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HomeMy WebLinkAbout02 February ....::=:r ;.i~ JEFFERSON COUNTY HEALTH DEPARTMENT / H ALTH BOARD Minutes: February 20, 1985 Board Members: Staff Members: B.G. Brown. Chairman John L. Pitts ,Member Larry W.Dennison, Member Glen Ison, Member Randall M. Durant, R.S, Gretchen Gephart, D.O,N. Joseph Fischnaller, M,D. Gael Stuart, Admlnistrator Approval of Minutes: January 16, 198~) were approvea: seconded by Commissioner Larry of December 19, 1984 and Commissioner John Pitts, The Minutes by motion of Dennison, NURSING DIRECTOR REPORT: Gretchen Gephart reported the follow- ing as part of the Nursing servIce activities for January 1985: 'k l-ieal th Awareness Program for 264 pre-school children, Toothbrushing Program for 110 Kindergarteners at Grant Street School In Service training at Kai Tai Care Center on "Tuberculosis in <::he Older Adult". "Health Baby Week" material was given to the hospi.tal and 75 packets for new parents were put together for the hospital. One sase of Meningitis is receiving follow up as prescribed by the State. The.JlealthDepartment is now giving injections to COffimunit;y Counselling Servic", patients who can not afford =0 go to the doctor every week for the!?einjections. This will help to maintain them in the community andk",ep them out of the State hospitals. -Jk ,', 'k * * ENVIRONMENTAL HEALTH DIRECTOR REPORT: After offering to answer any que!?tions on the Annual Report for 1984, Randy Durant proceeded with is report for January of 1985: * 19 of ::he 32 Food service in!?pections were for establishments in the County. * There were eight final septic tank drainfield inspections done in January. * The number of contacts made by the sanitarians and secr~taries in- creased to 748 from 629 in December of 1984, ;( The Port Townsend Paper Company's Solid Waste permit was renewed after the Glen Cove solid waste site was reinspected, This site is specific- ally approved for ash from the boilers, slaker grits (which is a li.me and gravel mixture) and old building materials. No garbage or hazardous Minutes, Health Board February 20, 1985 Page 2: wastes are allowed at this site. * Follow up was begun on the Port Townsend Bay Sanitary survey done by Department of Social and Health Services, The shoreline from Chimacum Creek south to the bridge was covered in this survey, ADMINISTRATOR'S REPORT: The financial report, Gael Stuart, noted is on the bottom of the second page of the agenda. The revenues are less than anticipated due to the City's quarterly payment not having been received yet and the grant funds from the Maternal Child Health Grant are not reflected because at the end of the year the funds are held until the annual report is received and reviewed, The expenditures reflect the single yearly payment to Clallam County for the services they provide in the west end of the County. James M. Witter; Letter of Appeal: Mr. Witter is appealing the $15.00 On site Sewage System Permit Renewal fee because when he or- iginally received his permit in August of 1982, the Ordinance did not include a section for renewing permits. He also feels that the renewal fee should not be charged because he is building a log house which takes longer trumconventional construction and he is only doing the construction on weekends and during vacations. Gael Stuart was directed to draft a letter to Mr. Witter restating the County's position for the Chairman's signature. Marrowstone Island: Use of Old Church: Chairman Brown reported that he received a call from a lady who advised him that the Building Inspector had called and said that the Old Marrowstone Island Church could not be used because there were no restroom facilities, and Chairman Brown said he thought that situation had been resolved, by use of a porta potty, Randy Durant reported that he had tried to call the contact person for the church but had not been successful to date. Randy will contact Mike Ajax the Building Inspector and Judy Petersen to see if the situation can be resolved. Letter from Battelle, Pacific Northwest Division: Brochures, and reports were received from Battelle Northwest regarding the research they have done on total and fecal coliform bacteria in clams from Sequim Bay and on sources and fates of toxic metals in Puget Sound. They would like to be considered to do any possible investigation of non-point bacterial inputs into Quilcene Bay. Letter from Charles R. Samples, Jr.; Lot 42 Griffith Point, Marrowstone Island: Gael Stuart will write a letter tor the Chairman's signature advising Mr. Samples that his letter will be put on the March 20, 1985 Board of Health agenda for consideration. Brinnon Senior Center: Randy Durant has been working with Peter Simpson of the Clallam Jefferson Community Action Council on the proposed site for the Brinnon Senior Center, Commissioner