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Home My WebLink About2026_09_17_Packet-Amended (0002)Board of Health Meeting September 17, 2026 Jefferson County Board of Health Agenda & Minutes H September 17, 2026 Regular Meeting Agenda Jefferson County Board of Health Thursday, September 17, 2026@ 2:30 PM Jefferson County Courthouse - Commissioners' Chambers 1820 Jefferson Street, Port Townsend, WA To view agenda, click here: www.co.jefferson.wa.us -Agenda Center - BOARD OF HEAL TH - ( date of meeting) - Download To view meeting materials and public comments received, www co.jefferson.wa.us - Agenda Center - BOARD OF HEAL TH - ( date of meeting) - (below "Media") This is a hybrid meeting: Virtual and In-Person Attendance You can join this meeting by using these methods: • Zoom Meeting: https://us06web.zoom.us/j/82378389363 This option will allow you to join the meeting live. You will need to enter an email address. If you wish to provide public comment, click on the hand icon at the bottom of the screen to "raise your hand." Participation will be up to the Chair and/or Clerk of the meeting. • Audio-only: Dial: 1-253-215-8782 and use Webinar ID: 823 7838 9363# This option will allow you to listen to the meeting live. If you wish to provide public comment, press *9 to "raise your hand." Participation will be up to the Chair and/or Clerk of the meeting. • In-Person: You are welcome to join the meeting in-person . In the event of technical difficulties, at least one of the methods above will be accessible to the public. Please try all methods first before calling 360-385-9100 to report any issues. Public comment will be accepted and can be emailed to: BOH@co.jefferson.wa.us until 5:00 PM the evening prior to the start of the meeting. AGENDA CALL TO ORDER - Chair MickHager I. Public Comment (l O mins.) Public Comment Periods are dedicated to listening to the public. Each person may address the Board one time during these periods. To ensure equal opportunity for the public to comment, all comments shall be limited to 2 or 3 minutes per person, depending on the volume of public in attendance. II. Approval of Agenda AT A REGULAR MEETING, THE MEMBERS MAY ADD AGENDA ITEMS AND TAKE ACTION ON OTHER ITEMS NOT LISTED ON THIS AGENDA. Americans with Disabilities Act (ADA) Accommodations Provided Upon Request Ill. Approval of Minutes of August 20, 2026 Board of Health Meeting IV. Old Business and Information Reports 1. Jefferson County Public Health (JCPH) Report (Apple Martine) (10 mins.) 2. Jefferson Healthcare Report (Dr. Kees Kolff) (5 mins.) 3. Infectious Diseases Update (Dr. Allison Berry) (10 mins.) V. New Business 1. Review of Encampment Policy Implementation and Public Health Outcomes (Apple Martine, Allison Berry) (60 mins.) 2. Updates to the Environmental Health Fee Schedule (Carter Erickson) (15 mins.) 3. Summary of the 4-H program (Jessica Dehnert, Amber Miller) (10 minutes) VI. Announcements VII. Future Potential Agenda Topics: JCPH Harm Reduction Program: Syringe Exchange Update HB2442 Revenue tool for Local Government Part VIII - Public Health Clinic Property Tax The County Strategic Plan Opioid Settlement spending Olympic Connect, the Community Care Hub model Board of Health 101 Rural Reproductive Health Emergency Fund for Public Health The Child Development Center ADJOURNMENT BY: 4:30 p.m. Next Scheduled Meeting: October 15, 2026 2:30 - 4:30 PM Jefferson County Public Health Hybrid Meeting AT A REGULAR MEETING, THE MEMBERS MAY ADD AGENDA ITEMS AND TAKE ACTION ON OTHER ITEMS NOT LISTED ON THIS AGENDA. Americans with Disabilities Act (ADA) Accommodations Provided Upon Request ~ Jff_&tson Public H~lfh REGULAR MEETING MINUTES Jefferson County Board of Health Thursday, August 20, 2026 @2:30 p.m. Jefferson County Courthouse - Commissioners' Chambers 1820 Jefferson Street, Port Townsend, WA Hybrid Meeting Board Mem hers Greg Brotherton, County Commissioner, District #3 Heather Dudley-Nollette, County Commissioner, District #1 Celeste Dybeck, Tribal Representative Heidi Eisenhour, County Commissioner, District #2 Amanda Grace, Vice-Chair, Community Stakeholder Dr. Kees Kolff, Public Hospital District #2 Commissioner Monica MickHager, Chair, Port Townsend City Council Gabrielle Vanwert, Consumer of Public Health Staff Mem hers Denise Banker, Community Health Director Dr. Allison Berry, Health Officer Lara Cittadini, CHIP Manager Michael Dawson, Water Quality Manager Carter Erickson, Environmental Health Manager Apple Martine, Public Health Director Jenn Mitchell, Finance Manager Veronica Shaw, Public Health Deputy Director Chair MickHager called the August 20, 2026 meeting of the Jefferson County Board of Health to order at 2:30 P.M. Members Present: Chair Monica MickHager, Vice-Chair Grace, Members Greg Brotherton, Heather Dudley- Nollette, Celeste Dybeck, Heidi Eisenhour, Dr. Kees Kolff and Gabrielle Vanwert. Staff Present: Staff Members Denise Banker, Dr. Allison Berry, Lara Cittadini, Michael Dawson, Carter Erickson, Apple Martine, Jenn Mitchell and Veronica Shaw. PUBLIC COMMENT Chair MickHager called for public comment. There was none. In the absence of public comment, Staff Member Martine asked to provide a response to some written public comment. First, in response to a written public comment concerning Jefferson County's Encampment Policy, Martine suggested that time be allotted for a discussion of the policy at the next regular meeting of the Board of Health, September 17, 2026. Staff Member Martine also responded to a written comment about the installation of a flock camera in the QFC parking area. She mentioned that Public Health had little information concerning the camera, but that it has been removed. Respectfully submitted G. Gilbert Page 1 of 4 APPROVAL OF AGENDA Chair MickHager called for a motion to accept the agenda for August 20, 2026. MOTION: Member Brotherton moved to approve the agenda. Member Dudley-Nolette seconded the motion, which carried by a unanimous vote. APPROVAL OF MINUTES Chair MickHager requested a motion to approve the minutes of the July 16, 2026 meeting. Staff Member Martine suggested corrections to two scrivener's errors in the minutes. MOTION: Member Dudley-Nollette moved to approve the minutes as edited. Member Brotherton seconded the motion, which carried by a majority vote (with two abstentions). OLD BUSINESS AND INFORMATIONAL ITEMS 1. Jefferson County Public Health (JCPH) Report Staff member Martine offered a recognition of the retiring Clerk of the Board of Health, and thanked him for his years of "shepherding" the Board, as well as other responsibilities to JCPH. Martine also alluded briefly to "a lot going on at Public Health," in particular work on the budget, due September l ", 2. Jefferson Healthcare Report Dr. Kolff also chose to use his time to thank the retiring Clerk "for all of the amazing shepherding he's done." 3. Infectious Diseases Update Dr. Berry reports that COVID-19 transmission in the community is currently very low, with minimal wastewater detection and no hospitalizations. Clallam County is experiencing a significant pertussis outbreak - likely larger than reported - and staying up to date on vaccines or seeking prompt care for severe coughs in children is strongly encouraged. Nationally, the cyclospora outbreak continues to grow (to about 13,000 cases), fortunately not in Washington State. Concerning the recent executive order on vaccines (splitting of the MMR vaccine and encouraging the splitting of all vaccines), there is no evidence to support the executive order, and it could take years for split MMR vaccines to be available. Rely on the advice of your doctors; most will work with you, addressing your concerns. NEW BUSINESS 1. Local Sewage Management Plan (LSMP) Update Emma Erickson, JCPH Environmental Health Specialist, and Carter Erickson, Manager of the JCPH Environmental Health Department, described the updated plan which outlines how the county health department manages all onsite septic system activities. Such plans have been required by Washington State since 2005. Following major statewide code revisions in 2025, counties must update their LMPs by April 2027 and then every five years. New requirements include addressing phosphorus concerns and sea level rise impacts. The county's septic and water quality programs have expanded significantly since the 2007 LSMP - adding the Clean Water District, funding assessments, homeowner inspection authorization, and broad education and outreach efforts. The draft 2027 LSMP reviews progress since 2007, identifies current challenges such as financing and infrastructure limitations, incorporates climate change considerations, and outlines recommendations that will be discussed with the Board of Health and community stakeholders. Discussion ensued. Respectfully submitted G. Gilbert Page 2 of4 2. OWL 360 YCCTPP Mini Grant Presentation Kara Billenger-Hessom, who coordinates two youth substance abuse prevention grants for JCPH, introduced the Youth Commercial Cannabis and Tobacco Prevention Program, which funds some local youth-serving organizations and their activities, helping to prevent youth substance misuse in Jefferson County. Derek Firenze, the resource navigator for OWL360, described the work of this nonprofit dedicated to supporting Jefferson County youth and young adults, providing housing resource navigation, workforce development, education, and mental health services. This mini-grant project provided a photo booth and sensory-friendly outdoor chill area for the recent Pride Festival, allowing teens, including those without phones or those who are neurodivergent, to engage in the festivities comfortably. He emphasized the importance that non-parent adults play in young people's lives, offering stable, supportive relationships for youth who face adversity. 3. Scouting America YCCTPP Mini Grant Presentation Lolo Sherwood spoke about efforts to rebuild Scout Troop 1479 following COVID, when the troop struggled with only two scouts, making it hard to fundraise or run a full program. Camp remained essential for keeping youth engaged in scouting. A grant allowed the troop to send four new scouts to summer camp, giving them opportunities to bond, learn leadership skills, and choose their own activities. The experience helped the troop reestablish momentum, strengthen youth connections, and support scouts in transitioning from adult-led Cub Scouting to youth-led patrols. 4. Jefferson County Soccer Club YCCTPP Mini Grant Presentation Rufina Garay, "Director of Generosity" for the Soccer Club, expressed gratitude for the mini-grant which made it possible for a young "futsal" program to expand its spring tournament, providing quality equipment, shade, and shared meals, improving the experience for over 100 families. A parent-powered effort has grown into an inclusive community activity that strengthens kids' skills, confidence, and executive functioning through regular pickup games and team planning. The support allowed the organization to better embody its values - fun, inclusion, growth, and community - while offering more opportunities for children to engage, connect, and thrive. "Futsal" - a modified form of soccer, played with five players per side on a smaller, often indoor, pitch. 