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September 23, 2003 Agenda October 5-8, 2003 Counties, Regions & Single-Tier Conference - Point Edward Ontario Annual Report due on October 21 for the St. Thomas-Elgin Tourist Association LUNCH WILL BE PROVIDED / 12:00 P.M. COUNCIL PHOTO WILL BE TAKEN 13th 14th Consideration of ADJOURNMENT - NOTE Next Meeting Scheduled for October 21st 2003 99-117 11th 12th Motion Motion to Adopt By-Laws to Rise and Report Recommendations from the Committee Of The Whole 10th Recess 9th OTHI ,", ,SS 1) Ii 2) " ' ¡...V,I.......·..... IVII 3) Matte's)f L n-Camera Items (see separate agenda) Statements/Inquiries by Members "nt:~'? "f . ·otion I ( Irgency 51-80 81-84 85-98 8th Counci 1) 2) Items for Items for Consideration Information (Consent Agenda) 6th 7th Correspondence Outside Boards and Staff see attached Reports of Motion to Move Into "Committee Of The Whole Counci Notice of Motion - Councillor Duncan McPhail WHEREAS the practice of electing Wardens for the County of Elgin and sitting for a two-year term has' been established as acceptable, over the traditional long- standing one-year term; and, WHEREAS, in an environment where policy is the foundation that is necessary to accomplish the work that we do on behalf of the public, in a timely and organized fashion; THEREFORE BE IT RESOLVED, that a lifetime limit of two terms be established for the Office of Warden of Elgin County; and, THAT this policy be added to the policy manual with an additional clause that will show it to be amended if necessary by the unanimous consent of Council as situations may arise and that this policy be deemed retroactive. Counci 7-50 1-6 5th DELEGATIONS: 10:30 a.m. Cliff Nordal, President, and Sandy Whittall, Integrated Vice- President of Mental Health Programs, St. Joseph's Health Care regarding the Geriatric Psychiatric beds moved to the London Facility (SEE ATTACHMENTS) 11 :00 a.m. Jenny Phillips, Chair, Joint Elgin/Central Elgin Accessibility Advisory Committee, to discuss the Municipal Accessibility Plan (ATTACHED) 4th Presenting Petitions Presentations and Delegations 3rd Disclosure of Pecuniary Minutes - meeting of September 9, 2003 the Genera nterest and Nature Thereof 2nd Adoption of 1st Meeting Called to Order PAGE # ORDER FOR TUESDA Y. SEPTEMBER 23. 2003 - 9:00 A.M. ORDERS OF THE DA Y ~~ ~~ ~M] ~altli Care London and St. Thomas - Septembef 20 ST. JOSEPH'S TIERS· OF RESTRUCTURING What was Tier I? Tier I was the transfer of governance of the former provincial psychiatric hospitals in London and St. Thomas to St. Joseph's. (2001) What is Tier II? Tier II involves the movement of some beds, services and programs from Regional Mental Health Care London and St. Thomas to four public hospitals in communities across Southwestern Ontario (Windsor, St. Thomas, Kitchener-Waterloo, Hamilton). Recommendations of the Southwest Mental Health Implementation Task Force will also have an impact on the transition of a reformed mental health system in the region. Tier II also involves the development of the functional program and master plan for St. Joseph's two new mental health facilities. What is Tier III? This phase involves the continued provincial government investment in community mental health care programs and services. In order for clients to receive mental health treatment when and where they need it, Tier III must occur at the same time as Tier II. TRANSFORM IN .., M~!Mi~tb ~~~l:{L~ THE i'~~W)¡ m~ THE TI ME IS I\J The planning challenges for th health care at St. Joseph's Hea are significant given the scopt: ahead for mental health caré á Ontario and our role in this tr mandated by the Province, St. Jos developing new models of car. ' build two new mental health fa specialized mental health facil! of Parkwood Hospital in Londòn psychiatry facility on a portiOl] 0 in St. Thomas. During the past year, leaders,: members have been involved i planning process. As well,we' clients, their families, our pa stakeholders in the còmrnuni ' segment of the process: , invaluable. Before building, Ministry of Health and Long , review, approve and allocate plans. Wé were pleased to sù created through the involv ~ to the Ministry in June. ~. ,:,:,':::,:"'/> .->.-:.··.:'.:,,::i·..·,·::..···: In the meantime, we coni¡ services for the future: Our with the vision of m{!lJtàl he Southwestern 01iíario ~èré mental health care where SANDY WHITTALL I.V.P. Mental Health:~r9grå.rTl~'~ > ·c-c -,,+.-;, :;","~-'<> Forensic Services owatdå New Future in Mental Health [P[}i]~~ œ~[b u[}i] ©\~[§ '. '@~Um~ rnJ~[bu[JD @l~ . '~Joseph's Health Care London's lead rolés is , d mental health services. How and whérè thes . , is working with four other regional hospitals~rî to best provide these services in the future ~"."". ,,-,'.. - -.. -'- ',>.. ...:_-~ ,...'.._..:..<....>.....-......:.:<.:- iYU¡1JJOHHOW:2DDJ' _f:..;':-:;ft'i.;' ..,...:..'....',."..":. ......_.._n_.' New facility to be buÍlt forspecialt services beside Parkwood Hospital deliver bedded and non-bedded~ . care and consultative suppòrt to inf · Tertiary General Psychiatry · Dual Diagnosis · Geriatric Psychiatry. . · Adolescent Psychiatry.- · Concurrent Disorde'rs · Mood Disorders · Schizophrenia -......:,.....'.:..,...,..-:...- Forensic Psychiatry - nellHacili . RMHC, St. Thomas , -::':::;:::::::';:i::,;':i-::::';:;:::', ITD¡I:rJ},J~!:JE!);:~.@; .~. [f~@[fJJiE~ 2!) 01 '. -,-- SJHC Specialized Mental Healt' " '",::<:""-:::'.':':':-"'::-:-:'-:-"'>-.":::>".-'-, -', "" ":-":',"","'--"'>-'-",'"":,,,",:., .. <",_' '..",_,'" ,,·.n'.·... Non-Bedded services located 0 emphasis on supporting indivI community .. "".-,.,..,;,;,.,.:.""...",.-.",;, .-- :",;.:",.,-,:,.-.,-,": '.:,.-..,-~':'.:;:;':.'- "-,,">'- Specialized mental health servic areas of Kitchener-Waterlooa~d Resources transferred so t provided in these comrTlli :'_,',"'Ú';-;:;o:::'."",i',: ,>.....-...:...>,..,..-.,.:..-.< c··,,·,·····,,·:>,,··'····:, .. ._,--....,-......,.-....... Ministry of Healtha~i:lLong Te transferred só Uieseservices a community. Toward a New Future in Mental Health - =, .. .... ," ~. .. ,.'" ..-.... .... .... ," ,_'.;.,..-,- -. .... " .. .. _.- u i0~~OO~i0 rnJ~[1. uOO @~Œi~~- ......,.....'. .- ,'....... ,-.-....., ~~~uLÃ1[1. rnJ~[1. u~l @l," .. -.. .. .. .. -'-".. .', -.- -. .. .,.....-... " ,'" ......-.. ~'. -,-,-' l,JJ f:.:tn. fj D IJ ElmJiY)L.i r students alth services h for impraved al illness , sferred ',. divestment 'ional program, ctian operating 9nstructian Wo new -,-'-:.\:,:,- · Advocate far requiredg investment in commUnlt · Advocate to. góvernment others to. address current future risks ' " , · Approve site and buildin · Planning for enhanced I(! services i.e. housing,trån '.....'.'.-.',.........:..,:...:.-.-.....:.: ....:..:....:.....'....-"....,.:'.'.'..:::':. -:":':.·,':'i:,:,;,.:.?::::;::f iP[RfilJ Jj\j .c:JJll t!)W~ !,;)f\ ~ .j~u-~:_ · Buy in and funding farr fram several ministries - Health & Lang Term Car - Family & Cammunity Sè - Hausing - Educatian .. - Solicitor General. ,'. ' · MoHL TC to give up JU Hospital (PPH) manager a · Provide the political wilL vision ....: gaps, risks, MENTAL· HULTHREFORM: ~~~!mt~~- m$$M~$!~ ~J@)W~~® rF~~~!I~!\t~ · Integratian~nd coUaborati(!n amang clients,families and care providers must grow · Full continuum of Mental Health Services must be. available for communities · Cammunities must c:aUectively take ownership fo.r providing care and unifarmly take directian fram cons.umers · Fun(;1:ion Prograrn/Master PlanapptòVal,foofjrmed HSRCdirectives and cost sharing agreements must be granted for aU receiving hospitals to. mave~ivestment planning forward .--- Mental Health Reform in Southwestern Ontario: Role of St. Joseph's Health Care, London Cliff Nardal, President & CEO Sandy Whittall, Vice President September23,2003 ~STJºgf!:l¡ ~ Provincial Health Services Restructuring Commission (HSRC) Final report called for sweeping changes to London's hospital system ~ london hospitals agree to work together in the interest of the community and region to implement directives ) Directives included transfer of london and St. Thomas Psychiatric Hospitals to SJHC ~2'Jº,,,r!!¡ ."" g"'Hslicrnr:edives" ) Directives included transfer of London and St. Thomas Psychiatric Hospitais to SJHC · divestment of mental health services to other regions · development of community based programs · SJHC to build 2 new facilities ) Capital investment in London and Elgin (facilities and equipment) ~,?TJØ~~tr.S 1 'p!an~ing for divestment ,ofbeds,an(t~o~rcE!S to regio~al, !:0rnml!~_iti~:<W!l1qspr:~,Þ::Jh_omas, Kitc~;E!~E!r:_V1J~rI~P!t:I~E9i!~Q),( , ~1~-h!1!.ii_g?þ~igr¡-'~-6Ci_iri)þl~Qièntåtion-o(l1e>.V _ ro~þ;¡!_-ljea!thJaci!iti~__(St. Thomas/London_' [Pàrt.WÔöd])' '- - -- -- '- ~S'J9'!'.R!:!.' ~ In keeping with overall plan for specialized menta! health facilities and with HSRC guidelines. ~ Clinical benefits for patients: improved aocessto geriabic psychiatryandgerJabicmedicine resourœs,indudingday treatment program conl:inuityof care withjnthe program greaœr access to private orsemi-privatebedrooms ~"J9'¡;.P!:!.' ~ Other benefits: Integrating staff members strengthens team approach and caremodeltoprepareforfuturelocal:ioninnewfaciITty Makes more effective use of available human resources given staff shortages in psychiatry, nursing and other allied health professions No layoffs as a result of consolidation No decrease in provision of services OpþortLJnitytorealîze fisca!efflCiencies ~~'Jºg.rg~ 2 ~ To achieve a greater leve! of understanding and support of the consolidation, the process was ¡nclusive of patients, famiJies and staff ~ Patients-each case reviewed by program cHnicians to ensure they are assigned to appropriate ward to meet their needs ~ Families kept informed, given tours of new facility and opportunity to attend family night part of discussion process ~S'JQ~g.R!:I; ........'.,.....'.'.... .....,'.....:............., Consolidation (cant'd.)' . Impact of consolidation to London: 28 patients 37 full time staff including nursing, social workers, ward clerk, secretary, therapeutic recreationists, and coordinators 47 beds ro ro ~ æ ~ 10 ~§'JQ~g.R!:Ij ¡¡MióCle"", .8gjn ¡¡HalcIm,miN",",lI< O~ 8E,,,,,, .~ .- ow_ .- '2 3.04.4 ~§'JQ~g.RH; 3 Next Steps ~ Continue to work with community teams in Elgin County to provide care for clients ~ RMHC nurses continue to follow the care for patients in Elgin County ) Southwestern Ontario Geriatric Assessment Network County Geriatric Outreach Team of Discharge Uaison Unit ~PJº,~m; London-RMHC ~ Spedalty Programs Ado!escent Psychiatry, Schizophrenia, Mood Disorders, DBM ~ Specialized Adult London ~ Geriatric Psychiatry St. Thomas-RMHC ) Specialized Adult St. Thomas ~ ConcuiTent Disorders: Addictions .~.Forensjç Psychiatry London";Parkwood ) Tertiary General Psychiatry ) Dual Diagnosis ~ Geriatric Psychiatry · Adolescent Psychiatry Þ Concurrent Disorders · Mood Disorders · Schizophrenia St. Thomas ) forensic Psychiatry ~,S'lºg.fli_i st. Thomas-RMHC Specialized Adult St. Thomas Concurrent Disorders: Addictions Forensic Psychiatry Steele St. Residence Program of Assertive Community Treatment (PAC\) Alternative to Competitive EniploymentProgram (AŒ) St. Thomas-RMHC ~ Forensic Psychiatry Other St. Thomas-Elgin General Hospital SteeleSt. Residence Program of Assertive Community Treatment (PAC\) Alternative to Competitive Employment Program (AŒ) ~~'Jº'~p", 4 _./-:' '---;j ,.."'-...- _5T º~ç.J'H COMPLETED TO DATE... MayorofLondon Mental Health Care staff London MPP Diannl! Cunningham Parkwood Hospital staff EIgln-Mlddlasex-LondanMPPstavaPeters Mental Health Physicians Central Elgin nelghbaurs!communlty Parkwood Diractors and Coordinators londonnl!ighbours/communily OpNet Veter.msAff"irsCan"da Mental Health leadership Council Zonl!6 Police Service and Board Members MHQuaUtyafCareCommittee_SJHCBoanl Roy"ICanadianlegion Resource Planning Committee _ SJHC Ba"rd Ponds Advlsary Cammittee St.Thomas/LondonP<ltientFocusGroups SJHCSeniorleadershlpTeam St.Thomas/LondonF"milyFocusGroups SJHCBO'Ird lHSCAcuteMentalHealthstaff ZoneSPoI¡ceService"ndBoardMembers Reglon"IMental Haalth Networks Ministry of PubJicSafety and Sl!curity MinIstry afCammunity, Family&Children's Ministry of Health &Long-TI!m1 Care Sl!rvices parkwoad Hospital Foundation Crown Attorneys Regional Hl!althPlannlng Partnership MunjcipalityofCantralElglnstaff UpperThaml!5Con5l!l'VationAuthority CityofSt.Thom"sstaff City of London staff Canb'aIElgin&St.Thomasaldl!rmen london ward counciUors MayorafCentralElgin IN PROGRESS... MayorofSt.Thomas ThamesVaUeyDistrictSchoolBoard OntarioReaityCorpoi3tion ~,?IJºgJ'I:I~ 5 Tertiary ¡Specialty Services: . Consultation, education and research .. Specialized assessment, diagnosis¡ treatment, rehabilitation, and consultation for complex need consumers ... Sustain care delivery in transferred programs until & through divestment. ~fTJºg.RtI,~ .. Obtain approvals for functional program, master plan, post-construction operating budget, facility plans & construction cost agreement & build two new facilities . Meet the obligations of the transfer agreement re efficiencies & cost savings ~5'Jº,!',fl:!; .. Advocate for required government investment in community-based programs. . Advocate to government for and with others to address current gaps and avoid future risks. . Approve site and building plans. .. Planning for enhanced local community services[ Le., housing, transportation! etc. ~S'jºS"PI:!' 6 ~ Transition to new or expanded roles , Tier II partners to work with SJHC to implement HSRC Directives , Obtain approvais and advocate for required resources to meet their mandates ~ Advise government of issues! gaps! risks! progress ~!'JºS,P!ji ~ Buy in' &fundi¡'¿for~r¿forn1S tocol11efrom several Ministries · Health & Long Term Care (lead role) · Family & Community Services · Housing · Education · Solicitor General , MoHL TC to relinquish Provinciai Psychiatric Hospital (PPH) manager/operator roie Approve/facilitate the change processes ~Provide the political will to achieve the Vision ~>'Jºs"m¡ t?~~"'c;lI!::~,;~::,d~:~-'t~~~"",@.;~:"-;{,";-?:..,~$~?:é/(Z*'~"!,::':C";"~~-:~";> '··Imþleìiìêñtâ1:iò"Tas!<FôrCei' (SWMHITF) , Provincially appointed in June 2001 (one of 9 in Ontario) to develop recommendations on: · implementation of mental health reform · provincial psychiatric hospital restructuring · community investments ~ 29 members on Task Force from across the Southwest, including Waterloo, Wellington and Dufferin County , Report completed and submitted to Ministry of . tt'C"lth & Long-Term Care in December 2002. '~,"::ðwaiting response from the Minister. 7 · Questions? ~~'Jº$"nji ~ Integration & collaboration among consumers, families, and care providers must grow ~ Full continuum of MH services must be available for communities ~ Communities must collectively take ownership for providing care & uniformly take direction from consumers ~ functional Program/Master Plan approval, confirmed HSRC directives, and cost sharing must be granted for all receiving to move divestment planning forward ~?TJº$E.PIi' 8 ~ ~ o u OFFICE OF THE WARDEN 450 SUNSET DRIVE ST. THOMAS, ONTARIO N5R 5V1 PHONE (519)631-1460 < FAX (519) 633-7661 www.elgin-county.on.ca July 11, 2003 'S~ 1852' Mr. Cliff Nordal, President and CEO St. Joseph's Health Care London 268 Grosvenor Street LONDON, Ontario N6A 4V2 iHÞ¡ " I .., . I-de.:; 1;1· Dear Mr. Nordal: Subject: Geriatric Psychiatry Program Elgin County Council reviewed your letter to Mayor David Rock dated June 2011" 2003, at its meeting held or:¡ July 8th, 2003. As you know, we are all concerned about the movement of services away from the City of St. Thomas and Elgin County. While we appreciate your explanation that services will be accessible, we are not convinced they will be readily available because of distance factors. Furthermore, we are concerned that the consolidation of services to the London area represents the "tip of the iceberg" in terms of what may happen to services in our jurisdiction. We are not confident, for example, that Forensic facilities will materialize as promised, given the propensity to shift services to London. Against this background and referring to the concluding paragraph of your letter - wherein you offer to respond "directly" - we invite you, Sandy Whittall and Members of your Board of Directors to meet with us to discuss these items. Our next Council meeting is scheduled for July 22nd, 2003 (day time), and we would be pleased to a reserve a spot for you on the agenda at 10:30 A.M. or later, if that is not convenient. .../2 Mr. Cliff Nordal, President and CEO 51. Joseph's Health Care London -2- July 11, 2003 We look forward to hearing from you and to discussing these important matters. Yours truly, ~ John R Wilson, Warden. cc. County Council þ/Æ 7/1 '(0::' City of St. Thomas Minister of Health for Ontario Ruthe-Anne Conyngham, Chair, Board of Directors Hon. Gar Knutson, M.P., Elgin-Middlesex-London Steve Peters, M.P., Elgin-Middlesex-London Dr. Kiran Rabheru, Medical Director, Geriatric Psychiatry Jenny Rajaballey, Regional Director, Ministry of Health and Long-Term Care Bonnie Kotnik, Program Director, Geriatric. Psychiatry 268 Grosvenor Street London, Ontario N6A 4V2 Telephone: 519-646-6100, ext. 64200 Fax: 519-646-6054 e-mail: cliff nordal@sihc.1ondon on C~ June 20'h, 2003 Mayor David Rock Municipality of Central Elgin 16 Timberlane Crescent St. Thomas, ()ntario N5P 4G9 Dear Mayor Rock, It was with both surprise and concern that we read of your concerns in the newspaper regarding our plan to consolidate geriatric psychiatry services to one location of our organization. First, I want to acknowledge that your receipt of this information via another care provider was most unfortunate. We strive to communicate directly with groups who have a vested interest in our work and this is why we shared this specific change with long-term care providers and other partners in the delivery of geriatric services. We will ensure that you receive this kind of information directly in the future. By the same token, we kindly ask that if you receive correspondence of tills nature, that we be afforded the opportunity to address any concern directly so that Council and the residents of Elgin will have all pertinent information at the time concerns are brought forward. Nevertheless, I want to emphasize that the consolidation of geriatric psychiatry services to our mental health facility in London is in full keeping with the 1997 Health Services Restructuring Directives issued to St. Joseph's and the master facilities plan presented to you, other Central Elgin Council members and staff on March 4, 2003. As described in that presentation, forensic mental health care will be the only program operating rrom a new facility at the Central Elgin-St. Thomas location in the future. Our work today is consistent with the legal Directives and that vision for tomorrow (2005-2006). We need to consolidate geriatric psychiatry services now, in advance of the construction of the forensic facility, as we have a continuing shortage of professionals who specialize in or want to work in the psychiatric field. As well, we can offer patients a better therapeutic environment at the London facility until a new mental health facility is built beside Parkwood Hospital, the eventual location for this and other programs. This consolidation was actually proposed by medical leaders long before St. Joseph's assumed governance and management in early 2001. 