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COMMUNICABLE PUBLIC HEALTH - HOME VITAL ENVIRONMENTAL HEALTH
DISEASE CONTROL NURSING NURSING STATISTICS HEALTH EDUCATION
1�r'$ JEFFERSON COUNTY HEALTH DEPARTMENT
B02 SHERIDAN PORT TOWNSEND,WASH.88368 (206i 366-0722
Jefferson County Health Department
Board of Health Meeting T
9:30 A.M. Sept. 6, 1978
Health Department Conference Room
At
Approval of minutes of the August 2, 1978 meeting.
Correspondence
I. Letter from Andre Romberg Insurance Company. Insurance quote.
2. Letter from Phyllis Bee re C.A.C. board representation.
3. Letter on jail sanitation from Department of Social and Health
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Services.
Cad Business •
1. Property distribution and authorization to pay for annual leave
' for employees.
2. Home Health Program. Cost per visit materials.,'
3. Other old business.:
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New Wiliness
1. 1979 budget.
2. Request for continuation of the 40 hour work week'fdr-LErhy Anderson •
and Randyyll �rt t o January 1, 1979.
3. Other new Harness. ' # ,
Reports
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I, Public Health Nurse-
2. Environmental Health _
a. Request to attend U.W. on site Waste Water Disposal Course
3. Public Health Officer,
4. Administrator -
Wet meeting will be October 4, 1978.
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•COMMUNICABLE PUBLIC HEALTH HOME VITAL ENVIRONMENTAL HEALTH
DISEASE CONTROL NURSING NURSING STATISTICS HEALTH EDUCATION
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a. $, SO2 SHERIDAN PORT TOWNSEND,WASH.98399 (209(3950722
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‘1*' BOARD OF HEALTH MEETING
HEALTH DEPARTMENT CONFERENCE ROOM •
BOARD MEMBERS: STAFF MEMBERS:
B.G. Brown, Member -Randall M. Durant, R.S.
A.M. O'Meara, Member Phyllis Bee, P.H.N.
Carroll M. Mercer, Chairman Joseph Fishnaller, M.D.
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Gael Stuart, Admin.
7NM
September 6, 1978
9:30a.m. Meeting called to order by Chairman Carroll M. Mercer with all
members present.
MINUTES:_ The minutes of August 2,. 1978, were approved as presented by
motion of Commission O'Meara and second by Commissioner Brown.
CORRESPONDENCE:
1. Letter from Andre Romberg Ins., Inc.: Insurance- Quote (attachment #1)
Mr. Stuart advised quotation of $1,941.00 is comparable to Gellor Ins. Co. 's
price of $2,426.00, based on the same package. No policy change recommended
at this time. Stuart will notify Andre Romberg that the county will submit
a application in May, 1979.
---.....52. Letter from Phyllis Bee re: C.A.C. Board Representation (attachment
'#,I As per request, Mrs. Bee was appointed as the official representative
f the County Health Department on the Community Action Board, by motion of
Commissioner Brown, and second by Commissioner O'Meara. Unanimous
3. Letter from DSHS re: Jail Sanitation (attachment #3) Mr. Stuart
advised that 314(d) monies received from DSHS will be budgeted into immuni-
zation programs instead of jail sanitation inspections.
Discussion followed regarding jail health care. Mrs. Bee recommended
that all jail night staff be certified in emergency medical first aid treat-
ment, and especially in CPR. Board concurs.
OZ,D BUSINESS:
1. Property distribution and authorization to pay for annual leave for
employees: Mr. Stuart submitted the following figures in respect to annual
leave accrued prior to Olympic Health District dissolution:
Phyllis Bee 63.5 hrs
Joy Guptil - 35 hrs
Randall Durant 30 days
Larry Anderson 5 days
Nikki Shaler 35.75 hrs
Sylvia Adams 24 days 6.5 hrs
He will compute totals on the actual amounts due for annual leave and comp
time, and submit to the Board for authorization to pay as soon as the money
is "transferred to Jefferson from Clallam County. A budget extension may be
required. (Computations for final distribution from C.C. attachment # 4 & 4A)
2. Home Health Program - Cost per visit (attachment #5)
Mr. Stuart reported that based upon grant application, the cost per visit of
$23.98 for an R.N., and $19.13 for Home Health Aide will be charged to Medicaid
and they will pay for some of the existing services plus additional services
that are added on. This amount has been budgeted in the 1979 budget and will
have to be transferred into the 1978 budget due -to program beginning this
October. In some cases, Medicare will be charged for services already being
performed. When they become certified, Medicare will be charged $36,000
income and $7,500 income in 1978. Actual amount on a 200 home health vists
per month will be in the neighborhood of $54,000 to $55,000 in income the
. 4
-isfm. AwrommemeL
Health Board Meeting of September 6, 1978
P 2
Health Department can expect. The program will be a financial plus for the
`department even though staff will have to be added. The Health Department
' ` will provide the care and write the proceedures, and Clallam County will
bill Medicare.
