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` COMMUNICABLE PUBLIC HEALTH HOME VITAL ENVIRONMENTAL HEALTH''ASE CONTROL NURSING NURSING STATISTICS HEALTH EDUCATION
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. 'I JEFFERSON COUNTY HEALTH DEPARTMENT RTMENTa , .
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qJefferson County Health Department •
Board of Health Meeting m
9930 a.m. February 22, 1978
Health Department Conference Room
Election of Officers
Approval of minutes of the January 18, 1978 meeting.
Correspondence t
1. The contracts for the following services will be presented for
discussion and your signatures. ,
a. Laboratory service for G.C. Smears with Jefferson
General Hospital.
b. Pediatric nursing service with Jeanne HiSberd.
c. Cervical Cancer Screening Contract with Debbie Stokke.
2. The-position of C.E.T.A. home health aide has been approved.
Do you want to be involved in the interviewing for this position?
.3. Environmental Health. Randy Durant
a. Minimum lot size requirements for unrecorded and recorded
subdivisions without public water supplies.
b. Minimum lot size requirements (under ideal soil conditions)
of unrecorded and recorded subdivision with public water
supplies.
c. Reports and inspection data. 4 fr
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4. Public Health Nursing. Phyllis Bee
a. Monthly report of activities. i
5. Health Officer. Joseph Fischnaller, M.D.
0. Report.
b. Proposed activities and. problems.
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Page 2 - Agenda - Health Department (cont'd)
6. Administrator
a. Reports - Fiscal - Contractors
b. Clallam County division and relationships.
7. Other items
8. Adjournment:
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COMMUNICABLE PUBLIC HEALTH HOME VITAL ENVIRONMENTAL HEALTH
DISEASE CONTROL NURSING NURSING STATISTICS HEALTH. EDUCATION
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JEFFERSON COUNTY HEALTH DEPARTMENT
' x�, 602 SHERIDAN PORT TOWNSEND,WASH.98368 (206)314.0722 •'
‘141444
Jefferson County Health Department
Board of Health Meeting
9130 a.m. February 22, 1978
Health Department Conference Room
MINUTES
Present were: Board of Health Members - B. G. Brown, A. M.
O'Meara and Carroll Mercer. Staff Members - Randy Durant,
Phyllis Bee, Joseph Fischnaller M.D., Gael Stuart, and
Herbert Kuzniczi, who is in charge of dissolution of the
Olympic Health District.
Election of Officer
B. G. Brown moved, A. M. O'Meara seconded that the Board
of Health officers be the same as the Board of County
Commissioners, the motion carried and Carroll Mercer was
named Chairman of the Board of Health.
Minutes
The minutes were approved as presented.
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Corresoondence
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A letter from John A. Beare M.D., Director of the Washington
State Health Services Division was read. The letter invited
the Public Health Officer and the Administrator to meet with
the Health Services Division in Olympia and pledged coopera-
tion with the Jefferson County Health Department. (Attached #1)
Herbert Kuzniczi
Mr. Kuzniczi reported on progress on the dissolution of the
Olympic Health District. t
1. The roof repair on the Health District Building has not
been completed, but the authorizied money will be set aside
out of the unspent funds of the District.
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2. Dr. Willa Fisher is entitled to about $530.00 for annual
leave from District funds.
3. Vacation time and sick leave was discussed. It was'agreed
that each Department would receive a pay off for its employees
for unused annual leave and sick leave as of December 31, 1978.'
Each Department will negotiate with its own.employees the terms
of transfer of benefits. The Board of Health will contact the
prosecuting attorney to determine their legal position in this
matter.
4. The chest x-ray machine that is housed in the District office
in Port Angeles was purchased for $25,000.00. The present value,
according to Mr. Kuzniczi's contacts with Mr. Arthur Gore, is
$1.000.00.
5. There is $30,000.00 to $40,000.00 to be distributed between
the two county Departments after the obligations of the District
are paid. Funds received by the County Treasurers for district
operation will not be transmitted until negotiations are com-
pleted.
6. Compensatory time policies will be consulted before a decision
is made on the disposition of this matter. Mr. Kuzniczi was
provided with a record of employees accumulated compensatory time,
sick leave and annual leave. (Attached #2)
Old Business
1. B. G. Brown moved, A.M. O'Meara seconded to discontinue the
Cervical Cancer Screening Program on March 31, 1978 unless state
or federal funds are received to pay for the service. An estimate
of the cost of the program is attached. (Attached #3) Motion
carried.
2. B. G. Brown moved, A. M. O'Meara seconded to approve and sign
a contract with Jefferson General Hospital for laboratory service
to interpret G. C. smears. Motion carried. (Attached #4)
3. B. G. Brown moved, A. M. C'Meara seconded to approve and sign
a contract with Jeanne Hibberd to provide pediatric nursing services
for Maternal child'Health and Early Periodic Screening Diagnosis
and Treatment. Motion carried. (Attached #5)
4. The position of Home Health Aide has been awarded by C.E.T.A.
Phyllis Bee will set up interviews with applicants and the Home
Health Aide will be hired. The Board of Health will be notified
as soon as the aide has been hired and will be furnished back-
ground information on the employees.
