City Council

CITY COUNCIL MEETING June 7, 2016 The meeting will be called to order at 7:30 P.M. PLEDGE OF ALLEGIANCE & PRAYER ROLL CALL Curran, Chieffalo, M. Esposito, Knapp, Levy, Seabury, Wetmore, Fox, Priola, DiGilio, Cavo, Saadi, Visconti, Palma, Arconti, J. Esposito, Perkins, Chianese, Rotello, Cammisa and Scozzafava ______________PRESENT _______________ABSENT PUBLIC SPEAKING MINUTES - Minutes of the Council Meeting held May 3, 2016 CONSENT CALENDAR AGENDA 1. COMMUNICATION – Appointment – Chief of Police 2. COMMUNICATION - Promotion – Fire Department – Communication Coordinator 3. COMMUNICATION - Promotion – Fire Department – Fire Lieutenant 4. COMMUNICATION - Donation to the Dog Pound 5. COMMUNICATION - Appointment of Independent Auditors 6. COMMUNICATION - Certification of Funds – Fire Department 7. COMMUNICATION - Annual Suspense List 8. RESOLUTION - Richter House Renovation Project 9. RESOLUTION - Community Development Block Grant Program – Program Year 42 10. RESOLUTION - JAG – FY 2016 Bryne Funding - Police Department 11. RESOLUTION - WestConn Water Storage Tank 12. RESOLUTION - Shelter Rock School Temporary Classrooms 13. RESOLUTION - Broadview Oil Tank Replacement Project 14. RESOLUTION - Rogers Park Oil Tank Replacement Project 15. REPORT & ORDINANCE - Governmental Entities, Code of Ordinance, Section 2-176 16. REPORT & ORDINANCE - Awards by Purchasing Agent, Code of Ordinance – Section 2-148 17. REPORT & ORDINANCE - Increase Sealed bid Threshold, Code of Ordinance – Section 2-146 and 147 18. REPORT & ORDINANCE - Water and Sewer Connection Charges, Code of Ordinance, Sections 16-4 and 21-48 19. REPORT & ORDINANCE - Sewer Ordinance, Code of Ordinance – Section 16-32 20. REPORT - 2016 Neighborhood Assistance Act 21. AD HOC REPORT - Disc Golf 22. AD HOC REPORT - Richter Park Cell Tower 23. DEPARTMENT REPORTS – Police, Fire, Health-Housing & Welfare, Dream Homes, Public Works, Permit Center, UNIT, Elderly, Library, Fire Department – Statement of Condition ADJOURNMENT  Dream Homes Community Center To: Mayor Mark Boughton and the City Council From: Elke Sweeney, LCSW, Housing Advocate Re: April 2016 Monthly Report CC: ARC Executive Director & ARC Board of Directors I. Program Synopsis Per the proposal endorsed by Mayor Boughton and the City Council, Dream Homes Community Center (DHCC) was established at ARC to serve as the Point of Entry for people who are homeless or low-income renters, and to facilitate first-time home ownership for people with hard-to-serve backgrounds. Program Updates Dream Homes Community Center continues to persevere in the efforts to assist Danbury’s “Ten Year Plan to End Homelessness”. Through our Coordinated Access Services, Dream Homes Community Center has served 308 people in the city of Danbury alone since July 1, 2015. Point of Entry Since July 1, 2015, DHCC has provided services to 479 people through the Point of Entry at ARC. The following is a breakdown by town: Town This Month Year to Date (Apr.1 – Apr. 30, 2016) (July 1, 2015 – April 30, 2016) Danbury 45 (19 households) 308 Bethel 1 (1 households) 31 Brookfield 0 8 New Fairfield 0 4 New Milford 7 (2 households) 81 Newtown 0 2 Redding 0 0 Ridgefield 2 (1 households) 4 Sherman 0 2 Other Towns 8 (2 households) 39 Total 63 (25 households) 479 ppl Continued on Next Page  April 2016 Outreach Highlights: Dream Homes Housing Advocates attended the following meetings and trainings: 1. Met with landlords & performed inspections for clients’ potential homes. 2. Continuum of Care (COC) meeting to discuss prioritization of Permanent Supportive Housing (PSH) Vouchers to be used for housing chronically homeless individuals with a disability in Danbury. 3. Housing First Collaborative to discuss how clients’ chronicity of homelessness and VI- SPDAT scores will be used to select individuals for PSH and learn about program model designed to support newly housed clients. 4. Housing Placement Committee (HPC) to collaborate with other housing providers in order to determine which clients will receive the PSH Vouchers. 5. Statewide Coordinated Access Network to collaborate with providers from other counties on service models to best fit client needs. 6. Housing sub-committee for the Danbury Housing Partnership assisting with planning Landlord Coalition breakfast. 7. Capitol Day, Hartford, CT. Participated in promoting ARC Housing services and advocacy provided for Danbury and Greater Danbury Residents. Representatives Dan Carter and Bob Godfrey were aware of ARC’s participation. 8. ARC’s Housing Advocate Collaborate with DARA (Danbury Area Refugee Assistance Program) to provide Housing Advocacy for Syrian Refugee family of six. 9. Rapid Rehousing Program renewed for three years. II. Because of the City Grant, the Point of Entry was able to leverage and renew additional funds to help end and prevent homelessness, including: 1. Homeless Educational Grants: Provides costs toward tuition, child care, school supplies, transportation, and/or uniforms while participants are attending school. Clients must meet HUDs definition of homelessness or have proof of homelessness within the last 18 months. Case management is provided for 3 months to implement budgeting & financial planning. 2. Vouchers 1: Provides rent for chronically homeless, one of which has one member of the household with a disability. 3. Vouchers 2: Provides rent for veterans who were chronically homeless & one of which the majority of rent is paid for a family with a veteran who was chronically homeless per DMHAS contract.  III. Program Highlights—Story of one individual served by DHCC this month A Point of Entry and Coordinated Access Success Story (Names changed to maintain confidentiality) Ivan, his wife, and 3 children were connected to ARC through ARC’s Refugee Resettlement Program. Ivan and his family were referred to ARC through DARA (Danbury Area Refugee Assistance program). Ivan and his family were at imminent risk of homelessness and in process of being excused from their doubled-up living situation. DARA, Ivan, and his family came to ARC to seek assistance with housing, and accessing social service programs. Although Ivan and his family are receiving Federal Funding for rent, they were unaware of the process in obtaining housing services and accessing resources in the community. ARC’s Housing Advocate served as a guide and support system in finding safe, secure, and sanitary housing, and connected Ivan and his family to local landlords. ARC’s Housing Advocate also facilitated budgeting and rent readiness guide. With ARC’s assistance and guidance, DARA and Ivan found an apartment suitable for Ivan and his family’s’ needs. Ivan and his family are now housed. Their apartment met all requirements for safe, secure, and sanitary housing, and the apartment was within the rent-reasonable amount determined. ARC’s Housing Advocate set-up a care plan for his housing and case-management needs. ARC’s Housing Advocate also served as a referral source by connecting Ivan and his family of four to programs such as CAAWC for energy assistance, DSS for SNAP and Medicaid assistance, and in-house referral to ARC’s Refugee Resettlement Program nutrition program. In the future, ARC’s Housing Advocate will connect Ivan and his family to other housing and social service program resources. Ivan is grateful for the support, assistance, and advocacy ARC was able to provide.  CITY OF DANBURY DANBURY, CONNECTICUT 06810 DEPARTMENT OF ELDERLY SERVICES COMMISSION ON AGING ELMWOOD HALL 10 Elmwood Place (203) 797-4686 DATE: May 24, 2016 TO: Honorable Mayor Mark D. Boughton Members of the City Council FROM: Susan M. Tomanio, LCSW Director of Elderly Services RE: Department Report City Council Meeting Reporting Period:(4/25/16 – 5/24/16) Department of Elderly Services - 626 - Call Center (Categories – Health/Wellness, Leisure Time Activities, Lifelong Learning, Benefits/Support, Special Events, Transportation, Membership, Miscellaneous) Elmwood Hall Senior Center – 296 seniors, 2,433 visits / services Special Programs: Elder Law Issues with Western CT Area Agency on Aging, Senior Appreciation Day with Billy Michael, Miss Pre-Teen CT, and the Union Savings Bank, Straight Talk About Hearing Aids with Frank Scarfi from Quality Hearing Aid Center, Sock Hop Fundraiser with Chick-fil-A of Brookfield, the Keep on Dancin’ DJ, Quality Hearing Aid Center, and Karen Janell (baker), Memory Screenings with Dr. Susann Varano, Gerontologist, Candlewood Valley Health Care, Intergenerational Program with St. Peter’s School – Dance Off! Offered Daily, Bi-Weekly, Weekly, Bi-Monthly or Monthly: Leisure Time Activities: Mah Jongg, Bridge, Pinochle, Quilt Club, Knit and Crochet Club, Ceramics, Art, Sports Talk, Woodcarving, Ukulele Club, BINGO, Timeless Trivia, Page Turner’s Book Club, Band/Chorus, Poker, Your Point of View, Set Back, Name That Tune!, Coloring Circle Benefits/Support: Congregate Meals(Lunch), Nursing Home Visitors, SNAP