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Home My WebLink About07 July / / , .,~~ ;i~ ,~.., . . JEFFERSON COUNTY HEALTH DEPARTMENT .:I::r~~..t:.~~t1:.':U. ./ Minutes: July 20, 1983 Board Members: Staff Members: B.G. Brown, Chairman A.M. O'Meara, Member John L. Pitts, Member Randall M. Durant, R.S. Phyllis Bee, P.H.N. Joseph Fischnaller, M.D, Gael Stuart, Administrator All members were present when the meeting came to order. MINUTES: Commissioner Pitts seconded Commissioner O'Meara's motion to approve the minutes for the meeting of June 15, 1983. Unanimous. PROFESSIONAL SERVICES CONTRACT; MARY TUDOR: Gael Stuart explained that the ~tate tunas the Child Health Development Program by direct reimbursement, and the State sets ,the salary for the services of the Nurse Consultant. The State raised the salary, necessitating that Ms. Tudor's contract be rewrit':en to reflect the raise. Commissioner Pitts moved to approve and sign the new contract. Commissioner O'Meara seconded the motion. Unanimous. (Attachment 1) RABIES REPORT: Randy Durant reported that the head of the raccoon which bit an individUal last month was sent to the lab, and the raccoon was not rabid. (The individual was able to recognize the raccoon because it is one-eyed, and he has been feeding it for two years.) Also this month, a bat was found to have rabies. This is the first known case inth~ County in twelve years. A dog which may have been bitten by the bat;W1!:.si destroyed. The lab reports that approximately ten percent of bats te$'tredactually have rabies. . BUDGETl;>ROJECTION AND. REVENUE SOURCES: Mr. Stuart presented a projected budgettotl9154(Attachment 2) which also included information on two possible sources of additional revenue. Although the County has not previously charged the school districts for serv~ces in the sC::'1001s, it is legal to do so, and such charges are made in many Qther counties. The Port Townsend School District Superintendant has indicated, in casual conversation, a willingness to pay for services, although no specific discussion followed. Health Department staff feel that it will be necessary to tap this source of income and that, if this is to b& done, the school districts should be notified as soon as possible, since their fiscal year begins in October and budgets are prepared well ahead of that. If they are notified now, payment to the Health Department could be included in the 1984-85 budgets, with the first payment due by December 31, 1984. Health Board, July 20, 1983 Page 2 By statute, cities are required to have a Health Officer, although the County Health Officer may serve the city, with the city reimbursing the county on a percentage basis. SB3490 (Attachment 3) provides a mechanism for determining appropriate contributions by cities. The County chose not to charge the City of Port Townsend for the services of the Health Officer until and unless it became necessary. It now appears necessary. Mr. Stuart projects that the City's contribution, per SB3490, would be $31,000 to $32,000 per year. Commissioner Pitts seconded Commissioner O'Meara's motion to notify the school districts and the City that the County will be charging for Health Department services as specified. Unanimous. The Board will take care of notification and negotiation, with the Health Department staff providing assistance and computations. PERSONNEL NEEDS; Environmental Health: Mr. Stuart reported that, due to several tactors, John Hayes, the 3/~ time Environmental Health Specialist, will likely terminate his contract soon. When this happens, the following factors must be considered: 1. The Environmental Health work load is such that a part-time position is not adequate. Work load requires at least one Specialist in addition to Mr. Durant. 