5. Jefferson County Supports for Children with Autism Spectrum Disorder I The JCPH Children and Youth with Special Health Care Needs program was described by Cynde Marx, Program Coordinator, and Dr. Melinda Bower, who does evaluations at Jefferson County school-based health centers. The program, which uses the SMART (school medical autism routine) model- a multidisciplinary, collaborative evaluation process - helps families access autism and developmental assessments locally and with fewer barriers. The team gathers information from families, schools, and medical providers to build a full picture of each child and determine whether an evaluation is appropriate. Over time, with two trained providers now conducting evaluations, the SMART team has become a coordinated, accessible option for families who previously faced long waits, travel challenges, and insurance barriers. ANNOUNCEMENTS Member Grace announced that the Port Jefferson School Board Fall Retreat was recently held. The Board reviewed the Health Youth Survey. She expressed concern about reduction of funding for youth mental health. She announced that demolition of the Lincoln Building was completed, with the intention of the space being the entrance for the campus, including for busses. Member Dudley-Nollette stated that this year's 1110th of l % fund allocations mostly went to youth and young adult programs, and cautioned that the broader challenge is that programs continue to depend on unstable, pieced-together funding sources. Sustainable funding - requiring advocacy at multiple levels - is essential to maintain vital services and avoid repeated disruptions when grant cycles or eligibility rules change. Discussion ensued. Respectfully submitted G. Gilbert Page 3 of 4 FUTURE POTENTIAL AGENDA TOPICS The clerk announced that there are already several requests for a place on the September agenda, mentioning another YCCTPP Mini Grant Presentation. Staff member Carter Erickson mentioned he will be bringing Environmental Health fee schedule updates for review and discussion. Staff member Martine will review the encampment policy implementation. She also ran through several other topics that may appear on later agendas. Member Eisenhour recommended addressing House Bill 2442 before Jeff Chapman is no longer part of the county family, as he has a unique understanding of some of the mechanisms that could enable those funding sources and their impacts. AGENDA PLANNING CALENDAR The Agenda Planning Meeting for the next regular meeting of the Board will be held on September 10, 2026 at 10:30 A.M. The next regular Board of Health meeting will be held as a hybrid meeting on Thursday, September 17, 2026 from 2:30 P.M. - 4:30 P.M. ADJOURNMENT Chair MickHager adjourned the August 20, 2026 Jefferson County Board of Health meeting at 4:29 P.M. until the next Regular Meeting or Special Meeting as properly noticed. JEFFERSON COUNTY BOARD OF HEALTH Monica MickHager, Chair Glenn Gilbert, Public Health Assistant, ret. Portions of these minutes were drafted with Al assistance. Respectfully submitted G. Gilbert Page 4 of 4 Jefferson County Board of Health IV. Old Business and Information Reports Item 1 Jefferson County Public Health Report [No hand-out] Public He September 17, 2026 Jefferson County Board of Health IV. Old Business and Information Reports Item 2 Jefferson Healthcare Report [No hand-out] September 17, 2026 Jefferson County Board of Health IV. Old Business and Information Reports Item 3 Infectious Diseases Update [No hand-out] IC H t September 17, 2026 Jefferson County Board of Health V. New Business Item 1 Review of Encampment Policy Implementation and Public Health Outcomes al September 17, 2026 JEFFERSON COUNTY WASHINGTON STATE UNAUTHORIZED ENCAMPMENT REMOVAL POLICY Adopted November 3, 2025 Page 2 of 19 JEFFERSON COUNTY UNAUTHO RIZED EN CAM PMENT REMOVAL POLICY Table of Contents 1.0 Introduction and Purposes 3 2.0 References, Authority, and Reporting 4 3.0 Definitions 5 4.0 Unauthorized Camping on County-O wned Property Prohibited 9 5.0 Removal of Obstructions or Im mediate Hazards from Unauthorized Encampments 9 6.0 Prioritization of Unauthorized Encampment Rem oval... 10 7.0 Unauthorized Encampment Removal and Notice Requirements 11 8.0 Identification and Offering of Alternative Shelter Options Before Removing Non- Obstructing Unauthorized Encampments 12 9.0 Outreach for Unauthorized Encampment Removals 13 10.0 Unauthorized Encampment Clean-up 13 11.0 Post-Unauthorized Encam pment Removal Notice 14 12.0 Storage of Personal Property Removed from an Unauthorized Encampm ent 14 13.0 Recovering Stored Personal Pro perty after Rem oval of an Unauthorized Encampm ent. 16 14.0 Designation of Emphasis Areas 17 15.0 Limitations 18 16.0 Amendments and Corrections to this Policy 19 17.0 Severability 19 Jefferson County Encampment Policy Page 3 of 19 1.0 Introduction and Purposes I. I The purpose of this Policy is to establish uniform procedures for removal of unauthorized encampments on county-owned property. 1.2 In accordance with Jefferson County Code (JCC) 2.01.080(2), the Jefferson County Administrator shall perform "the full range of managerial oversight functions over all county administrative operations, including financial management, planning, policy development, performance management, and prioritization of fiscal, human, and capital resources." 1.3 The lack of affordable housing and other resources have resulted in increasing numbers of unhoused persons resorting to camping on public and county-owned property in authorized and unauthorized areas. County officials shall be able to enforce a common-sense policy to protect the health and safety of its residents and maintain county public spaces. When county officials lack appropriate tools, and encampments persist without monitoring and appropriate assessment, it may increase the likelihood of endangering the health and safety of those living in and alongside them. Jefferson County shall balance the need to operate county public property for its intended purposes, as well as public health and safety, while respecting the personal property and the right to privacy of those who camp on public property. This Jefferson County Unauthorized Encampment Removal Policy (this Policy) attempts to create that balance, consistent with existing law. 1.4 Being homeless is not a crime. Persons shall not be prosecuted for sleeping outside on county-owned property, absent other circumstances that constitute criminal law violations. Jefferson County shall not prohibit persons from sleeping outside anywhere in the jurisdiction, which is not otherwise prohibited by the Jefferson County Code provisions.1 Jefferson County recognizes that is both inhumane and imposes additional hardships on the displaced persons and limited social services safety network, which shall face the costs and challenges of an increased unhoused population. 1.5 The County Administrator shall designate certain departments and county personnel to keep track of available shelter space. If there is no available shelter space, the County Administrator may designate an area on publicly-owned property that temporarily may be used in lieu of a permitted shelter. To the extent possible, temporary use of the area shall be consistent with the requirements for the location, siting, and operation of temporary housing facilities in JCC 18.20.385. 1.6 The County Administrator shall ensure that a training program is developed for all departments, county personnel, and subcontractors involved in unauthorized encampment removal. 1 For example, chapter 12.25 JCC regulates County Parks. Nothing in this policy is meant to supersede county park regulations. Jefferson County Encampment Policy Page 4 of 19 1. 7 County department directors for Central Services, Department of Community Development, Jefferson County Sheriffs Office, Environmental Health & Water Quality, Public Health, and Public Works, shall designate one or more staff members as DCP who shall receive mandatory annual training lead by the Prosecuting Attorney's Office to determine whether an item is personal property. 1.8 The Director of the Department of Public Health or their designee shall maintain a current list of approved outreach providers on it its website, who in the opinion of the director have established competency and training to engage to provide services to the unhoused. 1.9 The County Administrator shall ensure that forms that document the unauthorized encampment removal process shall be developed and used, as well as standardized forms for notice. The training program, forms, and notice forms shall be reviewed by the Prosecuting Attorney's Office. 1.10 Encampment Removal as Last Resort. Prior to any encampment removal (immediate or otherwise), DCP shall review the encampment and document any health and safety concerns. All newly identified encampments shall be reported to the County Administrator consistent with Section 6.1, with notification also to Central Services and Public Health. DCP shall consult with their respective department director to determine whether the encampment shall be elevated for review for potential removal. The Director of Public Health shall be consulted prior to any encampment removal. 2.0 References, Authority, and Reporting 2.1 This Policy is adopted by the Jefferson County Board of Commissioners and shall remain in effect until revised or replaced, or is superseded by action of the Jefferson County Board of Commissioners, state, or federal law. 2.2 The Jefferson County Board of Commissioners may issue additional regulations or guidelines necessary to aid in the implementation or enforcement of this Policy. 2.3 Nothing in this Policy is meant to replace or take precedence over other JCC provisions. Where other JCC provisions may be in conflict with this Policy, the other JCC provisions control. 2.4 Nothing in this Policy shall be construed to limit or prohibit county officials from enforcing any other county or state laws, including, but not limited to, laws governing use of controlled substances or weapons, fire codes, and public nuisance laws. 2.5 This Policy is intended to be consistent with Jefferson County's housing and equity goals as reflected in the Jefferson County Comprehensive Plan, Housing Element. 2.6 Consistent with Jefferson County's housing and equity goals as reflected in the Jefferson County Comprehensive Plan, Housing Element, Jefferson County has Page 5 of 19 invested in a permanent shelter for the unhoused by purchasing land, providing funding and engaging in a comprehensive plan process to create a permanent encampment for the unhoused called Caswell-Brown Village. In addition, Jefferson County has adopted legislation for permitting temporary encampments for the unhoused the ensures temporary encampments for the unhoused promote public health and safety. In response to HB 1220, Jefferson County adopted Ordinance No. 05-0613-22 (Temporary Housing Facilities) on June 13, 2022. Ordinance No. 05-0613-22 has been codified in in JCC 18.20.385. For many years, Jefferson County has provided funding for a permitted shelter for the unhoused at the American Legion property in the City of Port Townsend. 2. 7 A report shall be presented to the BoCC annually on or before December 1st by the Director of Public Health reporting on shelter and housing capacity, voluntary demographic and outcome data for encampment removals, including but not limited to use and impacts of Emphasis Areas, an analysis of equity and anti- displacement impacts, and any other data that may be relevant and appropriate based on Public Health's review and understanding of the county's unauthorized encampments. 3.0 Definitions The following definitions apply to this Policy: 3.1 Abandon "Abandon" means to give up or leave behind willingly. 3.2 Approved outreach provider "Approved outreach provider" means a non-profit organization with the competency and training to engage to provide services to the unhoused, that has been approved by the Director of the Department of Public Health to provide information and education to unhoused persons and has been listed as required by Section 1.7 on the Department of Public Health's website. 3.3 Authorized or emergency shelter(s) "Authorized or emergency shelter(s)" means temporary lodging and supportive services for unhoused persons in licensed, registered, or permitted facilities run or operated by county, city, or other community-based programs or non-profit organizations. 3.4 Authorized encampment "Authorized encampment" An area designated by the county on publicly-owned or private property that is being used as a temporary housing facility (as defined in Page 6 of 19 JCC 18.10.2002) in lieu of a shelter consistent with the requirements of JCC 18.20.385 or other applicable Jefferson County Code provisions. 3.5 Available shelter space "Available shelter space" means a person has access to a bed in either a low barrier shelter or a no barrier shelter.3 3.6 Camping "Camping" has the same meaning as in JCC 12.25.020(3).4 3.7 County "County" means Jefferson County, Washington. 3.8 County-owned property County-owned property includes but is not limited to any real property owned by Jefferson County, any county facility, and any right of way property maintained by Jefferson County, including but not limited to any public street, road, bike path, trail, or sidewalk. 3.9 Designated County Personnel ("DCP") "Designated County Personnel" (or "DCP") means county employees designated by department directors and trained to undertake inspections, initiate and oversee removal of unauthorized encampments and storage of removed personal property, and ensure compliance with this Policy and applicable laws by county personnel and any contractors. DCP shall include law enforcement officers and county employees from the various departments participating in the unauthorized encampment removal. 3 .10 Encampment "Encampment" means one or more tent, structure, or assembly of unauthorized camping equipment or personal property located on county-owned public property, 2 JCC 18.10.200 states, "Temporary housing facility' means a facility providing temporary housing accommodations pursuant to JCC 18.20.385. Temporary housing facilities include temporary structures as defined in this section and may also include a safe parking area and common use structures." JCC 18.10.200 also states, "'Temporary structures' includes tents, RVs, tiny shelters, and any other structure designed to provide personal and private shelter to an individual or family." 