Assistance, Lion’s Club Low Vision Program, AARP Safe Drivers Program, Yolanda’s Hair Boutique Wellness Programs: Tai Chi, Strength Training, Zumba Gold, Aerobics, Line Dancing, Freestyle Dance, Chair Massage, Blood Pressure Screening, Chair Yoga, Happy Feet Program, Exercise with Video Municipal Agent – 38 clients / 68 services Services by Category: CHOICES-19, Part D-5, Medicare-4, Housing-10, Medicare Savings Program-10, CT Home Care Program-2 Transportation-1, Medicare Advantage Plans-1, Medigap Plans-1, Medicaid-2, Rent Rebate/Property Tax-7, SNAP-1, Energy Assistance-1, Homeless Shelter-1, Home Companion-1, Support Group-1, Meals OnWheels-2, , Elder Abuse- 2, Other-11 Rent Rebate Program 2016, runs April 1 – October 1 (Program Year 2015) – 523 applications processed to date. Van Transportation Program – 465 one way rides (SweetHART Bus assisted on May 6 and May 13 providing 23 rides) Please refer to our website for all the latest news, information and community events for Danbury seniors – www.danburyseniors.org  CITY OF DANBURY FIRE DEPARTMENT 19 NEW STREET DANBURY, CONNECTICUT 06810 T. J. Wiedl Phone 203-796-1550 Fire Chief Fax 203-796-1552 FIRE CHIEF'S MONTHLY REPORT I hereby submit my report as Fire Chief of the Danbury Fire Department, which covers the period of April 21st, 2016 through May 21st, 2016 and details activities of the Department. 1  Public Education / Prevention / Public Relations Pre-incident familiarization tours were conducted at Shepard Hill Condos, Abbey Woods, Kennedy Flats, NVCC renovations at 7 West Street, the Sherry Lane neighborhood, the Forty Acre Mountain Road area, the Exit 2 rest area, and the recently renovated apartment building at 408 Main Street. E22 updated the vacant building list and checked the buildings in the area. Truck Company and E24 made an educational presentation to 90 fifth-graders at Shelter Rock School. A tour of Headquarters was given to 100 third graders from King Street School. Three third-graders were given a ride to Stadley Rough School. Twenty-five children and their chaperones from the Seventh Day Adventist Church were given a Headquarters tour. Headquarters tour Truck 1 crew assisted the driver of a severely disabled vehicle by directing traffic until arrival of a tow truck. E22 replaced a battery, provided and installed a new smoke alarm for a 97 year old citizen. E25 recognized the danger posed by a tree hanging over the Orange trail at Bear Mountain Reserve, cut it down and removed it. E23 gave a fire badge sticker to a 2-year-old after they got her out of the bathroom where she had locked herself. Members attended the Danbury Police memorial ceremony. Members participated in a reading program for Fourth Graders at the Ellsworth School. It was well received by the children as Fire and EMS personnel read to four separate classrooms a book on Thunder and Lightning Safety. LT Schiller & FF Rivera read to Ellsworth Avenue students 2 D Group participated in the Walgreen Corporations “Red Nose Day” activities that benefits children in poverty: FF Ray Guard, also known as “The Scorpion” rocked a full house at Molly Darcy’s with his rock band in a benefit for a very sick young child. Suppression / Response Activities of Note Crews responded to 5 brush, ground cover, or mulch fires with no significant property destruction. Another incident was a bench at Highland Avenue Park that mysteriously caught fire. A waste basket fire resulting from unintentional misuse of smoking materials occurred at Super 8 Motel. Management responded, extinguished the fire and placed the bucket outside prior to FD arrival. Crews responded to a vehicle fire on I84 Eastbound before exit 7. Apparently the driver saw his oil light come on, then reported smoke from under the hood to Dispatch, then flames. He was able to exit the vehicle and get a safe distance away. SQ1, E24, E26, C30, Tanker 10 and SPD managed the incident. A teacher at St. Joseph School noticed smoke coming from windows at Carriage House Apartments at 366 ½ Main Street. She called 911, went over to the building, proceeded to the second floor and returned to the parking lot to meet C30 for a briefing. Crews forced several doors in order to locate the correct unit, as no one answered at any unit on 2 nd floor. The source was found to be a smoke condition from a pot of beans left on the stovetop. The hazard was mitigated, owner notified and responded. He was advised of the situation and that no detectors were functioning on the second floor. He assured us he would replace all common area and unit detectors. Notification was made to C47 and a follow up email to FM Russell. If the teacher hadn’t acted, this would very likely have escalated to become a significant apartment fire. C30, E22, Truck 1, SQ1, E23 and DPD responded. Lt. Cabral, FF Vitolo and FF Lewis were called to Danbury Commons to rescue a very small kitten that was trapped in a car’s engine compartment. After a 30-minute 3 extrication, the approximately 5 week old kitten was handed over to an animal rescue person, who brought it to Animal Welfare. Once the kitten is more than two pounds, it will live with DC Meehan who is adopting it. Command and Staff Activities  Police Dept memorial service and awards  Lt. and Communications Coordinator Interviews  Ann's Place Benefit Breakfast  Public Works Open House  Jericho Prayer Breakfast  Annual EMS Recognition dinner; Danbury Fire received the 2016 "EMS Service of the Year Award"  Monthly Staff meeting  City Council meeting  Dispatch oversight meetings with IXP and the PD  Monthly EMS/Dispatch steering committee Emergency Medical / HazMat – Coordinator Rey Rodriguez HAZMAT All members of the Fire Department will have participated in a Radiological Emergency Response class by the end of May. As a continuation of the 472 Hazardous Materials Technician refresher class held last month, the intent of this class is to teach the HAZMAT Technicians and fire fighters the skills they need to protect the Public’s health and safety when responding to hazardous materials emergencies and specifically, to incidents involving radioactive materials. The Danbury Fire Department has recently received 3 more Gamma Rae II Radiation meters from the Region Five 2015 Homeland Security Grant Program allowing the deployment on this advanced metering technology on every First Responder Apparatus. The Gamma Rae II, gamma radiation measuring dosimeter is the first line of defense against a radiation hazard. This monitor is designed to alert prior to the exposure of any gamma radiation hazards. Because of its high sensitivity at low radiation levels, it can alert first responders to the presence of a radiation threat well before they might be exposed to health-threatening levels. 4 The new meters will enhance our departments HAZMAT capability, with First Due units able to properly conduct emergency operations and set up safety perimeters to protect the public during the initial phases of an Emergency Hazardous Material Response. Smallpox Table Top Exercise EMS/HAZMAT Coordinator Rodriguez attended a Tabletop Exercise on Monday, May 16, 2016 at the EOC in the basement of City Hall. The exercise included mass inoculation scenario and a review of the City of Danbury’s Community Emergency Response Plan. EMS Award The Danbury Fire Department received the EMS Service of the Year award from the Danbury Hospital for our efforts in utilizing the drug Naloxone to combat opiate overdoses resulting from the heroin epidemic that plagues our country. Assistant Chief Omasta and Deputy Chief Meehan attended the EMS Dinner sponsored by the Danbury Hospital to receive the award on behalf of the Department. Communications/911 – Provisional Communications Coord. Jamie Gagliardo  Dispatch tours were given to any remaining members that missed the group tours.  Responded to 44 Long Ridge Road for a larger brush fire. Communications worked with Deputy Chief Paul Omasta and was assigned the Incident Safety Officer.  Attended the Region 5 EFS-2 meeting which included a presentation from FirstNet. FirstNet is a federally funded commission tasked with creating a national public safety broadband network funded from the 9/11 commission. This project is underway and may be of value to our emergency services communications in the near future.  Received a tour of the new Northwest CMED dispatch facility in Waterbury. This facility will serve many local communities with a centralized dispatch center.  Received a tour of Litchfield County Dispatch Center in Torrington. This facility is very similar to Danbury in many ways. These tours will help us see what procedures other centers use to continually better our dispatch services.  Attended the annual Jericho Partnership Leadership breakfast at the Amber Room.  Worked with the Frontier Communications to correct a circuit problem with our Harvest Hill Receive Site. The problem ended up being a power failure within Frontier’s system. 