NEW BUSINESS: •
1. 1979 Budget: (attachment #6 & 6A) Budget does not include purchase
of•new cars. Mr. Stuart will check out the cost effectiveness of owning
vehicles versus employee owned vehicles used.
Proposed budget increases in salaries and wages: 1) Environmental
Health Specialist; 2) Charleta Handley changed from half time to full time;
3) Phyllis Hart moved from CETA to regular employment; and 4) Linda Nutsford
changed to full time. Handley, Hart and Nutsford's salaries will be more
than compensated from monies received from the Home Health Program. (Antici-
pated profit - $16,000 to $28,000 per year depending on volume.) Letter of
justification (attachment #7) submitted for a new Environmental Health
Specialist. Mr. Stuart feels additional work is needed in the field of
public relations. Also, some of the services are not receiving prompt
attention due to lack of help.
2. Request for continuation of 40 hour work week for Randy Durant and A'
Larry Anderson to January 1, 1979. Request authorized by motion of Commis-
sioner O'Meara and second by Commissioner Brown. Unanimous
REPORTS:
1. PUBLIC HEALTH NURSE: Phyllis Bee
a) October 1, 1978, the county's W.I.C. program will be on computer,
which will cut down expenses considerably.
b) W.I.C. is sponsoring and paying for a workshop on "interviewing"
on September 12, 1978, in Mount Vernon, which both she and Charleta plan to
attend. M.C.H. is sponsoring a workshop in Spokane on September 18th & 19th
which the two will also attend. Workshop expenses will be reimbursed by
M.C.H.
c) Report of Nursing Service attachment #8
2. ENVIRONMENTAL HEALTH: Randall Durant
a) Reviewed activities report (attachment #9)
b) Follow-up on American Campgrounds - problems with evapo-transpora-
tion system has been corrected to the extent that the system is somewhat
temporary, but Randy is still working with the developers to alleviate the
problem of surfacing sewage on top of the drainfield.
C) Inspection of food establishments has been delayed due to demand
for site evaluations.
d) Request to attend U.W. On-site Waste Water Disposal Course:
Classes are from 9-26 to 11-28, 6:30p.m. to 9:30p.m. each Tuesday. Request
approved by the Board. Expenses amounting to $268 are to be paid by the
county. Randy will donate his time to attend classes.
3. PUBLIC HEALTH OFFICER: Dr. Fishnaller
a) Doctor, Randy and Larry are working dilagently to improve
public relations by making contacts and making letters of denial as gentle as
possible.
b) Renewal of narcotics license: The renewal of Dr. Fishnaller's
medical 'narcotics license was approved by the Board and signed by Chairman
Mercer.
4. ADMINISTRATOR: Gael Stuart
I
a) The Department's personnel are very dedicated and the one area
that needs to be studied is salaries. It may be wise to consider adoption of
the State merit scale without going into the merit system.
Meeting adjourned.
4
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.01.10.0111.
(?ANDRE. ROMBERG INSURANCE,INC.
914 Washington Trust Building
P.O.Box 176/Spokane,Washington 99210
509-624-3291
Moat:
301 Second Ave_/Cheney,Washington 99004
Phone:509-235-6161
August 24. 197E
Gael R'. Stuart, Executive Director
Jefferson County Health Department
802 Sheridan
Port Townsend, Washington 98368 ,
RE: Insurance Proposal
Dear Gael:
We want to thank you for the application. We have received the
quote back from the company. We can write the professional
liability insurance, which includes the nurses, environmental
health specialists, all employees, except physicians and osteo-
pathic doctors. We provide limits of $300,000 each claim and
$900,000 annual aggregate at a premium of $1,941.00. This is
an excellent package since it does pick up the acts of the en-
vironmental health people. They have not been able to secure '
coverage prior to this.
