HomeMy WebLinkAbout2025_05_15_BOH_Packet_AmendedPublic H
Board of Health Meeting
May 15, 2025
Jefferson County
Board of Health
Agenda
Minutes
Public Healt
May 15, 2025
Regular Meeting Agenda
Jefferson County Board of Health
Thursday, May 15, 2025 @ 2:30 PM
Jefferson County Courthouse — Commissioners' Chambers
1820 Jefferson Street, Port Townsend, WA
This is a hybrid meeting: Virtual and In -Person Attendance
You can join this meeting by using these methods:
* Zoom Meeting: https://usObweb.zoom.us/m/89751313291
This option will allow you to join the meeting live. You will need to enter an email address.
If you wish to provide public comment, click on the hand icon at the bottom of the
screen to "raise your hand." Participation will be up to the Chair and/or Clerk of the
meeting.
■ Audio -only: Dial: 1-253-215-8782 and use Webinar ID: 897 51313291#
This option will allow you to listen to the meeting live. If you wish to provide public
comment, press *9 to "raise your hand." Participation will be up to the Chair and/or Clerk
of the meeting.
In -Person: You are welcome to join the meeting in -person.
In the event of technical difficulties, at least one of the methods above will be accessible to the public. Please try all
methods first before calling 360-385-9100 to report any issues.
Public comment will be accepted and can be emailed to: BOH&]a co jefferson.wa.us until 5:00 PM the
evening prior to the start of the meeting.
AGENDA
CALL TO ORDER — Chair Grace
I. Public Comment (10 mins.)
Public Comment Periods are dedicated to listening to the public. Each person may address the Board one time
during these periods. To ensure equal opportunity for the public to comment, all comments shall be limited to 2 or
3 minutes per person, depending on the volume of public in attendance.
I1. Approval of Agenda
III. Approval of Minutes of April 17, 2025 Board of Health Meeting
IV. Old Business and Information Reports
1. Jefferson County Public Health (JCPH) Report (Apple Martine) (10 mins.)
AT A REGULAR MEETING, THE MEMBERS MAY ADD AGENDA ITEMS AND TAKE ACTION ON
OTHER ITEMS NOT LISTED ON THIS AGENDA.
Americans with Disabilities Act (ADA) Accommodations Provided Upon Request
2. Jefferson Healthcare Report (Dr. Kees Kolff) (5 mins.)
3. Legislative Session in Review (Heidi Eisenhour, Apple Martine) (10 mins.)
4. Infectious Diseases Update (Dr. Allison Berry) (10 mins.)
V. New Business
1. POSSIBLE ACTION: Status of Vacancy on the Board of Health (Apple Martine) (5 mins.)
2. Urban Rest Stops - Introduction (Heather Dudley-Nollette, Anya Callahan) (20 mins.)
3. Overview of Transition Services for Students with Intellectual and Developmental Disabilities
(Bonnie Obremski, Sam Touchie) (20 mins.)
VI. Future Potential Agenda Topics:
Olympic Connect, the Community Care Hub model
Board of Health 101
Homelessness
Public Health Impacts resulting from Federal Initiatives
Rural Reproductive Health
Emergency Fund for Public Health
Strategic planning for the county
The Child Development Center
Sewer projects / wastewater
VIL Announcements
POSSIBLE ACTION: NOTE that the next regular meeting is scheduled for June 19t', which is the
national holiday "Juneteenth," when county offices will be closed. It should be determined whether
the June meeting will be rescheduled or cancelled.
ADJOURNMENT BY: 4:30 p.m.
Next Scheduled Meeting: June 19, 2025
2:30 — 4:30 PM
Jefferson County Public Health
Hybrid Meeting
AT A REGULAR MEETING, THE MEMBERS MAY ADD AGENDA ITEMS AND TAKE ACTION ON
OTHER ITEMS NOT LISTED ON THIS AGENDA.
Americans with Disabilities Act (ADA) Accommodations Provided Upon Request
Public HealFfi
REGULAR MEETING MINUTES
Jefferson County Board of Health
Thursday, April 17, 2025 @ 2:30 p.m.
Jefferson County Courthouse — Commissioners' Chambers
1820 Jefferson Street, Port Townsend, WA
Hybrid Meeting
Board Members
Greg Brotherton, County Commissioner, District #3
Heather Dudley-Nollette, County Commissioner District #1
Celeste Dybeck, Tribal Representative
Heidi Eisenhour, County Commissioner, District #2
Amanda Grace, Chair, Community Stakeholder
Dr. Kees Kolff, Public Hospital District #2 Commissioner
Monica MickHager, Vice -Chair, Port Townsend City
Council
Gabrielle Vanwert, Consumer of Public Health
Staff Members
Denise Banker, Community Health Director
Dr. Allison Berry, Health Officer
Lara Cittadini, CHIP Manager
Michael Dawson, Water Quality Manager
Alisa Hasbrouck, Environmental Health Manager
Apple Martine, Public Health Director
Pinky Mingo, Environmental Public Health Director
Jenn Mitchell, Finance Manager
Veronica Shaw, Public Health Deputy Director
Vice -Chair MickHager called the April 17, 2025 meeting of the Jefferson County Board of Health to order at
2:34 p.m.
Members Present: Vice -Chair Monica MickHager, Members Greg Brotherton, Heather Dudley-Nollette, Heidi
Eisenhour, Dr. Kees Kolff and Gabrielle Vanwert.
Excused absence: Celeste Dybeck
Staff Present: Staff Members Denise Banker, Dr. Allison Berry, Michael Dawson, Alisa Hasbrouck, Pinky Mingo,
Jenn Mitchell and Veronica Shaw.
PUBLIC COMMENT
Vice -Chair MickHager called for public comment. There was none.
APPROVAL OF AGENDA
Vice -Chair MickHager called for a motion to accept the agenda for April 17, 2025.