5   Assisted the Training Division with some repairs to our fire school burn building.  Worked with FF Gallagher to update NexGen CAD software with some updated response guidelines.  Worked with the EMS Coordinator to update our Rehab response policies and call back list. For every 2nd alarm or greater, firefighter rehab will respond in addition to our current safety initiatives.  Attended the Ann’s Place breakfast at the Amber Room. The guest speaker was Rebecca Lobo, Women’s Basketball Hall of Fame and ESPN TV Analyst.  Communications has been working to update many of our current communications Standard Operating Procedures (SOP’s). Many suggestions have been forwarded to the appropriate members for approval.  Worked with Northeastern Communications on improving our fireground radio recording capabilities along with the repair of Engine Co. 23’s mobile radio and some inoperable portable radios.  Attended the Danbury Police Memorial Service remembering those we’ve lost.  Worked with the EMS Coordinator and the Assistant Chief on a firefighter rehab policy along with a rehab officer call back system. From this point forward there will always be a fire department member operating on all working fires and major incidents supervising the firefighter rehab group. This is yet another positive advance in our fire department safety initiatives program. Ongoing projects: o Approximately 4 hours a week have been spent in the Danbury 911 center for observation to create a better working system between the fire department and the dispatchers. Every week strengthening of our agency relationships is observed. o Radio system infrastructure upgrades including replacement mobile and portable radios for all fire department members and apparatus with assistance from Northeastern Communications. o Communications is assisting the Volunteer Division with the replacement of low band pager equipment. Demo units have been tested out. Research is being done on how many pagers are needed for the division. UHF paging will go along with the current project of replacing low band mobile radios along with the infrastructure upgrades. Training – Training Officer Steve Rogers Volunteer Division Quarterly 6 2nd Quarter training on Bloodborne Pathogens and Hazmat refresher has been completed. Career Division Employee Assistance Program – Annie Linden provided training on professional workplace behavior. Telestaff Training – Captain Lounsbury had multiple training sessions on the new Telestaff upgrades. Tree Climber Rescue Training – Captain Lounsbury coordinated and TO Rogers facilitated Bartlett Trees self rescue class. Code 88 Class – Training Division provided multiple emergency communication training sessions for the Fire Department. ARFF Training – The Danbury Fire Dept. has scheduled their annual live burn training at the Westover AFB in September. Westover has one of the three certified burn facilities in New England. Fire School – The fire school was utilized often this month by visiting fire departments ranging from Brookfield, Redding, West Redding, and Sherman. Hydrant Program – Crews will start testing the approx. 2,200 hydrants located throughout the city. ICS – The Training Division has completed lesson plans for continued implementation of NIMS Incident Command System. Recruits – Met with six recruits at CFA, all are doing well. Here are a few of the Meetings/Events for T.O Rogers:  April 23 – Drillmaster Rogers returned from FDIC in Indiana  April 24 – Drillmaster Rogers at fire school with Brookfield.  April 26 – Telestaff training  April 27 – EAP training  April 29 – TO Rogers met with six recruits at fire school.  May 1 – 2nd Quarter training with volunteers  May 3 – Tree climber class with Bartlett Tree  May 4 – Jericho Fellowship dinner  May 6 – Tree climber class with Bartlett Tree  May 8 – Fire School with Brookfield  May 9 – Code 88 Class  May 9 – West Redding live burn  May 13 – Burn Building repairs  May 14 – Brookfield Live Burn  May 15 – At fire school with Ridgefield  May 17 – Amber Room breakfast with Rebecca Lobo 7   May 19 – Live Burn with Ridgefield Apparatus / Equipment – Superintendent Joe Cavo We spent a considerable amount of time cleaning Old Truck-1 in preparation of a more in-depth inspection. This inspection was required to determine the extent of damage to the torque box and outrigger assemblies as flagged during the UL Non Destructive inspection. The inspection performed by Firematic Supply, our Pierce dealer revealed that although there are delaminating rust issues (which we are aware) physical measurements and ultrasonic testing show that these issues are not an out of service condition at this time. The Weddle tool from the Truck Company was turned in for repair. Unfortunately we were unable to fix this unit and sent it to the factory for repairs. A purchase order was issued and we are awaiting the tools return. We have scheduled Hurst annual service work and Scott Air Pak flow tests to be performed here in June. Other repairs completed:  Serviced the transmission in Truck-1 (filters and oil)  Replaced transmission cooler line Truck-1  Lay up plow for summer storage  Replaced officer’s and back stepper’s seat bottom in 10PA2  Charged batteries in R-2  Replaced officer’s seat belt in Truck-1  Checked and serviced brakes in E-24, inspected Front End  Repaired rear roll up door “open” light E-26  Reworked Scene lights on E-21, E-22, E-24 and E-26  Replaced battery charger in Foam Unit 6  Replaced brake chamber Truck-1  Replaced 5” front suction valve E-23 Community Risk Reduction Office of the Fire Marshal – Fire Marshal Jim Russell Staff DFM Gary Bruce has sent hundreds of letters to owners of three-family and above homes to gain access for fire inspections. In these inspections we check for working smoke alarms, proper egress, overcrowding, and any other hazards. To date, the response has been very good. TeleStaff Training for the Fire Marshal’s Office was held on 4-28-16 at our new training facility. Captain Bill Lounsbury was our trainer. Fire Marshal Jim Russell and DFM John Osborne traveled to the New Hampshire Fire Academy for three days to attend a course in Electrical Fire / Arson training. The course was put on by the Public Agency Training Co. This month our department attended 60 hours of continuing education courses. We are required by the State of Connecticut to obtain 90 hours each, every three years. 8 DFM Tyler Bergemann has taken the exam for a National Fire Investigator Certification. DFM Jonathan DeJoseph attended the Jericho Partnership Prayer Breakfast at the Amber Room, representing our Fire Department. He also has taken his EMT recertification exam, and taken the Lieutenant’s promotional exam. DFM Eric Handau and DFM Tyler Bergemann have attended a CME class in Ridgefield to continue their EMT / Paramedic certifications. Inspections This month we inspected 192 apartments. We also did 74 misc. inspections, 10 liquor inspections, 11 places of assembly, 53 businesses, 5 day care, 9 educational occupancies, 3 health care inspections, and 58 mercantile inspections. We have also been working with the UNIT and Health Department to find illegal living spaces and overcrowded apartments. Plan Reviews Our team continues to spend time doing plan reviews. This month we spent 71 hours reviewing plans for several store fit outs in the Danbury Fair Mall and the Danbury High addition. Some other buildings reviewed were an office building at 41 Eagle Rd, Cartus on Apple Ridge Rd, and many more. Fire Investigations This month we had 1 building fire, 2 vehicle fires, and 6 rubbish/garbage/grass/other types of fires. Investigations were done on all fires. Training DFM Bruce has completed the 22 nd annual Advanced Fire Investigation School held at the CT Fire Academy. There was a very large number of applicants with the most qualified being selected. This is a great opportunity to advance his fire investigation skills with the State of Connecticut’s best fire investigators and prosecutors. This program was taught by the State of CT Fire and Explosion investigators from the State Police as well as leading prosecutors and attorneys. The course included a hands-on fire investigation, with a real time mock court trial to prepare investigators for courtroom proceedings and areas of improvement in their fire investigation reports. On-going projects Primark, which occupies the 2 nd floor of the Sears building at the Danbury Fair Mall, is closer to completion. DFM Bruce has been working with Shawmut Contractors on verifying the emergency light, exit signs, fire alarm and sprinklers are installed and operating. The anticipated completion is the end of May 2016. The contractors appear to be on schedule. DFM Bruce attended a meeting with Maura Ruby and Chip Jowdy from the mall, Primark's security specialist, and the Primark Regional VP on fire safety and prevention. All parties are on the same page with security and fire safety. Bounce Trampoline Park, located on Prindle Lane, has opened for business. 