We are also writing the $1,000,003 excess liability policy over
the professional liability at an annual premium of $388.00.
We would ask you, Gael, to let us know when you would like us
to put this into effect. 4e need to only have you give me a
call. -
Thank you again.
`'kale Carney
Andre-Romberg Insurance, Inc.
DiIC/ek
Life — Accident — Health — Group — Commercial Multi-Peril — Home Owners — Surety — Casualty
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JaF RS5U V.:UNTY DEFT.
8b2 St:ai-tan A,+o.
Fort►AWnsena,Wasn. 9868
To: Cael Stuart
From: Phyllis Bee
Date: 8-17-78
Subject: I represent Interagency Council at the CAC Board. Because of having #
priorities which are higher than attending IAC I have chosen not to
attend many meetings. Therefore, I believe I should cease being
their representative on the CAC Board.
Should not Jefferson County Health have a representative on CAC?
Cathy represented the Olympic Health District as did Olive. I would
like to represent the Health Dept. if possible.
3
144
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r .s STATE OF DEPARTMENT OF SOCIAL AND I-EALTH SERVICES.
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+; WASHINGTON Of;,np:y Weshallon v=.sa Mail Stop LD-11
f r [ -y DintLee Ray .. j.
Gouernor
MEMORANDUM
August 18, 1978
TO: Health Officers
Directors of Environmental Health
Directors of Nursing
FROM: Sam I. Reed, Chief Office of Environme2Ue
alth Programs
SUBJECT: JAIL SANITATION
`4
For a number of years local health departments have assisted this agency in the
inspection of local jail facilities, and we have been able to compensate you to
a limited degree for this activity through contracts utilizing 314(d) money.
The obligation for this surveillance accrued from Iegislation assigning the
Department of Social and Health Services responsibility for the supervision of
local jails. Your efforts have been helpful and productive in terms of estab-
lishing factually the conditions which exist in these facilities and also have
been responsible for bringing about many.important corrections.
This situation has been altered by the recent action of the state legislature in
establishing a Washington State Jail Commission and giving it certain authority
and responsibility. The commission is charged by statute with the establishment
of standards for all jail facilities, inspection of the facilities and securing
compliance with the standards.
The legislative act has removed from this agency any responsibility for jails,
and it, therefore, is no longer appropriate or within our authority to provide
for inspection of these facilities. You may, nevertheless, find yourself called
upon by local governmental officials for inspection and/or consultation with
regard to local jails, and your response should be dictated by the expectations
of your local board of health.
The Washington State Jail Commission has sought to have us assign to them the
314(d) funds which we are currently spending on the program, but it is our deci-
sion that this money would be more appropriately utilized in support of those
activities which are mandated by local and state health statutes and regulations.
If you have any questions or if we may be of any assistance to you in your future
relationships with regard to local jails, please let us know. Yam may contact
the Washington State Jail Commission for further information by addressing your
inquiry to Floyd Powell, Director, 110 East 5th, Room 223, Mail Stop GB-12, Olympia,
Washington 98504. A copy of the legislative act, which is identified as RCW 70-.48,
may be obtained from the Commission.
SIR:jc
cc: John A. Beare, MD
Robert H. Leahy, MD
78-8--83
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-;:.?a ;- AWilliam E. Howard.
JEFFERSON COUNTY PROSECUTING ATTORNEY •
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s. ' ! Part Ta►ore xi Washington te368
August 28, 1978 REggiNgr)
AUG` WO.
Mr. Carroll M. Mercer, Chairman JEFFERSON COUNTY
TARO OF COMMISSIONERSJefferson County Board of Commissioners
Courthouse
Port Townsend, Washington 98368
Re: Olympic Health District Dissolution
Dear Mr. Mercer:
Enclosed is a copy of the August 23, 1978, letter from Craig
Miller, Clallam County Deputy Prosecuting Attorney. This letter
sets out the computation which would finalize distribution of
the assets of Olympic Health District.
The calculations appear to be correct, and differ only slightly
from those which we had some months ago.
. ' Ve truly yours,
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Wi iam E. Howard
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cc: Gael Stuart
Lillian Jacobsen
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Oirsee of
PROSECUTING ATTORNEY C
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CRAIG A.RITCHIE
1 OF CULLAM COUNTY .��Amortuy
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P Telephoto(206)457a01 lid•rsr s6 STREET CRAIG L MILLER .
