Loading...
HomeMy WebLinkAbout06 June COMMUNICABLE DISEASE CONTROL PUBLIC HEALTH NURSING VITAL STATISTICS ENVIRONMENTAL HEALTH HEALTH EDUCATION JEFFERSON COUNTY HEALTH DEPARTMENT 802 SHERIDAN PORT TOWNSEND, WASH. 98368 (206) 385'()722 HEALTH BOARD Minutes: June 19, 1990 BOARD MEMBERS: STAXF MEMBER_S: B. G, Brown, Chairman Larry W. Dennisor; Member George C~ Brown; Member Larry Fay; Director of Environmental Health Kathy Stafford, Administrator Nancy Gow, Acting Director of Nursing Services ,T. Peter Geer lofs, M. D" Heal th Officer !2ITY OK.. PQR't_:LOWIiSE:@ l'l'E!,E S E;.1:!1.tJ:1' VE:-,. 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 George Brown; Larry Fay 1 Director of Environmental Heal th; Nancy Gow; Acting Director of Nursing; Kathy Stafford, Administrator; and Dr. Peter Geerlofs, Health Officer. APPROVAL OF MINUTES: Commissioner Larry Dennison moved TO approve the Minutes of May 151 1990 as presented, Commissioner George Brown seconded the motion which passed unanimously. Health Board Minutes: June 19, 1990 Page: 2 ADMINISTRATOR'S REPORT Vision Tester: Kathy Stafford explained that at budget time last year there was an amount requested for a vision tester. This was removed from the budget when the Soroptimists and Rotary Clu_bs offered to do 0_ joint project to raise fu_nds for this purcha.se. Twelve hundred dollars was raised. A manual machine may be purchased wi th everything needed for test ing dI fferent age groups, for $1,301 includIng shipping. The same machine with a remote control is $1,576. Nancy Gow recommends that the remote control uni t would be a better choice for the clInics. Kathy Stafford requested that the additional funding of $376 be provided by the County. Commissioner George Brown moved to approve the purchase of the remote control vision tester. Commissioner Larry Dennison seconded the motion which passed by unanimous vote. Alternative Space: Kathy Stafford reported that the space problem could be resolved by moving the Health Department to the Castle Hill Mall, Proximity to the bus line, to the Department of Social and Health Services, and to plentiful parking are advantages to consider. She would like this optIon studied along with the possibility of moving other agencies from the multi- services building. She explained that she has discussed the space needs and alternate space options with Frank Gifford, Architectural Coordinator of Public Works. Chairman B. G. Brown explained some of the space problems and the options available, noting that as the hospital may not be inter- ested in purchasing the buIldIng, the use of it needs to be considered in the five year expansion plan. He suggested that Facili ties Management assess the five year projection of needs before the Board reviews the listc Dental Grant 1990 - 1991: Kathy Stafford reported that the current grant from the State for the mobile dental clinic expires June 30, 1990. The new grant for 1990 - 1991 is the same with the addItion of about $500. This grant funds the program 100 percent, including a dental hygienist. The grant contract will be presented to the Board of Commissioners for approval. It was noted that the dental hygIenist was In an accIdent recently and that although the program is slated to begin July 1, 1990, the hygienist will not be available at that time. The State understands that the program probably won't begin until September 1990 as a result of the personnel situation. The State will aid the County while the hygienist recovers. Health Board Minutes: June 19, 1990 Page~ 3 DIRECTOR OF NURSING REPORT Irene Senior-PoMeroy's Recommendations for Fiscal Year 1991: Nancy Gow commented on the report submitted by Irene Senior- Pomeroy, Further discuss ion was held regarding the recommenda- tions, completion of the protocol/procedure manual; current staffing situation and anticipated changes, HIV testing, AIDS care, Communicable Disease Immunization Clinic, bJrth anomalies; hours used for Soviet family needs; senior citizen programs; STD stati- stics, MSSP figures, and Well Child Clinics. Nursing Staff Retreat: The Board was invited to attend a day long Nursing Staff Retreat to be held on July 5, 1990 in the blue room at Fort Worden, The retreat will be to get to know each other better; to get to know the programs; to look at where the staff wants to go; and to address the specific problems to be tackled in 1990, Appreciation <<Welcome: Dr. Geerlofs and those present expressed their appreciation for the services provided by Irene Senior-Pomeroy and the recommendations she provided. Larry Fay and Nancy Gow were also welcomed to the Health Department Staff. ENVIRONMENTAL HEALTH REPORT Pools and Water Recreation Facilities PrOQram: Larry Fay reported that in February the State Board of Health adopted rules and regulations governing operation; maintenance { and planned review of pools and ,~ater recreation