BC 1986 08 04 - Laserfiche WebLink

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5O2 DEPARTMENT OF SOCIAL SERVICES ACCOUNT NUMBER 01-01-56-30 Present Line Item Approved Revised Account No. Description Budget Increase Decrease Budget Expense 56-30-463 Day Care-Children $195,838.00 $22,213.00 $218,051.00 Revenue 6-56-562 Day Care Children $195,838.00 $22,213.00 $218,051.00 PURPOSE OF BUDGET REVISION REQUEST: Our allocation of State/Federal Child Day Care Funding was not certain at the time the County budget for 86-87 was prepared. We actually allocated $22,213. more than originally expected. This amendment adds this funding. Mr. Robert Farris, Environmental Health Supervisor, reviewed the follow- ing recommendations pertaining to the installation of a tire cutter at the County landfill. Me Commercial tire businesses would be restricted to no more than 25 tires per seven (7) day period. No tires larger than 24 inches will be accepted. The charge to commercial tire businesses will be $3.00 per tire for passenger tires and $4.00 per tire for any larger than passenger size. All other tires will be accepted at $.50 per tire. No tires from outside Cabarrus County will be accepted. Commissioner Payne stated that the Board of Health had approved an additional provision stating that civic or community groups such as Keep Cabarrus Beautiful will not be charged for the tire cutting service. He asked that this provision be added to the proposal under consideration by the Board at this time. Commissioner Barnhardt expressed concern that the $3.00 per tire charge for the cutting service was too high and that persons would continue to throw tires by the side of the road instead of taking them to the Landfill. UPON MOTION of Commissioner Barnhardt, seconded by Chairman Lentz with Commissioners Barnhardt, Hamby, and Upright and Chairman Lentz voting for and Commissioner Payne voting against, the Board tabled the item regarding the recommended tire cutter fee schedule until after the Board of Health has its next meeting and has reconsidered the matter. The Board asked the County Attorney to draft the provision exempting the civic and community groups from the tire cutting charges before the recom- mended fee schedule is reconsidered by the Board of Health. At the request of Chairman Lentz, Mr. Ben Mabrey, Emergency Services Director, reviewed a recent complaint regarding a requested transfer of a Smith patient to the Veterans Administration (V.A.) Hospital in Salisbury. Stating that the Ambulance Service had encountered numerous problems in the past regarding the acceptance of patients upon their arrival at the hospital, Mr. Mabrey explained the policy that had been instituted several years ago whereby a patient wishing to be transferred to the V.A. Hospital is required to have a doctor from the V.A. Hospital contact the Ambulance Service prior to the transfer. He did point out, however, that the Ambulance Service responds to all emergency calls and transports these patients to Cabarrus Memorial Hospital. Mr. Mabrey stated that in the Smith case the patient's husband had been unaware of the transfer procedure and had become very upset when his wife could not be transported to the V.A. Hospital upon his request. The Board asked that a letter be written to the Smith family explaining the procedures for transfer by the Ambulance Service. During his presentation to the Board regarding the Ambulance Service, Mr. Mabrey reviewed the increase in the number of ambulance calls per month and the problems involving non-emergency transfers. He stated that the use of a convalescent ambulance unit during the past year had not been cost effective due to problems involving overtime regulations for the convalescent attendants and scheduling difficulties. During discussion, members of the Board expressed concern regarding the use of the communications division of the Sheriff's Department for dispatching non-emergency ambulance calls. The