9 Presentations Chief T. J. Wiedl and Fire Marshal Jim Russell gave a Leadership / Fire Safety talk on Dormitory Fire Safety for the PEER Leadership students at Danbury High School. Department Statistical Reports Community Risk Reduction Monthly inspections 423 Abatements issued 3 Violations issued 0 Complaints 4 Fire Investigations 4 Fire Safety Programs 1 Public Safety Answering Point Total 911 calls 3334 Cellular 911 calls 2387 Abandoned 911 calls 403 Admin calls received 781 10  CITY OF DANBURY HEALTH & HUMAN SERVICES DEPARTMENT 155 DEER HILL AVENUE, DANBURY, CONNECTICUT 06810 Central Health Office Social Services Office 203 - 797-4625 203 - 797-4569 Fax 796-1596 Fax 797-4566 Mayor Mark D. Boughton March 26, 2016 City Council 155 Deer Hill Avenue Danbury, CT 06810 Re: Health & Human Services Department Monthly Report Dear Mayor Boughton and Members of the City Council: The April 2016 Health & Human Services Department monthly report is provided for your review. Detailed reports are attached for each Service, including the Housing, Food Service, Lead Poisoning Prevention, Social Services transition, Seasonal Work, School Based Health Centers operations and Environmental Health which identify specific inspections, tasks and hours provided by our staff. Main Topics: The Department also continues to work on the computer systems to test and update our inspector’s programs to produce reports so the public may have access to inspection results and improve partnerships with the Hospital and other medical clinics to improve services have continued as well. Continued work and preparation for Grant Funding, Public Health Emergency Response plans, CTDP Epidemiology Program follow-up, Health Care facilities, Regional Partners and EMS. You are encouraged to review all the information for each Division, as it provides details concerning ongoing activities. Also, I thank you for giving the Health & Human Services Department the opportunity to serve the Citizens of Danbury and feel free to contact us with any questions you may have. Sincerely, Scott T. LeRoy, MPH, MS Director of Health & Human Service  CITY OF DANBURY HEALTH & HUMAN SERVICES DEPARTMENT 155 DEER HILL AVENUE, DANBURY, CONNECTICUT 06810 Central Health Office Social Services Office 203 - 797-4625 203 - 797-4569 Fax 796-1596 Fax 797-4566 TO: Mayor Boughton and City Council FR: Social Services RE: Activities during April 2016 Mission Statement: Our Social Services seek to provide the community and its residents with access to municipal and community social services in an expeditious, cost effective and comprehensive manner. Efforts are focused on improving access to housing and emergency shelters; improving access to medical care and coverage and improving social conditions for residents via collaboration and advocacy at the local, state and federal level by identifying and working to create systems of resources that are inclusive of all residents/clients in need. The following are the highlights from our Social Services activities for April, 2016: 1. Our Housing Caseworker managed approximately 44 active cases. 2. The Day Center, located at the Emergency Shelter, had approximately 592 visits from homeless individuals or those at risk of becoming homeless (this includes weekend service meetings). The breakdown of visits include the following: a. Initial Assessments(new clients): 7 b. Action Plan Development: 0 c. Veteran Referrals: 5 d. Referrals to Cash Assistance: 0 e. Bus Tickets: 0 f. Housing Related Issues: 2 g. Housing Placement: 2 h. Job Searches: 1** i. Employment inquiries: 0 j. Case Management Services: 7 k. Showers: 82 l. Lunch: 367 m. Mental Health Referrals/Case Management: 10* n. Adult Medical Referrals: 3 o. Phone Usage: 3 p. Substance Abuse Referrals/Case Management: 42* q. Clothing Vouchers: 0 r. Other: 61  CITY OF DANBURY HEALTH & HUMAN SERVICES DEPARTMENT 155 DEER HILL AVENUE, DANBURY, CONNECTICUT 06810 Central Health Office Social Services Office 203 - 797-4625 203 - 797-4569 Fax 796-1596 Fax 797-4566 *MCCA counseling services have RESUMED on Saturday and Sunday from the hours of 9:00am – 3:00pm. In- house counseling referral and case management services at the Day Center are also provided Monday through Friday. ** Providing computer access in Emergency Shelter for job placement and availability. 1. Receiving weekly food donations from arrangement with Community Plates. 2. Attended one (1) meeting of the Community Food Collaborative meeting at United Way. 3. Updating VA Grant per diem for VA representative to discuss summary reports, discharge amendments and plan of action reports for each veteran stay regarding the per diem veterans grant. 4. Meeting with Shelter Coordinator to discuss changes and new required documentation intake forms, vulnerability reports/intakes for Coordinated Access and updating VA forms. 5. The local community CoC has gone “live” for Coordinated Access at the Emergency Shelter on October 27, 2014. 3 appointments will be conducted Monday-Friday at the Emergency Shelter at 8:30am, 9:30am and 10:15am. Interviews with families will be conducted at 11:30am at the Women’s Center, Monday, Tuesday and Thursday. Ongoing appointments made with all local homeless clients staying at all 4 shelters in the community. 6. Attended one (1) meeting of the Continuum of Care. 7. Community Health Clinic has been conducting two clinics per week; medical and behavior clinics at the Emergency Shelter. 8. Attended three (3) meetings of the Community Care Team (CCT) of all community agencies, services and emergency services (Danbury Hospital, Danbury Police, Danbury EMT), to discuss chronic homeless clients in the community. 9. Attended Housing Placement Committee meeting. Catholic Charities has received 10 vouchers for re-entry of chronic homeless individuals with long records of incarceration (the old FUSE program). Initiating meetings with landlords for housing opportunities. 10. Attended Danbury Food Collaborative meeting. Need to spend $619.00 by the end of May. 11. Housing and Community Development committee meeting of the Danbury Housing Partnership. Will be holding a follow-up round table discussion on May 26th with local landlords and area agencies and political leaders to encourage renting apartments to our chronic homeless clients. 12. Prepare contractor’s bid for the repair and maintenance of the two restrooms at the City of Danbury Shelter. Local/approved architect inspected the Emergency Shelter and the request for complete renovation/ADA compliant bathrooms. 13. Found security deposit money from three local agencies to assist family who lost apartment in major fire in the community. 14. Attended one (1) meeting of the Housing First Committee. Planning a round table discussion meeting with local agencies and organizations to discuss homeless youths in the community. Meeting to be held at the Harambee Youth Center on May 17th at 10:30am. 15. Attended meeting with Director of Project Excellence (Mr. Nocera), Carrie Amos from Jericho and Sean from the Unit to continue discussion on the plans for hiring homeless clients to do work within the community. Project is designated for the week after City Clean-up Day on May 11th. 16. Attended annual Fair Housing Conference in Rocky Hill on April 28th. 17. Attended monthly City Council meeting on April 5th. 18. Attended Farmers’ Market meeting in preparation for June opening. 19. Completed quarterly report for Va Grant Per Diem Program.  CITY OF DANBURY HEALTH & HUMAN SERVICES DEPARTMENT 155 DEER HILL AVENUE, DANBURY, CONNECTICUT 06810 Central Health Office Social Services Office 203 - 797-4625 203 - 797-4569 Fax 796-1596 Fax 797-4566 School Based Health Centers (SBHCs) Monthly Operating Report April 2016 Brief Program Description: The School Based Health Centers (SBHCs) are freestanding medical centers, located on the grounds of Broadview and Rogers Park Middle Schools, Danbury High School, Henry Abbott Technical School and Newtown Middle School. The SBHCs promote the physical and mental health of children and youth and ensure their access to comprehensive primary and preventive health care. SBHCs emphasize early identification of physical and mental health concerns and the prevention of more serious problems through early intervention. Mission: Through improved access to care, children and adolescents will know and adopt behaviors that promote their health and well-being and experience reduced morbidity and mortality through early identification intervention. Patient Utilization Data for Period April 1, 2016 – April 30, 2016: DHS, BMS, RPMS (DPH Funded) 4,999 Total # of Students Enrolled in all Schools 4,434 Total # of Patients Enrolled in the SBHCs 89% % of Total School Population Enrolled 4,620 Total # of Patient Visits 2,393 Total # of Medical Visits 1,683 Total # of Behavioral Health Visits 544 Total # Dental Visits Program Snapshot: Activities/Meetings held April 1, 2016 – April 30, 2016: 04/06/16 – Participated in a CT Association of School Based Health Centers conference planning call. 04/07/16 – Participated in part two of a CIFC Strategic Planning meeting at OST. 04/08/16 – Joined BMS SBHC staff in a PC SBHC Pilot Project orientation meeting held at the CASBHC Offices, Quinnipiac Valley Health District, North Haven CT. Lead by a consultant from the National School Health alliance, the meeting provided a brief overview of the PC-SBHC project, review of PC-SBHC standards and led participating sites through an initial site specific assessment. 