2. The elimination of site evaluations and extension of the permit period would decrease the work load, possibly allowing Mr. Durant and one full time Specialist to perform duties in a reasonably timely manner. 3. It is important to hire an experienced person in order to minimize the training required. Since other counties pay a salary 15-20 percent higher than Jefferson County, it will be difficult to compete for the services of someone competent and experienced. If the Specialist salary is raised to be competitive, it would be higher than the salaries of other professionals (i.e., nurses) on the staff. 4. The current salary for a fulltime Specialist position is $15,900 plus 27 percent benefits. We are now paying $14,000 for a 3/5 position. Following discussion, and on the motion by Commissioner Pitts, seconded by Commissioner O'Meara and unanimously passed, it was determined that a second fulltime Environmental Health Specialist position will be added, eliminating the part-time position, with John Hayes being offered the full- time position and, if he refuses, the job to be advertised as soon as possible. DELAYS IN ENVIRONMENTAL HEALTH SERVICES: Realtor Stan Johnston voiced complaints about the length ot time involved in getting site evaluations and/or septic permit approval, septic and water permit denials, and the uncertainty of site evaluations. In response to Dr. Fischnaller, he supported the elimination of site evaluations. It was noted that in order to obtain a septic permit, the location of the proposed structure must be known, and in cases where buyers/owners do not intend to build immediately, the location of the proposed structure may not be determined. Health Board, July 20, 1983 Page 3 . . , , Mr. Johnston was informed that the Board and the Health Department are trying to solve the problems. NURSING DIRECTOR REPORT: Phyllis Bee presented a statistical report for the month ot June, 1~~3 (Attachment 4). Applications for grant funds are being prepared, to be submitted to the State by October 1, 1983. The use of pig manure in gardens has been found to have caused an outbreak of round worm infestation. Investigation will continue, since some local food establishments may be using local fresh produce. ENVIRONMENTAL HEALTH DIRECTOR REPORT: Mr. Durant provided the statistical report tor June, 1~~3 (Attachment 5). An attachment, noting major activities of the staff which are not reflected on the report, as well as the amount of time involved, was briefly reviewed. ADMINISTRATOR REPORT: Mr. Stuart noted that figures on the agenda retlecting actual and budgeted expenditures and revenues for the year do not include $6,158 received for the Home Health Program. MEETING ADJOURNED: The next regular meeting will be on August 17, 1983. f 4i+o.c},rY!<-.?t- ..J.. "'^ '.-l,.. .. COHRACT FOl< 1'r:[lrES~IO~Al. SERVICf" tOrJ.!1j'nl.../ j('\ I ? 13 Co-., J-r-a,< 7 {;, '- THIS coNTRACT is between the JEFFERSON COUNTY HEALTH DEPARTMENT (Department) and Mary Tudor, R.N., M.N. The contract is to be effective as of July I, 1983. 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 WHEREAS, Tudor states that she is a qualified person to perform the dutie~nand responsibilities set out in the body of this contract; Now, Therefore, 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 nec~ssary 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 witn 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 of Fifteen Dollars and sixty cents ($15,60) per hour for professional services rendered and shall reim- ~~.. . l" ~. . . Ct'::TR:\fT fu;: l'ROFESSIO:;:\.L SE};:VI CES (1 uJc'r) Par.t' :' burse her ior mii.eage QT1Ven in ner personaJ vehicH.: at tilL' rate establishl:G by Jefferson County. (4) Tudor shall provide the Department a detail~d 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 on Dr 