HomeMy WebLinkAboutJune BOH Packet Kittitas County
Public Health
Department
To Protect and Promote the Health and the Environment of the People of Kittitas County
BOARD OF HEALTH SPECIAL MEETING
AGENDA
Monday,June 16, 2025
Commissioners'Auditorium and WebEx
10:OOam
Citizen Comments
Introduction of Guests
Minutes:
• Approval of March 19, 2025 Board of Health meeting minutes
• Approval of March 20, 2025 Cancelled meeting minutes
Other Business
• Public Health Champion Presentation (15 minutes)
• Board of Health Advisory Committee Discussion/Decision (10 minutes)
• Resolution to Dissolve the Board of Health Advisory Committee (5 minutes if needed)
• Request to Schedule a Joint BOH/BOCC Public Hearing to Consider Revisions to KCC
Chapter 13.08.080 on August 14, 2025(5 minutes)
Department Updates
• Health Officer Update(15 minutes)
• Update on Budget Reductions to the Washington State Department of Health (10 minutes)
• Director/Administrative Officer Report(15 minutes)
• Q1 Financial Report(10 minutes)
• Communications Presentation (15 minutes)
Board of Health Member Updates (10 minutes)
Conclude
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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)
Special Meeting Minutes
March 19, 2025
Commissioners'Auditorium
Present
Board of Health (BOH): Brett Wachsmith, Danielle Bertschi, Linda Navarre, Dede Utley, Cory Wright
Absent: Laura Osiadacz
Public Health: Candi Blackford,Jesse Cox, Chelsey Loeffers, Erin Moore, Kate Johnson, Lauren Wickerath,
Mackenzie Carter, Lianne Bradshaw, Rebecca Moon, Melissa Schumaier
Dede Utley called the Board of Health meeting to order at 9:01a.m.
Public Comment:
Open at 9:03 a.m.
Closed at 9:03 a.m.
Approval of Minutes
Dede Utley asked for a motion to approve the December 19,2024, meeting minutes as presented.
03.01: Motion to approve December 19, 2024, meeting minutes as presented. Linda Navarre moved to
approve the December 19, 2024; Board of Health meeting minutes as presented. Danielle Bertschi
second. All approved. Motion 03.01 carried to approve the December 19, 2024; Board of Health
meeting minutes as presented.
Dede Utley asked for a motion to approve the December 19,2024, Public Hearing meeting minutes as
presented.
03.02: Motion to approve December 19, 2024, Public Hearing meeting minutes as presented. Danielle
Bertschi moved to approve the December 19, 2024; Public Hearing meeting minutes as presented. Brett
Wachsmith second. All approved. Motion 03.2 carried to approve the December 19, 2024; Public
Hearing meeting minutes as presented.
Department Updates
Health Officer Update
Dr. Mark Larson reported on the current measles situation around the U.S. He noted that approximately
900 out of 1000 kids got measles in their childhood before the vaccine was created in 1961. Symptoms
of the disease are:
• High fever, cough, runny nose, red/watery eyes, maculopapular rash that occurs typically 2-4
days after symptoms begin and starts at the hairline and spreads downward.
The current outbreak in Texas has 259 cases as of yesterday.Vaccination rates in general are down
across Washington and discussed who does and does not need a measles booster. Vaccinations are still
the best defense against measles.
Dr. Larson also discussed the recent pertussis outbreaks at our local high school and local college in
town. Both had great collaboration when working with the Public Health Communicable Disease Team.
The group discussed how the high school and college outbreak investigations were different and why.
2
The group also discussed kids today and the changes teachers are seeing in the classroom. Dr Larson
noted that science works but there is still some research that needs to be done.The group also
discussed TDAP and DTAP
Director/Administrative Officer Report
Chelsey Loeffers reported the following funding updates:
• Federal Funding
• State Funding
• Foundational Public Health Services Funding
• Covid funding ends in June 2025
• Funding most likely to be impacted is FPHS
• Discussed FPHS budget proposals: Current Biennium budget, Inslee proposed budget, and
Ferguson proposed budget with impacts to FPHS budget
• Reviewed state budget next steps
• Reviewed budget reduction strategies
Discussion about specific funding categories and how funding cuts are decided for which programs and
who gets the cuts. Mrs. Loeffers informed the board that she is on the FPHS steering committee and will
be a part of that discussion.
2024 Year End Finance Report
Chelsey Loeffers reviewed the 2024 year end finance report that was prepared by Katie Odiaga,
Accountant.
• Budget vs. Actuals: Income/Expenses
No surprises and under budget.The board had no questions.
2024 Communicable Disease Surveillance Report
Lianne Bradshaw reviewed the 2024 communicable disease update. The 2024 cases are pulled from the
state data systems and are subject to change with validation and review. Numbers are based on case
definitions as confirmed or probable. Case counts reflect reported cases only.
Disease reporting in Washington State is defined in the Washington Administrative Code Chapter 246-
101 and outlines disease reporting requirements.The code requires disease reporting for labs and
physicians within a required timeframe.This report lives on the Washington State Department of Health
website. Mrs. Bradshaw discussed the process of reporting a case and contact information for reporting
one.
In 2024 the county saw higher numbers of Campylobacter and Chlamydia. She also reviewed other
diseases that were seen in Kittitas County and discussed vaccine preventable diseases. In 2024 our Long-
Term Care Facilities saw outbreaks of covid and norovirus. Mrs. Bradshaw reviewed data for Sexually
Transmitted Diseases and data for Kittitas County.
