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HomeMy WebLinkAbout2024.05.16 Packet 0 Kittitas County Public Health To Protect and Promote the Health and the Environment of the People of Kittitas County BOARD OF HEALTH MEETING AGENDA Thursday, May 16, 2024 Commissioners' Auditorium 10:00am Introduction of Guests Minutes: ■ Approval of February 15, 2024 BOH Meeting Minutes • Approval of March 26, 2024 BOH Cancelled Meeting Minutes • Approval of April 15, 2024 BOH Cancelled Meeting Minutes Public Comment Department Updates • Director/Administrative Officer Report(10 minutes) • Health Officer Update (20 minutes) • CHA Final Report Presentation (10 minutes) • Veteran Services Program Update (10 minutes) • Public Health Emergency Preparedness and Response Foundations Presentation (15 minutes) Other Business ■ Request to schedule joint BOH/BOCC Public Hearing to consider revisions to Kittitas County Code Chapter 13.04 On-Site Sewage Disposal Systems and Kittitas County Code Chapter 13.20 Solid Waste Handling (5 minutes) ■ Approve BOH Resolution adopting the Kittitas County Board of Health Bylaws Amendment(5 minutes) 0 Kittitas County Public Health Department To Protect and Promote the Health and the Environment of the People of Kittitas County KITTITAS COUNTY BOARD OF HEALTH (BOH) Meeting Minutes February 15,2024 Commissioners'Auditorium 10:00 am Present Board of Health (BOH): Brett Wachsmith, Dede Utley, Cory Wright, Danielle Bertschi, Linda Navarre Absent: Laura Osiadacz Public Health: Candi Blackford, Chelsey Loeffers,Jesse Cox, Cambron Walker, Kate Johnson, Mackenzie Carter, Kelly Bacon, Charlie Divine, Whitney Wheelock, Dora Beukelman,Audi Martinez, Lucy Garcia, Lianne Bradshaw, Katie Odiaga,Timothy Paxton Others: Kelsie Young, RN,WSU student furthering her nursing degree and shadowing Dede Utley. BOH meeting called to order at 10:00 a.m. Approval of Minutes Motion to approve January 18, 2024, Board of Health meeting minutes as presented. Motion 02.01: Motion to approve the January 18,2024 BOH meeting minutes as presented. Cory Wright moved to approve the January 18, 2024, Board of Health meeting minutes as presented. Dede Utley second.All approved. Motion 02.01 carried to approve the January 18,2024, Board of Health meeting minutes as presented. Public comment open at 10:00 am Public comment closed at 10:00 am Department Updates Health Officer Update Kate Johnson reported that there were higher levels of RSV, COVID and influenza in the last couple of weeks. Reminder to get vaccinated and stay home when ill. Director Update General Updates • Chelsey Loeffers reported that she will start reviewing the BOH orientation this month and will be breaking it up into two parts. • Over the next several months we'll be including more staff presentations. Staffing Updates • Charlie Divine, new Community Health Project Specialist, started this week. ■ Nicole Paxton, new Public Health tech starts February 20tn • Rebekah Moon promoted to Health Promotion Specialist II. Departmental Updates • 10 staff participated in a three day in person ICS-300-Intermediate Incident Command System for Expanding Incidents. Kelly conducted training and lead the After-Action Report (AAR).The next step is to hold an ICS 400 to continue building depth. • 5 staff will be attending weeklong All Hazards 0-0305 Type 3 IMT training at the end of the month. • Danielle Bertschi visited last week, spent time with Communicable Disease Supervisor, Kate Johnson, Chief Administrator, Candi Blackford, and Dr. Mark Larson. Linda Navarre will be scheduled to visit the department for similar education meetings. • The deputy director position is almost ready and should post soon. • The department is starting to work on our 2023 department annual report. Division/Program Updates ■ Homelessness and Affordable Housing Committee update: o Updating the website and documents that are out of date. o Posting vacancies on board and working on communication/attendance. o Updating process and procedures for funding applications. o Working with the Auditors office to transition contract oversight and to tease apart funding streams and related RCWs. ■ Community Health Assessment is almost done. ■ Staff are supporting the Hazard Mitigation plan, including Kasey Knutson working directly with a consultant on outreach and promotion. • Staff partnered with City of Ellensburg to provide educational flyers on rat infestations after city reported increased complaints. • The department is working with Central Washington University to increase the number of job carves for individuals with disabilities, and will be meeting with Brett Wachsmith and the Chamber tomorrow to partner on expansion to top 