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 Tudor acts as an independent contractor and that she will receive no fringe benefits from tpe Department or Jefferson County. It is further understood 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 sh~ 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 Dep~rtment shall take affirmative action to insure thpt persons 'receive services vithout 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. . . .' '. CONTRACT FOK~ROFESSIONAL SERVICES (Tudor) Page 3 DATED THIS ;? ().!1. DAY OF ?7- 1983. , JEFFERSON COUNTY BOARD OF HEALTH BY~~ B. G. Brown, Chairman JEFFERSON COUNTY HEALTH DEPARTMENT BY Jfw r;( Ji~ Gael R. Stuart, Administrator CONTRACTOR fi' r; I!' i IU.! /ld'~ Mary tUdOr, R.N.. *'~ M.N. (Without raises or suggested salary adjustments) HEALTH DEPARTI1ENT BUDGET 1984 TOTAL BUDGET Fees and Grants Balance to be raised SOURCES: City of Port Townsend School Districts Fee Raises STATE AVERAGES: Cities Schools Fees 18 % 2.4 % 19 % JEFFERSON COUNTY Cities Schools Fees o % o % 20.2 % $230,695.00 104,225.00 126,475.00 ($41,525.00) ( 5,536.00) ( 43,832.00) ($46,798.00) NURSING ACTIVITES BY CENSUS TRACT Port Townsend Ch ima cum Quilcene/Brinnon Visits 50% Visits 38% Visits 14% Clinics 50% Clinics 33% Clinics 17% Schools % of School Time Brinnon 8 % (443.00) Quilcene 16 % (886.00) Chimacum 39 % (2,160.00) Port Townsend 37 % (2,049.00) Total NursinR Activity (Except Schools) Port Townsend 50% Chima cum 35% Quilcene/Brinnon 15% ENVIRONMENTAL HEALTH ACTIVITIES (Estimated) City of Port Townsend Jefferson County POPULATION City of Port Townsend Jefferson County Total 15% 85% 6,150 10,750 16,900 (36%) (64%) ASSESSED VALUATION $208,875,989.00 (23%) 681,709,321.00 (77%) $885,585,310.00 /ill-a en"., 4ni' ;(. , " ~, fi Hachrr?lLn+ .3 , jOH~ SPE!..L'vtA.N Go.....ernor ALAN J GIBBS Secretary STATE OF W^SHINGTON DEPARTMENT OF SOCIAL AND HEALTH SERVICES Olympia. Washington 98504 . REI">' i!fiCO ' ,( L June 16, 1983 ," 2( '83 JE . '::i~i,o.j~-~, _ ., ;\, I HcA_-(i-'i 1..!.::PT TO: Local Health Officers FROM: John A. Beare, M.D., M.P.H. Di rector ()$r" Division of Health 'v SUBJECT:SB 3490 - HOME RULE HEALTH OFFICER The passage of SB 3490, Home Rule Health Officer, provides county and city-county health departments with a mechanism for determining appropriate contribution from cities and'towns. Contributions are to be established in accordance with guidelines e5tablished by the State Board of Health. Board of Health guidelines currently in place for health districts (WAC 248-990) could easily be applicable to county and city-county health departments. Attached are some hypothetical examples of how the funding formulas could apply to a county health department. It is suggested that you discuss these guidelines and examples with your county commissioners on an informal basis prior to the Health Officers Association meeting in Yakima next week. The purpose is to assess if the current district guidelines for basic services and city and county contribu- tions would be acceptable in implementing SB 3490. This subject will be , discussed at the Association meeting Friday morning in preparation for submitting the issue to the Board of Health for action at its August meeting. 83-6-88 -Go' , . Local Health Officers Jurre 16, 1983 Page Two Examples of calculations for optional formulas in WAC 248-990 to determine city contributions in a health department budget. Calculations are based on the following data: Nassau County - total population 60.000 - total assessed evaluation $3,000,000 - contains three incorporated cities TOTAL $400.000.000 125,000,000 575,000,000 900,000,000 $2,000,000,000 Population 15,000 10,000 15,000 20,000 60,000 Area Assessed Evaluation Incorporated Oceanside 8a ldwin Freeport Total Health Oepartment Budget Resources from