MOTION: Member Brotherton moved to approve the agenda. Member Eisenhour seconded the motion, which
carried by a unanimous vote.
Respectfully submitted Page 1 of 4
G. Gilbert
APPROVAL OF NEEVUTES
Vice -Chair MickHager requested a motion to approve the minutes of the March 20, 2025 meeting.
MOTION: Member Eisenhour moved to approve the minutes. Member Brotherton seconded the motion, which
carried by a unanimous vote.
109 1 t Ily I C1X1K_ WM It_X1l_P
1. Jefferson County Public Health (JCPH) Report
Staff member Shaw provided a brief update concerning statistics regarding the WIC program (Nutrition Program for
Women, Infants, and Children), and staff monitoring of federal funding. She also offered an encomium to retiring
Environmental Health Manager Alisa Hasbrouck.
2. Jefferson Healthcare Report
According to member Kolff, the hospital expansion project continues without a major glitch. Hospital staff continues
to provide fine service in the middle of a construction zone. Progress continues to be made in the strategic plan. He
addressed concerns about how Jefferson Healthcare is responding to changes in federal and state funding, in particular
with Medicaid.
Dr. Kolff encouraged citizens to consider supporting Jefferson Healthcare's ACO ("Accountable Care Organization,"
which receives a capitated rate from Medicare, in order to provide care to a certain population).
3. Public Health Legislative Update
Member Eisenhour reported on health -related policies upon which the legislature is currently focused, including the
reprocurement bill (Substitute House Bill 1813) concerning streamlining of funding for behavioral health services;
and two bills to allow tax increases to support county behavioral health, safety and education.
4. Infectious Diseases Update
Flu/COVID/RSV rates are low. We have now moved out of flu season. In regard to avian flu, there are no active cow
or poultry outbreaks in Washington, and wild bird cases are sporadic. The threat of measles is growing as the Texas
outbreak continues to spread and tools to control it have been cut at the federal level. Currently, there are only 3 cases
in WA, not connected to the Texas outbreak and these appear pretty well isolated. Both measles and pertussis may
initially present cold -like symptoms. Staying home, when symptomatic, is recommended, as is vaccination for
prevention.
Reported increases in childhood autism have been the subject of inaccurate statements from federal officials. The
relationship between vaccinations and autism has been studied for decades and the data are clear that vaccines do not
cause autism. The primary driver for the increased number of autism diagnoses is the recognition of autism as a
spectrum with varying degrees of symptom severity and improved diagnosis. It is important to recognize that autism
exists on a spectrum, with varying levels of disability and need for support, and that all individuals across that
spectrum are valuable members of our community deserving of respect and care.
NEW BUSINESS
1. Announcement: Vacancy on the Board of Health
Staff member Shaw announced that the current three-year term of the "Other Community Stakeholder" member of the
Board of Health expires at the end of May. Applications are available on the county website, or at JCPH or the office
of the County Commissioners. Candidates may apply until May 14, 2025.
Respectfully submitted Page 2 of 4
G. Gilbert
2. Health Officer Coverage
Dr. Berry advised that, during her three-month leave of absence, the role of Jefferson County Health Officer will be
covered by Regional Health Officer Dr. Herbie Duber, with further support from Kitsap Health Officer Dr. Gib
Morrow.
3. Harm Reduction Program Updates
Anya Callahan, Harm Reduction Coordinator at JCPH, provided a presentation defining harm reduction, particularly
in relation to drug usage, giving a historic perspective on the development of harm reduction, and enumerating the
program's services.
ocean mason, JCPH's Communicable Disease Team Lead, continued the presentation, discussing the program's
growth of activities, based on increasing outreach and destigmatization efforts, and plans for the future.
Discussion ensued.
4. County Health Rankings Presentation
Lolinthea Hinkley, JCPH Assessment Program Coordinator, and Alyssa Wyrsch, JCPH Epidemiologist, offered a
presentation drawing attention to the reasons for differences in health within and across communities, and
highlighting policies and practices that can help all citizens to reach optimal health.
5. 2025 Public Health Heroes Awards
Staff members Veronica Shaw and Dr. Allison Berry presented the annual awards, commemorating National Public
Health Month, to the following individuals and groups who have made valuable contributions to the health of the
community:
• Denise Banker, Community Health Division Director at JCPH
• ECHHO (Ecumenical Christian Helping Hands Organization) Staff and Volunteers
• Carter Erickson, Environmental Health Specialist with JCPH
• Linda Ferris, founder and director of Gatheringplace
• Jessica Garcia, Student Assistance Professional at Port Townsend High School
• AJ Hawkins, developer of Kalma and The Parlor
• Mary Hunt, president of Food Bank Growers
• Rae Kala, African dance teacher
• Kimberly Kinser, program lead for Quilcene CARES (Community Assistance Referral and Education
Services)
• Holly McIlvaine, Student Assistance Professional at Blue Heron Middle School
• Mazure Pace, Community Health Educator with JCPH
• Salish Coast Elementary School's Farm -to -School Team
• Sam Touchie, Transition Coordinator at Cascade Community Connections
FUTURE POTENTIAL AGENDA TOPICS
No discussion.
ANNOUNCEMENTS
There were none.
Respectfully submitted Page 3 of 4
G. Gilbert
AGENDA PLANNING CALENDAR
The Agenda Planning Meeting for the next regular meeting of the Board will be held on May 8, 2025 at 10:30 a.m.
The next regular Board of Health meeting will be held as a hybrid meeting on Thursday, May 15, 2025 from
2:30 p.m. — 4:30 p.m.
ADJOURNMENT
Vice -Chair MickHager adjourned the April, 2025 Jefferson County Board of Health meeting at 4:25 p.m. until
the next Regular Meeting or Special Meeting as properly noticed.