Vector Program Presentation
Melissa Schumaier reviewed the following vector born illnesses that are concerns here in Kittitas
County:
• West Nile Virus
• H5N1-Avian Influenza
• Rabies Lyssavirus
• Hantaviruses
• Tickborne diseases
• Random pest complaints
Mrs. Schumaier reviewed t process for collecting mosquitoes:
o Mosquitos are collected and sent for testing
o They use dry Ice (CO2) collection traps
o The labs are looking for genus Culex Pipiens that carry West Nile Virus
3
o Unfortunately,funding has been pulled from Kittitas County to focus on counties with
positive pools. We have wind here in the county and probably helps with the lower rates
of West Nile Virus.
The other program that is popular has to do with ticks. Kittitas County has 4 types:
• Western Black Legged
• Western Dog Tick
• Rocky Mountain Wood Tick
• Soft Tick
When the county is collecting ticks, it is looking for the Western Black Legged tick that is responsible for
Lyme disease.The Western Black Legged Tick loves forested, brushy, and grassy areas. It is found where
deer and other mammals travel and love water and moisture. These ticks are found from the top of the
pass down to the east side of Cle Elum. With evolving climate, it is believed that the Western Black
Legged Tick is expanding its range. Longer summers and milder winters extend their active months and
longer active times gives them more time to transmit disease and travel. We test ticks so that we can
map out their active areas and better understand their range.This summer the county will be doing tick
drags every other week and reviewing the data to see if it is changing and if we need to change what we
are educating to the public.
Other Business
None
Board of Health Member Updates
Danielle Bertschi noted
• Wildland season is right around the corner and there will be slight cuts to the Forest Service.
• KVH Home Health waits are down
Linda Navarre noted
• increased vaccines
• Possibility to partner with Open Door Clinic to help increase vaccines
Concluded at 10:55 a.m.
Laura Osiadacz, 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
March 20, 2025
Commissioners'Auditorium
10:00 am
Meeting rescheduled due to no quorum.
Laura Osiadacz, Commissioner, Chair
Chelsey Loeffers, Director
Kittitas County Public Health
Candi Blackford, Clerk of the Board of Health
5
KITTITAS COUNTY
BOARD OF COUNTY COMMISSIONERS
STAFF REPORT FOR
BOARD OF HEALTH
Public Health Office
BOARD OF HEALTH DATE: 6/16/25
TOPIC: Public Health Champion Award Presentation
ACTION REQUESTED: No Action—Information Only
LEAD STAFF:
Chelsey Loeffers,Director
Andrew Lyons,Board of Health Advisory Committee(BOHAC)Chair
RECOMMENDATION:
No action recommended at this time.
BRIEFING SUMMARY:
• BOHAC is pleased to announce that the Upper Kittitas County Senior Center(UKCSC)
will be awarded the 2025 annual Kittitas County Public Health Champion Award.
UKCSC will be present at the meeting to receive the award.
• The award recognizes the work UKCSC does to promote activity,mental stimulation,
engagement,and economic support for older adults in upper Kittitas County.
• The award comes with a$500 donation to be used to benefit the health of the community.
BACKGROUND:
The Kittitas County Public Health Champion Award recognizes individuals, groups,or
organizations that make significant contributions to the health of Kittitas County. The award is
funded by a generous donation from former Kittitas County Health Officer Jim Gale. The
following individuals and agencies received previous Public Health Champion Awards:
• 2015 City of Ellensburg Parks and Recreation for noteworthy work regarding the breadth
of programming for residents across the lifespan.
• 2016 Dr. Paul Schmitt for his years of service as a health care provider and his dedication
to the health of his community.
• 2017 Kittitas County Early Learning Coalition for the coalition's work to improve the
health and success of young children and their families.
• 2018 Open Door Health Clinic for the clinic's mission to provide basic medical care for
people living on low incomes without insurance or readily accessible healthcare.
• 2019 APOYO in recognition of their work to provide food,recycled clothing, and
furniture to the community.
• 2020 Rolf Williams and 2021 COVID-19 Vaccination Clinic(recognized in 2021 due to
COVID-19) for their work and commitment to Kittitas County and the community.
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• 2022 Kittitas County Health Network(KCHN) Care Coordination Program for their work
to connect vulnerable people with health and other social services.
• 2023 Kittitas County Fire Protection District#6 for work to care for some of the most
vulnerable people with the goal of understanding people holistically and addressing all
their needs.
• 2024 Community Health of Central Washington for their work with some of the most
vulnerable people in our community.
DISCUSSION:
n/a
FISCAL IMPACTS:
None
ATTACHMENTS:
None
Legal consultation?n/a : Legal Request n/a
Finance consulted?n/a
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KITTITAS COUNTY
BOARD OF COUNTY COMMISSIONERS
STAFF REPORT FOR
BOARD OF HEALTH
Public Health Office
BOARD OF HEALTH DATE: 6/16/25
TOPIC: Board of Health Advisory Committee Discussion/Decision
ACTION REQUESTED: Direct Staff
LEAD STAFF:
Chelsey Loeffers, Director
RECOMMENDATION:
Direct staff as to whether the BOH would like to continue the Board of Health Advisory
Committee (BOHAC) as a county advisory committee,or dissolve and allow BOHAC to function
as nonprofit organization unaffiliated with Kittitas County government.
BRIEFING SUMMARY:
• BOHAC was created to increase community input into the activities and decisions of the
BOH. With the addition of non-elected official position to the BOH in 1995 and 2021,
the role of BOHAC has become less active and as it currently stands is not frequently
used as a resource for or by the BOH.
• BOHAC's current primary activity is to select and award the annual Public Health
Champion Award. BOHAC also assists with BOH member appointments by interviewing
and recommending members to the BOH.
• After discussion at the March 26,2025 Public Health Study Session,the Board of County
Commissioners(BOCC) found that it is no longer necessary to have a separate advisory
board and requested that this topic be brought to the Board of Health for
discussion/decision.