Report%
grwironmental Health- Randy Durant
1. A letter to Mr. Cunningham from Randy Durant making suggestions'
for revisions in the Jefferson County Subdivision Ordinance was
presented. (Attached #i)
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• 2. A letter to John D. Littler of D.S.H.S. Water Supplies
and Waste Section regarding Class IV Water System package
was presented (Attached #7)
3. (a) A discussion was held on the minimum lot size
requirements for unrecorded and recroded subdivisions with-
Out water supplies. Randy Durant recommended to continue to
enforce the old regulations on recorded plots and to recommend
a minimum of one acre on unrecorded plats.
(b) In the case of a public water supply on unrecorded or
recorded plats with ideal soil conditions, there are some plats
with lots of only 5,000 square feet. Randy Durant recommended
that there be a two lot minimum.and asked if there was a need to
differentiate between mobile homes and permanent structures.
The Board of Health felt that there should not be
regulations preventing the construction of housing unless there -
was an indication of an immediate health problem. Permits
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would be based upon a first come first served basis. Problems
of density of construction could result in the use of more efficient
or central disposed systems and in more and better public water
supplies. In any case, the property owner should be warned in
writing of the possible dangers of construction on too small a
lot and the problems that would exist as the population density
increased.
4. A copy of the letter to Mr. Charles Allert from Randy Durant
was discussed. A copy of the letter is in the Environmental
Health Department files. Reference to the 100% replacement
area requirement will not be mentioned in future site evaluations.
(Attached #8)
S. A survey of Aerobic Sewage Systems dated January 31, 1976
was presented. (Attached #9) Randy Durant will continue to
monitor local systems and to attempt to get complete information
on alternate systems on sewage disposal.
6. A repoit of the activities of the Environmental Health
Department for the month-of January was presented. January 1978
showed an increase of 50% in site evaluations over January 1977.
There were 506 contacts made. (Attached #10)
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Public Health Nursing - Phyllis Bee
I. In addition to the attached report (Attached #11) numerous
Community organization have been contacted.
2. Marla Weed the new public health nurse will work in the
QMilcene, Chimacum, and Brinnon areas. She will establish a
working office in either the Quilcene Community Center or the
Quilcene School. Gael Stuart will talk to the Quilcene Community
Center Board to get their approVal.
3. The State of Washington will provide x-ray viewers free of
charge to the Health Department so that Dr. Fischnaller can read
and interpret chest x-rays. This will be an increase in service
to our clients and will be a savings in money.
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4. The Well Child Clinic is getting good response. There will
be four clinics in Jefferson County each month. The first and
third Thursday in Port Townsend, the second Thursday in Chimacum
and the fourth Thursday in Quilcene.
S. The problems posed by home deliveries is growing. There were
15 last year.
6. The V.D. Clinic was discussed. These will be under the > ,t
supervision of Dr. Fischnaller. The Health Department provides
penicillin to the local doctors free of charge. We do not
administer penicillen at the Health Department.
Health Officer - Joseph Fischnaller '
1. Dr. Fischnaller reported on the staff time study that will be
kept to assist us in preparing the quarterly report. Jack Minckler
of the state health office will come to Port Townsend to help with
the preparation of the report.
2. A contact with Dr. Bassett of the Maternal Child Health section
indicates that sufficient funds (approximately $12,000.00) will be
available for Well Child Clinics. A grant application will be
developed to cover our costs.
3. The professional liability policy has come. The premium-is
S1421.00 annually. After copies are made for Dr. Fischnaller and .
the Department the policy will be given to Fran Hanson of the
auditors office to be paid Out of the Jefferson County Insurance
Fund,. If Dr. Fischnaller takes other employment, the County will
be reimbursed proportionally.
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Health Department Administrator - Gael Stuart
1. A letter to Ms. Norma J. Evans stating the Jefferson Health
Departments' intention to enter into a formal agreement with the
Clallam Health Department to jointly sponsor Home Health Services,
was presented. B. G. Brown moved, A. M. O'Meara seconded that the
letter be sent. Motion carried. (Attached #12)
2. A copy of the insurance policy for the Olympic Health District
with an endorsement covering the Clallam County Health Department
and the Jefferson County Health Department has been received. A
copy of the letter from Gellor Insurance is attached. (Attached#13)
The copy of the policy and the endorsment will be given to the
County Auditor, Policy term ends May 1, 1978. .
3. The city of Port Townsend has been contacted to be sure that
they take the necessary legal steps for Jefferson County Health
Department coverage. The mayor has been asked to send a represen-
tative to the regular Jefferson County Health Department meetings.
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r 4. Agreements with Ciallam County, to provide service to the
West End of Jefferson County will be developed when they have
hired a Health Officer and Administrator. In the meanwhile,
service is being maintained.
5. The administrator reported that there may be a necessity
for budget amendments for equipment and contracted services
because of increased activity. A filing cabinet for the WIC
program was purchased through our budget but reimbursed by the
state and the M.C.H. contract will be increased. The increased -A
,receipts will exceed the increased expenditures.
6. The need for additional secretarial time, because of increased
activity may require an additional full time employee. As soon as
the work load stabilizes, a recommendation will be made. "
7. The storage room in the basement will be remodeled as soon as
the maintenance man comes to work.
Miourrment
Meeting adjourned at 12:15 p.m. p�
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Attachment #1 a
STATE OF DEPARTMENT OF SOCIAL AND HEALTH SERVICES
t V I WASHINGTON Olympia,Washington 98504
n � DucGotrry Lee Ray x Harlan P.McNutt,MD,MPH,Secretary
February 10, 1978
Mr. Gael R. Stuart
Administrator I s
Clallam-Jefferson County
Community Action Council, Inc.
