Mr. Gardiner moved the agenda to recognize ... - Suffolk REMSCO

MEETING SUMMARY
July 9, 2013 - SCEMS Offices
Yaphank, New York 11980
NOTE: This summary is a draft summary until formally approved at the September 10, 2013 meeting.
Members Present: See attendance list, provided as attachment 1.
Meeting opened at 7:00 pm with a quorum present. NOTE that webcasting was not provided due to the recent
unanticipated move of the EMS Program Agency Offices to a new location, where internet access is pending.
Chairman Gardiner welcomed all in attendance, and led the group in the Pledge of Allegiance, followed by a
moment of silence for those departed, in defense of our country, from our service, and especially for members of
service who perished in the Arizona wildland fires and for long time Suffolk County volunteer fire/EMS
providers Doug Mulholland, Rich Vella and Thomas Smyth, Sr.
As is customary, all REMSCO members and guests introduced themselves.
Mr. Gardiner moved the agenda to recognize CPR Life Saving Awards for the following EMS providers
from the Port Jefferson VAC: Kathleen Johnson, Nick Calace, Tom Hanophy, Jay Lazerus, Peter
DiPrima, Ryan Koch, Jason Schmitt, Victoria Alpert, Heather June, Brandon McAlary, John Feinberg,
and Yulia Levkiavska.
Mr. Gardiner moved the agenda to address the Transfer of Operating Authority (TOA) Application in
the matter of Five Counties Ambulance Corps d/b/a American Medical Response (AMR) to Medic East
II Corp d/b/a Medic East. Mr. Gardiner turned the meeting over to Mr. Blower, Chair of the Resource
Needs Committee. Mr. Blower reported that the Resource Needs Committee met earlier in the evening
to review the application, and read a Summary of Transfer into the record, provided as attachment 2.
Mr. Blower concluded the report with a seconded motion from the committee to approve the transfer.
There was no discussion, the motion unanamously passed by roll call vote, provided as attachment 3.
A stenographer was present for this relevant portion of the meeting, with stenographic record provided
as attachment 4. There being no further business associated with the TOA application, Mr. Garduiner
dismissed the stenographer, with thanks.
Mr. Gardiner called for a motion to approve the May, 2013 Meeting Summary as distributed. No discussion,
motion passed.
Correspondence – distributed
Incoming – date; from whom; subject
5/1/13; Patchogue Printing; invoice for approved expenses for ALS Protocol Manuals.
5/21/13; Kilroy Creations; complete order of seasonal pool safety signs w/ packing slip.
5/28/13; email from R. Delagi to Exec Committee and EMS Staff; Drowning Prevention Placards.
5/29/13; R. Dinnerstein, Esq, Transfer of Operating Authority (TOA) Application for Five Counties d/b/a AMR
to Medic East II Corp d/b/a Medic East, with fee check enclosed.
6/5/13; email from R.Delagi; advising Exec Committee and Resource Needs Committee of the receipt of a
Transfer of Operating Authority (TOA) Application for Five Counties d/b/a AMR to Medic East II Corp d/b/a
Medic East.
6/6/13; copy of letter from R. Delagi to R. Dinnerstein requesting additional information for the Transfer of
Operating Authority (TOA) Application for Five Counties d/b/a AMR to Medic East II Corp d/b/a Medic East.
6/7/13; Chase Bank; May 2013 Monthly Statement.
6/11/13; R. Dinnerstein, Esq, providing requested supporting information for the Transfer of Operating
Authority (TOA) Application for Five Counties d/b/a AMR to Medic East II Corp d/b/a Medic East.
6/15/13; All American Awards; complete order of CPR Save Pins w/ packing slip.
6/17/13; R. Delagi; copy of letter to Block, O’Toole & Murphy, LLP; response to request for ambulance report.
Continued.

MEETING SUMMARY
July 9, 2013 - SCEMS Offices
Yaphank, New York 11980 – Page 2.
Correspondence – distributed - continued
Incoming – date; from whom; subject
6/25/13; D. Jonas, NYSDOH; transmitting their finding of no barriers to the fitness and competency of the
proposed owners in connection with the TOA Application for Five Counties d/b/a AMR to Medic East II Corp
d/b/a Medic East.
6/28/13; All American Awards; invoice for CPR Save Pins.
7/9/13; Chase Bank; June 2013 Bank Statement.
