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HomeMy WebLinkAbout2021/09/28 - BOH Packet MASON COUNTY • COMMUNITY SERVICES Building,Planning,Environmental Health,Community Health PUBLICi HEALTH MASON COUNTY BOARD OF HEALTH IS fA-V#14415,4 • REGULAR MEETING Sept 28, 2021 3:00 VIA ZOOM Shelton, WA 98584 DRAFT AGENDA 1. Welcome and Introductions Peggy Van Buskirk Chair 2. Approval of Agenda—ACTION Board Members 3. Approval of Minutes of July 2021—ACTION Board Members 4. Health Officer Report Dr. Stein/Dr. Gardner a. COVID b. Other 5. Administration Report Dave Windom Funding discussion 6. Environmental Health Report Alex Paysse MCC 6.76 amendments-ACTION 7. Community Health Lydia Buchheit 8. Other Business and Board Discussion Board Members 9. COVID Update Staff 10. Public Comments 11. Adjourn If special accommodations are needed,please contact McKenzie Smith,427-9670,Ext.589. From the Belfair area,please dial 275-4467,Ext.589;from the Elma area please dial 482-5269,Ext.589. Mason County Public Health 415 N 6th Street,Bldg 8,Shelton WA 98584, Shelton: (360)427-9670 ext 400 ❖ Belfair:(360)275-4467 ext 400 ❖ Elma:(360)482-5269 ext 400 FAX (360)427-7787 MASON COUNTY BOARD OF HEALTH PROCEEDINGS 411 North 5ch Street,Shelton,WA July 27,2021 Virtual Attendance:Randy Neatherlin,County Commissioner;Kevin Shutty,County Commissioner;Sharon Trask, County Commissioner;Peggy Van Buskirk,Hospital District#2;Dave Windom,Mason County Community Services Director;Lydia Buchheit,Mason County Community Health Manager;Alex Paysse,Environmental Health Manager;Darrin Moody,Hospital District# 1;Keri Davidson, Shelton School Board;Gary Plews,Fire Fighters Association;McKenzie Smith,Clerk of the Board. 1. Chair Peggy Van Buskirk called the meeting to order at 3:02 p.m. 2. Approval of Agenda—Keri Davidson/Cmmr.Trask moved and seconded to approve the agenda as presented. Motion carried. 3. Approval of Minutes—Keri Davidson/Cmmr.Trask moved and seconded to approve the May 25,2021 minutes as presented. Motion carried. 4. Health Officer Report—David Windom Dave shared that the Puget Sound Health Officers came out with a request for people to start masking again indoors due to the State having another spike in cases. Both the Health Officers and the Governor's Office had the thought of"why vaccinate if you have to wear a mask". The Center for Disease Control(CDC)put out the recommendation to wear a mask if you are around individuals that you do not know what their vaccination status is. 5. Administration Report—David Windom Dave shared that the Health Officer position was offered to Dr.Keri Gardner who will review the contract and work remotely. There has been an uptick in COVID cases,from 0-2 per day to 7-8 per day over the weekend. Lydia shared the increase is within large families. At this time Lydia does not have the statistics for vaccinated versus unvaccinated and length since vaccination. Dave shared that the CDC and the State are working on how cases are defined. For example,vaccinated versus unvaccinated,has the individual had COVID before,what constitutes a breakthrough case,and what constitutes reinfection. The push is to get vaccinated due to symptoms being typically reduced for those who are. There is an increase in at-home COVID testing kits which has brought the question of what does the individual do next,who inputs the data,who walks them through the next steps,etc. Dave mentioned that Mason Matters is meeting again and finances are squared away. The Health Educators are working a lot with the local forum and putting together community health assessments and improvement plans. Darrin added that Mason General Hospital is looking into contracting with an agency to do parking lot testing. The agency will bring in a kiosk that is manned five days a week. 6. Environmental Report—Alex Paysse Alex shared that included in his Environmental Report is water quality and the addition of two new staff. The Sewer Advisory Committee has reviewed the sewage code updates and have voted in favor. Title VI is under the authority of Board of Health and requires review by the State Department of Health. The timeframe is to have an effective date of January 1,2022. The sewage program is based on both State and local codes and has an overall purpose to manage on-site sewage systems. This ensures that the sewage systems are properly installed,maintained,operated,and dispose of sewage properly. The State often leaves gaps in the code for things that would better be addressed locally. All in all,this is to update local codes and address new gaps and do overall maintenance of the sewer code. The State code is in the process BOARD OF HEALTH PROCEEDINGS July 27,2021—Page 2 of going through the State Board of Health. Highlights include:pit toilets no longer being allowed, codifying minimum standards for building permit policies,updating permit review time for septic system, adding sewage disposal requirements,requiring an inspection of sewage system by a specialist when selling a home,eliminating the contractor review board,adding background language around non-occupancy and condemning for lack of sewage disposal,updating appeals language,and adding a waiver section. 7. Community Health—Lydia Buchheit Lydia shared that her staff will be working on the www.healthyLaasoncouniy.com website with live stories, resources,partner information,and most recent updated assessment data. COVID response is continuing. Community Health is hiring for another position for COVID work to help staff get back to their normal work. Lydia also shared a News Release and Proclamation declaring August 2021 Overdose Awareness Month. Cmmr. Shutty/Cmmr.Trask moved and seconded to approve the August 2021 Overdose Awareness Month News Release and Proclamation. 8. Other Business and Board Discussion 9. Public Comments 10. Meeting adjourned at 3:39 p.m. BOARD OF HEALTH PROCEEDINGS July 27,2021—Page 3 ATTEST MASON COUNTY,WASHINGTON BOARD OF HEALTH MASON COUNTY,WASHINGTON McKenzie Smith,Clerk of the Board Darrin Moody,Hospital District#1 Kathy McDowell,City Commissioner Kevin Shutty,Commissioner Randy Neatherlin,Commissioner Sharon Trask,Commissioner Peggy Van Buskirk,Hospital District#2 Gary Plews,Fire Commissioner Keri Davidson,Shelton School Board From the Director's Desk Sept 2021 Summer is winding down! Welcome to COVID day 581. . Covid-19 response continues to be our largest priority while continuing to maintain our programs. Since July we have shifted the bulk of case investigation and contract tracing to the state. With the dramatic jump in cases in August, it exceeded our organic capacity to respond.This move freed resources to work with the schools as the new school year began. We will be adding additional team members to form a COVID-19 specific team in order to allow our current staff to return to their regular public health duties, much of which has been set aside during the pandemic. We reserved a motel room for the occasional situation where a person who cannot quarantine or isolate at home would have a place to recover. We have been having difficulty getting consistent wrap around services available to support someone in this situation as well as those who are quarantining at home who are unable to go out to buy food or pay rent. We are contracting with United Way to provide food and immediate relief while we search for longer term solutions which could include rental