1. Five Recommendations to Eliminate Childhood Lead Poisoning in Cleveland

2. 1) Integrate data for better tracking of lead hazards
Migrate Health Dept. data to Accela and use as basis for integrating:
Building and Housing Dept. Rental Registry permit data
Health Department Lead-Safe Maintenance Certificate tracking
Problem housing identified by the community
Housing Court enforcement of violations
Lead Safe / Healthy Housing List, made available to the public

3. 2) Increase staffing capacity for :EBL investigations, case management, reallocation of resources and enforcement
Streamline resources and duplication of services/systems to increase the ability to sustain recommended changes
Explore diverse long term opportunities for funding:
foundation and hospital community benefit funding, Payment in Lieu of Taxes, Social Impact Bond financing, Medicaid reimbursement for EBL investigations, and paint company litigation
Use Rental Registry to supplement City General Funds to fund staff
$2 million/yr. additional could be generated
Have dedicated staff person to follow up on enforcement cases

4. 3) Make the voluntary Lead Maintenance Certificate mandatory for all rental housing
Enforce rental registration to hold landlords accountable, to obtain adequate record of rental properties, and to generate revenue.
Require registered landlords to obtain lead risk assessments and clearances from third-party licensed individuals at regular intervals

5. 4) Initiate additional supportive policies that strengthen proactive approach
Consider proactive comprehensive healthy home inspections for all homes on rental registry and at point-of-sale
Use community development organizations to help prioritize and coordinate inspections
Pilot innovative approaches in specific neighborhoods such as the BUILD Health and GUCHI target areas

6. 5) Work with EHW and partner organizations to implement systematic changes
Invite community partners to engage with city staff to discuss proactive approaches
Work with the Healthy Housing Advisory Council Leadership on advocacy and promotion of policies such as more lead testing of children
Work with open source data advocates (Hack Cleveland, Open Source Cleveland) to acquire and share lead data