10 employers. ■ Working with Brett Wachsmith and Stephanie Hartung to define a process for Developmental Disability millage funds. • We are about a month away from offering online permit submittals and payments for customers through Smartgov as well as moving the environmental health inspection platform from an in- house made software, Macchiato, into SmartGov.This process, in theory, will eliminate most of the paper records for EH. Erin Moore has been working with SmartGov on this process for about a year. • Audi Martinez is preparing to present at the NW Rural Health Conference next month re: COVID rural health equity. g4 Financial Update Katie Odiaga reviewed the 2023 financial year end review to include the following: ■ 2023 Revenue • 2023 Expenses • 2023 Actuals vs Budget Board of Health Annual Orientation Chelsey Loeffers reviewed the 2024 Local Board of Health part one orientation with the board and reviewed the following: 2 ■ Public Heath review • Governmental Public Health in WA Veteran Services Program Update Timothy Paxton, Kittitas County Veteran Service Officer, reported to the board on the Veteran Services program updates: • We have new spreadsheets for tracking veteran appts,voucher program information,VSO appointment demographics. • Veteran VSO appts vary between 6-10 appts a week. • Since the beginning of January,we have had 48 appts(NOTE: some vets must have multiple appts). • Kristin Ashley,Vet Corps volunteer, has been working with the Veteran Service Officer and reaching out helping connect veterans to resources. ■ The VSO finished his VSO TRIP (Training, Responsibility, Involvement, and Preparation of Claims) portal training. ■ Timothy will be talking with Safeway about the veteran vouchers program. One Health Presentation Lianne Bradshaw, KCPHD Epidemiologist, and Jesse Cox, Environmental Health Supervisor, discussed the concept of One Health with the board.The One Health concept is recognizing that the health of people is closely connected to the health of animals and our shared environment and reviewed the following; • Discussed why One Health is important • Reviewed examples of One Health o Ecological changes o Travel and commerce o Technology and industry o Microbial evolution o Public health measures breakdown ■ All changes equal opportunity for disease/illness to pass and to spread ■ Changes are not mutually exclusive ■ Able to look at issues from multiple perspectives for prevention efforts • Traditional One Health Issues o Antimicrobial resistance o Zoonotic diseases o Vector-borne diseases o Water contamination o Newer issues: such as chronic disease, mental health, non-communicable diseases, injuries, pollution, and wildfire smoke • One Health and KCPHD Environmental Health encompasses: o Food Safety o Sanitation o Biological hazards o Wildfire Smoke o Algae o West Nile Virus • Discussed the benefits of One Health approach Food Safety Program Presentation Lucy Garcia, Environmental Health Specialist, presented about the food safety program. Ms. Garcia presented about: • The importance of Environmental Health services. • What food safety is and why it is important. 3 KCPHD Food inspections (numbers and data from 2023). • Provide protection from cross contamination. • Make sure establishments are getting food from approved sources and not altered. • Make sure food is in good condition and safe Other Business Request joint BOH BOCC Public Hearing to consider revisions to Kittitas County Code Chapter 13.04 On- Site Sewage Disposal Systems and Kit itas County Code Chapter 13.20 Solid Waste Handlin Jesse Cox requested that the Board of Health authorizes and schedules a joint BOCC/BOH Public Hearing to consider revisions to Kittitas County Code Chapter 13.04 On-Site Sewage Disposal Systems and Kittitas County Code Chapter 13.20 Solid Waste Handling during the next regularly scheduled Kittitas County Board of Health meeting on March 21, 2024 at 10:OOam. 02.02: Motion to approve a joint BOCC/BOH Public Hearing to consider revisions to Kittitas County Code Chapter 13.04 On-Site Sewage Disposal Systems and Kittitas County Code Chapter 13.20 Solid Waste Handling during the next regularly scheduled Kittitas County Board of Health meeting on March 21, 2024 at 10:OOam. Cory Wright moved to approve a joint BOCC/BOH a consider revisions to Kittitas County Code Chapter 13.04 On-Site Sewage Disposal Systems and Kittitas County Code Chapter 13.20 Solid Waste Handling during the next regularly scheduled Kittitas County Board of Health meeting on March 21, 2024 at 10:OOam. Dede Utley second. All approved. Motion 02.02 carried to approve a joint BOCC/BOH a consider revisions to Kittitas County Code Chapter 13.04 On-Site Sewage Disposal Systems and Kittitas County Code Chapter 13.20 Solid Waste Handling during the next regularly scheduled Kittitas County Board of Health meeting on March 21,2024 at 10:OOam. Amendment to the Bylaws of the Board of Health Chelsey Loeffers reviewed the recommended changes requested by the board last month. It was suggested that the bylaws be changed to update the following language: Four(4)members of the Board of Health shall constitute a quorum for the dispatch of business. A majority of members of the Board of Health shall constitute a quorum in the event that any member seats at the time of the meeting are vacant. 