1 0 - 2 - One of the concerns mentioned in the newspaper report was about access to care. Access to care for residents of Elgin will not change, regardless of where the service is located. This program has served patients ftom across Southwestern Ontario for many years and this will continue. In fact, we are working to improve access and supports by making this move now. Bringing this program together will enable us to streamline our referral processes and respond to needs in a more timely way. As well, you will have noted in the letter referred to you that improved resource utilization will enable us to establish a community outreach team, which will help long term care providers care for people in their settings and thereby reduce the need for elderly people to be transferred to our hospital setting or to an acute care hospital. We have met with the families of patients in the geriatric psychiatry program and they have expressed their understanding of the reasons for this change, satisfaction with the improved environment and that the same care providers will be looking after their loved ones. We have assured them that the moves will happen gradually and with all the supports necessary. Contrary to the newspaper report, we made several attempts to return the reporter's call and we are following up with the London Free Press in this regard. Again, we are most willing to communicate with you directly at the time you receive any concerns of this nature. I asked Bonnie Kotnik to decline your invitation for her to speak at a Council meeting as I feel that as one of several clinical leaders in our organization, she does not have to defend the activities of St. Joseph's Health Care, London, nor the policies of the Ministry of Health and Long Term Care. However, we are most open to providing Elgin Council with a full presentation of the plans for mental health care as they pertain to our organization if that would be helpful. ' The overall mental health care system for Soúthwestern Ontario is the responsibility of the Province through the Ministry of Health and Long Term Care. More than 300 organizations and client representatives contributed to a comprehensive document for the full range of needed services through the Southwest Mental Health Implementation Task Force, chaired by Mr. John Martel ftom Windsor. This report was submitted to the Minister of Health on December 5, 2002. Participants were asked by the Ministry to keep the contents of the report in confidence until the Minister responds, releases it, and hopefully endorses it. This has not yet happened. I assure you that not being able to discuss the Province's plans for community investment in mental health care is most frustrating for our clients, their families and communities across this region. The Ministry expects St. Joseph's to move forward with its plans now, which are in keeping with the Task Force report and yet, our constituents have every right to be wary of the changes we are making because you have not been afforded the full picture via this comprehensive document. 1 1 - 3 - It would be most beneficial to the residents of Elgin and every county in Southwestern Ontario if you would request that the Province endorse and release the Southwest Mental Health Implementation Task Force Report. Then, I believe you will have greater confidence in our efforts and a greater sense of the parameters in which we are working. - - -- in tne meantime, please do not hesitate to contact Sandy Whittall, Vice President, Mental Health Programs or me if you have any questions or if you hear of any other concerns. We will be happy to respond to you directly. The changes ahead are complex and yet I assure you they are all connected to our overall vision and mandate. Sincerely, Þr(j?l-4/ CliffNordal, FCCHSE President & Chief Executive Officer cc: Deputy Mayor Dennis Crevits, Municipality of Central Elgin Deputy Mayor Paul Faulds, Township of Mala hide Mayor Bob Habkirk._ Town of Aylmer Hpn. Gar Knutson, MP, Elgin-Middlesex-London Mayor Jim McIntyre, Township of South wold Mayor Duncan McPhail, Municipality of West Elgin Mayor Peter Ostojic, City of St. Thomas Steve Peters, MPP, Elgin-Middlesex-London Warden John Wilson, Elgin County Council & Mayor, Township of Mala hide Dr. Kiran Rabheru, Medical Director, Geriatric Psychiatry Jenny Rajaballey, Regional Director, Ministry of Health and Long Term Care Mayor Max Stewart, Municipality of Bay ham Mayor Rien VanBrenk, Municipality ofDuttonIDunwich Ruthe-Anne Conyngham, Chair, Board of Directors, St. Joseph's Health Care, London Sandy Whittall, Vice President, Mental Health Programs Bonnie Kotnik, Program Director, Geriatric Psychiatry 1 2 ~ ~ o u ;~ - MARK G. McDONALD CHIEF AOMINISTRATIVE OFFICER (Mrs.) SANDRA J. HEFFREN DEPUTY COUNTY CLERK June 10, 2003 Ms. Bonnie Kotnik, Director Geriatric Psychiatry Program St. Joseph's Health Care London P.O. Box 5532 LONDON, Ontario. N6A 4H 1 Dear Ms. Kotnik: 450 SUNSET DRIVE ST. THOMAS, ONTARIO N5R 5V1 PHONE (519) 631-1460 FAX (519) 633-7661 WWN.elgin-county.on.ca 'S~1852' The Council of the Corporation of the County of Elgin, at its meeting held on June 10, 2003, adopted the following recommendation: "THAT the Council of the County of Elgin adamantly oppose the consolidation of the Geriatric Psychiatry Program to the London site; and, THAT the Director of the Geriatric Psychiatry Program be invited to the County Council meeting on June 24, 2003 to explain the rationale for this move and what steps are being takeIÌ to ensure services are continued in Elgin County; and, THAT copies of the resolution be circulated to the lower-tier municipalities, City of St. Thomas, Thames Valley District Health Council, Mr. Steve Peters, M.P.P., and to the Honourable Gar Knutson, requesting support. - Carried. (signed) Warden John R. Wilson" County Council will be meeting on June 24th, 2003, and would like to invite members of the St. Joseph's Health Care London Geriatric Psychiatry Team to meet with Council on this date at 10:00 A.M. to discuss the County's concerns with the move of 47 beds from the Regional Mental Health Care St. Thomas facility. ../2 Geriatric Psychiatry Program St. Joseph's Health Care London -2- June 11, 2003 Please contact me at 631-1460 Ext. 103, by June 16,2003, to confirm attendance and provide the names of those who will be attending. We look forward to this opportunity to meet with you to discuss our concerns. Yours truly, 0.0'~D~' Sail J. ~~Pr~·(-;:'rs.) Deputy Clerk. cc Lower-Tier Municipalities Mayor Ostojic, City of St. Thomas Gar Knutson, M.P., Elgin-Middlesex-London Steve Peters, M.P.P., Elgin-Middlesex-London London and District Health Council Regiònal Mental Health Care London ~ STJ~~~P~~ ;Jt). ~'} HEALTH CARE LONDON 71.;; ~ !ß., dc5/ÓJ Geriatric Psychiatry Program . ,- P.O. Box 5532, 5tation B 8S0 Highbury Avenue North Lond.on, ON N6A 4Hl (519) 455-5110, extension 47374 (519) 4S5-7151 Fax May 12, 2003 Ms. Pat Vandevenne, Director of Nursing Elgin Manor R.R.#l St. Thomas, ON N5P 3S5 Dear Ms. Vandevenne: On behalf of St. Joseph's Health Care London, we would like to take tills opportunity to explain a change to the Geriatric Psychiatry Program at Regional Mental Health Care St. Thomas, which we believe will have a positive effect on the service we are able to provide to our clients. As you are aware, the Geriatric Psychiatry Program currently operates on two sites--one at Regional Mental Health Care St. Thomas and the other at Regional Mental Health Care London. In order for us to provide the best possible care for our clients/patients, we will be consolidating the program'onto one site. In July, we will be rnovin~all of our 47 beds to London. with no reduction in service provision. 'This move will provide our clieIits/patiënts with improved access to specialized geriatric services including the day treatment program as well as facility improvements such as some semi-private and private rooms. We are currently in the planning stages for these exciting changes. All members of our Geriatric Psychiatry team are participating in the process as to the future program configuration and resulting staffmg requirements. If you have any questions, please do not hesitate to call Bonnie Kotnik or Dr. Kiran Rabheru (co-undersigned) at the number below their names. ~CerelY\~, '. f\~t o e Kotnik, Director Geriatric Psychiatry Program 455-5110, ext. 47034 ~ Dr. Kiran Rabheru, andy Whittall, Physician Leader Vice President Geriatric Psychiatry Program Mental Health Programs 455-5110, ext. 47374 In ,the spirit of community, in the.pursui~.ofhe.alth , . __,_<_~ -;;.~:~.~ an~,O~~.bySlJasePh's HealIhCareSociety.AttlIIat~.With the un~o~westem on~~o.:: _ ; ~.¡ ~.~;- '--?->s'P~,.....,,,,-:-,-::~ -;';'-<:-'> .- ,_., ,0-,,,, .:" " ,- - r,- '~-:~"'1~~ ~ :"~ ',-",:-~,:~?;;>-~;_,.- .' ~--::-~ .--,- JOINT ELGIN/CENTRAL ELGIN MUNICIPAL ACCESSIBILITY PLAN September 23, 2003 INDEX JOINT ELGIN/CENTRAL ELGIN MUNICIPAL ACCESSIBILITY PLAN SECTION PAGE NO. Introduction I Duties of Municipalities - Excerpt ITom the Ontarians with Disabilities Act I Defmition of Barriers to Persons with Disabilities 2 Definition of Persons with Disabilities 3 Committee Composition 3 Mission Statement 3 Objectives 4 Joint Elgin/Central Elgin Municipal Accessibility Plan 5 Jurisdictions Participating in the Plan 5 Key Contacts 5 Municipal Highlights, Population and Organizational Structure County of Elgin Municipality of Central Elgin 5 6 Other Organizations & Agencies Participating in the Plan 6 Consultation Activities 7 Plan Development Working Group 7 History of Past Initiatives to Remove and Prevent Barriers County of Elgin Municipality of Central Elgin 9 11 Operational Review - County of Elgin 11 INDEX Joint Elgin/Central Elgin Municipal Accessibility Plan ii SECTION PAGE NO. Review and Identification of Barriers - County of Elgin Administration Buildings Homes for Seniors Libraries Social Housing VehicIes 12 17 21 23 30 31 Operational Review Municipality of Central Elgin 31 Review and Identification of Barriers - Municipality of Central Elgin Arenas Beaches Fire Rescue Stations Library Medical Centre Non-Profit Housing Recreation 31 32 32 33 33 33 34 Leases 34 Review of Site Plans 34 Targets, Actions, and Annual Review Chart 35 Promotion of Plan 35 Recommendations Attitudinal Barriers Information/Communication Barriers Policies and Practices Barriers Physical! Architectural Barriers Technological Barriers 36-38 36 36 36 37 38 Signature Page 39 INTRODUCTION The Ontarians with Disabilities Act, 2001 was passed into legislation by the Government of Ontario on December 31, 2001. The Act ensures that persons with disabilities have improved opportunities and provides for their involvement in the identification, removal and prevention of barriers to their full participation in life. The Lieutenant Governor proclaimed in September 2002 that all municipalities must have a municipal accessibility plan adopted and published by no later than September 30, 2003. The following are the requirements for municipalities as legislated by the Ontarians with Disabilities Act, 2001 (current to July 30,2003): Municipal accessibility plans DUTIES OF MUNICIPALITIES 11. (1) Each year, the council of every municipality shall, (a) prepare an accessibility plan; and (b) either, (i) seek advice from the accessibility advisory committee that it establishes or continues under subsection 12 (1), or (ii) consult with persons with disabilities and others, if the council has not established or continued an accessibility advisory committee under subsection 12 (I). 2001, c. 32, s. II (1). Contents (2) The accessibility plan shall address the identification, removal and prevention of barriers to persons with disabilities in the municipality's by-laws and in its policies, programs, practices and services. 2001, c. 32, s. 11 (2). Same (3) The accessibility plan shall include, (a) a report on the measures the municipality has taken to identifY, remove and prevent barriers to persons with disabilities; (b) the measures in place to ensure that the municipality assesses its proposals for by-laws, policies, programs, practices and services to determine their effect oil accessibility for persons with disabilities; (c) a list of the by-laws, policies, programs, practices and services that the municipality will review in the coming year in order to identifY barriers to persons with disabilities; (d) the measures that the municipality intends to take in the coming year to identifY, remove and prevent barriers to persons with disabilities; and (e) all other information that the regulations prescribe for the purpose of the plan. 2001, c.32, s. 11 (3). Availability to the public (4) A municipality shall make its accessibility plan available to the public. 2001, c. 32, s. 11 (4). Accessibility advisory committees 12. (1) The council of every municipality having a population of not less than 10,000 shall establish or continue an accessibility advisory committee and the council of every municipality having a population of less than 10,000 may establish or continue an accessibility advisory committee. 2001, c. 32, s. 12 (1). Elgin/Central Elgin -2- Municipal Accessibility Plan Duty of committee (2) The committee shall advise the council in each year about the preparation, implementation and effectiveness of its accessibility plan. 2001, c. 32, s. 12 (2). Members (3) A majority of the members of the committee shall include persons with disabilities. 2001, c.32, s. 12 (3). Duty of council (4) The council shall seek advice trom the committee on the accessibility for persons with disabilities to a building, structure or premises, or part of a building, structure or premises, (a) that the council purchases, constructs or significantly renovates; (b) for which the council enters into a new lease; or ( c) that a person provides as municipal capital facilities under an agreement entered into with the council in accordance with section 110 of the Municipal Act, 2001. 2001, c. 32, s. 12 (4); 2002, c. 17, Sched. C, s. 18 (2). Functions (5) The committee shall, (a) perfonn the functions set out in this section, including reviewing in a timely manner the site plans and drawings described in section 41 of the Planning Act that the committee selects; and (b) perfonn all other functions that are specified in the regulations. 2001, c. 32, s. 12 (5). Supplying site plans (6) If the committee selects site plans and drawings described in section 41 of the Planning Act to review, the council shall supply them to the committee in a timely manner for the purpose of the review. 2001, c. 32, s. 12 (6). Municipal goods and services 13. In deciding to purchase goods or services through the procurement process for the use of itself, its employees or the public, the council of every municipality shall have regard to the accessibility for persons with disabilities to the goods or services. 2001, c. 32, s. 13. DEFINITION OF BARRIERS TO PERSONS WITH DISABILITIES The Ontarians with Disabilities Act, 2001 defines a "barrier" as anything that stops a person with a disability trom fully taking part in society because of that disability. Some barriers include: · physical barriers, e.g. a step at the entrance to a store; · architectural barriers, e.g. no elevators in a building of more than one floor; · infonnation or communications barriers, e.g. a publication that is not available in large print; · attitudinal barriers, e.g. assuming people with a disability can't perfonn a certain task when in fact they can; · technological barriers such as traffic lights that change too quickly before a person with a disability has time to get through the intersection; and · barriers created by policies or practices, for instance not offering different ways to complete a test as part of job hiring. Elgin/Central Elgin -3_ Municipal Accessibility Plan DEFINITION OF PERSONS WITH DISABILITIES The Ontarians with Disabilities Act, 2001 defines persons with disabilities in the following, which is the same definition as used in the Ontario Human Rights Code. A "disability" is: a) Any degree of physical disability, infinnity, malformation or disfigurement caused by bodily injury, birth defect or illness and includes, but is not limited to: · diabetes mellitus; . epilepsy; · a brain injury; · any degree of paralysis; · amputation; · lack of physical co-ordination; · blindness or visual impediment; · deafuess or hearing impediment; · muteness or speech impediment; or · physical reliance on a guide dog or other animal, or on a wheelchair or other remedial appliance or device; b) A condition of mental impairment or a developmental disability; c) A learning disability, or a dysfunction in one or more of the processes involved in understanding or using symbols or spoken language; d) A mental disorder; or e) An injury or disability for which benefits were claimed or received under the insurance plan established under the Workplace Safety and Insurance Act, 1997. COMMITTEE In accordance with the legislation, the Councils for the County of Elgin and the Municipality of Central Elgin formed a joint accessibility advisory committee, known as the Elgin/Central Elgin Accessibility Advisory Committee. The Committee is comprised of five persons representing all geographic areas of the County of Elgin with the majority of membership being persons with disabilities. Two staff persons were appointed to provide support and assistance. MISSION STATEMENT The Joint Elgin/Central Elgin Advisory Committee adopted the following as its Mission Statement: "To identity, remove and prevent barriers to persons with disabilities who use the facilities and services of the County of Elgin and the Municipality of Central Elgin, including employees, volunteers, and all members of our Community." Elgin/Central Elgin -4- Municipal Accessibility Plan OBJECTIVES This Plan 1. Describes the recommended process by which the County of Elgin and the Municipality of Central Elgin (County and Central Elgin) would identifY, remove and prevent barriers to persons with disabilities. 2. Reviews earlier efforts to remove and prevent barriers to persons with disabilities. 3. Lists the facilities, policies, programs, practices and services that the County and Central Elgin would review to identifY barriers to persons with disabilities. 4. Describes the recommended measures the County and Central Elgin would take to identifY, remove and prevent barriers to persons with disabilities. 5. Describes the recommended process by which the County and Central Elgin would make this accessibility plan available to the public. 6. Assists with development of a criteria list to be distributed with applicable building applications. PLAN The Elgin/Central Elgin Accessibility Advisory Committee have convened meetings on a regular basis and the following JOINT ELGIN/CENTRAL ELGIN MUNICIPAL ACCESSIBILITY PLAN is the culmination of its efforts: Elgin/Central Elgin -5- Municipal Accessibility Plan JOINT ELGIN/CENTRAL ELGIN MUNICIPAL ACCESSIBILITY PLAN SECTION 1 1. Municipal Jurisdictions Participating in this Plan The Corporation of the County of Elgin 450 Sunset Drive St. Thomas,Ontario N5R 5Vl The Corporation of the Municipality of Central Elgin 450 Sunset Drive St. Thomas, ()ntario N5R 5Vl 2. Key Contacts Regarding Accessibility Issues Mrs. Sandra HefITen Deputy Clerk County of Elgin Telephone (519) 631-1460 ex1. 103 Fax (519) 633-7661 shefITen@elgin-county.on.ca Mrs. Dianne Wilson Deputy Clerk Municipality of Central Elgin Telephone (519) 631-4860 ex1. 