P. 0. Box 553
Port Townsend, Washington 98368
Dear Mr. Stuart:
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Reference: CA-213 I
This is in reply to your letter of February 6, 1978, in which I
note with pleasure the naming of Dr. Joseph Fischnaller as Health
Officer for the newly formed Jefferson County Health Department.
fly sincere congratulations on your appointment as business adminis-
trator for the department.
Dr. Fischnaller was correct in indicating our willingness to provide
you with information and guidance. Perhaps the best approach would
be for you to visit the division at a time mutually convenient when
we might discuss public health in general and offer suggestions as
appropriate. If such a visit appears warranted from your perspective,
please feel free to call (206) 753-5871 for an appointment.
I am familiar with the dissolution of the Olympic Health District
and the reasons leading to this action. The department is looking
forward to having a close working relationship with the Jefferson
County Health Department.
Sincerely,
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ohn A. Beare, MO, MPH
Director OB-44J
Health Services Division
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Attachment #2 .-_
- Jefferson County Hrtlth Deaartricnt
Time accumulated through December 31, 1977
Annual Sick Comp
fltiyllii:flee 63.5 hrs. 50 hrs 17k hrs.
Joy Guptill 35.0 hrs. 65 hrs. 16 hrs.
Randall t7."Durant 30 days 77 days 100 hrs.
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Larry Anderson 5 days 3 days V
Nikki Schuler 35 3/4 hrs. 30 hrs.
Sylvia R. Adams 24 days 461/2 hrs. 107 days 9=i hrs.
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TO: Dr. Fischnaller �
FROM: Phyllis Bee
DATE: February 21, 1978 '
SUBJECT: Cervical Cancer Screening
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Costs in.•..January, 1978
Debbie Stokke (7.43/hr) $222.90 `'• '
Mileage c> 2. 8
• Billed to State GCS Program $203.10,
Collected 3n January .
$2
Total patients in January 20
Total patients (part pay) 5 paid $56.50 ,'
Lab still to bill us $2.25/Pap Smear for 5 that paid on a sliding fee scale
$56.50 � `
Less 11.2
Real Income $45.25 . .
These will only be paid for through March 31, then Jefferson County H.D.
will be responsible. .
CERVICAL CANCER SCREENING CLINICS AFTER MARCH 31, 197E
Proposed action -- To continue or discontinue clinics
Cash Outflow: 20-25 clients per month
Salary -- Woman's H.C. Specialist ` '
Clinics at-Port Townsend 2x
Chimacum lx
Quilcene lx '
4 clinics per month 4 10 hrs. each
(including travel time)
e 7.43 per hour $297.20
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Travel Mileage (450 miles x .15)
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cost of Pap test (2.25 x 25) $ .20
(cost may go up) 20.9 per month
Clerical Times (4 - 6 hrs/mo x $5) ' 0.00
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Equipment needed (paper supplies) __5y 00
Total monthly cost $455 90
Total monthly income (patient fees estimated) . . 0.00
Deficit - $4 y.gp
Effect on clients -- program will possibly be picked up by Council on Aging
Effect on H.D. -- Cost up to $450 to $500 per month (it is not budgeted).
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JEFFERSON COUNTY HEALTH DEPARTMENT
CONTRACT FOR PROFESSIONAL SERVICES
Agreement Between •
THIS AGREEMENT is made and entered into between the Jefferson County Health
Department and the Jefferson General Hospital. •
THIS AGREEMENT became effective on the first of January 1978, and was set
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into writing on. the 3rd of February 1978.
WHEREAS, the Jefferson County Health Department is in need of laboratory
service for the interpretation of G. C. Smears, and
.WHEREAS, laboratory services for interpretation of G. C. Smears are avail-
able at the Jefferson General Hospital, and
WHEREAS, the Jefferson General Hospital is willing to provide this service
to the Jefferson County Health Department.
IT IS AGREED BETWEEN BOTH PARTIES HEREIN AS FOLLOWS:
1. Jefferson General Hospital will process and interpret G. C. smears for the
Jefferson County Health Department.
2. The Jefferson County Health Department will send all G. C. smears to the
Jefferson General Hospital Laboratory for interpretation.
3. The Jefferson County Health Department will pay the sun of $5.00 for the
interpretation of each G. C. smear upon receipt of a billing from the
Jefferson General Hospital.
4. The Jefferson General Hospital in the performance of services under th-4
contract, when applicable, will provide its own malpractice insurance.
5. The Jefferson General Hospital shall not discriminate against any person
presenting himself/herself for service because of race, religion, color,
sex, age or national origin. The hospital shall take affirmative action
to ensure that persons receive services without regard to race, religion,
color, sex, age or national origin.
6. This agreement shall continue and be binding upon both parties herein un-
less terminated by giving thirty (30) days notice by either party.
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Jefferson County Health Department Agreement --2--
7. This agreement may be amended by written consent of both parties and all
amendments shall be attached to this agreement and made a part thereof. •
Signed /Dated:
Jefferson General Hospital •
Signed 4/171 �// 4/,-C (� . )Dated: � - 7
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Chairman, Jefferson County Commissioners ,
Signed /Dated: �—2� 76
Health Department Administrator 6
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Attachment #5
JEFFERSON COUNTY HEALTH DEPARTMENT
CONTRACT FOR PROFESSIONAL SERVICES
AGREEMENT BETWEEN
This agreement is made and entered into between the Jefferson County
Health Department and Jeanne Hibbard.