JEFFERSON COUNTY BOARD OF HEALTH
Monica MickHager, Vice -Chair Glenn Gilbert, Public Health Assistant
Respectfully submitted Page 4 of 4
G. Gilbert
Jefferson County
Board of Health
IV.
Old Business and Information Reports
Item 1
Jefferson County Public Health Report
Public H
May 15, 2025
Jefferson County
Board of Health
IV.
Old Business and Information Reports
Item 2
Jefferson Healthcare Report
ruin
Public H
May 15, 2025
Jefferson County
Board of Health
IV.
Old Business and Information Reports
Item 3
Legislative Session in Review
Public
May 15, 2025
s► WSALPHO
WHSHIOGTOO STATE IISSOCIFITIOO OF LOCAL PUBLIC HEALTH OFFICIALS
Legislative Session 2025
WSALPHO POSITION: SUPPORT
OUTCOME: PASSED
WSALPHO POSITION: SUPPORT
OUTCOME: PASSED
Policy Summary:
HB 1947 lets new Group B public water systems operate on
their own —without needing to be run by a satellite system
management agency —as long as they meet certain conditions.
Policy Summary:
SB 5163 provides important updates to local child fatality
review statutes. These reviews identify community strategies
that can prevent further death and injury for our youth.
Updates include increasing the youth age to 19, aligning
privacy and confidentiality to national standards, and
emphasizing coordination between local and state agencies.
Foundational Public Health Services Budget
Funding for FPHS was reduced by $24 million for the biennium. This is largely reflected
in reductions in General Funds State which totaled $44 million for the biennium (split
evenly as $22 million reductions each fiscal year). These reductions are offset by an
increase of $20 million of FPHS Account spending authorization. Depending on the total
FPHS Account balance, each FY year is reduced $12-$22 million.
Preserving FPHS funding was a WSALPHO Budget Priority.
WSALPHO POSITION:
SUPPORT
OUTCOME: PASSED
Y'
WSALPHO POSITION:
SUPPORT H =
1946
4■
OUTCOME: PASSED
WSALPHO POSITION:
SUPPORT1870
_
OUTCOME: FAILED
WSALPHO POSITION:
SUPPORT
OUTCOME: FAILED
r 11
I A
Policy Summary:
HB 1531 makes sure that state and local health officials rely on proven
methods and the latest scientific research when responding to
outbreaks of diseases that can spread from person to person.
Policy Summary:
HB 1946 clarifies tribal representation for local boards of health,
removes the American Indian Health Commission from the appointment
process, narrows organizational membership, and directs the State
Board of Health to conduct rulemaking on appointment timelines and
processes. WSALPHO worked on improvements to the bill that were
included in the final version.
Policy Summary:
HB 1870 authorized counties to implement a property tax solely for the
purposes of operating public health clinics such as prevention care, STI
clinics, immunization clinics, etc.
Policy Summary:
HB 1805 created a local sales tax option for counties to fund services
for children and families that promote behavioral and mental health,
enhance well-being, support parents, and promote early childhood de-
velopment. This included the ability to fund child care and other direct
services to families.
WSALPHO POSITION: Policy Summary:
SUPPORT HB 2068 adjusted the tax on tobacco, nicotine products, and vapor
■ products, modified current tobacco and vapor product laws, and
OUTCOME: FAILED 77 banned the sale of flavored tobacco, nicotine, and vapor products.
School -Based Health Centers Budget
Both Operating and Capital Budgets including support to operate and maintain school -based
health centers. These facilities are becoming more critical health care access points for youth
behavioral health services, dental clinics, and other preventative primary care services.
Total included in the budget:
$2.4 MILLIO • • - _ • = • � - 2.6 MILUON =
WSALPHO POSITION:
M
SUPPORT
OUTCOME: PASSED
WSALPHO POSITION:
OPPOSE
OUTCOME: FAILED }
Policy Summary:
SB 5244 exempts the MA licensure requirements for staff to conduct
simple blood tests like finger or heel sticks at WIC clinics as part of the
program requirements. This allows for any WIC program staff trained to
conduct this screening service. The change provides better customer
service for participating families and addresses some workforce
challenges that impact the ability to operate local WIC clinics.
Policy Summary:
SB 5605 would have authorized the operation of private home kitchens
to prepare food sold to the public and set permit responsibilities to local
health departments and the state board of health. The proposal also
exempted home kitchens from several food safety requirements.
Opioid Response/Support Budget
This year's budget made several reductions in opioid response and overdose
prevention, focusing state support and investment on fulfilling state obligations.
* Community -based and harm reduction approaches to overdose prevention were removed. These
include a naloxone stockpile, community education campaigns, and sustainable funding for a data
dashboard.
* Funding to support Health Engagement Hubs was reduced by $500 thousand. Hubs are intended
to serve as an all -in -one location where people who use drugs can access a range of medical, harm
reduction, treatment, social services, and referrals.
* $2.7 million is dedicated to launch a tele-buprenorphine hotline that facilitates access to medications
for opioid use disorder treatment.
* Certified Community Behavioral Health Clinics (CCBHCs) are designed to ensure access to
coordinated, comprehensive behavioral health care. CCBHCs are required to get people into care
quickly and serve anyone who requests care for mental health or substance use — regardless of ability
to pay, place of residence, or age. This includes developmentally appropriate care for children and
youth. $886 thousand was dedicated to supporting CCBHCs.
* The Recovery Care Navigator Program, implemented locally by counties, is an intensive outreach and
case management program was reduced by 20%.
www.wsalpho.orlog
S2.7
M,
$2.7 M, Department of Health;
Expenditure authority is provided from four
dedicated accounts for maintenance of drinking
water systems to certify water system operators,
to implement the federal Safe Drinking Water Act,
and to administer safe drinking water loans.