286 Fax (519) 631-4036 dwilson@centralelgin.org: 3. Municipal Highlights, Population, and Organizational Structure County of EI!!in The County of Elgin is situated along the north shore of Lake Erie and encompasses more than 187,966 Ha. with a population of 45,209 citizens (2002). The County is an "upper tier" municipality, which includes seven constituent "lower-tier" municipalities within the County structure, and one separated City. Each of these has their own separate system of governance. Corporate headquarters is located at the County Administration Building, 450 Sunset Drive, S1. Thomas partway between the City of S1. Thomas and the Village of Port Stanley. Incorporation of the County of Elgin was enacted in 1852 by ()rder of Her Majesty Queen Victoria, by Provincial Statutes of Canada, entitled "An Act to Re-unite the Provinces of Upper and Lower Canada, and for the Government of Canada". Elgin County consisted of seven Townships at that time and grew to fifteen municipalities. Effective January 1998, through a restructuring initiative, constituent municipalities were reduced to seven, and one separated City. Areas of jurisdiction under the County corporate structure include responsibility for: County Council directives, by-laws, policies and procedures; County Libraries (11 branches plus 1 main office); design and construction of the County Road System; emergency services (emergency response, policing for 6 municipalities, 9-1-1, land ambulance); protection of County assets and expenditures; operation of 3 Homes for Seniors; Human Resources services to over 300 employees; ()ntario Court of Justice/Traffic Ticket Payment Centre; ()ntario Works/Social Services (administered through the City of St. Thomas); protection of County forest cover; severing ofland. Elgin/Central Elgin -6- Municipal Accessibility Plan Municipality of Central Ell!in The Municipality of Central Elgin is a progressive, dynamic urban and rural municipality, located on the shores of Lake Erie in the heart of southwestern Ontario connected by 370 kms. of municipal roads. The Municipality of Central Elgin encompasses 325 square kms. in area and has a population of 12,360 citizens. Through a restructuring initiative, effective January 1 st, 1998, the fonner Village of Port Stanley, the fonner Township of Yannouth, and the fonner Village of Belmont amalgamated and became incorporated as the Municipality of Central Elgin under the Municipal Act of the Province of Ontario. Other smaller Hamlets within these municipal boundaries include Sparta, Union, Orwell, and New Sarum. The Municipality of Central Elgin is a "lower tier" municipality with its own separate system of governance within the County of Elgin structure. The Administration Office for the Municipality of Central Elgin is located at 450 Sunset Drive, North Wing, St. Thomas. Areas of jurisdiction under the Municipality of Central Elgin structure include: Council by-laws, policies and procedures; protection of Central Elgin assets and expenditures; Human Resources; Strategic Planning; Bnilding Inspection; By-law Enforcement; Zoning/Committee of Adjustment; Municipal Roads System; Sanitary Sewer; Stonn Sewers and Municipal Drains; Potable Water; Parks and Recreation; and Solid Waste. SECTION 2 1. Other Organizations & Agencies Participating in this Plan and Description of Agency Corporation of the City ofSt. Thomas City Hall P.O. Box 520 St. Thomas, Ontario N5P 3V7 Telephone (519) 631-1680 Attention: Mr. Chester Hinatsu The City of St. Thomas is a separated City within the County of Elgin and has its own governance structure. By way of a service agreement, the City administers Ontario Works, Social Housing, and Child Care throughout the County of Elgin. The County pays for this service on a caseload basis, or on an actual number of units' ratio, plus an administrative fee. Social Housing obligations are included in the legislation and, although the responsibility rests with the City to ensure compliance, a paragraph has been inserted under "Review and Identification of Barriers to Disabled Persons" later in the report. Elgin/Central Elgin -7- Mnnicipal Accessibility Plan SECTION 3 Consultation Activities Correspondence was forwarded to the following groups requesting that they solicit their clientele for input into the plan, and that a representative of the agency attends a committee meeting(s) to discuss the barriers that were identified: Canadian Diabetes Association Elgin Association for CommunitY Living 442 Adelaide Street North 400 Talbot Street London, Ontario St. Thomas, Ontario N6B 3H8 N5P lE8 Canadian Hearing Society Heart & Stroke Foundation 181 Wellington Road 617 Wellington Road London, Ontario London, Ontario N6B 2K9 N6A 3R6 Canadian National Institute for the Blind Multiple Sclerosis Society 749 Baseline Road East 400 Talbot Street London, Ontario St. Thomas, Ontario N6C 2R6 N5P lE8 Canadian Mental Health Association Elgin 110 Centre Street St. Thomas, Ontario N5R 2Z9 SECTION 4 Plan Development Working Group Note: The Joint Accessibility Advisory Committee is referred to as JAAC Working Group Municipality/Agency Department Telephone/E-MaiI Member Ms. Jenny Phillips Chair JAAC (519) 762-2862 tcriería),golden.net Mr. Pete Cohoe Vice-Chair JAAC (519) 782-3132 pcohoeíaJexeculink.com Ms. Becky Marks Member JAAC (519) 886-6330 bmarkskiníaJhotrnail.com Mr. Dennis Crevits Member, representing JAAC (519) 782-7442 Elgin and Central crevits@bellnet.ca Elgin Connci1s Mr. Don Leitch Municipality of CAO/C1erk (519) 631-4860 Central Elgin dleitchíaJcentralelgin.oŒ Elgin/Central Elgin -8- Municipal Accessibility Plan Ms. Dianne Wilson Municipality of, Administration (519) 631-4860 Central Elgin dwi1sonlíVcentralel!rin .on> Mr. Lloyd Perrin Municipality of Physical (519) 631-4860 Central Elgin Services 1nerrinlíVcentralel !rin.on! Ms. Sharon Lannour Municipality of Financial (519) 631-4860 Central Elgin Services slannourlíVcentralel!rin.orø Mr. Don Crocker Municipality of Fire Rescue (519) 631-4860 Central Elgin dcrockerlíVcentralel2in.on> Mr. Mark McDonald County of Elgin CAO (519) 631-1460 mmcdona1dlíVelgin-countv.on.ca Ms. Sandra Heffi'en County of Elgin Administrative (519) 631-1460 Services shefITenlíVel !rin-countv.on.ca Mr. Jim Carter County of Elgin Corporate (519) 631-1460 . Facilities i carterlíVel!rin-countv.on. ca Mr. Clayton Watters County of Elgin Engineering (519) 631-1460 Services cwatterslíVelmn-countv.on.ca Ms. Linda Veger County of Elgin Financial (519) 631-1460 Services lvegerlíVel2in-countv.on.ca Ms. Helen Notte County ofElgin Homes for (519) 631-1460 Seniors hnottelíVelmn-countv.on.ca Mr. Harley Underhill CountyofElgin Human (519) 631-1460 Resources hunderhilllíVelgin-countv.on. ca Mr. Allan Reitsma County of Elgin Information (519) 631-1460 Technology areitsmalíVel2in-countv.on. ca Ms. Cathy Bishop County of Elgin Libraries (519) 631-1460 . cbishonlíVel mn-countv.on.ca Canadian Diabetes Association Canadian Hearing Society Canadian National Institute for the Blind Mr. John Balderston Canadian Mental MSW, RSW (519) 633-1781 Health Association - cmhaelgin@execulink.com Elgin Branch Elgin Association fOf Community Living Heart & Stroke Foundation Multiple Sclerosis Society Elgin/Central Elgin -9- Municipal Accessibility Plan SECTION 5 History of Initiatives to Identify, Remove and Prevent Barriers A review of Municipally-owned buildings and structures, by-laws, policies and programs was completed to identifY improvements or modifications undertaken by Elgin and Central Elgin, to eliminate accessibility barriers during the past five years, and are detailed in the following charts: COUNTY OF ELGIN FIVE-YEAR REVIEW OF IMPROVEMENTSIMODIFICATIONS UNDERTAKEN TO ELIMINATE BARRIERS FOR DISABLED PERSONS ADMINISTRATION BUILDING BARRIER AND TYPE LOCATION SOLUTION DATEIPROPOSED Describe the barrier (use one of Brief description of strategies in DATE OF physical. architectural, place to address the barrier IMPLEMENTATION information/communication, attitudinal, technological, policies, nracticesJ' . Physical - Doors are too throughout building when renovations take Over the past 5 years this narrow place 3' doors are has been in practice installed Physical - Door knobs throughout building when renovations take Over the past 5 years this ball type place door knobs are has been in practice replaced with lever tvoe Physical- Water taps throughout building when renovations take Over the past 5 years this place water taps are has been in practice replaced with lever tvoe Communication - all parking lots re-marked parking Over the past 5 years this Parking spots and spots and installed has been in practice signage , Droner signage Physical- Fire pull throughout building when renovations take Over the past 5 years this stations place pull stations are has been in practice lowered to proper height Physical- Hold open throughout building fire doors are held Over the past 5 years this devices open to provide access has been in practice to the halls . Physical - Entrance throughout building entrance doors have Over the past 5 years this doors door operators has been in practice installed for easy access to the building Elgin/Central Elgin -10- Municipal Accessibility Plan HUMAN RESOURCES BARRIER AND TYPE LOCATION SOLUTION DATE/PROPOSED Describe the barrÎer (use one of Brief description of strategies in DATE OF physical, architectural, place to address the barrier IMPLEMENTATION injonnationlcommwzication, attitudinal technological, policies, practices) Policies/practices Throughout the Hiring is performed as Always has been the organization per the Human Rights practice Act. Equal opportunity based on non- discrimination of the Human Rights Code - although no written policy to indicate this. ROADS AND BRIDGES BARRIER AND TYPE LOCATION SOLUTION DATE/PROPOSED Describe the barrier (use one of Brief description of strategies in DATE OF physical, architectural, place to address the barrier IMPLEMENTATION infonnation/communîcation, attitudinal, technological, policies, practiCes) Physical - Concrete Curb Warren Street, Port Curb cuts/Sidewalk 1997 Stanley Ramps Queen Street, 1997 Rodney Main Street, West 1998 Lome Plank Road, 2000 Straffordville Plank Road, Eden 2000 St. George Street 2000 Bridge Fingal Line, Fingal 2001 Union Road, 2001 Shedden Ron McNeil Line, 2002 Springfield Edison Bridge 2002 Elgin/Central Elgin -II- Municipal Accessibility Plan MUNICIPALITY OF CENTRAL ELGIN FIVE-YEAR REVIEW OF IMPROVEMENTS/MODlFICATIONS UNDERTAKEN TO ELIMINATE BARRIERS FOR DISABLED PERSONS BUILDINGS BARRIER AND TYPE LOCATION SOLUTION DATE/PROPOSED Describe the barrier (use one of Brief description of strategies in DATE OF physical, architectural. place to address the barrier IMPLEMENTATION information/communication, attitudinal technological, policies, nractÎces) - Belmont Arena No modifications to Port Stanley Arena eliminate accessibility Former Belmont barriers have been made Town Office to buildings within the Belmont Library past five years Fire Stations - 4 Kettle Creek Villa Port Stanley Medical Centre White's Station SECTION 6 Operational Review and Identification of Barriers to Disabled Persons County of ElPin The County operational structure includes 7 departments, Administrative Services (responsible for Warden and Council, Administration, Emergency Planning, Land Division, Ontario Court of Justice, and Provincial Offences and Ticket Payment Centre); Engineering Services (responsible for County Roads and Bridges); Financial Services (responsible for safekeeping of the County assets and budget control); Homes for Seniors (responsible for operation of 3 Homes and care of over 200 Residents): Human Resources (responsible for employee conduct and collective bargaining negotiations/relations); Information Teclmology (responsible for the County Network, Website, and all computer-related activities; Library (responsible for Main and 11 branches). Each department conducted a review of the office areas and systems, by-laws, policies and programs under its responsibility to determine accessibility barriers, with input and comment ITom staff The following charts reflect the findings ITom the various departmental staff who conducted the review: Elgin/Centra! Elgin - 12- Municipal Accessibility Plan COUNTY OF ELGIN REVIEW AND IDENTIFICATION OF BARRIERS TO DISABLED PERSONS ADMINISTRATION BARRIER BARRIER TYPE STRATEGIES/SUGGESTIONS Describe the harner (use one afphysical, architectural, FOR REMOVAL OR PREVENTION information/communication, attitudinal I lJolicies, technolof!ical, vracticesi ADMINISTRATIVE SERVICES Interior office doors narrow Architectural/Physical Widen doorways to 3' when renovating and doorknobs wong type and install lever door openers Telephone system not Infonnation/Communication Provide access to TTY device accessible to all Fax machine & printer stands Physical Purchase adjustable stands when too high required . Reception desk too high Physical Purchase wheelchair height desk Vault doorway too narrow Architectural Not feasible to make changes to vault and interior too constricted Mail sorting room not Architectural Mail room would have to be rebuilt accessible when renovating Mailing machine too high Physical Lower shelving when renovating Employee Washroom - Architectural Widen doorway, install lever door Women's opener, lower sink, install lever handles on taps, remove tub, build interior wall and install grab bars, move toilet tissue dispenser, eliminate lip at doorway Employee Washroom - Architectural Widen doorway, install lever door Men's opener, move toilet, lower sink, install lever handles on taps, install grab bars, move toilet tissue dispenser, eliminate lip at doorway Fire Alarm warning device Infonnation/communication Install rotating light Employee kitchen counter & Architectural/Physical Kitchen would have to be rebuilt when sink area too high, lip at renovating doorway ARCHIVES Boxes on storage shelftoo Physical . Place high-demand items on lower high shelves Website is not accessible to Infonnation/Communication Create version for visually impaired visually impaired viewing Photocopier is too high for Physical . Purchase copier that is more wheelchair disabled access accessible -L Elgin/Central Elgin -13- Municipal Accessibility Plan Signage Physical Install signage at standardized placement and height. Wording to be in large print and in Braille or routed Signage Physical Signage for disabled access via elevator . and rear door needs to be more apparent Telephone system is not InfonnationJCommunication Provide access to ITY device accessible to all Archivist's Office - access to Physical Increase space around desk to increase chair and computer not . wheelchair accessibility barrier rree Archivist's Office - filing Physical Store items in lower drawers cabinet too high ENGINEERING SERVICES AND FINANCIAL SERVICES Interior office doors narrow ArchitecturaVPhysical Widen doorways to 3' when renovating and doorknobs wron!! type and install lever door openers. Filing cabinets Physical Purchase filing cabinets no higher than 4 drawer when required Men's Washroom Architectural Install lever door opener, lower soap dispenser. When renovating, provide a 5' turnaround radius Women's Washroom Architectural Eliminate small lip at doorway, lower soap dispenser. When renovating, to I Drovide a 5' turnaround radius Supply Room Architectural Eliminate small lip at doorway Closets Architectural Lower bar for hanging coats Pull Stations and Fire Architectural Lower pull stations and fire Extinguishers extinguishers Furniture too cumbersome Physical Remove some furnishings and for office size reposition desks when requíred Desks Physical When replacing desks ensure the fumiture has rounded comers and is wheelchair accessible . GENERAL Signage - all areas InfonnationJcommunication Install signage at standardized placement and height. Wording to be in large print and in Braille or routed . HUMAN RESOURCES Doorways too narrow and Physical! Architectural Widen all doorways to 36" and install door handles wrong type lever-type openers when renovating Elgin/Cen1ral Elgin -14- Municipal Accessibility Plan Workstations not accessible Physical Would be modified when required or to all replaced Employee microwave has Physical Purchase new microwave with push . turning knobs buttons when required or remove :6:om kitchenette Sink in employee kitchenette Physical! Architectural Sink area would have to be has wrong type of handles reconstructed when required with and is not accessible to all accessible fixtures Reading material, Policies & Information/Communication Provide material in multi formats procedures, and Brochures are in visual format only IT Office doors tOQnarrow and Architectural/Physical Widen doorways to 3' when renovating doorknobs wrong type and install lever door oneners. Filing cabinets Physical When replacing filing cabinets ensure they are no higher than 4 drawer Men's Washroom Architectural ' Install lever door opener, lower soap dispenser. When renovating provide a 5' turnaround radius Women's Washroom Architectural Eliminate small lip at doorway, lower soap dispenser. When renovating I nrovide a 5' turnaround radius Closets Architectural Lower clothes rod for hanging coats when required Pull Stations and Fire Architectural Lower pull stations and fire Extinguishers extinguishers Furniture too cumbersome Physical Remove some furnishings and for office size reposition desks when reauired Computers - Software and Information/Communication Ensure PC is compatible, Install Braille Website translation software. Purchase screen reader called (JAWS) Job Access with Screen Reading (which is speech synthesizer). Purchase Braille Keyboard and software called Dragon Dictate that allows a person to dictate the information and it writes it down. Install Braille embosser used like a printer. Install sound track on narrative for hearing impaired when required LAND DIVISION . Pathways between office Physical Remove some furnishings and furniture not wide enough for reposition desk when required a wheelchair . Elgin/Central Elgin - 15- Municipal Accessibility Plan LIBRARY Entrance doors are too ArchitecturaIlPhysical Widen doorways to 3' and install narrow automatic door openers on front doors. Reception counter is too high Physical Lower countertop to accommodate wheelchair accessibility. Reception area lateral filing Physical Purchase lower vertical filing cabinets cabinets are too high when required. Telephone system not Information/Communication Provide access to TTY Device. accessible to all All computers are not Technological Purchase headphones for visually compatible for visually impaired computer access when impaired required. Washroom - Women's Architectural Widen doorway, install lever door opener, lower sink and install lever handles on taps, install grab bars. Fire Alann Warning Device Information/Communication Install Rotating Light. Interior doors are too narrow ArchitecturallPhysical Widen doorways to 3' when renovating. Photocopier is too high for Physical When purchasing new photocopier, disabled access acquire equipment that is wheelchair accessible. Kitchen countertop and sink ArchitecturallPhysical Kitchen would have to be rebuilt when are too high renovating. Kitchen microwave is too Physical Move microwave to microwave stand. high for disabled access Reference Resource Office- Physical Height of shelves should be lowered. shelves are too high Hallway shelving Physical Shelving relocated - not enough clearance for wheelchair access. Paperback Room shelving is Physical Shelving lowered and clearance between too high aisles widened. Computer Desks Physical Keyboards and monitors should be fully adjustable. ILLO/Collection Exchange Physical Countertop and cupboards lowered for Office - Countertop and wheelchair access. cupboards are too high ILLO/Collection Exchange Physical Height of shelving lowered. Office - Shelving is too high ILLO/Collection Exchange Physical Area cleared for wheelchair Office - Book carts and accessibility. boxes Local History Office - Physical Height of shelves lowered. Shelving is too high Local History Office - Physical Re-organize furniture for wheelchair furniture is too crowded accessibility Library Co-ordinator's Physical Purchase lower vertical filing cabinets Office filing cabinet too high when required. Elgin/Central Elgin -16- Municipal Accessibility Plan Library Co-ordinator's Physical Re-organize furniture for wheelchair Office filing cabinet too accessibility. close to door Library Co-ordinator's Physical Lower shelviilg for disabled Office - Shelving is too high accessibility. Manager of Library Services' Physical . Lower shelving for access. Office - Shelving is too high Manager of Library Services' Physical Purchase lower vertical filing cabinets Office - filing cabinets too when required. high Meeting Room - Coat rack is Physical Lower coat rack for disabled too hig¡; .. accessibility. Signage Information/Communication Braille or routed signs to be child , reachable (3 - 4 ft height) to allow visually impaired to "read" them. Fire Extinguishers Physical Fire extinguishers lowered for disabled accessibility. Rear Emergency Exit Door Physical! Architectural Widen doorways to 3' when renovating. A lift is required in the stairwell to the Lower Level. ONTARIO COURT OF JUSTICE Doorway fÌ'om Warden's Architectural/Physical Widen doorway to 3' when renovating Office into Courtroom too and install lever door opener narrow . Doorway to Prosecutor's ArchitecturallPhysical Install lever door openers office Duty Counsel and ArchitecturallPhysical Widen doorway to 3' when renovating Enforcement Agencies and install lever door openers doorways too narrow Washrooms in Duty Counsel Architectural Washrooms would have to be rebuilt and Enforcement Agencies when renovating offices not accessible PROVINCIAL OFFENCES Furniture obstructing Physical Reposition furniture when required doorway Bookshelves too high Physical Lower bookshelves when required WARDEN'S OFFICE Office doorknob wrong type Architectural/Physical Widen doorway to 3' when renovating and meeting room doorway and install lever door opener too narrow Elgin/Central Elgin -17- Mnnicipal Accessibility Plan Washroom and fixtures not Architectural Washroom would have to be rebuilt accessible when renovating BUILDINGS BARRIER BARRIER TYPE STRATEGIES/SUGGESTIONS Describe the barrier (use one of physical, architectural, FOR REMOVAL OR PREVENTION information/communication, attitudinal, Dolicies, technoloJ!ical, vractices) ADMINISTRATION BUILDING Ramps for access to the Physical Ramps to be made wider and to today's building (rront and rear) standard when replaced (scheduled in approximately 8 years when concrete needs replacing) Fire alann system Visual Install rotating lights to the fire alann system (approximately 3 years when system is due for replacement) Signage throughout building Information/Communication Signage to be in Braille or routed and placed in standard position no higher . than 48" rrom floor Elevators not able to be Information/Communication Floor panels to include Braille or routed operated by all instructions. Voice indicator for floor location is required (when renovating approximately 3-5 years) ELGIN COUNTY PIONEER MUSEUM Employee Entrance not Architectural/Physical Eliminate small lip at doorway, install accessible power operating doors, replace ramp and need 5' turnaround radius Public Entrance to building Architectural/Physical Eliminate step at doorway; install power not accessible door operator. Kitchen Counter and sink Architectural/Physical Kitchen to be rebuilt when renovating. area too high Corridor and entrance to Architectural/Physical Widen hallway. Widen doorway to 3'. washroom too narrow Washroom requires lever door openers, lower sink, lever handles on taps, grab bars, toilet tissue/paper toweVsoap dispensers. Light switches not accessible Architectural/Physical Move all light switches when renovating Closet not accessible Architectural/Physical Lower portion of clothes bar when required. Emergency Exit Door not Architectural/Physical Install panic hardware and eliminate accessible . small lip at doorway when renovating. Elgin/Central Elgin -18- Municipal Accessibility Plan Doorways to all rooms not ArchitecturallPhysical When renovating widen doorways to 3' accessible and install lever door oneners. Second level not accessible ArchitecturallPhysical Install elevator when renovating. Attic not accessible Architectural/Physical Eliminate step in doorway, widen doorway to 3', and install lever door opener. Partial basement not ArchitecturallPhysical This level is used for storage and is accessible accessed by staircase. If this area needs to be accessed, an elevator will be installed when renovating. Full Basement not accessible ArchitecturallPhysical Install elevator when renovating. Furnace Room in Full ArchitecturallPhysical Widen doorways to 3' , and install lever Basement not accessible door openers when renovating. Sink in full basement not ArchitecturallPhysical Sink and soap dispenser to be lowered accessible when renovating. ELGIN COUNTY PIONEER MUSEUM- AGRICULTURAL BUILDING Entrance to building not Architectural/Physical Install power door operator. accessible 2nd floor not accessible ArchitecturallPhysical Presently used for storage only. Install elevator if reauired. ELGIN COUNTY PIONEER MUSEUM 449 TALBOT STREET . {TEMPORARY LOCATIONl Reading of Signage Infonnationlcommunication Staff will read signs Using kitchen taps Physical Kitchen taps should be levered type ELGIN-ST. THOMAS HEALTH UNIT Front doors Communication Install audio when required . Front reception desk Architectural Lower to wheelchair level Hours of service on front Infonnation Provide sign with Braille door Elevator signs "G" Infonnation Need to be lower-4 ft. indicating ground floor Emergency sign "in case of Infonnation Needs to be in Braille fire" All door handles Physical All doors need levers Exit doors - east and west, Physical Need panic bars installed UDDer and lower floors Elgin/Central Elgin -19- Municipal Accessibility Plan Light switches Physical Some need to be lowered Water fountain Physical Should be lower Signage Information Should be lower Washroom signs - upper & Information Signs should be lower and also in lower Braille Desks in health protection Architectural Lower to wheelchair level (desks are at and sexual health this level due to high confidentiality) Showers - second floor Architectural Need to be wheelchair accessible- wide lip at entrance Parking lot - disabled Information Install signs at each space parking spaces Lawyers Offices Reception desk Architectural Lower to wheelchair level Kitchen sink Physical Install lever handles GARAGES - 42343 FRUIT RIDGE LINE BUILDING ONE . Entrance (Main building) ArchitecturallPhysical Eliminate small lip at doorway and replace with ramp, need 5' turnaround radius. Install power-door operator. Telephone System Information/Communication Provide access toTTY device. Signage Information Install signage at standardized placement and height. Wording should be large print and in Braille or routed. Interior doors too narrow and ArchitecturallPhysical Widen doorways to 3' when renovating doorknobs wrong type and install lever door openers. Stock room not accessible ArchitecturallPhysical Install elevator when renovating. Parts stored on shelves are Physical Shelving can be lowered when needed. not accessible Filing cabinets not accessible Physical Purchase filing cabinets no higher than 4 drawer when required. Sink and counter in Water ArchitecturallPhysical Sink and counter to be lowered or Dept. Room not accessible rebuild when renovating. Installlever handles on taps. Grate in floor in shop Architectural Will be leveled when renovating Kitchen counter and sink ArchitecturallPhysical Kitchen to be rebuilt when renovating. area not accessible Lockers not accessible ArchitecturallPhysical Lower clothes hooks when required. Second floor washroom! ArchitecturalJPhysical Renovate to include 3' doorway to shower room not accessible washroom stall, grab bars, and accessible toilet paper holder. Include turnaround radius in washroom stall. Elgin/Central Elgin -20- Municipal Accessibility Plan Sink and counter to be installed at proper height and lever handles on taps. Soap/paper towel dispensers, and mirror at wheelchair accessible height. Shower stall to be wheelchair accessible, with grab bars and lever handles on taps. Operating buttons on garage ArchitecturallPhysical When renovating lower operating doors and wash bay not buttons for overhead doors. accessible Equipment in shop not . Physical Equipment height can be modified when accessible required. All eQuipment is adîustable. First Floor Washroom not Architectura1/Physical Install grab bars, lower paper towel/soap accessible dispensers, renovate to provide 5' turn radius, install lever handles on sink. Door at Welding Shop exit ArchitecturallPhysical Eliminate small lip at doorway. not accessible Light switches not accessible Architectural/Physical Lower light switches when renovating. BUILDING TWO Stockroom on second floor ArchitecturallPhysical Install elevator when renovating. not accessible Shelves not accessible Physical Items on shelves can be lowered when needed. Desks not accessible Physical When replacing desks, ensure furniture has rounded comers and is wheelchair accessible. Telephone System not Information/Communication Provide access to TTY device. accessible to all GARAGES - 42343 FRUIT RIDGE LINE - SIGN SHOP (STORAGE OF SURPLUS EQUIPMENT) Entrance one to building not ArchitecturallPhysical Eliminate small lip at doorway. Door accessible should swing out and install panic button. Widen doorway to 3'; install power door operator, need 5' turning radius. Persons with disabilities can access building through a second entrance which renovations will be completed bv April 30, 2003. Entrance two to building not Architectura1/Physical Overhead door being replaced by April accessible 30,2003. Door will be power operated. Entrance to Chemical ArchitecturallPhysical Storage can be moved to another area, Stora!!e Area not accessible which is accessible if reouired. Elgin/Central Elgin -21- Municipal Accessibility Plan LIFT BRIDGE IN PORT STANLEY Entrance to West Building Architecturà!/Physical Remove two steps to entrance and replace with ramp, need 5' turn radius Entrance to West Building Architectural/Physical Widen doorways to 3' when renovating/rebuild is being considered and install lever door openers. Lift bridge operations room Architecturà!/Physical Access to this room is impossible due to not accessible structure of building - total renovation! rebuild would be necessary Entrance to East Building Architecturà!/Physical Remove two steps to entrance and replace with ramp, need 5' turnaround radius. Widen doorways to 3' when renovating/rebuilding and install lever . door oneners. Washroom Architectural Washroom not wheelchair accessible. Widen doorway to 3', install lever door opener, install fixtures at proper level, install grab bars, lower soap dispenser, and provide a 5' turnaround radius. Room needs to be rebuilt for accessibility by disabled persons Telephone System not Infonnation!Communication Proyide access to TTY device accessible to all Signage Infonnation Install signage at standard placement and height. Wording should be larger I nrint and also in Braille or routed All areas in both buildings Architecturà!/Physical With some renovations, access to the not accessible two buildings may be possible; however, access to other rooms to operate or maintain the bridge is impossible due to the structure of the buildings. For full accessibility, total rebuild would be necessary. HOMES FOR SENIORS BARRIER BARRIER TYPE STRATEGIES/SUGGESTIONS Describe the barrier (use one of physical, architectural, FOR REMOVAL OR PREVENTION information/communication, attitudinal, I nolicies, techn%vical, nractices) BOBIER VILLA Metal strips in doorways to Physical When new flooring is installed - remove rooms - Residents have strips if possible as new floor will be difficulty to self-propel same height wheelchair Elgin/Central Elgin -22- Municipal Accessibility Plan Smoking room door difficult Physical Install power door operator to open if in wheelchair Servery room door difficult Physical Install power door operator to onen if in wheelchair Signage not at correct height Information/communication Put signs at appropriate heights for wheelchairs. No symbols Put up other signage which is helpful for or Braille for persons with those with visual impairment visual impairment Fire Alarm - persons with Information/communication Install rotating light to alert persons of a hearing impairment would fuealarm not hear alarm *not required in long-term care facility Toilets not at proper height- Physical Residents requiring higher toilets use for some residents toilets raised toilet seats on conventional toilets should be higher Work areas not at Physical Some work areas could be adjusted appropriate heights for an more easily than others - employee with physical limitations FORMER ELGIN MANOR Door entrances Physical Install power door operator Signage Information/Communication Place at bed rail/wheelchair height Room size/doorways Architectural Make wheelchair/geri chair accessible Lighting Architectural Require non glare/indirect Activity/Menu Boards Information/Communication Require other forms of communication Alarms Information/Communication Require rotating lighting Wheel chair accessibility Architectural Make doors/bathrooms/equipment! . . receiving dock/closets accessible Bathroom/sinks Architectural Install assistive devices - grab bars Smoking Room Architectural Require wheelchair accessibility/ automatic door Dining Room tables Physical Make wheelchair or geri chair height Attitudes toward Ageism Attitudinal Require Education/in-servicing (capabilities ofthe elderlv) Equipment (i.e. restorative) Phones Technological Require volume control/rotating light! large keypads RN Stations ) access Architectural Make wheelchair and geri chair Business Office ) to accessible Hair Salon PoliciesIPractices Require adjustable sinks and dryers Elgin/Central Elgin -23- Mnnicipal Accessibility Plan Medication/Treatment Carts Physical Require key pad lock - should be adiustable heÚilit Chairs/furniture Physical Require arms - stand assist Taps/door handles Physical Require lever knobs at proper height Disabled parking Physical Increase number of spots -level surface Outdoor Activity Physical Raise tlowerbeds - improve lighting Virus Control- West Nile; policies/Practices Need education/support/supplies SARS Floor finishes - colour PhysicallPractices Need education/low gloss Interior design - colour Physical Need education/research/associations/ societies Clocks Technological/Physical Need alternate methods Nurse Communication Technological/Physical Require handheld communication svstem Ordering/inventory systems T echnolo gicallPhysÌcal Need bar coding/computer programs Safety - Dementia Residents Physical! AttitudinaV Remodel structural design/education/ Practices/Architectural partnershins TERRACE LODGE Smoke Room Door Physical Install power door operator Doors and Frames Architectural Enlarge doors and frames to 36" throughout Elevator Buttons Physical Lower buttons for access Bathroom Sinks Physical Wheelchair accessible wash basins Front Office Window Architectural Lower window for access LIBRARIES - NOTE: Although Branch Libraries are housed in leased or privately-owned buildings; all accessibility barriers have been identified, including identification of some barriers that are outside of the County's jurisdiction. BARRIER BARRIER TYPE STRATEGIES/SUGGESTIONS Describe the barrier (use one of physical, architectural. FOR REMOVAL OR PREVENTION information/communication, attitudinal, I nolicies, techno/africa!, nractices) AYLMER All doorways less than 36" Physical! Architectural Widen doorways to 36" upon expansion/ wide renovation Emergency exits Physical! Architectural Not wide enough for wheelchair - needs 36" minimum Elgin/Central Elgin -24- Mnnicipal Accessibility Plan Washrooms have no Physical Washrooms to be widened for turnaround space, soap & wheelchair accessibility and to allow for towel dispenser too high turnaround space, sink, soap & towel dispenser to be lowered Servìce counter (circulation) Physical Keyboard and monitor to be fully desk too high adjustable. Part of circulation desk to be lowered Entrance Door not accessible Physical Install power door operator Employee office/kitchenette Physical ModifY countertop, sink, and taps upon not accessible to all expansion/renovation of library Computer station in Physical Keyboard and monitor to be fully stamoom not adiustable adiustable. Computers Technological Headphones to access sites that offer audio text Monitors - magnifier for Physical Portable magnifYing screen to fit over reading print needed computer as needed. Large print options , should be installed on computers Desks/computer desks not Physical When replaced need to be height adjustable adjustable as well as monitor and kevboard . Shelves too high Physical Lower shelves or have a "reacher" with extender ann to select books from higher shelves. Staff assistance would address shelf issues Posts in book aisles ArchitecturallPhysical Place shelving lined up with posts upon comnromise accessibility expansion/renovation ofIibrarv Crowded shelves Physical Collection requires "weeding" to make selection of books easier and free up library space from boxes piled un etc. Lighting not adequate Physical Improvement ofIighting in some areas Photocopier area cramped Physical Needs more space for operation by all persons; too close to doorway and can block traffic flow. Change location upon expansion/renovation of library Washrooms Physical! Architectural Widen doorway, increase turnaround area, install lever door opener, lower sink and install lever handles on taps, install grab bars, move toilet tissue disnenser, upon expansion/renovation Basement not accessible Physical Not leased Power interruptions Physical Power control panel needs to be lowered Signage - interior & exterior Information/Communication Install signage at standardized placement and height and wording to be in Braille or routed Elgin/Central Elgin -25- Mnnicipal Accessibility Plan BAYHAM Entrance Doors not Physical Install power door operator accessible to all Washrooms doors & sink Physical Replace doors and sink handles with handles levered ones when renovating Employee kitchen/staff room Architectural Enlarge doorway to 36"; change sink; door not wide enough; sink Physical lower towel rack; replace handles with and towel rack too hiciI . lever-style - when renovating Signage - interior & exterior Information/Communication Install signage at standardized placement and height and wording to be in Braille or routed BELMONT I * Entrance and interior doors Physical Install power door operators, eliminate not accessible to all I" liD at doorwav * Basement not accessible Physical Investigate need for elevator/lift -low usage * Computer terminal Physical New table needed * Washroom Physical Fixtures may need to be replaced * Wheelchair Ramp Physical May not meet requirements, slope and width auestionable Circulation desk too high Physical Keyboard and monitor to be fully adjustable. Part of circulation desk to be lowered. Shelves too high Physical Lower shelves or have a "reacher" with extender ann to select books rrom higher shelves. Staffì'family assistance conld address shelf issues * Identified by Municipality of Central Elgin staff DUTTON/DUNWICH All doorways too narrow Physical! Architectural Widen doorways to 36" when renovating Washrooms have no Physical Washrooms to be widened for turnaround space, soap & wheelchair accessibility, allowance for towel dispenser too high turnaround area; sink modified; height of toilet modified; soap & towel dispenser lowered; lever taps and handles installed when renovating Employee kitchenette not Physical ModifY countertop, sink, and taps when accessible to all renovating Service counter Physical * Keyboard and monitor to be fully adíustable Book trucks Physical Require wheels that spin rreely Elgin/Central Elgin -26- Mnnicipal Accessibility Plan Computer station not Physical Keyboard and monitor to be fully adiustable adiustable Monitors - magnifier for Physical * Portable