3 This definition includes "low" and "no" barrier options. While "low" and "no" barrier definitions vary, a common understanding of"low barrier" is there are no preconditions that the participant be clean and sober to obtain shelter. A common understanding of "no barrier" means while someone may be asked to leave the shelter or authorized encampment on a certain day due to unsafe behavior, they are welcome to try again the following day. "Low" and "no" barrier shelter options embrace a harm reduction and housing-first approach. 4 JCC 12.25.020(3) states, '"Camping' means erecting a tent or shelter or arranging bedding or both or parking a trailer, camper, or other vehicle for the purpose of, or in such a way as will permit, remaining overnight." Jefferson County Encampment Policy Page 7 of 19 which appears to a reasonable person is being used for camping or for the purposes of habitation. Encampments do not include sites that have been abandoned. See definition of abandon. Encampments may include vehicles and RVs, which may be operational or non-operational. 5 3 .11 Emergency shelter "Emergency shelter" has the same meaning as in RCW 36.70A.030(16)6 or as subsequently amended. 3 .12 Emphasis Area "Emphasis Area" means an identifiable area where the county has removed an encampment and has designated an encampment-prohibited area by installing signage as required in Section 14. 3.13 Habitation "Habitation" means the appearance of currently residing in a location as evidenced by the presence of bedding materials, campfires, cooking materials, storage of clothing, or other personal property gathered together in such a manner that a reasonable person would believe that the site is being used for residential purposes. 3 .14 Immediate hazard "Immediate hazard" means an area that presents an imminent risk of serious injury or death, beyond that caused by increased exposure to the elements, as determined by a reasonable person. "Immediate hazards" include, but are not limited to danger from vehicle traffic because the encampment is on the shoulder of a street or highway or other areas exposed to moving vehicles; and natural hazard areas, including but not limited to landslide-prone areas and special flood hazard areas. 3.15 Jefferson County Code (JCC) "JCC" means the Jefferson County Code as currently adopted or as may be amended in the future. 3 .16 Low-barrier shelter "Low-barrier shelter" means a shelter for the unhoused where a minimum number of expectations or requirements are placed on the people who wish to stay there. With a focus on "harm reduction," low-barrier shelters encourage unhoused persons to seek resources by eliminating obstacles such as substance abuse, 5 Removal of Vehicle and Public Right-of-Way Nuisances are subject to the provisions in chapter 19.25 JCC. 6 Currently, the definition is: "'Emergency shelter' means a facility that provides a temporary shelter for individuals or families who are currently homeless. Emergency shelter may not require occupants to enter into a lease or an occupancy agreement. Emergency shelter facilities may include day and warming centers that do not provide overnight accommodations." Page 8 of 19 criminal history, and other policies that make it difficult to enter a shelter, stay in shelter, or access housing and income opportunities. 3.17 No barrier shelter "No barrier shelter" means a shelter for the unhoused where no requirements are placed on people who which to stay there, other than requirements that protect the safety of persons, property or the environment. For example, if a person is asked to leave a shelter one day due to unsafe behavior, the person may try again the next day. 3.18 Obstruction (a) "Obstruction" means personal property, garbage, debris, or other objects related to an unauthorized encampment that substantially interfere with the pedestrian or transportation functions of public rights-of-way; or substantially interfere with other areas necessary for or essential to the intended use of a public property or facility. (b) "Obstruction" includes obstruction of the county's public streets, roads, bike paths, trails, or sidewalks also means in a manner that impedes passage within the meaning of the American Disabilities Act. 3 .19 Outreach "Outreach" means an effort to provide information and education to unhoused persons by an approved outreach provider. 3.20 Personal property "Personal property" means the belongings of a person, as identified by the person to whom the property belongs. (a) Personal property usually has apparent utility in their present condition and circumstances and are not hazardous, but also include items that are not hazardous that are kept in a manner that indicates a person regards the item as personal property. (b) Examples of person property include, but are not limited to: (i) Items of apparent value of $50 or more; and, (ii) Items of apparent personal value, including but not limited to personal identification and identity documents, personal papers and documents (such as photographs, albums, bank statements, and legal papers), tents, usable furniture, operational bicycles, scooters, strollers, radios, electronic equipment, eyeglasses, prescription medications and other medical equipment, books, jewelry, backpacks, containers, any item used by a disabled person for Page 9 of 19 mobility, and any item that could be ordinarily found within a home. 3.21 Unauthorized encampment "Unauthorized encampment" means an encampment on county-owned property that has not been permitted under the JCC or authorized pursuant to this Policy. 4.0 Unauthorized Camping on County-Owned Property Prohibited 4.1 Unauthorized camping on county-owned properties that are a threat to public health and safety, or interferes with the public's ability to use county-owned property is prohibited. 4.2 Unauthorized camping on county-owned property includes all day-use parks as well as authorized campgrounds when posted rules are not being followed. 4.3 Camping on county-owned property is prohibited, unless expressly permitted by the Jefferson County Parks Manager (see ICC 12.25.060), the Jefferson County Administrator or their designee, or by an official act of the Board of County Commissioners. 5.0 Removal of Obstructions or Immediate Hazards from Unauthorized Encampments 5.1 When notice is not required. Except in exigent circumstances involving an immediate hazard, the notice provisions in Section 7 shall apply and shall be followed prior to the enforcement and removal of any obstructions and immediate hazards within unauthorized encampments. 5.2 Obstructions and immediate hazards within unauthorized encampments may be removed immediately and without notice, provided there is a written determination by a county department director or their designee that a real and imminent threat to public safety exists unless the removal occurs. The Director of the Public Health Department or their designee shall be consulted before any immediate removal. 5.3 DCP shall document why any personal property, garbage, debris or other objects are classified as an obstruction, create a photo and journal log, and make bona fide and documented efforts to locate any person who may believe that the personal property belongs to, prior to removal. 5 .4 A decision to remove any personal property as an obstruction or immediate hazard shall be reviewed and approved by a department director or their designee prior to removal, including a determination of whether prior notice is required and if so, how long it shall be posted. 5.5 Prior notice shall be given if it is safe to do so. The notice shall state: (a) the date the notice was posted; Page 10 of 19 (b) that the obstruction must be immediately removed because it is an obstruction or an immediate hazard and is subject to removal by the county without further notice; ( c) where any personal property removed by the county will be stored; ( d) how any stored property may be claimed by its owners; and, (e) how to contact the county's ADA Compliance Coordinator. 5.6 If the obstruction or immediate hazard is determined to be under the control of a person who is present where the obstruction is observed, written notice shall be given to the individual advising of the immediate removal of the obstruction or immediate hazard. 5. 7 Any personal property removed as an obstruction or immediate hazard may be relocated with the assistance of DCP to a location identified and requested by the property owner, if and the county department director determine it is safe to do so. Otherwise, personal property shall be stored by the county as provided for in Section 12 and may be recovered as provided in Section 13. 5.8 Any material that is identified as hazardous waste or solid waste may be immediately removed from an unauthorized encampment and disposed. 5.9 Upon removal of an obstruction or immediate hazard, DCP shall post a notice as provided in Section 11. 5 .10 The department responsible for storing personal property shall notify the Central Services Department of the storage on the same day that the personal property is stored. Central Services shall post notice of the stored personal property with Jefferson County Sheriffs Office Civil Division located at the Jefferson County Courthouse and on the county website. 5 .11 DCPs regularly shall make good faith efforts to make sure all local community providers working with the unhoused population are aware of the county's website containing this information, specifically including where to find personal property and process for obtaining a person's file or documents relating to the removal of their personal belongings. 6.0 Prioritization of Unauthorized Encampment Removal 6.1 The director of each county department shall identify and report any unauthorized encampment locations on county-owned property under its respective jurisdiction by email to the County Administrator within one business day of discovering the encampment. Failure to timely report an encampment location does not preclude applying any other provision in this Policy. Jefferson County Encampment Policy Page 11 of 19 6.2 Before removal of an unauthorized encampment occurs, except in exigent circumstances, a county department, or their designee, shall assess and evaluate the need for removal of unauthorized encampments in accordance with the need to protect public health and safety. Inspection of the unauthorized encampment by DCP shall occur prior to beginning of any removal process. 6.3 The prioritization of encampment monitoring and any assessment for possible removal shall be approached through a public health framework and in consultation between the directors of public health, central services, and the county administrator. 6.4 The following criteria, in no order of priority, shall be considered when prioritizing unauthorized encampments for removal: (a) Objective hazards such as moving vehicles and steep slopes; (b) Criminal activity beyond illegal substance abuse; (c) Quantities of garbage, debris, human or other waste; (d) Other active health hazards to occupants or the surrounding neighborhood; ( e) Difficulty in extending emergency services to the site; (f) Imminent work scheduled at the site for which the unauthorized encampment will pose an obstruction; (g) Damage to the natural environment, critical areas, or the shoreline; (h) Unauthorized camping in a county campground or within county road right of ways causing a safety hazard to the travel public; and, (i) The proximity of unhoused persons to Emphasis Areas. 6.5 The prioritization may be revised at any time as a result of identification of new unauthorized encampments, inspection of other unauthorized encampments, or as new information about an unauthorized encampment's condition becomes available. 7.0 Unauthorized Encampment Removal and Notice Requirements 7 .1 DCP shall post a written notice on or near each tent, vehicle, or structure that is subject to removal that contains at least all of the following information: (a) The day the notice was posted; (b) The date the removal is scheduled; ( c) The time range in which the removal shall commence; Page 12 of 19 ( d) Where personal property shall be stored if removed by the county; and, (e) How to contact the county's ADA Compliance Coordinator. (f) How personal property may be re-claimed by its owner; and, (g) Information concerning shelter alternatives and contact information of an approved outreach provider that can offer more information. This information shall also be updated and maintained on the county's designated website page. 7 .2 If persons are present at the encampment, DCP shall give written notice to each person if reasonably possible in addition to the posted notice, with the same information contained in Section 7 .1. 