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Home My WebLink About03 March COMMUNICABLE DISEASE CONTROL PUBLIC HEALTH NURSING VITAL STATISTICS ENVIRONMENTAL HEALTH HEALTH EDUCATION JEFFERSON COUNTY HEALTH DEPARTMENT 802 SHERIDAN PORT TOWNSEND, WASH. 98368 (206) 385.0722 HEALTH BOARD Minutes: March 19, 1991 BOARD MEMBERS: STAFF MEMBERS: B. G, Brown, Chairman Larry W, Dennison, Member Richard E. Wojt, Member Larry Fay, Director of Environmental Health David Specter, Health Department Administrator Nancy Gow, Acting Director of Nursing Services J. Peter Geerlofs, MoD" Health Officer CITY OF PORT TOWNSEND REPRESENTATIVE: Sheila Westerman The meeting was called to order at the appointed time by Chairman B. G, Brown, The following Board and staff members were present: Commissioner Larry Dennison, Commissioner Richard Wojt, Dr. Peter Geerlofs, David Specter, Larry Fay, Nancy Gow, and Anne Wells, WIC Program. Public Works Director Gary Rowe and Architectural Coordinator Frank Gifford were also present. APPROVAL OF MINUTES: Commissioner Dennison moved to approve the Minutes of February 12, 1991 as presented and Commissioner Wojt seconded the motion which carried by unanimous vote. ADMINISTRATOR'S REPORT Financial Report: Administrator David Specter presented and reviewed a financial report for the Health Department for 1990 and to date in 1991. 1990 actual revenue was $500,021,00 with actual operating expenses of $627,814.00. Some of the 1991 budgeted expenses (asterisks items) are of concern because the '91 budget amounts are not up to the amount of the actual expense in 1990, David Specter added that he hopes to give an update on the individual Health Department programs at the next meeting. The Board concurred that they would like to see program information at every Health Board meeting. Health Board Minutes - March 19, 1991 Page: 2 Castle Hill Mall Space Proaram: David Specter presented a copy of the Health Department Space Program for Castle Hill Mall (Dated March 5, 1991) which functionally defines components of the Health Department's programs and addresses current needs, He reported that Architectural Coordinator Frank Gifford has put together an analysis of the costs of remodeling this space for these needs. He asked the Board if what is proposed is acceptable to them because there is a substantial difference in budget from what the original plans would have cost? Commissioner Dennison stated that he is concerned that these leasehold improvements would only be a five year solution. He asked how this plan would relate to long term needs? David Specter reported that these leasehold improvements are estimated to cost $19,50 a square foot. Typical medical office improvement cost $50,00+ per square foot. The monthly rental fee for the space would be in addition to this cost. Gary Rowe reported that the Clallam Jefferson Community Action Council has requested more space, The discussion turned to space costs for short term (5 years) versus long term, the significant investment (approximately $130,767,00 in lease improvement costs) for five years of use, and increased square footage need by the Health Department. Frank Gifford will develop comparisons for cost to purchase versus lease and the cost of improvements, Nancy Gow reported that the Nursing needs were developed from the standpoint of realistic needs for operating in a professional manner. The Department needs adequate spaces for confidential client services, There is not a great deal of slack built into the request. Proaram Updates: Administrator David Specter reviewed the following programs: . Dental Grant Application: The dental grant application has been submitted, The State is supportive of this program because they see it as a model for other counties. . Child Safety Seat Program: The Child Safety Seat Program allows the public to bring in child car seats to ascertain if they are safe or not. If the seat is not safe they may turn it into the Health Department. David Specter stated that he would like to run the program for a month as a trial. He noted a concern about the liability issue if the Department determines that a seat is safe and an accident occurs and then it is determined that the seat was unsafe. The Department will check into this program further. The Health Department currently has a loan program for car seats. . Robert Wood Johnson Foundation Grant Application: The Health Department has submitted a letter of interest for this grant. If that letter is approved then a grant application will be provided, There is a three month process to review letters of interest before a determination is made on applications, . Mobile Dental Program Grant: The State has a program for a mobile dental van with equipment. Originally the Community Action Council ran this program in Jefferson and Clallam Counties. Health Board Minutes - March 19, 1991 Page: 3 DIRECTOR OF NURSING'S REPORT Director of Nursing Services, Nancy Gow reviewed the monthly statistics report for the Board. . WIC Program: Additional funding has been proposed from the State for this program which will provide services to 40 additional clients. A second day may be offered in the Tri-Area every month. Chairman Dennison asked for WIC program information so that he could discuss the program with Congressman AI Swift, Nancy Gow reported that the program is only meeting 35% of those eligible for it. . Child Protective Services Contract is being re-negotiated for the next State biennium, The program is in trouble financially. . Crippled Children's Services program is now called the Children with Special Health Care Needs program. . Nursing Staff Changes: After discussion of the staffing needs of several nursing programs, the Board advised that this request should be referred to the County Commissioners for consideration. . HIV/AIDS Poster Contest: This poster contest will run during April and May. The grand prize will be a stereo and every child that participates will be given one free video rental from a local video store. DIRECTOR OF ENVIRONMENTAL HEALTH'S REPORT Environmental Health Director Larry Fay reviewed the monthly statistics. . Sequim Sludge Application Update: The completed application, Larry Fay reported, has some minor discrepancies in numbers which are being worked out. The County Management Plan doesn't allow sludge applications except the one previously approved for the City of Winslow, An addendum to that plan to address this will be developed and should take care of this problem. Sequim has asked the County to consider issuing a 31 day emergency permit which would include the same conditions as on long term permit. It will cost Sequim $55,000 if they aren't able to apply sludge this month. In response to a question from Chairman Brown, Larry Fay reported that the County charges the City of Winslow an annual basic fee plus an hourly rate. He suggested that Sequim be charged in the same manner. Discussion ensued regarding the monitoring and other details of the sludge management plan, Larry Fay reported that a draft permit will be ready next month and it will spell out the conditions of the application for monitoring, etc, The Board concurred that an emergency permit for the City of Sequim be approved for a 30 day period. Health Board Minutes - March 19, 1991 Page: 4 amendment to Item #2 changing the timeline for completion to December 31, 1991, Commissioner Woit seconded the motion which carried by a unanimous vote. MEETING ADJOURNED. The next meeting is scheduled for April 16, 1991 at 10:00 a.m, JEFFERSON COUNTY BOARD OF HEALTH ~ B. G. Brown, Chairman 7/-~ ",0' . -. -. . . . . . FimmciII. ,~""R:eport.. . ' '-.' . .,,:-.,-,-< ,,-: "'. ',: - -: ': "'. -. - ". '-- -: -- '.' . M. t}~L',ln:: 't'. 1\9: ,1' '~,.,~\-~~_.>.':-, --'.~"'.' ,-- ;::./i;.;:;> . .', ~ < - .' - " ;-- {, :_~~_____:_~_. ,i_'~-">'~'-.,__,_~_~'.'-"_ _.. _.-"_ . Jefferson County Health Department 1990 Revenue Budget Actual Variance Grants: $235,098 $237,294 $ 2,196 Fees: Nursing $ 49,995 $ 86,936 $ 36,941 Envirn $113,200 $175,791 $ 62,591 Total $398,294 $500,021 $101,727 Jefferson County Health Department 1990 Expenses Budget Salaries & Benefits $410,181 Prof Services $ 62,882 Clinical Supplies $ 25,000 Other Operating Exp $ 59,874 Actual $442,269 $ 80,840 $ 34,972 $ 69,733 Variance <$32,088> <$17,958> <$ 9,972> <$ 9,859> Total $557,937 $627,814 <$69,877> 2 Jefferson County Health Department 1990 Budget VS. Actual Budget Actual Variance Expenses $557,937 $627,814 <$69,877> Revenue $398,294 $500,021 $101,727 General Fund <$159,643> <$127,793> $ 31,850 3 Jefferson County Health Department 1991 Budget Revenue Actual Budget 1990 1991 Grants: $237,294 $241,946 Fees: Nursing $ 86,936 $116,715 Envim $ 175,791 $151,050 Total $500,021 $509,711 '-I Jefferson County Health Department 