7/9/13; Ragtime Pizza; meeting expenses for July 2013 meeting.
Outgoing – date; to whom; subject
5/15/13; D. Johnson NYSDOH; transmitting regional award winners for 2012 Annual EMS Awards.
5/15/13; eight (8) letters to various people and organizations; 2012 Annual EMS Awards Program – Award
Winners.
5/15/13; twenty one (21) letters to various people and organizations; 2012 Annual EMS Awards Program –
Honorable Mentions.
5/21/13; S. Sonder NYSDOH; PAD Program Updates.
5/21/13; J. Saffors, Loyal Order of Moose; PAD Information.
5/21/13; Personal Training Institute; PAD Information.
5/28/13; Kilroy Creations; payment for seasonal pool safety signs.
6/5/13; emails to NYSDOH, NY City REMSCO and Nassau REMSCO in connection with the Transfer of
Operating Authority (TOA) Application for Five Counties d/b/a AMR to Medic East II Corp d/b/a Medic East.
6/13/13; Copy of letter from R. Delagi to R. Dinnerstein, Esq, acknowledging receipt of Transfer of Operating
Authority (TOA) Application for Five Counties d/b/a AMR to Medic East II Corp d/b/a Medic East.
6/13/13; D. Jonas/D. Clayton/J. Farrell NYSDOH; requesting a review of the fitness and competency of the
proposed owners in connection with the Transfer of Operating Authority (TOA) Application for Five Counties
d/b/a AMR to Medic East II Corp d/b/a Medic East.
6/25/13; email to R. Dinnerstein, final agenda confirmations for the Transfer of Operating Authority (TOA)
Application for Five Counties d/b/a AMR to Medic East II Corp d/b/a Medic East.
6/25/13; D. Clayton, NYSDOH; Epi Auto-injector Notice of Intent.
6/25/13; S. Sonder, NYSDOH, PAD Program Updates.
6/28/13; M. Mirras; finance business.
Officer’s Reports
Chairperson - J. Gardiner
Mr. Gardiner briefed the REMSCO on several issues he’s been addressing since the last meeting. He began by
stating that he had a meeting earlier today with Commissioner Williams to discuss the REMSCO’s request for
ambulance response data. He stated that progress was made in clarifying what REMSCO wants and what FRES
can provide. He concluded by stating that he hadn’t had the chance to brief Mr. Blower as the meeting occurred
only hours earlier, and that a full report wopuld be provided at the next meeting.
Mr. Gardiner rolled out the Article 30 Re-design workplan, inviting all council members into the process. Work
groups will be led by the following members: Jane McCormack (Trauma); Ed Stapleton (Hospitals); Mark
Zender (Physician Assistants); Edward Boyd (Firefighters); Bruce Talmage (EMS Providers).
Continued.

Officer’s Reports - continued.
MEETING SUMMARY
July 9, 2013 - SCEMS Offices
Yaphank, New York 11980 – Page 3.
Mr. Gardiner stated that he was pleased to solicit and receive the support of Dr. Mark Henry (Stony Brook
Emergency Medicine), the long tenured SEMAC Chair, to assist in the process, and all council members were
welcomed to participate. Information will be forwarded by the Chair prior to the next meeting.
Vice-Chairperson – Jane McCormack, RN
Mrs. McCormack reported that the pool safety signs had been received and are being distributed to interested
parties by staff, and that there were a fair number of water watcher wristbands left over from the Safe Kids
Coalition, interested members should see if interested.
Treasurer –
In Mr. Mirras’ absence, Mr. Gardiner read the expense report.
EMS Division Staff Report – R. Delagi, G. Pigott, MD, T. Lateulere
Staff report was distributed, and provided as attachment 5. Mr. Delagi, Dr. Pigott and Mr. Lateulere summarized
several salient points.
Dr. Pigott advised the council that significant progress has been made since the Division held its seminar on
Controlled Substances. The Division has received inquiries from multiple agencies seeking to comply with the
push towards all ALS ambulances having controlled substance licenses. He reiteriated that while the SEMAC
position has not yet been formally approved, the region was pushing in this direction in the interest of quality
patient care.