7 .3 The notice shall be posted no fewer than seven (7) calendar days before an encampment removal and the removal shall occur no later than seven (7) days after the notice posting date. 7.4 If the action to physically remove an unauthorized encampment is not commenced by DCP within the removal date and time range provided in the notice, DCP shall re-post notice of unauthorized encampment removal before removal may occur. 7.5 The posted and written notices shall be printed in English and any other language the county determines would further the purpose of the notice. 7 .6 The removal of a large encampment may occur over a period of several days, provided each day's operations start during the period identified in the notice. Some encampment sites include tents and structures separated by infrastructure such as overpasses. Removal operations may proceed through such sites so long as they start on some portion of the sites within the times specified on the notice. 7. 7 DCP may diligently pursue to completion a removal properly commenced during the removal date and time range provided in the notice required by Section 7.1. 8.0 Identification and Offering of Alternative Shelter Options Before Removing Non- Obstructing Unauthorized Encampments 8.1 Prior to removing an unauthorized encampment, DCP shall identify and present any available alternative locations, including any available shelter space, for persons in the unauthorized encampment to seek shelter, available housing, or authorized encampment areas. (a) DCP is encouraged to check whether the alternatives are available to the unauthorized encampment occupant starting on the date an encampment removal notice is posted and are encouraged to continue checking availability, as often as is practicable, until the unauthorized encampment removal is completed. Page 13 of 19 (b) The Jefferson County Department of Public Health shall maintain, or cause to be maintained, a daily list of alternatives while encampments on county- owned property are active, which list shall be shared with the Jefferson County Sheriffs Office, Central Services Department and approved outreach providers. 8.2. The daily list of alternative locations required by Section 8.1 may include housing programs, emergency shelters with or without day programs, available shelter space, and any authorized encampments. 8.3 To constitute a bona fide shelter alternative, the host of the offered location may not require religious instruction in return for shelter. 9.0 Outreach for Unauthorized Encampment Removals 9.1 DCP shall visit each unauthorized encampment at least once between the time that notice of removal is posted and the scheduled removal date. Approved outreach providers shall be invited by DCP to be present during each unauthorized encampment visit. 9.2 DCP shall be present at the commencement of removal activities on the date an encampment removal is scheduled to start according to the posted notice and are encouraged to check availability and facilitate the offer of shelter alternatives and other services until the encampment removal is completed, as frequently as can be reasonably and safely accomplished. Approved outreach providers shall be invited by DCP to be present during commencement of removal activities on the date an encampment removal is scheduled to start. 9.3 DCP may leave an unauthorized encampment removal operation if services by approved outreach provides have been refused by all people present at the unauthorized encampment. Approved outreach providers may return to a site if a person requests services before the encampment removal is completed. 10.0 Unauthorized Encampment Clean-up 10.1 DCP necessary for an unauthorized encampment removal and cleanup shall be present at the start of removal of an unauthorized encampment removal. The county's designated ADA Compliance Coordinator or their designee shall be present at the start of an unauthorized encampment removal and shall remain available and on-call for the duration of the unauthorized encampment removal process, should any person request assistance. Approved outreach providers shall be invited by DCP to be present at the start of planned removal activities before the date an encampment removal is scheduled to start. 10.2 Unauthorized encampment removal shall be documented in the log required by Section 12.1. Central services shall designate an appropriate storage file for documentation in Laserfiche and whichever department is responsible for documenting and photographing the area shall be responsible for filing that Page 14 of 19 information directly. All forms used to document the encampment removal shall be on a form approved by the Prosecuting Attorney's Office. 10.3 Tents and structures that were not previously posted with a notice but are in the immediate area of tents or structures that were posted with a notice may be removed if the tent or structure was placed in the immediate area after notices were posted. 10.4 Personal property shall be stored as provided for in Section 12 and may be recovered as provided for in Section 13. 10.5 DCP may remove and dispose of garbage, debris, waste, and hazardous substances or items during the unauthorized encampment removal. 11.0 Post-Unauthorized Encampment Removal Notice 11.1 DCP shall prominently post a notice at the site where an unauthorized encampment has been removed and the site cleaned up at the conclusion of the removal. 11.2 The notice required by Section 11.1 shall contain, at a minimum, all of the following information: (a) The date the cleanup was performed; (b) Whether personal property was stored by the county; ( c) Where the personal property is stored and for how long, after which it shall be destroyed; (d) How to contact the county's ADA Compliance Coordinator; (e) How any stored personal property may be claimed by its owner, including contact information for DCP or the county department storing property; and, (f) Contact information for approved outreach providers who can assist persons with shelter alternatives and other services. 11.3 The notice required by Section 11.1 shall not be removed by DCP for a minimum of 10 days. 11.4 DCP organizing the cleanup of the unauthorized encampment shall send documentation of the cleanup to the Central Services Department for recordkeeping within five business days of the conclusion of the cleanup. 12.0 Storage of Personal Property Removed from an Unauthorized Encampment 12.1 DCP shall maintain a log of personal property removed from an encampment. The log of personal property removed from an unauthorized encampment shall state the Jefferson County Encampment Policy Page 15 of 19 location, date and time ofremoval of the personal property, a photo of the removed property, and, if possible, the identity of the person who owns the personal property removed, if known, or if not known, a physical description of the person. Each log of personal property removed from an unauthorized encampment shall be kept in a manner consistent with the county's record retention schedule. 12.2 DCP conducting the unauthorized encampment removal shall make arrangements to store all personal property encountered when removing obstructions or immediate hazards, or when removing unauthorized encampments, provided that the county has no obligation to store personal property that is hazardous, or is reasonably expected to become a hazard during storage, including but not limited to: (a) Toxic sharps: needles, scissors, knives; (b) Chemicals: bleach, paint, oils, etc.; ( c) Items (including bedding and clothing) soiled by infectious materials, including human waste and bodily fluids; (d) Moldy, mildewed items; (e) Items that may be infested by rodents and insects: rats, mice, fleas, lice, bed bugs; ( f) Items that pose a risk of fire or explosion, combustibles and propane tanks; any item containing fuel or corrosives or other unidentified liquids; (g) Backpacks and closed containers, such as totes, boxes and other storage vessels that contain hazardous materials such as paint, flammable materials, or materials that are not labeled or identifiable or not in their original containers shall be discarded; (h) If personal belongings are co-mingled or littered with needles, human waste, or other health risks, the entire pile of belongings may be disposed of. The presence of clothing in a backpack or container shall not be the sole reason to discard the backpack or container; (i) Drug paraphernalia as defined by RCW 69.50.120, unless used for lawfully prescribed drugs; (j) Contraband and controlled substances, which should be handled by law enforcement officers consistent with applicable law; and, (j) Perishable items such as food, controlled substances, contraband, and trash or debris. Jefferson County Encampment Policy Page 16 of 19 12.3 Where there is any uncertainty, under the totality of the circumstances, whether the item is personal property, the item shall be considered to be personal property under this Policy. 12.4 Personal property removed from an unauthorized encampment shall be stored at the Jefferson County Sheriffs Office, located at 81 Elkins Road, Port Hadlock, WA 98339, which is a location commonly used by the county for storing property, and is accessible by public transportation, unless the personal property is too large to store at the Jefferson County Sheriffs Office. 12.5 Personal property too large to store at the Jefferson County Sheriffs Office, such as impounded vehicles, RVs, motorhomes, or tiny homes, shall be stored at an alternative location as space allows. The location for any property at a location other than the Jefferson County Sheriffs Office shall be made publicly available. 12.6 The unauthorized encampment shall be posted with a notice if personal property is removed from the site pursuant to this Policy. All departments are required to work in consultation with the Central Services Department who shall be responsible for maintaining a record of the unauthorized encampment, the date of the unauthorized encampment removal, and where any personal property is being stored with contact information. 12.7 The Central Services Department shall maintain a webpage as part of the County's main website where information can be obtained and made available upon request to persons seeking information for how to find information about an unauthorized encampment removal and personal property removed from an unauthorized encampment removal. 12.8 Personal property that is not recovered after 60 days from and including the day the personal property was stored shall be considered abandoned and may be discarded or donated by DCP. 13.0 Recovering Stored Personal Property after Removal of an Unauthorized Encampment 13 .1 Persons claiming that personal property has been removed from an unauthorized encampment may contact Jefferson County Sheriffs Office Civil Division or the Central Services Department to retrieve personal property. 13 .2 A person seeking to recover stored personal property after removal of an unauthorized encampment shall describe the personal property with particularity. Identification of the person seeking recovery may be requested. However, no identification is required for a person to recover the removed property so long as the person can adequately describe their belongings and where they would have been located prior to the removal. 13 .3 Personal property may be recovered by a person at the location where the property is stored. Alternatively, persons with a documented disability may Jefferson County Encampment Policy Page 17 of 19 request that the property be delivered to the person at a location within 10 miles of the removed unauthorized encampment, if that property is safe and appropriate for delivery by vehicle. If delivery is requested and approved by DCP, DCP shall make reasonable efforts to make delivery within five (5) business days. 14.0 Designation of Emphasis Areas 14.1 By resolution of the Jefferson County Board of Commissioners, the county may designate an area as an Emphasis Area. The Director of Public Health or their designee shall be consulted before designation of an area as an Emphasis Area. 14.2 Except as provided in Section 14.6, an area may not be designated as an Emphasis Area and no enforcement shall commence until: any existing unauthorized encampment or obstruction removal in that area has occurred; the area is otherwise free of unauthorized encampments; and, the area has been designated as an Emphasis Area. Documentation for any proposed Emphasis Area shall include review by the Department of Public Health. 14.3 An Emphasis Area shall be inspected by the Central Services Department at least once each day. An Emphasis Area shall be identified by signage, and may be fenced. The signage shall state: (a) The location on a map of the Emphasis Area; (b) That camping is prohibited in the Emphasis Area; ( c) That any personal property found in the Emphasis Area may be removed without further notice; ( d) Where any removed personal property is stored; and, ( e) How any stored personal property may be claimed by its owner. 