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Board Meeting Minutes -
September 11, 2006
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6:00 PM
502 Old Lynchburg Rd
Charlottesville, VA

Members Present Members Absent

Mike Kelley, Chair Carol Johnson, Secretary
Joe Szakos, Vice-Chair Roxanne White
Angela Hammond Barbara Barrett, Past Chair
Steve Welsh Wendi Willis El-Amin
Myra Anderson Neal Walters
Katherine Tolton
Steve Stern
William Hale

Others Present

Caruso Brown, Interim Executive Director
Neta Davis, Director of Outpatient and Substance Abuse Division
Marcia Becker, Director of Access and Quality Assurance
Martha Maltais, Mental Retardation Services Director
David Moody, Medical Director
Ken Moore, Consumer Advocate
Kathy Williams, Director of Purchasing and Operations
Jessica Spears, Administrative Assistant
Anna Szakos
Paul Patrick
Evadne Deeds
Frank Blakenship


I. Call to Order
Mr. Kelley called the meeting to order at 6:05 PM.

II. Welcome
Mr. Kelley welcomed everyone to the meeting.

III. Introductions
Mr. Kelley introduced Myra Anderson as a new Board Member, and indicated that she will be serving on the Public Education and Development Committee.

Mr. Kelly asked if the Region Ten Management team would introduce themselves to the new board members. The following members of the management team made their introductions. Neta Davis, Director of Outpatient and Substance Abuse Services; Marcia Becker, Director of Access and Quality Assurance; David Moody, MD, Medical Director; Martha Maltais, Mental Retardation Services Director. Evadne Deeds of the Blue Ridge House made her introductions as well.

II. Comments from Public
No comments or questions at this time.

III. Specification of Other Items to be added to the Agenda
No items to be added at this time.

IV. Approval of July 10, 2006 Board Meeting Minutes
Minutes not approved. The published copy of the minutes was a hybrid of both the June and May minutes and will need to be recompiled before being presented for approval.

V. Executive Director’s Report
Mr. Brown mentioned that he would keep his report brief in keeping with the Chair’s intentions for a short meeting following the number of additional hours board members have spent recently.

Mr. Brown noted that since creating his report, he had received a summons to appear in court on behalf of Region Ten Community Services Board. The hearing is to determine if the board violated FOIA, specifically whether the conditions to enter into closed session and whether the procedure to enter and exit close session were appropriate. Mr. Szakos asked if members have to show up, and if so would they have time before to speak to the attorney. Mr. Brown said that he would consult with our attorney on this matter.

Mr. Brown went on to report the progress of the Wellness Recovery Center. At next month’s meeting, Mrs. Becker’s staff will give a presentation. And hopefully by that time a tour will be available of the site. Mr. Brown reported that the Center should be opening in December.

Ms. Hammond asked if this was the same as Crisis Intervention. Mrs. Becker stated that the service provided by Medicaid as defined is called Crisis Stabilization. But in light of the transformation initiative language, it has been renamed Wellness Recovery.

Mr. Brown referenced the attachment to his report from the architect working with Region Ten on the Nelson Co. project. This is a first draft of establishing the program needs

Mr. Brown also mentioned that Reed Banks was on vacation and that he was certain that Mr. Banks forwarded his report to him; however, Mr. Brown was unable to locate it. He assured the Board Members that Mr. Banks’ report would be included with next month’s packet.

Ms. Hammond commended everyone on their reports, and felt that the evaluations of programs were very enlightening.

Ms. Hammond noted that space seems to be a real problem, which needs to be discussed. Also, there seem to be a lot of new hires. She asked how many had been hired, and how many still needed to be hired. Mr. Brown answered by saying that a large number of staff had been hired for ESS (Educational Support Service) in outlying counties, due to significant growth need and acceptance of these services.

Ms. Hammond clarified her question to focus on the job fair. Mrs. Maltais replied that a number of people were hired through the job fair; however, there were those who either were not qualified, or backed out. As far as staffing, residential services are slowly coming back up. Day Support has had several resignations recently, but this is an area that hires easily due to the hours. They are working on putting together another job fair, and have considered radio and newspaper ads.

