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HomeMy WebLinkAbout01 January COMMUNICABLE DISEASE CONTROL PUdLlC HEALTH NURSING HW..iE NURSING VI T,c.. l SfATiSTiCS ENVIRONMENTAL HEALTH HEALTH EDUCATION JEFFERSON COUNTY HEALTH DEPARTMENT / 802 SHERIDAN PORT TOWNSEND, WASH. 98368 (206)385-0722 M"W1i'l&";TfI""'~~7,... at!!~t:1lJ.: ~ifJ~~ili.!. Minutes: January 18, 1984 BOARD I1EI1BERS: STAFF MEMBERS: B.G. Brown, Chairman A.~j. o 'Heara , i'lember John L. P:Ltts, Member Randall M. Durant, R.S. Gretchen Gephart, D.O.N. Joseph Fischnaller, M.D. Gael S~uart, Administrator The meeting was called to order by Chairman B.G. Brown, with all members in a~tendance. Board Reorganization: By the motion of Commissioner O'Meara, seconaecr-15y-eommissionerul'itts, B.G. Brown was retained as Chairman of the Board wlt:hJohn Pitts to act as vice-chairman. Unanimous. Approval of Minutes: The minutes of the December 21, 1983 meeting were approvea-on-thelTIoflon of Commissioner O'Meara, seconded by Comm- issioner Pitts. Unanimous. ErnestCriez rei Appeal of on-site sewage disposal permit rejection; Lots 1 anirLjHock IT, Paradise Bay Estates: Mr. Ernest---Cj;;Iezflasre.:- quested Uiat the rejection or tnesewag-e-dISposal perm1.t applicaUon for Lots 1 and 2 of Paradise Bay Estates, Block 13; be reviewed. The application was made by Mrs. Jane Suzuki, who is the potential buyer of these lots, contingent on approval of the sewagejlsDosal permit. Randy Durant reported that there had been a site evaluation done in August of 1980 which found the two waterfront lots conditionally acceptable for, maximum of two bedrooms, mobile home or travel trailer. Mr. Criez was advised in September 1980, after inquiring, that a definite plot plan would be required before apy further determination could be made about the type and size of structure these two lots could accomodate. On waterfront lo~s, such as these, the sewage disposal system set backs (per regulation) are: 100 feet from mean high tide and 10 feet from property lines. Since mean high tide is difficult to determine, the measurement is made from the point that the foliage changes. Randy indicated that when all of the set backs are taken into consideration on ~hese lots, the available drainfield area is limited. Drainfield design dictates that it be placed acyoss slope, which is difficult on these lots due to the variable contour of t~e land. Minutes, Health Board January 18, 1984 Page 2: Randy advised that his main concerns about these two lots are: 1) Amount of useable area for a drainfield and the soils a available in that area and 2) Control of surface water. At the appeal hearing held on January 4, 1984, Mr. & Mrs. Criez and Mr. Haycock of Port Ludlow Realty discussed the probEms with Randy and Dr. Fischnaller. No recommenda- tion was made as to how to accommodate building on this site. Mr. Criez indicated he would make some measurements himself and possibly talk to a licensed engineer for any suggestions he may have. Randy in- dicated that he would be happy to review any plan Mr. Criez submits. Nursing Director Annual Report: Gretchen Gephart, Director of Nurses, presented the~ual Report of the Division of Nursing and Clinical Services of the Jefferson County Health Department as pre- pared by the Health Department Staff. She explained that she would be available to answer in any questions the Board may have after they have a chance to read the report. NURSING DIRECTOR REPORT: The State Department of Developmental Disabilities has-asKed that the Health Department offer more in-service education, and Gretchen Gephart reported that she has set up a program with the Group Homes in the area for this purpose. Blood screening will also be done,for Group Home residents, for Hepatitis B. Contracts to be signed: The following contracts were approved ___and sTgned on the motion or-Commissioner 0' Meara, seconded by Comm- issionerPitts':- -Clallam County' West End S-ervi'ce anG AdmTnistrative Services of Gael Stuart. Report on discussion with Mayor Brent Shirley on City representation on the-BOaraof Health: G'a-eLStuart reported that the City of Port---'d'- TOwnsend had indicateathat they would like voting representation on the Board of Health since they are now contributing to the Health Depart- ment. This has to be done by Resolution of the County Commissioners (RCW 70.46.030) forming a Health District to be governed by a five member board: The three County Commissioners, a representative of the City of Port Townsend (being the only City in the County) and one additional member. Mayor Shirley indicated several areas of concern to the City: 1) Education, 2) voting member on the Board and 3) The relationship of the Health District and Jefferson General Hospital. Commissioner Pitts agreed that the possibility of working more closely with Jefferson General Hospital should be explored to see if there is a feasible mechanism to serve the community better. This does not mean