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HomeMy WebLinkAbout11 November JEFFERSON couNTI' BOARD OF HEALTH MINUTES November 20, 1997 BOARD MEMBERS Glen HUIlti"Llford, Chainflall - COUIlty Commlssio/l(r District 2 Richard wOji, Member - COUllty Commissio/l(r District 3 D,JIl Haryole, M<mber - COUIlty Commissio/l(r District I red slwulberg, Member - port TOWIlstl1d City council JiU Buhler, M<mber - JcffersOll county Hospital District #2 Commissioller sheik westenflall, Member - cttizm at Large (City) Roberta FrisSlll, Member - Citizen at Large (COUIlty) STAFF MEMBERS David syecter, Health Deyartment Director Jea/l Baldwill, Director of Nursl'l'J services Lany Fay, Director of EIlvirollmmt.1 Health chester prudhomme, Director of subSinllCl Abuse rhomas Locke, M.D., Health officer Mary Mandell, Admlllistrative SUYfori The meeting was called to order by Chairman Glen Huntingford. All Board and staff members were present with the exception of Commissioner Harpole. APPROVAL OF MINUTES Commissioner W ojt moved to approve the minutes of October 16, 1997 as presented. Member Buhler seconded the motion. The minutes were approved by a unanimous vote as corrected. (Page 4, Legislature changed to Legislation) PUBLIC COMMENT PERIOD No public comments. NEW BUSINESS APPEAL OF PERMIT DENIAL: LILI-MEI RAIGUEL: Larry Fay reported that Lili-Mei Raiguel has applied for three (3) septic permits, two (2) of which have been issued. W AC246-272 requires a minimum of 18,000 square feet. The combined square footage oflots 34-40, total 17,500. Larry Fay stated that these lots do not meet the requirement for a waiver due to the fact that she owns adjacent property. Lili-Mei Raiguel suggested taking 5 or 10 feet off oflot 41 and making lot 40 bigger to comply with the minimum land requirement. Larry Fay replied that in order to do that she would need to apply for a boundary line adjustment. Chairman Huntingford stated that the only option is to deny the permit and direct Ms. Raiguel to apply for a boundary line adjustment through the Permit Center. Member Westerman moved to support the denial of this application. If a boundary line adjustment is done and the land meets the requirements, there is no need for this request to come back to the Board of Health. Member Buhler seconded the motion which carried by a unanimous vote. HEALTH BOARD MINUTES-NOVEMBER 20,1997 Page: 2 ADOPTION OF BOARD OF HEALTH BYLAWS: Commissioner Wojt moved to adopt the Board of Health Bylaws. Member Frissell seconded the motion. The following changes were discussed: * Article III - Representation: Member Westerman moved to delete the sentence, "Two of the four appointed members shall be residents of the City of Port Townsend and two shall be residents of unincorporated Jefferson County." Commissioner Wojt seconded the motion which carried by a unanimous vote. * Article X - Amendments to Bylaws: Member Buhler stated that this Article should be XI. The typographical error will be corrected. * Article VI - Committees: Member Westerman moved that the sentence should read "The Chairperson shall appoint subcommittees from the Board of Health and/or members..." Commissioner Wojt seconded the motion which carried by a unanimous vote. * Article VI - Committees: Member Westerman recommended that a majority of the Board of Health members appoint subcommittees, not just the Chairperson. There was not enough support shown for this change. * Article IX - Operation Rules, Executive Session: Member Westerman moved to add "solely" to this sentence. The motion died for lack ofa second. David Specter reported that the bylaws have been sent to the Prosecuting Attorney for review. Commissioner Wojt moved to adopt the Board of Health Bylaws as amended. The motion carried by a unanimous vote. OLD BUSINESS UPDATE - SOLID WASTE ENFORCEMENT: LINDA SEXTON: Larry Fay stated that he met with the Prosecuting Attorney earlier in the week. Chairman Huntingford asked how long it has been since this situation was brought to the Board of Health? Larry Fay replied that Ms. Sexton was before the Board in May of this year. She has subsequently fired her attorney, Mark Beaufait, and has failed to sign a compliance order. Chairman Huntingford asked if anything has been done regarding the stop collection order? Larry Fay responded that he is working with the Prosecuting Attorney's Office to get an enforcement order from the courts. Member Shoulberg asked if Jefferson County has abatement orders? Larry Fay answered that