assistance. By supporting people in their ability to remain at home it saves exposure and possible further costs to the system. We have been getting funding from the state and federal pass-through dollars to support our COVID response as well as an influx of dollars in Foundational Public Health Services. I will be speaking more about this in our Zoom meeting. CARES funding will be ending December 31", but we will have Epidemiology and Laboratory Capacity Funds available to support most of our COVID response. Mason County Public health was awarded the Healthcare Champion Award from the Thurston-Mason Chamber of Commerce as well as the Outstanding Achievement Award from the North Mason Chamber of Commerce.These awards are the reflection of all the hard work from our amazing team here in Mason County! We are pleased to welcome Dr. Keri Gardner as our Health Officer. Dr. Gardner has a home in Mason County and works remotely. Dr Stein will remain onboard for September to aid in transition. We certainly are thankful to Dr. Stein for helping us out throughout the pandemic and wish him the very best! Dave Windom, MSHS CASE COUNTS •Probable Cases Confirmed Cases Incomplete(Probable Cases) Incomplete(Confirmed Cases)—Total Cases(7 day avg.)---Incomplete(7 day avg.) 150 100 50 .uYlrY.rlJ.a Apr2020 Ju12020 Oct 2020 Jan 2021 Apr2021 Ju12021 Specimen Collection Date HOSPITALIZATION COUNTS Hospitalizations Incomplete-Hospitalizations p day avg.)-Incomplete(7 day avg.) 6 I 5 4 II i 3 1 7 III li I� I � 1 0 � I I 6 Apr 2020 Jul 2020 Oct 2020 Jan 2021 Apr 2021 Jul 2021 Hospital Admission Date PERCENT VACCINATED,WITHIN AGE GROUP Percent Initiating Vaccination Within Age Group*Percent Fully Vaccinated Within Age Group f00% 905E 80% 70% 65.4% 60% 56.0% -3 57.2% 520% 57.6`e 50% 44.1% : 12-15 16-'7 13-''-,a 35-49 Cowry-level injormarion ron✓x joun7 an toml Neclrh lurisdirticr./)HJJ wab::res "r AeYj jcty jeW j uar *aa Aq'JV #o.0 daS 6ny inr c,L a Lo v ns m 0 3 w L. a M PaIBuIDOeAUn �Y 0 4 o a _ pg of 91'a oqj ug snlels uageui:)3eh Aq alej uagssiwpe jejgdsoH Environmental Health Report For Board of Health September 28th, 2021 From Alex Paysse, Environmental Health Manager Environmental Health permits have slowed down slightly in July and August. This has been helpful for staff in catching up on work. On 8/25, EH grouped together with DCD staff for a SmartGov/ permit training event. Staff collaborated with coworkers and improved knowledge of working with our permitting system. Water Quality Program The BOCC approved a resolution on 8/31 creating the Clean Water District Advisory Committee. This committee will bring various partners together to collaborate on water quality projects throughout the district/county. Solid Waste Program The addition of Travis Casey back in July has helped tremendously in code enforcement. An updated table below, demonstrates the success staff has had in reaching abatement of health code violations. Follow up calls for case status have also decreased with our ability to respond more quickly. Environmental Health Complaints 80 70 60 50 40 30 20 10 Jan-21 Feb-21 Mar-21 Apr-21 May-21 Jun-21 Jul-21 Aug-21 ■EHC Submitted ■EHC Closed Food Safety Program Kayla Hamme accepted a job for Snohomish Health Dist. doing disease investigation work. We will be working on a replacement in the coming weeks. Additional items or actions for BOH review: MASON COUNTY • MCC Chapter 6.76 amendments. COMMUNITY SERVICES GO Buitdmq%amm,y.Envvonmmt t Heahh,Community Medhh To: Mason County Board of Health From: Alex Paysse, Environmental Health Manager Rhonda Thompson, Environmental Health Specialist Date: September 281h, 2021 Item: Updates to Mason County Code Chapter 6.76 Onsite Sewage Systems. See attached draft changes. Background RCW 70.05.060 directs the local board of health to enact local rules and regulations as are necessary in order to preserve, promote, and improve public health and provide for the enforcement thereof. Chapter 6.76 was implemented in 2009 due to increasing changes in state codes and requirements surrounding the administration and oversight of onsite sewage systems. Since 2009, staff has found various gaps between state and local codes. In addition, time and experience have prompted changes in processing of permits, code enforcement cases, and certification of contractors. The proposed amendments were compiled by staff and presented to the Onsite Sewage Advisory Committee on July 13th, 2021. After discussion, the committee members voted unanimously to approve recommendations to adopt the proposed code amendments. See timeline below for more information on steps taken and status. Purpose The purpose of chapter 6.76 are to assure protection of public health by: 1. Minimizing the public health effects of on-site sewage systems on surface water and groundwater. 2. Minimizing the potential for public exposure to sewage. 3. Establishing design, installation, and management requirements for on-site sewage systems to accommodate effective treatment and disposal of sewage on a long-term basis. 4. Require a known level of treatment for sewage disposed in Mason County. 5. Enhance protection of environmentally sensitive areas within Mason County. Summary of changes 6.76.040 Definitions. • Addition of"Pit Toilets" to list of definitions. More information within 6.76.065 6.76.060 Minimum standards and adoption by reference. • Adds adoption and reference to building permit policies originally approved by Board of Health in 1996. • Adds support to health officers ability to restrict permit time of validity or time to install to one year on failing sewage components. Staff has found providing a 3-year time frame on repair of failing components sends a confusing message to applicants. Many times these repair/replacement permits are in response to surfacing sewage situations that can or are affecting public health. Staff already restrict permit timelines based on state code allowances, however adding the proposed language provides more clarity to applicants on current practices. 6.76.065 Adequate sewage disposal required. (added section) • Clarifies requirements for adequate and approved sewage disposal throughout Mason County. Addition of this section will assist with code enforcement efforts on varying situations related to surfacing sewage and water pollution. • Washington State provides recommended standards and guidance on permitting a Pit Toilet. Staff has concerns with use of such system due to the amount of surface water, streams, wetlands, and shellfish harvest area within Mason County. Requirements of increased soil depth and surface water setbacks already eliminates a big portion of Mason County. Recommendation is to prohibit use of such system in all of Mason County. 