Mr. Lateulere highlighted the successes seen with recent NY State written examinations, based on the new
educational curricula. He referred to previous concerns expressed by Mr. Cronogue, who was concerned that more
hours and new material would impact pass rates. Mr. Lateulere stated that the Division was pleased to report that
pass rates on the new exams were as high as in the past, and in fact, exceeded the NY State average. Mr. Lateulere
concluded by describing the Division’s new remediation process developed and initiated for the few students who
do not pass the exam, a process engineered to promote success on future test taking.
Committee Reports
Resource Needs – B. Blower
Mr. Blower reported that there was no new business before the committee.
Response Committee – B. Blower
Mr. Blower stated that he had sent another request to FRES within the last 2 weeks, refering specifically to the
new Information Technology staff member, recently placed into the position. Mr. Gardiner referred to his earlier
comments and meeting with Commissioner Williams, in which he learned that only 35% of the ambulance servies
actually communicate with / report response time to FRES. Mr. Gardiner again stated that he would discuss the
Commissioner’s position on providing data with Mr. Blower and a full report will be provided at the next
meeting.
REMAC – L. Cox, MD
No report.
Continued.

MEETING SUMMARY
July 9, 2013 - SCEMS Offices
Yaphank, New York 11980 – Page 4.
Committee Reports – continued.
Communications – T. Lateulere
Mr. Lateulere reported progress in designing smart phone app for the new protocols.
PIO – E. Komosinski
Mrs. Komosinski reported that she met with representatives of the Southampton Village VAC, who will cosponsor
the annual awards dinner and ceremony as the local Agency of the Year, and she was working with All-
American Awards to place orders for our recipients.
Disaster Planning – R. Delagi
Mr. Delagi highlighted several salient points in the staff report. He stated that the Medical Ambulance Bus
(MAB), now referred to as the Major Emergency Response Vehicle (MERV) has arrived and development of
response SOPs and driver training is underway.
Mr. Delagi continued by highlighting a recent exercise with Exchange EMS, the East Islip School District and
the SCPD in response to an active shooter scenario, taking the opportunity to remind the council that events
where emergency responders are being fired upon during emergency response are increasing and we need to
heighten awareness of these occurrences.
Education & Training –
In Mr. Zukosky’s absence, Mr. Gardiner reported that there was no new business before the committee. Mr.
Savino reported that the “Dangerous Driving – Drunk, Drugged, Drowsy & Distracted Seminar will be
postponed as he encountered difficulties in booking the speaker. The committee will continue pursuing for a fall
presentation.
Legislative – E. Boyd, Esq
Mr. Boyd reported that a bill to require annual CPR training for police and firefighters, which also included
misdemeanor or felony charges against providers who fail to provide CPR died in committee. He used the
legislation to highlight the need to constantly keep abreast of legislation that may arise from anywhere in NY
State that would affect EMS providers.
Budget – M. Mirras, CPA
Nominations –
No report. Audit results remain pending.
In Ms. Rosenblum’s absence, Mr. Delagi reported that the only outstanding item was Mr. Baumrind’s
appointment from the AHA, open since December, 2012.
Ad Hoc Committee on Recruitment & Retention –
No Report.
Continued.

MEETING SUMMARY
July 9, 2013 - SCEMS Offices
Yaphank, New York 11980 – Page 5.
Committee Reports – continued.
Ad Hoc Committee on Citizen CPR – E. Stapleton
Mr. Stapleton followed up on the new initiative, discussed last meeting, to develop an award to acknowledge
agencies in recognition of their achieving some numerical milestone of individuals trained, and he suggested as a
starting point to acknowledge agencies that train greater than 500 people. He distributed his draft proposal for the
“Gold Medal Community Lifesaver Award.” He discussed the relatively low bystander CPR percentage in
Suffolk County (19%) as compared to Seattle, Washington (58%), and the AHA initiaive for hands-only COP as
traditional training has become ineffective.
In Mr. Vetter’s absence, Mr. Stapleton advised the group that the Smart 911 initiative, which utilized global
positioning of arrest location and nearest AED location to smart phone subscribers is progressing.
NYS EMS Council Delegate – T. Lateulere
Old Business
New Business
Mr. Lateulere reported that there has not been a SEMSCO/SEMAC meeting since January, and that the next
meeting has been scheduled for October 1-3, 2013.
Mr. Lateulere announced that this year’s Vital Signs conference will be held in Buffalo, NY October 23-27, 2013
and that electronic registration is underway on the State DOH website for this 30 year anniversary conference at
http://www.health.ny.gov/professionals/ems/vitalsigns.htm
There was no old business to be addressed.
