Take the following actions to add positions to the Health and Human Services Agency (HHSA): (1) Adopt a salary resolution, effective December 11, 2016, which: (a) amends the Shasta County’s Classification Specifications and Salary Schedule to add the Lab Director and Assistant Lab Director Classification Specifications, including adding both new Classification Specifications to Footnote 30 that allows additional physician compensation package in accordance with the terms and conditions of the individual's employment contract; and (b) amends Shasta County’s Position Allocation List for the HHSA as follows: (i) adds 1.0 Full-Time Equivalent (FTE) Account Clerk III and 2.0 FTE Investigative Services Analyst positions in the HHSA Business and Support Services (BSS) budget; (ii) adds 1.0 FTE Alcohol and Drug Counselor I/II position in the HHSA Alcohol & Drug Programs (ADP) budget; (iii) adds 4.0 FTE Community Mental Health Worker positions in the HHSA Mental Health Services Act (MHSA) budget; (iv) adds 1.0 FTE Staff Nurse I/II position in the HHSA Mental Health (MH) budget; (v) adds 3.0 FTE Assistant Social Worker/Social Worker (June 30, 2021 sunset date), 1.0 FTE Community Education Specialist I/II, 1.0 FTE Public Health (PH) Nutritionist I/II, and 1.0 FTE Staff Services Analyst I/II positions in the HHSA PH budget; (vi) adds 2.0 FTE Social Service Aide, 1.0 FTE Office Assistant I/II, and 2.0 FTE Assistant Social Worker/Social Worker positions in the Social Services budget; (vii) adds 3.0 FTE Employment Services Instructor I/II positions in the HHSA Social Services Opportunity Center (OC) budget; and (viii) adds 1.0 Full-Time Equivalent (FTE) Laboratory Director, 1.0 FTE Assistant Laboratory Director in the HHSA PH budget; and (2) approve a budget amendment in the HHSA budgets as follows (4/5 vote required): (a) increase appropriations by $109,052, offset by an increase in cost applieds from the MHSA, MH, PH, ADP, Social Services, and the OC budgets in the BSS budget; (b) increase appropriations and revenues by $40,997 in the ADP budget; (c) increase appropriations by $120,167 in the MHSA budget offset with use of MHSA Restricted General Purpose fund balance; (d) increase appropriations by $183,497 in the MH budget offset with use of MH Unassigned General Purpose fund balance; (e) increase appropriations and revenues by $213,918 in the PH budget; (f) increase appropriations by $193,222 in the Social Services budget offset with use of Social Services-Restricted State Realignment 1991/2011 fund balance; and (g) increase appropriations and revenues by $76,874 in the Social Services OC budget. (Page 92)

Due to new funding that HHSA has received as well as an evaluation of business needs, HHSA is requesting the addition of 25 positions within HHSA.

The HHSA has identified a need for two new position allocations, Laboratory Director and Assistant Laboratory Director. These position allocations are necessary in order to meet the County’s contract obligations in carrying out the activities of the Public Health Laboratory, a Health Care Financing Administration (HCFA) accredited laboratory performing high complexity testing in compliance with the Clinical Laboratory Improvement Amendments of 1988. The HHSA Adult Services Branch is requesting the addition of one Alcohol and Drug Counselor position. This position was approved by the Community Corrections Partnership (CCP) Executive Committee at its October meeting and will be funded by the CCP. This position will enhance the multi-disciplinary team working with collaborative court participants on drug and/or alcohol treatment needs, which will increase the success of participants in avoiding recidivism. The HHSA Regional Services Branch is requesting three additional Assistant Social Worker/Social Worker positions in support of the Whole Person Care program which will have sunset dates of June 30, 2021. This program was approved by the Board on November 15, 2016. The Branch is also requesting the addition of three Employment Services Instructor I/II position allocations within the Opportunity Center to accommodate new federal regulations that require the transition of Center-based programs to Community-based programs, requiring new staff to client ratios for Community Integration Training. A Public Health Nutritionist I/II position is requested within the Women, Infants, Children program to help fulfill contractual requirements as well as provide a Local Vendor Liaison program. Finally, after an analysis of the HHSA’s business needs, it has been determined that additional positions are necessary. The HHSA Public Health Branch is requesting the addition of one Community Education Specialist I/II and one Staff Services Analyst I/II positions. The HHSA Adult Services Branch is requesting the addition of four Community Mental Health Worker, one Staff Nurse, two Assistant Social Worker/Social Worker, one Office Assistant I/II, and two Social Service Aide positions. The HHSA Business and Support Services Branch is requesting one Account Clerk III and two Investigative Services Analyst positions for support to HHSA.

The Board could modify the salary resolution to approve some of the position changes, decline to adopt the salary resolution altogether, or direct staff to make changes to the salary resolution. The Board could choose not to approve the budget amendment.

The Support Services Department – Personnel Unit reviewed the recommendation and prepared the Salary Resolution. This recommendation has been reviewed by the County Administrative Office. The Auditor-Controller’s Office has reviewed the budget amendment.

Increased costs associated with a portion of the additional positions in the amount of $331,789 are offset by corresponding increases in revenue. The remaining additional cost increase in the amount of $496,886 will be offset by HHSA fund balances.  Appropriations and corresponding revenue for these positions will be included in future fiscal year budget submissions. There is no additional General Fund impact with the proposed recommendation.