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89 <br /> If your board/commission played the role of an Element Lead Advisory Board involved <br /> in the 2030 Comprehensive Plan preparation process, please indicate your board's <br /> activities/accomplishments as they may relate to the Comprehensive Plan's goals or <br /> objectives. <br /> (The Element Lead Advisory Boards include: Planning Board, EDC, OUTBoard, <br /> Commission for the Environment, Historic Preservation Commission, Agriculture <br /> Presentation Board, Affordable Housing Board, Recreation and Parks Advisory Council) <br /> N/A <br /> Identify any activities this board/commission expects to carry out in 2016 as they relate <br /> to established BOCC goals and priorities. <br /> If applicable, is there a fiscal impact (i.e., funding, staff time, other resources) <br /> associated with these proposed activities (please list). <br /> None of the activities or functions have a fiscal impact. <br /> What are the concerns or emerging issues your board has identified for the upcoming <br /> year that it plans to address, or wishes to bring to the Commissioners' attention? <br /> The committee plans to continue encouraging all levels of planned activities for <br /> nursing home residents. This is easily done with privately owned facilities. We <br /> are concerned with care of residents in Medicaid-dependent nursing homes due <br /> to the quality of caregivers and the high turnover of staff. Some facilities struggle <br /> in continuing to provide basic service. We will continue to advocate for fair <br /> wages and proper treatment of staff. Facility management challenges, vacancies <br /> and turnover of key administrative positions at Orange County's Nursing Homes <br /> is of much concern. The CAC will continue to provide consultation to recently <br /> appointed administrators to help them address these challenges. <br /> Decreases in census at some nursing homes creates some fiscal difficulties at <br /> the facility. <br />