taxes, fees, grants, etc. Total contributions needed to balance budget $800,000 $600,000 $200,000 C = Contribution of city or county needed B = Total dollars needed to balance budget Ac = Assessed valuation of city, town or unincorporated area At = Total assessed valuation of county Pc = Population of city, town or unincorporated area pt = Total population of county Local Health Officers June 16, 1983 Page Three Option 1 Unincorporated Oceans ide Ba ldwi n Freeport . C = 1/2 B Ac Pc At + 1/2 B 1>t 400,000,000 C = 100,000 2,000,000,000 + 100,000 C = 100,000 x 0.2 + 100,000 x 0.25 C = 20.000 + 25,000 C = 45,000 125,000,000 C = 100,000 2,000,000,000 + 100,000 C = 100,000 x 0.0625 + 100,000 x 0.166 C = 6,250 + 16.600 C = 22.850 575,000,000 C = 100,000 2,000.000,000 +- 100,000 C = 100.000 x 0.287 + 100,000 x 0.25 C = 28,700 + 25,000 C = 53,700 900,000,000 C = 100,000 2,000,000,000 + 100,000 C = 100,000 x 0.45 + 100,000 *,0.33 C = 45,000 + 33,000 C = 78,000 Total Contribution 199,550 15,000 60,000 10,000 60,000 15,000 60,000, 20,000 60,000 Local Health Officers June 16, 1983 Page Four Option 2 Unincorporated Oceans ide Ba ldwi n Freeport Ac C=BM 400,000,000 C = 200,000 2,000,000,000 C =200,000 x 0.2 C = 40.000 125,000,000 C = 200,000 2,000.000,000 C = 200,000 x 0.0625 C = 12.500 575,000,000 C = 200,000 2,000,000,000 C = 200,000 x 0.287 C = 57,400 900,000,000 C = 200,000 2,000,000,000 C = 200,000 x 0.45 C = 90,000 Total Contribution 199,900 '" Local Health Officers June 16, 1983 Page Five Option 3 Un i ncorpor ated Oceans ide Baldwin Freeport . Pc C=Bl't 15,000 C = 200,000 60,000 C = 200,000 x 0.25 C = 50,000 10,000 C = 200,000 60,000 C = 200.000 x 0.166 C = 33,200 15,000 C = 200,000 60,000 C = 200,000 x 0.25 C = 50,000 20,000 C = 200,000 cO.UUU C = 200,000 x 0.33 C = 56,000 Total Contribution 199,200 Local Health Officers June 16, 1983 Page Six Option 4 Total Health Budget less grants, fees, etc. $800,000 100,000 $700,000 Total cost of Environmental Health Total cost of TB services $250,000 30,000 $380,000 Budget amount covered by formula $420,000 *Per **Tax E.H. T.B. Capita Credit Total Area Popul at ion Cost Cost Cost Reduct ion Cost Un incorporated 15,000 $100,000 $30,000 $105,000 +120.000 $355,000 Oceans ide 10 , 000 35 ,000 10,000 <30,000> 75,000 Ba ldwi n 15,000 55,000 105,000 (38,000> 122,000 Freeport 20,000 60,000 140,000 (52,000> 148,000 Total 60,000 $250,000 $30,000 $420,000 $700,000 *Per cap ita cost is calculated as follows: C = Pc N x B For example, Baldwin Costs = 15,000 60,000 x $420,000 = .25 x 420,000 Baldwin Costs = $105,000 **Tax credit reduction is strictly a locally negotiable item. For purposes of this example, a high tax credit was used. Chapter 248-990 WAC APPENDIX-GUIDELINES r WAC 24S-9'}O.-990 .l\ppc-ndix-Count)'. city or lown in a health dis~ict. W AC 248-99~990 Appendix-Count~'. city or lOw" in a heallh district. ApPENDIX Guidelines' for County. City or Town in a Health District in /- \ '. Estimating Its Equitable Share of the Expenses of Maintaining and Operating the Health District Evcn' county. city"~ and town should furnish the sUPp?rt nec~ssary' to. 'provide the following basic public health serVlces-": J. Personal Health Protection Services Epidemiologic Services Tuberculosis Sexually Transmitted Ois,eases Other Communicable Diseases Immunizations Family Planning Child Health Services Crippled Children's Services Maternal and lnfant Services Nutrition and/or WIC Services- Chronic Disease Prevention, Detection and Hazard Control 2, Enrironmental Health Protection Services Food Water Solid Waste Disposal Liquid Waste Disposal Living Environment Chemical and Physical Hazards Vector Control 3. Laboratory services necessary 10 support any of Ihe programs listed in A J and 2 of this Ap- pendix (provide or purchase) 4. Vital