Pitts advised that a representative from the Department of Community Development will Minutes, Health Board February 20, 1985 Page 3: be meeting with the Board of County Commissionellion Tuesday March 26, 1985 at 10:00 a.m. to answer any questions they may have regarding this project. Mary's Village Store, Quilcene= The owners of Mary's Village Store in Quilcene are concerned that they have no space on their property to drill a well and since they do not have good water they can not use the meat cutting section they have installed in the back of their store. They would like to know if there is anyway that they can use special sanitation techniques to use this meat cutting facility, Commissioner Pitts inquired. Randy Durant noted that there is no answer wi thin the scope of the current food and water regulations. They could attempt to go through a waiver process for the well with the Department of Social and Health Service, but because of the wells proximity to their neighbors and their own septic systems, Randy advised them previously that it was doubtful that a waiver would be granted. Randy Durant noted further that this situation highlights the point that Quilcene needs a community water system. There are alot of wells and drainfields in this area that are in close proximity. Commissioner Dennison reported that he and Chairman Brown had met with Pat Floyd and Ken McMillen of the PUD and Vickie Starkey from Nautilus Associates, to discuss some funding that is available for technical assistance for small community sewage systems through the Department of Social and Health Services or the Department of Ecology. The money is available for communities under 3,500 in population. Commissioner Pitts noted that its always good to look into these funding possibilities, but if itis only money for technical studies and not any money to do the project in the community then things get bogged down. There is supposed to be matching grant funds available if a project is feasible, Chairman Brown added. Vickie Starkey will be talking with the State to find out more and report back. Request for Waiver of WAC 248-96-090 Minimum land area requirement:; White-Ingman proposed Short Subdivision, Hadlock: Gael Stuart read a letter from Keith C. Harper, Attorney, outlining the request and reasons for the request for the waiver of the minimum land area requirements for the White Ingman Short Plat located in Hadlock near the Valley Tavern. Ken Ingman and Gene White were present as well as their Attorney, Keith Harper. Randy Durant then explained that this proposed short plat is of a piece of property that is 10,000 square feet in size and has two buildings pre- sently situated on it; one was built in 1977 at which time the septic tank an drainfield were installed; the second building, which houses a Chiropractic Office, was built in 1979 and attached to the septic system. The most recent evaluation of the septic system showed that it is functioning properly. The current requirement for lot size, Randy continued, in a new subdivision, is 12,500 square feet. Randy then asked that the Health Board support the Minutes, Health Board February 20, 1985 Page 4: the Health Officer who will request that the Department of Social and Health Services review this waiver, since that is a requirement before any waiver from the 12,500 square foot requirement is allowed. The reasons the Health Department staff support this request are: 1) This is an existing septic system and existing buildings compared to a new subdivision with no construction on the land. 2) There is sufficient area behind the buildings which will be designated through an easement for a reserve drainfield area should the current system ever fail. 3) Access is provided for operation and maintenance of the septic system. 4) The businesses presently located in the buildings are low water use type businesses and a "Notice to Potential Purchasers" would be put on the face of the plat that, that type of use could not be changed. 5) The Prosecuting Attorney and the District Sanitarian would review all covenants and agreements between the two property owners as far as maintenance of the septic system, before the plat was approved. 