magnifYing screen to fit over reading print needed computer as needed for persons with visual impainnent (not necessary if you have special software program) Computers Technological * Headphones needed to access sites that offer audio text Shelves'too high Physical Lower shelves or have a "reacher" with extender arm to select books from higher shelves. Signage - interior & exterior Infonnation/Communication * Install signage at standardized placement and height and wording to be in Braille or routed Disabled parking space (by ramp) needs to be clearlvmarked Washrooms Physicall Architectural Widen doorway when renovating - doors are very heavy, awkward and hard to open * soan and towel rack to be lowered Basement not accessible Physical Not leased Upper storage room Physical Used by WEHGS for storage Kitchenette off meeting room Architectural Enlarge doorway to 36"; modifY sink, door not wide enough; Physical install lever-style taps and doorknobs counter and sink too high when renovatill!! Desks not adjustable Physical When replaced need to be height adiustable with 36" legroom below Photocopier area cramped Physical Needs more space around copier to allow wheelchair to get past it and/or onerate the eauinment Cushioned chairs Physical Need 1 or 2 without arms for easier access from wheelchair Reading room Phýsical Needs improved lighting Emergency exits Physicall Architectural * Not wide enough for wheelchair- needs 36" minimum Power interruptions Physical Control panel in basement - disabled staff could not access * indicates priority items PORT BURWELL Doorways less than 36" wide Physical! Architectural Widen doorways to 36" when . renovating Exterior doors - 2 Physical! Architectural Eliminate one door. Install lever handle (aluminum screen) pulls out or power door operator and handle wrong tvne Elgin/Central Elgin -27- Municipal Accessibility Plan Washrooms too small, Physical! Architectural Washrooms need to be enlarged, counter, soap & towel counter, taps/sink area, and towel rack dispenser too high, taps to be modified when renovating wrong tvDe Circulation Desk Physical Modify for wheelchair access. Keyboard and monitor to be fullv adiustable Computer station not Physical Keyboard, monitor and desk to be fully adiustable adjustable Shelves too high Physical Rearrange when renovating. Lower shelves or have a "reacher" with extender arm to select books from higher shelves Signage - interior & exterior Information/Communication Install signage at standardized placement and height and wording to be in Braille or routed No parking for disabled Practices One parking space for disabled should be provided PORT STANLEY Outside sidewalk area Architectural Patio stones are uneven and difficult to navigate - sidewalk should be poured . . cement No parking for disabled Practices One parking space for disabled should be Provided Signage - interior & exterior Information/Communication Install signage at standardized height and placement and wording in Braille or routed Entrance doors are heavy and Physical Install power door operators. Widen not accessible to all doorways to 36" when renovating Fire door Architectural I Door too small, no ramp/stairs Circulation Desk too high Physical Needs to have lower section for wheelchair accessibilitv Photocopier Physical Area not accessible by wheelchair height is 39" CD Racks Physical Racks are too high and top portion is not accessible Shelving too low and too Physical Top and lower shelves are hard to reach high Aisles between shelving Physical Not accessible by a scooter Magazine area Physical Lift-up racks are hard to use Newspaper area Physical Furniture requires re-arranging Government information area Physical Accessible Staff Room Physical Minor re-arranging required Staff Washroom Architectural Would have to be reconstructed Elgin/Central Elgin -28- Municipal Accessibility Plan Telephone Physical Numbers are small Computer stations Physical 24" rrom floor, scanner inaccessible Alann System Physical Entry/Leaving time requires adjustment, unit is too hiclJ. and over top of a shelf Computers Technological Headphones needed to access sites that offer audio text Monitors - magnifier for Physical Portable magnifYing screen to fit over readin!! Print needed comnuter as needed RODNEY * Entrance door too narrow Physical! Architectural Widen doorways when renovating * Entrance door Physical Install automatic door opener * Fire alann system Visual Need to add strobe lights * Signage - exterior Infonnation/Communication Install accessible signage at ground level, include Braille and engraving * Signage - Lobby Infonnation/Communication Install appropriate signage * identified by Municipality of West Elgin staff as amended on 09/15/03 SHEDDEN No parking for disabled Practices One parking space for disabled should be nrovided Signage - interior & exterior Infonnation/Communication Install signage at standardized placement and height and wording in Braille or routed Entrance door Physical Install power door operator. Wooden ramp needs to be replaced with suitable structure Circulation Desk too high Physical Needs to have lower section for wheelchair accessibility Photocopier Physical Area not accessible by wheelchair- . heÜilit is 40" CD Racks Physical Lay flat on table and need 40" reach to access Shelving too low/too high Physical Top and lower shelves are hard to reach Aisles between shelving Physical Too narrow for accessibility by wheelchair or scooter Magazine area . Physical Lift-up racks are hard to use Lighting Physical More lighting required - ceilings could be lowered when renovating Government infonnation area Physical Not accessible to wheelchair or scooter Elgin/Central Elgin -29- Municipal Accessibility Plan Children's area Architectural When renovating, three steps should be removed Fire door Architectural Cannot access ITom upstairs - 30" wide with step Staff Cupboard Physical Shelving is too high and doors too narrow - redesign when renovating StafWublic Washroom Architectural Located on upper level, no grab bars, sink has vanity beneath Telephone Physical Numbers are small Computer stations Physical 24" ITom floor, scanner inaccessible - requires adjustable desks and rearrangement ofthe area Computers Technological Headphones needed to access sites that offer audio text Monitors - magnifier for Physical Portable magnifYing screen to fit over reading print needed computer as needed Fuse panel Technological Needs to be relocated at a lower height Heat thermostat Technological Needs to be relocated for accessibility and at a lower height . SPRINGFIELD No parking for disabled Practices One parking space for disabled should be provided Signage - interior & exterior InfonnationlCommunication Install signage at standardized placement and height and wording in Braille or routed Entrance door Physical Dooris accessible and has power door operator Circulation Desk Physical Has lower section that could be used for wheelchair accessibility Shelving . Physical Cannot have all shelves at eye level Monitors Physical Font can be enlarged through "Tools" VIENNA Entrance door Physical Widen to 36" and install power door operator when renovating Signage - interior & exterior InfonnationlCommunication Install signage at standardized placement and height and wording in Braille or routed Washroom - doorway too Physical! Architectural Washroom is too small to be accessible narrow doorway, no and requires reconstruction when turnaround area, no leg room renovating under sink; taps not levered Kitchen sink Physical Counter and taps need to be modified for accessibility Elgin/Central Elgin ~30- Municipal Accessibility Plan Circulation Desk too high Physical Needs to have lower section for wheelchair accessibility Computer station Physical Keyboard and monitor needs to be fully adjustable Computer desk Physical Keyboard and monitor needs to be fully adjustable. Need legroom of36" Computers Technological Headphones needed to access sites that offer audio text Monitors - magnifier for Physical Portable magnifying screen to fit over readin!!: mint needed computer as needed Shelving too high Physical Shelves need to be lower or have a reacher with extender arm WEST LORNE * Entrance door Physical Install automatic door opener * Entrance door too narrow Physical! Architectural Widen doorways when renovating * Fire alarm system Visual Need to add strobe lights * Rear entrance Physical Install rear emergency exit door ramp when renovating * Signage - exterior Information/Communication Install accessible signage at ground level, include Braille and en!!:ravin!!: * Signage - Lobby Information/Communication Install appropriate signage * Washroom not accessible Physical! Architectural When renovations occur, renovate to disabled washrooms to be accessible to disabled in accordance with OBC . . * identified by Municipality of West Elgin staff as amended on 09/15/03 SOCIAL HOUSING As mentioned earlier in the report, the City of St. Thomas, by way of a service agreement, administers Social Housing throughout the County of Elgin. In consultation with the City of St. Thomas Director of Ontario Works/Social Housing, the City will· ensure that new social housing additional units or replacement units includes a percentage of modified units for persons with disabilities, as required by the Ontarians with Disabilities Act. Elgin/Central Elgin -31- Municipal Accessibility Plan VEHICLES LEASED VEHICLES - TRUCK AND VAN - ENGINEERING SERVICES AND LIBRARY ADMINISTRATION BARRIER BARRIER TYPE STRATEGIES/SUGGESTIONS Describe the barrier (use one of physical, architectural, FOR REMOVAL OR informatlon/communication, attitudinal, nolicies, tecìmolordcal. nracticesJ PREVENTION Leased vehicle not accessìble Physìcal If an employee wìth physìcallìmìtatìons requìres the use of the County vehicle to perform his/ her dutìes, an accessìble vehìcle wìll be leased when the lease comes due . Operational Review and Identification of Barriers to Disabled Persons Municipality of Central EI!!Ìn The munìcìpal structure wìthin The Munìcìpalìty of Central Elgìn includes 4 maìn departments: Financial Services (responsible for the collection of taxes, accounts payable, payroll and employee benefits, while managìng munìCÌpal budgets and controllìng the safekeepìng of munìCÌpal assets. Corporate Services (responsìble for dìrectives from the Mayor and Councìl, Admìnìstration, Licensìng, Planning Issues, Buìldìng Inspectìon and By-law Enforcement Fire Rescue (responsible for emergency plannìng and measures as well as admìnìstratìon and conduct of 4 fire statìons located wìthin our munìcìpal boundaries Physical Services (responsìble for munìCÌpal roads network which functions from a separate operations centre, draìnage, water, sewer, parks and recreation, ìncludìng 2 municipally-owned arenas and several munìcipal parks. Each Department Head was requìred to conduct a review of the areas, systems and servìces whìch they are responsìble for ìn an effort to deterrnìne accessìbìlìty barriers. The followìng charts outlìne the accessìbìlìty ìssues that each department identified through theìr ìndìvìdual revìews: MUNICIPALITY OF CENTRAL ELGIN REVIEW AND IDENTIFICATION OF BARRIERS TO DISABLED PERSONS ARENAS BARRIER BARRIER TYPE STRATEGIES/SUGGESTIONS Describe the barrier (use one of physical, architectural, FOR REMOVAL OR PREVENTION information/communication, attitudinal, nolicies, technoloPical, practices) BELMONT Front and ìnterior doors and Physìcal Install power door operator doors to upstaìrs Elgin/Central Elgin ~32- Municipal Accessibility Plan Washrooms - Men's/Ladies Physical New washrooms planned for 2004 Water fountain Physical Replace with barrier-tree fountain Concession Physical Lower section of Concession Hall washrooms Physical Washroom fixtures need to be replaced Hall kitchen Physical Lower section of concession PORT STANLEY - Front door Physical Install power door operator Interior and Washroom door Physical Install power door operator Lobby Physical Paint "reserved for disabled" on viewing area at glass for observing ice surface Washrooms - upstairs and Physical Fixtures need to be replaced or moved main lobby Canteen Physical Lower portion of counter Bar and kitchen Physical Lower portion of counter . BEACHES PORT STANLEY BEACH AND WASHROOMS BARRIER BARRIER TYPE STRATEGIES/SUGGESTIONS Describe the barrier (use one of physical, architectural, FOR REMOVAL OR PREVENTION injonnationfcommunication, attitudinal, policies, techn%frical, nractices) Showers Physical Install bench, grab bars and hand-held showers Washrooms Physical Adjust fixtures to proper height Beach Physical Beach wheelchair to be purchased in 2003 Beach access trom parking Physical Cut logs on ground to allow 36" lots unobstructed access for wheelchairs FIRE RESCUE STATIONS BARRIER BARRIER TYPE STRATEGIES/SUGGESTIONS Describe the barrier (use~eqp~n~LanhitæmrnL FOR REMOVAL OR PREVENTION information/communication, attitudinal, : Doliâes, technolorflcal, DracticesJ BELMONT Washroom door too narrow Washroom doorway· Not used by disabled persons - widen Architectural doorwav and install 36" door if reouired Elgin/Central Elgin ~33- Municipal Accessibility Plan PORT STANLEY Second floor training room Stairway to second floor Not used by disabled persons- Architectural provision of elevator or build a first floor level training room if required First floor washroom door Washroom doorway Widen doorway and install a 36" door too narrow Architectural . YARMOUTH CENTRE AND UNION STATIONS Barrier-free LffiRARY - BELMONT - Note: Accessibility Barriers are identified in the previous section of the Plan under County Libraries. MEDICAL CENTRE PORT STANLEY MEDICAL CENTRE BARRIER BARRIER TYPE STRATEGIES/SUGGESTIONS Describe the barrier (use one of physical, architectural, FOR REMOVAL OR PREVENTION information/communication. attitudinal, Do/ides. technolovicallJracticesJ Front and interior doòr Physical Install power door operator Ramp Physical Ramp to be replaced in 2003 Basement Physical Investigate need for elevator/lift Fixtures Physical Fixtures need to be replaced or moved NON-PROFIT HOUSING KETTLE CREEK VILLA BARRIER BARRIER TYPE STRATEGIES/SUGGESTIONS Describe the banier (use one of physical, architectural, FOR REMOVAL OR PREVENTION information/communication, attitudinal. ! Do/fetes, technolo~cal vractices) Front entrance doors Physical Install power door operator and levered handle on inside door Entry Communication Braille or routed signage - Call system Door Access Architectural Lips on interior doors to units (fire barrier) ElginlCentráI Elgin -34- Municipal Accessibility Plan Elevator Communication Braille or routed signage Common Room Physical Fixtures need to replaced/relocated (sink) Common Room Physical Levered door handles required Common Room Physical Counters not wheelchair accessible Laundry Physical Fixtures need to replaced/relocated (sink) Fire Alann System Communication Require visual alanns RECREATION PLAYGROUNDSANDSPORTSnELDS BARRIER BARRIER TYPE STRATEGIES/SUGGESTIONS Describe the barrier (use one of physical, architectural, FOR REMOVAL OR PREVENTION infonnationlcommunication, attitudinal, DoliCÎes, technolo'Zical, vractices) All playgrounds and sports Physical Paths needed to provide access fields Playground equipment is not barrier- free. Additional eauipment reauired SECTION 7 Leases As noted earlier in this document, buildings are leased for Library and other purposes. It is difficult to address lease issues and the Committee determined that when new or renewal Leases are discussed, consideration is to be given to the barriers identified and to the recommendations contained in this report. SECTION 8 Review of Site Plans In order that a timely review of site plans may be conducted, site plans may be delivered to the home of the Chair or Vice Chair and one other member for signature in the event that a scheduled meeting date would cause undue delay for the municipality or the contractor. The Chair or Vice Chair would review the actions with the committee at the next scheduled meeting for approval. 1; Elgin/Central Elgin -35- Municipal Accessibility Plan SECTION 9 Targets and Actions The following chart (see after Annual Review) is to be used to establish the anticipated timelines for addressing/eliminating the identified barriers. The actions may be phased in over a number of years depending on the resources available. The charts are to be forwarded to the Joint Accessibility Advisory Committee following adoption of annual budgets. Annual Review An annual review will be conducted, in August of each year, to detennine if identified barriers are being addressed, the status of elimination of identified barriers, and reasons for the non-completion of elimination of identified barriers. This process includes review of By-Laws, Policies, and Programs. The following chart is also to be used for this purpose: Tar!!ets and Actions Annual Review Barrier Action Department Resources Costs Target Status Reason for or Position (funding/ Date (Completed, Non- Responsible staff time) Ongoing, completion Planned) . SECTION 10 Promotion of the Plan The Joint Elgin/Central Elgin Municipal Accessibility Plan would be promoted using the following methods: a) Hard copies would be placed in all Libraries (Main and Branches); Lower-Tier Municipal reception counters: and various agencies that deal with persons with disabilities. b) Electronicfonnat c) Holding of a public meeting to which stakeholders would be invited. d) Provision of criteria checklist to accompany applicable building applications (available in 2004). Elgin/Central Elgin -36- Municipal Accessibility Plan RECOMMENDATIONS 1. THAT the Joint Elgin/Central Elgin Accessibility Advisory Committee recommends to the Council for the County of Elgin and the Council for the Municipality of Central that the following identified barriers to persons with disabilities and the resolution measures be adopted. The recommendations detailed below have been rated according to the following Categories: #1 - High Importance - measures to be undertaken to address the barrier as soon as possible #2 - Medium Importance - measures to be undertaken to address the barrier within the next five years #3 - Low Importance - measures to be undertaken to address the barrier when renovations occur. ATTITUDINAL BARRIERS CATEGORY BARRIER AND RESOLUTION 1 Attitudes towards persons with disabilities requires education and in servicè sessions to train emplovees how to deal with Residents, co-workers and the Dublic CATEGORY 1 1 1 1 1 2 2 2 2 3 CATEGORY 1 2 INFORMATION/COMMUNICATION BARRIERS BARRIER AND RESOLUTION Signage throughout all buildings to be in Braille and raised letters no higher than 48" from the floor, and laced in standardized location Elevator floor buttons and selection panel to include Braille and be positioned no higher than 48" from the floor. Emergency telephone to be positioned no higher than 48" from the floor Investi ate ac uirin TTY device at main rece tion front service counter Create website version for visuall im aired Re-mark a ro riatel sized disabled arkin s aces and install suitable si a e Fire ull station and extin ishers to be lowered to no hi er than 48" from floor Investigate computers to communicate with hearing impaired particularly at Libraries PCs available for public use are to be compatible for Braille translation software. Purchase screen readers called JAWS (Job Access With Screen Reading). Purchase Braille keyboard and software called Dragon Dictate, which allows a person to dictate information and it writes it down, for any PCs available for public use. Install Braille embosser, which is used like a printer. Install soundtrack on narrative for hearin im aired Human Resources and Health & Safet readin material to be in multi-format Voice enunciators for floor ositions to be installed in elevators POLICIES AND PRACTICES BARRIERS BARRIER AND RESOLUTION Hiring policies to be codified in writing, not just an understanding - e.g. hiring is b ual 0 ortuni based on non-discrimination of the Human Ri ts Code All olicies, warnin s and notices to be available in muIti- formats Elgin/Central Elgin -37- Municipal Accessibility Plan PHYSICAL/ARCHITECTURAL BARRIERS CATEGORY BARRIER AND RESOLUTION General 1 All interior exit doors reauire nanic bars 1 Library book trucks (dollies) reauire wheels that snin freelv . I Investi!.!ate dron off zones for libraries I Lower shelves in Libraries or sunplv suitable extender arm to assist natrons 1 Portion of bars/rods in coat closets and hooks in lockers to be lowered I Vertical difference in elevation not to exceed 12mm (sidewalks) I Reauire extenders on fans and mini blinds to allow for adiustin!.! 