Ongoing funding has supported local health jurisdictions that
maintain local Group B programs.
�8329000
This funding was reduced to $832 thousand, a reduction of
$152 thousand. These funds are used to support the costs of the
development and adoption of rules, policies, and procedures,
as well as for technical assistance, training, and other program -
related costs.
Communities impacted by environmental
health inequities face disproportionate
harms from environmental violations,
systemic barriers to reporting, and access to determining whether
any enforcement action was taken. The budget ($400 thousand)
directs the Department of Ecology to consult with state and local
governments and community organizations to develop a report
analyzing equity and accessibility considerations for environmental
incident reporting.
This is a valuable program where
nurses and parents work together
to strengthen and support a child's
first year of life. This program was
reduced by $6 million.
Other chronic disease
prevention programs that
have been supported in past
budgets were removed,
including tobacco prevention
education, the Fruit and
Vegetable Incentive Program,
and suicide prevention
programming.
www.wsalpho.org
Jefferson County
Board of Health
IV.
Old Business and Information Reports
Item 4
Infectious Diseases Update
[No hand -Out]
Public H
May 15, 2025
Jefferson County
Board of Health
V.
New Business
Item 1
Status of Vacancy on the Board of Health
rKin hand-outl
Public Healt
May 15, 2025
Jefferson County
Board of Health
V.
New Business
Item 2
Urban Rest Stops -Introduction
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v �
Public Healtk
May 15, 2025
0A/25/25 Urban Rest Stop Discussion Notes
Attendees
Heather Dudley-Nollette, Jefferson County Commissioner, District 1 (former Bayside Housing & Services
executive); Ben Thomas, Port Townsend City Councilmember; Apple Martine, Director, Jefferson County
Public Health; Lori Fleming, Jefferson County Behavioral Health Consortium; Carolyn Lewis, Volunteer
with Dove House Closet and other local efforts; Talon, recovery advocate with Recovery Cafe; Peggy
Webster, OlyCAP Housing Projects and Peninsula Housing Authority board member; Julia Cochran,
Winter Welcoming Center; Chris, lived experience/consumer perspective; Maggie Mitchel, lived
experience/consumer advocate; Steve Evans, Co-chair, COAST (Community Outreach Association Shelter
Team); Jim Novelli, CEO, Discovery Behavioral Healthcare; Linda Madison, Bayside Housing & Services;
Anya Callahan, Jefferson County Public Health, Syringe Exchange/Harm Reduction Program.
DISCUSSION
1. Purpose and Context
Commissioner Dudley-Nollette opened by explaining that the meeting was exploratory in
nature, designed to surface needs and brainstorm options for a potential Urban Rest Stop. The
idea for this meeting was initiated by Maggie, who was invited to share background and
rationale.
2. Consumer Perspective Emphasized
• Maggie shared her experience as a recovery advocate and emphasized that consumer
voices are often excluded from service design.
• She called for direct input from people experiencing homelessness on what is essential —
specifically hygiene facilities, privacy, and safety.
• Anya Callahan and others echoed the importance of employing and uplifting individuals
with lived experience.
3. Needs Identified
Common and persistent unmet needs were discussed, including:
• Basic hygiene: functional showers, toilets, sinks.
• Prevention of infectious disease
• Ventilation & overcrowding concerns in current shelters.
• Laundry access, lockers and other storage (bikes, etc.), mail services, and
internet/telephone access.
• Case management space and centralized location for service access
• Clothing, food and supplies
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04/25/25 Urban Rest Stop Discussion Notes
Access to living wage opportunities
Food storage & cooking access (e.g., fridge/freezer, microwave, and pantry areas).
Pet accommodations (especially during climate events)
Geographic equity: the need for multiple rest stop -type centers across the county
(Quilcene, Brinnon, etc.).
• Transportation access to reduce service fragmentation.
4. Urban Rest Stop Proposal Concepts
Several location options were explored:
• Port Townsend Yacht Club (primary proposal by Maggie): ADA-ready, with existing
showers, kitchen, and possible medical triage space. (gee pp 4-5)
• Mountain View Commons: centrally located with some services already present.
pp 6-7)
Community Centers in Quilcene, Brinnon, and other outlying areas. (See page 8)
Haines Street Cottages: could be repurposed if funding for their original use falls
through. (See page 9)
Caswell -Brown site and even school facilities were discussed as viable models or spaces.
(See 10-11)
Identify City and County -Owned Land with access to infrastructure (sewer, water,
utilities)
5. Funding & Sustainability
• The feasibility of purchasing and retrofitting a site vs. building a new property was
debated.
Maggie proposed solar panels on the yacht club to generate revenue.
Commissioner Dudley-Nollette and others emphasized that most facilities of this nature
require ongoing subsidy.
Fiscal uncertainties —at state and federal levels —were acknowledged, including looming
cuts to programs like LEAD, REAL, and CARES.
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04/25/25 Urban Rest Stop Discussion Notes
6. Development Process & Practicalities
• Participants called for a clearer understanding of zoning, permitting, and capital needs
assessments.
It was noted we want to ensure that qualified people manage the project and the
property post development.
The importance of site assessments, cost modeling, and operational plans was
affirmed.
7. Next Steps and Coordination
• A group including Viola, Maggie, Julia, Beulah, Lori, Peggy, and Heather committed to drafting:
A consolidated presentation for the May 8th Behavioral Health Consortium (BHC)
meeting.
o Criteria to assess all location proposals shown in Appendix A. (All sites to be assessed
using common criteria developed by the working group)
Share assessments with stakeholder groups to discuss accuracy, viability and potential
funding options.
• Request Available Land lists from City and County.
• Lori Fleming offered to document the discussion and help prepare materials
(See following Appendices for drafted materials to be explored by the group above.)