This agreement became effective on the first of January 1978, and
was set into writing on the 16th of January 1978, and voids the
contract of the 26th of October 1977 between Jeanne Hibbard and the
dissolved Olym>dic Health District.
WHEREAS, the Jefferson County Health Department is in need of a
Pediatric Nurse Practitioner and,
WHEREAS, at the present time„ the Jefferson County Health Department
hereafter referred tows the Department, is unable to provide these
services from a full-time member ofrits staff, and,
WHEREAS, Jeanne Hibbard, hereinafter referred to as the Contractor,
is prepared and willing to assume the responsibilities as set forth
within this agreement.
IT TS AGREED BETWEEN BOTH PARTIES HEREIN AS FOLLOWS:
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1. The Contractor shall act as•a Pediatric Nurse Practitioner, and
shall provide from two (2) to four (4) clinics per month in
Jefferson County, and will provide the services as outlined in the
IEeternai Child Health contract with the State of Washington.
(The M.C.H. contract is attached to this agreement). The Contractor
will also provide the services relating to the Early Periodic
Screening Diagnosis and Treatment Program. (Attached copy of
Department of Social & Health Services Contract.)
2. For said services rendered under this agreement, the Department
shall pay to the Contractor herein named a rate of $7.00/hr. and'
mileage at the rate established by Jefferson County.
3. Payment shall be made on or before the twentieth (20) day of the
month, following one full month of service, aid it shill be
understood that the Contractor shall be responsible for report-
ing the :weber of hours worked each month and the mileage
travelled on Department business.
4. As an independent Contractor, it is understood that the Depart-
! sent is not responsible for payroll deductions such as Income
{ Tax, Social Security, etc., and the Contractor must make
arrangments, according to Internal Revenue Service directives,
for the payment of such tax as may apply.
5. The Contractor, in the performance of services under this agreement,
shall be an independent contractor and shall not be considered an
eawigoyee of the Department, and when applicable, shall provide
malpractice insurance at the Contractor's expense.
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6. The Contractor shall not discriminate againstany person present-
ing himself herself for service because of race, religion, color,
sex, age or national origin. The Department shall take 'affirma-
tive action to ensure that persons receive services without regard
to race, religion, color, sex, age or national origin.
7. This agreement shall continue and be binding:upon both parties
herein unless terminated by giving sixty (60) days written
notice by either party. %
S. This agreement may be amended by written consent of both parties
and all amendments shall be attached to this agreement and made
a part thereof.
Signed: 1L.Elc'.t .c--J_ - te/tG� a.-,.,oL /�r Dated: /, Vi.e_, .2, /9
CONTRACTOR
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Signed: . at- y�/I/r..//� .Z Dated: - 2- 1-. 3AIRMAN, Viil
ERSON COUNTY
CC NISSIONERS
Signed: h._Cd`-- -! (1-a`1 Dated: .2-.2-7t
HEALTH LEPARIMENT ALMINISTRATOR
my as to foJ i
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SEC 'ING ATTORNEY - JEFFERSON COUNTY
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`,. AGREEMENT •
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EARLY AND PERIODIC SCREENING, DIAGNOSIS AND TREATMENT
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. OF ELIGIBLE INDIVIDUALS UNDER 21 (EPSDT)
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This agreement between the'Officeof Medical Assistance of the_ Health Services Division representing the Department of Social and
Health Services (Title XIX Agency) and
Jefferson County Hc•a1th Department , provider of screening services,
defines respective responsibilities, services and basis for reimbursement
as required by the Social Security Act. ,�,,
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1. The local office of the department will issue medical ID coupons to
eligible persons,-inform them of the EPSDT program and make referrals -
to-the screening provider. .
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• 2. Itiitial-screening services-should include:
• a._ medical history
b. assessment of physical growth -
C. developmental assessment (physical and mental) £ f
• d. inspection of obvious physical defects
e. . inspection of ears, nose, mouth, teeth and throat
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f. visual screening; auditory testing
g. screening for cardiac abnormalities
h. screening for anemia
' I.. ..acreening for sickle cell trait for children at risk if not
'- `` previously- tested
j. urine screening--
k.:_-bIood pressure (children 12 years of age or older)
1. assessment of imzunization status and updating immunizations
al. tuberculosis screening if indicated
3. Reimbursement for screening services will be as specified in attachments..
• 4. Recipients in- need of definitive diagnostic study and/or treatment should
be referred to a participating medical or dental specialist. The freedom
i of the eligible person of choice of providers must be r.bserved,..
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S. Reporting requirements are specified in attachments.
6. Patient records maintained by the provider' of screening services
shall be confidential,
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This ,agrcement shall become effective an4 shall
remain in full force and effect subject to the right of either party to
cancel at the expiration of any calendar month during the life of this
agreement upon giving thirty days written notice of such cancellation
to the other party.
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Dated this day of 197
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HEALTH SERVICES DIVISION
OFFICE OF MEDICAL ASSISTANCE PROVIDER OP SCREENING SERVICES
Robert P.`Hall; H.D.-; Chief J€FFERSUFf.Cou:4TY HEALTH DEPT: _.