1 Dinin!.! tables in Homes for Seniors should be wheelchair or !.!eri chair hei2:Ì1t 1 Chairs in Homes for Seniors reauire arms to assist Seniors in standin!.! 1 Disabled parking space(s) to be identified, signed and promoted for all buildings, shonnin!.! areas, and beach areas I Provision of accessible viewin!.! area at the Port Stanlev Arena 1 Beach wheelchair to be nurchased in 2003 for the Port Stanlev Beach 2 Install nower door operators on exterior main entrance doors 2 Power door operator control button to be located a distance of 3' -4' from the doorwav to allow for safe openin!.! 2 All access ramns and washrooms to have a minimum turnaround radius of 5' 2 All access ramps to be a minimum unobstructed width of36" inside railin!.!s 2 All door widths to be a minimum of 36" 2 All turn-type knobs to be revlaced with lever stvle 2 Lower section of counter for concessions 2 Paths to be constructed to provide access to nlaV2:founds and snorts fields 2 Medication/treatment carts reauire keypad lock and to be hei2:ht adiustable 3 Remove shelving in Administrative Services vault along one side 3 Mailroom in Administration Building to be rebuilt 3 Installation of non-!.!lare/indirect li2:htin!.! in offices and work stations 3 Workstations to be adiustable 3 Curb cuts and sidewalk ramps to be included in new construction and others to be retrofitted 3 Water coolers to be barrier free 3 Lifts and/or elevators to be installed if necessary 3 Plav2:found eauinment to be barrier free or add on barrier free section 3 Provide accessible scooter/storage locations in Senior Homes and non-profit housin" 3 All thresholds to be level with floorin!.! or entrances 3 All li"ht switches to be lowered to no hi2:her than 48" from the floor 3 Stora"e of chemicals to be moved to an accessible area 3 Should an employee with physical limitations require the use of a leased vehicle to ,. I nerform duties, a vehicle will be leased that is accessible 3 Hair salons in Homes for Seniors reouire adiustable sinks and dryers 3 Power control nanels to be lowered (access to fuseslbreakers) Elgin/Central Elgin -38- Municipal Accessibili!JC Plan Kitchens 2 Lower section of coun.ter, provide accessible sink area, and sufficient space for wheelchair access in kitchens available for public or emplovee use 3 Microwaves to be at an accessible height and placement . Office Ergonomics 1 Office furniture to be renositioned to allow clear access 2 Equipment stands (fax, minters, etc.) to be at accessible height or be adiustable 2 Receution desks to have lower section or be adiustable 2 Mailing machines to be at accessible height or be adiustable 3 Replacement desks to be adiustable andwith roun.ded comers 3 Computer terminals - desks and chairs to be adiustable . 3 Photocopiers to have controls at accessible height 3 Filing cabinets to be no higher than 4 drawers or purchase revolving side file cabinets 3 Lower bookshelves and informational material 3 Grates in floor to be level with flooring material 3 Lower control buttons for garage doors and wash bay Washrooms 2 Provide barrier rree washroom facilities as per the Ontario Building Code 3 Showers require a bench, well-anchored grab bars, and handheld showerheads. All controÍs to be within easv reach TECHNOLOGICAL BARRIERS CATEGORY 2 3 3 3 2. THAT, although some of the items listed un.der Categories #1 and #2 would require renovations, consideration be given to advance them on Capital Plans, due to their importance to provide accessibility to persons with disabilities. 3. THAT when new or renewal Leases are discussed, consideration be given to the barriers identified and to the recommendations contained in this report. 4. THAT the Joint Elgin/Central Elgin Accessibility Advisory Committee be authorized to convene a public laun.ch of the Joint Elgin/Central Elgin Municipal Accessibility Plan at the Elgin Coun.ty Administration Building, to which members of Coun.ty of Elgin Coun.cil, Municipality of Central Elgin Coun.cil and interested stakeholders would be invited. Elgin/Central Elgin -39- ! Municipal Accessibility Plan Respectfully Submitted Pete oe, Vice Chair, Joint Elgin/Central Elgm Accessibility Advisory Committee. Dennis revits, ommittee Member, Joint Elgin/Central Elgin Accessibility Advisory Committee. ÓCC~ ~( Beéky Marks, ' Committee Member, Joint Elgin/Central Elgin Accessibility Advisory Committee. REPORTS OF COUNCIL AND STAFF September 23. 2003 Councillors Reports - (ATTACHED) 53 Councillor Jim Mcintyre - Elgin-St. Thomas Health Unit Annual Report j)£h£1I..11J-D -ro Oc..-..¡ 0;5 59 Councillor Bob Habkirk - Thames Valley District Health Council Annual Report Staff Reports - (ATTACHED) 63 Director of Financial Services, Manager of Engineering Services, County Archivist, - Pioneer Museum/Archives Feasibility Study Process and Timeline 65 Special Events Committee - Special Events Committee Update 67 Emergency Measures Co-Ordinator - Provincial Offences - Directive for the Collection of Outstanding Fines 73 Emergency Measures Co-Ordinator - RFP for a Fine Collections Agency 75 Human Resources Co-Ordinator, Director, Human Resources - United Way Campaign 2003-2004 77 General Manager, Long-Term Care - Compliance Report - Terrace Lodge 79 General Manager, Long-Term Care - Compliance Report - Bobier Villa Warden Wilson and Councillor McPhail- County Ring Design Manager of Engineering Services - Facility Condition Study - Administration Building Deputy Clerk, Warden's Banquet ELGIN ST. THOMAS HEALTH UNIT ANNUAL REPORT TO THE COUNTY OF ELGIN SEPTEMBER 2003 Submitted By: Elgin St. Thomas Health Unit Annual Report Of Elgin St. Thomas Health Unit To County of Elgin September 2003 INTRODUCTION The Elgin-St. Thomas Health Unit is pleased to provide the following report related to its . activities in 2003. The Health Unit is a team of professionals who are dedicated to building a healthy community by promoting and supporting the health of the people who live, work, and play in Elgin County through the delivery of effective public health programs and services. Listed below are just a few highlights of the many programs and services we offer in Elgin County. The highlights are divided into two main program areas: health promotion and health protection. We are proud of our achievements this year and appreciate the opportunity to share these highlights. Thank you to the County of Elgin for their continued support! HEALTH PROMOTION HIGHLIGHTS In promoting the health of Elgin County residents, the goal of the Health Promotion programs and services is to increase the length and quality of life by reducing sickness and death associated with chronic diseases like cancer and heart disease, injuries and substance abuse and by promoting the health of children, youth and families. }> Over the past 7 months, health promotion staff: · Responded to about 10,000 telephone, drop-in and e-mail requests for advice and information . Made 1,411 home visits to families with babies and young children · Gave 114 presentations to groups in Elgin, reaching about 11,000 people on a variety of topics · Communicated to the public through about 80 media ads, articles and interviews · Treated 162 children with urgent dental needs under the Children in Need of Dental Treatment Program That's on top of many other educational, partnership and advocacy activities! }> In partnership with police, MADD, St. Thomas Dragway and Optimist Clubs, we brought the Racing Against Drugs program to Elgin County Grade 5 students. Seventeen schools bussed about 800 students to the St. Thomas Airport for this drug and alcohol awareness program developed by the Royal Canadian Mounted Police. Based on the positive response received, the program will be offered again in October 2003. }> We are working with the Mennonite Central Committee and the West Elgin Community Health Centre to assist rural, low-income women in getting free transportation to the St. Thomas Ontario Breast Screening Program. Partial funding was received from Cancer Care Ontario. According to the 2002 Canadian Community Health Survey, about 88% of Elgin women over aged 50 report having a mammogram. 2 þ> In partnership with the Y.M.CA, we received funding from the National Child Tax Benefit program to implement "Positive Leisure Activity for Youth" (P.L.A.Y.). This program is designed to pay registration for children who are from families unable to pay for recreational opportunities. In the first 3 months of the program, 82 youth from 45 families in Elgin benefited from this program. þ> With two-thirds of Elgin's children and youth not active enough for future health and well being, we chose to participate in a Thames Valley-wide campaign called 'Turn Off the Screens". Twenty schools and over 3000 students participated. During the week of April 7th, when these students were asked to refrain from computer use and television watching, 86.5% did not engage in either of these activities. As well, 67% experienced an increase in their physical activity level during that week. þ> Thanks to the efforts of many partners we were designated a "Safe Community" this past spring. We were awarded $12,000 of funding for the first year. There are now 38 designated safe communities in Canada. A launch of the program is planned for October. þ> Our volunteer hours are up 72% over last year, mainly due to new volunteer programs and volunteer help with SARS screening and office tasks. We have a great group of volunteers! þ> With the number one health risk for children being preventable injuries, we have partnered with four other health units to launch a campaign called "Safe Adventures Start at Home". The campaign will include extensive media advertising and distribution of information to parents of children aged 0 to 6. We received provincial funding for this project. HEALTH PROTECTION HIGHLIGHTS The goal of Health Protection programs is to reduce or eliminate infectious diseases. Infectious diseases represent constant new challenges to public health's role as new organisms emerge as causes of disease. Surveillance, case finding, contact tracing, immunization, infection control and risk assessment are all important components in controlling infectious diseases. Specific programs are directed at controlling the potential for infectious disease in food and water. In addition, programs are directed at specific disease control requirements for tuberculosis, rabies, vaccine preventable diseases, and sexually transmitted diseases including AIDS. Infection Control defines requirements for assuring that effective infection control techniques are in place in institutions, day cares and personal service settings. Sexual health programs are directed at decreasing the rate of teenage pregnancy, increasing access to contraception for those who have need, and increasing the awareness and knowledge about personal responsibility and life skills required to deal with sexual relationships. 3 In the past year, the Health Protection staff has been challenged by a number of high profile and intense situations that posed a threat to the health of the people of St. Thomas and Elgin County. These situations include: · SARS and the declaration of a Provincial Health Emergency in March · The May 28th workplace and home quarantil1e of 60 local residents exposed to a suspect case of SARS who had been a patient at St. Thomas Elgin General Hospital · Post SARS implementation of the New Normal guidelines with heightened awareness of respiratory illness where a causative organism has not been identified · Contingency planning for the control of West Nile virus · Active surveillance for evidence of West Nile virus activity in mosquito larvae, adult mosquitoes, crows and humans that would potentially trigger a need for larviciding or adulticiding · The August 14th power outage that put such things as the safety of water treatment systems, food storage and the maintenance of vaccine cold chain protocols at risk · The Aylmer Meat Packers Investigation and recall of beef products · A dramatic increase in adverse water reports as a result of evolving provincial water regulations affecting private well owners and operators of municipal and small water systems · Bovine Spongiform Encephalopathy (BSE) · Monkeypox virus · The September 2002 contamination of the St. Thomas Elgin General Hospital water system · Implementation of Bill 1 05, an Act to amend the Health Protection and Promotion Act to require the taking of blood samples to protect victims of crime, emergency service workers, good Samaritans and other persons · 17 outbreaks of gastrointestinal illness in January and February, affecting over 600 vulnerable residents and patients of local long term and acute care facilities and resulted in huge demands on the health care system · advocating for smoke free environment bylaws · communicating to health care providers the crucial role they play in the prevention of influenza illness Public health response in these situations is multifaceted and can include such activities as: · Participating in frequent teleconferences with the Ministry of Health and Long Term Care and the Provincial Emergency Operations Centre · Liaising extensively with physicians, nurse practitioners, and health and social service providers · Apprising the media of situations and activities · Operationalizing multitudes of ministry directives and guidelines, a process we locally refer to as Elginizing resources and guidelines · Communicating updates to community partners on a regular basis 4 · Assisting other health care providers in the interpretation and implementation of protocols · Producing and disseminating educational resources and maintaining information on our web site · Placing and monitoring individuals on quarantine as needed · Arranging for medical assessments under strict control measures · Providing advise to hundreds of concerned individuals who contact the Health Unit for information and guidance · Setting up screening protocols within our own facility and off-site settings · Keeping Health Unit staff apprised of the situations While it has been an incredible year of challenges and learning, we were grateful for the excellent working relationship we have with community partners such as the St. Thomas- Elgin General Hospital, long term care facilities, physician practice settings, emergency service workers, municipal authorities, educators, and other ministry officials. These are old familiar partners continually working on the emergent issues of the day. It would have been extremely difficult if we had needed to establish new relationships in the midst of all the crisis situations. 5 A healthy life journey in a safe, caring community Une vie en santé au sein d'une communauté sécuritaire et bienveillante Thames Valley District Health Council August 2002 - August 2003 Council's Advice to the Minister of Health and Lona-Term Care v' Highlighted the similarities of Council's Discussion Paper on "the George Report" Shaping Ontario's Physician Workforce and the Ontario Medical Association's Position Paper on Physician Workforce Policy and Planning. v' Recommended the proposal for a Satellite Dialysis Unit at Tillsonburg. v' Supported St. Thomas-Elgin General Hospital's proposed Phase 1A Redevelopment Project and reaffirmed support for the Phase 1 B portion of the project (as stated in October 2000 and April 1996) that the recommendation of London as the site for the Psychiatric Hospital not be acted upon until the community is able to plan and ensure support systems are in place prior to any downsizing; that a Schedule 1 unit be established at St. Thomas-Elgin General Hospital prior to the closure of the St. Thomas site and that the Ministry of Health proceeds as quickly as possible to examine the decentralized option. v' Recommended expansion of the MDS Laboratory Services licence to include general and vascular ultrasound services within a flexible schedule, to include service provision during 'evenings and weekends. Selected Accomplishments from the Past Year v' Developed Nursing Supply - Phase II (Recruitment And Retention Work Group & Education Work Group) v' Produced Thames Valley Health System Monitoring Report v' Held a district session titled: Primary Care: The Keystone to Health Care Integration v' Developed Elgin Mental Health Network v' Participated in The Year of Healthy Living - Health Promotion Fair v' Development Partner for the Community Advisory Committee, Community Care Access Centre of London-Middlesex v' Held Third Annual Operating Plan Consultation Sessions v' Created Health Human Resources Committee Report - Recommendations to the Minister of Health and Long-Term Care on Physician Planning v' Held Thames Valley Regional Stroke Strategy Consultation Session v' Produced East Elgin Health Needs Assessment v' Provided Student Placements for Seven Medical and Three Health Science Students ./ Held a Middlesex County Information Technology Session ./ Facilitated a Nurse Practitioner Demonstration Project for Tillsonburg ./ Held Two Long Term Care Consultation Sessions in Elgin County ./ Facilitated Two Information Technology Sessions in Elgin County ./ Facilitated the Thames Valley Primary Care Nurse Practitioner Process ./ Presented the First French Language Health Services Advisory Committee Recognition Award to the Middlesex-London Health Unit ./ Held Future Life Planning - Workshop 1 "Identify Changes And Success Factors", and Workshop 2 "Develop The Strategies For Success" ./ Facilitated the Request for Proposal Process for Primary Care Nurse Practitioners in Elgin County In Partnership: ./ Participated in the London Economic Development Corporation Health Human Resource Roundtable ./ Utilized Blueprinting and the Balanced Scorecard to Determine How the Homeless Who Have a Serious Mental Illness <In London) are Experiencing Quality. Workshop Held to Identify Strategies. ./ Southwest Regional Hospital Laboratory Planning Alliance - Framework for an Integrated Laboratory Service ./ Facilitated Southwest Mental Health Implementation Task Force Report Development ./ Participated in the Regional Stroke Strategy Roll-Out of Oxford County Local Stroke Strategy Implementation ./ Worked With Oxford Stakeholders on Local Cancer Care Network Initiatives ./ Coordinated Mental Health Network Development ./ Northeast London Collaborative to Develop il Primary Health Care Centre In Collaboration with the DHCs: ./ Produced Ontario Labour Market Survey for Health Human Resources ./ With the Provincial District Health Councils, Met With the Minister of Health and Long- Term Care to Give Advice on the Federal, Provincial, and Territorial Discussion on Sustaining Health Care in Canada. Outlook for This Year - On the Plannina Horizon ,¡' Nursing Supply - Phase II, Reports & Information Session ;r Local Comprehensive Integrated Health System Plan ,¡' Primary Health Care: The Keystone To Health Care Integration Session advancement ,¡' Information Technology Session in Middlesex County - Part III ,¡' Collaboration With