SCAN 576 zoos PORT ANGEL,WASHINGTON 98362 DAVID H. BRUNEAU
CRAIG D.KNUTSON ,
RQ PAMELA CAMERON
August 23, 1978
Mr. William E. Howard
Jefferson County Prosecuting Atty.
P.O. Box 700
Port Townsend, WA 98368
RE: OLYMPIC HEALTH DISTRICT DISSOLUTION
g
Dear_Bill:
Confirming our telephone conversation of August 18, 1978, I am
by this letter, requesting the Clallam County Treasurer's Office
to transmit to you, ten days after the date of this letter, the
sum of $23,352.96. By my calculations, this constitutes the
amount due and owing to Jefferson County out of the settlement
of the Olympic Health District agreetupon between the two county
Boards of Commissioners. The delay which I have indicated is so
that you may check my calculations, and let me know if there are
any problems.
Ir
if
Briefly, my calculations on this matter are as follows: t
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The total amount available: 1
11
1. Clallam County Treasurer's Office $84,677.90
Jefferson County Treasurer's Office 9,408.00
TOTAL 94,085.90 ' `
2. Sick and annual leave accrued:
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Clallam County 21,109.00
Jefferson County . 12,653.00 1 .
3. The total to be divided, less accrued sick and annual leave:
$60,323.90.
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Ilr. Bill Howard ' #
Page 2
August 23, 1978
4. Divided total:
e
Clallam County $40,215.93
Jefferson County 20,107:96
6. Amounts due and owing:
Clallam County $61,324.93
Jefferson County 32,760.96
6. Less amount held by Jefferson County Treasurer: (,
$23,352.96.
If I do not hear from you within the°ten day period indicated,
the Treasurer will proceed to prepare and forward a warrant to
you in the amount indicated. Transmission of this warrant will
constitute full and complete settlement of all accounts,
liabilities, obligations, benefits, other residue or remainder
of the Olympic Health District, ( f
Thank you for your cooperation in the handling of this matter.
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Very truly yours,
CRAIG A. RITCHIE
Prosecu ng Attorney
BY
CRAIG L. ILLER
Deput rosecuting Attorney
CLIP c
cc: Dave Abeel
Bob Clark
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1. Assume 200 Home Health visits per ronth at 11 hour ? per -
visit for a total of 3,600 hours.
2. Total:hours worked by all staff equals 1,955 x 12 equals
23,460 total hours. Percentage of Home Health Hours 15.4%.
'
3. Total hours worked by R.N.ts equals 1,955 x 4 equals 7,820
hours.
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Ij. Total hours worked by Home Health Aides equals 1,955 x 2
equals 3,910 hours.
5. Average hourly rate of R.N.tx equals (Leave out Pee)
3 x 1,955 . 5,865 hours divided into 40,190.00 equals
6.90 per hour. (add)
6. Average fringe benefits of all employees are 1.40 per hour.
(Add)
7. Average hourly rate of Home Health Aides 3,910 hours
• divided into $14,319.00 equals $3.67 per hour. (add)
8. Phyllis Bee's proportional tine spent in supervision of
the Home Health Program based upon the above hours could
' be 11,735 hours divided by 3,600 or 33%. 33% of her salary
would be $6,492.00 33% of her fringe b-enefits ($2,933.00)
equal $968. Charges to Home Health Program t7,460 or V..07 t
per hour. (add)
P. Apply- 15.4% of other costs-to Hone Health Program. ,
Health Officer $ 5,000.00
{ State Examiner 500.00
Administrator 3,000.00
insurance ,000.00
Communication 2,133.00
Transportation 10,.500.00•
Advertising 500.00
.Printing 700.00 ,
Repairs and paint. 600.00
Rental 4 74 .00 •
31, 7 .00
,
$31,678.00 x 1$.I% a $14,879.00 divided by 3,600 ■ 1.36 p,•r hour.
10. Gast per visit 11 hours for a R.N. would be . .
R.N. Hourly Rate $ 6.90
` Hourly Fringe 1.40
Ike Supervision 2.07
Other Charges. 1.
$11.73 x 1.5 - $17.6o per visit.
6.3p '•;
11. Cost per visit 11 hours for }lone Health Aide would—WTI :- .Z3.11'
Aide Hourly Rate . $3.67
Hourly Fringe 1.40
Bee Supervision 2.07 T
Other Changes 1.36
. 0 x 1.$ *. 12.7$ per visit.