6.76.070— Operation and maintenance of on-site sewage system • Reference to use of management service (currently OnlineRME) in reporting inspections of an Onsite Sewage System. • Revises requirements around property sales and onsite sewage system maintenance. Previously code allowed a pumping to satisfy a property sale. Staff have received complaints from the public, realtors, and septic contractors around pumpers not satisfying a complete inspection of all septic components. Current proposed amendments to WAC 246-272A include requiring an inspection from an operations and maintenance specialist. Lack of a complete inspection has resulted in purchases of systems with failing components unknown to the purchaser. Requiring an inspection by an O/M Specialist (inspector) would resolve these concerns. Proposal will simplify property sale requirements throughout the county, provide more information to buyers, and align with future probable state code requirements. • Adds requirements for an up-to-date service inspection prior to additional development permitting. This requirement has been in place since 1996 when Board of Health adopted the building permit policies. Adding to code, helps with transparency to applicants and provides legal backing to disputes or appeals. Overall intent behind requiring an inspection is to be sure additional development is not being permitted on failing sewage components. 6.76.080 Certified pumper requirements. • Removes administrative enforcement on certified pumpers by Contractor Review Board, replaced by updated text under section 6.76.130. See also changes to 6.76.110 6.76.080 Certified installer requirements. • Removes administrative enforcement on certified pumpers by Contractor Review Board, replaced by updated text under section 6.76.130. See also changes to 6.76.110 6.76.080 Certified operation and maintenance specialist requirements. • Removes administrative enforcement on certified pumpers by Contractor Review Board, replaced by updated text under section 6.76.130. See also changes to 6.76.110 6.76.110 Certified contractor review board. • Removes contractor review board. This board would be used to oversee the administrative enforcement actions on a certified contractor. However, this board has been inactive for many years due to lack of work. Most contractor complaints reach resolution without needs of a dedicated board. Maintaining a board with little work is not efficient use of staff time or the members serving. Recommend replacing contractor board with board of health. In the event enforcement actions or hearings are necessary, BOH can be utilized. See added sections under 6.76.130. 6.76.130 Enforcement. • Adds supporting language to the condemnation of an establishment for lack of proper sewage disposal. Staff currently utilizes the existing language, but find it lacks some clarification. Sheriffs' office and the public has requested more clarifying information on how this condemnation is being interpreted by health dept. staff. Also adds language on how the county shall issue and serve these notices to provide uniformity. • Adds language around suspension and revocation of a certified contractor. Much of this language is already in place under the specified professional sections, this is a reorganization of existing requirements and replacement of the contractor review board with health officer and board of health. 6.76.140 Appeals. • Small adjustment to language around contractor review board, replaces with board of health and adds time period to appeal similar to surrounding counties and other Title 6 chapters. 6.76.150 Waivers. (Added section) • Waiver of regulations are allowed under state code WAC 246-272A. Mason County regularly approves waivers to state and local code in the onsite sewage program, however there is no local code that addresses this program function. These waivers can become important for various development requests. Staff recommends addition of this section to provide legal backing to current practices and align with other chapters under Title 6. Recommendations Washington State Dept. of Health completed their review. Recommend review and discussion on proposed amendments. If no changes requested, recommend approval by Board of Health and forwarding to BOCC. Approval to formalize draft proposal by BOCC May 3, 2021, DONE Review&Approval by Onsite Sewage Advisory Committee July 13, 2021, DONE Initial Review by Board of Health July 27, 2021, DONE Review/Approval by State Dept. of Health Sept. 8, 2021, DONE Review/Approval by Board of Health September 28, 2021 Review/Approval by BOCC to set Public Hearing October 4 & 12, 2021 Public Hearing and Adoption November 2, 2021 Effective Date January 1, 2022 Title 6-SANITARY CODE Chapter 6.76 ON-SITE SEWAGE REGULATIONS* Chapter 6.76 ON-SITE SEWAGE REGULATIONS* 6.76.010 Authority. Pursuant to the authority of Chapters 43.20.050, 70.05.060 RCW,These regulations are hereby established as minimum requirements of the Mason County Board of Health,governing on-site sewage systems in Mason County. (Ord. No.32-09, §1,4-7-2009) 6.76.020 Purpose. The purpose of these regulations are to assure protection of public health by: (1) Minimizing the public health effects of on-site sewage systems on surface water and groundwater. (2) Minimizing the potential for public exposure to sewage. (3) Establishing design, installation,and management requirements for on-site sewage systems to accommodate effective treatment and disposal of sewage on a long-term basis. (4) Require a known level of treatment for sewage disposed in Mason County. (5) Enhance protection of environmentally sensitive areas within Mason County. (Ord. No. 32-09, §2,4-7-2009) 6.76.030 Administration. The Mason County Public Health Director,through authority delegated by the Mason County Board of Health and the Mason County Health Officer shall administer these regulations. Fees may be charged for this administration. (Ord. No.32-09, §3,4-7-2009) 6.76.040 Definitions. The definitions of terms contained in Chapter 246-272A WAC are hereby adopted and incorporated by reference. In addition,the following definitions shall also apply in these regulations: "Board"shall mean the Mason County Board of Health. "Community drainfields"shall mean a drainfield serving two or more residences on two or more parcels. "Continuing education unit(CEU)"shall mean unit of credit customarily used for continuing education courses.One continuing education unit equals ten professional development hours. "Department"shall mean the Mason County Public Health. "Director"shall mean the Mason County Public Health Director or a member of the department authorized by and under the direct supervision of the Mason County Health Officer and Director. Mason County,Washington,Code of Ordinances Created: 2021-03-16 10:16:49 [EST] (Supp.No.55,Update 1,5-21) Page 1 of 10 "Health officer"shall mean the Mason County Health Officer or a member of the department authorized by and under the direct supervision of the Mason County Health Officer. "Pit Toilet"is an on-site sewage disposal unit consisting of a structure overlying an excavation not exceeding five_feet_in depth in which human excrement(human feces and urine)is directly deposited for permanent placement in the ground. "Professional development hour(PDH)"shall mean an hour engaged in a qualifying activity. "Qualifying activity"shall mean any activity that is related to on-site wastewater treatment systems or will help the installer or operation and maintenance provider maintain their competency. "Shared drainfield"shall mean two residences on one parcel sharing one drainfield with or without separate tanks. "Significant periods of the year"shall mean from December 1 through March 31. "Surface water"shall mean any body of water,whether fresh or marine,flowing or contained in a natural or artificial unlined depressions for a significant periods of the year,including natural and artificial lakes, ponds, springs,rivers,streams,swamps, marshes and tidal waters. (Ord. No. 32-09, §4,4-7-2009) 6.76.050 