London Regional Cancer Centre - Strategic Planning Initiative ,¡' Continued Elgin Mental Health Network Development ,¡' Information Technology Consensus in London ,¡' Produce Future Life Planning Report ,¡' Develop a Process for Coordinated Access to Palliative Care ,¡' French Language Health Services Health Careers Forum to be held in London ,¡' Provincial Health Human Resources Forum on Capacity and Utilization ,¡' Develop a Blueprinting Process with the Interagency Coalition for the Disabled to Complement the Future Life Planning Process ,¡' Continue Bayham Community Action Committee involvement ,¡' Completion of the Environmental Scan for Elgin, Middlesex, Oxford Counties and the City of London ,¡' Northeast London Collaborative to Develop a Primary Health Care Centre Reaional Collaboration: ,¡' Regional Health Planning Partnership ,¡' Southwest Cardiac Care Network ,¡' Southwest Regional Perinatal Project ,¡' Southwest Regional Stroke Committee ,¡' Support the Regional Health Planning Partnership in Developing a Data Decision Support Tool for Southwest Hospitals and Health Planning Organizations REPORT TO COUNTY COUNCIL FROM: Linda Veger, Director of Financial Services Clayton Watters, Manager of Engineering Services Brian Masschaele, Archivist DATE: 5 September 2003 SUBJECT: Pioneer Museum I Archives Feasibility Study Process and Timeline INTRODUCTION Staff have been working with the firm of Goldsmith, Borgal & Company to develop a timeline and process for the public consultation phase on a future location for the Elgin County Pioneer Museum as well as expanded storage for the Elgin County Archives and related uses. This report provides an update to Council on proposed dates and next steps in the process. DISCUSSION: At Council's July 22nd, 2003 meeting, Chris Borgal of Goldsmith, Borgal & Company, along with the firm's affiliated consultant Clause Breede of Canadian Cultural Resource Consultants, made an initial deputation to Council to outline their approach in determining a future location for the Elgin County Pioneer Museum as well as expanded storage for the Elgin County Archives and related uses. During that deputation, Council stressed that public consultation was crucial and that ample time must be set aside to conduct the process properly. Council indicated that a final report is not expected until early 2004. Staff are now working with the firm to establish next steps in the process and a timeline. The next phase involves consulting the public to gauge community support and potential partnerships. This includes the development of a formal questionnaire to potential stakeholders and community partners to determine support for a new or renovated location for the museum and expansion for the archives, The firm is now in the process of developing this questionnaire. Staff are providing input into the types of community organizations to be targeted. These organizations include local business, community museums, historical societies, chambers of commerce, local municipalities, federal and provincial ministries and the St. Thomas Elgin Tourist Association. Once this questionnaire is circulated, and the feedback received, a public meeting will be held at which time the community's views can be heard. Staff feel that the optimal date for this meeting is December 11th, 2003 in the evening, the same date as County Council's inaugural meeting. The results of the questionnaire, along with this meeting and Council's continuing feedback, will. enable the firm to develop a final report establishing a future vision for the museum and expansion for the archives as well as other related uses, inciuding a conceptual drawing on a new or renovated structure under a "cultural centre" approach, provided ample community support and financial partnerships exist for such a structure. The following is a summary of the timeline in this process: 1. Development of a questionnaire to potential stakeholders and community groups for mailing by October 31st, 2003; 2. Receipt of questionnaires by November 21 sl for evaluation by the firm and staff; 3. Public Meeting on December 11 Ih, 2003 in the evening; 4. Preliminary report to County Council in early January 2004; 5. Final report and conceptual drawing presented to County Council by the end of February 2004. The timeline above, and the services required, are integrated into the terms of reference of the firm's contract with the County and there is no additional financial implication to this process. CONCLUSION: Staff have developed a timeline and process for determining a future location for the Elgin County Pioneer Museum as well as possible expansion for the Elgin County Archives and related uses. A questionnaire is currently being developed and a public meeting will be held on December 11'h, 2003 pending Councils' approval. A final report will be presented to County Council by the end of February 2004. RECOMMENDATION: THAT a public meeting to determine a future location for the Elgin County Pioneer Museum as well as possible expansion for the Elgin County Archives and related uses be held on Thursday, December 11'h, 2003 in the evening with the meeting to be facilitated by the firm of Goldsmith, Borgal & Company and Canadian Cultural Resource Consultants; AND THAT the process and tfmeline contained in this report be received as information. Respectfully Submitted c¥.~ L./~LA.J Linda Veger ' Dirr~r./f Financial Services U /We- -iMt; ~ Clayton Watters nager of Engineering Services n Mark I Chief Administrative Officer rian Masschaele Archivist 2 REPORT TO COUNCIL FROM: County of Elgin Special Events Committee DATE: 16 September 2003 SUBJECT: Special Events Committee Update INTRODUCTION The following is an update on the Special Events Committee. DISCUSSION: The first year for the Special Events Committee has come to an end. We would just like to update you on our progress. The first annual Christmas party was a huge success with 102 staff members and families/friends attending. We already have staff requesting tickets for this year's. The first annual Staff and Family picnic was also a victory with approximately 155 in attendance. We appreciated the representation from Council at this event. The 2nd annual Christmas Party will take place on Saturday, November 29, 2003 at St. Anne's Centre. We are anticipating a larger crowd than last year and hope that Department Heads, Council and their families will be there. The 2nd annual Staff and Family Picnic is tentatively booked for Saturday, June 19' 2004 at Pinafore Park. This year, the committee members are as follows: Donna Butcher, Administrative Services; Suzanne Edwards, Information Technology; John Kersten, Bobier Villa; Christina Mayhew, Library Services; Mary Lou McMillan, Library Services; Heather Rosevear, Human Resources; Ernie Schned, Terrace Lodge; John Smith, Elgin Manor; Lisa Terrio, Financial Services;. CONCLUSION: ./ This is for your information. RECOMMENDATION: That this report be received and filed Respectfully Submitted Approved for ion ~~~;~ Ë5':;rJ; ,nI£J) Special Events Gommittee Chair ( Mark Mc Chief Administrative Officer REPORT TO COUNTY COUNCIL FROM: Karen Dunn DATE: September 5, 2003 SUBJECT: Provincial Offences -- Directive for the Collection of Outstanding Fines INTRODUCTION As of August 31, 2003 there is approximately $3.9 million dollars in uncollected fines that are outstanding to the Elgin/St. Thomas Provincial Offences account. Over the past two months staff have actively investigated various collection methods for Elgin and St. Thomas' outstanding accounts and have come up with the following proposed directive to meet our collection needs. DISCUSSION There are various enforcement methods available that can be used to encourage or seize payment from an offender, depending on the type of offence, the age of the offence, and the dollar amount of the offence. At present if payment is not received two reminder notices are sent to the offender. An Important Notice is sent out two weeks after the offence date, and a Notice of Fine & Due Date is sent out 45 days after the offence date. If these notices are ignored the offenders license will be put under suspension (if the offence is a Highway Traffic Act Offence) or a default will be placed on plate renewals for parking tickets. Other offences that are not linked to a drivers license or vehicle license plate are not being actively pursued. The following is a proposed directive to more actively pursue all offences and to obtain payment through all avenues available taking into consideration the type, age and dollar amount of the offence. Report to Management Provincial Offences Outstanding Fine Collections 2 Provincial Offences Court - Collections Procedure "I" Send Overdue Notice Q Q Payment (Give 15 days to pay) received il Q Offender Q Contacts Send Final Notice Office (Give 7 days to pay) (Allow 8 days grace) Import Defaulted cases to Collections Database (91 days past due) D Mail retumed undeliverable <==:J D SkipfTrace Find correct Address & Phone Number I > il Q Ensure License Suspension I Plate renewal denied (if applicable) D D D $42.50 - $499.99 & Offences over two years old D $500.00 - $999.99 D Refer to Collection Agency Issue Certificate of Default And file with Small Claims Court il il Once paid in full Issue a file Writ of Seizure & Sale D D "II" Send Final letter to Offender Advising of Writ. Owns Property Has attachable Property and Income D Income D D Proceed with Proceed with Proceed with both Writ of Seizure Gamishment Garnishment & Writ V D t? Send Final letter to debtor advising of enforcement action taken D ONCE PAID IN FULL ==:> "II" ~ "II" \§!!.<> ~ Appeal or ~ Extension ~ Granted "III" D $1,000.00 + D Issue Certificate of Default and file with Small Claims if < $10,000 and Superior Court if over D Investigate enforcement options D Issue Notice of Judgement Debtor examination and Attend same (if required) D Choose enforcement method il No assets No Income All methods exhausted D Consider write off Report to Management Provincial Offences Outstanding Fine Collections 3 Summary of Collections Procedure "I": . If an offence has not been paid within 91 days of the offence date, a notice will be sent to the offender. A 15 day grace period will be given to receive payment and then a final notice will be sent out advising that a license may be suspended, a default may be placed on the vehicle plate renewal, or collection and legal action will be taken. . After a further seven day grace period the above action will be taken and: · If the fine is between $42.40 - $499.99 or the offence is over two years old the account will be referred to a collection agency. · If the fine is between $500.00 - $999.99 a Certificate of Default will be issued and we would proceed with filing a Writ of Seizure and Sale to recover the cost of the fine. · If the fine is more than $1,000 a Certificate of Default will be issued and based on the financial stability of the offender Writs of Seizure and Sale or Garnishment of wages or bank accounts or both will be initiated to recover the cost of the fine. Report to Management Provincial Offences Outstanding Fine Collections 4 Provincial Offences Court - Collections Procedure "II" Offender jl---, Contacts \¡---' Office Obtain up to date information: Current address, phone, employer, etc. D Make payment arrangements y Set follow up date y to ensure compliance Update Collections database D D Payment y Received Payment recorded in ICON D < > NSF Payment D Payment recorded in Collections Database D tf Send NSF Notice (5 Days given to pay) D Once payment received in full ¿> Payment received No Payment Received If Applicable ~ ~ Lift Writ of Seizure & Sale Cancel Gamishment D Back to "I" End Summary of Collections Procedure "II": · If payment is received all collection procedures will cease. · If the offender is unable to make full payment a payment plan will be set up and continually monitored. · If the offender fails to make payments, the procedures of Collections Procedure "I" will be implemented again. Report to Management Provincial Offences Outstanding Fine Collections 5 Provincial Offences Court - Collections Procedure "III" Appeal or Re-opening r? ~ Conviction overturned D Conviction upheld D Update Database Set follow up date to ensure payment D D End r? Send Final Notice and allow 7 days to pay ~ Payment received in Full No payment received D D See"" Back to "I" Summary of Collections Procedure "III": · If the decision of the court is appealed, or a re-opening is applied for collection, procedures will be suspended until a judgement is made. · If the conviction is overturned the file is closed. · If the conviction is upheld collections will actively be continued in accordance with Collections Procedures "I" or Collections Procedures "II". Report to Management Provincial Offences Outstanding Fine Collections 6 CONCLUSION From staffs research, and the experiences of other Provincial Offences collection departments, the proposed directive for collections is the most effective and efficient method for actively collecting on outstanding fines owing to our offices. RECOMMENDATION: THAT, the above Provincial Offences Collection Directive for the collections procedures and protocols of the Elgin/St. Thomas Provincial Offences Office be approved for implementation. Respectfully Submitted, Approved for Submission, ~ Mark Mc 0 Chief Administrative Officer REPORT TO COUNTY COUNCIL FROM: Karen Dunn DATE: August 26 , 2003 SUBJECT: RFP for a Fine Collections Agency INTRODUCTION This spring Council approved the issuance of a Request for Proposal for the collections of outstanding fines in the Provincial Offences Division. The following is the results of the RFP process. DISCUSSION Two companies responded to the RFP - NCO Financial Services, Inc. (NCO) and Canadian Bonded Credit Limited (CBCL). An RFP Evaluation Team was established and composed of the County's: · Director of Financial Services · Purchasing Co-ordinator · Collections Officer · Court Manager The Evaluation Team evaluated each company's proposal based upon: · Commission Rate · Company Mission Statement · Company Profile · Comprehensive Approach to Collection of Aged Accounts / Resources · Proposal Clarity / Presentation · Qualification / Experience · References / Past Performance · Reporting Both companies are seasoned ColJection Services and either could provide an excellent service to the County. However, CBCL has a lower commercial commission rate and has a higher average success rate of return. The two compare as follows: Report to Management Provincial Offences RFP for a Collection Agency 2 NCO CBCL Commission Rate: Commercial Retail 17.0% 10.0% 16,9% 10.0% Success Rate Averages: Accounts 0"2 Years Old Accounts 2-5 Years Old Accounts 5+Years Old Greater than NCO Greater than NCO Greater than NCO CONCLUSION After a thorough evaluation, interviews, and reference checks, the Evaluation Team concludes that while both companies could provide an excellent service to the County, CBCL has a slightly lower commercial commission rate and a higher average success rate. Based upon this, the Evaluation Team recommends that County Council permit staff to enter into a two year contract with CBCL to provide collection services for the County's Provincial Offences Division. RECOMMENDATION: THAT, staff be permitted to enter into a two year contract with CBCL to provide collection services for the County's Provincial Offences Division. Respectfully Submitted, Approved for Submission, ~~ Mark McDo Chief Administrative Officer REPORT TO COUNTY COUNCIL FROM: United Way Committee Tanya Tilton-Reid, Human Resources Co-ordinator Harley Underhill, Director, Human Resources DATE: 9 September, 2003 SUBJECT: United Way Campaign 2003-2004 INTRODUCTION: In an effort to support numerous organizations throughout the County of Elgin by way of the United Way Elgin-St. Thomas 2003/2004 campaign, a committee comprised of volunteer employees has been formed. The committee members include: Jennifer Ford - Finance, Jennifer Siannas - POA and Tanya Tilton-Reid - Human Resources. The Committee is hoping to include at least one representative from the Library and one representative from the Homes for Seniors in the very near future. DISCUSSION: This year's United Way campaign will kick off with the promotion for contributions through payroll deduction sign-up. The campaign will be held in October. It is the committees' intention to have a strong face-to-face sign-up drive. The committee members are committed to meeting with as many County employees as possible to provide them with the payroll deduction forms in person and thank them for their contribution to their local community organizations. Also planned is a County-wide 50/50 draw - proceeds to the United Way. CONCLUSION: The committee members are devoted to ensuring a successful and fun campaign to help raise funds for the United Way. Management support through allowing committee members time away from their daily work activities to attend and prepare for United Way events is crucial. Management support in setting an example of strong support for the United Way initiative through payroll deduction is encouraged and appreciated. While the committee will continue to communicate United Way initiatives and the importance of supporting local organizations it is very important that support for this vital organization be demonstrated from all members of the Management team. RECOMMENDA nON: THAT the United Way Committee members be afforded time away from their regular work schedule to attend the Homes for Seniors, libraries and museum to meet with as many County employees as possible in order to facilitate a strong face-to-face payroll deduction sign-up campaign. Time required for campaigning will be during October. All time will be pre-approved by the committee members' Department Head. \\NW-ADMIN\DATA\ST AfF\TTIL TO-2\Reports to Management - Council\Council Meetings\United Way\United Way report 2004.doc THAT, as in previous campaign years, the County approve a draw for a paid day off for all employees that sign up for a payroll deduction amount of at least $2.00 per pay for 26 pays. THAT, as in previous campaign years, the County approve a draw for two paid days off for all employees that sign up for a payroll deduction amount of at least $4.00 per pay for 26 pays. Respectfully Submitted -/~J-p Tanya Tilton-Reid Human Resources Co-ordinator Mark Chief Administrative Officer \\NW-ADMJN\DATA\STAFF\TTILTO-2\Reports to Management- Council\Council Meetings\United Way\United Way report 2004.doc REPORT TO COUNTY COUNCIL NAME: Helen L. Notte, General Manager, Long-Term Care DATE: September 15, 2003 SUBJECT: Compliance Report - Terrace Lodge INTRODUCTION: The Ministry of Health and Long-Term Care Compliance Officer conducted a follow-up investigation at Terrace Lodge on September 12,2003. Improvement is noted. This report is for Council's information. DISCUSSION: On July 21 and 22, 2003, the Compliance Officer conducted a review at Terrace Lodge that resulted in some unmet standards and criteria. The Officer re-visited the Lodge on September 12 to assess the corrective actions that had been put in place. The September 12 report noted that the unmet standards, cited on the earlier visit, have now been met. There were no unmet standards or criteria issued relating to the September 12 review. Six (6) observations/recommendations were issued. Since the hand-written report is difficult to duplicate and read, the comments have been summarized. The full report is available in Administration Services should any Council member wish to have a copy. The six- (6) observations/recommendations were: 1.:. Improvements were noted in the admission care conference procedure. Timely conferences were being held with a number of staff in attendance. 