14.4 Persons camping in an Emphasis Area and their associated personal property may be removed as an obstruction pursuant to Section 5. 14.5 The Central Services Director or designee shall identify Emphasis Areas and their locations on a map on the county's website. 14.6 The following county-owned property is hereby declared an Emphasis Area. (a) The Courthouse and its grounds are hereby declared an Emphasis Area. Camping at and on the surrounding grounds of the Jefferson County Courthouse, located at 1820 Jefferson Street, Port Townsend, Washington, is prohibited. Camping is unsafe for building security and county operations that include visitation by members of the public, as well as a secure and safe work environment for county employees. Jefferson County Encampment Policy Page 18 of 19 Permanent signage shall be posted as required by this section. Furthermore, use of the Jefferson County Courthouse and Courthouse grounds after working hours as defined by the Jefferson County Board of Commissioners is only allowed in accordance with prior authorization, as determined in Resolution No. 60-04 (11/15/2004). (b) County offices located on the "Castle Hill Campus" and its grounds are hereby declared an Emphasis Area. This includes but is not limited to County offices for Public Health (615 Sheridan Street, Port Townsend), Environmental Health & Water Quality (617 Sheridan Street, Port Townsend), Department of Community Development (621 Sheridan Street, Port Townsend), and Jefferson County Public Works (623 Sheridan Street, Port Townsend). It us not safe to camp at the Castle Hill Campus because it is surrounded by parking lots used by the county and businesses, some of which are open at night. Also. camping is unsafe for building security and county operations that include visitation by members of the public, as well as a secure and safe work environment for county employees. (c) All county-owned property within 1,000 feet from the perimeter of the following locations or uses: (i) elementary or secondary schools; (ii) playgrounds or play fields; (iii) recreation centers or facilities; (iv) child care centers; (vi) public transit centers; and, (vii) libraries are hereby declared an Emphasis Area. 15.0 Limitations 15.1 No Additional Legal Rights. This Policy does not create legal rights beyond those obligations and rights created by statute or other laws binding on Jefferson County. The provisions of federal and state law control, if there is any conflict with this Policy. 15.2 No Affirmative Duty. Except where mandated by statute, any duties identified in this Policy are discretionary or advisory only and shall not impose any affirmative duty on Jefferson County. 15.3 No Basis for Liability. This Policy is not intended to and shall not be construed to create or form the basis of any liability on the part of Jefferson County, or its officers, staff, or agents, for any injury or damage resulting from any action or inaction on the part of Jefferson County related in any manner to the enforcement of this Policy by its elected officials, officers, staff, or agents. 15.4 Accountability and Review. Nothing in this Policy shall be construed as removing Jefferson County's obligation and responsibility to uphold applicable state and federal laws that provide legal rights and protections to persons residing in an unauthorized encampment. Page 19 of 19 16.0 Amendments and Corrections to this Policy 16.1 Jefferson County reserves the right to apply and interpret this Policy and to revise or change this Policy at any time. 16.2 The Clerk of the Board of County Commissioners is authorized to make necessary technical, non-substantive corrections to this Policy including, but not limited to, the correction of scrivener's or clerical errors, references, numbering, section or subsection numbers and any references to them. 17.0 Severability If any section, subsection, paragraph, sentence, clause, or phrase of this Policy is declared unconstitutional or invalid for any reason, such decision shall not affect the validity of the remaining parts of this Policy. [REPORT] July 2025 The Public Health Impacts of Encampment "Sweeps" SM NACCHO National Association of County & City Health Officials Public Health Pr even l. Promote. Protect. Introduction Encampments and Their Residents People live in encampments because they have no reasonable alternative.9 More than 650,000 people in the U.S. experienced homelessness on any given night in 2023. Far too few emergency shelter beds and transitional housing options exist to serve the population in need,1 leaving hundreds of thousands of individuals-nearly 40% of the unhouserf--with no option but to seek shelter in places not meant for habitation, including sleeping outside in groups or encampments.3 Available evidence shows that residents of encampments are typically between 25 and 60 years of age.4•5 Encampment residents are often people of color; most are living with a disability, and many are subject to systemic discrimination for their gender or sexuality.4•5 Most encampment residents are also long-time residents of the neighborhood where they camp, with deep ties to the local community.4 The vast majority of people living in encampments lack viable alternatives for shelter. A study conducted in Denver, Colorado found that 70% of city residents living in unsheltered public spaces had been turned away from emergency shelters due to lack of capacity.6 A similar study in San Jose, California found only 508 year-round shelter beds available for the more than 5,500 unhoused residents in the city.7 Recently, encampments have become more visible as development takes place on previously vacant spaces, or as the homeless population grows to exceed the capacity of unsheltered spaces that are out of public view.4 Encampment Disruptions and Involuntary Displacement ("Sweeps") Many U.S. cities have used disruptive methods to respond to visible encampments, often called "encampment sweeps" Other names used for such sweeps include "clean-ups;"'abatements," "move-along orders;'"clearings;'"forced relocations;' and "involuntary displacements,":" Encampment sweeps typically fall into three categories: spot sweeps, temporary sweeps, and permanent sweeps. • Spot sweeps typically involve service providers or other city authorities passing through the camp to pick up trash, offer resources, and connect people with desired services. Spot sweeps of this nature are often considered helpful and are appreciated by encampment residents.11 • Temporary and permanent sweeps are inherently disruptive. In these sweeps, residents are sometimes given one or two garbage bags in which to move a limited number of personal belongings then forcibly displaced from the location by police while sanitation crews remove and destroy everything left behind. In temporary sweeps, residents are allowed to return to the location after it has been cleared; some encampment residents may experience such sweeps as often as once per month. In permanent sweeps, residents are barred from returning to the encampment location under threat of arrest.11 Some municipalities take efforts to make the area unusable by blocking it off with concrete barricades or closing the area to public entry entirely.12 Some municipalities provide encampment residents with a few days' notice of an upcoming sweep;13 however, those timelines are not always followed, and some residents have undergone sweeps of their encampment days before it was scheduled to occur.14 Many sweeps begin very early in the morning and last most of the day, leaving residents little or no ability to prepare.11 Some municipalities combine encampment sweeps with linkage to social servicesr'? · [ 1 l however, the intended positive effects of these linkage attempts are usually undermined by one or more of these common challenges: the absence of comprehensive outreach strategies before, during, and after the sweep; the lack of available services to be offered in the first place; lack of housing options that meet residents' needs; reliance on law enforcement officers to carry out sweeps instead of a more suitable workforce; and increased criminal justice involvement as a consequence of police involvement and systematic warrant checking during the sweep.5•15 Encampment sweeps do not reduce homelessness. Nor do they improve housing access. Instead, they usually erode viable pathways to housing by disrupting social ties, reducing access to vital records, and creating barriers for housing services.16 More than 90% of people who are displaced by sweeps remain in public spaces after displacement, and nearly two thirds simply move down the street, because they have nowhere else to go.5 Encampment Sweeps Increase Overdose Deaths Overdose is a leading cause of death among unhoused populations. Before COVID-19, about 25% of all deaths among unhoused, unsheltered city residents were due to overdose.17 Since then, several studies suggest that overdose deaths have nearly doubled among those who are unhoused.4•18 Encampment sweeps may account for as many as 24% of all deaths among unhoused people who use druqs." Studies have found that unhoused people who were forced to leave their encampment in the past 30 days had 2.5-times higher odds of non-fatal overdose compared to those who had not been displaced.19 Similarly, studies of death records show that unhoused people who were regularly forced to relocate experienced 70-90% higher rates of overdose death compared to those who were not." Common causes of overdose death after encampment sweeps include: return to use due to loss of medications for opioid use disorder, loss of naloxone for overdose reversal, and loss of trusted social ties with people who are ready and willing to respond to an overdose.11 Losing connections with trusted suppliers and/or a familiar drug supply can put people who use drugs within the encampment and those who live in homes in the surrounding neighborhood at higher risk of overdose.":" Other Human Costs of Encampment Sweeps Encampment sweeps are associated with negative health effects in addition to overdose. Encampment residents often lose possession of essential medications (including HIV medication, hepatitis C medication, and medications for opioid use disorder) in sweeps." Many also lose possession of essential medical equipment that cannot easily be replaced, such as walkers, wheelchairs, crutches, canes, and other medical devices," Encampment sweeps may account for as many as 24% of all deaths among unhoused people who use druqs." Studies of death records show that unhoused people who were regularly forced to relocate experienced 70-90% higher rates of overdose death compared to those who were not." [2] Encampment sweeps worsen many substance use outcomes in addition to overdose. Recently displaced encampment residents have nearly three times higher odds of using drugs or alcohol and twice the odds of living with infectious disease.23 Those who used drugs before displacement often lose possession of essential harm reduction supplies, including sterile syringes and naloxone, during encampment sweeps." As a result, people who have been recently displaced are more likely to share syringes and use substances in more dangerous places (to avoid police contact).19•24 Forced displacement also reduces residents' access to medications for opioid use disorder." People who are displaced are 40% less likely to receive this live-saving treatment." Encampment sweeps usually force residents into dangerous locations, such as sidewalks and freeway underpasses." significantly reducing access to essential healthcare and social services. After displacement, street medicine teams and other outreach service providers are often unable to locate displaced residents for follow up; many residents also lose mobility aids (such as wheelchairs and walkers), which can reduce or eliminate their ability to reach stationary healthcare services, social services, and meal proqrarns.v" For all these reasons, encampment sweeps place residents at immediate risk of injury, infectious disease, and exacerbations of chronic conditions (including cardiac, pulmonary, endocrine, psychiatric, and behavioral conditions, among others).8•23 Encampment sweeps also harm social support structures. Residents are often displaced to nearby areas, risking conflict with new neiqhbors." These conflicts are often made worse through the loss of trusted social contacts8·9 as well as complete loss of trust in police9 and social services providers.25 The combined negative effects of encampment sweeps leave residents feeling powerless, hopeless, anxious, traumatized, and convinced that obtaining permanent housing will never be possible. 