Applicability. These regulations shall apply to all on-site sewage systems except the following: (1) New construction for which a permit was issued prior to adoption of these regulations and which is still valid. (2) Facilities constructed or operated in accordance with a permit or approval issued by the Washington State Department of Ecology.Where these regulations are in conflict with Chapter 90.48 or 70.95 RCW, said RCW shall apply. (3) Facilities constructed or operated in accordance with a permit or approval issued by the Washington State Department of Health.Where these regulations are in conflict with 246-272B WAC. (4) Where any of the requirements of these regulations conflict with one another or with any requirements of Chapter 246-272A WAC,the more stringent requirement shall apply. (Ord. No. 32-09, §5,4-7-2009) 6.76.060 Minimum standards and adoption by reference. (1) "Chapter 246-272A WAC, Rules and Regulations of the State Board of Health for On-Site Sewage Systems"as presently adopted and any future revisions are hereby adopted and incorporated by reference in these regulations.Copies of said document shall be maintained and made available to the public at the Mason County Public Health office. (2) "Mason County Public Health On-Site Standards"as presently adopted and any future revisions are hereby adopted and incorporated by reference in these regulations.Copies of said document shall be maintained and made available to the public at the Mason County Public Health office. (3) "Mason County's On-Site Sewage System Management Plan"as presently adopted and any future revisions are hereby adopted and incorporated by reference in these regulations.Copies of said document shall be maintained and made available to the public at the Mason County Public Health office. Created: 2021-03-16 10:16:48 [EST] (Supp. No.55,Update 1,5-21) Page 2 of 10 (4) "Mason County Environmental Health Building Permit Policies"as presently adopted,and any future revisions are hereby adopted and incorporated by reference in these regulations. Copies of said document shall be maintained and made available to the public. (54) Permits shall be required prior to any construction,alteration,extension,relocation,or repair of any on-site sewage system. Permits shall be valid for three years from the signature date of the site inspection. Permits proposing repair of failed components shall be valid for one year from the signature date of the site inspection. Permit fees shall be charged according to the"Mason County Publie Environmental Health Fee Schedule."Copies of said document shall be maintained and made available to the public at the Mason County Public Health office. (Ord. No.32-09, §6,4-7-2009) 6.76.065 Adequate sewage disposal required. (1) Every residence, place of business,or other building or place where people congregate, reside or are employed shall be connected to an permitted public sewer or Large Onsite Sewage System approved by Washington State Department of Health or Onsite Sewage System approved by the health officer. (2) Any unit/facility with the protentional to generate wastewater by virtue of being equipped with a toilet,sink, shower or other plumbing fixtures shall be connected to an permitted public sewer or Large Onsite Sewage System approved by Washington State Department of Health or Onsite Sewage System approved by the health officer. (3) Installation and use of Pit Toilets for sewage disposal shall not be permitted nor considered an adequate form of sewage disposal in Mason County. 6.76.070 Operation and maintenance of on-site sewage systems. (1) On-site sewage systems shall be inspected as prescribed in 246-272A WAC and the Mason County Public Health On-Site Standards. (2) The homeowner or person contracted by the homeowner to perform the inspection service shall report fully on the status of the on-site sewage system, using the form and/or management service prescribed by the director. (3) The homeowner or person contracted by the homeowner to perform the inspection service shall report immediately any identified on-site sewage system failure to the department. (4) The system owner shall take necessary corrective action,as identified by the director,to correct deficiencies in system design and operation,when such deficiencies are documented through operation and maintenance inspections. (5) When a property contains and/or is served by an on-site sewage system,an inspection service report by a certified operations and maintenance specialist is required within 12 months: (a) Prior to the sale of property or transfer of ownership. (b) Prior to the application for residential or commercial building permit(s) (c) Prior to other land use or governmental actions such as land divisions or boundary line adiustments Created: 2021-03-16 10:16:48 [EST] (Supp. No.55,Update 1,5-21) Page 3 of 10 The inspection service report shall include the status and findings of all system components at time of the inspection and use the form prescribed by the director. EHFFent inspeetien seFYiEe FePE)Ft GA the Status -of the en sate sewage system,using the feFFR pFeseFibed by the-diFeeteF. annually f9F all etheF O site s ptie system. (b) Spp;*r--p fer an An site sewage systeFA EGR505tiRo selely ef a septiE tank and gFay*ty dFainfield shall be (Ord. No. 32-09, §7,4-7-2009) 6.76.080 Certified pumper requirements. (1) It shall be unlawful for any person,firm or corporation to engage in cleaning any septic tank,seepage pit or chemical toilet,or removing other accumulations of sewage without first obtaining a pumper's certificate from the department. (2) The requirements for pumper certification shall include all of the following: (a) The applicant shall demonstrate having a certified disposal site for the septage or holding tank wastes. (b) The applicant shall demonstrate sanitary equipment meeting the following requirements: 1. The pump tank shall be of at least one thousand gallons in capacity, in good repair,and of cleanable construction. 2. All outer contact surfaces and fittings shall be kept in a clean and sanitary condition while stored or in transit,and all premises served and equipment used shall be left in a clean and sanitary condition. 3. All discharge valves shall be in good repair,free from leaks and fitted with watertight caps. 4. The name of the operating firm shall be prominently displayed on the sides of any pump tank vehicle. (3) The initial certificate fee shall be in accordance with the adopted fee schedule.At the end of each calendar year all certificates shall expire.Certificates may be renewed for a fee established by the adopted fee schedule.A pumper's certificate shall not be transferable. (4) Copies of all pumping reports shall be submitted to the Mason County Public Health office monthly_except (5) A copy of the pumping report as prescribed by the health officer shall be given to the homeowner at the time of the service. (6) depaFtment within seveR;Age.rking days RenfuRetiening en site eempenents that ceuld Fesult in f--,;#hp-.r system damage,failWFe W Fep9Ft te the department%A.dthin twenty W9F'(iRg days otheF A9nfUAeti9AiAg 9R site sewage system eempeneRtS,eF etheF iRG0FnpeteAee,negligence,OF MiSFelaresentatien.Said suspeRsieR Created: 2021-03-16 10:16:48 [EST] (Supp.No.55,Update 1,5-21) Page 4 of 10 FegUlatiens and wall be he'd in abeyanee pending Feselutien ef the appeal. bear (Ord. No.32-09,§8,4-7-2009) 