Ms. Anderson noted in Mrs. Becker’s report that not all consumers participated in developing their service plans and asked if it was not the practice throughout Region Ten for Consumers to actively participate in treatment plan development. Mrs. Becker responded that person centered planning does happen in some programs, and that we are continuing to increase those opportunities as staff are trained, but as a system we are not there yet.

Mr. Stern asked how many full time positions the Mental Retardation Services Division had. Mrs. Maltais answered that there are 120 full time positions across the division.

He went on to ask if Region Ten was having trouble with Oxford House. Mrs. Davis responded saying that the office that handled the zoning called her and wanted more information, mentioning that they had received several calls from the neighborhood. She called the office back and left a message giving them the phone number and website address for Oxford House, Inc.. She did not receive a call back, so she stated that she is under the impression that the zoning office is now in contact with Oxford House, Inc.. Mr. Stern then asked how Region Ten would interact with Oxford House. Mrs. Davis answered that we would interact with them in that they are another resource for people with addiction in our community. Those people wanting affordable housing would be referred to them. It’s a peer run organization. Oxford House has staff that comes in and lives with the clients for two months to get the house operating properly, and then they leave. The clients pay the rent themselves. We are a referring agent.

Ms. Hammond asked if this was a transition program. Mrs. Davis answered that most do, but that you could live there the rest of your life.

In response to questions about staff space needs, Mr. Brown stated that he, William Hale and Kathy Williams have had an initial meeting on Region Ten overall office needs for the primary buildings in the local area. It quickly became apparent that it was becoming an enormous project. A “quick fix” approach is not what is needed, but a more global approach needs to be applied. Consultants are out there who can look at staffing and evaluate growth. Mr. Brown indicated that an RFP would be developed to see what kind of responses we find.

Mr. Szakos noticed that several programs seemed to need staffing and wanted to know if this would be addressed later in the agenda. Mr. Kelley commented that Jane Lewis would be coming to us by the next Executive Committee meeting with to update the committee on staff recruitment and retention.

Mr. Szakos also mentioned that it would be very helpful to have some context to put all the surveys and satisfaction numbers stated in the Directors’ reports. Mr. Kelley added that the Performance Improvement Process and Annual Plan would be a good place to add this.

VI. Resolution for Chair & Executive Director to Sign: H.U.D.
Mr. Brown explained that the H.U.D. (Housing and Urban Development) required a specific resolution to authorize the Executive Director and the Board Chair to have signature authority for the processing of HUD application forms. The benefit of the new board members, Mr. Brown explained the Louisa Co. residential site, it’s intent and it’s funding. Mr. Brown read through the Resolution prior to the motion.

On a motion made by Mr. Kelley and seconded by Ms. Hammond the Resolution for H.U.D. was approved unanimously.

VII. Board Member H.U.D. Application Form signing.
Kathy Williams, the Procurement Director passed out all the HUD forms needing board member signatures. She indicated that we will need to have those absent board members to sign the forms as well, as soon as possible, and that there might still remain one or two forms remaining that will need to be signed.

VIII. Executive Committee
Mr. Kelley discussed the process and timeline for hiring the Executive Director outlined in the Executive Committee report.

Mr. Kelley reported for Ms. White, who was absent, stating that she is looking for ideas from the full Board as to what the Finance Committee might do to allow the other members of the Board to feel that the Finance Committee was meeting the needs of the board in terms of understanding the financial concerns of the board.

Mr. Brown pointed out one correction in the Executive Committee Minutes, item VI. “Mr. Purcell a very wealthy resident”…should read “Mr. Purcell a very civic minded resident…”

It was asked if something was being done for Susan Garrett. The suggestion was made that at the next board meeting she receives a plaque (similar to the one that Mr. Belair and Dr. Sheras received) for her long and valuable tenure on the Board.

IX. Public Policy & Legislative Affairs Committee
Mr. Szakos reported that the committee had not met, but he confirmed with Ms. Tolton (a new committee member) that the committee would meet at 4:30 PM on the day of the next board meeting.