BACKGROUND:
BOHAC was established in 1993 through Resolution No. 93-6. At this time,the Kittitas County
Board of Health comprised only Board of County Commissioners. The BOH desired to increase
public participation in board activities,including identification of need, development of policies,
and assistance in meeting health needs of the community.
In 1995,BOHAC established itself as a 501(c)3 nonprofit entity in Washington state,UBI
Number 601 676 517.As a nonprofit,BOHAC can accept,manage,and distribute funds outside
of Kittitas County financial processes and requirements.
In 1997,at the recommendation of BOHAC,the BOH expanded its composition by adding two
new members through Resolution No. 97-03. The new member positions were to include health
care professionals and residents of Kittitas County with knowledge and interest beneficial to the
operation of the BOH.
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In 2021,the Washington State Legislature passed House Bill 1152,which updated RCW
70.05.030 to include composition requirements of local boards of health to specifically include
persons who are not elected officials. These members must include representation from health
care providers or public health workers,people how have experienced inequity in healthcare,and
general community stakeholders. To come into compliance with the new legislation,the BOH
added a new non-elected member and aligned the existing non-elected positions with the
representation requirements. This brought the total membership to three County Commissioners
and three non-elected official(frequently referred to as community)members.
DISCUSSION:
The current Board composition requirements serves to accomplish the same goals and objectives
that led to the initial creation of BOHAC. Staff request that the BOH consider the role and utility
of BOHAC as it currently operates. Staff propose one of two options to move forward:
1. Dissolve BOHAC as a county advisory committee. Dissolution would allow BOHAC to
operate as an independent nonprofit entity,no longer subject to requirements of
government operations such as open public meetings and records retention. However,
BOHAC would no longer receive administrative support from county staff. BOHAC
could continue to operate the Public Health Champion Award and take on other activities
as desired. BOH/KCPHD would move into a community partnership relationship with
BOHAC.
If this action is selected, staff have prepared a resolution for approval under a subsequent
agenda item.
2. BOHAC remains a county advisory committee. If selected, staff recommend that BOH
provide direction regarding expectations for activities,engagement, and staff facilitation,
with the goal of better utilizing the expertise of BOHAC members. Staff also recommend
that the BOCC select a commissioner to sit on the advisory committee,in alignment with
the composition of other county advisory committees under the oversight of KCPHD.
If this action is selected,the prepared resolution can be declined.
FISCAL IMPACTS:
None
ATTACHMENTS:
None
Legal consultation?n/a : Legal Request n/a
Finance consulted?n/a
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KITTITAS COUNTY
BOARD OF COUNTY COMMISSIONERS
STAFF REPORT FOR
BOARD OF HEALTH
Public Health Office
BOARD OF HEALTH DATE: 6/16/25
TOPIC: Resolution to Dissolve The Board of Health Advisory Committee (BOHAC)
ACTION REQUESTED: Approval
LEAD STAFF:
Chelsey Loeffers, Director
RECOMMENDATION:
Approve the Resolution to Dissolve The Board of Health Advisory Committee (BOHAC)
BRIEFING SUMMARY:
The current Board of Health(BOH) composition requirements serve to accomplish the same
goals and objectives that led to the initial creation of BOHAC and it is no longer necessary to
have a separate advisory board.
BACKGROUND:
BOHAC was created to increase community input into the activities and decisions of the BOH.
With the addition of non-elected official position to the BOH in 1995 and 2021,the role of
BOHAC has become less active and as it currently stands is not frequently used as a resource for
or by the BOH.
DISCUSSION:
n/a
FISCAL IMPACTS:
none
ATTACHMENTS:
Resolution to Dissolve the Board of Health Advisory Committee(BOHAC)
Legal consultation?yes : Legal Request 11475
Finance consulted?n/a
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10
BOARD OF HEALTH
COUNTY OF KITTITAS
STATE OF WASHINGTON
RESOLUTION
NO.2025-
RESOLUTION TO DISSOLVE THE BOARD OF HEALTH ADVISORY COMMITTEE
(BOHAC)
WHEREAS, the Board of Health of Kittitas County(BOH) established the Board of Health Advisory
Committee (BOHAC)via Resolution No. 93-6; and
WHEREAS, the BOH established BOHAC pursuant to Chapter 70.05 RCW for the purposes of
promoting public participation in the identification of public health needs,development of
public health policies, and assistance in assuring health needs are met; and
WHEREAS, House Bill 1152 was passed in 2021 requiring a change to the composition of local Boards
of Health; and
WHEREAS, prior to the passage of the Bill,Boards of Health were primarily comprised of county
commissioners; and
WHEREAS, post Bill passage,Boards of Health have been expanded to include additional members
that must fit one of four categories to include health care providers,public health workers,
people how have experienced inequity in healthcare,or general community stakeholders;
and
WHEREAS, the current Board composition requirements serves to accomplish the same goals and
objectives that led to the initial creation of BOHAC and it is no longer necessary to have a
separate advisory board;
NOW THEREFORE,BE IT RESOLVED that the Board of Health of Kittitas County,hereby dissolves
the Kittitas County Board of Health Advisory Committee.
DATED this day of )2025,at Ellensburg,Washington.