if there is a significant public health risk, the Health Officer can write an abatement order, and the Sheriff will enforce it. Member Shoulberg asked if there was just cause to discuss that option? Dr. Locke said that under solid waste codes, he does not feel this is a matter of urgency. UPDATE - SEPTIC WASTE DUMPING ENFORCEMENTILICENSE SUSPENSION: ECOTEC: Larry Fay reported that ECOTEC is no longer in operation. An ex-employee ofEcotec has applied for a permit using the same equipment and site. He was told, by the Health Department, that he would have to define where he would be dumping and prove that he was operating by himself. Milton Foss filed a complaint with the Washington State Attorney General's Office. Larry Fay was contacted by the Attorney General's Office offering mediation services. Larry Fay will send a letter, to the Attorney General's Office, explaining the situation and asking that they review the matter. BASIC HEALTH PLAN BRIEFING: Dr. Locke reported that the Basic Health Plan (BHP) has been around for approximately 10 years and is currently having some problems. He handed out and discussed a brochure titled, "Friends of the BHP Update." Originally the goal of the basic health plan was to have a maximum of 200,000 subsidized enrollments. The plan was budgeted for that amount, however HEALTH BOARD MINUTES-NOVEMBER 20, 1997 Page: 3 funds were diverted to other programs and ultimately the enrollment was capped at 130,000. During the last legislative session an additional 8,000 openings were added. He noted that only 1,000 openings will materialize due to budgetary issues. Dr. Locke stated that there are 3 other factors: o Legislation changed several ground rules in terms of costs. The amount of each co-payment has increased. o Sponsors are dropping out of the plan due to the increasing cost of sponsorship. o Managed competition. The bid would be awarded to the lowest plan. This works in urban market where there is intense competition. The Health Care Authority made an exception in rural Jefferson County and allowed KPS to be the low cost plan. Dr. Locke said that managed care plans (ie. KPS, Group Health, Blue Cross) have to enter into contracts with health care providers. Health care providers are not required to join these plans. Discussion continued on how to attract doctors, in Jefferson County, to join the basic health plan in order for the plan to have competitive prices. Member Buhler reported that the hospital board is exploring several options to help lower the cost ofBHP's in Jefferson County. Member Westerman asked what is the biggest problem with Basic Health Plan? Dr. Locke replied it is the cost and in some cases it is more expensive to belong to a BHP. This will be discussed at the next meeting. Jean Baldwin stated that due to the fullness of the agenda, she will give an update of family planning issues at the December meeting. She reported that discussions with two agencies regarding privatizing HIV case management have begun. Member Buhler asked the status of the central switchboard? Jean Baldwin eXplained that the switchboard would provide information to the community such as: services available, who to call, what to do, and what is available in any given situation. David Specter replied that the idea of a switchboard is moving forward and will have a positive impact. BOARD OF HEALTH ORIENTATION: Items 7,8,9, & 10 of the "Essential Responsibilities of Public Health" were discussed as follows: Evaluate effectiveness, accessibility, and quality of personal and population based health services. David Specter handed out and discussed a Health and Human Services program evaluation checklist. The 28 question checklist was used to evaluate the Drug and Alcohol Program. David Specter distributed the results which outline the services performed by the Drug and Alcohol Program. Discussion continued on the services that will continue to be performed and the possibility of sub-contracting other parts of the program. Assure a competent public health and personal health care workforce. Dr. Locke explained that services may include recrnitment and retention of a qualified workforce. It could also include staff development planning and participation in continuing education. Develop policies and plans that support individual and community health efforts. Dr. Locke stated that once the information is gathered, it is translated into effective policies and plans that have an impact on the community. Maintain an