6.76.090 Certified installer requirements. (1) It shall be unlawful for any person,firm or corporation to engage in installation,alteration, repair or modification of an on-site sewage system within Mason County without first obtaining an installer's certificate from the department except as noted in 246-272-0250 WAC. (2) Requirements for installer certification shall include all of the following: (a) Presentation to the director of evidence showing a minimum of one year experience working with a certified installer or some other experience that can be demonstrated to the director as providing knowledge and skills equivalent to having worked with a certified installer for a minimum of one year. (b) Prior to issuance of a certificate,the director shall require written examination of the applicant's knowledge of on-site sewage system principals and the rules, regulations, laws and ordinances affecting the public health and safety with respect to on-site sewage systems. (c) The initial certification fee shall be in accordance with the adopted fee schedule.At the end of each calendar year all certificates shall expire.Certificates may be renewed for a fee established by the adopted fee schedule.An installer's certificate shall not be transferable. (d) Prior to the issuance of an installer's certificate,the applicant shall provide verification to the department of their current status as a specialty contractor. (e) The installer shall accumulate twelve professional development hours for any three-year period. (f) The installer is responsible for maintaining records to be used to support credits claimed. Records should include date of activity,instructor's name,description of activity, number of contact hours and location.The installer shall keep their records of continuing education for the current renewal period plus the three years before the last renewal.All continuing education records and supporting documentation must be furnished to the board upon request. eamply with any etheF FeqwiFe__Fne_M ef the-se Fegulatiens.Said suspensien Fnay be appealed by the heldeF 9f Created: 2021-03-16 10:16:48 [EST] (Supp. No.55,Update 1,5-21) Page 5 of 10 died (b) The diFeeter--;hall Sehed-ule a speEial heaFiF;g ef aA appeal f;;F the install r with the eel#ified 6eRtFaeteF sewage system within Masen Geunty dwFing the PeFin-d- his A-F he-F.ce-4-ifir-n-at-p- F&VA-ked OF suspeRd (Ord. No.32-09, §9,4-7-2009) 6.76.100 Certified operation and maintenance specialist requirements. (1) It shall be unlawful for any person,firm or corporation to engage in operation and maintenance of an on-site sewage system within Mason County without first obtaining an operation and maintenance certificate from the department. (2) Any operation and maintenance inspection required by the department shall be performed by appropriate personnel as specified in the"Mason County Public Health On-Site Standards." (3) The requirements for maintenance specialist certification shall include all of the following: (a) Presentation to the director of evidence showing a minimum of one year experience working with a certified maintenance specialist,working as a licensed designer or some other experience that can be demonstrated to the director as providing knowledge and skills equivalent to having worked with a certified maintenance specialist or as a licensed designer for a minimum of one year. (b) Prior to issuance of a certificate,the director shall require written examination of the applicant's knowledge of on-site sewage system principals and the rules, regulations, laws,and ordinances affecting the public health and safety with respect to on-site sewage systems. (c) The operation and maintenance specialist shall demonstrate to the director attendance of training in on-site wastewater treatment operation and maintenance at the northwest on-site wastewater training center or the equivalent. (d) The initial certificate fee shall be in accordance with the adopted fee schedule.At the end of each calendar year,all certificates shall expire.Certificates may be renewed for a fee established by the adopted fee schedule.A maintenance specialist's certificate shall not be transferable. (e) The operation and maintenance specialist shall accumulate twenty-four professional development hours for any three year period. (f) The operation and maintenance specialist is responsible for maintaining records to be used to support credits claimed. Records should include date of activity, instructor's name,description of activity, Created: 2021-03-16 10:16:48 [EST] (Supp. No.55,Update 1,5-21) Page 6 of 10 number of contact hours and location.The operation and maintenance specialist shall keep their records of continuing education for the current renewal period plus the three years before the last renewal.All continuing education records and supporting documentation must be furnished to Mason County Public Health upon request. (4) Copies of all maintenance reports,as prescribed by the health officer,shall be submitted to the Mason County Public Health monthly_except as Reted i „bseetien «` of this.-n.-ti^^ (5) A copy of the maintenance report,as prescribed by the health officer,shall be given to the homeowner at the time of service. *hp rp, Id rpr­lt in fuFtheF system damage,fai!UFe to rePOFt W the depaFtment within tWPRty WE)FI(Ing days nstallnr'.-..n.-tifi^-,te yiithin the t.,n d n ed eeFtifie d^ nt Raeter r w ti^^.E d within thirty.days of the r nrt fee heaFinre nrtified r=eAtFaEteF'5Feyiew beard. AAaSeA GIBURt...dUrin..then n.d his er her e-e-Ftifieate it eke d n Suspend n.J (Ord. No.32-09, § 10,4-7-2009) (1) The direeter shall establish-and- Maintain-;;revievi beaFd Ealled the EeFtified Eentraeter revie%%o heard (2) The Feview heard shall meet as needed er as determined by the health Affirpr te eyaluate the pe fermanee Created: 2021-03-16 10:16:48 [EST] (Supp.No.55,Update 1,5-21) Page 7 of 10 (3) The Feyiew beaFd shall aEt undeF by IaWS adapted by the beaFd.Copies ef said deeument shall be I(ept ef;file and..9ade-, enable fG1E pu blie i., eet'en at the d.,paFt.. ent..4k-- (Ord. No. 32-09, §11,4-7-2009) 6.76.120 On-site sewage advisory committee. (1) The director shall establish and maintain an advisory committee called the on-site sewage advisory committee. (2) The advisory committee shall meet a minimum of once each year to evaluate department policies and procedures pertaining to the on-site sewage program, "Mason County Public Health Standards"and all relevant local ordinances and codes.The committee will present findings and make recommendations to the director and the board of health. (3) The advisory committee shall act under by-laws adopted by the Board. Copies of said document shall be kept on file and made available to the public at the Mason County Public Health office. (Ord. No.32-09, §12,4-7-2009) 6.76.130 Enforcement. (1) It shall be unlawful to discharge sewage from any on-site sewage system, including septic tank wastes and greywater to surface water or upon the surface of the ground. (2) It shall be unlawful to use or maintain a malfunctioning on-site sewage system. Upon the discovery of the existence of such a system,written notice of violation shall be given to the recorded owner and/or occupant of the premises. Upon failure to adequately repair and restore the sewage system to proper working order within the time frame stipulated on the written notice or thereafter