Records, Birth. and Dealh Registration 5, Health Promotion, Information, and Education B. In addition, counties. cities. and towns at their op- tion may choose to support additional public health protection and promotion actions or services, These may include. but not be limited 10: A. (I f24 fll) Dcntal Health School Health Services Jail Health Services Mental Heallh Services Alcoholism Services Developmental Disabilities Health Screening Programs for the Aging (Senior Citizens Services Act) Home Health Services Primary Care for Special Populalion Groups Emergency Health Services CommunilY Health Planning Any program area idenlified by local or state health officials when the health of the general population is shown to be at risk of adverse health effeclS. C. Potential Sources of Funds: L Fees for permits and licenses 2, Charges for services 3. Contracts with counties, other agencies 4. State and federal funds cities. schools, and' 5. Sales of property 6. Miscellaneous gifts and sales, e.g" sale of publications . 7, County funds for special services not needed or desired by all participating counties and cities 8, City funds for special services 9, Reserve funds for special purposes 10. CounlY general fund base support D, Delermination of equitable share for each munlc,- pality (county or city) of its fiscal support of basic health services: 1, The level of the basic health services budget and the respective county and city general fund contributions necessary to balance that budget should be determined through a negotiation process, The negotiators may wish to use some form of formula in this determination, Ne- gotiating the formula is a basic part of the negotiation process, A number of formulas may be considered, Most formulas involve one or more of the following factors: Population (per capita), assessed valuation, use, need or proportion of budget. No single formula is mandated statewide, but a formula, once adopted by a local health board, should apply to all member jurisdictions, Agree- ments need not be limited to a single, year, Multi-year ICb. :z.48-99G W AC-p II 248-990-990 . Appendi,,-{;uidelines cOOlracts ma~ be negOtiated with the agreement adopt- ing a basic formula but 'providing for annual adjust- ments of variable. factors such as valuation or population. , The folio" :ng formulas are presented as guidelines, Options I through 3 provide for a counly basc support while Options -I and 5 have no county base built into the iormula. The count)' base is a variable replacing previ- ous statutory m,lIages for public health and tuberculosis. The base ma~ \'ar), In multicounty health districts, the county base public health support is to be determined annuall) by' the district health board in consultation with the respective boards of county commissioners and di- vided among the member countie> in proportion to each ,county's a,sessed "alualion, An acceptable alternative method is to "ar~ the base among the county members of the health district as the board of health, in consulta- tion with the respec:live boards of county commissioners, shall determine, Option I: A. P, +1/2 B- P, C =,1/2 B A, \\here: C = Conlribulion of city or county needed to balance the budget (basic plus op- lional dollars) Dollars needed to balance the basic plus optional dollar Jl!lTlion of the: health district annual budget ' The assessed ,'aluation of the compo- nent governmental unit. i.e... the city. - town or unincorporated area of the county A, = The total assessed valuation of the governmental jurisdictions el'lcom~ passed by the health district P, = Popuiation of the component govern- mental unit, i,e". the city. town or un- incorporated area of the county P, = Total population of the governmcntal jurisdictions encompassed by the health district B = ,- \ A = . \':uiation 1; Derive the proportion of asses;ed valuation and popublion in the formula from the average of several ~""rs instead of the current year only, Option 2: A, C = B A, Where: .