1991 Budget Expenses Salaries & Benefits Prof Services Office Supplies Clinical Supplies Equipment Postage Telephone Travel Advertising Training Leases & Maintenance Total Actual Budget 1990 1991 $442,269 80,840 5,110 34,972 11,288 4,962 2,012 13,915 3,002 2,200 26,409 $614,374 66,782 3,360 * 31,195 * 4,620 5,000 * 2,550 * 10,400 * 2,500 6,400 36,756 $784,438 $627,814 ., . Expenses Revenue Jefferson County Health Department Budget Summary 1991 vs. 1990 Actual Budget 1990 1991 $ 627,814 $ 500,021 $ 784,438 . $ 509,711 . General Fund < $ 127,793> < $ 274,727 > b . Jefferson County Health Department Budget Status Report 2/28/91 Budget Expended Expended (16.2%) YTD % Salaries & Benefits $99,310 $50,518 8.2% Prof Services 10,795 10,721 16.1 Office Supplies 543 532 15.8 Clinical Supplies 5,042 3,431 11.0 Equipment 747 325 7.0 Postage 808 2,078 41.6 Telephone 412 440 17.3 Travel 1,681 851 8.2 Advertising 404 76 3.0 Training 1,035 641 10.0 Leases & Maintenance 5,941 2,301 6.3 Total $126,800 $72,171 9.2% 1 ~- r---/ Y. .:..;- -=os. --: -.....- -, ~rf I ~~. a. ~: - -~ ~__',;:. .....-,F"> ~ I~' ,~..... _I 1 -:-~) . jtt"'-Z ~ . - I -" ,~, A _"""", ~ '" ::~\ /ifi · I. - ~JI. I _J ~:i~, _. _.. ~ . ,~..... "",.......C: ~,@! i( " '-, ~'- (1t~ . 1\,' h ~l ~ ~-,.. c:: _r ':.~l ',I" ;'J'jU ,- ~, (,t~.~~t:(~-'1J, '0 ' .~'~ _I",,~.~~....~ 1!;...~:'1 It~- ~~ ~"___'~~ JEFFERSON COUNTY PLANNING AND BUILDING DEPARTMENT WATER QUALITY PROGRAM P,O, Box 1220 Port Townsend, Washington 98368 (206) 881';-8149 .JEFFERSON COUNTY COURTHOUSE David Goldsmith, Director March 14, 1991 Jefferson County Board of Health P.O. Box 1220 Port Townsend, Wa 98368 Dear Gentlemen; Over the past year, Department of Ecology has suggested necessary changes and additions that must Quilcene/Dabob Watershed Action Plan, dated August, the plan can be officially approved by Ecology. reviewed and occur to the 1989, before As you know, the Puget Sound watershed action planning process is intended to develop a program of effective actions to prevent and reduce nonpoint source pollution within the watershed and to negotiate commitments to the responsibilities, funding and time frames for these actions with various jurisdictions and agencies. In regard to Board of Health, Ecology's review team stated that the "letter of concurrence" depicting actions for which B.O.H. was responsible required more clarity and commitment to specific time frames and specific actions. In an effort to provide this, Jefferson County Health Department Director, Larry Fay, Environmental Health Specialist, Linda Atkins and I have revisited the language of the letter and propose changes that we anticipate the Board can endorse as both more beneficial and realistic. We respectfully submit the revised letter of concurrence for your review and approval. Regards, (""." c. ~t _('< , .1./0:;. '\Ct ,~-z. \ ..2.)'\ Teresa Barron Water Quality Planner STATEMENT OF CONCURRENCE/NONCONCURRENCE FROM LEAD AGENCY TO AFFECTED ENTITY TO: Jefferson County Board of Health Items listed in the Quilcene/Dabob Bays Watershed Action Plan for which your organization has primary responsibility. Action Item Number: 2. At present, Jefferson County relies on the Washington Administrative Code for septic system policy. The Jefferson County Board of Health shall develop a county sewage disposal system code which may be stricter than the WAC, pursuant to chapter 248-96. This code would apply to all of Jefferson County and should address the following concerns: A. Prohibiting installation of on-site sewer systems within ten-year flood plains within the Early Action and Ranked county watersheds;. B. Updating the policy on variances and the requirements for enhanced treatment; C. Updating the policy on system upgrades for major remodels, replacements, and expansions; D. Updating the policy on the horizontal and vertical separation of primary and reserve systems; E. Updating the present operation, maintenance, and monitoring program to provide an identification, characterization and mapping of prioritized "critical" areas which will be targeted for special provisions, which may include but are not limited to, enhanced treatment requirements, 100 per cent inspection coverage, and community based treatment technology, where water quality data indicates a problem. F. The ongoing septic education program shall continue with a .50 FTE from the Jefferson County Health Department; G. A septage management plan shall be developed. Timeline for items A through G: December, 1991. ~ence Nonconcurrence _~'r~ 'nS~~n~ /(r~!