The mission of the Public Health Department is to protect the public through promoting individual, community, and environmental health.

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1 Mission Statement The mission of the Department is to protect the public through promoting individual, community, and environmental health. Department Description and Key Issues The Department of provides a wide range of services in more than 50 programs that are designed to promote and protect the health of all County residents and visitors. The department strives to address the core public health functions as mandated by the State of California. These essential functions consist of promoting and protecting community health through attention to women and children s health issues and communicable and infectious diseases, planning for and responding to disasters, providing adult indigent care, and protecting our County s valuable natural resources while improving the environment. In implementing its programs, the department is organized into four major divisions with the following functions: Nursing Services Division Provides a wide array of services to promote health and wellness including: health assessments; nursing case management and occupational/physical therapy services for children with physically disabling health care needs under the California Children s Services program; education and food vouchers to pregnant and breastfeeding women and to children up to age five through the Women, Infants and Children s Program; nursing services for foster children; family planning clinic services; immunizations; substance abuse treatment; pregnancy care resources and case management through the Maternal Child and Adolescent Health program; childhood lead poisoning prevention; dental health; injury prevention and low cost child car seats programs. Communicable Disease, Emergency Response (CDER) and Community Health Division Provides diagnosis, education, surveillance, epidemiological followup and monitoring of treatment for communicable diseases such as sexually transmitted diseases; enteric diseases; hepatitis A, B and C; salmonella; meningitis and tuberculosis. The Laboratory provides advanced testing capabilities to detect agents of infectious disease and other threats to the public s health including plans for bioterrorism and disaster preparedness. The Emergency Response and Preparedness Program works in collaboration with local hospitals, health care providers, fire departments, Office of Emergency Management, law enforcement and other partners to protect the public from negative health outcomes in times of emergencies and disasters. Community Health provides data collection and analysis, systematic program review, health education, community outreach and promotion. This division also includes the Supplemental Nutrition Assistance ProgramEducation (SNAPEd). SNAPEd provides nutrition education with an emphasis on obesity prevention through classes and presentations. Environmental Health Division Provides services as required by State law and Butte County Code to meet environmental health and sanitary needs within the County. The division includes the following programs: inspection of food establishments, public swimming pool inspections, small water systems inspections and monitoring, hazardous waste management, solid waste, 220

2 liquid waste, water well permitting and inspections, underground and aboveground storage tanks, land use regulations and permitting of water wells and wastewater systems, and inspection of correctional/detention facilities. General Administration Provides overall fiscal, contractual and operational management of the department, including information systems, personnel management, purchasing services, and interdepartmental relations. Another key program in this division is vital statistics where all births and deaths in the County are registered and certificates issued, including burial permits, in accordance with State law. The process of becoming an accredited agency is a function of General Administration. Accreditation is a process aimed at advancing the quality and performance of the Department. The division also provides a full range of animal control services within the unincorporated portions of the County. These services include rabies control, animal licensure, investigation of bites and animal quarantine, containment of stray dogs, sheltering, investigation of animal nuisances and cruelty, and dead animal pickup on County roadways. PUBLIC HEALTH BUDGET Actuals Adopted Licenses, Permits and Franchises 129, , , ,000 Fines, Forfeitures and Penalties 263, , , ,250 Use of Money and Property 83, , , ,000 Intergovernmental Revenues 15,587,053 13,145,634 14,409,868 13,597,325 Charges For Services 3,145,229 3,354,016 3,659,634 3,659,634 Miscellaneous Revenues 47,958 24,745 13,350 13,350 Other Financing Sources 724, , , ,607 Special Items 3,300 3,300 Total Revenues $ 19,981,900 $ 17,792,099 $ 19,391,009 $ 18,578,466 Salaries and Employee Benefits 10,392,367 12,954,035 13,377,678 13,377,678 Services and Supplies 6,550,670 5,672,768 4,912,954 4,896,428 Other Charges 1,394,519 1,530,803 1,987,432 1,987,432 Capital Assets 192, , , ,000 Total Expenditures $ 18,529,764 $ 20,467,606 $ 20,551,064 $ 20,534,538 Net Costs/Use of Fund Balance $ (1,452,136) $ 2,675,507 $ 1,160,055 $ 1,956,