Address o
- , CO2 .y�. �fuan Ave. -
Port Townsend;Wash. 98368 •
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Phone - 206-385-0722
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PUBLIC HEALTH HOMEAttachment #6
.,, STATISTICS
DISEASE CONTROL NURSING NURSINGV1TAL ENVIRONMENTAL HEALTH
HEALTH EDUCATION
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,wa '7 802 SHERIDAN PORT TOWNSEND,WASH.90396 .t
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February 21, 1978
David Cunningham, Director
Planning Department
Jefferson County Courthouse i
Port Townsend, Washington 98368 f
Dear Mr. Cunningham:
Re:. Revisions to Jefferson County Subdivision Ordinance
The following are comments and requests which I feel should be included in the revision as they relate to public health.
Sec. 2.40 - Definitions
420 The words."Local Health Department or Health Department" means "Jefferson County Health'Department". This needs to be done throughout the ordinance.
An easy way would be to strike out Olympic Health District and replace with
iocal Health Department or Jefferson County Health Department. Specific
• Sections'which require the words "Jefferson County Health Department" would be the fee sections, 5.103 and 6.103. Include fee schedule for Mobile Home Parks.
Sec.:5.103 -A fee of $25.00 shall be paid to the Jefferson County Health
Department.
Sec. 6.103 A fee of $40.00 plus $1.00 per lot shall be paid to the
Jefferson County Health Department.
Include fee section in Section 7 - Mobile Home Parks. A fee of $40.00
plus $1.00 per lot shall be paid to the Jefferson County Health Department.
I also recommend, if not in this form but some other, another paragraph under-
Sections 5.309, 6.309, and 7.309 - Surveys stating " A final survey is not
necessary until after preliminary plat approval. However, approximate lot
corners shall be staked during preliminary plat review."
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Some subdivisions, specifically short plats, are coming in already surveyed.
Many times, however, lot size and configuration must be changed due to con-
tours, soil conditions and other factors. This, I feel, creates an unnecessary
financial and time consuming hardship on the owner. Please consider this and
let's discuss this.
I alto feel in sections such as 5.106 (1) Health Department - after Jefferson
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David Cunningham
February 21, 1978
Re: Subdivision Ordinance
Page 2
County HeaitR bepartment which are WAG 248-96 - Rules and Regulations of
the State Board of Health for on-site sewage disposal systems and Jefferson
County Ordinance 2-77. This type of statement should also be included in
Section 6 - Long Subdivisions.
Section 7 Mobile Parks
WAC 248.76 also applies, so it should be included in this section in some
form. For interpretation we could specify whichever requirement is more
demanding.
I hope to discuss the revisions at greater length with you. I also plan to
discuss this with the County Commissioners. Thank you for the opportunity
to review the proposed revision.
(Si 1y,
{ Randall M. Durant, R.S.
Dir. Env. Health
RMD/sa
CC: Board of County Commissioners 1
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Dr. Fischnaller, District Health Officer
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IY.IMIN111... ....ter. IMIIIIIIIMMINIII __1111/1111.1
COMMUNICABLE Attachment #7
DISEASE CONTROLICABLEPUBLIC HEALTH HOME VITAL
NURSING NURSING ENVIRONMENTAL TAL HEALTHSTATISTICS- HEALTH �EDUCATION
J
HEALTH DEPARTMENT
'P ", .,�... 802 SHERIDA# PORT TOWNSEND,WASH.98368 A
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144,
. N February 21, 1978
John D. Littler, P.E.
DSHS Water Supplies and Waste Section
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Hail Stop ED-11
Olympia, Washington 98504
Dear John: ,
.Re: Class IV Water Systems committee meeting
The draft of the Class IV system y package is a good beginning for what locals
need if they are to handle plan review and approval of new systems and to
make similar decisions as they apply to existing Class IV systems which have
never been previously approved.
The major request is to "keep it simple". Also, I feel submittal of a design
by a certified engineer should be a major requirement with a certified "as-
built" plan submitted. This would keep things from becoming confusing for
the owner and save the time of the owner and sanitarian.
. The narrative should include as many examples of designs as possible with
reference to particular pages of the system package. This is so calculations
can be compared to particular situations and lead the reader through the
review process. A check list is also necessary. .
There should be two separate (or in some other form) design system packages,
one for new systems, and one for old unapproved systems. In both, expecially
for the existing system, the narrative should include major and minor require-
ments noting which ones can be waived and under what conditions. Having two
packages would save us and the purveyors time. Also discussed in the narrative
should be the "two or three" tap family systems, basic requirements, etc.
A pump test should be required for new systems and required if new taps are
proposed on old unapproved systems.
Springs should be presented in such a way to discourage their use. Specify
specific examples of problems with springs and requirements for possible
approval.
John, I hope these comments are helpful to you in development the system
package. I concurred with most of the comments made at the meeting. I dis-
cussed with you WAC 248-54-575, Paragraph 2. Could I get an interpretation
61111111•110.1.
.111• ..ram_ .M....I.
•
m Y•
' John D. Littler, P.E.
Re: Class IV water systems committee •
February 21, 1978
Page 2
of'this"5ecirion'and the definition of and/or examples of "surveillance
program". As you know, others and myself feel "shall" should not have been
included. "May" would have been a better word.
•
Being a small department, our involvement beyond providing water bottles,
well site inspection, and inspection of private supplies will be very limited.
A decision will be made at a later date regarding the agreement with your
department.
If you have any questions or comments please contact me at this office.
Sincerely,
Randall M. Durant, R.S.
Dir. of Env. Health
RMD/sa
•
•
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MiMss.ass:r.. rs/rr11•1assa ems,
•
•
Attachment #8
crd-
February 14, 1978 .