BOARD OF HEALTH
KITTITAS COUNTY,WASHINGTON
Chair
11
ATTEST:
❑ Clerk of the Board
❑ Deputy Clerk of the Board
12
KITTITAS COUNTY
BOARD OF HEALTH
STAFF REPORT
Public Health Office
BOARD OF HEALTH DATE: 6/16/2025
TOPIC: Request to set Public Hearing-Revisions to KCC Chapter 13.08.080
ACTION REQUESTED: Motion to Schedule a Joint BOH/BOCC Public Hearing to
consider Revisions to KCC Chapter 13.08.080 on August
14, 2025
LEAD STAFF: Jesse Cox, Environmental Health Manager
RECOMMENDATION:
Staff recommend that the BOH set a joint public hearing to adopt code revisions for Kittitas
County Code Chapter 13.8.080
BRIEFING SUMMARY:
Staff are requesting that the Board of Health set a public hearing for August 14,2025,to receive
comment on proposed updates to Kittitas County Code Chapter 13.08.080. The current code is
outdated and does not reflect modern septic technologies that can safely function in areas with
higher groundwater levels. The proposed revisions will align county regulations with current
state standards and available treatment options,increasing flexibility while maintaining public
and environmental health protections.
BACKGROUND:
Kittitas County Code Chapter 13.08.080 regulates the evaluation of groundwater levels
determining septic suitability in new plats. The current code language is based on standards and
technology that are now outdated. In recent years significant advancements have been made in
on-site-sewage treatment technologies,particularly alternative septic systems that are designed to
function safely and effectively in areas with higher groundwater levels.
The current code does not adequately accommodate these modern systems,which can limit
property suitability and development unnecessarily in areas where these systems would otherwise
meet all health and environmental protection standards. In response, staff propose targeted
revisions to the code to bring it into alignment with current science, engineering capabilities, and
public health best practices.
This update will help ensure that the county code is protective of public health and responsive to
evolving technology.
DISCUSSION:
Modern alternative septic systems can safely function in areas with higher groundwater levels, a
capability not reflected in the current code. Updating KCC 13.08.080 will allow for more
flexibility in platting approval while continuing to protect public health and ground water quality.
This revision aligns with state guidance and reflects current best practices in wastewater
treatment.
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13
FISCAL IMPACTS:
None
ATTACHMENTS: Redline Draft revisions to KCC 13.08.080
Legal consultation? In review : Legal Request#N/A
Finance consulted?N/A
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14
Chapter 13.04*
ON-SITE SEWAGE DISPOSAL SYSTEMS
Sections
13.04.010 State regulations adopted by reference.
*Chapter 13.04 was re-written and replaced in its entirety by Ord.2024-007,2024 and Ord.
2024-008,2024.
Prior ordinance history for Chapter 13.04:Ord.2022-007,2022;Vol.6,p.697§1-27, 1979.
13.04.010 State regulations adopted by reference.
The Washington State Administrative Code Relating to On-Site Sewage Disposal Systems
(WAC 246-272A)is adopted by reference.(Ord.2024-008,2024;Ord.2024-007,2024)
T
Chapter 13.08
PRIVATE SEWAGE DISPOSAL SYSTEMS IN PLATS
Sections
13.08.010 Plats-Filing fees.
13.08.020 Preliminary plat map and preliminary application submission.
13.08.030 Preliminary plat map-Data required.
13.08.040 Soil logs-Number and depth.
13.08.050 Use with community water supply-Lot area.
13.08.060 Lots below minimum area-Public system required.
13.08.070 Wells and septic tanks on same lot-Lot size.
13.08.080 Low mean ground water level unacceptable.
13.08.090 Recording plat-Conditions precedent.
13.08.010 Plats-Filing fees.
Plats submitted to the health department with homes to be connected to septic tanks and
drain fields require a filing fee of one dollar per lot.For plats with homes to be connected to
sewers with one hundred lots or less,the fee is fifty cents per lot;one hundred lots or more,
the maximum fee is fifty dollars.The fee is payable to the county health department and
must be paid at the time of submitting the subdivision map for consideration.(Res.72-69
Reg. 11 §1, 1972).
13.08.020 Preliminary plat map and preliminary application submission.
Preliminary plat map and preliminary application shall be submitted to the health
15
department on or before the same deadline date as required by the planning commission.
(Res.72-69 Reg.11 §2, 1972).
13.08.030 Preliminary plat map-Data required.
Each preliminary plat map shall show the contour lines and approximate location of soil log
holes.These holes must be flagged for easy location.(Res.72-69 Reg.11 §3, 1972).
13.08.040 Soil logs-Number and depth.
A minimum of one soil log for each five acres shall be dug to a depth of seven feet.(Use
separate sheet to report data.)This work shall be done by a soil tester-designer licensed in
Kittitas County.(Res.72-69 Reg. 11 §4,1972).
13.08.050 Use with community water supply-Lot area.
When a private septic tank system is planned in conjunction with a community water
system,each lot supporting a single-family dwelling shall have a minimum of twenty-two
thousand square feet(approximately one-half acre).(Res.72-69 Reg.11 §5, 1972).
13.08.060 Lots below minimum area-Public system required.
Any lot less than twenty-two thousand square feet(approximately one-half acre)must be
serviced by an active public sewer system or other sewage disposal system approved by
the health department.(Res.72-69 Reg.11 §6, 1972).
13.08.070 Wells and septic tanks on same lot-Lot size.
The minimum lot size shall be forty-three thousand five hundred sixty square feet
(approximately one acre)where individual wells and septic tank systems are located on the
same lot.Exception to this requirement shall be limited to zoning districts which allow one
residential lot per gross acre in a platted subdivision.(Res.72-69 Reg. 11 §7, 1972).
13.08.080 Low mean ground water level unacceptable.
Areas an which the mean ground water level is less than four feet from the top of the ground
shall net be comisadered satisfactory for individual sewage disposal systerns.in lots that
have low mean ground water levels less than four feet from the top of the ground shall not
be considered satisfactory for individual sewage disposal systems unless the Health
Officer obtains detailed site plans and approved OSS designs prior to final approval of
subdivisions proposals to mitigate risks
13.08.090 Recording plat-Conditions precedent.
Prior to recording of a plat,the following shall apply:
1. Where public water is available within one-half mile or less of any proposed plat,
water shall be provided by this means.A letter from the water district,city or other
16
stating that arrangements have been made to supply the plat must be attached.This
provision shall not apply to the Airport Overlay.