amended,the premises may be vacated. Failure to so vacate shall constitute an additional violation. (3) No person shall discharge waste products other than domestic sewage into an on-site sewage system(s), except where it has been adequately demonstrated to the director that the nondomestic waste discharge would be consistent with the system design,good sanitary waste treatment and disposal practice,and not cause a water quality violation or violate hazardous waste materials disposal law. (4) No person shall use and maintain an on-site sewage system except in a manner that is appropriate to the design of the system. (5) The director may condemn and issue a Notice of Non-Occupancy,according to law,any residence or other establishment which is accumulating or disposing of sewage in a manner contrary to the requirements of these regulations.The Notice of Non-Occupancy shall be served to the owner of the property,either personally or by mailing a copv of the notice by regular and certified mail to the owner at his or her last known address. A copy of the Notice shall also be posted on the property where the alleged violation(s) occurred or is occurring. No person shall remain in or enter any building structure,or property which has been so posted,except that entry may be made to repair or correct any conditions causing or contributing to the threat to public health. No person shall remove or deface any such notice after it is posted until the required corrective action has been completed and approved. (6) All violations of these regulations are determined to be unlawful and declared to be detrimental to the public health,safety and welfare,and are public nuisances.All conditions which render any building,structure, premises, land use or portion thereof to be used or maintained in violation of these regulations shall be abated if provisions for their continuance made pursuant to these regulations are not satisfied. Created: 2021-03-16 10:16:48 [EST] (Supp. No.55,Update 1,5-21) Page 8 of 10 (7) In addition to or as an alternative to any other judicial or administrative remedy provided herein,or by law, any person or establishment who violates these regulations or by each act of commission or omission procures, aids or abets such violation, may be assessed a civil penalty not to exceed two hundred fifty dollars for each day of continuous violation to be directly assessed by the health officer until such violation is corrected.The per diem penalty shall double for the second separate violation and triple for the third and subsequent separate violations of the same regulation within any five-year period. (8) In addition to or as an alternative to any other judicial or administrative remedy provided herein,or by law, any person who violates these regulations or by each act of commission or omission procures,aids or abets such violation,shall, upon conviction, be guilty of a misdemeanor. For purposes of these regulations,each section violated shall constitute a separate and distinct offense,and each day's violation shall constitute a separate and distinct offense. Penalty, upon conviction,shall be punishable by a fine of not more than five hundred dollars,or by imprisonment for not more than ninety days,or both such fine and imprisonment. (9) Suspension of Certificate (a) speei P-AA certificate may be suspended,after a hearing between the health officer and certificate holder,##a when the holder has performed with negligence,incompetence, misrepresentation or failure to comply with the applicable rules, regulations,guidelines,policies or practices which pertain to water supply and waste water disposal,to have made fraudulent misrepresentation in making application for a certificate or authorization or to have made fraudulent misrepresentation in making application for a permit to install an on-site sewage system,either existing at the time of certification or as thereafter enacted. (b) The health officer shall give written notice of the hearing to any person aggrieved who has filed a written complaint with the health officer and the affected certificate holder(s). (c) For the first confirmed violation under this subsection by certificate holders,the suspension period shall not exceed 30 days; and the second violation in any three-year period shall result in a suspension of the certificate for a period not less than 15 days and not to exceed 180 days. (d) If the health officer suspends a certificate,the holder shall not proceed with any further work in connection with the activity covered by the certificate. (e) The certificate holder shall be notified by certified mail of suspension of the certificate upon determination of a finding that a violation has occurred requiring suspension. (10) Revocation of Certificate (a) A certificate may be revoked for repeated violation of any of the requirements of these regulations or any other applicable regulation or if,after a hearing with the board of health,the holder of such certificate shall be found grossly incompetent of negligent,or to have made fraudulent misrepresentations in making application for a certificate or for a permit to install an on-site sewage system,or should the bond or insurance required herein be canceled. (b) The health officer shall give written notice of the hearing to any person aggrieved who has filed a written complaint with the health officer and the affected certificate holder(s). (c) The third notice of violation issued within any 12-month period shall be considered as repeated violations and result in certificate revocation (d) If the board of health revokes a certificate,the holder shall not proceed with any further work in connection with the activity covered by the certificate. (e) The certificate holder shall be notified by certified mail of revocation of the certificate upon determination of a finding that a violation has occurred requiring revocation. Created: 2021-03-16 10:16:48 [EST] (Supp. No.55,Update 1,5-21) Page 9 of 10 (f) If,after revocation of a certificate,the applicant desires to reapply for a certificate,the applicant must wait six months prior to reapplication. Any person whose certificate has been revoked will be required to pay all applicable fees and take and pass the written examination again before issuance of a new certificate. (Ord. No.32-09,§13,4-7-2009) 6.76.140 Appeals. (1) Decisions of the difeeteFhealth officer pertaining to the certification of pumpers, installers and operation and maintenance specialists may be appealed to the-board of health within 15 working days of the decision which is being disputed eeFtified^ RtFaGt^-Fey6ew beara (2) All other decisions of the director may be appealed to the health officer.Appeals must be made in writing to the director within ten working days of the decision which is being disputed.A hearing date shall be scheduled with the health officer to be held within thirty days of said decision being appealed. (3) Determinations of the health officer may be appealed to the hearings examiner.Appeals must be made in writing to the director within ten working days of the decision which is being disputed.A hearing date shall be scheduled with the board for their next regular meeting. (4) Departmental orders and determinations shall be stayed for the period the appeal is pending, provided no surfacing sewage or public health hazard results from said stay. (5) Any variations from these regulations