Mr. Lateulere reported that earlier in the month, the Governor signed the bill, effectively extending the pilot status
of the 5 year CME refresher program. He reminded all that this is not a new initiative, and does not add 2 years to
an exsisting 3 year certification to give EMTs a 5 year certification. He explained that both the 3 year CME and
the 5 year CME programs were still pilot programs, and this bill only serves to extend the 5 year as a pilot, as the
enabling legislation was due to sunset this year. He continued by stating that our experience in Suffolk, as well as
throughout NY state is this the 5 year pilot program was not nearly as successful as the 3 year, as it requires more
classroom hours over a longer period of time to maintain certification and NY State DOH has actually stopped
enrolling students. State DOH in the process now of revitalizing and information will be forwarded when
available.
Mr. Lateulere reported that the region had 3 AED uses (2 in schools, 1 in a gym).
Mr. Stapleton encouraged future lifesaving award winners to summarize the event instead of just receiving an
award, speaking in favor of sharing experiences.
Ms. Megan Williams, representing the LaGuardia Community College (Queens) Paramedic Program, spoke to the
council about the program, and the college’s interest in using agencies in the Suffolk EMS System as clinical
rotation sites. She also discussed scholarship opportunities for volunteers. Mr. Gardiner asked for a writtemn
summary of the program, suitable for distribution.
Continued.

MEETING SUMMARY
July 9, 2013 - SCEMS Offices
Yaphank, New York 11980 – Page 6.
Announcements
The Article 30 Redesign Committee will meet at 6:00 PM, immediately preceeding the September REMSCO
meeting.
Meeting Adjourned at 7:45 PM.
Next meeting of the Suffolk Regional EMS Council will be on
Tuesday, September 10, 2013
7:00 PM
Suffolk County EMS Office
360 Yaphank Avenue, Suite 1B
Yaphank, NY 11788
ATTACHMENTS TO FOLLOW
Prepared for the Suffolk Regional EMS Council by Robert Delagi, Program Agency Director.

EMS DIVISION STAFF REPORT – BY: Bob Delagi, Greg Pigott, MD & Tom Lateulere
For the REMSCO & REMAC. May – June, 2013
AMBULANCE SERVICE OPERATIONS
Provided staff support to the REMSCO Executive and Finance Committees.
Provided staff support to the REMSCO for their May, 2013 meeting.
Provided staff support to the REMAC for their May, 2013 meeting.
Provided staff support to the REMAC’s Protocol Sub-Committee.
Provided technical support to the REMSCO’s Resource Needs Committee in reviewing and processing a
Transfer of Operating Authority Application from Five Counties Ambulance d/b/a AMR to Medic East
II Ambulance Corp.
Distributed information to the EMS System regarding the winners and honorable mentions for the 2012
NY State SEMSCO Annual EMS Awards.
Staff attended the following meetings to address EMS related issues: FILESC; RTAC; County
Recruitment & Retention Committee; REMAC; REMSCO; North Fork Volunteer Fireman’s
Association; Islip Town Ambulance Chiefs; Fire/EMS Safety Officer’s Association; and FRES
Commission.
Distributed recognition letters and CE Proclamations to all ambulance services in celebration of national
EMS Week 2013.
Attended meeting with multiple PSAPs to discuss areas of mutual interest in Quality Improvement and
how PSAPs can carry consistent messaging to EMS System.
Attended several meetings with promoters and first response agencies in preparation for issuance of a
Part 18 Public Function Permit for the U.S. Women’s Open at Saboneck Golf Course, Southampton,
NY. Provided on-site technical support and inspection on two (2) occasions.
Hosted a countywide Controlled Substances Seminar, targeting agencies that currently do not have a
Class 3C Dispensing License, or have plans in various stages of development. This seminar focused on
best practices in managing CS programs.
Staff began working with five (5) new agencies as they seek to obtain 3C Dispensing Licenses.
Reviewed applications and issued Part 18 Permits to JVC Broadcasting (Bald Hill Concert Series) and
Newsday (Family Fun Nights).
Continued work with agencies in Southampton and East Hampton Towns to discuss options for sharing
ambulance services and enhancing ambulance response across the south fork.
The Division’s CISM Team responded to nine (9) requests for assistance.