2. When a community water supply is to be provided,detailed drawings of a water
distribution system shall be submitted.A well shall be constructed,a pump and
storage tank shall be installed,and a letter from the Washington State Department
of Health stating that plans and specifications have been approved shall be
attached.
3. When an individual well is to be constructed on each lot,well sites shall be located
on the plat map.
4. There shall be one soil log hole to a depth of forty-eight inches on each lot located in
the approximate drainfield area.When percolation tests are requested(use
separate sheet),test holes must be at a depth of thirty-six inches.Larger lot sizes
may be required when percolation rates are over twenty minutes per inch.This work
shall be done by a registered engineer or licensed designer.
5. Where septic tanks are to be used,there shall be a minimum depth of three feet of
porous soil above hardpan,clay,or ground water.Fill material more than eighteen
inches shall require approval by the health department.Each test hole shall be
clearly marked for easy identification by a stick or flag.If the test holes cannot be
properly identified,it may result in the plat not being considered for recording.
6. If natural growth prevents the health department from making an adequate
evaluation of the proposed plat,then clearing and grubbing may be specified for
those areas of the plat that are in question.
7. Lots must be numbered and staked.
8. Submit a copy of the final linen that will be filed for recording.
9. Notify this department seven days prior to date of recording for a site inspection.
10.It is the design engineer's responsibility to see that the sponsor or owner has
complied with the above items pertinent to recording his plat,before the health
department can give approval to the planning department for acceptance.
11.Any variances from the platting requirements of this regulation shall require
approval by the health officer prior to submission for platting.(Ord.2019-013,2019;
Res.72-69 Reg. 11 §9, 1972).
13.08.100 Boundary Line Adjustments-Public Health Requirements
17
(1)Minor Boundary Line Adjustments.
Minor boundary line adjustments are those that do not result in an increase in the number
of buildable parcels and do not significantly alter the size,shape or configuration of the
parcels involved. Such adjustments may include,but are not limited to,resolution of
boundary disputes,correction of survey errors,or improvements to access or site design.
Minor boundary line adjustments shall be exempt from the requirements of recorded site
evaluations and proof of adequate water supply under this section.
(2)Substantive Boundary Line Adjustments Formatted:Font:Bold
Substantive boundary line adjustments are those that result in a substantial change to the
size,shape or configuration of one or more parcels,including but not limited to:
(a) The creation of a parcel that did not previously exist as a separate buildable lot;
(b) The alteration of a parcel in a way that enables development that was not
previously possible:or
(c) The reconfiguration of parcel boundaries effectively creates a new development
is te.
For all substantive boundary line adjustments involving parcels that do not have recorded
soil loge site evaluations,or proof of adequate water supply,both a valid site evaluation
and documentation of adequate water supply shall be submitted and approved by the
Kittitas County Public Health Department prior to approval of the boundary line
adjustment. No substantive boundary line adjustment shall be approved unless these
requirements are satisfied., Formatted:Font:Not Bold
18
KITTITAS COUNTY
BOARD OF COUNTY COMMISSIONERS
STAFF REPORT FOR
BOARD OF HEALTH
Public Health Office
BOARD OF HEALTH DATE: 6/16/25
TOPIC: June Health Officer Report
ACTION REQUESTED: No Action—Information Only
LEAD STAFF: Dr. Mark Larson
RECOMMENDATION:
No action recommended at this time.
BRIEFING SUMMARY:
• Quarterly update on topics of interest and potential health concern for KCPHD,the Board
of Health,and the citizens of Kittitas County.
• The June report will include an introduction of guest Regional Medical Officer Dr.
Natalie Wilhem from the Washington State Department of Health(DOH), and how
budget cuts at DOH have impacted local access to her as a resource.
BACKGROUND:
n/a
DISCUSSION:
n/a
FISCAL IMPACTS:
n/a
ATTACHMENTS: none
Legal consultation?n/a : Legal Request n/a
Finance consulted?n/a
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19
KITTITAS COUNTY
BOARD OF COUNTY COMMISSIONERS
STAFF REPORT FOR
BOARD OF HEALTH
Public Health Office
BOARD OF HEALTH DATE: 6/16/25
TOPIC: Financial Update from the Washington State Department of Health
ACTION REQUESTED: No Action—Information Only
LEAD STAFF:
Dr.Natalie Wilhelm,Regional Medical Officer, Guest from Washington State Department of
Health(DOH)
RECOMMENDATION:
No action recommended at this time.
BRIEFING SUMMARY:
Dr. Wilhelm will provide a brief overview of how DOH is being impacted by current state and
proposed federal budget reductions and cuts. The presentation will include how her own position
as KCPHD's Regional Medical Officer,has been eliminated.
BACKGROUND:
DOH is KCPHD's primary partner in the statewide public health system. We receive both federal
pass through and state funded revenue and grants,in addition to technical assistance,program
guidance,rule and policy implementation,and other forms of support. Reductions and cuts to
DOH can result in impacts at the local level.
DISCUSSION:
DOH has experienced and is planning for budget cuts and reductions in:
• The 2024/2025 state fiscal year
• The new 2025-2027 biennial state budget
• Foundational Public Health Services allocations
• Proposed 2025/2026 federal fiscal year
FISCAL IMPACTS:
Full impacts are not yet known.