reduction to the Health Department staff, but it could be a way to eliminate duplication of facilities and services. Gael Stuart advised that he would have the Prosecuting Attorney draw up a resolution for the formation of a Health District and schedule the public hearing. The matter of representation by a school district member will be resolved during the formation of the District. Minutes, Health Board January 18, 1984 Page 3: Geriatric Health Screening Program, discussion: The Clallam County request -for monetary 'contribution to-continue-The"Geriatric Health Screening Program in Jefferson County was denied (see Minutes of August 17, 1983) due tobudgetary limitations and departmental priorities, Gael Stuart reminded the Board. Now, it appears that the Area Agency on Aging has dropped their funding for this program also. John Pitts advised that he will find out what the Council of Govern- ments is planning to do about this program through the Area Agency on Aging. Family Planning Program, discussion: Gael Stuart advised that there are needs in tamily planning' that"'are not being met by the present program. The costs involved in expansion of the program to meet these needs are being compiled. Septic Tank at West End Annex: Chairman Brown asked Randy Durant to lo~into the possibility ot aaaing a two bedroom mobile home to the septic tank/drainfield at the West End Annex. Randy will review the plans for the system and advise the Board of his findings. Coyle Fire Hall: In response to a query by Commissioner Pitts, Randy Durant explained chat when the permit for the Coyle Fire Hall was issued, it was with the understanding of the Fire Commissioners, chat there was no area for a drainfield and there was no public water available. It was the Fire Commissioners decision to build the fire hall with those limitations. ENVIRONMENTAL HEALTH DIRECTOR REPORT: Randy Durant reported that December saw an lncrease over the last two to three years in the issuance of sewage disposal permi~ (18) and site evaluations (19). Since a 30 day grace period was granted, there were only six renewals of sewage disposal permits. John Eliason has made 63 inspections of food handling establishments during December and hopefully this program will be back to normal by the end of February. The Department of Social and Health Services will be auditing the County Food Program in January, Randy advised. They randomly select 24 to 28 establishments to spot check. The last audit of this type was done in 1974. There was an increase in 1983 of actual over anticipated revenues from fees charged by environmental health. HEALTH OFFICER REPORT: There is an outbreak of Scabies at the Queets School due to a lack of water on the Indian Reservation. The waterser-vice was stopped on December 21, 1983 because of frozen pipes. The Health Department, Dr. Fischnaller advised, has no authority on the Indian Reservation, but it does have a responsibility to see that pressure is put on the proper authorities to remedy the situation. Gael Stuart will contact the Indian Health Division in Portland to see what needs to be and has been} done and report to Commissioner Pitts so that he can contact U.S. Representative Al Swift for help in this matter. Minutes, Health Board January 18, 1984 Page 4: ADMINISTRATOR'S REPORT: Administrator, Gael Stuart, reported that rne-Health Department, at the end of 1983, is about $28,000 in the black. This was due to savings on expenditures and increased income in all areas, especially environmental health. It is his feeling that the results of an improved economy are being felt, which will mean an increase in feesin environmental health section, if this continues into 1984. Nursing services should not increase in 1984 simply because they are presently at the saturation poinc. The next regular meeting of the Board of Health will be February 15, 1984. MEETING ADJOURNED " .,' ""- ~ . . CONTRACT FOR PROFESSIONAL SERVICES AGREEMENT BETWEEN JEFFERSON COUNTY DEPARTMENT OF HEALTH AND CLALLAM COUNTY DEPARTMENT OF HEALTH , . This agreement is made and entered into between the Jefferson County Department / of Health (Department) and Clallam County Department of Health (Contractor). This agreement became effective January I, 1984 and was set into writing December 28, 1983. WITNESSETH WHEREAS, The Department is in need of an Environmental Health Specialist and Public Health Nurse to provide service to the western end of Jefferson County and, WHEREAS, at the present time, the Department is unable to provide these services from a full time member of it's staff, and, WHEREAS, the Contractor is prepared and willing to assume the responsibility as set forth in this agreement: IT IS AGREED BETWEEN BOTH PARTIES AS NAMED HEREIN AS FOLLOWS: I. The Contractor shall perform the following specific duties: NURSING A. Visit Queets-Clearwater area maximum of 1 day, 2 times per month (including travel). 