04/21/16 – Chaired the monthly meeting of the CT Association of School Based Health Center Board of Directors, Quinnipiac Valley Health District, and North Haven. Agenda items included an update of the 2016 legislative session and status of the State budget for SBHCs. 04/25/16 – Chaired the monthly SBHC staff meeting at OST. 04/26/16 – Joined SBHC staff in a mandatory annual first aid/CPR refresher course led by N. Munn, APRN and C. Nepoli, APRN. 04/26/16 – Joined BMS SBHC staff in a COIIN project webinar. Individual site project and updates on completion of PDSA-cycles was featured. 04/27/16 – Joined Clare Nespoli, APRN, Katie Curran, COO, Denise Kentala and Diane Trumbley, GDCHC Practice Manager in a meeting to review required data and reporting elements for DPH, UDS an current projects to assess what is data sets are currently captured in the EHR system and to determine what fields need to be added to assure compliance and conformity. 04/27/16 – Provided the CIFC Board of Directors with highlights of SBHC  CITY OF DANBURY HEALTH & HUMAN SERVICES DEPARTMENT 155 DEER HILL AVENUE, DANBURY, CONNECTICUT 06810 Central Health Office Social Services Office 203 - 797-4625 203 - 797-4569 Fax 796-1596 Fax 797-4566 activities at the monthly Board meeting. 04/28/16 – Joined K. White, APRN at the Families Network of Western CT Nancy and Bob Joy Annual Recognition Luncheon held at Matrix Conference Center. SBHC Clinical Staff All SBHC staff completed and are current with required Relias training courses. All staff continue with the transition to electronic health records (EHR). To date, all SBHC have “gone live” on the medical component of the EHR. Behavioral health staff will enter visit codes and move to full use of EHR as soon as the system is cloud based to assure operational efficiency and record safety, and continue to meet as a team to provider peer training on use of the system until a more formal, targeted training is held. Distribution of Student Satisfaction Surveys was initiated at all SBHC sites April 27 th to continue through Mat 27 th 2016. Survey results will be collated and reported to DPH with year-end reporting documents. 04/07/16 & 04/08/16 – BMS SBHC staff participated in COIIN Pilot Project webinar and virtual learning sessions. 04/07/16 – C. Cunningham, LPC attended a “Parent Awareness Workshop” of the Drug Free Schools committee of HVCASA. The topic this year was “The growth mindset”. The RPMS SBHC behavioral health provider sits on this committee as a middle school/SBHC representative. 04/8/16 – BMS SBHC staff and M. Bonjour traveled to New Haven for an initial meeting to discuss a new project entitled, Patient-Centered School Based Health Care (PC-SBHC). Broadview applied for the honor to participate and was selected to participate in the 18 month initiative. 04/26/16 C. Nespoli, APRN taught Healthcare Provider CPR to thirteen (13) SBHC staff members. 04/28/16 Clare Nespoli, APRN spoke to 100+ 8th grade students about the nursing profession at the BMS Career Fair. 04/12/16 – All SBHC medical providers met with Dr. Golenbock, MD, SBHC Medical Director, for monthly supervision. Topic: respiratory illnesses. 04/21/16 – N. Woering, APRN attended the CT APRNs annual conference, Rocky Hill CT. 04/25/16 – K. White, APRN attended the monthly Board of Directors meeting of Newtown Youth and Family Services. 04/28/16 – J. Casey, LCSW participated in BMS’s 8 th grade career fair, representing the social work field in general and as it pertains to the SBHC. Three separate presentations were given. 04/29/16 – N. Woering, APRN attended Danbury Hospital Grand Rounds. Topic: “Abdominal Surgical Emergencies” SBHC Outcome Measures 07/01/15 – 06/30/16 During FY 2015-16, SBHC staff will collect patient data and report on the following DPH required outcome measures listed below. Outcome data results will be updated cumulatively and presented in the CIFC monthly BOD reports. Additionally, data will be utilized to prepare an annual SBHC RBA Report Card and compared to 2014-15 data, noting trends in reasons for visit or patient outcomes. DHS SBHC – 96% of school population is enrolled in SBHC. New registrants continue to be verified in PowerSchool and entered. The DHS SBHC staff continue efforts to collect new CIFC registration forms from students. 100% of school population has received outreach contact. Outreach measures were continued during the month of April and included a bulletin board display on social media awareness (see photo below center). BMS SBHC – Geri Alpert, Office Manager continues to review incoming registration forms and refer all uninsured students to the GDCHC Eligibility Specialists for assistance with Husky Applications through Access Health. Updated CIFC SBHC registration forms are being distributed to all BMS students who currently have COD forms on file to update student records and bring enrollment records into compliance. School RN and Guidance Department continue to give out registration forms to any students without registration forms  CITY OF DANBURY HEALTH & HUMAN SERVICES DEPARTMENT 155 DEER HILL AVENUE, DANBURY, CONNECTICUT 06810 Central Health Office Social Services Office 203 - 797-4625 203 - 797-4569 Fax 796-1596 Fax 797-4566 whom they think would benefit from SBHC services. GDCHC contact information is included with every letter sent home to SBHC members who need immunizations and/or physical exams. Outcomes Measures Achievement of Outcome Improve access to and a. There will be at least 70% percent (40% for a. DHS has 96% enrollment as of 04/30/16 utilization of primary the NMS site) of the school’s student and preventive health population enrolled in the SBHC. Enrolled b. 15% of DHS enrolled students rec. 1 or more visit care and other essential means that a signed parent consent form for as of 04/30/16 public health services. the student is on file. c. 100% DHS students received outreach contacts as b. At least 45% of students enrolled in the of 04/30/16 SBHC will receive one or more visits. a. BMS has 75% enrollment as of 04/30/16 c. At least 80% percent of the student population will receive an outreach contact regarding services available at the SBHC b. 22% of BMS enrolled students rec. 1 or more visits (through distribution of literature, invitation to as of 04/30/16 an open house or event, participation in an c. 100% BMS students received educational forum, social media, or other outreach contacts as of 04/30/16 contact). a. RPMS has 80% enrollment as of 04/30/16 b. 21% of RPMS enrolled students rec. 1 or more visits as of 04/30/16 c. 100% students received outreach as of 04/30/1 90% of parents are called by APRN after seeing their child, with the hope that a personal phone conversation will lend towards the establishment of a therapeutic relationship and in turn, increase word of mouth positive feedback regarding the SBHC with other parents. Broadview SBHC Birthday Program - once a month (for the previous month) students who celebrated a birthday were invited to drop by the SBHC for a treat (pencils and stickers), and if not currently registered, a registration form was given as well. Year to date = Nine (9) referrals to local PCPs for a medical home (7 GDCHC). Of note, 3 of these referrals to GDCHC did follow-through and are now patients. Year to date referrals to Access Health for Husky Insurance = 8. Broadview is participating in the School Health Services National Quality Initiative (SHS NQI). The mission of this initiative is to build the capacity of SBHCs to adopt and report standardized performance measures to improve quality of care. The five performance measures are as follows: annual well-child visit; annual risk assessments; BMI assessment and nutrition/physical activity counseling; depression screening, and chlamydia screening. This is a 15 month project with monthly data collection. The Plan-Do-Study-Act (PDSA) Cycle chosen for April 2016 is to determine where in the EHR we would information pertaining to the annual well-child visit might be captured. On 04/27/16, C. Nespoli, APRN, K.  