N.Y. Comp. Codes R. & Regs. tit. 10, § 40-1.20 – Personnel.

(a) Local health department personnel must meet the entry and supervisory level qualifications established by Part 11 (State Sanitary Code) of this Title, as applicable.
(b) All public health services shall be supervised by a local commissioner of health or public health director, to ensure that such services are provided in accordance with the approved State aid application. Such supervising official shall devote his or her entire time to public health duties, provided that:
1. (1) such official may serve as the head of a merged agency or multiple agencies if the approval of the commissioner is obtained; or
2. (2) such official may serve as the local commissioner of health or public health director of additional counties when authorized pursuant to section 351 of the Public Health Law.
(c) All local health departments referred to herein shall not be in violation of the Civil Rights Act of 1964 (42 USCA 2000 et seq.) and the regulations promulgated by the United States Department of Health and Human Services (45 CFR part 80). The purpose of such statute and regulations is to assure that no person in the United States shall, on the ground of race, color or national origin, be excluded from participation in, be denied the benefits of, or be otherwise subjected to discrimination under any program activity receiving Federal financial assistance from the Department of Health and Human Services. The local health department shall submit to the commissioner, in triplicate, the assurance of compliance form required by the Department of Health and Human Services. Such form must be submitted by present recipients of State aid as well as by all future applicants.