02.03: Motion to approve the Board of Health bylaws amendment. Dede Utley moved to approve the Board of Health bylaws amendment. Danielle Bertschi second.All approved. Motion carried to + approve the Board of Health bylaws amendment. Board of Health Member Updates No updates this month. Meeting concluded at 10:50 am. Brett Wachsmith, Commissioner, Chair Chelsey Loeffers, Director Kittitas County Public Health Candi Blackford, Clerk of the Board of Health 4 Public Health To Protect and Promote the Health and the Environment of the People of Kittitas County KITTITAS COUNTY BOARD OF HEALTH (BOH) Meeting Minutes March 26,2024 Commissioners'Auditorium 10:00 am Meeting cancelled. Brett Wachsmith, Commissioner,Chair Chelsey Loeffers, Director Kittitas County Public Health Candi Blackford, Clerk of the Board of Health Kittitas County Public Health Department To Protect and Promote the Health and the Environment of the People of Kittitas County KITTITAS COUNTY BOARD OF HEALTH (BOH) Meeting Minutes April 1S,2024 Commissioners'Auditorium 10:00 am Meeting cancelled. Brett Wachsmith, Commissioner, Chair Chelsey Loeffers, Director Kittitas County Public Health Candi Blackford, Clerk of the Board of Health LU i- Z ul Q Q z 0 W � u w J C m u z 41 w CD w 2 C � E � � a s � u Y LU z �. 4 ,, QCL o si w i" 1 i. W �n 1 Lu LU w9 TN' r 1 � t � = a c � ❑ V n Y CL r -- �r � lr i W 1 w � U Z U w (D om 1= Z) w �. 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L1J i tJ � W 0 Kittitas County Public Health ,epartment To Protect and Promote the Health and the Environment of the People of Kittitas County BOH Staff Report AGENDA DATE: May 16, 2024 ACTION REQUESTED: The Board of Health authorizes and schedules a joint BOCC/BOH Public Hearing to consider revisions to Kittitas County Code Chapter 13.04 On-Site Sewage Disposal Systems and Kittitas County Code Chapter 13.20 Solid Waste Handling during the next regularly scheduled Kittitas County Board of Health meeting on June 20, 2024 at 10:00am. BACKGROUND: The following code changes will be proposed: Chapter 13.04 On-Site Sewage Disposal Systems Adopting the Washington Administrative Code (WAC) by reference in key sections of the existing code where redundancies are found. Chapter 13.20 Solid Waste Handling Adopting the WAC by reference chapters 173-304, 173-350, 173-351 in place of an expired code referenced that is currently found in the Kittitas County code title 13.20. INTERACTION: PA Office Approval, Camas#55817 RECOMMENDATION: The Board of Health authorizes and schedules a joint BOCC/BOH Public Hearing to consider revisions to Kittitas County Code Chapter 13.04 On-Site Sewage Disposal Systems and 13.20 Solid Waste Handling during the next regularly scheduled Kittitas County Board of Health meeting on June 20, 2024 at 10:00am. HANDLING: N/A LEAD STAFF: Jesse Cox 0 Kittitas County Public Health lepartment To Protect and Promote the Health and the Environment of the People of Kittitas County BOH Staff Report BOARD OF HEALTH DATE: May 16, 2024 ACTION REQUESTED: Approve a resolution adopting the 2024 Amended Bylaws of the Kittitas County Board of Health from February 15, 2024. ATTACHMENTS: 2024 Amended Bylaws BACKGROUND: BOH members approved the 2024 Amended Bylaws of the Kittitas County Board of Health at the regular meeting of the Board of Health of February 15, 2024. However, staff did not have a resolution prepared to formally document the adoption. This amendment to the bylaws address quorum language, and updated Article VII item 3 to reflect the recommendations from members at the January 18th,2024 Board of Health meeting, as follows: Four(4)members of the Board of Health shall constitute a quorum for the dispatch of business.A majority of members of the Board of Health shall constitute a quorum in the event that any member seats at the time of the meeting are vacant. INTERACTION: n/a LEAD STAFF: Chelsey Loeffers, Director BOARD OF HEALTH COUNTY OF KITTITAS STATE OF WASHINGTON RESOLUTION AMENDING THE KITTITAS COUNTY BOARD OF HEALTH BYLAWS RESOLUTION NO. 2024- WHEREAS: The state