efficient and effective administrative structure. David Specter informed the Board that several staff members have been appointed to serve on various State Advisory Boards. They will be able to give input and keep informed on important issues. HEALTH BOARD MINUTES-NOVEMBER 20,1997 Page: 4 AGENDA PLANNING: Dr. Locke stated that several issues are raised during each regular meeting and they need to be dealt with in a structured way. He presented an example of an agenda planning calendar. This calendar would project four months in advance in order to help staff research and prepare for each issue. Chairman Huntingford said that he wants to see program updates on each agenda. Meeting adjourned. The next meeting will be held on Thursday, December 18, 1997 at 2:30 p.m. ?),. Ji uhler, Member ~lAJQI~~ Sheila Westerman, Member ;P frtudk../.:;fud.-dL/f Roberta Frissell, Member Ted Shoulberg, Membe ,')1, I-i V. .' L,'l;~~~~~ ) 1 3 ;U~ ~1;Y~ J S ~~trn~,L.JA L 10V1^ ;'Y: {Jfl ~wt1 5- 0 33 1 1- ~ ~ -dh Zeiter 1P 7/';:/ ~f7 ,Je~Son- C4 f]t?al'cL of flettitiJ ~ ConS/c12Y^' 7 9fb'C t1fflcdi6>L ",U fro/.> kML c/erueol.. due ~ fttvk- of Y.ef~ i~ cxY.etL- . /he- Jf~i'crnPv{ 8eW€3e- e.-~J1-eR-Y'-:5 .1 ;{a4Je.- conSw(~ ,tz,!cL >>LR.- -tk- ~ of 5t5t? 5fU4~~ dceSJJt afr"c sevJe,Je ~""- wfJe z "j-ff M~ /1,sr;v S'lUa1'€ ~1- Itd- iH.. UU--. fertH/;t; #~ SEp q7 - 026/ j ~~ # ~ f62.-112-313 sed;t'on- 3 4- 7C7Wf/~vf 30 III R~e I u) ) lnmc4!e iJ/t:lc/z /;23 I Ws 34 -40 S t~l {jI2A" e!J-- LI[/~~' 8~ ( 3 60- ~ 8 ,)'- C; 776' ) f5Y' ~ 7f- loCJY " LI't;~;nA.t-J~ _, J 13 ;U~ ~-ty~ "',jli I C' 19q- .' ?oY'-T Hac//e;c)y wi} "-f> . ..1 tJ8" 331 :~nd?;~" ~. _'- :"""-, ^ 1~ II ~v" 11:"'.. /vtTl/.o/ /997 2. a;rd- -M1.- ~. Zeiter zV mrtte5't--tk yffu"son- ~ 13t?4/tvL of Hedf/;'~ cons/e4/' '7 srt-;c tifj'/,'cdi6>l- ",.-Lei.- /uw k-- cIe",eoL due t; IAvIe. of y.efu.WeL ~ Clf~tL- . ik.. !~(~ 5e~e. e-1?-'YLee-Y'-;5 .1 k-tJe:- Consul-GeGL pkt /1LX- ~ ~ of 5Cft7 sr~ ~ '. ;',-: ,', :~ >' JetM^ Sir: ~ affed; setAkJe ~dn- ~'Ie Z ",/w1f k>~ /1, SOV sfucl/r€. ju:d- tt-d- f#.. uu..-. fe,rfJV'-t 4f~ SEp q7 - ()26 / j pon-d # ~ 162-1/2-313 sedtCm. 3 4- 7cv.J"~ 30 11/ Ra-~e / u) ) j~/e plock. /.;23 I iofs 34 - 4-0 s(~/ {..:E/r ej;;- tllC1\'110 ~o\j \ \) \991 COI.l~1'( .lEff. oE~'" "'E~\."\'\ L;L1--~' e~ ( 360- '38 S'- (( 776 ) (5r- '57f- Ie/or j -1 STAFF REPORT - November 20, 1997 LiLi Mei Raiguel - SEP97 -0261 Appeal of permit denial . October 10, 1997 - received applications for three sites on Iroudale Block 123 Lots 28 - 46. The sites were configured as follows: Site I - Lots 28 - 33, 6 lots. Each lot is 25' X 100', total site size is 15,000 square ft. The soil type is a fine to medium sand. WAC 246-272 requires a minimum of 15,000 sq ft for this soil type. Site 1 meets the minimum requirement and the permit was issued. Site 2 - Lots 34 - 40, 7 lots. Each lot is 25' X 100', total site size is 17,500 square ft. The soil type is a loamy fine sand to a very fine sand. WAC 246-272 requires a minimum of 18,000 sq ft for this soil type. Site 2 does not meet the minimum land area requirement. Site 3 - Lots 41 - 46,6 lots. 5 of the lots are 25'X 100', I lot is 40' X 100', total site size is 16,500 sq ft. The soil type is a fine to very fine sand. WAC 246-272 requires a minimum of 15,000 sq ft for this soil type. Site 3 meets the minimum requirement and the permit was issued. ~ .. 1A Very gIllVelly' ....... suds or COIlISCr. Vories acconliDg 10 mremely gIllVeIly' 5lIiIs. system sclect<d to mod Treatmcol SlaIIdard 2 · d.., IS Very gravelly medium SlIDds, very gmveIly fin. SlIDds, Vories ac:coiding to very gravelly very fino SlIIIds, soil typo of th. 000- eI ., very gravelty loamy sands. grav portIon :zA Coarse sands (mcIudes tho ASTM C33 SIIId). 1.2 . 2S MedIum sands. 1.0 3 Fm. sands, loamy....... sands, loamy modium sands. 0.8 4 Very fin. sands, loamy fin. sands, . 0.6 loamy very fin. sands, sandy loams, 108lllS. 5 Sillloams tba1 are porous and have well doveIopod 0.45 strw:IUre. 6 Other sillloams, suuly clay loams, clay loams, 0.2 silty clay 108IIIS. TABl.B Vl1' M'urimuml..-dArm~ Sill". FamiJ:1 R...._ or Unit V."""". of S~ x '__~-"_W"-~.l\trt; ,.w*,!!t~~~~~~~#::;:jlw&;;;0@ 4 5 6 ~ 0.5 acre' Pabl1c 12,500 15,000 18,000 20,000 22,000 2.S acre! sq. fL. sq.fL sq..fL sq.fL sq.ft. Individual, 1.0 aao' OD each lot 1 acre I acre 1 acre 2 acres 2 acres 25 acres2 /.~ "T I , . .., 0_- . ~ .'. . . 1 2 .3 4- 5 6 7 " B A ~ 9 1-r'.J 10 /11 t2 1.3 14 1:;) 16 1/ . 