ATTACHMENTS:
none
Legal consultation?n/a : Legal Request n/a
Finance consulted?n/a
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KITTITAS COUNTY
BOARD OF COUNTY COMMISSIONERS
STAFF REPORT FOR
BOARD OF HEALTH
Public Health Office
BOARD OF HEALTH DATE: 6/16/25
TOPIC: June Director/Administrative Officer Report
ACTION REQUESTED: No Action—Information Only
LEAD STAFF: Chelsey Loeffers
RECOMMENDATION:
No action recommended at this time.
BRIEFING SUMMARY:
• Quarterly update on the activities of the Kittitas County Public Health Department.
• June Department Update attachment includes staffing updates,department updates, and
division/program updates.
• Meeting presentation will provide an update on potential fiscal impacts of changes in
Federal and State funding sources.
BACKGROUND:
n/a
DISCUSSION:
n/a
FISCAL IMPACTS:
Impacts are not yet known.
ATTACHMENTS: June Department Updates
Legal consultation?n/a : Legal Request n/a
Finance consulted?n/a
Page 1 of 1
Public Health Office"Study Session Staff Report", 12/23/2024
21
Kittitas county dune 2025
Public Health
Department Department Updates
Environmental H llr�
Preliminary Code Revision
We have initiated the preliminary revision process for Kittitas County Code(KCC)Chapter 13.This
effort aims to ensure our regulations remain current and effective in addressing environmental
health concerns and meeting the needs of the public.
OSS As-Built Intake Forms
We have redesigned our On-Site Sewage (OSS) as-built intake forms to improve clarity and legibility.
The new form must be submitted along with the as-built drawings, providing a detailed written
record of septic system component placements to enhance accuracy and record-keeping.
Solid Waste Facility Inspections
Our exempt solid waste facility inspection process has been upgraded and is now accessible
through SmartGov for our inspectors to complete inspections electronically.This marks a
significant step toward fully electronic operations, increasing efficiency and transparency.
Online Content Update
The Environmental Health Division has begun updating our online resources to provide clearer,
more accessible information for the public and stakeholders.
Food Team Progress
The Food Program team has completed over 60%of the inspections for the current inspection year,
which concludes in October.Their ongoing work is crucial to maintaining food safety and public
health standards across the county.
Air Quality Grant Progress
Our Environmental Health Coordinator has made great progress on the Air Quality in Overburdened
Communities Grant from the Department of Ecology and is preparing to conduct data collection in
September to gather valuable input and insights from residents.
New Funding Awards
We have been awarded the Pollution Prevention Assistance Contract from the Department of
Ecology(DOE),totalingjust over$125,000.This funding will support ongoing efforts to reduce
pollution and protect the environment.
Additionally,we secured another round of Local Solid Waste Financial Assistance funding for the
next biennium,with an increase from $127,741 in the previous contract to$144,788.This boost will
help enhance solid waste management programs in the county.
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Public Health Infrastructure
Communications
• Communications plan—Jess Santos, our Communications Coordinator, has developed our
first Communications Plan for the department.This outlines our communications strategy
and how we implement that over the next few years.Asa part of this plan,we are
developing many additional tools and guides specific to different communication elements
and needs.
• Brand voice-our brand voice is how our department communicates to the public and why.
This document outlines the key characteristics that guide our voice and tone:trustworthy,
community-focused, knowledgeable, humble, positive, and professional.
• Social media process and training- utilizing our brand voice and communications plan as
the guides,we have been revising our social media strategy and hosting training for staff.
• Customer journey mapping-we are documenting how each division works with the public
and their stakeholders and identifying where the opportunities for improvement.
• Reach plan -this document describes who our audiences are and how we reach them.We
will be expanding this project to centralize all partner contacts to better streamline
outreach and promotion efforts.
• Website-Jess is reviewing our current website content in preparation for the new website
project.Jess is also researching website best practices and drafting page designs that will
provide the most useful user experience to navigate our new website.
Epi
• Data handbook and policy-these documents will outline the basics of data in our
department and how to use and interact with data for all department roles.
• Behavioral Health Needs Assessment-the key informant interviews, community survey,
and focus groups are complete. Lianne Bradshaw, our epidemiologist, is also pulling
quantitative data indicators.We are analyzing the data and starting to draft the report.
• Data Sharing Agreement renewals—these are the agreements with the Washington State
Department of Health that get us access to state and other specialized data to inform and
support our work. Each renewal requires careful review, often takes a lot of communication
with DOH to finalize.
• Community air quality survey launch (in collaboration with Assessment) -this survey is to
gather information about how smoke and poor air quality affects residents of Kittitas
County. Follow up Point in Time (PIT) surveys will be deployed if there are wildfire events in
the upcoming months.
• Measles communication - Lianne is communicating the most recent Washington case
information with Jess to distribute to the public.We are working on an overall
Communicable Disease Communications Plan to know when to share information with the
public. It is a challenging balance to be transparent vs. overcommunicating and
desensitizing residents to the important information we are providing.
• Lianne worked with Kelly Bacon, our Local Emergency Response Coordinator, on a
successful measles tabletop exercise with KVH and other local partners.
• Child Fatality Review data - Lianne is pulling data for the Health Promotion (HP)team to
complete case review.This data is extremely sensitive and is being carefully packaged for
HP's review.
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Assessment
• Data collection and analysis—MacKenzie Carter,our Assessment Coordinator, is planning
or finishing the following surveys.You should see how much work goes into planning,
creating, and launching a survey!
o Behavioral Health Needs Assessment
o Air Quality
o Veterans
o Developmental Disabilities Advisory Committee-Access to Activities and
Recreation
• Strategic plan -despite many competing priorities,we continue to plug away and make
progress with strategic planning.Workgroups should be starting to be more active in the
coming months.
• Behavioral Health Needs Assessment-working on coding and compiling focus group data
and working on elements of final report
• Process documentation for Assessment functions—Assessment and the other PHI roles
support projects and programs across the entire department and we are working hard to
outline some of those functions and available services.
