service Manager Ongoing Rent Calculation: Service Manager Maintains Tenant File: Service Manager Pays Rent Subsidy: Service Manager Investment in Affordable Housing (IAH) – (to begin April 2012) Number of Units:

13 (2012 – 2013) Approx 70 including above STRSP units (2013-2014) Selects Tenant: Service Manager Initial Rent Calculation: Service Manager Ongoing Rent Calculation: Service Manager Maintains Tenant File: Service Manager Pays Rent Subsidy: Service Manager

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Agenda Item # 5o)

CITY OF KINGSTON

INFORMATION REPORT TO HOUSING AND HOMELESSNESS ADVISORY COMMITTEE Report No.:

HHC-12-015

TO:

Chair, Housing and Homelessness Advisory Committee

FROM:

Lanie Hurdle, Commissioner, Community Services Group

RESOURCE STAFF:

Sheldon Laidman, Director, Housing Department

DATE OF MEETING:

May 10, 2012

SUBJECT:

Status of Committee Reviewed Programs Information Report

EXECUTIVE SUMMARY: This report provides a status update for the Committee with regard to departmental initiatives and programs formerly reviewed by the Committee. RECOMMENDATION: This report is for information only. AUTHORIZING SIGNATURES:


Lanie Hurdle, Commissioner, Community Services


Gerard Hunt, Chief Administrative Officer CONSULTATION WITH THE FOLLOWING COMMISSIONERS: Cynthia Beach, Sustainability and Growth

NR

Denis Leger, Transportation, Properties & Emergency Services

N/R

Jim Keech, President and CEO, Utilities Kingston

N/R

(N/R indicates consultation not required) 1

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Agenda Item # 5o)

OPTIONS/DISCUSSION: The following is a status update for programs and initiatives formerly considered by the Housing and Homelessness Committee:

  1. Home Ownership Program This is a three year City funded program where the policy with regards to implementation of the program was reviewed by the Committee. The Program opened in early April after advertisement in various media sources in the City. As of the end of April, all of the funds for 2012 have been provisionally allocated and a waiting list has been started. Approved applicants have 90 days within which to sign a purchased and sales agreement for a house within the City otherwise the funding will be allocated to the next person on the waiting list. There will be 11 households funded in 2012 through this year’s funding.
  2. Investment in Affordable Housing Program The Investment in Affordable Housing Program (IAH) has funding for three years from the Provincial government and was decided that the total allocation would be divided into three components; Rental Housing, Ontario Renovates, and Rent Supplements. 2a. Investment in Affordable Housing Program – Rental Housing component The Department has $1.6M in funding to allocate towards rental housing. A previous report identified that these funds would be allocated to not for profit organizations only since other funding programs are to be made available to the private sector. A Request for Proposals (RFP) was released on April 10th and closes on May 30th. It is expected that successful applicants will be informed by June 22nd and a recommendation will be made directly to Council at their July 17th meeting. Final approval of all projects rests with the Ministry of Municipal Affairs and Housing. Unlike some of the previous provincial funding programs that did not have specific deadlines, this funding has to be committed prior to March 2013 or it will no longer be available. 2b. Investment in Affordable Housing Program – Rent Supplement component The Department has $60,000 available in 2012 towards rent supplements with a further $2.3M in 2013 to be used for a 10 year period. The Department will be entering into an agreement to fund 13 rent supplement units in the Kingscourt area for the remainder of this fiscal year (to March 2013) at which point the Department can pursue extension of this agreement with more program funding coming available in 2013. All persons living in this building will be from the housing registry wait list or a transferred tenant from another facility. 2c. Investment in Affordable Housing Program – Ontario Renovates component This program is set to begin in May with further information provided at the June meeting.
  3. Capital Investment in Affordable Housing Program A $1M per year city funded program to facilitate construction of affordable rental housing units. It was reviewed by the Arts, Recreation and Community Policies Committee with some amendments. Council deferred approval of the policy at its April 17th meeting. To this date, a 2