X. Public Education & Development Committee
Ms. Hammond reported that the committee has invited Mrs. Payne {of Payne, Ross, & Associates} to the next meeting to assist the committee with public relations and fundraising strategies. She has helped other nonprofit organizations around town. That next meeting will be at 4:30PM, September 28, 2006.

XI. Finance Committee
No report

XII. VACSB Update
Ms. Spears handed out copies of the Conference Agenda that will be taking place October 4-6.

Mr. Stern asked Ms. Hammond, what fundraising projects did the committee have in mind. Ms. Hammond answered among the many ideas there is a mobile crisis unit, and a Women SA Treatment Facility much like the one that was at MOHR Center that only serves men. More ideas will be brought before the Board before being approved.

XIII. Other Business
No other business to discuss.

XVI. Adjournment

On a Motion made by Mr. Szakos at 6:43 PM the September 11, 2006 Region Ten Board Meeting was adjourned and the Board entered into the Region Ten, Inc., Board Meeting.

REGION TEN COMMUNITY SERVICES BOARD, Inc.

Board Meeting Minutes
September 11, 2006
6:43 PM
502 Old Lynchburg Rd
Charlottesville, VA

Members Present Members Absent

Mike Kelley, Chair Carol Johnson, Secretary
Joe Szakos, Vice-Chair Roxanne White
Angela Hammond Barbara Barrett, Past Chair
Steve Welsh Wendi Willis El-Amin
Myra Anderson Neal Walters
Katherine Tolton
Steve Stern
William Hale

Others Present

Caruso Brown, Interim Executive Director
Neta Davis, Director of Outpatient and Substance Abuse Division
Marcia Becker, Director of Access and Quality Assurance
Martha Maltais, Mental Retardation Services Director
David Moody, Medical Director
Ken Moore, Consumer Advocate
Kathy Williams, Director of Purchasing and Operations
Jessica Spears, Administrative Assistant
Anna Szakos
Paul Patrick
Evadne Deeds
Frank Blakenship


I. Call to Order
Mr. Kelley called the meeting to order at 6:43 PM.

II. Approval of July 10, 2006 Region Ten, Inc. minutes
Minutes were unable to be located prior to meeting, and so will be brought to the next meeting for approval.

III. Wellness Recovery Center
Mr. Brow reported that the project is on track. Bulldozers are beginning work to create a road from 502 Old Lynchburg Rd to the Wellness Recovery Center.

IV. Pine Ridge
Meeting with consultants and working with HUD to have a full application submitted before the month is out, then we will wait for the approval. Once that happens construction will begin.

A report from the architect regarding the Nelson Co. is attached to the Board Packet.

II. Region Ten Growth
As noted in the Region Ten Community Services Board meeting there is a plan to look at both our short term and long-term needs for office space. Such a plan also needs to be developed to develop strategies for planning for growth in residential and day support programs as well.

III. Construction at Little High St.
Mr. Brown reported that there is nothing known officially. For the benefit of new board members Mr. Brown supplied background on the issue: there is an organization called Community Service Housing Inc that is a separate nonprofit from Region Ten. In the past they have developed a significant number of residential settings that we have been able to refer our clients. Currently, there is a project underway to locate 40 units, or what will become 40 units, of affordable housing to a good number of people who would not otherwise have this option. It has been tied up in various ways. There have been significant concerns from the neighborhood about Region Ten’s involvement including most recently, concerns as to whether or not it’s a treatment center. Region Ten’s involvement has been limited to our supporting the project as a means of assuring our consumers as many opportunities as possible to live anyplace that they desire in the community. We are a service provider in this regard. Community Service Housing Inc is a residential builder. It has been meshed together that they are one in the same. We have made it clear that they are two separate issues. Mr. Brown reported that it seems that the financing concerns have been resolved and construction may begin this month.

VII. Adjournment

On a Motion made by Mr. Kelley at 6:47 PM the September 11, 2006 Region Ten , Inc. Board Meeting was adjourned.


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