Mr. Charles Allert
P. O. Box 393
Hadlock, Washington 98339
•
Dear Mr. Allert: + 's
Re: Lot 1, Block D, Paradise Bay - on-site sewage disposal ' 4
The original preliminary approval was conditional. It was approved for
a travel trailer or a small mobile home. I noted there was a very limited
area for drainfield. It was donditional that prior to approval of a
sewage disposal permit the site be staked and a proposed plan submitted
for review. The reason for this type of evaluation was due to the small
and irregular lot size, high water table and was a way to allow some type
of usage on the lot. No specific trailer size was noted so there would
be some leeway in reviewing for any future proposal. I anticipate a
narrow trailer (10 ft. or less) and a length of 40 to 55 ft. might be
'acceptable.
• I have administratkvely decided since the lot was evaluated in 1975 and
the 100-14 replacement area was not noted on the report to forgo this
requirement.
•
Please submit a detailed plot plan and design of the on-site sewage dis-
posal system noting 100 lineal feet of drainfield, driveway, parking, set-
backs and size of trailer unit. Stake the site and I will evaluate it. If
after this evaluation a variance on setback is required from the Building
Department you would then need to pursue the variance. Should the site be
approved by this office (with no replacement area) and the system fails the
site would need to be vacated unless there is some other alternative system
available.
I
If 100 ft. of drainfield does not fit there a second choice of review would
'be to consider usage of a destroilet or compost toilet which would cut the
drainfield size by 40%.
Enclosed is a copy of the actual lot size computed. The lot is even more
limited in size than indicated by the previous owner. If you have any
questions or comments please contact this office.
Sincerely,
Randall M. Durant, R.S. ,
Dir. of Env. Health
Encl.Blind cony to co nissioners +cony of site evaluation
ot
e, .. $ -t
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AMEMMUMMOW himemmewarmma asommmeem0.
. ,
•
r MVO C HEALTH DISTRICT' •
•SITE EVALUATION RECORD
•
Sec. Tvn. R.
Legal Description .A
TO: *.•.t 1. 1Td- •r..;?_^., ty
-11,A N. -. • • •
• %AC)a
Site Size S,01D 51. ft.
Seller
payer
A sit. evaluation of the above property has been made by this department and your
request for lbr14 ,torcv
•
has been (approved) llapproved) ((rennin.
Comments: :.c-it of n-1.: a 10• h:,1•:_..; on 1-1--75 -t t of r
the lot. i --it 45 t-.) v._ry I
ar.1.71 is Jb:s. rot r. 1.y. r raj . 7.
f.or tr---,tc.1
1-i o.r::er trza- rly :.• trz...11er t rt , ths- lot
to the a laveA a.: t.le eight. o.f.t dr f : Th, i1ditr.
Very truly yours, • I
Sanitarian
1,41.7.••11 V.. : -ant • --";
Date: 1-7
fitt:llow to maintain a 2 ft. SProrigtion lletwe..:en the batto.n of the tr-nch ane the water
table. Prtor to a-prove' of a newa•Je 4tsoal el-it the. site rant ste,lci-Jd and a
prot-osed pl)t elan submitted ler review.
tne.11 Copy tor buyer
?di
• -1 -
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OHD:11/73 •
•
•
*
OLY PIC HEALTH DISTRICT.
SITE EVALUATION RECORD
See. Twn. R.
Legal Description
.t
•
TO: R
Fowler 3a1L, net 1, A?se! Dt 'rad.isa Any
CeE6 i;t A-.=. N.
SettLie, :'A 98117
Sits Size hrr=.n.. 7.4000 �1. ft.
Seller
Buyer
A site evaluation of the above property has been made by this department and your
request for--Aprerr 1 f rr ei..CIC SG.*.ly mobile hors.
has been ($ c ) (denied).
Comments nit) 'rrZe-tip^ ^4' 3 '1,-"kh -n;' ,Q, ,- i,.6 a 1^ 9:71 +,:-oar table at
approx. 3' in all holes. Fire hydrant was inetalled at lower corner of lot on Magnolia—
County road is not carrying any water. Only recorin-nd-ition would be to perhaps deepen
..
-
might not help. Very truly yours, 1
Sanitarian
Randall }. Lurant, R. S.
Date: 1. 7fi pp 3
o :llj73
moo.. ...a..... .��
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,
•
•
Attachment #9
STATE OF WASHINGTON
DEPARTMENT OF SOCIAL AND HEALTH SERVICES
OFFICE OF ENVIRONMENTAL HEALTH PROGRAMS
SURVEY OF AEROBIC SEWAGE SYSTEMS
January 31 , 1976 •
PU'R Pb SE •••
The reason for the survey was to obtain information on aerated sewage systems
that have been in operation for an extended period of time. The majority of the
units inspected were installed prior to 1970. Almost all of the units were found
in Skagit County, either on Fidalgo or Guemes Island. A number of units were
inspected.in Island County. • �a !
GENERAL
It was determined that in many instances the aeration unit was selected as the
method of treatment due to the belief that conditions were such that a standard
septic tank system would be likely to fail. In some cases, the property owners
stated that health authorities required the aerated units in the belief that the units
would provide a higher degree of treatment.
Some property owners expressed resentment that they were 'forced' into pur-
chasing a relatively expensive treatment system. Another complaint voiced by
several owners was that they had been pressured to sign contracts for regular
inspection and maintenance although few actually signed such contracts. Of
those who signed contracts. a number had cancelled thinking that they could make
the inspections themselves and call the installer when maintenance is required.