SEE FOLLOWING DRAFT APPENDICES (THESE HAVE NOT BEEN FINALIZED, BUT WILL
BE USED AS TEMPLATES TO FURTHER A CONVERSATION ABOUT HOW TO MEASURE
AND TRACK THE VIABILITY OF VARIOUS OPTIONS — IF THIS PROJECT IS PURSUED).
• Appendix A: Proposed Idea Overviews (Draft)
• Appendix B: Urban Rest Stop Proposal Feature Summary Table (Draft)
This table offers a descriptive comparison of site features based on discussion to date. It is
intended to outline infrastructure, zoning, startup needs, and potential challenges without
assigning ratings or evaluations. (Needs review and edits as identified.)
• Appendix C: Urban Rest Stop Proposal Quick Comparison Grid
(Draft — Example Evaluation)
This table offers an example of how sites might be visually rated based on initial impressions
using J (strong), — (partial/mixed), and X (needs major work). It is intended as a starting
point for group discussion and refinement.
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rB, Z
04/25/25 Urban Rest Stop Discussion Notes
. Appendix D: Mini -Assessment Form to be edited upon review, then filled out with
response to agreed -upon Criteria (Draft)
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04/25/25 Urban Rest Stop Discussion Notes: Appendix A — Proposed Idea Overviews
DRAFT APPENDIX A: OVERVIEWS FOR VARIOUS IDEAS PROPOSED
1. Urban Rest Stop Proposal: SITE NAMED HERE
Presented by:
Concept Overview
(Example) A consumer -driven proposal to create an Urban Rest Stop providing centralized
hygiene, triage, and basic services, leveraging an available ADA-compliant facility at the former
Port Townsend Yacht Club site.
Key Features
• ADA-accessible building with walk-in showers, bathrooms, and a commercial kitchen.
• Office space suitable for basic medical triage
• Mail drop service for unsheltered and marine worker populations.
• Lockers, laundry, clothing storage, and limited food preparation facilities.
• Flexible operational hours to complement other community programs.
• Emergency overnight capacity during extreme weather events.
Rationale
• Directly addresses critical hygiene and health needs identified by consumers.
• Aligns with ...
• Responds to consumer feedback about ...
• Offers potential partnerships with ...
Sustainability Considerations
• Proposal includes ...
• Envisioned as ...
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04/25/25 Urban Rest Stop Discussion Notes: Appendix A — Proposed Idea Overviews
Challenges to Explore
Zoning considerations ...
Negotiating costs with ...
Ongoing operational funding and management structure.
Identifying funding source(s) for rehabilitation.
Long-term maintenance and staffing.
Possible next steps if this alternative is pursued?
Conduct a building assessment (capital needs, maintenance, viability).
Compare with other proposed locations using agreed evaluation criteria.
Engage potential operational and medical partners for feasibility discussions.
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04/25/25 Urban Rest Stop Discussion Notes: Appendix A — Proposed Idea Overviews
2. Urban Rest Stop Proposal: NEXT SITE LISTED HERE
• Etc.
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04/25/25 Urban Rest Stop Discussion Notes: Appendix C — Draft Proposal Comparison Grid
DRAFT Appendix B: Urban Rest Stop Proposal Feature Summary Table (Draft)
The following table provides a descriptive comparison of Urban Rest Stop site proposals discussed at the April 24, 2025 meeting
along with additional ideas that have been added with further discussion. It summarizes each site's ownership, infrastructure, ADA
accessibility, zoning considerations, startup needs, sustainability potential, and key challenges. This overview is intended to support
structured evaluation without suggesting a ranking or preference among proposals.
Site Option Ownership Infrastructure ADA Accessible Zoning Status Startup Needs Sustainability Potential Key Challenges
Notes:
Startup Needs are intentionally broad (e.g., "purchase" vs. "major redevelopment") because deeper cost assessments have not
yet been done.
ADA Accessible flags known information, but some sites (like community centers) would require site -by -site validation.
Zoning Status would need to be formally confirmed with permitting jurisdictions before moving forward.
Sustainability Potential points to what might help a site maintain operations long-term (like revenue generation or partnerships).
Key Challenges call out main risks or concerns that emerge in discussion.
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`. 04/25/25 Urban Rest Stop Discussion Notes: Appendix C — Draft Proposal Comparison Grid
DRAFT Urban Rest Stop Proposal Quick Comparison Grid
The following quick comparison grid offers an example of how the site proposals could be evaluated visually based on initial impressions. Sites are marked with
J (strong/positive), — (partial/mixed), or X (needs major work) across key criteria such as accessibility, infrastructure readiness, sustainability, and community
support. This visual tool is intended to spark group discussion and refinement, not to finalize ratings.
Yacht Mountain Community Centers Haines Street Caswell- School -Based Health
Criterion Club View (Quilcene/Brinnon) Cottages Brown Centers
ADA Accessibility
Infrastructure Readiness
Ownership & Control
Zoning/Permitting Feasibility
Financial Startup Needs
Sustainability Potential
Accessibility to Target
Population
Partnership Synergies
Community
Support/Resistance
Capacity for Growth
Notes on the Example above:
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04/25/25 Urban Rest Stop Discussion Notes: Appendix C — Draft Proposal Comparison Grid
• ✓ = Strong/Positive
• ^ = Partial or Mixed
• X = Not currently viable without major work
• Where appropriate, additional description can be added for more nuance.
• General guidance is to stay exploratory and not rush to conclusion. These are preliminary analysis tools.