of Washington requires each local health jurisdiction to be governed by a local board of health, in accordance with RCW 70.05; and WHEREAS: The board of county commissioners and an equal or greater number of nonelected county residents shall constitute the local board of health,in accordance with the updates to RCW 70.05.030 that take effect July 1, 2022; and WHEREAS: The Kittitas County Board of County Commissioners appoints the nonelected members of the Kittitas County Board of Health by a majority vote; and WHEREAS: Bylaws establishing the purpose, membership, authority, officers and duties, meetings and quorum, business of regular meetings, rules of business, amendment protocol, and joint public hearing protocols are necessary for the function and operational of the Kittitas County Board of Health and the Kittitas County Public Health Department; and WHEREAS: The Kittitas County Board of Health adopted Bylaws by Resolution 2022-03; and WHEREAS: The Kittitas County Board of Health has made revisions to the adopted Bylaws, which are consistent with the Board of Health's direction and business operations, and is attached hereto and incorporated by reference as "Exhibit A;" NOW, THEREFORE BE IT RESOLVED: The Board of Health of Kittitas County, Washington adopts the Amended Kittitas County Board of Health Bylaws shown in "Exhibit A" effective immediately. ADOPTED this day of 2024. BOARD OF HEALTH KITTITAS COUNTY,WASHINGTON Brett Wachsmith, Chair Dede Utley,Vice-Chair Cory Wright, County Commissioner Laura Osiadacz, County Commissioner Danielle Bertschi, Board of Health Linda Navarre,Board of Health ATTEST: CLERK OF THE BOARD Amended Bylaws of Kittitas County Board of Health Article I—Name The name of this organization shall be the Kittitas County Board of Health, hereafter referred to as the "Board of Health." Article II—Purpose The primary purpose of the Kittitas County Board of Health is (1)to serve as the governing body of the Kittitas County Public Health Department; (2)to unite community voices and county elected officials in a cooperative effort to advise and supervise all matters pertaining to the life and health of the citizens of Kittitas County; (3) to comply fully with the requirements of all applicable chapters of Title 70, Revised Code of Washington; (4) to create, promote, and enforce prudent public health policy within the jurisdiction; and (5)to make possible and invite the active participation of all professions, persons, and organizations interested in local public health. Article III—Membership 1. In accordance with Chapter 70.05.030, Revised Code of Washington,the Kittitas County Board of Health shall consist of at least six (6) members: a. Seat 1 shall be a Kittitas County Commissioner b. Seat 2 shall be a Kittitas County Commissioner c. Seat 3 shall be a Kittitas County Commissioner d. Seat 4 shall be filled by an individual who resides in Kittitas County and meets the qualifications for the category of"Public health, health care facilities, and providers" as described in RCW 70.46.020(1)(a)(i).The individual appointed to this seat may not be an elected official. e. Seat 5 shall be filled by an individual who resides in Kittitas County and meets the qualifications for the category of"Consumers of public health" as described in RCW 70.46.020(1)(a)(i).The individual appointed to this seat may not be an elected official. f. Seat 6 shall be filled by an individual who resides in Kittitas County and meets the qualifications for the category of"Other community stakeholders" as described in RCW 70.46.020(1)(a)(i).The individual appointed to this seat may not be an elected official. 2. The three (3) nonelected members of the Board of Health in Seats 4, 5, and 6 shall be appointed by the Kittitas County Board of County Commissioners for three-year, staggered terms with prior appointed members remaining on the Board until the new appointments have been finalized. 3. Vacancies on the Board of Health shall be filled by appointment within thirty (30) days and made in accordance with Chapter 246-90 Washington Administrative Code, Local Board of Health Membership (effective date July 1, 2022). Recruitment periods lasting longer than thirty(30) days may be approved as deemed necessary by a majority vote of the Board of Health. 