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MINUTES ORANGE COUNTY BOARD OF HEALTH March 23, 2006 Board of Health Minutes Transcription completed by Anne Miles Cassell 4 March 23, 2006 explained that all school nurses are on a 10-month salary schedule. When the position transitions back to the Health Department it will be a 12-month salary schedule, hence the increase of 2 months salary. Moses Carey, Jr. suggested it be phrased differently. Quality Assurance/Risk Management has a large increase due to the addition of a respiratory fit protection program that is part of the Department’s overall preparedness effort. Several staff members are trained to do a respiratory fit for the N-95 mask. The increase will enable the department to purchase more bloodborne pathogen test kits and N-95 masks so the department can have a small stockpile internally in the event of a major outbreak. The Department will also be fit-testing Animal Services and Public Works employees through this program to assure the preservation of these infrastructures. State funding is projected to be stable although there may be two reductions as mentioned. In 05-06 the department also brought in $90,000 in one-time funding opportunities, which helped supplement needed funding. It is anticipated the Department will apply and obtain additional grant funding opportunities in the upcoming fiscal year. Moses Carey, Jr. asked if the new program grant for Child Health Care Consultant funded through Smart Start would cover a full time salary. Dr. Summers explained that the grant was intended to cover the full salary, however the department transferred a nurse into the position that was making more than the grant amount, so the grant does not cover the full salary. Moses Carey, Jr. also requested an explanation of the tiers as presented with the budget. Dr. Summers stated that the budget staff requested the Department identify increases in tiers so they could separate out whether a budget increase was requested because it was related to a mandated service or requirement (tier A or 1), BOCC goals and initiatives (tier B or 2), service level increase (tier C or 3), and other increases (tier D or 5). Gwen Harvey requested background information on the food and lodging program regarding the constraints on charging fees and that this position is not supported by revenue. Ron Holdway responded that inspections of food and lodging and other institutional facilities is a state mandate and explicit in its statutes that no fees are to be charged for that service nor can we adopt local rules to charge a fee for that service. Restaurants do pay a fee to the state and the county receives a small portion of that fee. Moses Carey, Jr. asked the amount each restaurant; motel, hotel, or lodging facility pays to the state. Ron Holdway stated that to the best of his knowledge each pays an annual fee of $50 to the state. The state uses half to administer the program, and the other is redistributed to the counties, of which Orange County receives about $9000 per year. Gwen Harvey questioned the percentage of cost this is to run the program for Orange County. Motion to approve the Environmental Health fee for contractor registration and septic tank inspections as presented was made by Moses Carey, Jr., seconded by Chris Harlan, and carried without dissent. Motion to approve Environmental Health fees (excluding contractor registration and septic tank