- C =, Contribution of city or county needed to balance the budget (basic plus op- tional dollars) B = Dollars needed to balance the basic plus optional portion of the heahh district annual budget A, = The assessed va!ualion of the compo- nent governmental unit, i,e" the city, town or unincorporated area of the county A, = The total assessed valuation of the' governmental' ju risdictions encom- passed by the health district Option 3: P, C = B P, Where: C = Contribution of city or county needed to balance the budget (basic plus optional dollars) B = Dollars needed to balance the basic plus optional portion of !he health district annual budget P" = Population of the component gov- ernmental unit, Le., the city, town or unincorporated area of the county P, = Total population of the governmen- tal jurisdictions encompassed by the health district Variation I: The per capita share is graduated' by grouping or classes of cities 'so that small cities pay less than large cities, Variatio~ 2: The county base remains the same but the per ca- pita share is applied only to the cities, Option 4: (I) Charge each city or county the full esti- mated CoS(' of environmental health services. (2) Charge each co'untv the full ~ost of tu- berculosis services, . (2) Charge each city and county the re- mainder of tax necessary On a per capita basis, (4) Red~ce each city's charge by giving credit to them for the county property taxes paid by the property owners of each cily, " fClo. 24-_ \HC-1' 11 (1/24/83) . Appendix-Guidelines 248-990-990 . ........-- (5) Szr.all cities may be charged a reduced ,share pe~ capita, OptiOR ?: Half of the necessary funds are divided among the cities and counties in proportion to a statistical re- port of the services provided to each. The other half are provided on Ihe basis of population or an- other of the options identified, . J PcrtairoS 2!~ to 3 count\, cil\" or tCWon whK"h has withdrawn from a heiJtb~ diHr;ct 10 C'JX;atc rts own he::l.hh dcpanmenl or dcc:tdes . to cor.:r:::.C1. '" :\h 3nothe~ munic:p~li:y for $uc:h health ften-ices. ~B.as.ic >e:n'ICCS 3rr tn,,;)Sc sen'ices required ~. Slate law and rc@:ula- lions Of ~\J\'Hieti t.::ndc:r scr,ice con:r3ct~ with the department of social and health .services. JA ii51 of 211 appl~ble la....s. administratil,"( rqul.ations. and avail- abltcurrcnl 5en"ice contraCl<; ~i11 be: pro\.;ded b\. the Slate board of health :Jpor. request. . . [Statutory Authority: RC\V 70,46,080 and 43.20,050, 83-04-011 (Order .253). ~ 248-990-990, filed 1/24/83; Order 104, Appendix-Guidelines (codified as WAC 248-990-990)_ filed 9/25/74: Appendix. /iled 8/4/67,) r , '\ (1/24/83) [0.. 248-990 W AC-p 3) AfI<3c;},n-o"n+ -1 JEFFERSON COUNTY HEALTH DEPT. MONTHLY REPORT OF NURSING SERVICE July 1, 1983 Date of Report For Month of June 1983 Number of Number of Year to Date clinics clients seen IrhisMonth . Last Month This Month 'Last Month inics 9 6 77 43 an<; nics 7 9 69 70 444 linics 4 4 95 105 651> 3 6 2<; AQ 230 0 1 10 2 2 15 able Diseases . , 20 38 155 ent Visits 24 30 140 940 ities Well Child Cl Foot Care Cli 1I1I11unization C WIC Clinics VD TB Other Col1I11unic Newborn Visits Child Developm Schools COlTlllunity Activ -' \ , COMMUNICABLE DISEASE CONTROL PUBLIC HEALTH NURSING VITAL Sf A TISTICS ENVIRONMENTAL HEALTH ~.lh,:'~-"""""""" HEALTH EDUCA liON Afl-achrncn+ 5 JEFFERSON COUNTY HEALTH DEPARTMENT 802 SHERIDAN PORT TOWNSEND. WASH. 98368 (206) 385-0722 To: Jefferson County Board of Health From: Randall M. Durant, R.S. Director of Environmental Health Date: July 19, 1983 Subject: Activities of Environmental Health Section for June, 1983 Other Field Work: 13 1 