4. Nonelected members appointed to the Board of Health who accumulate more than one unexcused absence from regular Board of Health meetings every six months (January through June and July through October) may be removed from the Board of Health by majority vote of the three (3) Kittitas County Commissioners.An unexcused absence is defined as a missed regular meeting of the Board of Health with no prior communication with the Board Chair,the Administrative Officer, or the Clerk of the Board. Page 1 of 5 Amended Kittitas County Board of Health Bylaws, February 2024 5. Terms for nonelected members on the Board of Health shall be limited to two (2) consecutive terms.Term-limited members may reapply if a vacancy exists for thirty (30) days after term ends. Article IV—Legislative Powers, Duties, and Functions(RCW 70.05) 1. The authority of the Board of Health shall be as prescribed by the laws of the State of Washington. 2. The Administrative Officer will be hired as the Public Health Director for Kittitas County, with an opportunity for non-elected Board of Health members to participate in the hiring process. Once a Public Health Director has been selected by Kittitas County,the Board of Health shall appoint the Director as the Administrative Officer of the Board of Health via resolution during any regular or special meeting of the Board of Health by a majority vote.The Board of Health shall appoint the Director of the Kittitas County Public Health Department to serve as the Administrative Officer.The Administrative Officer shall serve at the pleasure of the Board of Health and shall report directly to the Board of Health. 3. The Health Officer shall be a qualified physician trained and experienced in public health.The Health Officer shall report to the Administrative Officer. In accordance with RCW 70.05.050, no term of office shall be established for the Health Officer and the Health Officer shall not be removed until after notice is given and an opportunity for a hearing before the Board of Health as to the reason for their removal.The Board of Health must appoint the Health Officer. 4. The Board of Health will review and decide the necessary finances and budget to carry on health services. 5. At least annually, the elected members of the Board of Health shall approve a fee schedule for services provided by the Kittitas County Public Health Department. All members of the Board of Health will be provided an opportunity to review the fee schedule and provide feedback to the Department and advise the elected members of the Board of Health. Fees are set through public hearing of the Board of County Commissioners. 6. The Board of Health will receive reports from and through the Administrative Officer on the activities of the Department. 7. The Board of Health may cooperate with and coordinate activities with others in the community and solicit their cooperation and services in carrying out sound public health programs within the jurisdiction of the Department. 8. The Board of Health will hear testimony from persons or groups appearing before it in regular meetings. Article V—Officers and their Duties 1. The presiding officer of the Board of Health shall be a Chair, who shall serve for a term of one (1) year.The Kittitas County Board of County Commissioners Chair will serve as the Chair of the Board of Health.The Board of Health shall elect the Vice-Chair by a majority vote of the Board members present at the last regular meeting of each year.The Vice-Chair must be a nonelected member on the Board of Health and not a county commissioner. 2. The Vice-Chair shall perform the duties of the Chair in the event of the Chair's absence or inability to perform. Page 2 of 5 Amended Kittitas County Board of Health Bylaws, February 2024 3. In accordance with Chapter 70.05.045, Revised Code of Washington,the Administrative Officer shall serve as Executive Secretary to the Board of Health. a. It shall be the duty of the Executive Secretary to ensure all meeting minutes are documented, numbered, and dated motions/resolutions passed by the Board of Health are documented, and members of the public are notified of public meetings. b. The Executive Secretary shall be empowered to employ such technical and other personnel as approved in the budget to carry out the functions of the Health Department. 4. In accordance with Chapter 70.05.070, Revised Code of Washington,the Health Officer shall act under the direction of the Administrative Officer and shall be responsible to the Administrative Officer and Board of Health for their official actions. ARTICLE VI—Officer Evaluations 1. The Board of Health shall serve in an advisory capacity to conduct annual evaluations of the Administrative Officer. a. The evaluation of the Administrative Officer shall be conducted through the Kittitas County performance evaluation process for Department Heads.The designated Kittitas County Commissioner shall complete the draft evaluation. b. The Board of Health shall provide feedback on the draft evaluation via Executive Session during a regular or special meeting of the Board of Health, in accordance with RCW 42.30.110(1)(g)To evaluate the qualifications of an applicant of public employment or to review the performance of a public employee. c. The designated Kittitas County Commission shall incorporate the feedback of the Board of Health as appropriate into the final evaluation and will follow the Kittitas County Performance Evaluation process for presenting the final evaluation of the Administrative Officer. 