6) Separately each lot alone is not large enough to accomodate its own septic system. The concern regarding possible future disagreement among the pr~rty owners and one of them trying to install a septic system in the reserve area be- hind the building could, Randy continued, be addressed in the notice to potential purchasers. Randy advised that he feels that in this case the above noted procedures would be acceptable, but that future proposals like this would have to be taken on their own individual merit. The 12,500 square foot requirement relates to accomodating a single family residence and also defines a site size to accomodate 450 gallons of sewage flow per day. The sewage flow on this site is currently below 240 gallons per day, and the system reserve area has soils acceptable for on-site sewage. Another option, Randy concluded, that the applicant could have persued was to got through the procedures outlined in the Horizontal Regime Act as a condominimum project. The Planning Department, however, advised the applicant that. that is a complicated procedure and perhaps too much for the type of buildings that are located at the site and recommended that they apply for the Health Department waiver. Ken Ingman added that the only difference from the present situation is that there will be two owners instead of just one and that it is not as much a variance as it would appear, The covenants, easements and agreements that are contemplated would be somewhat complex, Keith Harper offered, but the Planning Department, Prosecuting Attorney and the Health Department would have to approve them and once they were approved and recorded as part of the Short Plat they would become part of the instruments of transfer to any new purchaser, and would be binding upon the property, presumably for as long as the septic system is in use. Minutes, Health Board February 20, 1985 Page 5: As far as the possibility of trying to follow the procedures established for condominiums, Mr. Harper noted that many of the requirements would not fit this project because the joint ownership is very minimal. There are not any common areas except the sewer system and easements along the sides and back and between the two buildings. Each building is a separate parcel. The documents required would be drawn up in such a manner as to negate any need of an agreement between the property owners for the upkeep of the septic system. If one or the other of the owners put money into the maintenance and repair of the system they would have the right to charge the other own",r for that cost, even if they did not agree. Commissioner Pitts advised that he has great reservations about granting this waiver due to the precedent it might be setting for dealing with future projects of a similar nature, and Commissioner Dennison noted that he would like to see the Tri Area Community Plan before making a decision. Commissioner Dennison moved to table any action on this request for a waiver until the Board has more time to review the project. Commissioner Pitts seconded the motion. Keith Harper will summarize and outline the areas of concern and submit his summary to the Board in writing. Status discussion on steps taken on Quilcene Bay water quality improvement: Nine persons were present when the Health Board met to discuss possible options with regard to improving the water quality of Quilcene Bay. Those nine included: Chuck Smith, Field Manager for Coast Oyster; Blair Wolfley, Jefferson County Extension Agent; Ken Brooks, Supervisorfior the Jefferson County Conservation District; Kerry Perkins, Techician with the Soil Conservation Service: Jeffrey Delia and Charlene Baker, Delias Broadspit Oyster Company; Gina McMather, Reporter for the Port Townsend Leader; and Joe Daniels, and one other County resident. Randy Durant began by reporting that since the last meeting (See Health Board Minues of ,January 16, 1985) he had received the Sani tary Survey from the Department of Social and Health Services and had started follow- ing up systems that were identified in this shoreline survey as potential failures. 2 ) identified the following as the most critical items of concern: Raw sewage discharged in the Bay or into a water course. The Health Department staff inspected the three sites suspected and noted by the DSHS, Raw sewage discharged to the surface of the ground. All thr~ potential sites in the catagory were inspected by the Health Department staff. DSHS 1) 3 ) Sites requiring further investigation because they were suspect. All of these sites were inspected. Three septic system failureswere found out of these 13 inspected sites, and there could be three to four seasonal system failures, Randy reported, Minutes, Health Board February 20, 1985 Page 6: Two of the owners of failing systems were contacted at the site and the other owner could not be reached at thoctime, The two that were contacted were concerned about the economics of having to repair their failing systems, Ken Brooks then introduced Kerry Perkins of the Soil Conservation Service who reported on the resultsof a survey he conducted of Donovan Creek and the Little Quilcene River for the extent of the animal waste con- tribution to the fecal choliform levels in Quilcene Bay. Mr. Perkins noted that it does appear that animals are getting into Donovan Creek which could cause some contaminants being present in the stream, There is not much of a problem on the Little Quilcene River. however. During his inspection of these areas Mr. Perkins