CITY OF DANBURY HEALTH & HUMAN SERVICES DEPARTMENT 155 DEER HILL AVENUE, DANBURY, CONNECTICUT 06810 Central Health Office Social Services Office 203 - 797-4625 203 - 797-4569 Fax 796-1596 Fax 797-4566 Curran, COO, Diana Trumbley, GDCHC Practice Manager and Denise Kentala, EHR Data Specialist, met to discuss which fields need to be developed in eClinicalWorks to capture data needed to report on all five measures required by this initiative. In addition, it was determined that C. Nespoli, APRN would draft a “SBHC Documentation Guideline” for all SBHC medical providers. A new bulletin board highlighting the amounts of sugar in popular drinks was displayed outside the Broadview SBHC as an outreach activity to inform and aware the students of the SBHC and services as well as to offer population health activities. RPMS SBHC – MA also continues to coordinate the dental appointments, as well as, attempts to resolve the multiple issues with the computer, and the ability to view and to take dental x-rays that is ongoing. New dental equipment was received and MA assisted with removal of old equipment and setup of the new equipment. MA assists the APRN by interviewing each patient and obtaining as much information as possible, then enters this into ECW to streamline the process for the patient to be seen by the APRN. MA coordinated resolution of ECW issues that the NP was having which were resulting in more time than necessary to complete her entries. NP now has access to Escripts but now has difficulty entering the actual medication into Escripts. She has obtained answers to questions that will hopefully make more efficient use of her time. The “Fun Club” afterschool program run by the MA and the School Nurse met once during the month of April, instead of twice, due to the April break and the School Nurse being unavailable for an additional meeting. At this month’s meeting, the girls were provided with potting soil, planting pots and herb seeds. Each girl was able to plant several pots of seeds to take home with the hope of seeing the seeds grow with their care, and then using what was grown in a cooking pro ject in one of the future meetings. In addition, once the planting was done, the girls were allowed to play and run around outside! It was a pleasure to see some of the girls, who normally would not interact with one another, approach each other to play the outdoor games together! One of the girls, who the SBHC had been working closely with regarding her morbid obesity, was doing her best to run and interact with the rest of the group in a game of “Marco Polo”. It was very obvious that she was truly happy taking part in that activity. Another two girls, one of which was extremely introverted, have formed a friendship and have continued this outside of school. *Selected as a DPH reportable outcome by the RPMS SBHC site only this program year. Outcomes Measures Achievement of Outcome Reduce the occurrence of a. Enrolled students will be immunized with vaccines a. Zero (0) required vaccine preventable disease among recommended by Advisory Committee on Immunization given in April. SBHC enrollees. Practices (ACIP) that are required by the State of CT. Annually the number of clinic users who received b. Zero (0) influenza immunizations and the percentage of students behind in vaccines administered and recommended intervals for immunizations who are brought reported to State up to date will be reported to the Department. Immunization Program during the month of April. b. The percentage of clinic users offered as well as the number who received Influenza Vaccine will be reported to c. 100% of all RPMS the Department. students participating in reproductive and skin cancer c. The percentage of clinic users who received influenza classes conducted in Mar. prevention teaching will be reported to the Department. received influenza and flu vaccine information.  CITY OF DANBURY HEALTH & HUMAN SERVICES DEPARTMENT 155 DEER HILL AVENUE, DANBURY, CONNECTICUT 06810 Central Health Office Social Services Office 203 - 797-4625 203 - 797-4569 Fax 796-1596 Fax 797-4566 Outcomes Measures Achievement of Outcome SBHC enrollees will a. 90% of school staff receives a.100 % of BMS school staff were reached with utilize mental health information about the mental health SBHC information via direct contact and/or school services to improve services offered through the SBHC. mailings their psychosocial functioning through b. 85% of clinic users identified with a b. 100 % of BMS students seen by MH clinician assessment, mental health concern through risk received a risk assessment through use of a DPH intervention and assessment screening receive a mental approved screening tool referral. health assessment administered by the SBHC mental health clinician or are c. 89% of BMS students receiving MH services referred for appropriate assessment. 3mth or > demonstrated improved psychosocial functioning c. 50% of clinic users receiving mental health services through the SBHC for at d. 100% of BMS students requiring additional least three months or regular therapy intervention by community-based provider received demonstrate improved psychosocial referral functioning. a.100 % of DHS school staff were reached with SBHC d. 90% of clinic users identified as information via direct contact and/or school mailings having mental health needs that exceed the scope of service provided by through the SBHC are referred to an b. 99% of DHS students seen by MH clinician received a outside mental health specialty service. risk assessment through use of a DPH approved screening tool c. 81% of DHS students receiving MH services 3mth or > demonstrated improved psychosocial functioning (LOF/GAF scores) d. 1% (2) DHS students required additional intervention by community-based provider during Mar. a. 100 % of RPMS school staff were reached with SBHC information via direct contact and/or school mailings b. 100 % of RPMS students seen by MH clinician received a risk assessment through use of a DPH approved screening tool c. 100% of RPMS SBHC users receiving mental health services for therapy for 3 mths or > showed improved psychosocial functioning. Of the 35 unduplicated users seen in April had recd. services during the last school year and 23 showed improved psychosocial functioning. d. In the month of April, zero (0) RPMS students were identified as having mental health needs that exceed the scope of services provided by the SBHC and was referred to a community provider.  CITY OF DANBURY HEALTH & HUMAN SERVICES DEPARTMENT 155 DEER HILL AVENUE, DANBURY, CONNECTICUT 06810 Central Health Office Social Services Office 203 - 797-4625 203 - 797-4569 Fax 796-1596 Fax 797-4566 DHS SBHC –New patients were referred by DHS school guidance counselors and teachers this month. As this is near to the end of the school year, efforts were made to fit in as many of these students as was feasible. Therapist had multiple contacts with school staff, in particular guidance counselors, regarding a number of ongoing staff. When compliance or school attendance is the issue, it becomes necessary to coordinate efforts even more so that treatment needs can be met. One student was referred due to panic attacks while another has missed so much school that he may need to be withdrawn. Clinician also learned regarding a possible sexual act that had taken place on school grounds that may have been filmed and shared. A school administrator was informed per school policy. BMS SBHC – J. Casey, LCSW had 68 student visits in the month of April, with 25 group appointments and 43 individual appointments. The Growing Up Female (GUF) group which began in March met three times in April. The Family Issues group did not meet in April. The 8th grade Girl’s Lunch group met two times in during the month. During the month of April, J. Casey, LCSW had two (2) meetings with parents. One was with the student’s cluster teachers and guidance counselor, one was private. 04/13/16 and 04/27/16 - J. Casey, LCSW co-facilitated the BMS Leadership Council meetings. RPMS SBHC – The RPMS behavioral health provider participated in two cluster meetings for students. 4. Reduce the severity and frequency of asthma symptoms among students with asthma who utilize the SBHC. *Selected as a 2015-16 outcome measure for BMS SBHC only. Reduce the severity a. 90% percent of clinic users with asthma have a written asthma action plan. and frequency of asthma symptoms b. 80% percent of clinic users compliant with a written asthma action plan show among students with improvement in symptoms as documented by a health care provider in the medical asthma who utilize the record. SBHC. c. There is a 20% percent decrease in urgent visits (visits by clinic users seen in the School Based Health Center due to asthma symptoms) as assessed by clinician notes, Electronic Health Record, or Data Base. d. 90% percent of clinic users with asthma have a documented flu vaccine. e. The number of clinic users with asthma that report a reduction in admissions to the hospital Emergency Department during the school year is increased by 20% percent. BMS SBHC **– 100% of students who presented to SBHC APRN with a diagnosis of asthma or who reported asthma in the medical history, received an asthma action plan if not done by PCP. April = 1; Year to date =27. Any student with a medical history of asthma whom does not have an albuterol inhaler and spacer with the school RN was given a medical authorization form and prescription for both (or sample, if applicable). April = 1; Year to date = 27. The school nurse’s database revealed 95 students at Broadview Middle School have asthma. The SBHC database revealed seventy-nine (79) members have an asthma diagnosis. The lists were cross-checked and twenty-one (21) students on the nurse’s list were not SBHC members. These twenty-one (21) students were sent home registration forms with a letter highlighting our services in general with an emphasis on asthma management. In total, five (5) students have been registered as a result of this effort. 