Staff provided public information lecture about PAD programs at the Suffolk Cooperative Library
System.
Distributed CLIA Compliance Certificates all ALS Ambulance Services, concluding the bi-annual
renewal process.
Provided technical support at an emergency response involving a suspicious white powder in Holtsville.
Provided technical support to the NY State DOH, as they make revisions to the Statewide EMS
Mobilization Plan.
Provided follow-up situational awareness bulletin to the EMS System regarding the development of
Health & Safety Officer Program.
Worked with Lakeland FD to develop an Incident Action Plan (IAP) for Health & Safety and Continuity
of Operations at the annual Suffolk County Parade.
Continued.

EMS DIVISION STAFF REPORT – BY: Bob Delagi, Greg Pigott, MD & Tom Lateulere
For the REMSCO & REMAC. May - June, 2013 – Page 2.
EDUCATION, TRAINING & QUALITY IMPROVEMENT
Posted the revised Adult and Pediatric ALS protocols on the website, and began in-servicing instructors,
medical control staff.
Administrative staff, support staff and per diem contractors remain actively involved in overseeing EMT
Training at the Suffolk County Police Academy.
Staff met with the leadership of Medical Control to discuss areas of mutual interest.
Attended a NYSDOH-sponsored meeting to address the region’s pediatric care capabilities, specifically
related to designing educational curricula.
Staff providing ongoing monitoring of the BLS Narcan Pilot Demonstration Project. As of July 2, 2013
682 EMS and 797 police officers (1479) have been trained, with EMS administering INH Narcan 45
times, and the police department administering INH Narcan 99 times (144). Six-month review surveys
are being completed by participating agencies.
Staff initiated development of several mechanisms for follow-up on patients receiving narcan reversal.
This includes hospital-based treatments and disposition and referral to substance abuse programs.
EMS Division applied to the NY State DOH to become a registered Opioid Overdose Prevention
Program, which will lead to the ability to outreach training to laypersons, application is still pending at
this time.
The Division is currently coordinating the work of more than 3,172 providers enrolled in the CME
Program.
Staff reviewed and processed 49 EMT-B, 11 EMT-CC and 16 EMT-P CME recertification packages.
Staff spent considerable time working with a local printer to develop camera-ready materials for the
printing of the revised ALS Protocol Manual, thanks to REMSCO’s generous financial support.
Division staff continued using newly-developed process to track BLS Provider compliance with
transition requirements.
Staff attended the AHA Training Center Forum.
Staff continued working on developing the 2013 ALS Protocol Rollout process.
Maintained an on-line CME presentation to cover the mandatory BLS Transitional Material for EMT-
Paramedics.
Staff developing a new on-line CME training module for spinal immobilization, to be added to the eight
(8) previously designed modules.
Division staff reviewed May NY State Written Exam scores for EMT-B Refreshers; 84/87 passed the
exam, average 96%, significantly higher than the NY State average of 85%. 101/118 students passed
the EMT-B Original exam, with average scores above the NY State average.
Staff developing a study guide for students that did not pass the May NY State written exam to prepare
them for their respective re-tests.
Held 7 EMT-Basic PSEs for 392 students. Of the 392, 390 (99%) passed on their first attempt.
Held 3 CFR PSEs for 37 students. 37 of 37 (100%) passed on their first attempt.
Conducted 1 EMT-B Challenge Refresher Course for 11 students.
Staff currently overseeing the following courses: 2 CFR/EMR Originals; 13 EMT-B Originals;
7 EMT-B Refreshers; and 2 EMT-CC Originals, and 2 Rapid BLS Core Content Courses for CME
Program.
Staff developing multiple courses for a Fall, 2013 start.
Reviewed and forwarded 95 CME Refresher Application Packages to the State DOH.
Division staff spent considerable time working with agency level CME Coordinators to address program
objectives and responsibilities.
Continued.

EMS DIVISION STAFF REPORT – BY: Bob Delagi, Greg Pigott, MD & Tom Lateulere
For the REMSCO & REMAC. May - June, 2013 – Page 3.
EDUCATION, TRAINING & QUALITY IMPROVEMENT –continued.