2. The Board of Health shall serve in an advisory capacity to conduct annual evaluations of the Health Officer. a. The evaluation of the Health Officer shall be conducted through the Kittitas County performance evaluation process for Department Heads.The Public Health Director, as the Department Head, shall complete the draft evaluation. b. The Board of Health shall provide feedback on the draft evaluation via Executive Session during a regular or special meeting of the Board of Health, in accordance with RCW 42.30.110(1)(g)To evaluate the qualifications of an applicant of public employment or to review the performance of a public employee. c. The Public Health Director shall incorporate the feedback of the Board of Health as appropriate into the final evaluation and will follow the Kittitas County Performance Evaluation process for presenting the final evaluation of the Health Officer. Article VII—Meetings and Quorum 1. The Board of Health shall meet monthly.The dates and times for the meetings shall be established at the January meeting of the Board of Health. Scheduled meeting dates,times, and places may be revised or canceled to accommodate the needs of the Board of Health; in such instances, public notice at least ten (10) days in advance must be given. Page 3 of 5 Amended Kittitas County Board of Health Bylaws, February 2024 2. Special meetings may be called by the Chair at their discretion, at the request of the Executive Secretary, or at the request of a majority of the members, provided that written notice is given to each member and the public at least twenty-four hours prior to the proposed meeting concerning the time, place and subject, except in an emergency as provided by RCW 42.30.080. 3. Four(4) members of the Board of Health shall constitute a quorum for the dispatch of business. A majority of members of the Board of Health shall constitute a quorum in the event that any member seats at the time of the meeting are vacant. 4. Approval of all actions taken by the Board of Health shall be by a majority of the votes cast. 5. In accordance with RCW 42.30.110, the Board of Health shall call executive sessions as necessary. Article VIII—Business of Regular Meetings The business at all regular meetings, unless changed by a majority vote of members present, shall include Call to Order, Introduction of Guests, Approval of Minutes of Last Meeting, Public Comment, Department Updates, Other Business, and Board of Health Member Updates. Article IX—Rules of Business Business shall be conducted in accordance with the most current edition of Robert's Rules of Order, so long as they are consistent with these bylaws or any amendment thereto. Article X—Amendments to the Bylaws These bylaws may be amended via Board of Health resolution approval during any regular or special meeting of the Board of Health by a majority vote of members present, provided the amendment has been presented in writing to the members Board of Health at least one (1) month prior to the request for adoption, ideally at the most recent Board of Health meeting. Article XI—Joint Public Hearings For Kittitas County Code pertaining to the health of the county, any additions or amendments must be approved by both the Board of County Commissioners and the Board of Health. A joint Board of Health and Board of County Commissioners Public Hearing may be held during a regularly scheduled meeting with the necessary public noticing. During the Hearing, the Board of Health may approve code amendments, deletions, or additions via a Board of Health Resolution and the Board of County Commissioners may approve code amendments, deletions, or additions via Board of County Commissioners Ordinance. This version of the Bylaws of the Kittitas County Board of Health supersedes the bylaws adopted by Kittitas County Board of Health Resolution 2022-03.Adopted the day of_ , 2024. Page 4 of 5 Amended Kittitas County Board of Health Bylaws, February 2024 Brett Wachsmith, Board of Health Chair Dede Utley, Board of Health Vice-Chair Cory Wright, Board of Health Member Laura Osiadacz, Board of Health Member Danielle Bertschi, Board of Health Member Linda Navarre, Board of Health Member Page 5 of 5 Amended Kittitas County Board of Health Bylaws, February 2024