did find an old landfill site which appears to be weeping and there is an oil slick on ponded water below the site. There is also some very gravelly, sandy loam type of soils beneath the landfill site which could cause percolation of con- taminants down through the soils and it could eventually run toward Donovan Creek. The Soil Conservation Service and the Soil Conservation District stand ready, Mr. Perkins advised, to provide technical assistance to the land- owners along these stream corridors in an effort to mitigate the problem of animals in the streams, There are cost sharing funds available to provide for fencing of the stream corridors and labor available through the Department of Natural Resources Youth Conservation Corps to install fencing and help reestablish vegetation along the stream corridors, Ken Brooks reported that the Conservation District has pursued fencing livestock in all the agricultural areas in Jefferson County and has done planting along stream banks, a procedure which enhances water quality and probably doesn't effect the economics of the farm operation, with the intention to create some action to get the community involved in correcting a possible problem area. With the DNR labor and 75% cost sharing, the fencing can be installed for $.10 a foot, Ken Brooks also advised. in response to Commissioner Pitts question, that the Conservation District would be willing to have a meeting in the Quilcene area and provide information to that community on good agri.cultural management practices. Another area that should be looked at as far as contaminants, Mr, Brooks pointed out is the large population of seals in the Quilcene Bay area, Commissioner Brown offered that the need is to focus on the fact that there is a problem instead of trying to point a finger at anyone, possible contributor to that problem, and then to do whatever can be done that is easiest and most economically feasible in any area and see how much that improves the water quality, There is a serious problem with the number of totally inadequate on-site sewage disposal systems in Jefferson County, Dr. Fischnaller added, which is hard to handle, Commissioner Brown noted that the County will have to handle those like everything else-- by doing the best that can be done with each one. Ken Brooks suggested that since there i.s a need for information, possibly the first step to solving this problem, while taking the easy steps like Minutes, Health Board February 29, 1985 Page 7: fencing stream corridors and planting vegetation, is to form an Ad Hoc Committee to study the circulation of Quilcene Bay, Steps have been taken along this line, Commissioner Pitts reported. There is an application for grant money through the Department of Ecology Shellfish Protection Strategy program. If the County can obtain this funding then it can investigate the roles of the various contributors to the problem and identify the sources of contamination that are involved, Commissioner Pitts would like to see if the State people are serious about this shellfish problem and if the County can get some money to do a study of this sort before forming a committee, Discussion ensued of the laws and regulations on on-site sewage disposal and how the Health Department deals with failing septic systems, as well as loopholes in the County's regulations regarding building permits and the septic system permitting process, Commissioner Dennison made the point that the County doesn't have a problem with what is already known, it's what is not known that is a major problem and no one in the room is qualified to figure out what that problem is. The County, Commissioner Dennison feels, should concentrate on efforts to employ someone to deter- mine the scope of the problem and then the County can take whatever steps are available through the law and the County's authority to work on those problems, Commissioner Pitts respectfully disagreed with part of what Commissioner Dennison was saying because he feels this is not just a problem with Quilcene Bay, but a problem with Puget Sound. Puget Sound should be looked at as a bioregion, There are not funds available on the county, state or federal level to provide the manpower to do the things that are necessary to deal with the problems, Mr. Delia feels that Quilcene is a unique enough situation that if the people were educated to the problem and possible steps they could take to help, that something could be done without the need for governmental agencies to be involved, Local governments and people need to figure out how to solve problems with the assets they have available, Ken Brooks added, because the federal and state governments are shifting the burden on to them, There are more ~ssets available in our own communities and more ability to solve prob- lems in our own communities than is taken advantage of