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''-1 ' JEFFERSON COUNTY HEALTH DEPARTMENT
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802 SHERIDAN PORT TOWNSEND WASH 98368 (206)385 0222
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410, Aliii:
aloYENSON COUNTY HEALTH DEPAKMENT
1979 Budget
SALARIES & WAGES 1978 1979 0
01 Randy Durant a) 16,135.00 17,300.00
02 Larry Anderson( ) 12,435.00 13,r60.00
Nal (:) 11,800.00
0 Phyllis Bee 16,513.00 18,032.00
Oh Joy Ouptill 13,515.00 14,340.00
05 Marla Weed 12,100.00 12,925.00
xx Charleta Handley CD 5,750.00 12,925.00
06 Nikki Shaler „ 8,127.00 8,952.00
09 Phyllis Hart ( ) 5,225.00 7,h25.00
07 Sylvia Adans 10,647.00 22,93.1.00
08 Colleen Parker 7 6,171.00 7,476.00
xx Linda Nutsford 8 6,81i3.00
1....
Overtime 0 106,618.co 4,800.00(1.0) 140,coth-50
0 Rationale: 7.5 hours daily is a yearly total of 1955 hours multiplied
by,5.2 provides a raise for each full time employee of 1,016.60 less
16.00 per month (union dues) times 12 months or 192.00.
1,016.60 - 192.00 = $8214.60 ($825.00)
(:) Durant 125 e 8.67 = $1,083.74
Anderson 125 d 6.78 = 847.50
4 i
0 Additional environmental health specialist. (Letter of justification)
0 Handley to full time for additional Home Health Service. Cost should
be justified by Medicare-Medicaid-Private Fee income. (Letter of
justification).
()Phyllis Hart C.E.T.A. should be transferred to regular staff and paid
through Home Health Service Fees. (Letter of justification)
( ) Colleen Parker - 4 days per week.
(2) Linda Nutsford. to full time with salary paid through Home Health and
M.C.H.
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:/ Durant and Anderson 965.62 overtime plus 400 hours of secretarial
time 0 3.50 $11400.00
(t)Total increase in salary due to negotiations $13,5214.00
Total increase in salaries due to full year employment 9,562.33
Total increase in salaries due to new employees 18,204.67
Total increase in salaries 441,391.06
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562.00 11 4
1978 1979
Salaries and Wages
Personnel Benefits
01 Social Security $ 6,424.00 $ 8,750.00
02 Retirement 6,456.00 9,066.00
03 Industrial Insurance 551.00 619.00
04 Medical insurance 10,4409.00 12,490.00
05 Unemployment 1,148.00 1,785.00
562.00 13 Personnel Benefits 24,988.00 32,710.00
01 2,000.00 2,000.00
562.00 21 Office Supplies 2,000.00 2,000.00
01 2,711.00 37500700 C.eoo"
562.00 22 Operating Supplies 2,711.00 31-500 0 4 .
0 "'O
TOTAL SUPPLIES 1+,711.00 °foe `
Other Services and Charges
01 Health Officers 5,000.00 5,000.00
02 TB Consultant 600.00
03 Contract for Services 12,000.00 8,500.00
04 State Examiner 500.00 500.00
05 Health Dept. Administrator - 5,000.00 3,000.00
562.00 31 Professional Services 23,100.00 17,000.00
01 2,,133.00 2,500.00
562.00 32 Communication 2,133.00 2,500.00
(cont'd) -
1
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01 10
,500.00 10,500.00,500.00
562.00 33 Transportation 10,500.00 10,500.00
01 500.00 500.00
562.00 34 Advertising 500.00 500.00
01 700.00 700.00
562.00 35 Printing and Binding 700.00 700.00
01 4,000.00 ---
562.00 36 Insurance 4,000.00 ---
01 600.00 600.00
562.00 38 Repairs and Maintenance 600.00 600.00
01 4,745.00 4,746.00
4,745•00 4,746.00
TOTAL OTHER SERVICES AND CHAR3ES $46,278.00 $36,546.00
Capital Outlays
03. 3,000.00 1,500.00