•
Number Approx. %-
Number of Visits Made . • . , . . . _ 61 0
Information Obtained dr Survey Forms Completed 53 0
Number With No Apparent Problems • 22 40
Apparent Failure of Aeration Unit Only . . 5 10
Apparent Failure of Drainfield Only 16 30
Apparent Failure of Both Aeration Unit & Drainfield . • 5 10
Questionable (D.F. Close To Bank or Heavy Vegetation), • 5 10
As indicated above, more than half the systems surveyed exhibited failure of the
aeration unit, 'drainfield or both. The highest percentage of failures were due to
+ high water table, drainfield flooding or impervious soil conditions. In addition,
• nearly one-fifth of the aeration units were not in operating condition.
• As mentioned previously, few owners had maintenance contracts on their units,
and a sizeable number were obviously in.a state of neglect. Some of the problem
"•was obviously due to ignorance on the part of the owners. Some had purchased
their homes after the units were installed and were not instructed in the need for
proper care and maintenance.
Page l of
1
001.11111110.111.11.
•
•
t
Survey of Aerobic Sewage Systems Page 2.
•
•
• Several owners who had obvious drainfield failures indicated they had been advised '
• that the effluent was harmless. One owner said she was told the'effluent was pure
enough to drink but said she did not believe that to be true.
EVALUATION 1 .,
It was obvious that the majority of the aerated units were installed in the belief
that a higher quality effluent would be produced which was meant to compensate
for adverse conditions such as poor soil or a high water table. In a number of
instances, however, no method of on-site sewage disposal would have been suc-
cessful the year around due to a high winter water table, insufficient permeable
soil depth or lack of available area for drainfields. A few units surveyed had
replaced failing septic tank systems. Some of these systems were apparently
working and others had obviously failed.
Of all units surveyed no odors were noticed although one owner said he would be
happy when sewers were available so he could "get rid of the smelly thing."
Ordinarily odors, if any, would be more noticeable in the summer months. It
should also be mentioned that only two systems, where a nearly direct discharge:
could be observed, produced a discolored effluent. This may have been due in
part to the fact that there was some filtration through the soil in most cases and
also that the effluent was highly diluted by ground water or run off from higher
areas. In one case the drainfield was located in shallow fill underlain by shale.
It was not possible to determine whether the effluent exited at the lower end of the
shale due to extremely steep terrain. •
CONCLUSIONS
The installation of aerated units is not recommended when it is obvious that sub
.•surface disposal of effluent is impossible or even questionable. A number of
property owners seemed to hold the false assumption that the effluent discharged - -
from such units was essentially harmless. No effort was made by owners to
prevent children or family pets from walking through effluent that had surfaced
on Iawns or which ran across driveways or.walkways.
It is true that these units were inspected during the wettest part of the year and
some of the seepage from drainfield areas can be attributed to high ground water
but it is also true that where such conditions exist, sub surface disposal of
effluent cannot be successful.
1Should aeration units be allowed in the future, the minimum soil requirements
should be met in all cases. Additionally, adequate maintenance of the aeration
units must be assured on the basis of regular inspections by qualified individuals.
It appears that this can best be accomplished through the use of maintenance
••..agreements or contracts. :s • •
•
•
•
•
•
•
•
4
ROUTING SLIP - 11E210
o OLYMPIC HEALTH DISTRICT
Port Townsend Wash. 98368
*+ • TO: SUBJECT:
e Board of Health Activities-Environmental Health
January 1978
sv FROM: DATE:
Randall M. Durant, R.S. 2-22-78
Director of Environmental Health
MESSAGE:
Field Work - Sewage Disposal Permit and Site Evaluation attached. 30 septic tank
permits. 31 Site evaluations. 50% increase over last January.
Field Work (Other) €`
Food Complaints Water Other Finals Follow-up Total
21 8 6 11 4 21 70
Contacts - Office Calls, Telephone Calls, Plan Review
Sanitarian - 281
Secretaries - 125
Total. 506
4/75 For: Inf. Action Approval Comment Reply
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•
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Attachment #I1 '
2 urse3 t'•fir'7Y , 10 7n
- This Last Year t
Tine of S rvice I;onth'meth Date.