on the local level. If some of the problems can be addressed locally, Mr. Brooks continued, and then if the grant money is received a good deal of the background work will already been accomplished. This would facilitate any activity of a consultant that would be hired and in addition it would bring the community involvement into the matter. Chairman Brown concluded the discussion by noting that alot of op~n~ons and good ideas had been expressed and that the problem will have to pro- bably be addressed in a combination of ways with the resources available. There is the advantage that the problem was caught while still isloated in a small portion of the Bay, Minutes, Health Board February 29, 1985 Page 8: Budget for 1985: Gael Stuart pointed out that the 1985 budget as it was printed was not correct with the way it was presented or approved. There was an additional amount for clerical help in the salaries line that was moved down to contract help and the amount for the contracting of an environmental health specialist for the summer was eliminated. Gael re- ported that he had that corrected, through the Auditor's office. The Board advised that they would check their notes on the budget because there was some question about the approval of the extra clerical help. Gael Stuart then reported that they have received 40 applications from the advertisement placed in the Leader for part time clerical help. Commissioner Dennison will sit on the interview committee after the app- lications are screened. CONTRACTS for 1985: Commissioner Pitts moved to approve the following contrac~for~83: Brinnon Schools Port Townsend Schools Chimacum Schools Quilcene Schools City of Port Townsend Clallam-Jefferson County $ 490.00 Revenue 2,264.00 Revenue 2,386.00 Revenue 978.00 Revenue 31,453.00 Revenue Family Planning 1,000.00 Expenditure Commissioner Dennison seconded the motion, The meeting will be March 20, 1985 MEETING ADJOURNED JEFFERSON COUNTY BOARD OF HEALTH B.G. Brown, Chairman John L. Pitts, Member Larry W. Dennl-son~l1ember PUBLIC HEALTH NURSING VITAL STATISTICS ENVIRONMENTAL HEALTH HEALTH EDUCATION ( JEFFERSON COUNTY HEALTH DEPARTMENT 802 SHERIDAN PORT TOWNSEND, WASH. 98368 (206) 385'()722 :February 21, 1985 ~ Mr. Charles R. 1151 Griffiths P. O. Box 76 Nordland, WA Samples, Jr. Point Road 98358 Dear Mr. Samples: Your letter of February 8, 1985 was presented to the Board of Health at its regular meeting February 2, 1985. The letter was referred to Randall Durant, R.S., and Dr. J. E. Fischna11er for comment. This matter will be on the agenda of the regular Board of Health Meeting March 20, 1985 at 10:00 a.m. The meeting will be held in the Conference Room on the Second Floor of the Jefferson County Multi-Service Building at 802 Sheridan Avenue in Port Townsend. You and your representatives will be able to state your position at that time. It is our aim to treat all persons fairly and equally as requested in your letter. Sincerely yours, . G. Brown, Chairman Jefferson County Board of Health GS/vp cc: J. E. Fischna11er, M.D., Health Officer Randall M. Durant, R.S., Director of Environmental Health Jefferson County Board of Health . .~-' i'_-, CONTRACT FOR PROFESSIONAL SERVICES BETWEEN SCHOOL DISTRICT #48 and JEFFERSON COUNTY HEALTH DEPARTMENT THIS AGREEMENT IS MADE AND ENTERED INTO BETIlEEN QUILCENE SCHOOL DISTRICT 1148 AND JEFFERSON COUNTY HEALTH DEPARTMENT. THIS AGREEMENT BECOMES EFFECTIVE ON THE FIRST DAY OF SEPTEMBER, 19B5 AND CONTINUES UNTIL JUNE 30, 19B6. WITNESSETH WHEREAS, School District #48 is in need of Public Health Services and, WHEREAS, Jefferson County Health Department referred to as the CONTRACTOR, is prepared and willing to assume the responsibilities as set forth within this AGREEMENT: IT IS AGREED BETVlEEN BOTH PARTIES AND NAMED HEREIN AS FOLLOWS: 1. The contractor shall perform the following duties; a. Coordinate student screening, rescreening and referral according to WAC 248.148.010 through .150. b. Perform nursing assessment upon referral. c. Counsel faculty, parents and students in health related areas upon referral or request~ d. Participate in health curriculum development on request. e. Provide input for the development of district health related policy ad hoc. f. Provide consultation in the areas of communicable disease pre- vention and control. g. Establish liason with community social, welfare and social agencies on behalf of child/family in need of services. h. Provide environmental inspection of school facilities to insure a healthful environment. 2. For said services rendered under this Agreement, School District #48 shall pay to the Contractor herein named a rate of $978.00 for the school year 1985-19.86, commencing September.. 1985. and terminating in June, 1986, the amount to be paid by December 15, 1985. 3: The Contractor will assure the professional preparation and competence of the nurse and environmental consultants. 