5. Reduce the proportion of SBHC users with obesity. (Not selected as a specific measure this program year) 6. Reduce the occurrence of STDs among student SBHC enrollees.  CITY OF DANBURY HEALTH & HUMAN SERVICES DEPARTMENT 155 DEER HILL AVENUE, DANBURY, CONNECTICUT 06810 Central Health Office Social Services Office 203 - 797-4625 203 - 797-4569 Fax 796-1596 Fax 797-4566 *Selected by DHS SBHC only as a 2015-16 outcome measure Outcomes Measures Achievement of Outcome 6. Reduce the occurrence of a. 85% of sexually active 29 DHS students as of 04/30/16 were screened for STDs among student SBHC students are screened for STDs. GC/CT which was 100% of those reporting sexual enrollees activity 2 male RPMS students identified as sexually active declined STD testing During the month of April, all students who report sexual activity will be screened for chlamydia and gonorrhea using urine based testing method unless they report screening elsewhere in the last 90 days. The SBHC collaborates with the CT DPH STD Division and the State Lab to screen sexually active students. Students will be referred to the Dr. Foye, MD at GDCHC, Planned Parenthood, the AIDS Project of Greater Danbury, the Danbury STI clinic and local GYN offices for additional services as needed. RPMS SBHC – Sixteen (16) reproductive classes were given to two (2) new eighth grade health classes in April reaching forty-nine (49) total students. 7. Increase access to and utilization of primary and preventive oral health care and other essential oral public health services to improve the health status of SBHC enrollees. (Not selected as a measure this program year) 2015-2016 Health Corps Member Update: Below is a summary of service hour activities completed during the month of April 2016 by Ally Cafferty, Health Corps Member: 04/06/16 Designed and assembled bulletin board on healthy relationships 04/07/16 Designed and assembled bulletin board on alcohol awareness 04/14/16 Outreach activity: “Dine and Discover with the SBHC Staff” – Topic: texting and driving 04/25/16 Attended CIFC SBHC monthly staff meeting 04/29/16 Attended AmeriCorps Monthly Member Meeting 04/30/1 Assisted with “Give Kids a Smile Day” News/Case Studies from the Field: *A 15 year old female was seen in the SBHC after receiving a call from her PCP. The student had tested positive for a sexually transmitted infection sent out by her PCP and the PCP was not able to contact the student to arrange for treatment. The student was contacted and brought in for an immediate appointment in the SBHC and treated on the spot. *A 15 year old female was evaluated in the SBHC for a painful mass to the base of her finger. The student reported the mass had been present since Oct 2015.It was becoming bigger and more painful and was interfering with the student’s ability to write. The APRN located a surgeon in the community who would accommodate a patient with HUSKY insurance and sent a referral. *A 16 year old male was seen for a deep laceration to the finger. He was using a knife in his kitchen the prior day and accidentally cut himself. The area was cleaned and steri-strips were applied. The student’s vaccine record was checked for tetanus status. The student’s mom was advised to have the student evaluated at the local ED. *A 13 year old female was seen in January for chest discomfort. She was given an inhaler and spacer to trial to see if her chest discomfort would resolve. This girl’s maternal grandmother and father were her legal guardians. Her mother was a heroin addict and lives out of town. The student lives with her grandmother. Dad lived in NJ. Dad does not allow the grandmother to have a copy of the girl’s insurance card or have the insurance number. Dad requested that I call a pharmacy in NJ for him to purchase the medication and spacer needed for school. He would then overnight the prescriptions to his daughter in CT. Time had passed and recently the school nurse asked the Nurse Practitioner if an inhaler was prescribed  CITY OF DANBURY HEALTH & HUMAN SERVICES DEPARTMENT 155 DEER HILL AVENUE, DANBURY, CONNECTICUT 06810 Central Health Office Social Services Office 203 - 797-4625 203 - 797-4569 Fax 796-1596 Fax 797-4566 because the student needed it for the Washington, D.C. trip. The grandmother was contacted and it was learned that Dad never mailed the inhaler and spacer to the student. Student was using the grandmother’s inhaler if she needed it for chest pain. The free inhaler given to the student was empty. The student and grandmother thought the inhaler was empty because it was in her backpack and books might have expelled the medication. The school nurses thought the student might be trying to “get high” on the albuterol inhaler. The Nurse Practitioner educated one of the school nurses about the ingredients and side effects of an albuterol inhaler. Grandmother requested that the LCSW also see her granddaughter because she did not like her friends and was caught smoking cigarettes. The LCSW met with the student for an initial visit. The Nurse Practitioner saw the student, was given another free spacer and inhaler for the D.C. trip. Dad had moved to NY. Dad and Nurse Practitioner talked on the phone and another inhaler and spacer prescription was called into a different pharmacy of Father’s choice. Student was then able to attend the D.C. trip with an inhaler and spacer from the SBHC. Student is scheduled to follow up with SBHC LCSW and Nurse Practitioner when she returns from the D.C. class trip. *A student, in treatment with SBHC behavioral health provider most of last year and this school year since February sent a very worrisome email. She spoke of suicidality with some plan but also with a clear request for help. Her appointment was that day anyway, but much later and it seemed action needed to be taken sooner. It became very complicated as neither parent was reachable via phone at home or their jobs. (we later learned that the student who has no phone, had her mother's cell with her). Father is English speaking but mother, who is closer, is not. The clinician can understand some Spanish but would have been unable to communicate such delicate information effectively. Through multiple contacts, the clinician, the school, the doctor etc. have found the parents to be very open to therapy but not to medication or higher levels of care. It was unclear that even if reached, that they would go to crisis intervention. The student's guidance counselor was unreachable on this particular day and another school-wide mental health crisis was occurring in the building. In cases where parents are not reachable or are unwilling to transport as student to crisis an ambulance needs to be called and administration has to be informed. What finally occurred after a couple of hours during which another guidance counselor, who is multilingual attempted to leave messages for the parents, was that school administrators, including the principal, a school police officer, a school safety officer and the DHS clinician were able to locate the student within the building and she agreed readily to go with EMTs to Danbury Hospital. In the moments before she was to go with them one final attempt was made to reach a parent. The father picked up and immediately agreed to go to the hospital with his wife and to meet their daughter at the ER where she would receive a crisis evaluation. This student did meet criterion for admission and a couple of days later. After being held in the ER, was transferred to Yale New Haven hospital. *One ADHD student who isn’t insured has been on twice daily generic Ritalin. He had been doing very well, with an immediate improvement in attitude, behavior, attention, and grades. He decided before April break to stop taking the 11am medication from the nurses, and has since stopped taking his medication in the morning before school. He reports he doesn’t like being the nice kid, likes being the bad kid, doing what he wants. He has been in ISS now 6 days during April. No amount of discussion seems to persuade him to restart the medication or control his attitude or behavior. Parents and school guidance counselor are aware of his refusal to be medicated. BMI: Since the start of 2015-16 school year, 312 RPMS students had their BMI recorded through the SBHC. Of those, 56% were between the 5-85th percentile, with 20% overweight and 24% obese. Students are informed of their BMI status and what is means and ways to eat healthy and exercise.  