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HomeMy WebLinkAbout05 May COMMUNICABLE DISEASE CONTROL .1 PUBLIC HEALTH NURSING HOME NURSING VITAL 5T A TISTIGS ENVIRONMENTAL ,~EALTH,. HEALTH EDUCATION JEFFERSON COUNTY HEALTH DEPARTMENT 802 SHERIDAN PORT TOWNSEND, WASH. 98388 (206) 385.0722 EALTH BOARD Minutes: ~1ay 16, 1984 Board Hembers: Staff Members: B.G. Brown, Chairman A.M. O'Meara, ~1ember John L. Pitts,Nember Brent S. S~irley, Member Randall M. Durant, R.S. Gretchen Gephart, D.O.N. Joseph Fischnaller, M.D. Gael. Stuart, Administrator The meeting was called to order by Chairman B.G. Brown at 9:00 a.m. with all members present. Approval of Minutes: The Minutes of April 18, 1984 were ,approved as corrected on the motion of Commissioner O'Meara, seconded by Commissioner Pitts. NURSING DIRECTOR REPORT: Gretchen Gephart presented the report of nursing services provided in the County (including the City of Port Townsend) for the month of April as well as a new quarterly report for these services provided within the City. Highlights of the monthly services Drovided are: Dental Health: One of the DSHS new budget objectives is to increase the number ot children pArticipating in the School Floride Ris~ Dental Prevention Program. A ,,'orl< session was held for the area Dental Hygenists to make them aware of t~is program. Communi ty Education: Programs were presented for the follOl,ring groups: Head ,;tart, Hospital Nutritionists, Pre Schools, Kai Tai Center and parents of Kindergarteners. Free blood pressure screening will be provided at the Safeway Store, with the target group being people age 20 to 55. Gretchen will be investigating w'"lat can be natal services for the medically indigent. are not covered by Medical coupons. done to provide more pre- Many of these services . Health Board Minutes, May 16, 1984 Page 2: Commissioner Pitts reported that he has been investigatirg the possibility of a Health Promotion program for the County. Three areas were mentioned to him as possibilities for the County to promote: 1) Encourage employees to stop smoking, 2) Make it mandatory for employees to wear seat belts and 3) Free flu shots for all employees. Commissioner Pitts asked the Health Department staff if they felt it appropriate to vaccinate all employees and how much that might cost. Dr. Fischnaller and Gretchen Gephart, D.O.N. both advised that it isn't medically recommended to give the flu vaccine to everyone. Senior citizens and people with health problems are the target groups for this vaccination. Younger people don't really need a flu shot. It was estimated to cost a maximum of $2.00 per shot. Dr. Fischnaller advised that he would check with the State for their recommendation about such a program. This would be cheap insurance to keep an employee from missing work for up to five days, Commissioner Pitts noted. Toy Bank: The possibility of starting a toy bank so that toys would be available for children who may not have many, has been discussed with Margaret Berry, Superintendent, School District #50, the local Kiwanis Club and the Children's librarian. Gael Stuart read a letter he received from the WIC Program commending the well qualified and dedicated staff in Jefferson County. He also reported that the Olympic Area Agency on Ageing has approved $1,000 in funding for the foot care program and a budget is beJllg_1'lssembled f()r the Early identification/intervention program which is expected to neCanotner $16;000 in gran-C-funds. ' Immunization program record- keeping was also discussed, with Gretchen Gephart noting that ~arents are given a shot card in aprotective enveJop and copies of the shct re.Q.Qrdar~~ept__at_tfi:.e Heal th . Depa'rtm.EOnt, in case the Earents lose their copy. Discussion of Bed and Breakfast meeting in Seattle, May 11, 1984: Dr. Fischnaller reported that at a meeting oi local health oiiicials whLch he and Gael Stuart attended, there wasn't a great deal of interest in the problems regarding bed and breakfast establishments. A proposed set of guidelines was discussed which would only cover establishments with less than three rooms. Most of these establishments in Jefferson County have more than three rooms, and are now covered as "Transient Accomodations". The Transient accomodation regulatioTISare basically concerned with the construction of the facility and its cleanliness. Food service is not addressed in these regulations but is covered by separate reg- ulations,. The Food Service regulations outline what is requlrea for a commercial kitchen which is not what would be needed f()r the type of food~.eryed by most bed and breaki'ilst