~ Jefferson County Board of Health Date STATEMENT OF CONCURRENCE/NONCONCURRENCE FROM LEAD AGENCY TO AFFECTED ENTITY TO: Jefferson County Health Department Items listed in the Quilcene/Dabob Bays Watershed Action Plan for which your organization has primary responsibility. Action Item Number: 1. Jefferson County Planning and Building Department and Jefferson County shall pursue funding to assist qualified low and moderate income homeowners with funding for septic system repairs. Timeline: during the next grant cycle. 3. Enhance the coordination between the Jefferson County Health Department, Jefferson County Planning and Building Department and the public relative to permit requirements for new development, expansions, re-models or repairs of structures and septic systems. The recommended action for enhanced coordination is to network the two county departments' computer systems to provide comprehensive information centers in each department of all set backs, special conditions and permit requirements from both departments pertaining to the site(s) in question. The Jefferson County Planning and Building Department will be responsible for for networking the departments' computer systems, and for providing training to county Health and Planning staff in the use of the computer network. Timeline: by October 31, 1990. In addition, it is recommended that the two county departments evaluate the feasibility of a single plot plan application system, in which both departments' permit requirements are documented on a single permit application form. A written evaluation stating criteria, costs and timeframes or why the action is not feasible for Jefferson County shall be prepared. Timeline: by June 30, 1991. 4. Jefferson County Health Department shall ensure that 100 percent of new septic system installations in Jefferson County are inspected prior to covering as per current state law. Timeline: ongoing. Additionally, it is recommended that Jefferson County Health Department, upon Jefferson County Board of Health approval, identify, characterize and map prioritized "critical" areas within the Quilcene/Dabob Watershed which will be targeted for special provisions, which may include but are not limited to, enhanced treatment requirements, 100 per cent inspection coverage, and community based treatment technology, where water quality data indicates a problem. Timeline: December 31, 1991 5. Jefferson County Health Department shall inform homeowners of county programs which assist them with water quality, including STATEMENT OF CONCURRENCE/NONCONCURRENCE FROM LEAD AGENCY TO AFFECTED ENTITY TO: Jefferson County Board of Health Items listed in the Quilcene/Dabob Bays Watershed Action Plan for which your organization has primary responslbility. Action Item Number: 2. At present, Jefferson County relies on the Washington Administrative Code for septic system policy. The Jefferson County Board of Health shall develop a county sewage disposal system code which may be stricter than the WAC, pursuant to chapter 248-96. This code would apply to all of Jefferson County and should address the fOllowing concerns: A. Prohibiting installation of on-site sewer systems within ten-year flood plains within the Early Action and Ranked county watersheds;. B. Updating the policy on variances and the requirements for enhanced treatment; C. Updating the policy on system upgrades for major remodels, replacements, and expansions; D. Updating the policy on the horizontal and vertical separation of primary and reserve systems; E. Updating the present operation, maintenance, and monitoring program to provide an identification, characterization and mapping of prioritized "critical" areas which will be targeted for special provisions, which may include but are not limited to, enhanced treatment requirements, 100 per cent inspection coverage, and community based treatment technology, where water quality data indicates a problem. F. The ongoing septic education program shall continue with a .50 FTE from the Jefferson County Health Department; G. A septage management plan shall be developed. Timeline for items A through G: December, 1991. Concurrence Nonconcurrence --~,K~-- ~ /f?77lMl/f91 B. G. Brown, Chairman Jefferson County Board of Health Date