4. The Agreement may be amended by written consent of both parties and all amendments' shall be attached to this agreement and made a part therein. 5. The agreement may be terminated by either party upon 60 days written notice. .. . . Contract between School District #48 and Jefferson County Health Department Page 2 SIGNED AND DATED THIS1..!.. . ~ 1 ~ i DAY OF," #.-'~''''''''f!!:'$ SCHOOL DISTRICT #48 ,"' !/~ /',/;<, s~~-e~l~1:~'--/l ....'1 {, "'" j(. ,.of f" "__ . (- '~1:2...(-t;,'".(' '--_. JEFFERSON COUNTY HEALTH DEPAlITMENT ~<ICZ dI~ Ga Stuart~ Admlnlstrator JEFFERSON COUNTY BOARD OF HEALTH _~~hILJ B. G. Brown, hairman Approved as to f0rm: Jefferson County Prosecuting Attorney l )/:~ '. .:7 COKTRACT FO); PI:llf[SS Ill:;,;!.. S;:r.\"! c!:: THIS CONTRACT is between the JEFFERSON COUNTY HEALTH DEPARTMENT (Department) and Jeanne Hibbard. The contract is to be effective as of, February 1, 1985 ,'. and supersedes that contract between the said parties previously entered. WHEREAS, the Department is in need of the services of a Pediatric Nurse Practitioner; and WHEREAS, at the present time the Department is unable to provide the services from personnel within its employment; and ~~REAS, Hibbard states that she is a qualified person to perform the duties and responsibilities set out in the body of this contract; No~, Tnerefore, IT IS AGREED: (1) Hibbard shall act as a Pediatric Nurse Practitioner conducting Well Child Clinics and Early Periodic Screening Diagnosis and Treatment Programs and the WIC program. As a part of the clinics' programs Hibbard will conduct physical examinations. perform hematocrit and urine tests, review screening data, record information obtained, provide counselling and instruction, refer patients to appropriate medical personnel, confer with the Public Health Nurse and County Health Officer or Public Medical Doctor regarding findings and recommendations related to children with potential problems. (2) The services to be performed by Hibbard will be in accordance yith the standards of the profession and will folloy the outline of those services as set out in the Maternal Child Health Contract with the State of Washington, the WIC Contract with the State of Washington and the Early Periodic Screening Diagnosis Contract with the State of Washington, both of which are attached here- to and by this reference incorporated into this contract as if fullv set forth. (3) The DeparLment shall pay Hibbard Lhe amount of Thirteen dollars and two cents ($13.02) per hour for profess~nal services renaered and shall -' ~ ~ CO~TRACT fOR PROfESSIONAL SERVICES (Hibbard) Pag~ 2 reimburse her for mileage driven 'in her personal vehicle at the rate established by Jefferson County. , ~ (4) Hibbard shall provide the Department a detailed accounting of the york performed and the mileage driven at ~he conclusion of each month of this contract. The Department shall make payment for the york performed on or before the 20th day of the month following the month in yhich the' york yas performed. (5) Hibbard is employed by the Department to perform certain required services which cannot be provided by Department personnel. It is understood that Hibbard acts as an independent contractor and that she yill receive no fringe benefits from the Department or Jefferson County. It is further understood that neither the Department nor Jefferson County will yithhold fICA taxes or other obligations for yhich Hibbard may be responsible. (6) Hibbard shall provide malpractice insurance coverage for the work yhich she performs under the terms of this contract in a minimum amount of $100,000.00 per injury. (7) Hibbard shall not discriminate against any person presenting themse1f for service based on race, religion, color, sex, age or national origin. The Departmen~ shall take affirmative action to insure that persons receive services yithout regard to race, religion, color, sex, age or national origin. (8) This contract shall continue until terminated by one or the other of the parties hereto. Termination shall require sixty (60) days ~itteD notice by the terminating party. ~ ~ . CONTRACT FOR PROFESSIONAL SERVICES (Hibbard), Page 3 DATED THIS DAY OF 19~. JEFFERSON COUNTY BOARD OF HEALTH By d4~k/ B. G. Brown, Chairman By ~.~ c? J)~ ael R. Stuart, Administrator By 04:.