estaoHshments. After further discussion of the proposed guidelines and the require- ments of the present regulations that apply, Randy Durant advised that Health Board Minutes, May 16, 1984 Page 3: he and his staff would be doing an inventory of all the bed and breakfast establishments in Jeffeson County and what type of breaKfasts they are serving. After the guidelines are in effect a meeting with all of the owners of these establishments should be arranged to ex- plain what the guidelines mean and to inform them of the County's position in this regard. Variance request: William J. Brown: Rachel Nathanson, Assistant Planner, explained that Mr. Brown is seeking a variance from the twenty foot setback from a drainfield required by the Health Department because the Shorelines requires a 45 foot setback from the bluff for Mr. Brown's Marrowstone Island house. This house is in an unstable recent slide zone (URS) according to the Coastal Zone ~tlas and even though the 55 foot high bluff is well vegetated, it is the Planning Department's view that it would be preferrable, from a slope failure viewpoint, to move the house closer to the drainfield. Randy Durant reported that the initial sewage disposal permit was issued in December of 1980 and the site plan at that time indicated the house would be situated 100 feet from the bluff. There is presently a partial filled drainfield on the site which is upslope from the house. The twenty foot setback requirement is due to this partial fill drainfield which was required because the site is marginal for on site sewage disposal. The Health Department does not recommend a variance to this setback requirement. The Board asked that the Health Department write a letter of explanation of their regulations to Mr. Brown. The Planning Department could possibly suggest that Mr. Brown look into the possibility of reorienting his house to accomodate the two setback requirements. Contract extension for Environmental Health Specialist rei John Hayes: Commissioner O'Meara moved to approve the contract extension tor John Hayes services as an Environmental Health Specialist from June 11 to July 6, 1984, as recommended by Administrator, Gael Stuart. Commissioner Pitts seconded the motion. Unanimous. Notification of Charge reminders to School Districts: Gael Stuart asked the Board for authorization to send a reminder to the School Districts that the Health Department will be charging them for services for the 1984-1985 school year. Commissioner Pitts seconded Commissioner O'Meara's motion to authorize a reminder letter to the School Districts, as recommended by Gael Stuart. Insurance; Liability Limits: The Board advised Gael Stuart that they are in agr~t with him that $1,000,000 liability limit on the Professional Liability Insurance for the Health Department is satis- factory. Contract for a substitute Nutritionist: Commissioner Pitts moved and Commiss~oner O'Meara seconded the motion to approve the Health Board Minutes, May 16, 1984 Page 4: Contract with Irene Marble to work as a substitute nutritionist for Christy Helsell who is on maternity leave. ENVIRONMENTAL HEALTH DIRECTOR REPORT: Randy Durant listed the following highpoints tor April: *Port Ludlow sewer moratorium *Confirmed food born poisoning outbreak at Fort \.orden. First con- firmed outbreak in five years. *Inspection of the County landfill. *Randy was subpoenaed as a witness in a Court case involving real estate contracts. This involved alot of preparation time. *Shellfish poisoning program of sampling - the north end of Oak Bay and Discovery Bay are closed for Butter clams only. The beaches will be posted with signs. Activities within the City of Port Townsend include inspections of the 40 Restaurants, 3 school kitchens, 3 taverns and 17 bakeries/groceries, temporary food service for the Rhododendron Festival, Wooden Boat Festiva~ County Fair and church activities as well as some on-site sewage permits and complaints,- a-no varT6us nuisance cOmplaints. The 'C-ounty 'alsoprov:i,des _ support in the City' swater supply. sampling program, as well as; consultation mTiquor licenses and otnermatters uas necessary:-- ., HEALTH OFFICER REPORT: It has been reported that 7% of the people given rabies vaccine booster shots have had a reaction to them, Dr. Fischnaller reported. 