18 !5; 19 ~ 121 20 5 \J./ 4- SA YVfEW ., ~ 5 \... ./ 4 AVE. 47 1-0 45 44- 4~ 42 41 40 .39 38 37 36 J~ J4 33 32 31~ .30 29 4 t: 1 \. ., ".... -...... ~ I . ) ./ 1 46~!~ 1 2 45 2 3 44- 3 ... 43 <4- 5 42 5 6 41 6 7 40 7 8 39 /. --. ~ 8 :0 ;: \ ~~,~ 11 36 '- ./ 11 12 ~ 12 13 _34 13 14 33 14- 15 32 15 16 31 16 17 30 17 18 29 18 . 19 W 28 19 > <{ ttj 46 45 44- 43 42 41 40 39 I 38 37 \ 36 35 ~ 33 32 31 .30 29 LJ 28 > <( ~8~/~t 25~A ?"l'22 21 20 ~72 2 1 I2J 22 21 2C ~ 2612~ AVE., ~\-.~- 8 7 6 5 43 2 1 <~~np C5 ~ ....'" 1\1 I ~ -s...' C> 8 7 6 5 <4- 3 2 1 W 8 7 6 ~ - ~-O::: Z , . '-~ :J 9 36 (f) 9 , . ~~ m 10 35 W 10 U1 11 34 I => 11 9 '0 1112~3 14 f-11., __ l>r PROSPECT ~ ~ ~ :..- 7H 8 19 20 ~ ~ ~, ! ... BYLAWS OF THE JEFFERSON COUNTY BOARD OF HEALTH ARTICLE 1. NAME The name of this organization shall be the Jefferson County Board of Health. ARTICLE II. PURPOSE The purpose of the Jefferson County Board of Health is to supervise all matters pertaining to the preservation of the life and health of the people of Jefferson County and to comply fully with the requirements of all applicable chapters of Title 70, Revised Code of Washington. The Board of Health shall: . Collect, analyze and disseminate to the community, through the Jefferson County Health & Human Services department, information about community health conditions, risks and resources, and the availability of resources to address identified problems. . Enact such rules, regulations and policies as are necessary to preserve, promote and improve the health status of Jefferson County residents. and guide the allocation of appropriate and necessary public health resources. . Assure that necessary, high quality, effective public health services are available for the protection of the people of Jefferson County, including the control and prevention of any dangerous, contagious or infectious disease within the county. . Provide for the prevention, control and abatement of nuisances detrimental to public health. . Enforce, through the Health Officer, the public health statutes of the state and county. . Establish fee schedules for issuing and renewing licenses and permits, or for such other services as are authorized by the law and rules of the State Board of Health. Jefferson County Board of Health Bylaws Page 1 ARTICLE III. REPRESENTATION Membership: The Board of Health shall consist of7 members, selected as follows: . Each member of the Jefferson County Board of County Commissioners shall serve as a member of the Board of Health for the duration of their elected term of office. . Four members of the Board of Health shall be appointed by the County Commissioners. Appointed members shall include one Port Townsend City Council Member and one Jefferson County Public Hospital District #2 Commissioner nominated by their respective organizations, plus two at-large community representatives. Terms: Appointed members shall serve for three year terms. Board of Health members may serve more than one tenn, including consecutive terms. Vacancies: In the event that a vacancy occurs for an appointed representative, the Board of County Commissioners shall appoint another representative within thirty (30) days of the date of vacancy. In the event that a vacancy occurs from the Port Townsend City Councilor Jefferson County Hospital District #2, the City or District shall nominate another representative from their membership within thirty (30) days. Absences: Board members shall notify the Chairperson in advance if unable to attend any regular meeting of the Board of Health. Appointed Board members may be removed from Board membership by action of the County Commissioners for lack of attendance. Three or more unexcused absences from regular Board of Health meetings in one calendar year will be considered cause for removal. ARTICLE IV. OFFICERS Chairoerson: The presiding officer of the Board of Health shall be the Chairperson, who shall serve for a term of one (l) year. The Chairperson shall be selected by a majority vote of the Board members present at the first regular meeting of each year. Vice-Chairperson: At the same meeting, a Vice-Chairperson shall also be selected for a term of one (1) year, who shall preside over all proceedings of the Board in the absence of the Chairperson. Vacancies: In the event of a vacancy in the office of Chairperson, the Vice- Chairperson shall immediately assume the duties of the Chairperson for the remainder of the year. Another representative shall be selected to serve as Vice-Chairperson at the next regular or special