Staff maintaining an on-line based 3 hour BLS Transition CME Course, required for all EMT-
Paramedics in the CME Program. This module is designed to bring the paramedic into compliance with
the now-current national Standard BLS Curricula. This on-line program must be accessed through the
Division’s medic-ce account, and is free of charge for all paramedics credentialed, authorized and in
Suffolk County EMS Division CME Program.
AHA Training Center conducted 374 courses for 2232 providers.
Conducted 4 BLS Instructor renewal courses.
Conducted the following CME Classes:
5 2013 ALS Protocol Updates for Medical Control Operators, ALS Instructors and select ALS
providers;
1 PCR Writing;
1 START Triage class;
1 Trauma Care class in conjunction with the UHSB Division of Trauma;
8 BLS CME Core Content classes (new standards);
5 classes as part of the 13 hour required BLS Transition Curricula;
22 classes as part of the original 24 hour Core Content Curricula;
3 26 hour Core Content Curricula;
1 ALS skills session for CME students;
1 BLS skills session for CME students;
6 ALS Core Content classes; and
2 ALS Credentialing classes (current protocols).
Reviewing the following cases in the Regional Quality Improvement Program:
88 ETI cases;
43 12-lead EKG cases;
3 Needle Decompression cases;
15 BLS Albuterol cases;
2 BLS Epinephrine auto-injector cases;
Multiple case reviews flagged by Medical Control; resulting in several standing order restrictions
loss of operating privileges; or remediations by the Medical Director.
98 cases of out-of-hospital cardiac arrest;
64 cases of controlled substance administration;
33 cases where Medical Control was contacted for a hospital destination decision;
66 cases with IO insertion;
26 CPAP uses; and
4 Combi-tube uses.
Continued.

EMS DIVISION STAFF REPORT – BY: Bob Delagi, Greg Pigott, MD & Tom Lateulere
For the REMSCO & REMAC. May-June, 2013 – Page 4.
DOMESTIC PREPAREDNESS / HOMELAND SECURITY
Worked with the Suffolk County Sheriff’s Office on controlling and evaluating a multi-agency, multisite
full scale field exercise in Southampton and Riverhead Towns.
Participated in the annual FAA-required review of Long Island MacArthur Airport Emergency Response
Plan.
Participated in a hazardous materials/MCI tabletop exercise (TTX) with various agencies at a Sysco
Distribution Center in Central Islip.
Staff member was a featured speaker at the LI/NYC Emergency Management Conference, presenting
the EMS component in the response to an active shooter scenario.
Staff member was a featured speaker at the Catholic Health Services (CHS) Healthcare System
conference on the Continuum of Care for Stroke, presenting on the prehospital component.
Staff member was a featured speaker at a Town of Brookhaven Public Forum on Hurricane
Preparedness.
Staff working with leadership of the Exchange Ambulance, East Islip School District and other key
stakeholders on an exercise design and evaluation team for an upcoming multi-agency/multi-objective
exercise. Participated in a tabletop and full scale field exercises.
Staff working on a countywide committee to address the closure of the J.J. Foley SNF and its future as a
shelter.
Participated in a webinar with FRES, North Shore/LIJ and hospital representatives in furtherance of
creating an ETEAM application for patient tracking.
Attended a meeting called by the NYSDOH regarding ongoing disaster preparedness training for skilled
nursing facilities.
Attended the U.S. Postal Service after Action Report (AAR) meeting on the recent BDS Exercise.
Worked with Suffolk FRES to accept delivery of the Medical Ambulance Bus (MAB) now referred to as
the Medical Emergency Response Vehicle (MERV), and to craft inter-county and intra-county response
procedures.
Assisted with development of an exercise for response to a radiological dispersal device (RDD)
scenario.
Staff participated in one (1) conference call and one (1) meeting with the Urban Area Work Group to
discuss mutual areas of interest across Suffolk, Nassau, Westchester, Yonkers, and NY City.
Coordinated the regular meeting of the county’s ESF 8 Health and Medical Working Group.
Attended the Terrorism Response Task Force Meeting.
Provided technical support for work items in accordance with the ongoing preparedness efforts for
vulnerable populations, including community-dwelling older adults, and those with special health care
needs, pursuant to the grant received from the National Association of Cities Health Officials
(NACCHO).
Division staff completed the Public Assistance Application process for the Department of Health
Services, in conjunction with State Office of Emergency Management (SOEM) and FEMA, attending
the final close out meeting.
END OF DIVISION STAFF REPORT