Emergency Preparedness
• Integrated Preparedness Plan (IPP)for the County- Kelly is completing this plan,which
outlines priorities,training, and preparedness activities for the county to respond to public
health emergencies.
• Reviving the Medical Reserve Corps(MRC)—the Kittitas County MRC is a network of local
volunteers that support public health emergency response, including both medical and non-
medical individuals. Kelly is reaching out to registered volunteers to see if they want to
continue.We have updated the handbook and training requirements, and are working to
update other MRC documents in hopes to start recruiting new members.
• We are hosting two FEMA Emergency Response Section Chief Trainings locally: Safety
Officer and Operations Section Chief.This is an opportunity for countywide staff, local
partners, and regional partners to train in these functions, and helps build additional
capacity for emergency response.
• Staff attended both Ellensburg and Cle Elum Roslyn High School career fairs to promote
local public health career opportunities.
• Kelly planned and conducted our recent measles tabletop exercise in partnership with
Lianne.
• Finally, Kelly is working to complete our numerous end of the year grant deliverables for our
DOH emergency response funding.
Human Services
Kittitas County Human Services currently oversees over thirty subcontractors with the addition of
three more contracts in the near future. Additionally,work with opioid settlement funding will
increase that number in the future as well.
Homelessness and Affordable Housing Advisory Committee(HAHC)
• The committee voted to recommend projects for the most recent RFP that was submitted,
which included both HopeSource and Habitat for Humanity. Because of the funding offer
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being rescinded for the Oddfellows project,the committee was able to recommend both
projects to the BOCC.
• In May, HAHC participated in a process facilitated by Robin H Read to gather input for the
Kittitas County Five Year Homelessness and Affordable Housing plan.
• KCPHD staff is in the process of tracking down data for the committee, including funds that
have been spent in the last ten years to show distribution of funds within the county.
1/10th of 1%Mental Health and Chemical Dependency Tax Advisory Board (1/10th Board)
• The board has one vacancy that remains open for a resident living in District 2.
• KCPHD has finalized information for 1/10`h funding around language in the Revised Code of
Washington. Purpose and goals for 2025-2026 have also been completed.
• The next RFP is on target for publishing at the end of June 2025.
• KCPHD has clarification on new and expanded projects for funding via the Kittitas County
Prosecutor, since RCW language is broad.
Developmental Disabilities
• KCPHD completed the contractually required evaluations for Developmental Disabilities
Administration (DDA) subcontractors Elmview and for Compass. Compass has follow up
actions that are due to KCPHD by the end of June 2025.
• Millage is ready for distribution and is waiting on logistics of distribution via advisement
from Kittitas County prosecutor.
• The Developmental Disabilities Advisory Committee(DDAC)filled their final vacancy for the
committee in June.
• There are several resource fairs on the horizon to connect people with disabilities with
services available as well as help with navigating program enrollment.These events will be
helpful as we work towards the goal of increasing enrollment for DDA services and
awareness of support available.
o Wednesday May 141h Seedlings Community Resource Fair 5pm—7pm
o Thursday May 151h CWDR Transition Fair at EHS 3pm—5:30pm
o Wednesday May 21"EHS Career Fair 7:30am-1lam
o Wednesday May 21"CRHS Career Fair 5pm—7pm
• The Job Foundations and School to Work programs are preparing ways to connect with
school districts,teachers and families for the 2025/2026 school year.
• As part of the Kittitas County Developmental Disabilities Plan, DDAC released a survey in
June about recreation for people with disabilities.
Veterans Advisory Board
The Veterans Advisory Board formed a subcommittee to interview applicants for their board
vacancy. Interviews took place in May.
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Communicable Disease
Communicable Disease Investigations
Our Communicable Disease (CD)team remains actively engaged in managing notifiable conditions
reported within Kittitas County.We conduct investigations, provide education, and collaborate on
efforts to mitigate disease transmission.
Below is data compiled by month for any case where an investigation was conducted or action was
needed from KCPHD. Data includes cases of communicable disease, sexually transmitted
infections (STI), animal bites, and out of county cases received.
• March: 34 cases
• April: 60 cases
• May to present: 24 cases
Outbreaks from March to present:
• 1 COVID-19 outbreak in Long Term Care Facility
We are diligently preparing for the possibility of a measles case or outbreak in Kittitas County. CD
staff are collaborating closely with Lianne Bradshaw, Epidemiologist, and Kelly Bacon, Emergency
Response Coordinator,to ensure our response efforts are thorough and well-equipped.
Childhood Vaccinations
Since February 28th,we have had 12 childhood vaccination clinics at KCPHD.These clinics are
held weekly for half a day by appointment only.We have expanded our outreach efforts by
distributing flyers to schools, local clinics, Kittitas Valley Hospital, and through our social media
platforms. Providing an additional vaccination location for children will help increase overall
childhood immunization rates in Kittitas County and contribute to reducing the spread of vaccine-
preventable diseases such as pertussis and measles.We are pleased to offer this important
service to residents of Kittitas County.The clinics are staffed by Whitney Wheelock, CMA, and Kate
Johnson, BSN, RN.
Additionally,we received an invitation to participate in Cle Elum/Roslyn School District's upcoming
back-to-school night,where we will be providing all childhood vaccines to students.This event is
scheduled for August 27th.
In March,we had our annual Childhood Vaccine Program compliance site visit from the Washington
State Department of Health, during which we exceeded all program requirements.
Harm Reduction and Overdose Prevention Program
Harm reduction staff continue to actively engage with the community by providing information on
Naloxone education and training, distributing Naloxone, and offering free Hepatitis C and HIV
testing.
Since March 1, 2025,we have distributed a total of 400 doses of Naloxone within the community.