-L,..L ~_~z~ ,;Y:Jeanne Hibbard ..' CONTRACT FOR PROFESSIONAL SERVICES THIS CONTRACT is between the JEFFERSON COUNTY HEALTH DEPARTMENT (Department) and Myrtle Corey. The contract is to be effective as of Eebruary 1, 1985. , WHEREAS, the Department is in need of the services of a Foot Care Practitioner; and WHEREAS, at the present time the Department is unable to provide the services from personnel within its employment; and WHEREAS, Corey states that she is a qualified person to perform the duties and responsibilities set out in the body of this contract; Now, Therefore, IT IS AGREED: (1) Corey shall act as a Registered Nurse conducting Foot Care Clinics for Senior Citizens and Handicapped Persons. Corey will give foot care including trimming nails, treatment of calluses, pad feet to alleviate pressure, check pedal pulses and perfusion, inspect general condition of feet, counsel and instruct, refer patients to appropriate medical personnel, confer with the Public Health Nurse and County Health Officer or Private Doctor regarding findings and recommendations related to persons with potential problems . (2) The services to be performed by Corey will be in accordance with the standards of the Jefferson County Health Department and will follow the outline of those services as set out by the Department. (3) The Department shall pay Corey the amount of Seven dollars and fifty seven cents (7.57)per hour for services rendered and shall reimburse her for mileage driven in her personal vehicle at the rate established by Jefferson County. (4) Corey shall provide the Department a detailed accounting of the '" CONTRACT FOR PROFESSIONAL SERVICES (Corey) Page 2 work performed and the mileage driven at the conclusion of each month of this contract. The Department shall make payment for the work performed on or before the 20th day of the month following the month in which the work was . performed. (5) Corey is employed by the Department to perform certain required services which cannot be provided by Department personnel. It is understood that Corey acts as'an independent contractor and that she will receive no fringe benefits from the Department or Jefferson County. It is further understood that neither the Department nor Jefferson County will withhold FICA taxes or other obligations for which Corey may be responsible. (6) The Department shall provide insurance coverage for the work which she performs under the terms of this contract. (7) Corey shall not discriminate against any person presenting themself for service based on race, religion, color, sex, age or national origin. The Department shall take affirmative action to insure that persons receive services without regard to race, religion, color, sex, -age or national origin. (8) This contract shall continue until terminated by one or the other of the parties hereto. Termination shall require sixty (60) days written notice by the terminating party. DATED THIS DAY OF , 1985 JEFFERSON COUNTY BOARD OF HEALTH ~ B. G. Brown, Chairman JEFFERSON COUNTY HEALTH DEPARTMENT By By By 1I{~-fi!J?>>c r e Corey '---7.......~ ~ CONTRACT FOR PROFESSIONAL SERVICE THIS CONTRACT is between the JEFFERSON COUNTY HEALTH DEPARTMENT (Department) and i~ bwc< 11 II H f'..J;.<<- .Christy Helsell. This contract is to be effective as of Ja~H8ry I, 1983: WHEREAS. the Department is in need of the ser:'~~es of a NUTRITIONIST: 'and WHEREAS, at the present time the Department is unable to provide the services from personnel yithin it's employment; and ~~EREAS, Christy Helsell states that she is a.qualified person to perform the duties and responsibilities set out in the body of this contract; Now J Tnerefore, IT IS AGREED: (1) Christy Helsell shall act as a Nutritionist conducting consultatio yith W.I.C. clients yho have special nutritional problems and Yith the Nursing staff of the Department. lnservice instructions for the staff shall also be provided. As a part of the program Christy Helsell yill design nutritional programs and give directions to clients to assist them in overcoming nutritional inadequacies. Christy Helsell yill also keep necessary records and data and refer clients to appropriate medical personnel, comer yith the Public Health Nurse and County Healtb Officer or public medical doctor regarding findings and recommendatio related to clients Yitb potential problems. (2) Christy Helsell states that she is fully certified by the American Dietetics Association as a nutritionist and will pro~de a copy of her certification for the Jefferson County Health Department files. (3) The services to be performed hy Christy HelseIl Yill be in accordance with the standards of the profession and will follow the outline of those services as set out in tbe W~I.C. contract with the State of Washington, which is attacbed hereto and by this reference incorporated into this contract as is fully set forth. (4) The Department shall pay Christy Helsell the amount of Fourteen dollars and seventy three cents ($14.73) per hour for professional services rendered. . - CONTRACT FOR PROFESSIONAL SERVICES (HELSELL) Page 2 (5) Christy Helsell shall provide the Department a detailed accounting of the work performed at the conclusion of each month of this contract. The Department shall make payment for the work performed on or before the 20th day' of the month following the month in which the work was peformed. (6) Christy