meeting of the Board. Consecutive Terms: Board members shall not serve consecutive terms as Chairperson or Vice Chairperson. , Jefferson County Board of Health Bylaws Page 3 ARTICLE V. RULES OF BUSINESS Business shall be conducted in accordance with the most current edition of Robert's Rules of Order, so long as they are consistent with these Bylaws or amendments thereto. ARTICLE VI. COMMITTEES The Chairperson shall appoint subcommittees from the Board of Health and/or members of the community from time to time as the Chairperson shall deem necessary. The Chairperson shall be an ex-officio member of all committees. ARTICLE VII. ADMINISTRATIVE OFFICER The Board of Health shall appoint an Administrative Officer who shall fulfill the responsibilities specified by RCW 70.05.045, including administering the operations of the Health Department. The Administrative Officer shall serve at the will and approval of the Board. ARTICLE VIII. HEALTH OFFICER The Board of Health shall appoint a County Health Officer, who shall be a qualified physician trained and experienced in public health. who shall exercise the powers, and perform the duties prescribed in RCW 70.05.070. The Health Officer shall serve at the will and approval of the Board. ARTICLE IX. OPERATING RULES Section 1. Meetings Regular Meeting: Regular meetings of the Board of Health shall be held on the third Thursday of each month. If the third Thursday is a legal holiday, an alternate day may be selected by the Chair. Any regular meeting of the Board of Health may be cancelled with the concurrence ofa majority of the Board. The location of the meetings shall be within Jefferson County. Soecial Meeting: The Chair or two-thirds of the members of the Board may call a special meeting of the Board consistent with RCW 42.30.080. Executive Session: The Board may hold executive sessions from which the public may be excluded for the purposes set forth in RCW 42.30.110. Ouorum: A majority of all Board members, including at least two Jefferson County Commissioners, shall constitute a quorum for Board meetings. Taoe Recordings: The proceedings of all Board meetings shall be recorded electronically. Any person may have a copy of tape a recording of any meeting of the Board by furnishing an appropriate recording tape to the Health Department Director's office and paying the costs of reproduction. , Jefferson County Board of Health Bylaws Page 4 Minutes: Written minutes of each Board meeting shall be prepared and approved by the Board at the subsequent regular meeting. Minutes shall be signed by the Chair at the time of their approval by the Board. Meetings Ooen to Public: All regular and special meetings of the Board and Board committees shall be open to the public, in accordance with RCW 42.30. Materials to Board Members: Except in cases of emergency, the agenda and materials related to action items shall be sent to Board members in advance of the meeting at which the items will be considered. Section 2. Voting Actions Requiring a Vote: Each member of the Board shall be entitled to one vote on all actions of the Board that require a vote. An affirmative vote of a majority of Board members shall be required to pass an action of the Board, provided that a quorum of the Board is present. Tie Vote: In the event ofa tie vote, the action does not pass. Voting Bv ProXy: There will be no voting by proxy on any question before the Board. Section 3. Ethics Conflict ofInterest: Members of the Board of Health having personal or professional interest on an action item that may be deemed conflicting or infringe upon the appearance of fairness shall declare the conflict and refrain from discussing or voting on such matters. Section 4. Public Testimony General Public Comments: At each meeting, according to the usual order of business, the Chair shall call for general comments. Persons wishing to comment shall give their name. The Chair may establish time limits for individuals who wish to speak. Comments on Action Items: Prior to voting on any item requiring action by the Board, the Chair shall call for comments by persons interested in or affected by the matter under consideration before the Board. Persons wishing to comment on action items shall give their name, and the Chair may establish time limits for individuals who wish to speak. ARTICLE X. MISCELLANEOUS Reimbursement ofExoenses: Board of Health members may receive reimbursement for approved expenses related to completion of their responsibilities.