Additionally, 107 individuals have utilized our Harm Reduction services.We continue to participate
in numerous outreach events throughout the county.
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On May 8t", 2025, our Harm Reduction team hosted a highly successful community forum with
local providers regarding prescribing of medications for Opiod Use Disorders (MOUD). Numerus
partner agencies and community members participated, engaging in great discussions and
questions on this important topic.
Dora Beukelman currently has 3 participants enrolled in the care navigation program. Dora
functions as a peer navigator assisting clients with job applications, housing options,treatment
and other services and resources clients may need.
Health Promotion
Portable Air Cleaners
We have been working on distributing 194 portable air cleaners (PAC)!We have attended a few
community events where we have been able to distribute over 40 PAC units and will continue to
attend events until they are gone.We are excited to be able to provide this great resource to our
community members!
Injury Prevention
We have distributed 16 car seats from January to the end of May,that is 6 more car seats when
compared to 2024 during the same time. Because of this amazing service 16 Kittitas County
children are safer while out on the road with a car seat that properly fits them. Car seats save
children's lives!
Passport Program
The health promotion team will be taking the lead on the passport program.We are going to be
trained July 8th, and once we have our training,we will be able to start processing passport
applications.We will be open for passport application processing 5 days a week.
Tobacco Prevention (Youth)
Rebekah and Nea have been working on getting the Standardized Tobacco Assessment for Retail
Settings (STARS) surveillance survey done throughout Kittitas County.They are getting ready to start
inputting the data.This tool specifically was designed to inform state and local tobacco control
policies for the point of sale, as it pertains to youth prevention.The last data we have for Kittitas
County is from 2018.
Administration and Veteran Services Program
Veteran Services
• It will be 2 years on September 11, 2025 since the start of the program! Congratulations to
Candi Blackford,Timothy Paxton, and Ed Vader for their hard work and dedication to our
community's Veterans.
• The Veterans program is currently partnering with Assessment Coordinator MacKenzie
Carter on two County Veterans surveys:
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o The first survey is open June 1-June 30 and is for our voucher program clients or
family members.We aim to get feedback about accessing services and resources
from the Kittitas County Veterans Program to help improve the services we provide
to Veterans and their families.
o The second survey will be released later this summer.This survey is for any Kittitas
County Veteran or their family members and will allow us to receive feedback on:
■ Basic Demographics
■ Do they know where we are/how to access us
■ Any issues accessing resources/what resources they are utilizing
• Each quarter the Washington State Department of Veteran's Affairs provides data on claim
submissions and progress.The table below outlines the hard work of our Veteran Services
Officers Timothy and Ed.
WDVA Quarter 3(January-March) Data for Kittitas County Veteran Services Program
Data Point Individual claims Issues Rated by Issues Granted by VA FYTD Earnings
submitted VA
A specific The VA has approved the
condition or
request within a specific claimed condition,
A formal confirmed that it is service- The ongoing total of
application filed claim.One claimconnected,assigned a financial benefits
Definition
by a veteran for VA can contain disability rating,and has awarded in the
several distinct
benefits. medical or authorized current fiscal year.
benefits/payment
benefit-related
accordingly.
issues.
Q3 total 29 102 69 $ 555,464.15
Administration
The front desk staff are now working on cross training in some of the department wide work:
• Colleen Hauser will be working on training to become one of the department's Public
Disclosure Officers/Records Officers. Katie Odiaga and Candi Blackford are excited to give
another staff an opportunity to learn the ins and outs of this position and to have back up.
We can never have enough back up in this department.
• Nicole Paxton is workingwith Candi Blackford on the department contracting process. As
we grow,we need more contracts. So having back up in this area will be helpful.
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KITTITAS COUNTY
BOARD OF COUNTY COMMISSIONERS
STAFF REPORT FOR
BOARD OF HEALTH
Public Health Office
BOARD OF HEALTH DATE: 6/16/2025
TOPIC: QI 2025 Financial Report
ACTION REQUESTED: No Action—Information Only
LEAD STAFF:
Katie Odiaga, Accountant II
RECOMMENDATION:
No action recommended at this time.
BRIEFING SUMMARY:
Quarter 12025 Financial update of the Kittitas County Public Health Department.
BACKGROUND:
n/a
DISCUSSION:
n/a
FISCAL IMPACTS:
Impacts are not yet known for July—December 2025 and beyond.
Legal consultation?n/a
Legal Request n/a
Finance consulted?n/a
Page 1 of 1
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KITTITAS COUNTY
BOARD OF COUNTY COMMISSIONERS
STAFF REPORT FOR
BOARD OF HEALTH
Public Health Office
BOARD OF HEALTH DATE: 6/16/25
TOPIC: Communications Presentation
ACTION REQUESTED: No Action—Information Only
LEAD STAFF:
Jessica Santos,Communications Coordinator
RECOMMENDATION:
No action recommended at this time.
BRIEFING SUMMARY:
• This presentation outlines the department's communications strategy and the activities
that contributed to the development of the Communications Plan and supporting
documents.
BACKGROUND:
This presentation reviews the following communications work at KCPHD:
• Communications Plan
• Communications Audit
• SWOT Analysis
• Target Audiences
• Goals&Objectives
• Plan of Action
• Priorities
• 2025 Progress and Highlights
• Public Health Week Campaign
• Social Media Growth
• Upcoming projects
DISCUSSION:
n/a
FISCAL IMPACTS:
None
ATTACHMENTS:
Page 1 of 2
Public Health Office"Study Session Staff Report", 12/23/2024
30
None
Legal consultation?n/a : Legal Request n/a
Finance consulted?n/a
Page 2 of 2
Public Health Office"Study Session Staff Report", 12/23/2024
31