Approved Minutes of March 2, 2024 Board Retreat

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MINUTES-Draft ORANGE COUNTY BOARD OF HEALTH RETREAT March 2, 2024 Because of space restrictions in the Mobile Dental Unit, only about 3-4 individuals were able to tour the space at a time. This allowed time for retreat participants who were not actively touring the unit to socialize, stretch their legs, or to have some breakfast. Some questions answered about the Mobile Dental Unit included: • How many patients could be seen per day—Three staff members staff the unit during shifts, and there are two operating theaters. Dr. George said that about seven patients can be seen in each theater per day, for a maximum of fourteen patients who can be served by the mobile unit per day. • How fees are handled — Ms. Shumaker shared that, prior to the appointment, a staff member guides patients through the fee schedule over the phone and explains resources to defray costs when needed. The mobile unit itself does not display the costs for services and only accepts payment by card. • How long are wait times—Ms. Shumaker said that the wait time for an appointment at the mobile dental unit are currently around one month, which is shorter than wait times for an appointment at the Whitted dental clinic. Adjudication Training The adjudication training was hosted by Morgan Pierce, County Attorney, and four staff members from Environmental Health Services: Daniel Tani, Environmental Health Specialist; Alexandria Rimmer, Environmental Health Supervisor; Thomas Privott, Environmental Health Supervisor; and Victoria Hudson, Environmental Health Director. To help make the content more relatable, the presentation was structured around considering the adjudication process as a metaphorical game of Monopoly. Some highlights from the presentation are below: • Adjudication is the process of an aggrieved party, which is someone who may have suffered monetary or property damages (henceforth called the appellant), appealing a decision that they didn't agree with, typically a decision by the Environmental Health Services Department staff. • The Board of Health (BOH) is responsible for enforcing three sets of local rules: the Orange County Groundwater Protection/Well rules, the Orange County Rules for Onsite Wastewater Treatment and Dispersal/Septic rules, and the Orange County Rules for Smoke-Free Places. • In response to Dr. Pickett's question about the expected level of preparation for the average appellant, Mr. Privott explained that in a recent near-miss the appellant had already retained an attorney before they were able to come to an agreement. He went on to say that while adjudication is infrequent and thus the preparation of appellants may be a spectrum, he would recommend anticipating appellants being quite prepared as it is a big deal when a complaint goes to adjudication. • Commissioner Fowler asked if adjudication is a quasi-judicial process, to which Mr. Privott replied yes. Ms. Pierce then explained that it is a court case, in which the appellant and health department staff present evidence and witnesses, held before a board rather than a judge with slightly different rules but a similar judicial process. S:\Managers Working Files\B0H\Agendas&Abstracts\2024 Agenda and Abstracts/BOH Retreat Page 4