1. Approximately half of the time to be spent in the Queets- Clearwater school carrying out school nurse responsibility during the school year. 2. Approximately half of the time spent in making home visits to the community to follow-up on school health problems, visit persons with chronic diseases, provide for communicable disease control, and provide health education for mothers and infants. 3~ Office time: Answering phone calls, record keeping, patient visits and preparation for school and home calls. ENVIRO~~IENTAL HEALTH A. Work in the area for a maximum of 15 days per year plus travel to provide the following services: l. Food Establishment inspection (3 times per year). 2. Solid Waste complaints investigations and inspection of facilities. r .. >>'" ", AGREEMENT BETWEEN JEFFERSON COUNTY HEALTH DEPARTMENT AND CLALLAM COUNTY HEALTH DEPARTMENT --- Page 2. 3. Public Water Supplies-inspection, planning and sampling 4. Sewage-inspection and approval of on-site systems. II. /For said services rendered under this agreement, the department shall pay to the contractor the following amounts: A. School Nurse Service: $20.50 per hour to a maximum of $4,346.00 B. Environmental Health Service: ~31.'25 per hour to a maximum of $2,968.75. C. Travel: Mileage will be paid at the established Clallam County during the term of this contract. shall not exceed 3,000 miles each year. rate in effect in Total mileage )Y tYV1 III. Detailed bills will be provided by the contractor on January I, 1985. Department shall pay contractor for services rendered on or before January 31, 1985. This agreement will be effective from January 1, 1984 to December 31, 1984. PASSED AND ADOPTED THIS .,:2/V DAY OF r~ , 1984. APPROVED AS TO FORM: ==;s; 2;'-" ,~~~&.. l1ember ~ ~ Memb er PASSED AND ADOPTED THIS /~~ DAY OF JEFFE , 1984. OF HEALTH ~ ., y, .., . .' I & ~v?u Chairman ~L/~ " ,t;'//f~\. . Member M0 ~ 9f1 0J11/4-~#~/ em er .1 ... . ADMINISTRATIVE SERVICES CONTRACT THIS AGREEMENT is between the JEFFERSON COUNTY BOARD OF HEALTH (BOARD) and Gael R. Stuart (CONTRACTOR). This contract is to be effective / January I, 1984 and will continue until December 31, 1984. WHEREAS, the Board is in need of the part-time services of an admini- strator; and WHEREAS, the Contractor states that he is qualified to perform the duties of an Administrator as set forth in the body of this contract; NOW THEREFORE, IT IS AGREED: The Contractor shall provide full administrative services for the Jefferson County Health Department. These services are listed in part below. 1. Administration of personnel under the personnel policies adopted by the Jefferson County Commissioners. This includes development of work sche- dule and accountability. 2. Preparation of the annual budget and proper control of expenditures and receipts of the program. 3. Program development in consultation with the Department Staff and the Board of Health. 4. Assuming responsibility under the direction Of the Health Officer to see that the health regulations of the State of Washington and Jefferson County are properly carried out. 5. To attend the regular monthly meeting of the Board of Health and prepare the meeting agenda. 6. To meet regularly with the Health Department staff and keep them informed of the actions of the Board of Health. 7. To prepare reports or supervise their preparation as required by the State of Washington, Jefferson County or United States of America. 8. All of the above services shall be provided by the Contractor-under the direction of the Jefferson County Board of Health. The Board shall pay the Contractor the sum of Five hundred dollars ($500.00) per month for professional services rendered and shall make payment ~-_"'!!! Administrative Services Contract Page 2 for the work performed on or before the 20th day of the month following the / month in which the work was performed. It is understood that the Contractor acts as an independe~t contractor and that he will receive no employee benefits from the Board or Jefferson County. It is further understood that neither the Board nor Jefferson County will withhold F.I.C.A. taxes or other obligations for which the Contractor may be responsible. The Contractor shall be considered an agent of the Jefferson County Health Department and will be covered by the terms of the Department's insurance policy. The Contractor shall not discriminate against any person presenting themselves for service based upon race, religion, color, sex, age or national origin. The Contractor shall take affirmative action to insure that persons receive services without regard to race, color, sex, age, or national origin. This contract may be terminated by either party by written notice of thirty (30) days. IN WITNESS ~lEREOF, the parties hereto have executed this agreement as of the day and year first above written. DATED THIS /.l{.t'-DAY OF ~ [~.<--l~V a JEFFERSON COUNTY BOARD , 1984. OF HEALTH By ,~A-<-</'v,j B. G. Brown, Chairman CONTRACTOR J..'9 C(JtJ ael R. Stuart