resulting in requirements less stringent than those found in Chapter 246-272A WAC shall have concurrence from the Washington State Department of Health. (6) Administrative hearings shall be conducted in accordance with Mason County Office of Environmental Health Variance and Appeal Procedure. Copies of said document shall be maintained and made available to the public at the Mason County Public Health office. (Ord. No.32-09, § 14,4-7-2009) 6.76.150 Waivers. (1) The health officer may grant a waiver from specific requirements within this chapter if: (a) The waiver request is evaluated by the local health officer or delegated county staff on an individual, site by site basis. (b) The standards are more stringent than the standards of chapter 246-272A WAC,or from provisions in these regulations that are not contained in Chapter 246-272A WAC without Washington State Department of Health approval. (c) The waiver is submitted with any corresponding mitigation measure(s)to assure that the public health and water quality protection,at least equal to that established by these rules,is provided. (d) The waiver is submitted with all necessary forms provided by the department and applicable review fee(s)according to the current Environmental Health Fee Schedule. (e) The local health officer determines that the waiver is consistent with the standards in,and the intent of, the rules of this chapter and chapter 246-272A WAC. Created: 2021-03-16 10:16:48 [EST] (Supp.No.55,Update 1,5-21) Page 10 of 10 ��+.t• s Commuhity- He • er Report ' • Y ' July-August 2021 Communicable Disease & Notifiable Conditions (3 programs-CD,TB, STD) Staff:Audrey O'Connor, Back-up: Elizabeth Custis& Lydia Buchheit July-August our communicable disease(CD)program nurse received 59 reports requiring data entry into the State database,and/or investigation and follow-up. * Chronic Hepatitis C cases being directly entered into new WDRS database by DOH. This does not include their work in COVID-19 case investigations.Year total for COVID-19 included in this update. Disease July-August Total to date COVID-19/2021 * 2,455 Campylobacteriosis 1 13 Cryptosporidiosis 0 1 Giardiasis 0 0 higa Toxin 2 1 1 higellosis 0 0 Mumps 0 0 Haemaphilus Influenza 0 0 Hepatitis B-Acute 0 0 Hepatitis B-Chronic 0 0 Hepatitis C-Chronic Hepatitis C-Acute 0 0 Hepatitis D 0 0 Lyme 0 0 Pertussis 0 0 almonellosis 0 1 ersinia 0 0 1 Coccidioidomycosis 0 0 Carbapenemase-resistant 0 1 enterobacteria(CRE) Hepatitis A—Ruled out 0 0 Meningitis-Ruled out 0 0 ibrio-Ruled out 0 0 Listeriosis-Ruled out 0 0 Legionella 0 1 Suspected rabies/sample sent 2 3 Malaria 1 1 Tuberculosis-Ruled out 0 1 Tuberculosis-Latent 0 0 Tuberculosis-Active/open cases 0 0 ibriosis(non-cholera) 1 1 Listeria 0 0 Congenital Syphilis 0 2 Chlamydia 33 133 Gonorrhea 18 52 Syphilis 1 8 Herpes 1 8 HIV 0 0 �otals 59 226 Hepatitis C Screening Staff: Christina Muller-Shinn Staff is now a licensed Medical Assistant Phlebotomist and is working on setting up policies and procedures for a screening program (to also include HIV screening). She attended an in-person HCV testing training with Hepatitis Education Project (HEP) in Seattle in July. Maternal Child Health Staff: Elizabeth Custis Providing work in this grant via approved COVID work. Assisting with guidance to childcare agencies regarding COVID cases and outbreaks. Elizabeth is part of the SMART(School Medical Autism Review Team) in Mason County which helps to evaluate and potentially diagnose children with Autism.Team members are Dr Rayos and DrTuladhar, Speech/Occupational Therapy/Physical Therapy from school districts and Mason General Hospital 2 Pediatric Rehabilitation Team, Special Education teachers, and Birth to Three Early Intervention Providers. Without this team, many children wait 12 -18 months to see a specialist for diagnosis which can delay needed services. Our local pediatricians and other providers on this team have been specially trained to evaluate children. Elizabeth's role is to assist families to get the support and resources needed after their child is diagnosed with Autism. Maternal Child Health Parenting Program No Incredible Years parenting classes were offered due to COVID. Future work will be with DCYF for Child Protection Services. ABCD Dental Program Ben has taken over management of this grant. Has provided dental supplies for the Mason Health Birthing Center and Pediatrics Unit. Continues to provide telephone assistance for families needing a dental home. And has connected with all ABCD providers in Mason County Breastfeeding Coalition of Mason County Breastfeeding Coalition meetings and support group are on hold during COVID. Elizabeth has continued to share breastfeeding COVID immunity and vaccination information with MGH OB Department and Mason Clinic Pediatricians. Early Learning Coalition of Mason County Elizabeth stepped down from the Executive Team during COVID but attends the general membership meetings as able. This team works together to support early learning, identify gaps, and assist with promoting opportunities for early learning for children in Mason County. Immunization Improvement Grant Most work in this grant has been on hold due to COVID priorities. Elizabeth continues to encourage parents and newly vaccinated adults to apply for online access to their child's and their own Immunization Information System records. Flyers were provided for some drive-through school and preschool events.There have been increased phone calls from parents needing guidance, answers to questions, and assistance to get their child's immunizations in compliance for school attendance. Children with Special Health Care Needs Elizabeth's priority has still been in COVID related work. Elizabeth has intermittently been provided increased consultation and care coordination via phone to families with children that have special health care needs in the Mason County area. Referrals continue to be submitted to RN. RN has recently been able to participate in monthly Pediatric Care Coordination Meetings that include Mason Health Pediatricians, Birth to Three Early Intervention, School and Mason Health Speech, Physical, and Occupational Therapy, and Developmental Preschool and Special Services staff. Social Service Programs Housing($5,994,321 Annually: 12 funding sources—grants,tax, local recording fees, 12 subcontracts, and 20 programs)Staff:Todd Parker The eviction moratorium ends September 30, 2021. Eviction prevention programs are fully operational. In July 88 households received $470,705.24 in housing assistance and in August, 107 households 3 received $580,926.37. Community partners and superior court are teaming up with Dispute Resolution Center of Thurston/Mason to further assist households facing eviction. Some of the concerns echoing across the state are that landlords are raising rents now that the moratorium is over. More eviction funding is coming through the Department of Commerce in the Eviction Rent Assistance 2.0 program. Behavioral Health Treatment Sales Tax(TST) Funded Staff: Abe Gardner 2 Currently all county operated TST programs are gearing up for budget and coordinating with Public Health so billing and reports are coordinated and timely. Also, both non-county operated TST programs are going well, as partnerships with Olympic Health and Recovery Services and Northwest Resources continue to provide much needed services in Mason County. There