8·9·11•26 The Financial Cost of Encampment Sweeps Municipalities spend millions of dollars on encampment sweeps each year, even though sweeps often make the problems they aim to solve worse. For example, in 2019, the city of San Jose spent about $4.8 million on encampment sweeps.4 In 2014, the City of San Francisco spent about $3 million on encampment sweeps every month.' In addition to the cost of conducting sweeps and the immediate harms to residents described above, encampment sweeps also create new, long-term problems for local communities. Sweeps drive up healthcare costs by worsening health conditions, reducing access to outpatient healthcare services, increasing hospitalizations, and increasing emergency department visits.8•23 Encampment residents also experience nearly twice the odds of criminal justice involvement after a sweep, 19 often resulting in cycles of citations, warrants, and arrests that can last for years, consuming significant time from local police departments and court systems.5 [3] Why Sweeps Don't Work "Fundamentally, the vast majority of people who are unhoused are living in encampments because there is no alternative when the cost ofliving is substantially higher than wages." - Chang et al., 2022 Displacing residents from encampment sites typically leaves them living in the same public spaces with fewer resources than before.' Research has identified many common causes of these policy failures in U.S. cities. The most significant and ongoing issue is the lack of affordable housing.4 Emergency and temporary shelter capacity is grossly inadequate to meet current need, with some cities seeing their unhoused population exceed shelter capacity by more than 1000%.6•7 Resources allocated to encampment outreach and targeted efforts to connect residents to services are also very limited compared to the resources spent to conduct sweeps.4 Finally, many cities do not track the effectiveness of their outreach efforts, and some do not have any outreach plan in place at all." Evidence-Based Responses to Public Encampments Without exception, encampment response of any kind (including outreach and service delivery) should be planned and carried out through direct consultation and collaboration with encampment residents.27·28 Encampment sweeps do not increase shelter use, because they do not increase shelter capacity.29 To be effective in reducing the number of people living in unsheltered spaces, encampment responses must create pathways to housing opportunities beyond the shelter system, including access to permanent housing.4 Coordinated entry into housing services and other support systems can be offered to encampment residents through targeted outreach at any time, not simply in conjunction with planned sweeps that disrupt access to these services.4•16•29 Key Elements of Effective Encampment Responses Effective encampment responses begin with thorough needs assessments and collaborative planning processes that include equitable input from both encampment residents and their neiqhbors." Strategies to consider include: • Transparent prioritization strategies: Develop and publish plans for directing services to the locations and/or individuals with the most acute health and safety needs first. • Centralized tracking systems: Create or integrate a system to track available shelter beds, transitional housing units, and permanent housing units to facilitate transitions to stable, sheltered living. • Coordinated case management: Implement coordinated case management to enable trained and qualified professionals to perform outreach to encampment residents, address barriers to healthcare and housing resources, and track person-oriented health and housing goals. • Ongoing health and social services: Continue providing health, hygiene, sanitation, and nutritional services to the encampment while coordinated case management and supportive housing services are underway. • Provide wrap-around housing assistance. Provide dynamic support for residents' transition to housing, including financial and case management assistance with moving Research has identified many common causes of [encampment sweep] policy failures in U.S. cities. The most significant and ongoing issue is the lack of affordable housing.4 Emergency and temporary shelter capacity is grossly inadequate to meet current need, with some cities seeing their unhoused population exceed shelter capacity by more than 1000%.6.7 [4] services, furniture, start-up kits with essential supplies for new renters, rent subsidies, and other challenges with typical move-in expenses; educating landlords on more effectively engaging renters with low credit scores, past evictions, criminal records, or other potential concerns can also be helpful.":" Housing First Strategies Housing First strategies have very strong evidence for success. They produce better outcomes than other housing approaches and are highly effective at helping residents with complex mental and behavioral health issues (including substance use disorders) transition quickly into permanent housing.4•27 For this reason, Housing First strategies should be central to any encampment response effort.4 Temporary Supported Communities For some city residents, Temporary Supported Communities (TSCs). also known as "sanctioned encampments" can offer a short-term, safer alternative to living in unsheltered public spaces.29 TSCs are intended to be temporary in nature, typically lasting 6 to 36 months depending on local need and service capacities." While they do not address the root causes of homelessness, TSCs can create short-term, safer environments where outreach, healthcare services, employment services, and housing navigation and support can be effectively delivered while people are connected to housing. Sanctioned Parking Programs .. Well-planned, sanctioned parking programs can also offer safe options for people living in vehicles (e.g. cars, trucks, or RVs) who need housing support and are at high risk of becoming unsheltered and transitioning into encampments.29 Involuntary Displacement as a Last Resort Some municipalities turn to the involuntary displacement of encampment residents as an emergency measure. If a municipality determines that it is unsafe for residents to remain in a particular location, even after taking into account the profoundly negative community-wide impacts of forced displacement, the planned sweep should begin with coordinated planning across multiple agencies to ensure that encampment residents have low-barrier access to essential services and that this access is sufficiently reinforced against the disruptions that the sweep itself will cause." Any encampment sweep deemed necessary should be preceded by weeks-and, in some cases, months-of robust and regular outreach and service delivery to encampment residents, including housing navigation and ongoing housing support for each resident even after a successful transitioning to permanent housing.4 [s] Examples from U.S. Cities Durham, North Carolina has an Encampment Response Protocol that begins with a demographic, health, and safety survey of each encampment to determine whether intervention by the city is even necessary. If a formal response is appropriate, the city conducts a census of encampment residents and develops an individualized housing and services plan for each person. Before removal of solid waste from the campsite (i.e. to conduct a "sweep") residents must receive 14 days' notice and be provided with the means to safely and securely store their belongings at a location available by public transit. The city's protocol also mandates an evaluation of the impacts of any intervention undertaken within 30 days." Durham also recently introduced a non-police emergency response program called Holistic Empathetic Assistive Response Team (HEART). HEART team members address community concerns about homelessness and public encampments, providing a low-barrier, supportive, and sustainable connection to city and county services.33 Bellingham, Washington has a similar policy focused on effective and equitable service delivery in response to public encampments, with specific response plans tailored case-by- case. After a thorough assessment of the needs and concerns of encampment residents, city-managed homeless outreach teams visit encampment residents, offering assisted access to available services. Encampments are cleared only if they are determined to present a risk to public health and safety, and only after residents have been given ample advance notice. When shelter beds are limited or unavailable, the city restricts encampment sweeps to instances of serious public health or safety concerns or planned construction on an encampment site.34 St. Paul, Minnesota launched the Homeless Assistance Response Team (HART) in response to growing concerns about public encampments during the COVID-19 pandemic. HART provides a 24/7 response to unhoused city residents, including encampment residents, and helps people navigate transitional housing or other housing services. As of August 2022, HART was working with residents at 55 active encampment sites, connecting them with services and, when necessary, preparing residents for the safe and sustainable encampment closure.35 Portland, Oregon has hosted the Dignity Village encampment since 2000, making it possibly the oldest and longest-running sanctioned encampment in the United States.36 ■ Additional Resources On Homelessness and Public Encampments U.S. Department of Housing and Urban Development's "Exploring Homelessness Among People Living in Encampments and Associated Cost" U.S. Department of Housing and Urban Development's "Understanding Encampments of People Experiencing Homelessness and Community Responses" U.S. lnteragency Council on Homelessness"? Principles for Addressing Encampments" San Francisco Coalition on Homelessness"'Punishing the Poorest: How the Criminalization of Homelessness Perpetuates Poverty in San Francisco" National League of City's "An Overview of Homeless Encampments for City Leaders" National Alliance to End Homelessness"'State of Homelessness Dashboard" UCSF Benioff Homelessness and Housing Initiative's "Towards a New Understanding: The California Statewide Study of People Experiencing Homelessness" [6] On the Harms Caused by Traditional and Punitive Approaches to Encampments ASU Center for Problem-Oriented Policing's "Summary of Responses to Homeless Encampments" National Coalition for Housing Justice's "Policing- and Punishment-based Approaches: A Really Expensive Way to Make Homelessness Worse" • National Health Care for the Homeless Council's "Impact of Encampment SweeN.Q.Q.. People Experiencing Homelessness" On Evidence-based Interventions for Unhoused City Residents U.S. lnteragency Council on Homelessness"'l 9 Strategies for Communities to Address Encampments Humanely and Effectively" National Alliance to End Homelessness"'Critical Time Intervention Rapid Re-Housing Toolkit" National Alliance to End Homelessness"'CTI-RRH Model Program Description" Silberman School of Social Work at Hunter College of CUNY's "Critical Time Intervention for Rapid Rehousing: Manual for Case Managers and Supervisors" Seattle University Homeless Rights Advocacy Project's "It Takes a Village: A Practical Guide for Authorized Homeless Encampments" The UC San Francisco Benioff Homelessness and Housing Initiative's "Encampment Resolution Guide" National Vehicle Residency Collective's "National Parking Program List" Community Solutions'"What is Housing First?" U.S. Department of Housing and Urban Development's "Housing First Implementation Resources" The National Low Income Housing Coalitions"'The Evidence Is Clear: Housing First Works" The City of Durham, North Carolina's "Encampment Response Policy" ■ [7] References 1. Glassman B. New Survey Data Provides Demographic Profile of Population Experiencing Homelessness Who Lived in Emer- gency and Transitional Shelters. Census.gov. February 27, 2024. Accessed August 9, 2024. https://www.census.gov/library/sto- ries/2024/02/living-in-shelters.html 2. de Sousa T, Andrichik A, Prestera E, Rush K, Tano C, Wheeler M. The 2023 Annual Homelessness Assessment Report (AHAR) to Congress. Published online December 2023. Accessed October 8, 2024. https://www.huduser.gov/portal/sites/default/files/ pdf/2023-AHAR-Part-1.pdf 3. Adkins M. Homelessness in-America: Statistics, Analysis, & Trends. Security.org. June 7, 2024. Accessed August 9, 2024. https:// www.security.org/resources/homeless-statistics/ 4. Dunton L, Khadduri J, Burnett K, Fiore N, Yetvin W. Exploring homelessness among people living in encampments and as- sociated cost Published on line February 2020. Accessed May 6, 2024. https://www. h u du ser.gov /po rt al/ sites/ defa u lt/fi I es/ pdf/ Exploring-Homelessness-Among-People.pdf 5. Coalition on Homelesseness, San Francisco. Punishing the poorest: How the criminalization of homelessness perpetuates poverty in San Francisco. Published online 2015. Accessed May 6, 2024. https://www.cohsf.org/Punishing.pQf 6. Robinson T. No Right to Rest: Police Enforcement Patterns and Quality of Life Consequences of the Criminalization of Homelessness. Urban Affairs Review. 