DANBURY LIBRARY STATISTICS Mayor and City Council 2015-2016 July 15 Aug 15 Sept 15 Oct 15 Nov 15 Dec 15 Jan 16 Feb 16 Mar 16 Apr 16 YTD 15-16 YTD 14-15 +/- % COMMENTS FOR THE CURRENT MONTH DAYS OPEN PER MONTH 25 26 28 30 27 29 27 26 29 30 277 165 112 68% used average daily attendance from Aug. 2014 to estimate total because 3M gates were removed without getting total and we had several days NUMBER OF PEOPLE ENTERING LIBRARY 28,245 33,046 25,168 32,471 26,330 25,768 23,675 26,857 29,199 28,143 278,901 189,210 89,691 47% without any gates AVERAGE NUMBER OF PEOPLE PER DAY OPEN 1,130 1,271 899 1,082 975 889 877 1,033 1,007 938 1,007 1,147 (140) -12% REGISTERED CUSTOMERS WITH ACTIVE LIBRARY CARDS 27,675 28,001 28,347 28,780 27,924 28,173 28,577 26,916 27,456 27,276 28,173 29,820 (1,647) -6% USE OF LIBRARY MATERIALS & SERVICES - IN LIBRARY Total circulation transactions (check-out, check-in, renewals,holds) 67,769 62,350 50,139 50,719 46,546 44,353 47,189 44,825 48,725 51,412 514,027 386,537 127,490 33% Total items checked out & renewed 36,940 32,167 26,932 27,299 25,131 23,747 26,291 24,537 26,772 25,183 274,999 207,699 67,300 32% Items checked out per library customer 1.3 1.1 1.0 0.9 0.9 0.8 0.9 0.9 1.0 0.9 Average number of items checked out per day 1,478 1,237 962 910 931 819 974 944 923 839 993 1,259 (266) -21% Ebook circulation 762 685 629 539 575 574 584 481 551 656 6,036 3,231 2,805 87% Ebook circulation as a per centage of total book circulation 2.88% 2.99% 3.38% 2.89% 3.46% 3.63% 3.34% 2.90% 2.93% 3.71% 3.18% 2.39% Items checked out with self-check machines 25,912 21,224 18,979 19,309 17,936 16,126 18,577 17,500 18,279 16,903 190,745 139,277 51,468 37% % of total checked out via self-check machines 70% 66% 70% 71% 71% 68% 71% 71% 68% 67% 69% 67% General adult circulating materials 6,518 6,299 5,514 5,277 4,571 4,609 5,412 4,921 5,790 5,300 54,211 37,914 16,297 43% 14-day books 965 1,001 893 875 305 23 14 10 8 7 4,101 6,091 (1,990) -33% Print Language Center 232 216 165 171 130 152 94 200 250 209 1,819 1,294 525 41% Music CDs 1,205 926 817 903 884 1,013 843 811 764 709 8,875 6,483 2,392 37% DVDs and Blu-rays 8,098 7,104 6,434 6,566 6,546 5,909 6,646 6,188 6,181 5,686 65,358 57,140 8,218 14% Books on CD and Playaways 934 875 831 913 867 782 828 741 763 871 8,405 6,467 1938 30% AV Language Center 84 84 66 77 76 78 301 70 72 56 964 489 475 97% Total junior circulating materials 16,253 13,085 9,769 10,059 9,260 8,119 9,134 8,821 9,853 9,390 103,743 75,734 28,009 37% Items loaned to other libraries 12 4 5 2 0 2 3 15 31 32 106 862 (756) -88% reQuest discontinued 6/30/15 Items borrowed from other libraries 105 79 120 98 86 67 96 105 185 135 1,076 1,360 (284) -21% " Questions answered (in person, phone) 16,279 15,619 17,588 19,140 20,920 22,100 24,082 23,503 25,156 27,713 212,100 51,430 160,670 312% Inconsistency in ref. desk counting. Library programs (All) 96 72 54 101 69 57 102 93 192 127 963 407 556 137% Library program attendance 2,772 1,311 1,900 4,223 1,207 1,093 980 862 1,729 1,654 17,731 9,649 8082 84% Average program attendance 29 18 35 42 17 19 10 9 9 13 18 24 (5) -22% Summer Reading participants - children 1216 0.0 0.0 0.0 0.0 0.0 0.0 1,216 1015 201 20% count for June-July of each year Computer usage 5,844 5,786 5,911 5,908 5,110 4,738 4,851 4,613 5,242 5,585 53,588 38,362 15,226 40% USE OF LIBRARY MATERIALS & SERVICES - REMOTE & ELECTRONIC Use of Danbury Library databases 89 73 211 92 56 65 39 45 54 30 754 1,241 (487) -39% Use of Language Center databases 340 226 397 381 321 263 318 333 244 351 3,174 1,660 1,514 91% Use of iConn databases 809 673 672 555 424 226 518 346 194 554 4,971 3,930 1,041 26% Does not include February JobNow usage Total use of databases 1,238 972 1,280 1,028 801 554 875 724 492 935 8,899 6,831 2,068 30% Questions answered (email, IM, feedback, Library Anywhere) 381 291 370 156 151 212 240 270 114 272 2,457 1,830 627 34% VOLUNTEER HOURS 93 88 92 122 102 78 129 92 122 97 1,013 673 340 50%  1 1 1 3 CITY OF DANBURY OFFICE OF NEIGHBORHOOD ASSISTANCE Shawn Stillman 203-796-8026 UNIT Coordinator s.stillman@danbury-ct.gov Livable Neighborhoods 2016 “Building a Better Danbury” May 2016 April 25, 2016 Honorable Mayor Boughton and City Council Members: Below is a table highlighting UNIT activity from the time of last month’s City Council report. This does not include any UNIT activity regarding follow up and re-inspection work from previously noted issues. The UNIT works to ensure that each and every issue is resolved as quickly as possible. Time Period April 25 – May 26th, 2016 Number of Quality of Life Issues 104 Year to Date - 2016 408 The top issues addressed by the UNIT were:  Garbage/Debris and Blighted property (20)  Miscellaneous (15)  Abandoned/Unregistered vehicles (13)  Front lawn parking (11)  Blighted properties (10)  Exterior Blight Orders/Notice of Violation (9)  Overcrowding/Illegal Apartments and Construction (9) CLEAN START: The UNIT kicked off the beginning of its Clean Start Program on Monday, May 23 rd. In partnership with Jericho Partnership, members of the homeless population apply and interview for positions to complete light work around the city for 8 hours a week. Most of the work will be litter cleanup around the city’s streets, sidewalks and parks. However, additional jobs may be added such as light landscaping, painting and other tasks. Two work groups will work 2  2 days/week and in return they will earn gift cards for their service. This offers an excellent opportunity for this population to get back to work and focus on opportunities for re- employment. Additionally, the city and its residents benefit. The UNIT will be responsible for seeking out and assigning tasks to the work groups. Various city agencies such as the Danbury Parking Authority, City Center and Danbury Housing Authority will also benefit from these works services. CLEAN CITY DANBURY DAY: Despite the rain, hundreds of residents took advantage of this annual local “holiday” to dispose of their bulky waste, some even made multiple trips. It was another successful event as multiple drop off locations were set up throughout the city. Also, remember that Winter Brothers will accept electronic waste for free, as it is recyclable. Until next year.. EXTERIOR AND STRUCTURAL BLIGHT CITATIONS: Orders written by UNIT (YTD): 38 (Includes Notice of Violations) Below is a review of the Exterior Blight Citations sent this past period: Exterior Blight Citations :  5 Victor Street: Issued order to property owner to remove a variety of commercial equipment including a food truck and its supplies. Additionally, the rear of the property was littered with garbage/rubbish. Property has since been cleaned up.  99 West Street: Issued order for the removal of a variety of garbage/rubbish in the rear of the property. Property owner has ordered a dumpster and is currently working on it.  95-97 West Street: Issued order for the removal of discarded furniture and a variety of litter in the rear of the property. Property has been cleaned up.  49 Locust Avenue: Issued order for the removal of at least 4 unregistered vehicles, as well as some construction debris.  61 Osborne Street: Issued order for the removal of at least 4 unregistered vehicles, as well as rubbish in the rear of the property. Also the removal of an unpermitted shed-like structure.  5-7 Main Street: Issued order for the removal of at 5 unregistered and inoperable vehicles, as well as rubbish/litter around the entire property. Additionally, the property needs to be routinely maintained, including the lawn being mowed and the repair of a gutter that is hanging off the front of the building.  80 South Street: Issued order to the property owner of this gas station for the clean up of the entire property. Litter and garbage scattered about. Also the removal of 2 commercial  3 trucks that have been at the property for years and have not moved. Rubbish is 3 being stored underneath and around them. 3 3 Notice of Violation letters:  50 Boulevard Drive: Issued NOV to property owner requiring the necessary routine maintenance of the property. Lawn to be mowed, small rubbish to be removed. Structural Blight Order:  46 Kenosia Avenue: Issued order to owner of mobile home for the necessary exterior repairs of the structure. The siding is rotting and in need of repair, overgrowth around the structure to be removed as it is conducive to rotting conditons. If we can be of any assistance to you or residents in your ward please contact us at 796-8026 or 311. Sincerely, Shawn Stillman Coordinator, Office of Neighborhood Assistance