02 3,500.00 2,000.00
562.00 64 Machinery and Equipment 6,500.00 3,500.00
TOTAL CAPITAL OUTLAYS $6,500.00 $3,500.00
562.00 1317r435; 0 f2/ii 175,445.00 47°ate L
TOTAL. ,$]„$$ 9e470@/1f $226,265.80- 7244,764
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E . _? JEFFERSON COUNTY HEALTH DEPARTMENT
[ ', 802 SHERIDAN PORT TOWNSEND,WASH.98368 (206)385-0722
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i JEFFERSON COUNTY HEALTH DS'AR1ME T
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Budget- Estimate Budget
1978 197a 1979
301.00 Beginning Cash on Hand $ 878.89 $ 39,146.28 $ 62,067.18
310.00 Taxes
311.00 General Property Taxes
10 Real and Personal. Property 116,500.65 116,500.65 (0,0/'/L3 . .-8•2
50 Forest Excise Tax 5,573.46 5,573.46 5,000.00
310.00 TOTAL TAXES 122,074.11 1224074.0 4to/48 1,2/10.82
330.00 Intergovernmental Revenue
333.00 Federal Grant Indirect
333.62 Public Health 31W) 2,810.00 2,800.00 2,800.00
C.E.T.A. 6,608.00 6,608.00 ----
334.62 Public Health
01 Jail Inspections 170.00 170.00 170.00
02 H.I.C. Program 4,200.00 4,200.00 4,200.00
03 MCH Grant 24,453.03 24,453.00 24,453.00
04 Home Health 7,500.00 36,000.00
330.00 TOTAL INTERGOVERNYECITAL
REVENUE 38,231.00 45,731.00 67,623.00
340.00 Charges for Service
346.00 Mental & Physical Health
346.20 Personal Health Service 1
Fees & Contracts a;
01 Contracts with Schools 5,574.00 ---- �-�•
346.50 Environmental Health Service
Fees & Contracts
01 Food Establishment Fees 1,500.00 1,500.00 1,500.00
02 Food Handler Fees 700.00 860.00 900.00
03 Septic Tank Permits 12,000.00 17,000.00 17,000.00
014 Installer Permits 400.00 800.00 800.00
I‘mmosirslimm. Amin. minis r Ammikvs•••.
Budget Estimate Budget
1978 1978 1979
05 Site Evaluation Fees 4,000.00 .Z,300.00 4,300.00
06 Solid Waste Inspection
Permits 300.00 560.00 560.00
07 Plat Inspection Fees .700.00 700.00 700.00
3i.6.50 TOTAL ENVIROINE:ITAL HEALTH
SERVICE FEES AND CONTF,ACTS 19,600.00 25,720.00 25,760.00
346.70 Other Health Fees
01 Vital Statistics 1,150.00 800.00 800.00
02 Clinic Fees 1,1416.00 1,800.00 3,500.00
Total 2,566.00 2,600.00 4,300.00
340.00 TOTAL CHARSES FOR SERVICE 27.740.00 28,320.00 30,060.00
362.00 Sale & Rental Co. Property ---- 315.21.
364.00 Sale Co. Property 9,334.41
369.30 Balance Transfer 947.64
383.00 Transfer 89.14
335.93 Leascheld Tax 460.43
TOTAL 11.10.83
TOTAL REVENUES 188.9214.00 246,1418.22
Estimated expenditures from 7/1/78,to 1/1/79 90,000.00 2o, 9'1:80
Warrants Outstanding-July 1, 1978b''_8.9 sue,7 '
0-4
TOTAL EXFk:3DITURES $103, 2 .97
ill)7 :.4)
Estimated revenue from 7/1/78 to 1/1/79 129,067.18
• Cash Balance-July 1, 1978 628. 7
TOTAL REVENUES V065,696015
Estimated Cash Balance 62,067.18
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COMMUNICABLE PUBLIC HEALTH HOME VITAL ENVIRONMENTAL HEALTH
DISEASE CONTROL ,NURSING NURSING STATISTICS HEALTH EDUCATION
' t - JEFFERSON COUNTY HEALTH DEPARTMENT
%` 802 SHERIDAN PORT TOWNSEND,WASH.8g88 (208y y5.0T22
.wi^"
N.
TO: Gael Stuart .a
FROM: Randall M. Durant, R.S.
Director of Environmental Health s
DAZE: August 31, 1978
SUBJECT: General Program Review and Justification for Additional
Environmental Health Specialist for 1979 `
I. Services provided by Clallam County within Jefferson County prior to split
(December 31, 1977) - Environmental Health and discussion of work load.
1. City food establishieuts inspection and enforcement program - routine
inspections - restaurants four (4) times annually - taverns three (3)
times annually - meat markets twice annually - and also did some county
restaurant inspections.
2. Covered Gardiner area to Discovery Bay - sewage disposal permits, site ,
evaluations and miscellaneous environmental health. ;
3. Some backup support when I took more than three (3) days off. '
4. Program administration - preliminary budgets,
staff job �' coding, staff supervision,
performance "valuation, direct program planning, direct support
to Board of Health anu health Department, direct contact with necessary
.state agencies as necessary, and meetings. ,li
;;
We have nag picked up this work load plus
1. Grocery store inspections - approximately 30 stores. This requires an
inspection twice a year. Plus there are five (5) new restaurants in the
county.
2. Work a miniatm of four (4) days in the Quilcene-Brinnon area, many times
including Coyle (5 days per month). This is over twice the time spent
in this area than the preceding years.
3. As of September there has been an approximate 287 increa' in the sewage
program. I anticipate this will approach 40% by the end of the year.
This is in sewage disposal permits, site evaluatiors,and plat reviews.
Along with this increased field work the necessary office time has
increased approximately 50°l&Y .rbase this on more people, if not
building arc buying property and/or requesting information via office
discussions and telephone call discussions. Many of these inquiries,
0
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Gael Stuart
August 31, 1978
Page 2
which are very time consuming, never result in the individual applying
far permits or site evaluations. Many discuss possibilities of platting
their property but never do. Hence the difference in time increase
between fieldwork and office time is shown. This work creates an ever
increasing amount of paperwork including more design work of sewer
systems. This also generates an additional work load for the secretarial
staff.
•
Scl.ing is an ever increasing problem due to the work load and the
fact score property owners or potential buyers wish to be on-site when we
make our inspection. The time between application and inspection is now
averaging approximately five (5) working days. I am now receiving many 4
complaints.
Problem:
1. Approximately 85'% of Environmental Health time is spent in the sewage
program. This includes time spent on appeals which are now more common.
This must stop so the necessary time is available for our food and
water program.
II. Priority programs - areas which need attention:
A.} Food Program
Problem:
1. Permits and inspections were due by July 1. Only approximately 257 are
complete.
2. Grocery program has not begun. It was to begin on July 1.
3. Increasing complaints fLun the public.
4. .Though a majority of eating establishments meet minimum construction
standards, there are some that need to upgrade facilities and equipment.
5. Basic fault inmost operations is improper food handling rather than
poor equipment. Daily scheduled cleaning is always a problem.
6. The above problem is more prevalent among short term employees which
is characteristic of the indlLstry.
7. Time and lack of Environmental Health personnel due to work load in the
sewage program.has not allowed for regular inspections.
Methods:
1. Maintain regular inspection and enforcement program.
2. Another purpose is also to assist the food service operators in
maintaining their establishments in a satisfactory manner.
3. Concentrate inspection efforts on those establishments most in need
of improvement.
4. Provide educational program as time allows with the required Food Handler's
tests.
B.) Sewage Program
Problem:
1. Zack of time and staff to do the program in a satisfactory manner. Most
of our time is in the sewage program but many areas lack necessary emphasis.
..o.a
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1111.111111111111111111111.
Gael Stuart
August 31, 1978 `
Page 3
Methods:
•
1. Increase number of final inspections made.
2. Follow--up evaluation of performance of existing systems. This would
include survey of problem soil areas of denser development to identify
problem systems and to assist the owner in recoending methods to t
am
repair and replacement.
3. Make information available to the public as it relates to the problems
of on-site sewage disposal and to keep in contact with the State Health
Depent regarding possible future alternative sewage disposal systems,
4. Reorganize office filing system.
S. Require applications be filled out completely and the site prepared as
tvecolkgssry for our inspection. Problems are 1) forms filled out
incompletely, 2) holes not dug properly, 3) lot lines and house site not
staked. ; .1
C.) Water
Problem:
1. Have not been able to perform water system inventories as required by
Federal Safe Drinking Water Act (WAC 248-54).
2. Follow-up and sampling of small public water supplies, i.e. food estab-
lishment water systems.
3. Lack of assistance to private property owners in evaluation of construction
and protection of existing wells. This is done on request only. Most
do not know this service exists.