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TIP
® 04/25/25 Urban Rest Stop Discussion Notes: Appendix D - Draft Mini -Assessment Form
Site Name:
Location:
1. ADA Accessibility
• Yes — Fully ADA accessible now
• Partial — Minor upgrades needed
• No — Major upgrades needed
Date of Review:
Notes:
2. Infrastructure Readiness (Hygiene, Kitchen, Storage)
• Good — Most major features in place
• Moderate — Some key features missing or outdated
• Poor — Major infrastructure gaps
Notes:
3. Physical Infrastructure Readiness (Sewer, Water and Utilities)
• Good — Most major features in place
• Moderate — Some key features missing or outdated
• Poor — Major infrastructure gaps
Notes:
4. Ownership & Control
• Public ownership (County, City, etc.)
• Private ownership (Purchase required)
• Shared ownership / Complex agreements
Notes:
11 20240224Fa URSMtgNotes (with DRAFT TEMPLATE APPENDICES) 5/14/2025 9:13:24 PM 11 of 13
a` -
04/25/25 Urban Rest Stop Discussion Notes: Appendix D - Draft Mini -Assessment Form
5. Zoning/Permitting Feasibility
• Allowed as -is under current zoning
• Conditional (Would require a zoning adjustment or interpretation)
• Not permitted without major zoning changes
Notes:
6. Financial Startup Needs
• Low (< $100k)
• Moderate ($100k—$500k)
• High ($500k+)
Notes:
7. Sustainability Potential (Funding/Revenue)
• High — Potential for partial self-sustainability
• Moderate — Likely needs ongoing subsidy with partnerships
• Low — Significant ongoing subsidy required
Notes:
8. Accessibility to Target Population
• Very good — Close to foot traffic, transit, services
• Moderate — Would require additional transportation access
• Poor — Isolated or hard to reach
Notes:
9. Partnership Synergies
• Strong — Near other service partners (health, food, case management)
• Some — Could build partnerships, but not immediate
• Few/None — Little natural synergy
11 20240224Fa —URSMtgNotes (with DRAFT TEMPLATE APPENDICES) 5/14/2025 9:13:24 PM 12 of 13
a`
TIP
A ® 04/25/25 Urban Rest Stop Discussion Notes: Appendix D - Draft Mini -Assessment Form
Notes:
10. Community Support or Resistance
• Likely strong support
• Mixed or uncertain
• Likely strong resistance
Notes:
11. Capacity for Growth or Flexibility
• Good — Room for expansion or adaptation
• Limited — Constrained site or rigid use
• None — Cannot expand easily
Notes:
Overall Impressions
(Optional space for open notes or initial recommendations)
11� 20240224Fa URSMtgNotes (with DRAFT TEMPLATE APPENDICES) 5/14/2025 9:13:24 PM 13 of 13
a` —
Jefferson County
Board of Health
V.
New Business
Item 3
Overview of Transition Services for Students with
Intellectual and Developmental Disabilities
01
;#ason
Public H
May 15, 2025
40
1
Public Health
0
.L..
PC --I
LW
Intellectual & Developmental Disabilities Program
4
I
.ice -
0
• Began at Jefferson County Public Health
as a communications specialist
�Y • Moved to IDD Coordinator role for
the county in Nov. 2024
Contact:
Bonnie0@jefferson.wa.us
(360) 385-9410
Intellectual and developmental disabilities (IDD)
originate before age 18, continue indefinitely,
and cause substantial limitations.
A few examples of IDD include cerebral palsy, epilepsy, Down Syndrome,
various learning disabilities, Fetal Alcohol Spectrum Disorder (FASD), Attention-
Deficit/Hyperactivity Disorder (ADH D), and Autism Spectrum Disorder (ASD).
.l
County
Adams
Asotin
Benton
Chelan
Clallam
Clark
Columbia
Cowlitz
Douglas
Ferry
Franklin
Garfield
Grant
Grays Harbor
Island
Jefferson
King
Kitsap
Kittitas
Klickitat
Lewis
Lincoln
Mason
Okanogan
Pacific
Pend Oreille
Pierce
Where Clients Live
County, Caseload Type, and Age
DATA SOURCE: CARE, Point in time August2024
P
This Year's
t P
Cast Year's Ct
County
Paid No -Paid, Total
Percent Paid Percent Paid
Jefferson
11S 3S 154
37%
W-ic
Percent
Percent
Counter
Adults Children
Total Adults
Children
Jefferson
103 47
ISO 69't'
31%
3
388
%
117
77
UV
1170
0776
JlIIRxM
IV7
77
170
07"
11,711
5,213
16,924
69%
77%
King
6,904
10,020
16,924
41%
1,464
702
2,166
68%
70%
Kitsap
988
1,178
2,166
46%
175
66
241
73%
74%
Kittitas
186
55
241
77%
89
54
143
62%
59%
Klickitat
71
72
143
50%
706
196
902
78%
74%
Lewis
354
548
902
39%
39
14
53
74%
73%
Lincoln
45
8
53
85%
245
113
358
68%
68%
Mason
234
124
358
65%
130
71
201
65%
71%
Okanogan
145
56
201
72%
71
23
94
76%
68%
Pacific
69
25
94
73%
41
24
65
63%
55%
Pend Oreille
50
15
65
77%
5465
2,642
8,107
67%
73%
Pierce
3,748
4,359
8,107
46%
2rcent
iiidren
31%
39%
47%
45%
25%
56%
18%
62%
49%
26%
63%
20%
32%
25%
65%
31%
59%
54%
23%
SO%
61%
15%
35%
28%
27%
23%
54%
'_W w•
rungs
Monitors
providers of:
Sunnerted emn
` - � �a • A r r �.
r
Supported employment providers help people with IDD
prepare for, find, and keep jobs,, beginning as early as
high school with "Job Foundations," "Pre -Employment
Transition Services," and "School -to-Work" programs.
County
Adams
Asotin
Benton
Chelan
Clallam
Clark
Columbia
Cowlitz
Douglas
Ferry
Franklin
Garfield
Grant
Grays Harbor
Island
Jefferson
King
Croup
Supported
Employment
Employment and Day Program
Services by County
DATA SOURCE: CARE, Point in time August 2024
Group
Inf There are two kinds of supported Supported Individual Community
Em employment: "group" and "individual."