1. public Health "ursine (nn-y{ visits} A•hilt
. -Eo
2. Pub1i c Health ;'ursinC (ro;,e visits-) 1 nn T tzc 1
3. Public Health 17ur.ing (1 om visits) wtorn •
!, Public }'oalth ITursing (office visits - Adult
5, Fubl4 Healt (ursine_ (office visits) - Fediatric_
6. Public:icalth Torsi g office visits) - Vewborn
7. Public -:ealth ?lumina (TC in l'Ln-1u_0(' visit) e
8. Blood Pressure (for hyrertension,_etc.) -- Mill
g.Urine 'sis for }KU, sugar, albu-in, etc.) e
10. Blood Tests :it'll_
11. ursring (auhio'roes} --
12. Vision Tests Snellea_ 111k1M11111111111
13, Pregnancy Tests (0001 __
'U. Smear/Culture (for Gonorrhea or FBU etc LEll
15. Serolov__(VC tes. ror S chills
1i. Visits to VD C1 ni
17. Communicable diseases invest] ated/rerQi ems_ 1• r
18_Medication reviewand counselling _ 80
7.9.:lTutrition Counselling 70 =,
20. Diabetes 10
21. Referral and/or consultation wit p ysician
22. Referral and/or consultation with other agencies 8
23. Pei+-3Sl V chooisits-lan-&-service) 0
24. PM School Vis is (vision screening) 69
25. MI School Visits (vision referrals- - 64 ,M
. PIll SchoolVisits hearing-screening) 4
27. FM School Visits (amilogra is/ie erra.Ls) 3 `
28, PHD School Visits (teacher/nurse conference 15
29. Pu? School Visits (pupil/nurse conference")-�^ 11
30. Pal School Visits (parent/nurse conference)
31. School Vrs is 1confe`rence Frith school-person �l) 10 '`
32. PM School Visits(dental-healt1ii) 0 ;,
3r,P111?School Visits (health education) 0
_31r. Variants Health. Care Srecialist (pelvic and/or rig cancer chess) 15
35. :Grants" I:ealth Care racialist (breast e_.a^rina-tion for cancer) 15
36. Pediatric rurse i`ractioner1 ysTcal exa-ination) 0
37. PAdiatric hiurse Fractioner (develop untal assess-_ont) 0 ,
3.4,4. pediatric Nurse Practioner (counselling) 0
39. Chil-lren seen in Jell-Child Clinics 0
40. WIC Prozraa (uo-yen on program- 19
41. E:16 trogrars uoren seen this *en a
42.111C grogram (chileren on program)" 42 111111
43. WICoE.ram children seen �111s can 11 -
44. WIG Program (infants on program) 5
45. WIG Program (infants seen is rent. _
46. HomeHealth-kide (name vizit-) ° i
G ufi Co:anty greetings attended I _
48. hedical (yublie 1raltn crVsician� _
49.' Nutritionist Ivisits affd�r connaultation) NEM -
50. I-r n d-in1e
izations anc ions- Q I
-517 Birth Certificates . `
'� (Home Deliveries Reris,.ered�3ric 52. Death Certificates _ �
L_53.VCortifiod aopies`(birth and-d-aitTi)-`_-
-5��7....-� Internationai Travel ttampa `.��
,..zJ.,L'+trin£ Ennrnmt"rr_�.. _nrl,ii4-intl 4Q8hoYe_ ------- *i'_
56. l'_ursinz Te iiiongeal s in addit on_ to above MIIIII�
57. Conference by '-?.C.7. in Seattle 2 days
.' - '_eeting in Fort Angeles on ;EH MATT.
.
•
•
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•
•
Attachment #12
COMMUNICABLE PUBLIC HEALTH HOME VITAL ENVIRONMENTAL HEALTH
DISEASE CONTROL NURSING NURSING STATISTICS HEALTH , EDUCATION.
•
kir,
, .
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'el 1 :.,'7#P.: : 4 '/;.,..N4iL..,-' 4 441146.44-4 (•4‘itig.fli...
;` . ,: JEFFERSON COUNTY HEAL H T DEPARTMENT
,1' Jj;. ^ :4 802 SHERIDAN PORT TOWNSEND,WASH.98361 (206)3654722 1
;!44
• 22 February 1978
Ms. Norma J. Evans, RPC
Public Health Service
Region X
Arcade Plaza Building
1321 Second Avenue •
Seattle, WA 98101
Re: 10-H-520011
Dear Ms. Evans:
Your letter of February 13, 1978 requests in item 2,
evidence of a formal agreement between Clallam and Jefferson
County Health Departments to jointly sponsor the Home Health
•
Services in the two counties.
•
The Jefferson County Health Department will enter into
a formal agreement with Clallam County to jointly sponsor
Home Health Services as soon as a meeting between the two
departments can be arranged. It is hoped that this agreement
can be made before March 1, 1978, but this letter is written
to convey our intents.
The Jefferson County Health Department endorses the
application for Home Health Services. If you have any questions
regarding this matter, please feel free to contact Gael Stuart
at the Jefferson County Health Department.
Sincerely yours,
Carroll Mercer
Chairman
CM/jc _
•
AMEMIRIMMINM
, b
•
• r •
b you
/Attachment #113
GELLOR INSURANCE, INC.
214 EAST FIRST STREET • PORT ANGELES,WASHINGTON 98362 • TELEPHONE: (206)452-2166
February 16,_1978
Jefferson County Health Dept. 1430 1411`1314
C/O Gael Stuart A1N1/00 -(der
Port Townsend Medical Clinic
1136 Water street 9E,Z Z 833
Port Townsend, .Washington 98368 vv
03M333a
Re: Health Dept.
Dear Gael,
The company agreed to name both Dept on same policy for remainder of
policy term of May 1, 1978. If we rewrote now we would both get a minimum
premium.
We are still trying to get the coverage up to at least 300,000 or better.
Attached is copy of the policy for your records. _ __..
Would you please send me your estimated payroll for 78-79 plus the
number of nurses and sanitation personal and outpatients.
Presume you have Dr. Fischnaller's Professional coverage by now.
Thank you again.
Sincerely yours,
ie„.„„zi
W. 8. Ge r
Gellor Insurance, Inc.
wbg/bjr
FORKS OFFICE. SEOttIM OFFICE FORT TOWNSEND OFFICE
535 Forks Avenue South 250 West Wbshin*toe 1036 Laurette.Street
Forks,Nash. 98331 Sequim,Wash. 98382 Port Tossrsend,Wash. 98366
(206)374.5038 (206)683.3352 (206)385-1925
M11160sr