is also work being done to stand-up a new program as well as solidify another newer local program with TST support. An RFQ has been released to solicit interest in starting up a Behavioral Health and Recovery Support Transportation program,that will look to provide at-will/low-barrier transportation for folks navigating the local and surrounding area's behavioral health system. In addition to the transportation program,there is work being done to develop and coordinate options to solidify and bolster the Behavioral Health Navigator position that is currently working with the Mason County Sheriff's Office as well as the Shelton Police Department. Mason County Mental Health &Substance Use Disorder(SUD) Response (6 programs) Staff: Abe Gardner,Christina Muller-Shinn,Audrey O'Connor Overdose Data to Action (OD2A) In July, Public Health was alerted by EMS to a major spike in opioid overdose, likely driven by an increase in the fentanyl supply. In conversation with program participants regarding this overdose spike,staff identified a major gap in our overdose prevention services; people using illicit fentanyl are more likely to be smoking and not injecting. Most of our overdose prevention work relies on interactions at the syringe service program,so there is a large population of opioid users who are not being engaged with. Since the fentanyl trend is expected to increase, it is very concerning to not have engagement from non- injectors. Staff is researching alternative approaches and reaching out to other programs for ideas. OD2A staff Christina Muller-Shinn presented at the Mason County Fire Chief's monthly meeting regarding increased overdose trends and was recognized by Chief Burbridge at a Fire Commissioner's meeting with a challenge coin to recognize the hard work done to prevent overdose. MCPH was able to secure 36 naloxone kits each for Mason County Sheriff's,Shelton Police, and Skokomish Tribal Police Department through the Department of Health. OD2A staff provided a refresher overdose response training to the Skokomish Police. In August, Christina facilitated the harm reduction breakout discussion session's (one each day) at the three-day virtual Region 10 Opioid Summit. On August 31, Mason County honored International Overdose Awareness Day by holding an event and walk throughout Shelton (and Belfair September 1). Substance Use Mobile Outreach of Mason County 4 Substance Use Mobile Outreach had 91 interactions during this reporting period. 21 people reported that they or someone they knew had overdosed in the past 30 days. Naloxone was given out during 59% of visits (including overdose prevention and response training to 10 new participants), and fentanyl test strips were requested at 48%of visits. Additionally, 58% of participants requested wound care supplies; staff provided lots of education regarding soft tissue infection prevention. Dental referrals were the most type of service requested,with 9 referrals during this reporting period. COAP/COSSAP(Community partnerships,Systemic change, Program coordination) The COAP/COSSAP project is it its final months,with a final report due in October 2021. Currently, efforts are being directed towards,final data collection as well as report writing. The emphasis of system coordination, of which the COSSAP project was highlighting, will continue to be a priority and moving forward will continue to fall under the purview of Public Health as the backbone organization in Mason County. MCLEAD (Mason County Law Enforcement Assisted Diversion) Mason County's LEAD program has had a very successful first year, having far exceeded the number of referrals that work expected when the program was first developed. Currently,all program partners are pleased with the program and the progress of implementation. A new contract with HCA,that will extend the program until 2023,should be completed and in place by the first of the year, possibly as soon as October. Behavioral Health Navigator Program The Behavioral Health Navigator Program is now operating at both the Mason County Sheriff Office as well as the Shelton Police Department. Currently there is an effort to expand navigator services and to possibly partner with another agency to be able to solidify the program and expand what/how the services are currently provided. RCORP (Rural Communities Opioid Response Program) Due to competing priorities,the RCORP Consortium changed partners from Peninsula Community Health Clinic to Olympic Health and Recovery Services. OHRS will provide a 1 FTE peer to partner at the Substance Use Mobile Outreach, work the Transit Center overdose prevention table, and support their other SUD programming, as well as a 1 FTE SUDP to do SUD assessments in the jail, help build out the jail re-entry program, and provide support(including assessments) do other RCORP and community programs. Substance Use Prevention Staff: Ben Johnson& Melissa Casey The Shelton and North Mason Substance Abuse Prevention Coalitions have continued to meet via zoom. Most recently meeting together on projects that include all county youth. This year the coalition will focus on providing prevention programming throughout the entire county. We have reached out to the Mary M. Knight School District and are discussing the development of a youth prevention leadership group at the Jr. and High school levels. We are also working on continuing our prevention leadership groups at North Mason and Shelton high Schools. We have a goal of one town hall quarterly in 2021-22. Partners include Shelton and North Mason Youth Connections and Ifiber One radio. 5 Public Health has applied and has received notice of funding for a five-year CDC-Drug Free Communities grant.The program is called the Mason County Youth Substance Abuse Prevention Project. The primary goals are: 1) Establish and strengthen collaboration among communities, public and private non-profit agencies, as well as federal,state, local, and tribal governments to support the efforts of community coalitions working to prevent and reduce substance abuse among youth, individuals 18 years of age and younger. 2) Reduce substance abuse among youth and, overtime, reduce substance abuse among adults by addressing the factors in a community that increases the risk of substance abuse and promoting the factors that minimize the risk of substance abuse. Community Health Education, Assessment and Data Staff: Melissa Casey Assessment data is being updated for the 2021 Community Health Assessment. The findings of these data will be used to identify the health priorities of focus for the 2021-2025 Community Health Improvement Plan.The Mason County Community Health website (healthymasoncounty.com) is also being revamped as a hub for data and resources. We invite community members interested in joining the Mason County Health Coalition to please contact Melissa Casey at 360-427-9670 Ext 406 or mcasey@masoncountywa.gov. Emergency Preparedness Staff: Lydia Buchheit,Alex Paysee,Sunni Evans, COVID-19 Response Staff: Audrey O'Connor, Elizabeth Custis, Melissa Casey In August, Mason County's COVID-19 cases once again rose due to the Delta Variant with a rolling average of 30-35 cases over a 7-day period.This was slightly higher than the rise that occurred in December 2020. You can check the Covid 19 data dashboard for the most up-to-date data. https://www.doh.wa.gov/Emergencies/COVID19/DataDashboard#dashboard 6