Under "individual" is a support specifically for
Lhigh school students called "job foundations."
Supported
Body County I<rnplgmen'L
Jefferson 4
Individual Community
Emplloymilent Inclusion Total
29 aM L-4174
2
3
4
Skamania
13
11
29
13
53
Snohomish
1
884
2
2
Spokane
27
627
10
47
31
88
Stevens
57
99
47
146
Thurston
403
81
26
107
Wahklakum
4
4
29
41
74
Walla Walla
11
59
7
2,290
398
2,695
Whatcom
42
340
5
190
300
46
62
66
44
Total
81
9
88
39
43
9
1,065
16
232
18
1,075
954
103
465
4
136
426
High School Transitions
DATA SOURCE. CARE, Point in time.August2024
County 2025 2026 2027 2028 Total County 2025 2026 2027 2028 Total
Adams 4 4 3 4 15 Lewis 6 6 16
Asotin 3 2 1 6 Lincoln 3 2 1
3enton
K
Graduating Year
County 2025 2026 2027 202
� Jefferson _ _ 4 3
Grant
Grays Harbor
7
17
10
Island
12
11
4
Jefferson
4
3
4
King
235
244
208
Kitsap
24
29
46
Kittitas
3
6
3
Rlickitat
1
3
2
This shows number of students with IDD who are in the
eligible age range for DDA transition programming. J
2
13
Walla Walla
12
211
898
Whatcom
25
34
133
Whitman
3
4
14
Yakima
46
1
7
GRAND TOTALS
904
21
Total
13
42
28
28
1
3
13
16
28
16
25
43
5
2
43
40
45
959
967
871
49
6
19
371
27
129
1
44
94
13
174
3,701
4
Community Inclusion provides
opportunities to engage with
the general public,.In places
gy-1
accessible by public transit
or a reasonable commute
from an individual's home.
LI
Director
Cascade,corn"'mun:
Connections
There is one provider of
supported employment
and community inclusion
in the county.
Case resource managers from the
Developmental Disabilties Administration
(DDA) refer enrolled clients for SE and Cl
services. Enroll: (360) 912-8310.
Birth -Age 3 services
are for children who
need help reaching
developmental
milestones.
Service referrals may be provided by
a primary care doctor or through
40,04 WIC. You may also self -refer:
(360).379-1315 or jnelson@ccpnw.org
Birth to Three
service examples:
• Family training, home visits, and counseling
• Occupational and/or physical therapy
• Vision services
• Nutrition services
• Social work services
• Speech and language therapy
• Nursing
• Assistive technology
• Transportation to services
• ...and more
Child Development Services by County
DATA SOURCE: CARE, Point In time. August2024
County Client Count
Adams 1
Asotin 37 rm
San Juan �
Benton 285 35 �r� — Pend Oreille
Chelan 133 1kaglt t
72
Clark 1,101
Cowlitz 534
Douglas 68
Franklin 269
Island 326
Jefferson
King
Kitsap
Kittltas
Kllckitat ' — --- — —
Lewis
Mason Jefferso ri
Pend Oreille
Pierce { .
San Juan
Skagit
Skamania
Snohomish 3,i
Spokane 458,,
Thurston 1
Wahkiakum 4
Walla Walla 53
Whatcom 728
Whitman 68
Yakima 401
GRANDTOTAL 19,931
Island
326
Chelan
-
133
f' -
trap
Douglas
68
4SO
Mason {
—
Kutna,
-
t
Adams
Whitman
1
66
Franklin
269
i Yakima
--
401
Cowbu
I
Benton
Yfaila Vlalla
Asotin
S34
1
295
5!
31
�J
Kllckitat
Clark
49
Concerned Citizens
The helping hands of Clallam
Jefferson Counties
jeffersoncountypublichealth.org/455/I ntellectual-Developmental-Disa bil ities
mty,'W.., Ace Kit 1010-2
Intellectual & Developmental Disabilities (IOD)
Qualified Providers, Please Apply:
Jefferson County continuously seeks applications from qualified providers of services
for people experiencing IDD. See full RFP and Legal Notice.
The state requires the
county to conduct
specific activities to
evaluate provider
performance and issue
corrective actions,
when necessary.
■
WA State Guiding Values:
• Inclusion
• Status and Contribution
Being valued by others
• Relationships
• Power and Choice
Ability to direct or
influence one's life
• Health and Safety
• Competence
Capable of doing what
we need and want
q1
rw �
Note DS
on Mcl HS reOrganixecdl
the � r and �°shed
Other ' among
r changes.
ne and Community
Administration (HCLA)
AKA Developmental Disabilities
Administration (DDA)
DDA
Developmental
Disabilities
Administration
Long-term support
for employment
mainTenance
...and lots of other services
Md.
WASHINGTON
Family
Supports
(P2P) A
N ■ ■
DSHS
f^
Concerned Citizens
The helping hands of Clallam
and Jefferson Counties
! t
QI3A MAL 0 IF JA
J
(Birth-3)
CASCADE
COMMUNITY CONNECTIONS
(Supported Employment, Job
Foundations, School -to -Work, and
Community Inclusion)
Outreach &
Ed. Activities
Coordinator
Administrative
Activities
•
nETOI i
*#**
Manages contracts with state, providers,
and supporting entities
Is the local "quality control" for providers
b
Intellectual and
Developmental Disabilities
Advisory Board ODDAB)
The IDDAB is an open, public meeting that
convenes for 1.75hrs on 5 Tuesdays a year.
There are no meetings in
summer or in December.
Members lend their knowledge of intellectual and
developmental disabilities to inform the county
coordinator. Self -Advocate board members
receive a $50 stipend per meeting they attend.