3 Source of Funds (Revenues) Intergovernmental revenues, from State and federal governments, are the largest revenue sources for the department. Charges for services are fees collected for services such as the public health laboratory, clinic, and environmental health inspection. Other financing sources include the required General Fund transfer to the department and transfers from the Rural Health Education Tobacco nonoperating special revenue fund. Use of Money and Property 0% Fines, Forfeitures and Penalties 1% Licenses, Permits and Franchises 1% Fund Balance 10% Special Items 0% Other Financing Sources 4% Source of Funds (Revenues) $20,534,538 Miscellaneous Revenues 0% Charges For Services 18% Fines, forfeitures and penalties include revenues received from the courts related to traffic citations and court settlements as specified in State law. Licenses, permits and franchises include revenues from animal licenses Intergovernmental Revenues 66% fund balance is primarily the use of 1991 Realignment to fund the department operations. Use of Funds (Expenditures) Salary and benefits is the largest expenditure category for the department. Services and supplies include various contract services such as animal shelter/care, consulting services, medical/dental supplies, leases, utilities, and training. Other charges include costs for support services provided by Administration, Auditor, County Counsel, General Services, Human Resources, Information Systems, and Treasurer. They also include transfers to General Salaries and Employee Benefits 65% Use of Funds (Expenditures) $20,534,538 Services for facility projects; transfers to the Road Fund for vehicle maintenance and the department s share of depreciation on facilities. Capital assets include the purchase of four (4) vehicles and a software system. Services and Supplies 24% Other Charges 10% Capital Assets 1% 222

4 Summary of Budget Request and Recommendation Salaries & Employee Benefits The department budget request includes a net increase of 0.5 positions to better meet the current needs of the department, which consist of the following: Deletion of 3.5 positions (1.0 SunsetTerm Administrative Assistant; 0.5 Nutritionist; 1.0 Education Specialist; 1.0 Client Services Specialist). Addition of four (4) new positions (1.0 Assistant Director, ; 1.0 Nurse; 1.0 Environmental Health Specialist, Senior; 1.0 Administrative Assistant). The recommendation includes funding for the requested staffing levels. Services & Supplies The department budget request includes funding to maintain current service levels. The recommendation includes funding for the requested services and supplies. Capital Assets The department budget request includes funding for the following items: four (4) replacement vehicles (one sedan for use by the Nursing Division, two trucks for use by the Environmental Health Division, and one truck with an animal transport unit/cage for use by Animal Control) and an Electronic Medical Records System. Full Time Equivalent Position Allocations Total Adopted Positions Adopted Positions Adopted Positions Adopted Positions Current Positions * Positions *Asof4/21/15 The recommendation includes the funding for requested capital assets. The recommendation includes a transfer of $724,304 from the General Fund to the Fund for the Maintenance of Effort as required by State law. The recommendation includes a transfer of 10% of Realignment revenues, estimated to be $812,543, from the Fund to the Social Services Fund. The recommended transfer reduces the General Fund contribution to the Department of Employment and Social Services. 223