areas, He noted that the County should adopt a set of regulations. This may be done by reference to the State Regulations. The regulations provide for operating permits and inspections by the Heal th Department to maintain sanitary standards. The County will handle permits and inspections of new and existing facilities. An Interagency Agreement with the State Department of Health would formalize who is responsible for the various activities. Larry Fay also explained that by adopting reg1.11a.tions._ a mechanism is created which provides the Health Officer or Sanitarian the right to inspect. Dr. Geerlofs pointed out that, from the public health point of v;pw, the spa and pools are an important issue. There have been skin infections and other problems from the use of hot tubs that have not been maintained properly. He noted that the idea is to educate those providjng the facilities. These actions improve the public: health. Health Board Minutes: June 19, 1990 Page; 4 ENVIRONMENTAL HEALTH REPORT - continued (Pools and Water Recreation Facilities Program:) Chairman B. G. Brown suggested that education of those who purchase hot tubs should be given before they start maintaining their systems. Larry Fay will provide details for the Board at the next meeting. Individual Se_ae DisDosal System {ISDSI Repair Loan Proaram I Solid Waste Position: Larry Fay expressed concern over the amount of time this new program will require from the staff. He will make a recommendation; at the next meeting; on the Solid Waste position based on what the personnel role will be in the ISDS Program. Recognized General Needs: Larry Fay reported that after studying the County soils, meeting the installers, working with personnel: reviewing appJications tha.t have come through: examining subdivision plats; lot adjustments; injunctions; certificates of compliance; and applications for specific permits; he has developed a general idea of the programs and items that need attention. His observations follow. * C011.nry_ Rpq1l1atioIls; Larry Fay suggested that the Health Department review the language of the County Ordinance to update its reference to State Regulations. A long term goal would be to see how the regulations fit together and whether there is a rea] need for specific regulations or if the State Regulations are adequate. Individl}.~l SewaqR D-i~Il9sal SysTPm Desiqnpr Proqram; This program needs immediate attention as there are functional flaws~ There does not appear to be a procedure for evaluating new designers; or re-certifying present designers. This does not provide a way to maintain standards among designers. Wasl1inqton State Regulations; Administrative Waivers j".Io::_ visions :_ As the Washington State R.egulations have many provisions for administrative waivers; there is a need to establish when it's appropriate to give variances and when it is not, and when a request should go through the hearing process, Concerns regarding waivers; var iances and dis- claimers were discussed. ~pqljirement"s nn Variou~ HR'-liews for Short and the Five Acre Large Lot Subdivisions: need to be addressed and establjshed. A current status on regulating subdivisions * " * Plats and, I..9gg:_~lats These requirements discussion of the was held. Health Board Minutes: June 19, 1990 Page; 5 ENVIRONMENTAL HEALTH REPORT - continued Kala Point Home OWners' Association; Surplus Monies in Emerqencv Trust Reserve Fund for On-Site Waste Manaaement System for the Recreation Center: The amendment referred to in a letter sent to the Board of Commissioners on May 23, 1990, from Robert Fisher of the Kala Point Owners' Association; was presented and reviewed. Dr. Geerlofs summarized the issues. Changes to the contract are reqllested to reflect a change in ownership from the Recreation Center to the KPOA. The contract says that there are to be emergency funds to build another system minus the septic tank. When the money doubles in value, the Heal th Department reviews the 8i tuation as to what it WOllld cost, at that point in time, to bui ld a system. The contract would then be adjusted accordingly~ The Cou_nty WoUla only refund the money that is "beyond double the original amount", Dr. Geerlofs went on to state that KPOA would like to reflect the new owners and manager in the contract and that they'd like to establish the emergency fllnd at $.3; 000. n~. Geeriofs recommended that the conditions be examined to determine if there are any situations which would increase the cost of replacement; and that KPOA request an estimate from a licensed contractor to determine ell_rrent replacement cost if the system shuts down. The Board concurred with this recommendation. * * * * * * * The next regular meeting will be held Tuesday; July 17; 1990. MEETING ADJOURNED ,JEFFERSON COUNTY BOAHD OF HEALTH ~g....J B. G. Brown, Chairman Member ~_ CL.-lf5z.d .....-~ George _own; Member J' ,:s2ns: