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2016-02-02 BOCC Update Health Update Minutes (v2) BOCC Update Minutes February 2, 2016 Start Time: 9:30 am End Time: 10:41 am Present: Danette York Bill Teitzel Commissioner Schulte Steve Wohld Commissioner Stamper Recorder: Sandi Andrus ISSUES FROM PREVIOUS MEETINGS: • GRBHO update: Tribe meetings (handout) – Danette Discussion: Marc Bollinger accepted the position as CEO and started February 1, 2016. He is working on incorporating the tribes and scheduling meetings for the counties’ Public Health departments and Commissioners to meet. The Cowlitz tribe is in our county. Decision: Danette will follow up on when the meeting to discuss the Cowlitz tribe is scheduled. • Coal Creek Update – Danette Discussion: One of the owners who has a house in the area of the new sewer system sold his property on Coal Creek. Bill spoke with new owners and informed them of what the County and City are doing. The City will send out information as this upgrade progresses. • CPAA Update – Danette Discussion: The CPAA is moving forward. Steve Clark from Valley View is now attending the meetings. They are looking for a representative for health care to also attend. NEW ISSUES: • Updated List of Code Enforcement Cases (handout) – Bill Teitzel Discussion: The following items were discussed: o #1 – Templeton, Howard – 120 Wright Rd., Glenoma – Mr. Templeton claimed he has a permit from the Department of Fish and Game but apparently he does not. Ecology plans to visit the property and Bill has offered to go with them. Commissioner Stamper told Bill to have a sheriff on standby when they go out. o #2 – Norris, Bruce and Nichols, Delbert – 242 US Hwy 12, Chehalis – Commissioner Stamper has talked to Mr. Nichols. Bill stated the issues are outside of the County’s jurisdiction and are a civil case; Mr. Nichols should file a civil suit. Decision: Commissioner Stamper asked Bill to call Mr. Nichols and let him know. Bill will also send him a letter. o #3 – Lake Terrace Dr., Mossyrock – FYI. This home is surrounded by many nice houses. This property has solid waste violations which are minimal but need to be cleaned up. The Commissioners may get some calls from the owner. This is more of an eyesore than solid waste violations which are small issues. There is stacked lumber on the property. Decision: Bill will inform the owner of the violations. Commissioner Stamper will drive by to see how it looks. o #4 – Lyons, James – 254 Jones Rd., Winlock – Sonya Lake was evicted from her rental house in September and was living in her car with her 95 year old mom on Jones Rd. She put a motor home on this property for her many cats. The State is involved and put mom in Liberty Care. Sonya’s care is now not working so she has moved into the motor home. Reportedly, she goes to the senior center to wash up. Bill has contacted Area Agency on Aging, Magnolia Place, and others for help for Sonya but they will not take her cats and she is not willing to get rid of them. Bill had cat rescues lined up but she does not want to do that either. We have no probable cause to go inside her motor home even though it has garbage around that is rancid and stinks. Bill is looking for partners to provide Sonya some help. o #5 – Wagner, Bernice – 1620 W. Reynolds Ave., Centralia – Homeless people are leaving garbage by the cell tower on her property. This property is in the UGA. Bill spoke to her and her daughter but they have no resources at this time. o #6 – Deck, Leilani – 0 State Route 12, Mossyrock – Nothing new on this. They keep it locked and now tents are going up. They received a Notice of Violation about two weeks ago. Bill will probably gain probable cause and then go out and issue a citation. The Commissioners agreed that the Sheriff should go out there and tell them to leave immediately. o #7 – Ming, Helen – 399 Tune Rd., Chehalis – Bill spoke to her son, Fred. He refurbishes water coolers and then scraps them out. He has a huge pile of them. Decision: Bill will consider issuing him a solid waste exemption. o #8 – Turnage, Danny – 218Flynn Rd., Mossyrock – Mr. Turnage repairs washers and dryers which are stacking up and piled alongside the road. o Other: Commissioner Stamper reported that Jack Jones’ old place on Hwy 12 has stuff scattered everywhere with lines and tents up. Mr. Jones was the owner but has died. Decision: Bill will assign staff to check this property out. • TB and Flu update – Danette Discussion: The TB patient is doing better. The person who had contact with him at his residence is complying with treatment. He does not have active TB but tested positive for the virus. Due to time, flu was not discussed. • Early Intervention (EI) program (handout) – Danette Discussion: Danette provided a list of schools that have the EI programs in their schools through Cascade Mental Health. The funds are provided by the .1 of 1% Sales & Use Tax. Currently, White Pass is approved for funding but have opted to hold off until they reconcile a staff issue that could tie up their funds. We are moving forward with Centralia and will submit a resolution soon. Matt Patten has a meeting scheduled to meet with the County Superintendents. Morton’s superintendent had no interest in this in the past but Matt will double-check with them if they do not attend the meeting. They are looking for someone who could be in charge of this program who lives in East County. • Twin Cities Senior Center Personnel (handout) – Danette Discussion: Mindie Dunham and Adria Murphy job share in the nutrition program. Mindie was originally at .44 and Adria is at .56 FTE. When Glenda was injured, we increased Mindie’s time to .80 FTE on a limited basis to cover some of Glenda’s duties while she healed. This continued through December 2015. On January 1, 2016, Mindie was decreased to .60 FTE rather than back to .44 FTE. The 2016 budget places her at .44. Danette would like to keep her at .60 FTE as Glenda may still need time off to deal with health issues as well as the center is understaffed as is. It will cost approximately $7,500 more for 2016 calendar year if we keep Mindie at .60 FTE. Decision: The Commissioners approved leaving Mindie at .60 FTE. • Agreement with Providence St. Peter for Interns – Danette Discussion: Discussed when reviewed the Board of Health agenda. BOH ISSUES: February Board of Health will be held on Monday, February 8, 2016 - Resolution 020816.1 Approve Amendment #5 to the Consolidated Contract, #C17116 between Lewis County and WA State DOH -Resolution 020816.2 Agreement with St. Peter Hospital to provide opportunity for Family Medicine residents to see patients and consult on medical care under the direct supervision of Lewis County Health Officer Dr. Rachel Wood. Thurston County has also approved this. Eric Eisenburg is working on the contract. - Presentation of Strategic National Stockpile Training by Ed Mund, Emergency Preparedness Coordinator Commissioner Schulte moved to move the agenda and two resolutions to the February 8 Board of Health. Commissioner Schulte seconded. Approved 2-0. OTHER ISSUES of Concern to the BOCC: • Remodeling the lobby/foyer of health building – Danette, Steve Wohld Discussion: Danette and Steve requested that the lobby/foyer on the 1st floor of the health building have some upgrading. It has original woodworking and they would like it to be more inviting and modern. The cost is estimated to be approximately $4,000 - $5,000 for each department – Public Health & Social Services and IT. Some ideas are a drop ceiling, new lighting, painting, and drywall. Decision: They decided to discuss with Steve Walton who arrived a little later and told Danette and Steve Wohld to meet with Doug in Facilities and figure out the logistics to make this work. The Commissioners approved moving forward with the upgrades • Animals in stores – Danette Discussion: More and More complaints are being received regarding people bringing animals into grocery stores that are not service animals. Walmart has apparently told their staff to ignore it and not ask the appropriate questions. Store personnel may ask two questions of people whether the animal they are bringing into the store is a service animal. We would like to enforce the law or fine Walmart for not inquiring of these people about their animals. Because Wal-Mart has food in the store, it falls under this food code. Meeting ended at 10:41 am.