4. Development and approval of small public water supplies.
Goal:
L Perform inventories as necessary.
2. Become familiar with actual local Health Department responsibilities
as per the requirements of the Federal Safe Drinking Water Act.
3. Streamline and approval of small public water supplies. Approval is
,State Health Department responsibility not local Health Department.
D.) Schools
Problem:
1. Not providing annual inspection of schools as required. Have inspected
food service facilities in schools twice annually.
Goal:
4 1. Provide this service.
Methods:
1. Allocate time necessary.
2. Contact school superintendents regarding their deeds.
E.) Present Administration
Problem: •
1. Bcwirnnmental Health staff is insufficient to carry on programs as
necessary.
:
1rn...rsr..r- .r.rrr111111111111111 , IL
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Gael Stuart
August 31, 1978
Page 4
2. I am not able to give sufficient time to program planning, staff
supervision and evaluation, and public relations due to field work.
3. Staff has not been able, with few exceptions, to go to educational
meetings due to work load.
4. There is minimal backup support when Larry or myself take vacation or
sick leave.
5. Work load in 1979 is expected (based on past trends) to again increase
in the sewage program.
6. We will be even further behind by the end of 1978.
Goal:
1. To obtain compliance with all state and local rules and regulations
which pertain to environmental health in an efficient and effective
manner. -
Methods:
1. Add full time Environmental Health specialist to the staff.
2. Maintain Environmental Health section on 40 hour workweek.
3. Reorganize filing systen.
4. Provide better evaluation of staff performance and closer review of
programs. 4
5. Participate in educational conferences which would benefit Jefferson
County.
6. Provide more exposure of the Environmental Health section to the public
via news releases and speak to groups and civic organizations when
invited.
I have only discussed the programs of major priority. Other Environmental Health
programs will be given time as necessary and as time is available.
1101Ilaan.nrrarnaea _ _.ammnea..ea
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JEfFERSDM COUNTY HEALTH DEPT.
9
802 Sheridan Ave.
R v
Pod Townsend,Wash. 98368
SEP
18 1878
To: Rubs JEFF'ERSON COuN r Y
DOAND OF COMMISSIONERS
Prose: Sylvia
Enclosed is Phyllis Bee's report for the September Board of Health meeting.
Please include this with the minutes for the meeting. Thanks.
Also, Phyllis Bee and Charleta Handly will be out of town 9-17 thru 9-19-78.
They are attending a Maternal-Child Health conference in Spokane. Please
tell the Commissioners. Thanks.
4
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REPORT OF NURSING SERVICE •
.,_Phy11i4 Bee
HOME VISITS Ifin- 138
OFFICE VISITS
Min
•
NEWBORN ��a
2 MIMI
4 UNDER 1-YEAR
iIMIIIIIIIIIIIIIIIIIEII 46
g 5 - 21 IIMMIIII
5 21 - 60 M
=MI
6Q+ 140
M.C.H. 55 . ff�
ADULT HEALTH
14 10 €
p ACUTE COMMUNICABLE DISEASE . 1,+ 275 2 + 167
it CONTROL immuniza ion.; " IA •"'�
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'A T.B. EIIIIIIIIIII,
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-
SCHOOL HEALTH 0 0 0
W.I.C. EI
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DENTAL • 0 MI 0
HOME HEALTH (AIDE) • 97
177 El 111• HOME HEALTH P,H.N.
'PREGNANCY DETECFICN 13 8 6
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JEF ESit� MINTY HEALTH DiPr__,m._._� �Q'
.."'_ ' aj2 fSaeri'an Ave. /'
•
Pod Townsend,Wash. 98368
To: Board of Health •j
From: Randall M. Durant, R.S.
Director of Environmental Health
Date: September 6, 1978
Subject: Activities- Environmental Health for August, 1978 .
i*i
Field Work: Increase in field work and office time continued this month. Average
per month is 41 sewage disposal permits and 60 site evaluations. Again
8i% of our time is involved in this program. Platting, especially long
Other field w8r Os' have increased.
Food Complaints Water Other Finals Followup Total
9 4 4 17 5 31 70
Contacts: Office calls, telephone calls, plan review
4
Sanitarians: 317
Secretaries: 184 telephone `
123 office calls
307 total for secretaries
624 total
,k Total contacts of sanitarians and secretaries for year to date: 4,317
Food Handler's permits: August - 32 -" " " : 340
4,657
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