2019;55(1 ):41-73. doi:10.1177 /1078087417690833 7. Office of the City Auditor. Audit of the City's Homeless Assistance Programs: More Coordination and Better Monitoring Can Help Improve the Effectiveness of Programs. City of San Jose; 2018. Accessed May 6, 2024. https://sanjose.granicus.com/Document- Viewer.php?file-saniose 3ae28bl ca45affl a33edc83a56618382. pdf&view=l 8. Qi D, Abri K, Mukherjee MR, et al. Health Impact of Street Sweeps from the Perspective of Healthcare Providers. J Gen Intern Med. 2022;37(14):3707-3714. doi:10.1007 /sl 1606-022-07471-y 9. Chang JS, Riley PB, Aguirre RJ, et al. Harms of encampment abatements on the health of unhoused people. SSM - Quali- tative Research in Health. 2022;2:100064. doi:10.1016/j. ssmqr.2022.100064 10. Barocas JA, Nall SK, Axelrath S, et al. Population-Level Health Effects of Involuntary Displacement of People Experiencing Unsheltered Homelessness Who Inject Drugs in US Cities. JAMA. 2023;329(17):1478-1486. doi:10.1001 /jama.2023.4800 11. Goldshear JL, Kitonga N, Angelo N, Cowan A, Henwood BF, Bluthenthal RN. "Notice of major cleaning": A qualitative study of the negative impact of encampment sweeps on the ontologi- cal security of unhoused people who use drugs. Soc Sci Med. 2023;339:116408. doi:10.1016/j.socscimed.2023.116408 12. Torres M. Concrete barriers blocking street where tents of home- less encampment used to be. wusa9.com. October 5, 2021. Ac- cessed October 9, 2024. https://www.wusa9.com/article/news/ loca I/ d c/ comm u n ity-g rou p-pu shes-for-city-to-stop-creating-no- tent-zones-after-prog ram-to-remove-home less-encampments- paused/65-df94fa94-f6fd-457d-a9c0-84cc693e4781 13. 5jostedt D, Greschler G. "Aggressive" homeless camp sweeps begin in San Francisco. The San Francisco Standard. July 30, 2024. Accessed August 9, 2024. https://sfstandard.com/2024/07 /30/ san-francisco-aggressive-homeless-camp-sweeps-begin/ 14. Shen F. Baltimore razes an encampment two days before city said it would. Baltimore Brew. October 9, 2024. Accessed October 9, 2024. https://www.baltimorebrew:com/2024/03/05/baltimore- razes-an-encampment-two-days-before-city-said-it-would/ 15. Office of the City Auditor. Performance Audit of the City's Efforts to Address Homelessness. City of San Diego; 2020. Accessed May 6, 2024. https://www.sandiego.gov/sites/default/files/20-009 homelessness 0.pdf 16. National Health Care for the Homeless Council. Issue Brief: Im- pact of Encampment Sweeps on People Experiencing Homeless. Published on line December 2022. Accessed November 5, 2024. https:/ /n hchc.org/resou rce/te m porary-su pported-com mun ities- strateg i es-fo r-servi ng-u n sheltered-people/ 17. Fine DR, Dickins KA, Adams LD, et al. Drug Overdose Mortal- ity Among People Experiencing Homelessness, 2003 to 2018. JAMA Network Open. 2022;5(1 ):e2142676. doi:10.1001 /jamanet- workopen.2021.42676 18. Cawley C, Kanzaria HK, Zevin B, Doran KM, Kushel M, Raven MC. Mortality Among People Experiencing Homelessness in San Francisco During the COVID-19 Pandemic. JAMA Network Open. 2022;5(3):e221870. doi:10.1001 /jamanetworkopen.2022.1870 19. Chiang JC, Bluthenthal RN, Wenger LD, Auerswald CL, Hen- wood BF, Kral AH. Health risk associated with residential relocation among people who inject drugs in Los Angeles and San Francisco, CA: a cross sectional study. BMC Public Health. 2022;22(1 ):823. doi:10.1186/sl 2889-022-13227-4 20. Carroll JJ, Rich JD, Green TC. The protective effect of trusted deal- ers against opioid overdose in the U.S. International Journal of Drug Policy. 2020;78:102695. doi:10.1 0l 6/j.drugpo.2020.102695 21. Victor GA, Strickland JC, Kheibari AZ, Flaherty C. A mixed-meth- ods approach to understanding overdose risk-management strategies among a nationwide convenience sample. Interna- tional Journal of Drug Policy. 2020;86:102973. [8] 22. Ray B, Korzeniewski SJ, Mohler G, et al. Spatiotemporal Analysis Exploring the Effect of Law Enforcement Drug Market Disrup- tions on Overdose, Indianapolis, Indiana, 2020-2021. Am J Public Health. 2023;113(7):750-758. doi:10.2105/AJPH.2023.307291 23. Meehan AA, Milazzo KE, Bien M, et al. Involuntary displacement and self-reported health in a cross-sectional survey of people experiencing homelessness in Denver, Colorado, 2018-2019. BMC Public Health. 2024;24(1 ):1159. doi:10.1186/sl 2889-024-18681-w 24. Wood E, Spittal PM, Small W, et al. Displacement of Canada's larg- est public illicit drug market in response to a police crackdown. CMAJ. 2004;170(10):1551-1556. doi:10.1503/cmaj.1031928 25. Rizzo E, Caiola S. Kensington encampment cleanup: "There's a whole bunch of cops out here, but there's nobody to help us" Kensington Voice. May 9, 2024. Accessed August 12, 2024. https:// www.kensingtonvoice.com/en/mayor-parkers-kensington-en- campment-cleanup-theres-a-whole-bunch-of-cops-out-here-but- theres-nobody-to-help-us/ 26. Darrah-Okike J, Soakai S, Nakaoka S, Dunson-Strane T, Umemoto K. "It Was Like I Lost Everything": The Harmful Impacts of Home- less-Targeted Policies. Housing Policy Debate. 2018;28(4):635-651. doi:10.1080/10511482.2018.1424723 27. U.S. interagency Council on Homelessness. 7 Principles for Ad- dressing Encampments. Published on line June 2022. Accessed August 21, 2024. https://www.usich.gov/sites/default/files/docu- ment/Principles for Addressing Encampments 1.pdf 28. U.S. lnteragency Council on Homelessness. 19 Strategies for Com- munities to Address Encampments Humanely and Effectively. Published online April 2024. Accessed November 5, 2024. https:// www.usich.gov/sites/default/files/document/19%20Strate- gies%20for%20Communities%20to%20Address%20Encamp- ments%20Humanely%20and%20Effectively 1 .pdf 29. Cohen R, Yetvin W, Khadduri J. Understanding Encampments of People Experiencing Homelessness and Community Responses. Published online July 19, 2019. Accessed August 18, 2024. https:// www.abtglobal.com/insights/publications/report/understanding- encampments-of-people-experiencing-homelessness-and 30. Dones M, Espinoza M. Encampment Resolution Guide. Published online September 2024. Accessed November 5, 2024. https:// homelessness.ucsf.edu/sites/default/files/2024-09/BHHl%20En- campment%20Resolution%20Guide 0.pdf SM NACCHO National Association of County & City Health Officials 31. National Health Care for the Homeless Council. Temporary Sup- ported Communities: Strategie for Serving Unsheltered People. Published online July 24, 2024. Accessed November 5, 2024. https:/ /n hchc.org/resou rce/tem pora ry-su pported-com mun iti es- strateg i es-fo r-servi n g-u n sheltered-peopl el 32. The City of Durham. Encampment Response Policy. Published online 2019. Accessed August 18, 2024. https://www.durhamnc. gov/DocumentCenterNiew/48492/encampment response poli- cy final?bidld= 33. Durham County NC. HEART (Holistic Empathetic Assistive Re- sponse Team). Durham County. 2024. Accessed August 18, 2024. https://mentalhealth.networkofcare.org/durham-nc/services/age ncy?pid=holisticempatheticassistiveresponseteamheart 371 2 0 34. City of Bellingham. Unauthorized Encampments. City of Belling- ham. 2024. Accessed August 18, 2024. https:/ /cob.org/gov/dept/ pw/services-pw/unauthorized-encampments 35. The City of Saint Paul. Homeless Assistance Response Team. Saint Paul Minnesota. 2024. Accessed August 18, 2024. https://www. stpa u I .gov/ d epa rtm ents/ safety-inspections/re port-concern/ homeless-assistance-response-team 36. Abraham R. In Portland's Self-Governed Dignity Village, The Un housed Make Their Own Rules. Next City. November 17, 2022. Accessed August 18, 2024. https://nextcity.org/urbanist-news/ in-portlands-self-governed-dignity-village-the-unhoused-make- their-own-rule Acknowledgements Author: Jennifer J. Carroll Layout and Design: Anupama Varma FOR MORE INFORMATION, PLEASE CONTACT: ivp@naccho.org The mission of the National Association of County and City Health Officials (NACCHO) is to improve the health of communities by strengthening and advocating for local health departments. 1201 Eye Street, NW Fourth Floor Washington, DC 20005 P 202-783-5550 F 202-783-1 583 www.naccho.org © 2025. National Association of County and City Health Officials. Jefferson County Board of Health V. New Business Item 2 Updates to the Environmental Health Fee Schedule ublic alth September 17, 2026 Environmental Health Fee Schedule Summary of Changes Change Current Fee Proposed Fee Reason NameNalue/Description NameNalue/Description Remove Late Fee for Invoices - "See Remove Language Resolution #88-20 concerned a temporary pause of Language Resolution #88-20" the late invoice fee during covid. The resolution is expired April 30, 2021 and this language has held over unintentionally. Remove Individual Conventional & Remove Language These fees apply to all OSS permit types, which Language Alternative OSS Permit Fees - range for a valid period of 90 days to 3 years. This "Valid for 3 years" language is a carry-over from older fee schedules. Add and Commercial/Community "Base Fee, Plus Each These fees apply to all OSS permit types, which Remove Conventional & Alternative Connection Fee" range for a valid period of 90 days to 3 years. This Language ass Permit Fees - "Base Fee language is a carry-over from older fee schedules. - Valid for 3 Years" Added language clarifies what fees apply. Add "Operating Permit- $190.05" "Initial Application - "Operating Permit" is now the section name with a Fee/Clarify $190.05" new fee name of "Initial Application" but no change Language in fee value. Add Subdivision Review Base Fee "Base Fee, Plus Per lot Adds clarity for DCD invoicing. Language - "Plus Per lot Fee" fee" Add Boundary line adjustment or "Base Fee, Plus Per lot Adds clarity for DCD invoicing. Language Lot Certification base review fee" fee - "Plus Per lot Fee" Change Installer, Pumper, O&M Operation & Monitoring Improves consistency with JCC 8.15 (On site Sewage Language Specialist or Technician - (O&M) Code) "Operation, Monitoring & Maintenance (0, M &M)" . Reestablish NA 0 & M Inspection Report This fee was once on the fee schedule but was Fee Manual Data Entry- removed for unknown reasons. Staff are entering $59.85 many homeowner inspection manually even though there is an online option available via the CSS portal. We hope this fee will incentivize use of the portal. Change Operation Monitoring & Operation & Monitoring Consistent language with JCC 8.15. Language Maintenance (0, M &M) (O&M) Change "Food Service "Food Service" This section of the fee schedule applies to all food Section Establishments" service permit types, FEP and TFS. This improves Name clarity. Add new NA "New Food Improves clarity for applicants and staff to invoice Subsection Establishment Permit correct fees for new FEPs. (FEP)" Reconfigure NA "New Food Currently, at the time of application a new Fee Establishment Permit establishment pays 2 hours of plan review and the (FEP)"- $565.95 - "Due new establishment fee. The new establishment fee at time of application. is $282.45 and 2 hours of plan review is $283.50 Includes 2 hrs of food ($141. 75 x 2hrs). This new combined fee is the equal service plan review." to the amount that is currently being charged but removed the "hidden fee" aspect of the application. This clarifies fees to the applicant and staff. Add Pre-opening inspection - "Per Hour; 1 hour Adds clarity of when fee is due. Language "Per Hour; 1 hour minimum" minimum; Due after Plan Review Approved/Prior to Preopening Inspection" Added NA "Annual Permit Fee" - Added to new section for clarity for new Language "Same as Annual Permit applications. Fees" Added Fee NA "Septic Review for Food Currently this fee is already charged to FEP Service" - $122.85 - "Per applications under "Other Food Fees" Section. hour; 1 hour minimum, Added here for clarity to new applicants. for establishments on septic systems." Change "Annual Permit Fees (Based "Annual Permit Fees for Adds clarity. Language on menu Complexity & FEPs (Based on menu seating - menu changes may Complexity & seating - change category)" menu changes may change category)" Reorganize "Annual Permit Issued after "Annual Permit Issued Adds Clarity fee September 1 - 50% of Annual after September 1 - 50% language Permit Fee" of Annual Permit Fee - Based on Permit Category" Increase of "Late Fee for Invoices" - "Late Renewal Fee" - Changing late fee to a per-day late fee gives the Fee $71.40 $71.40- "Per Day. department more leverage to have establishments Applies to renewal renew on time. Current late fee does not provide applications submitted enough incentive for establishments to renew in a after February 14th. timely manner. Accrual stops once establishment is closed." Change of "Temporary Permits "Temporary Food Adds Clarity Language Application Fees" Service (TFS) Permit" Change of "Low Risk Foods (Limited to "Low Risk Food (Limited Adds Clarity Language Specific Listed Foods)" to Specific Listed Foods)" Change of "Initial Event/Additional "Single Event (single Adds clarity, parallels language in rest of fee Language Single Event" location)" schedule. Add "Recurring" "Recurring Event" Adds Clarity Language Remove Fee "Additional Event (Same NA Duplicative of "Initial Event/Additional Single Event" Menu only)" - $78. 