0
0
0
We need board
members'.
Manages contracts with state, providers,
and supporting entities
Is the local "quality control" for providers
✓Manages the Intellectual and Developmental
Disabilities Advisory Board (IDDAB)
!U►Akf
•
JAW L►Q
Ater
The ACAC works with citizens
to apply for a specific state
grant for accessibility projects.
Funded project examples:
• Beach wheelchair
• Accessibility technology for Key
City Public Theatre
• Accessible Restaurant Guide
• Automatic door openers
• Jefferson County Fairgrounds
improvements
Manages contracts with state, providers,
and supporting entities
Is the local "quality control" for providers
✓Manages the IDDAB
✓Manages the ACAC
10r1vims
Aurnfic
at;" anc
eartner�
._
DASH
Partners
• All Jefferson County School Districts
• Jefferson County Transition Network
4
• Jefferson County School Medical
Autism Review Team (SMART)
• Jefferson Interagency Coordinating
The Arc Council (ICC)
•
Olympic Peninsula YMCA-JeffCo
s • The Parlor
•
• Self -advocates, parents, guardians,
• . • caregivers, employers, local
:- representatives and other individuals
_.• a �'
ATION CLUB • Many others!
Ways to help out
Referrals for Birth -to -Three services are low.
Remind parents, educators, and healthcare providers that
services are available for anyone born prematurely or who
is not meeting developmental milestones.
School -to -Work Program newly available in Jefferson county
Please spread the word! For high school students enrolled with
with DDA and DVR who are in the last year of their school
transition program, from age 20 through 22.
Thank you'.
�e%�vuon
Public Health
CASCADE
COMMUNITY CONNECTIONS
PRE.,ETS AND TRANSITION
SERVICES
JEFFERSON COUNTY
CASCADE COMMUNITY CONNECTIONS
• Taylor Webster- Director and Founder of
Cascade Community Connections
• Sam Touchie- Transition Coordinator
• Cascade Community Connections is a
contractor hired by Jefferson County and
the Division of Vocational Rehabilitation
(DVR) to provide Pre -Employment
Transition Services, Job Foundations, and
School -to -Work to eligible students.
CASCADE
COMMUNITY CONNECTIONS
PRE -EMPLOYMENT TRANSTION SERVICES
• Pre-ETS is a set of services designed to help'-
students with disabilities prepare for life after
high school, focusing on career exploration,
workplace readiness, self -advocacy, and post-
secondary education options!
• Students can also access work -based learning,
opportunities, which include job tours,
informational interviews, and summer _ _ '►�'
employment opportunities.�-
• Students ages 14 - 22 who are enrolled in
secondary orpost-secondary schools and have
an 1EP, 504 Plan, or a documented disability
can receive these services in Jefferson County!`r--
• Currently, we are in Port Townsend High
School, OCEAN K-12, and Chimacum High
School offering these services!
• We have recently connected and met with
Quilcene School District and Brinnon K-8 and
we feel confident we will be starting Pre-ETS
services with them next year!
• We have connected these services to around 50
students/families and about 35 students have
participated in the workshops throughout this
school year!
• Some topics covered this year were : Goal
setting, budgeting, resume writing, cover letters,
vocational skills, communication, and interview
prep!
PRE -EMPLOYMENT TRANSITION SERVICES
GROWTH
• Last school year, we were able to connect with
Port Townsend fiHiah School OCEAN K 12,
and Chimacum High School, however,
OCEAN and Chimacum started Pre E S
later in the school year!
• We connected these services to around 30
students and families last year and this year,
we connected 20 more students and families!
• Next year with Quilcene and Brinnon
utilizing Iese services, we hope to connect
with a fair number of students and families
and bring services over to that part of the
county!
• All students have an IEP in the schools, so
these numbers do not include any students
with 504 plans or a documented disability.
• For students with higher support needs and
are connected with DDA services, they can
access additional services in their transition
years (18 - 22) in school!
• Job foundation will take place during their
second year of transition (19 - 20 years old)
and lasts between 3 - 4 months!
It focuses on engaging students early in
their second -to -last year of school to explore
their interests, skills, and needs, and to
connect them with resources and supports.
• At the end of the service, all the
information gathered is put in a Job
Foundation Report, which outlines
actionable next steps for employment and
future planning.
JOB FOUNDATIONS
• Last school year, we had 3 students
participate and complete job
foundations.
• This school year, we did not have any
students in job foundations.
Next school year, we have identified 3
potential students that can participate
job foundations.
Jefferson Counvj and is offered to
-,tud,;�mts in thcir 'final year o' transition
(20-22 years old) and are- connected to
DDA se-r-vices
c,o,���-,d�Iom�iht gap
be-,o een school and employment a -I f.er
school and helps to create a seamless
ransiti,n from school -to DDA serviceso
® The goal of Scl-iool-Loa`,vY\\/ork is for the
student to be gainfully employed by -the
end of the school year.
® This year, 7we have tvio students in the
School -to -Work program!
SUCCESS STORY -
GILLIAN MCCRACKEN
• Gillian McCracken is a student at PTHS in her final
year of transition!
• She participated in Pre -Employment Transition
services for 2 years!
• She's participated in workshops, Job Foundation,
completed a summer internship at Pane d'Amore,
and is now in School -to -Work!
• Through School -to -Work, Gillian was hired by
Evergreen Fitness as a gym assistant!
• Gillian said she loves working with people and her
job is a lot of fun!
• Gillian will continue to get job training support,
learn dial -a -ride to be independent, and will
transition seamlessly from school to DDA services.
Jefferson County
Board of Health
Ow
Agenda Planning
iffetson
Public H
May 15, 2025
Jefferson County
Board of Health
Announcements
Public H
May 15, 2025
�, M.
Public H