2. The clean and waxed appearance of the main hallway on the first floor is improved. The Officer noted that plans are in place to repair the cracks in the flooring surface. Staff are encouraged to continue regular cleaning/waxing of other resident areas. 3. Supplements are distributed on the snack/nourishment carts but are not 'individualized'. The medication pass has not been revised to include supplement distribution since new medication carts have not been received/purchased as per the compliance plan of April 2003. 1 4. Staff shortages in Activation have contributed to some restorative care not being provided and some activity program schedules have been altered. 5. Windows in resident rooms have been cleaned. Windows in common are areas still require cleaning. 6. Planning for the centralized laundry room is underway but work will not be completed by the compliance date of October 1, 2003. The Officer was advised that the completion date is anticipated to be December 31,2003. All Staff and Managers at Terrace can be very proud that their collective work has contributed to this more favourable Compliance Report. Work continues in those areas that still require attention. The Terrace Managers will attend Council to speak to this report. CONCLUSION: The Ministry of Health and Long-Term Care conducted a follow-up inspection at Terrace Lodge on September 12,2003. Staff and Managers of Terrace can be proud of the progress they are collectively making. The Terrace Managers will attend Council to speak to the latest Ministry report card. This report is provided for Council's information. RECOMMENDATIONS: THAT the September 15, 2003 report, 'Compliance Report- Terrace Lodge' be approved as presented and filed as information. THAT County Council acknowledge Terrace Lodge Staff and Managers for their continued teamwork to ensure compliance with the Ministry of Health and Long-Term Care Program Standards. Respectfully Submitted Approved for Submission (L-£~ Helen L. Notte General Manager Long-Term Care Mark McDonald Chief Administrative Officer 2 REPORT TO COUNTY COUNCIL NAME: Helen L. Notte, General Manager, Long-Term Care DATE: September 15, 2003 SUBJECT: Compliance Report - Bobier Villa INTRODUCTION: An anonymous complaint about resident care at Bobier Villa prompted the Ministry of Health and Long-Term Care Compliance Officer to conduct an investigation on September 9, 2003. This report is for Council's information. DISCUSSION: The Compliance Officer conducted a complaint investigation at Bobier Villa on September 9, 2003, in response to an anonymous letter sent to the Ministry of Health and Long"Term Care. The complaint letter was not provided to the Home however, allegations as reported by the Compliance Officer centred on resident dining experiences and comfort. The Officer concluded that there were no unmet standards or criteria. The Officer made two observations. These are: 1. That food not be served until residents are seated in the dining room and staff are available to assist the residents. Staff are also reminded to re-heat food for residents who require longer intervals to eat. 2. That as many residents as are able be transferred to dining room chairs for meal service, rather than sitting in wheelchairs in the dining room. Staff have been re-instructed. CONCLUSION: A written and anonymous complaint about resident care at Bobier Villa prompted an investigation by the Ministry of Health and Long-Term Care on September 9, 2003. No unmet standards or criteria were noted; two (2) observations were made. This report is provided for Council's information. 1 RECOMMENDATION: THAT the September 15, 2003 report, 'Compliance Report - Bobier Villa', be approved and filed as information. Respectfully Submitted Approved for Submission ~~ .. 'iYf¿J Helen L. Notte ' General Manager Long-Term Care Mar Chief Administrative Officer 2 CORRESPONDENCE - September 23, 2003 Items for Consideration 1. Jane M. Steller, Clerk, Township of Wilmot, with a resolution requesting the Federal and Provincial Governments to investigate fluctuating prices in regards to insurance premiums and gas prices. (ATTACHED) 2. Stephen H. Gibson, Hennessey, Bowsher, Gibson & Carrie, re: Term Limits- Warden. 3. Councillor Bob Habkirk with suggested amendments to Councillor McPhail's Notice of Motion re: Terms of Warden, or consideration for placing election for Warden on the municipal ballot. 4. Ken Verrell, Chairperson, Seniors Picnic Committee, thanking County Council for their financial support of the 2003 Seniors Picnic and requesting funding of the 2004 event. 5. Lisa VanBrenk requesting permission to use the business name of Elgin County Foot Services. 89/85/83 22:83:54 EST; ASSOCIATION OF?-) SEP-05-03 FRI 04:20 PM 260 519 &33 7&&1 CLERK-Elgin Co Page 882 FAX NO. 416 971 6191 P. 01 -- THE CORPORATION OF THE TOWNSHIP OF WILMOT 6D Snyde,·', Rß:¡ù We"" B.ùcn. Omati" NOJ:l 100 Telephunc;(519)634C8444 AclmJllI,,,ocl<m I Finance Fnx: (519) 634.-.5~22 l'lnnnlng I B_í1<:l;nJ> Engineering I R~rc::lO.on Pax: (519) 534-5D44 August '13. 2003 ^,woci;;¡tioll of Municipalilies of Onlario 3D;{ University Avu,. Suilù 1701 Toronto, Ont. MGG 'I E6 De'lf Sir Or MmJam: Ru: l1"sol"tj"l1 Relativo to Insurance Promiums and Gas Prices Tho Council oilhe Townsl,íp of Wilmol, at its rcgu/¡¡r meeting held on Monday, August 111h, 2003. :¡((1Pléd It),} following resolution with respect to the mcent AMO Member Alert relative to the concern ¡¡bout riSing insurance prenllums ~nd fluctuating gas prices as follows: m:. rr RtiSOLVED: ''r/fA l' WfiER£AS ios/lrance premiums are rising to and in excess of 100%; AN!) WN£R(;AS fu,,1 prices .1re historically high and fluctuate as much as $O.10/litre Or n,¡orQ In a lìJati'er of hcurs; AI\I{I WHf:t?EAS th",sl:! cflanges cause hardships for businesses, large and slY/ail to the p,)În/ of b"ollruptcies 'and closings; TI1F.HEFORE DE I'T RESOLVED that gOl/emments <'It both senior levels, who are ft'sþt:msib/" for the r"yulation of tllese costs, be requested to investigate and make Î!11fJliWements to resolve tlwse financial hardships; AND FURTJlER tlrat the Township of Wilmøt requests this resø/ution be distributed to liMO fcr distribution to «II mllr¡icipalitics in Ontario for support, and to MP's and MPP's." It r lighl of the> Immedi"cy of the issues containe>d within the mSQlutiQn CQUnci! requests that AMO circulate lhe Information to member municipalities and in addition th:;¡t the resolution be circulated [0 [Jla dcle(I,ites at tho upcoming AMO Conforence. Yours truly. J~"'e M St0H¡;r, AMCT CIcrk c.c, G. WhiHin¡¡ton Chid Administrative Officer CORRESPONDENCE - September 23, 2003 Items for Information - (Consent Aaenda) 1. Helen Simpson, Manager, Fund Development, VON Middlesex-Elgin, acknowledging support received from the County for the "Great VON Community Walk - Springwater". (ATTACHED) 2. Honourable Tony Clement, Minister of Health and Long-Term Care, acknowledging Council's resolution concerning the banning of financial incentives by communities to attract physicians. (ATTACHED) 3. Steve Peters, M.P.P., Elgin-Middlesex-London, supporting Council's resolution to the Honourable Tony Clement, Minister of Health and Long-Term Care, regarding the development of fair and consistent dental care programs for Ontarians earning low wages. (ATTACHED) 4. Ken Boshoff, President, Association of Municipalities of Ontario, with information from the 2003 AMO Conference. (ATTACHED) 5. Thank you card from the Hansen Family, and from Terry and Joan Lale and Family (ATTACHED) 6. Grant Clarke, Director, Secondary Policy and Programs Branch, Ministry of Education, responding to Council's resolution supporting the School-to-Work Program at Parkside Collegiate Institute. (ATTACHED) 7. Ministry of Culture, Community Heritage Ontario (CHO) and Heritage Woodstock, with registration information for an information session regarding heritage initiatives in Ontario on Thursday, October 23,2003,7:00 -10:00 P.M. at the Woodstock Public Library. (ATTACHED) //- :r;/~ [\"":;,'0,/ " "\/' ['I .. 'v: 4J '7', 0 /'" .-ç....> 1-'\, Vi N y~ Ç>þ .""", - - /^"" o ---______ \"v '/( LIFE SOÚG v 0 N MIDDLESEX,ELGIN ð""fE:D. 0.." " '" < . 't'(\.~~l?~ RECEIVEØ~'" 00' A Branch oiVON Canada 200-1151 F!orence Street, London, Ontario N5W 2M7 TEL: (519) 659-2273 . FAX: (519) 659-6191 . www.von"ca August 28, 2003 SEP 3 21!03 Mr. John R. Wilson Warden 2002 and 2003 County of Elgin 450 Sunset Drive St. Thomas, ON N5R 5VI .i"rMtnVg~~~. ~~:'\\. ~ ~,.. ~œ,,~ Aii,t~~11l~0j"E~~~ Dear John, RE: The Great VON Community Walk - Surinl!Water Park Just a note of thanks and appreciation for your support of our first Great VON Community Walk last Sunday, To date we have raised just under $6,000 ITom the generosity of the citizens of Elgin County and a total of $67,000 for the VON Middlesex-Elgin branch all together. The funds raised ITom our Great VON Community Walk go towards our Volunteer and Nursing Programs delivered in Elgin County, which are: Nursing: ,/ Visiting complex care nursing (shift nursing for the critically ill) ,/ Palliative Care nursing ,¡' Foot care ,/ N therapy ,/ Wound and Ostomy care Personal support: ,/ Personal care ,/ Respite care (provision for time offfor primary care giver) ,/ Homemaking Special services at home: ,/ In-home support respite care ELGIN OFFICE 1 75 S. Edgeware Road St. Thomas, Ontario N5P 4C4 (519) 631-3270 VOLUNTEER PROGRAMS (519) 637-6408 Fax; (519) 631-4798 MIDDLESEX OFFICE 100 Albert Street Strathroy, Ontario N7G 1 V5 (519) 245-3170 Faxo (519) 245-3164 FAMILY SUPPORTS PROGRAMS 101-1151 Florence Street London, Ontario N5W 2M? (519) 657-4570 TOLL FREE; 1-866,662-6605 Faxo (519) 657-8031 ..,2 Familyhome: '" Family respite services and care Meals on Wheels Transportation to: '" medical appointments '" shopping '" visiting mends '" recreation and cultural events Volunteer visiting Palliative volunteer visiting Caregiver support: '" Emotional and education support to the primary care giver Safety and security programs Once again, thank you for taking your time to care for our community also and in helping celebrate our first Great VON Community Walk j} I í VYWIfj)rr---. Helen Simpson I Manager, Fund De\\elopment I Bureau du ministre ~ Ministry of Health ~ãnd Long-Term Care Office of the Minister Ministère de la Santé et des Soins de longue durée 10th Floor, Hepburn Block 80 Grosvenor Street Toronto ON M7A 2C4 Tel 416327-4300 Fax 416326-1571 www.gov.on"ca/health 10eétage, édifice Hepburn 80, rue Grosvenor Toronto (ON) M7A 2C4 TéL 416327-4300 Téléc. 416326-1571 www.gov.on.ca/health Ontario Ri1"V>CPJ;f",Ji/"¡;"",,,,,,,,, . Þ ,~..:·~'fu¡ri0'".i~ .' ~.ì't '," ~wg¡~ .~' @~~.' SEP it am II1/1Áf) Mrs. Sandra J. Reffren Deputy Clerk The County of Elgin 450 Sunset Drive St Thomas ON N5R 5VI "itII'~~' ;r,~.~" ""'. \h¢,;;~~'! ~ r ~1~ ~~.fl~~' AA1~i~~~~~:!}~'(tf.~~'h o~~·'~:.~~~.f:'~~'_·''1I "-'I""~"",~ "'-''''"'. ,\ :,'..,.~,,~: " '.. --;";~,~k,; ~~!\"f>;..:~\t~,Q Dear Mrs. Reffren: Steve Peters, MPP for Elgin-Middlesex-London, has forwarded the County of Elgin resolution. I have taken note of the comments raised in the letter and I apologize for the delay in responding. The resolution requests our government ban communities from offering financial incentives to attract physicians. Please note that my ministry currently offers a number of programs and financial incentives available through the Underserviced Area Program (UAP) to designated communities across the province that have difficulty attracting and retaining health care professionals. Communities (i.e., municipalities, townships, cities, etc.) may apply to be designated as "underserviced" by completing a community-led designation process. The UAP determines if the community needs support to recruit health care professionals. Designation allo\.vs c01ll..111unities to accessU¡\.J> financial incentives designed to attract family physicians in areas experiencing shortages of these professionals. While we are aware that some communities, through a variety of organizations (e.g., Chamber of Commerce), provide incentive packages to recruit physicians, the ministry does not restrict the business community from engaging in this activity. In this regard, it is not the intent of my ministry to govern or limit the actions of organizations wishing to invest in such initiatives. 1671-01 (02106) 7530-4658 ...2 Z03-02598 -2- Mrs. Sandra J. Heffren Thank you for writing. To Minister c: Steve Peters, MPP 1671-01 (02106) 7530-4658 Room 331 Main Legislative Building Queen's Park Toronto,OntariQ M7A 1A4 UM .'~~ Ontario Constituency Office: 542 Talbot Street SI. Thomas, Ontario N5P 1 C4 Tel: (416)3?5-7259 Fax: (416)325~7262 Email: steve_peters-mpp @ontla.ola.org STEVE PETERS. M'P,P·; ELGIN" MiDDLESEX 'LÒNDÖN " : ,. Jel: (519) 631-0666 ..... ..Fax: (519)631-9478 . . Toll Free: 1-800-265-7638 ·êrRáil: stèlté:peters-mpp-co @ontla.ola.org RE(:EIV'ED¿ September 3, 2003 ~EP 8 2003 Honourable Tony Clement Minister of Health and Long-Tenn Care Hepburn Block, 10th Floor 80 Grosvenor Street Toronto, ON M7 A 2C4 ~€\;! !!~Jt~N" ~~ t~i ,'~~f ~-V',)':\ ~ ~ .~,"'" ~...,¡~~;if~11 #~JJ~~~~~§\'t~"t(i.{:~ Dear Minister: Please find enclosed a resolution ITom the County of Elgin that supports a resolution ITom the County of Lennox and Addington (also enclosed) requesting your government develop a fair and consistent dental care program for Ontarians earning low wages. Minister, the erosion of health care services in this province during the Harris-Eves regime has forced many Ontarians to forego with regular dental care. I urge you to seriously consider this request and start to undo the damage your government has inflicted on health care in this province. I would appreciate your reviewing the resolutions, responding to the County of Elgin and the County of Lennox and Addington and forwarding copies of your correspondence to my office. Thank you in advance for your time and consideration. Sincerely, S-c~ Steve Peters, M.P.P. Elgin-Middlesex-London Cc: County of Elgin; County of Lennox and Addington "0."",,;,, 'ii,''''' i4 i!f.~::~ ~t'.,~ - e.'ß~'~""·."1f "",.,w." <1'·'".\';,..4! RW- . ,""," #'''' ì'J, "'"' """."",'" ."'. r¿~<3~ W . .'ß ~ ~ '-,-,-,.,- -->_.c,_~·,··<·. Association of Municipalities of Ontario 5EP 8 2003 .&.t!II8 " U7zafs----- ,¡ Beyond 'I the Bend... 'I"'~'~Ç':,©~&, GOl~ti1~~' ßf' 'E~;~~~Jt;B~ OFFICE OF THE PRESIDENT September 5, 2003 To All Members of Council: For those of you who were delegates at the 2003 AMO Conference, you already know that it delivered an amazing value for your registration - quality speakers, new information, alternative perspectives on a wide range of topics and a large trade show. I am confident that you will share with your fellow colleagues the insights that you gained from the concurrent workshops, the early morning chat sessions and the plenary sessions. To help, we have loaded the majority of the presentation material of the over 50 speakers participating in this year's con'ference. Check out www.municom.com. (See In the News and go to the 2003 Annual Conference Proceedings, August 26.) If you want to understand the impacts of referenda, check out Michael Coleman's presentation of the California experience. John Ibbitson's remarks gave delegates insight into Paul Martin's commitment for access to the federal gas tax and added municipal financial support. And then there were 16 concurrent sessions - check them out too. Also,jf you were in attendance, you know that the municipal sector stood up and was heard by all provincial political parties on a number of important municipal issues - particularly the need for adequate, predictable and stable revenue in order to fulfill the municipal responsibilities. AMO will continue to put forward the needs and expectations of its membership during the provincial election campaign period and we will work with our members to ensure that you have the ability to make them known locally. Watch for AMO's election reference material arid bulletins. I also want to take a moment to thank you for your on-going support of your AssoCiation. For those members of Council who decide not to run again in the upcoming municipal elections, your service and commitment to municipal government has been an important contribution and I wish you well in your future endeavours. To those who are stepping forward again, I hope you have a very successful campaign. Yours sincerely, ~=\-cap( President 393 University Ave" Suite 1701 Toronto, ON M5G 1E6 tel: (416) 971-9856 . toil free: 1-877-426-6527 . fax: (416) 971-6191 . email: amo@amo.municom.com Ministry of Education Secondary School Policy and Programs Branch Mowat Slock, 8th Floor 900 Bay Street Toronto ON M7A 112 Ministère de l'Éducation ® Ontario Direction des politiques et des programmes de I'éducation secondaire Édifice Mowat, 89 étage 900 rue Bay Toronto ON M7A 112 Te!ephone: [416] 325-2518 Facsimile: [416] 325·2552 TéJéphone: [416]325-2518 Télécopieur. [416] 325·2552 RECEiVED September 11, 2003 Ms. Phyllis Ketchabaw Clerk Town of Aylmer 46 Talbot Street West Aylmer ON N5H 117 SEP 15 2003 OOttNW6f~ ~J1\":i!1&!'.~~:'li"'~ ~~'m"~ð ~¡,?'...~,~-},~;~".~ eJ\yH 4 fk, ~;t~W\.Jf:P'¡¡"'~ Mrs. Sandra J. Heffren Deputy County Clerk County of Elgin 450 Sunset Drive St. Thomas ON N5R 5Vl Dear Ms. Ketchabaw and Mrs. Heffren, Mr. Steve Peters, has forwarded to the Ministry of Education your council resolutions supporting the School-to- Work Program at Parkside Collegiate Institute in the Thames Valley District School Board. I am pleased to reply on behalf of Elizabeth Witmer, Minister of Education. The Ministry is funding a Pathways to Employabìlìty Initiative, a multi-board project that includes the Thames Valley District School Board. This consortium of school boards is developing a number of innovative school-work transition program models. I understand that Scott Howard and the staff of Parkside Collegiate Institute are involved in this project. The good work they are doing in developing models of successful school-work transition programs in partnership with their local community will benefit their own students as well as other students across the province. Sincerely, rant larke Director Secondary School Policy and Programs Branch c: Mr. Steve Peters Elgin-Middlesex-London ®Ontario Important News for Heritage! The Ministry of Culture, Community Heritage Ontario (CHO) and Heritage Woodstock invite you to attend an information session to help answer your questions about the exciting new heritage initiatives that are under way in Ontario. It is an opportunity to meet, ask questions and share ideas with Ministry staff and other heritage colleagues. Speakers: Heather Thomson, Municipal Heritage Committee Advisor Paul King, Heritage Education/Technical Advisor Learn about... ~ Changes to the Ontario Heritage Act ~ Property Tax Relief for Heritage Properties RE(;Ei'vED SEP 10 2003 Who should attend? œ!4N'!Yôfí~ J\[;~~~f~t~l~~f~::!7:'~:: ",.,." ~ Municipal councillors ~ Municipal staff, including clerks, planners, financial and economic development officers ~ Municipal Heritage Committee (LACAC) members ~ Heritage consultants ~ Members of heritage organizations ~ Heritage property owners '.- Thursday, October 23rd, 2003 7:99 = I 0:99pm Woodstock Public Library 445 Hunter Street Woodstock (parking at the rear of the building or across the street) (See attached map) The session is free, but advance registration is required by October 17th, 2003. To register contact: Heather Thomson Municipal Heritage Committee Advisor Ministry of Culture Tel: (416) 314-7145; Fax: (416) 314-7175 E-mail: hea1her.1homson(aJ.mczcr.gOv.ou.ca Natalie Champagne Regional Consultant Ministry of Culture Tel: (519) 873-4055; Fax: (519) 873-4061 E-mail: natalie.champagne@mczcr.gov.on.ca .... J - I ð Location Woodstock Public Library 445 Hunter Street Woodstock, Ontario Telephone (519) 539-4801