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Agenda Item # 5o)

total funding of $539,500 has been allocated to Engcon for the construction of ten (10) one bedroom units for seniors in the West end of the City. This project is currently underway and is scheduled for completion in late 2012/early 2013. It should be noted that the funding provided to Engcon is being financed through yearly allocations of $107,900 from the Capital Investment in Affordable Housing Program. There is still $892,100 remaining in the 2012 capital budget and available for allocation. 4. Affordable Housing Land Acquisition and Disposal Program A $1M per year city funded program to acquire and dispose of lands for the purposes of generating affordable housing units. It was reviewed by the Arts, Recreation and Community Policies Committee with some amendments. Council deferred approval of the policy at its April 17th meeting. The City has recently purchased the property located at 1317 Princess Street with this Land Acquisition Fund. Staff will work on an RFP for the redevelopment of this property which will include affordable housing units. 5. Consolidated Homelessness Prevention Program The Committee reviewed the approach and general criteria for the funding of this program for 2013 and 2014. Staff have begun formulating the RFP and review criteria and have started the public consultation portion of the exercise. Staff have met with homelessness service providers to inform them of the program and funding and will be meeting with them over the next two months to further discuss the criteria and funding expectations. It is expected that an RFP will be issued in early summer so that agencies are able to adequately budget for any changes in 2013. Council, at its meeting of April 17th, also reinstated CHHP funding to Dawn House Women’s Shelter for the remainder of 2012 as it was set to expire at the end of April. EXISTING POLICY/BY LAW: N/A NOTICE PROVISIONS: N/A ACCESSIBILITY CONSIDERATIONS: N/A FINANCIAL CONSIDERATIONS: N/A CONTACTS: Lanie Hurdle, Commissioner, Community Services 613-546-4291 ext. 1231 OTHER CITY OF KINGSTON STAFF CONSULTED: Mary McIntyre, Housing Programs Administrator, Housing Department Lee Campbell, Housing Programs Administrator, Housing Department Rob Rowe, Housing Programs Administrator, Housing Department EXHIBITS ATTACHED: N/A 3

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Agenda Item # 5p) CITY OF KINGSTON INTEROFFICE MEMORANDUM TO:

RULAC

FROM:

HAL LINSCOTT, DIRECTOR OF LEGAL SERVICES

SUBJECT:

POA 2011 FOURTH QUARTER

DATE:

5/22/2012

QUARTERLY REPORT – REVENUE AND EXPENDITURES 2011 Q4 2011

YTD 2011

Budget

Fine Revenue

Q1 2011 $448,818

Q2 2011 $547,838

Q3 2011 $552,984

$424,459

$1,974,099

1,710,000

Expenditures1 Outstanding Receivables2

$204,832

$200,560

$182,143

$233,146

$820,681

791,620

$10,790,463

$11,376,440

$11,835,990

12,179,509

12,179,509

  1. Expenditures are shown net of the county’s share of revenues in order to reflect the actual costs of operating the POA
  2. Uncollected fines

COMPARATIVE CHARGES AND REVENUE BY QUARTER

2009

Quarter 1 Revenues Charges $375,373 3,314

Quarter 2 Revenues Charges $400,371 3,773

Quarter 3 Revenues Charges $553,483 5,032

Quarter 4 Revenues Charges $575,455 3,721

Year To Date Revenues Charges $1904,677 15,840

2010,

$448,840

4,362

$553,252

5,867

$422,766

4,640

$633,876

4,292

$2,058,734

19,161

2011

$448,818

4,211

$547,838

4,708

S552,984

4,452

$424,459

3,161

$1,974.099

16,532

ACCOUNTS RECEIVABLE POA UNCOLLECTED FINES1 2006

2007

2008

2009

2010

Outstanding3

$7,740,661

$8,115,399

$9,100,676

$9,772,267

$10,710,985

Q4 2011 $12,179,509

60 days or less

$ 716,518

$ 243,105

$ 243,409

$ 260,050

$ 559,641

$343,595

60 -120 days

$7,024,142

$7,872,294

$225,370

$263,125

$ 291,707

$523,864

$8,640,897

$9,249,092

$9,859,638

$11,312,050

Uncollected Fines2

Over 120 days Collected During Period

$ 819,476

$ 1,456,544

$ 1,162,882

$1,246,749

$1,278,689

+/- Collected

$ (25,869)