Helsell is employed by the Department to perform certain required services which cannot be provided by 'Department personnel. It is under- stood that Christy ~elsell acts as an independent contractor and that she will receive no fringe benefits from the Department or Jefferson County. It is further understood that neither the Department nor Jefferson County will withhold FICA taxes or other obligations for which Christy Helsell may be responsible. (7) Christy Helsell shall provide malpractice insurance coverage for the work ~hich she performs under the terms of this Contract in a minimum amount of ~lOO.OOO.OO per injury. (8) Christy Helsell shall not discriminate-against any person presenting tbemse1f for service based on race, religion, color, sex, age or national origin. The Department shall take affirmative action to insure that persons receive services ~thout regard to race, religion, color, sex, age or national origin. (9) This Contract shall continue until terminated by one or the otber of tbe parties hereto. Termination shall require si~ty (60) days written notice by tbe terminating party. DATED THIS DAY OF 19 JEFFERSON COUNTY BOARD OF HEALTH JEFFERSON COUNTY HEALTH DEPARTMENT By ~ B. G. Brown, Chairman By ~ /2. dCJ Gael R. Stuart, Administrator &,~~J Christy Helsel ~ //~~ ,-7, '/ :.- /. CO~TRAC1 FOI; I'r:n:L~' <"I Ol\Al SEH\'} cr~ THIS COh1RACT is between the JEFFERSON COUNTY HEALTH DEPARTMENT (Department) and Mary Tudor, R.N., M.N. The contract is to be effective' as of February 1, 1985. WHEREAS. the Department is in need of the services of a Nurse Consultant, Child Health Development; WHEREAS, at the present time the Department is unable to provide the services from personnel within its employment; and ~~EAS. Tudor states that she is a qualified person to perform the duties and responsibilities set out in the body of this contract; N~, Tnerefore., IT IS AGREED: (1) Tudor shall act as a Nurse Consultant in Child Health Development conducting consultation with parents of children who have special health and de- velopmental needs and with the staff of the department. Tudor will conduct staff workshops, provide assistance to staff in case finding, follow-up, intervention, consultation and teaching. Tudor will also keep necessary records and data and refer clients to appropriate medical personnel. confer with the Public Health Nurse and County Health Officer or Public Medical Doctor regarding findings and recommendations related to patients with potential problems. (2) The services to be performed by Tudor will be in accordance with the standards of the professions and will follow the outline of those services as set out in the M.C.H. Contract with the State of Washington, which is attached hereto and by this reference incorporated into this contract as if fully set forth. (3) The Department shall pay Tudor the amount ofSixreen Dollars and sixty four cents per hour for professional services rendered and shall reim~ , - , - . . . - CI'::ffi.;Ci ru;:' l'ROfESSIO::.-'J. SER\'] CE~ (ll1Jl,r) Par.... ., ourse her tor miiea~c arlven ill [ICI personal vctliCJe at tll~ rale eSLabliS}I~~ by Jefferson County. (4) Tudor shall provide the Department a detailed accounting of the work performed and the mileage driven at the conclusion of each month of .- this contract. The Department shall make payment for the work performed OD or before the 20th day of the month following the month in which the work was performed. (5) Tudor is employed by the Department to perform certain required services which cannot be provided by Department personnel. It is understood that Tuoor acts as an independe~t contractor and that she will receive no fringe benefits from the Department or Jefferson County. It is further unoerstood that neither the Department nor Jefferson County will withhold FICA taxes or other obligations for which Tudor may be responsiblE. (6) Tudor shall provide malpractice insurance coverage for the work which she performs under the terms of this contract in a minimum amount of SlOO,OOO.OO per injury. (7) Tudor shall not discriminate against any person presenting themself for service based on race, religion, color, sex, age or national origin. The Department shall take affirmative action to insure that persons receive services uithout regard to race, re1igion, color, sex, age or national origin. (8) This Contract shall continue until terminated by one or the other of the parties hereto. Termination shall require sixty (60) days written notice by the terminating party. , CONTRACT FOR PROFESSIONAL SERVICES (Tudor) Page 3 DATED THIS DAY OF , 19 / JEFFERSON COUNTY BOARD OF HEALTH By /fd&~J 'B. G. Brown, Chairman JEFFERSON COUNTY HEALTH DEPARTMENT Byj#d (?,jt~1 Gael R. Stuart, Administrator CONTRACTOR al~ /j~ ('1.1 . :' .~---.~ It'/II/f / ':'I'!l!7 / /\.,'-/1 . ! ;../ V ______ Mary Tudor, R.N., M.N.