7 Followup 22 Total Food Complaints Water Other Finals 4 13 60 Contacts: Office calls, telephone calls, plan reviews Sanitarians: Secretaries: 563 142 279 421 988 office contacts telephone contacts total for secretaries total for secretaries and sanitarians Total contacts year to date: 4,378 (does not include field contacts or Food Handler tests) Food Handler permits: June - 97 Sewage disposal system repairs to date 1983 - 16 t::Izoen:>>c...,c...,:>:::>>:>:: ro 0 n ro c c c ~ ~ ~ n_~rt"dOQI--'J:j<"::::l"1l"1 !brDOrtC"<::(1) .....n a StT'(tl 00 I--'::r' O"o'roSrt m fO "i 0" ...... CO ... ",c..., CO Il> 0"::> ... " " Il> Il> ... ...'< '< -<J> f-' OON I--' NI--' N I--' U'1l"o..)\.O(X:INOOWOO+,- U'1+:"-OOl...nQVlQln . . . .. 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ENVIRONMENTAL HEALTH TOTALS Thru June, 1983 1982 1983 Septic Tank and Drainfield $7,520.00 (136) $7,302.50 (111) , Site Evaluations 2,840.00 (76) 5,170.00 (101) Platting 1,090.00 (15 short) 1,234.00 (12 short, 1 long) Installers, Pmnpers 695.00 (12) 850.00 (14) Well Site Inspections 200.00 (5) 140.00 (3) Food Establishments Restaurant, Cocktail 1,462.00 (33) 2,641.00 (42) Grocery 505.00 (16) 825.00 (20) Food Service Plan Reviews 320.00 (14) 17 5.00 (7) Food Handler Permits 500.00 (250) 718.00 (359) $15,132.00 $19,080.50 , . . To furt~r familiarize the Board as to the other major activities the Environmental Health Section performed in June other than the total reflected under septic tank pe~its, site evaluations, and short plats, and the time involved, I present the following: Inquiries. plan review, special and/or larger projects continue to increase. Most do not generate revenue and therefore are not generally reflected in the permit totals. Some of these which took large blocks of time were: Approx. Time 8 hr. Food--Hadlock days temporary food service (11 permits). Hadlock House ownership change. FDA contract for summer food service 8 hr. Solid Waste--Asbestos disposal, hazardous waste disposal (pesticides, herbicides and commercial paint thinner). West End solid waste Solid waste comprehensive plan review Olympic Testing Labs--followup and news media inquiries Crown Zellerbach Solid Waste permit review (30+ contacts and 5 letters plan review and 2~ hr. in field at Crown Zellerbach) Dept. of Ecology dump survey. 10 hr. Schools--Port Townsend District modernization Cornerstone Christian Academy Seventh Day Adventist 4 hr. Animal Bites and Rabies 1 dog bite and followup 2 separate racoon bites & followup 1 chipmunk bite 1 non-human exposure from confirmed rabid bat 6 hr. Appeals and Hearings--Kala Bluffs (two sewage disposal permits, review, letters, appeal hearing Septic tank pumper hearing and review (preparation and followup). 4 hr. Environmental Check list review Mats Mats Bay Port Property Fort Worden dock Gardiner Sawmill 8 hr. Larger system plan review Three sewer systems for Kala Point Condos Seventh Day Adventist Church School McConnachie sewage disposal permit at Mats Mats 2 hr. Cotton Garden Court Apartments-Management report review Other areas reflecting use of large blocks of time were the Shellfish PSP program, complaints and followups. Day to day operation of the Environmental Health Section such as scheduling, program planning, intergovernmental coordination, quarterly and monthly coding and review and approval of all building permits, etc. are other areas not reflected in the revenue picture but take time. Daily inquiries related to the basic programs of sewage, food and water also take up a major portion of time, particularly as a sanitarian is not always available to discuss questions, etc. The time discussed above does not include the 421 contacts by the secretarial staff and the 97 Food Handler tests and permits given (Food Handler tests-25 hours secretarial time).