7 There has only been one cat (1976) and one dog (1977)' found to test positive for rabies in the State of Washington in the last 30 years, and except for bats, there hasn't been a case of rabies reported in a wild animal in Washington for 25 years. ADMINISTRATOR REPORT: Gael Stuart explained that he gave the best estimate possible ot the space needs for the future in his reply to the Board's space needs questionnaire. More space and staff for Nursing Service and Environmental Health is anticipated in another year. Financial Report: Even though there has been a lag in the contribution tor the City and the one time school contribution, revenues should be up $16,000 to $20,000 over what was predicted, Gael Stuart advised, and expenditures are on target. MEETING ADJOURNED The next regular meeting will be June 20, 1984. ~h CONTRACT FOR PROFESSIONAL SERVICE THIS CONTRACT is between the JEFFERSON COUNTY HEALTH DEPAR~ENr (Department) and Irene Marble. This contract is to be effective as of May 1, 1984. WHEREAS, the Department is in need of the services of a NUTRITIONIST and WHEREAS, at the present time the Department is unable to provide the services from personnel within it's employment; and WHEREAS, Irene Marble 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) Irene Marbel shall act as a Nutritionist conduction consulta- tion with W.I.C. clients who have special nutritional problems and with the Nursing staff of the Department. As part of the program, Irene Marble will design nutritional programs and give directions to clients to assist them in overcoming nutritional inadequacies. Irene Marble 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 clients with potential problems. (2) Irene Marble states that she is fully certified by the American Dietetics Association as a nutritionist and will provide a copy of her certification for the Jefferson County Health Department files. (3) The services to be performed by Irene Marble will be in accordance with the standards of the profession and will follow the outline of those services as set out in the W.I.C. contract with the State of Washington, which is attached hereto and by this reference incorporated into this contract as is fully set forth. (4) The Department shall pay Irene Marble the amount of Fourteen dollars and forty four cents ($14.44) per hour for professional services rendered. ....".. ~ CONTRACT FOR PROFESSIONAL SERVICES (Marble) Page 2 (5) Irene Marble 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 performed. (6) Irene Marble is employed by the Department to perform certain required services which cannot be provided by Department personnel. It is understood that Irene Marble 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 Irene Marble will be responsible. (7) Irene Harble 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 \i-I DAY OF ~~ ~ , 19~.-'=L. JEFFERSON COUNTY BOARD OF HEALTH JEFFERSON COUNTY HEALTH DEPAR~[ENT By /f:!//fL .~~j..;t~/JV B. G. Brown, Chairman JL (Z JLJ Gael R. Stuart, Administrator By .YAA""'- '4 - ~~r-.~ Irene Marble' ~' ",p Jefferson County Resolution No. CONTRACT FOR PROFESSIONAL SERVICES Environmental Health Specialist II JEFFERSON COUNTY HEALTH DEPARTMEN~ THIS AGREEMENT is made and entered into by JOHN HAYES and the JEFFERSON COUNTY HEALTH DEPARTMENT (Hereafter referred to as the DEPAR1l1ENT). WITNESSETH: WHEREAS, the Department is in need of a part-time Environmental Health Specialist II (EHS); and WHEREAS, John Hayes is a qualified Environmental Health Special- ist II and is prepared to provide services to the Department. NOW, THEREFORE, IT IS AGREED between both parties as named herein as follows: Section I. Services Provided John Hayes shall provide the services of an EHS II to the Department including food service inspection, liquid waste disposal and other related services under the general supervision of the Department Environmental Health Director. Section II. Responsibilities of the Department The Department shall reimburse John Hayes the sum of ten dollars ($10.00) per hour. The Department shall pay travel costs at 20 cents per mile for properly documented on the job mileage. Payment for services shall be made on the regular dates of the Department. Section III. Responsibilities of John Hayes John Hayes, as an independent contractor, will be responsible for payment of all employment taxes as a result of this contract~ Section IV. Effective Date L?L~ J"~ JiG?,j 5/f0t" &.-A Ck.- This agreement is to be effective '1. IJ Y, 1984 and will continue in effect until August 10, 1984. the ~ working days of John Hayes will provide 200 ],uud 6f service during this period. ~ .., . CONTRACT FOR PROFESSIONAL SERVICES Environmental Health Specialist Jefferson County Health Department Page 2 DATED THIS /6!!: DAY OF , 77/7- 1984. JEFFERSON COUNTY BOARD OF HEALTH By ~~.~J Chairman JEFFERSON COUNTY HEALTH DEPARTI1ENT By keb Administrator CONTRACTOR ~~~. JOh,ayes t