$ 637,068

$(293,662)

$(287,548)

$(31,940)

S1,387,158 $ (109,308)

  1. fines, fees, costs, victim surcharge and collection fees/ 2. Past due date / 3. as of conviction

LARGEST ENFORCEMENT AGENCIES COMPARATIVE CHARGES Agency Kingston Police South Frontenac OPP Sharbot Lake OPP Ministry of Transportation All other Total

2007

2008

2009

9,954 3,250 1,407 599 913 16,123

10,116 2,901 857 718 889 15,481

10,986 1,717 1,598 470 1,068 15,840

Provincial Offences - 2011 4th Quarter Report

2010 13,698 2,508 1,731 228 996 19,161

End of 4th Q 2011 11,437 2,499 847 498 1,251 16,532

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Agenda Item # 5q)

CITY OF KINGSTON INTEROFFICE MEMORANDUM TO:

RULAC

FROM:

HAL LINSCOTT, DIRECTOR OF LEGAL SERVICES

SUBJECT:

POA 2012 FIRST QUARTER

DATE:

5/23/2012

QUARTERLY REPORT – REVENUE AND EXPENDITURES 2012 Q1 2012

Q2 2012

Q3 2012

Q4 2012

YTD 2012

Budget

Fine Revenue

$393,899

$393,899

$1,973,829

Expenditures1

$160,229

$160,229

$798,545

Outstanding Receivables2

$12,440,460

$12,440,460

  1. Expenditures are shown net of the county’s share of revenues in order to reflect the actual costs of operating the POA
  2. Uncollected fines

COMPARATIVE CHARGES AND REVENUE BY QUARTER Quarter 1 Revenues Charges

Quarter 2 Revenues Charges

Quarter 3 Revenues Charges

Quarter 4 Revenues Charges

Year To Date Revenues Charges

2010,

$448,840

4,362

$553,252

5,867

$422,766

4,640

$633,876

4,292

$2,058,734

19,161

2011

$448,818

4,211

$547,838

4,708

S552,984

4,452

$424,459

3,161

$1,974.099

16,532

2012

$393,899

3,756

$393,899

3,756

ACCOUNTS RECEIVABLE POA UNCOLLECTED FINES1 2011

2012

$10,710,985

$12,179,509

$12,440,460

$ 260,050

$ 559,641

$343,595

$298,208

$225,370

$263,125

$ 291,707

$523,864

$267,187

$8,640,897

$9,249,092

$9,859,638

$11,312,050

$11,875,064

Uncollected Fines2

2007

2008

2009

2010

Outstanding3

$8,115,399

$9,100,676

$9,772,267

60 days or less

$ 243,105

$ 243,409

60 -120 days

$7,872,294

Over 120 days Collected During Period

$ 1,456,544

$ 1,162,882

$1,246,749

$1,278,689

+/- Collected

$ 637,068

$(293,662)

$(287,548)

$(31,940)

$286,219 S1,387,158 $ (109,308)

$176,911

  1. fines, fees, costs, victim surcharge and collection fees/ 2. Past due date 3. As of conviction

LARGEST ENFORCEMENT AGENCIES COMPARATIVE CHARGES Agency Kingston Police South Frontenac OPP Sharbot Lake OPP Ministry of Transportation All other Total

2008

2009

10,116 2,901 857

10,986 1,717 1,598

13,698 2,508 1,731

718

470

228

889 15,481

1,068 15,840

996 19,161

Provincial Offences - 2012 1st Quarter Report

2010

2011 11,437 2,499 847 498

End of 1st. Quarter 2,558 694 178 98

1,251 16,532

228 3,756

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