75 fee. Change For Medium and High Risk "Single Event (single Adds clarity. Language Food "Initial Application location)" (First Event)" Remove fee 25% Reduction based on NA This was established in 2020 fee schedule and reduction indigency, public interest or stated "*with BOH resolution and backed with public benefit general funds". The reimbursement from the general fund never occurred, nor did the resolution. Additionally, by reducing fees, the department is not covering its expenses of administering the permit. Removing the fee conforms to BOCCs requirements for program fees to cover their expenses. Change Late Fee for Temporary "Applicable to Provides better conformity to WAC 246-215-09200. Language Permits - "Additional 50% applications submitted (Paid when application is less than 14 days prior to submitted less than 10 days the event." prior to the event." Remove Fee New Establishment NA This fee is relocated into the New Food Establishment Permit (FEP) section. Remove Fee Pre-opening inspection NA This fee is relocated into the New Food Establishment Permit (FEP) section. Remove Remove the description for NA These fees are invoiced each year as the annual Language all of the Solid Waste Facility permit fee. These descriptions indicate there may fees be additional hours invoiced, however EH has never invoiced for additional hours. Descriptions are outdated and no longer relevant. Rename "Solid Waste Facility" "Annual Solid Waste Improves clarity on what these fees are for. Subsection Facility Permit Fee" New NA "Other Solid Waste These fees already exist but putting them in this new Subsection Facility Fees" subsection clarifies when they are applicable. Added NA "Due at time of It was unclear when this fee was charged. This Language application, plus Plan, language clarifies it. Document, and WaiverNariance Review fee." Added Fee NA Water Review for Lang This fee is new to the fee schedule but is already Divisions - $122.85 - Per being charged to customers. Currently we charge 2 Hour; 2 hour minimum, hours of general technical assistance for this For Subdivision Review, service. Adding this fee in a dedicated section Boundary Line clarifies our review costs and addresses a DCD ask Adjustment and Planned for a more clearly defined fee schedule. Rural Residential Development Review fees Added Fee NA "Water Review for other Currently We charge 1 hour of general technical Land-Use Cases" - assistance fee for this. Adding this fee in a $122.85- "Per Hour; For dedicated section clarifies our review costs and Zoning review, addresses a DCD ask for a more clearly defined fee Conditional Use Permits, schedule. Etc." New NA "School Environmental We need a clearer section on the fee schedule for Section Health and Safety" our Schools program. New Fee NA "Annual School Same as fee we currently charge under general Environmental Health technical assistance. Adding this fee in a dedicated and Safety Inspection" - section clarifies our review costs. $122.85 - "Per hour; 1 hour minimum" New Fee NA "Other School Same as fee we currently charge under general Inspections" - $122.85 - technical assistance. Adding this fee in a dedicated "For site inspections, section clarifies our review costs. pre-occupancy inspections, etc." New Fee NA "School Plan Review" - Based on 122.85/hr for 2 hours. 2 hours of staff time $122.85- "Per hour; 2 is consistent with other similar Plan Reviews such hour minimum, then as food plan review. We currently invoice this as technical general technical assistance. Adding this fee in a assistance/plan review dedicated section clarifies our review costs. rate." JEFFERSON COUNTY PUBLIC HEALTH ENVIRONMENTAL HEALTH DMSION 2026 FEES ENVIRONMENTAL HEALTH ····"" YEAR BASE INCREASE 2026 FEE ri::i:: ,AAA~• --h• , A .. , Technology 2026 TOTAL FN5% FEE• Addttlon1I Fees and Ott,er lnform1Uon GENERAL All f•ea listed below, with the exception of the Food Handlers Permit (FHP), Include a 5% technology fff. • Health Officer e Hearin &Monitorinn Fee Non-Comotlance 434.37 12.77 447.14 22.35 469.35 TiUe8 434.37 12.77 447.14 22.35 469.35 TiUe8 303.44 8.92 312.36 15.60 327.60 TiUo 19 113.42 3.33 116.75 5.85 122.85 Per Hour; 1 hour minimum 65.63 1.93 67.56 3.40 71.40 ~Resokttiotwl'88-20· 43.39 1.28 44.67 2.25 47.25 85.11 2.50 87.61 4.40 92.40 PJustheAuditorsOfficarec:ordin , .. 438.26 12.88 451.14 22.55 473.55 Plus recordino fee and fee for filino & removino NoUce to Title Unnrade cot 603.25 1/altd 1,169.70 1/a!Kttof-3·YMfS Issued in conjunction with en exisUng sewage disposal system 479.85 orcommunil evetem Repair, uccreee Assurance and svsrem O eratlon Anreements Plan Chane 1 015.35--Connaction Fee--V~·fo,-a.vea1S 1,296.75 Connection Fee --Velid-f s 127.05 122.85 364.35 759.15 242.55 Aoolies to oendin or active but not ins!alled 88.20 303.45 190.05 70.35 122.85 and Plannlna Fee Boundarv line aoiustrnent or Lot Certification base review fee Planned rural residential develo□ment review fee 728.70 Base Fee, Plus Per lot fee 285.60 Base Fee, Plus Per lot fee 285.60 For Subdivision Review, Boundary Line Adjustment and Planned 127.05 Rural Residential Develooment Review fees 122.85 Per Hour; 1 hour minimum 182.70 Review 122.85 Per Hour· 1 hour minimum Commercial ----------------~-==--=~-==-~....,,.,_-3~1:_.~2:~~:~=~:~:::_:_:~~:-;~:~~::~~;~~~~:-~;~::~::-:~-:~:~::-::-~-=~~:-:-----< Revised Site Plan Review Site Development Review with Soil Ana!vsis Site Oevelooment Review without Soil Analvsis Other 92.40 Review of resubmission before Buidinn Permit is issued 245.70 122.85 WaiverNariance Annlication WaiverNariance Hearing 742.75 21.84 764.59 38.25 1 082.64 31.83 1.114.47 55.70 444.01 13.05 457.06 22.85 939.08 27.61 966.69 48.35 1199.54 35.27 1 234.81 61.75 117.92 3.47 121.39 6.05 113.00 3.33 116.75 5.85 336.95 9.91 346.86 17.35 702.01 20.64 722.65 36.15 223.95 6.58 230.53 11.55 81.80 2.40 84.20 4.20 280.97 8.26 289.23 14.45 175.94 5.17 181.11 9.05 65.44 1.92 67.36 3.35 113.42 3.33 116.75 5.85 673.91 19.81 693.72 34.70 283.94 7.76 271.70 13.60 263.94 7.76 271.70 13.60 117.92 3.47 121.39 6.05 113.42 3.33 116.75 5.85 188.99 4.97 173.96 8.70 113.42 3.33 116.75 5.85 .-. 168.99 4.97 173.96 ~8.70 336.95 9.91 346.86 - ,7.35 85.11 2.50 87.61 1.-:;...'-.. •• 224.95 6.67 233.51 1'l.70 113.42 3.33 116.75' 5"85 309.06 9.09 ,. 318.15 15.90 505.94 14.87 IAI i, 520.81 26.05 702.01 20.64 I.,. 722.651, 36.15 113.42 3."1"111 116. 5 1111" 5.85 -- Wet season evaluation ~~!~,~:•~::~,:;,~=ci=ao=======================jt::::~~~9===~1!4.~76g;,==.~,~ .. ~,,~~==~,!S.~BSg===~g!;:~!1:d:~,~~• :,~'.~,:,~; ~~hM~,:~:,m~to~~o::~,~:~&=M,.= .... ==..,=.,.= .. =,_===◊,=M=-&=-M=l==:3 11.47 '11140"1,45 20.05 421.05 28 14.76 5t6.77. 25.85 542.85 0:37 13.00 .... 0.65 13.65 e oodE a 5 tent er t(FEPl /\\.K ...,,. 565.95 ~~~e:.limeofapplication.lnciudes2hrsofloodservicep!an Pre-ooervncins eclion Annual Perrmt Fee r Fcoc Service <( /{___ - "' -90.7.3 to, FEP, Bmd on menu Como/ex I IV & ,eeuna. monu oh•nae• ~v c::''"" I ... - ... a o ,... - ..._--. .., With loun e, add # .., ..,._ "'- , ~ ~ " ~ 3.84 134.57 8.85 310.00 12.43 435.16 20.88 731.15 8.85 310.00 12.43 435.16 6.75 122.85 Per hour. 1 hour minirnim. for establishments 011 se tics stems. 141. 75 Per Hour· 1 hour minimum, for review andfor annroval 15.50 325.50 JWith catering, add I r -,, \ ..- 422.73 21.75 36.55 15.50 456.75 767.55 325.50 Se arate loun a area 21.75 456.75 I Annual Permit Issued arter Se !ember 1 , '\.. l I 50% of Annual Permit Fee Late Renewal Fee Tern Food Service TFS Permlt.-Aooliaati~ ~ Based oo Permit cetecov Per Day. Applies to renewal applications submitted alter 71.40 Februarv 14th. Accrual stoos once establishment is closed. Low Risk Foods Limited to seeclnc Listed Foods lf\ilial-6v~-ventSingle Event (single location) 2.14 74.88 3. 75 78. 75 Same-menu-Ollly Annual (Art Walks, Open House) 10.72 375.46 18.75 393.75 I Recurring Event 3.33 116.75 5.85 122.85 I __,._,.I Medium Risk Food llttitiol-A~i6fl-t~Single Event (single location) 174.30 INot to exceed 21 days at )'OUf a location Recurring Event (per location) 211.05 I Not to excoed 3 davs a woek at a singlo location Additional Event (Same Menu Onlvl 100.80 I Not to exceed 21 davs at your-a location Hi h Risk Food ff"lllial-Applieo!ioo,{fif~Single Event {single location) 72.74 I 364.74 I 113.42 I I 161.38 I 195.47 I 93.22 I 161.38 281.34 93.22 72.74 303.44 30.65 174.30 Not to exceed 21 days at yetK a location g Event (per location) 282.45 Not lo exceed 3 davs a week at a sin le location ~~Add1t1onat Evonl(SameMenu_O_"_' )--------------+-~=---=-+-~---~=-+-~1"-00S".BeeO+N-ot-to_•_"_•_•'_'_"_'_"_'_''°'_~_•'_"_''_'o_, -i ~ 78.75 327.60 Late Fee for Temporary Permits ~ !1i!!]E&labllshmeel ~Service Plan Review 4.74 166.12 8.30 5.75 201.22 10.05 2.74 95.96 4.80 4.74 166.12 8.30 7.68 269.02 13.45 2.74 95.96 4.80 2.14 74.88 3.75 8.92 312.36 15.60 0.90 31.55 1.60 -- 33.60 ll I ooy,-publiG-tflteret.t-or-t)ubliG•benefit WWNGPH--Gireoler-HOf)fOYul ~ Applicable to applications Based on Permit Fee lus additional 50% of nermit fee. 16 submitted less than 40 14 davs orior lo the event. New Owner/Change of ONner Minor Channa of Floor Plan and/or Enuinmenl So lie Reviow for Food Service or Stvle of Service firal Food Handler Card FACILITIES Fao acilities aste ~ -----,,;a ---2W,W -4-3,,46 ----282Ati 130.73 3.84 134.57 6.75 141.75 Per Hour; 2 hour minimum If paying this fee AND for minor change of noor plan or equipment or for change of menu or style of service, may need 163.67 4.81 168.48 8.40 176.40 to pay for Food Service Plan Review If paying this fee AND for New OwnerfChange of Owner or for change of menu or style of service. may need to pay for Food 163.60 4.81 168.41 8.40 176.40 Service Plan Review 113.42 3.33 116.75 5.85 122.85 Per Hour; 1 hour minimum If paying this fee AND for New Owner/Change of Owner or for minor change of floor plan or equipment. may need to pay for 163.60 4.81 168.41 8.40 176.40 Food Service Plan Rovlew 130.73 3.84 134.57 6.75 141.75 Per Hour· 1 hour minimum - for review and/or approval 130.73 3.84 134.57 8.75 141.75 Per Hour; 1 hour minimum - .......__._.. ----1'34;;1 _...,,. - ~t-floof--flttRlmtlfll 195.47 5.75 201.22 10.05 211.05 326.08 9.59 335.67 16.80 352.80 10.00 10.00 10.00 :1 105.58 II 184.85 H. -~ 79.65 139.45 37.49 65.65 1 1r &,--! ate 36.99 64.75 1 ./ , -rete 609.16 17.91 627.07 31.35 658.35 For-the--f1r&t--Shouf&;-Uie1HJS-sess--the-4eo rate 1of2 JEFFERSON COUNTY PUBLIC HEALTH ENVIRONMENTAL HEALTH DIVISION 2026 FEES ENVIRONMENTAL HEAL TH 2026 FEE Technology 2026 TOTAL Ad dHional FeH and Other lnformaUon FN5% Fee· 2768.96 139.45 loo-4ochnieol-folo 947.55 47.40 903.44 930.00 46.50 738.51 21.71 760.22 38.00 560.91 16.49 577.40 28.85 113.42 3.33 116.75 5.85 122.85 Per Hour; 1 hour minimum Based on 4 hours: >4 hours billed hourly at Technical 451.64 13.28 464.92 23.25 486.25 Assistance/Plan Review rate 113.42 3.33 116.75 5.85 122.65 Per Hour; 1 hour minimum 266.87 7.90 276.77 13.85 290.65 Ins ection of well construction, decommission & alteration 168.99 4.97 173.96 8.70 182.70 Tech Assist and Document Review is billed al the houri rate 535.06 15.73 550.79 27.55 578.55 Per Hour: 2 hour minimum. For Subdivision Review, Boundary Lino Adjuslmcnt and Planned Rural Residential Development 122.85 Review fees 122.85 Per Hour: For Zooin review. Conditional Use Permits. Etc. 386.29 11.36 397.65 19.90 417.90 492.61 14.48 507.09 25.35 532.35 338.22 9.94 348.16 17.40 365.40 492.61 14.48 507.09 25.35 532.35 280.15 8.24 288.39 14.40 302.40 492.44 14.48 506.92 25.35 532.35 139.45 4.10 143.55 7.20 151.20 211.05 6.20 217.25 10.85 227.85 85.07 2.50 87.57 4.40 92.40 113.42 3.33 116.75 5.85 122.85 113.42 3.33 116.75 5.85 122.85 Per Hour; 1 hour minimum - us associated lab costs 113.42 3.33 116.75 5.85 122.85 Per Hour; 1 hour minimum 113.42 3.33 116.75 5.85 122.85 Per Hour; 1 hour minimum 113.42 3.33 116.75 5.85 122.85 Per Hour; 1 hour minimum 223.95 6.56 230.53 11.55 242.55 2012 Jefferson County Board of Health V. New Business Item 3 Summary of the 4-H program [No hand-out] September 17, 2026 Jefferson County Board of Health VI. Announcements bll He September 17, 2026 Jefferson County Board of Health VII. Agenda Planning September 17, 2026 I