5 STATE CONTROLLER SCHEDULES BUTTE COUNTY COUNTY BUDGET ACT FINANCING SOURCES AND USES BY BUDGET UNIT BY OBJECT January 2010, revision #1 GOVERNMENTAL FUNDS FISCAL YEAR SCHEDULE 9 BUDGET UNIT FUNCTION ACTIVITY FUND 540 PUBLIC HEALTH HEALTH & SANITATION HEALTH 0021 PUBLIC HEALTH FUND Detail by Revenue Category Adopted by the and Expenditure Object Actual Estimated Board of Supervisors REVENUES 420 LICENSE,PERMTS & FRANCHS 100, ,000 d 430 FINES,FORFEITURES & PNTLY 229, ,250 d 440 USE OF MONEY & PROPERTY 100, ,000 d 450 INTERGOVERNMNMTL REVENUES 14,409,868 13,597,325 d 460 CHARGES FOR SERVICES 3,659,634 3,659,634 d 470 MISCELLANEOUS REVENUE 13,350 13,350 d 480 OTHER FINANCING SOURCES 875, ,607 d 490 SPECIAL ITEMS 3,300 3,300 d TOTAL REVENUES EXPENDITURES/APPROPRIATIONS $19,391,009 $18,578,466 b 510 SALARIES & EMPLOYEE BENE 13,377,678 13,377,678 d 520 SERVICES & SUPPLIES 4,912,954 4,896,428 d 550 OTHER CHARGES 1,987,432 1,987,432 d 560 CAPITAL ASSETS d EQUIPMENT 273, ,000 d TOTAL CAPITAL ASSETS 273, ,000 d TOTAL EXPENDITURES/APPROP. $20,551,064 $20,534,538 b NET COSTS / USE OF FUND BALANCE $1,160,055 $1,956,

6 STATE CONTROLLER SCHEDULES BUTTE COUNTY COUNTY BUDGET ACT FINANCING SOURCES AND USES BY BUDGET UNIT BY OBJECT January 2010, revision #1 GOVERNMENTAL FUNDS FISCAL YEAR SCHEDULE 9 FUND LEVEL REVENUE FUND 0021 PUBLIC HEALTH FUND Detail by Revenue Category Adopted by the and Expenditure Object Actual Estimated Board of Supervisors REVENUES 440 USE OF MONEY & PROPERTY 81, ,000 d 450 INTERGOVERNMNMTL REVENUES 10,127,183 6,615,308 d 480 OTHER FINANCING SOURCES 724, ,304 d TOTAL REVENUES $10,933,072 $7,464,612 b NET COSTS / USE OF FUND BALANCE ($10,933,072) ($7,464,612) 225

7 STATE CONTROLLER SCHEDULES BUTTE COUNTY COUNTY BUDGET ACT FINANCING SOURCES AND USES BY BUDGET UNIT BY OBJECT January 2010, revision #1 GOVERNMENTAL FUNDS FISCAL YEAR SCHEDULE 9 BUDGET UNIT FUNCTION ACTIVITY FUND PUBLIC HEALTH GENERAL SERVICES HEALTH AND SANITATION HEALTH 0021 PUBLIC HEALTH FUND Detail by Revenue Category Adopted by the and Expenditure Object Actual Estimated Board of Supervisors REVENUES 420 LICENSE,PERMTS & FRANCHS 129, ,000 d 430 FINES,FORFEITURES & PNTLY 263, ,000 d 440 USE OF MONEY & PROPERTY 2,200 2,400 d 450 INTERGOVERNMNMTL REVENUES 5,459,870 6,530,326 d 460 CHARGES FOR SERVICES 3,145,229 3,354,016 d 470 MISCELLANEOUS REVENUE 47,958 24,745 d TOTAL REVENUES EXPENDITURES/APPROPRIATIONS $9,048,828 $10,327,487 b 510 SALARIES & EMPLOYEE BENE 10,392,367 12,954,035 d 520 SERVICES & SUPPLIES 6,550,670 5,672,768 d 550 OTHER CHARGES 1,394,519 1,530,803 d 560 CAPITAL ASSETS d EQUIPMENT 192, ,000 d TOTAL CAPITAL ASSETS 192, ,000 d TOTAL EXPENDITURES/APPROP. $18,529,764 $20,467,606 b NET COSTS / USE OF FUND BALANCE $9,480,936 $10,140,