agenda clark county combined health district board … · seconded by: ms. moore ms. potina yes ms....

AGENDA CLARK COUNTY COMBINED HEALTH DISTRICT

BOARD OF HEALTH June 18, 2020

6:00 p.m.

1. Call Meeting to Order

2. Roll Call

3. Minutes of the May 21, 2020 Meeting

4. Activity Reports: A. Nursing Division (Christina Conover) B. Environmental Division (Larry Shaffer) C. Early Childhood Division (Lori Lambert) D. Women, Infants & Children Division (Emily Hawke) E. Vital Statistics (Shannon Hackathorne) F. Financial Report (Lindsey Hardacre) G. Legislative Update (Charles Patterson)

5. Monthly Vouchers (Lindsey Hardacre)

A. Payment Approval B. Transfers/Advances, if necessary

6. Special Report

7. Old Business

8. New Business:

A. Refrigerator/Freezer Purchase (Charles Patterson) B. Vehicle Purchase (Charles Patterson) C. Budget Appropriations (Lindsey Hardacre) D. Contact Tracer 2 Job Description (Christina Conover) E. Position Upgrades

1) Krystal Coleman (Lori Lambert) 2) Brenna Heinle (Christina Conover) 3) Alicia Sehen (Christina Conover) 4) Lexee Trainer (Christina Conover) 5) Danny Kuder (Christina Conover)

F. Manufactured Home Inspections Contract (Larry Shaffer) G. Sewage Variance Requests (Larry Shaffer)

1) 710 West Home Road 2) 800 Sheffield Drive 3) 2059 Old Coach Drive

9. Health Commissioner’s Comments

10. Execute Session – if necessary

11. Additional Business – if necessary

12. Next Meeting Date – Thursday, July 16, 2020

Adjournment

Clark County Combined Health District Board of Health Minutes

May 21, 2020 President Catherine Crompton called the May 21, 2020 Clark County Combined Health District Board of Health meeting to order at 6:02 p.m. Board members present: Catherine Crompton, Dala DeWitt, Marianne Potina, William Scarff, Valerie Moore and Dana King. Board members absent: Bernadette deGuzman Staff present: Charles Patterson, Health Commissioner; Larry Shaffer, Director of Environmental Health; Christina Conover, Director of Nursing; Lori Lambert, Early Childhood Director; Emily, Hawke, WIC Director; Shannon Hackathorne, Administrative Assistant to the Health Commissioner; Lindsey Hardacre, Fiscal Officer; Laura Thompson, Medical Director; Rick Holbrook, IT Technician and Kyle Trout, Communications Coordinator. Others Present: none Minutes: The minutes of the Board of Health meeting held on April 16, 2020 were approved as submitted. Activity Reports Nursing: Ms. Conover referred to the activity report in the Board packet. She said we have decreased the clinic and collaborative activities in attempt to align our activities with the highest needs. She said this is reflected in the decreased numbers over the month of April. She said as of May 18, 2020 we have engaged in creative ways to reengage in meetings and reestablish the clinics. She said much of the nursing division continues to work in the COVID-19 response. She said we have started to hire contact tracers with the help of Ms. Hackathorne and Ms. Sauter. She said we have on boarded approximately ten (10) so far and they will start training over the next two (2) weeks. She advised this will only be part of the number we will hire to continue to do contact tracing. She said since we have spent a lot of time in COVID-19 activities she wanted to highlight a couple of the different points that the nursing and health promotion division has been a part of for the response. She shared that as far as identification and care of vulnerable populations the staff has worked to procure and distribute frozen and shelf stable food to quarantined individuals as well as high risk individuals. She said there were 19 deliveries from April 6, 2020 when we created the process to track them. She said in addition we created a procedure for procuring medications ordered for persons under investigation and positive cases discharged from the emergency department to ensure that cases do not go into the pharmacy to pick up medication and that they are able to have their medication to help their recovery at home when that is applicable. She said we had eight (8) deliveries of medication during that same time starting April 6, 2020. She said we have been in discussion with members of the Latino Coalition, the City of Springfield and Clark County EMA regarding community outreach and have secured additional interpreters fluent in Spanish and Creole on contract to assist with case investigations. She said we reorganized the Spanish line to provide people with a more efficient way to get a hold of somebody here at the Health District if their primary language is Spanish. She said a number of our Health Planners and Mr. Trout have been supporting information management and public health information and warning with information sharing through weekly calls with elected officials and community leaders with Mr. Patterson as the spokesperson. She said we have provided consistency of information through the maintenance of internal and external talking points multiple times a week. She said the external talking points are shared with community partners that have been established through the Creating Healthy Communities partnerships and that has been a great resource and avenue to distribute information. She said we have also produce and distributed multiple health alert messages when new guidance has come down from the state and from CDC. She said there is a weekly Facebook live presentation, posts to Facebook multiple times a day for prevention, social distancing and wellness and many hours spent monitoring Facebook and responding to comments and questions, updating the website daily with case count status and response to media inquiries. She said there were at least seven (7) media inquiries in the second part of April and we placed 100 yard signs throughout the county that encourage the stay home and save lives message in various languages. She said there has been a lot of effort to secure temporary housing for quarantined and isolated individuals not able to safely quarantine in their homes. She said Ms. Lambert has been key to keeping this part moving and may have additional comments. She said we have a partnership for a large van to use for transportation of individuals with contracted drivers as well as internal staff driving for us. She said Ms. Sandy Miller has been responsible for

Clark County Combined Health District Board of Health Minutes April 16, 2020 2

organizing and staffing transportation. She said we continue to partner with the Clark County EMA to receive the Strategic National Stockpile (SNS) of personal protective equipment. She said Ms. Fisher has been key in working with Clark County EMA to arrange and track those deliveries. She said we have worked on some points of dispensing with long-term care facilities. She said we continue to support contact tracing for confirmed cases and did complete some surveillance through mass testing with a long-term care facility that has an outbreak and continue to support the specimen collection getting to the lab to have their employees and residents tested when they become symptomatic to get the results back in a timely matter. She said we have also provided technical support to test sites such as Northparke, we stay in close communication with Rocking Horse and occasionally collect specimens here when there is an individual who cannot be tested through another venue. Dr. Crompton thanked the staff for the remarkable amount of work. Ms. Conover said she is proud to be a part of Clark County Combined Health District and the staff in every division for all of their hard work. Environmental Health: Mr. Shaffer said the environmental health staff continues to be heavily involved with the COVID-19 response. He said they have fit tested approximately 1,400 persons in Clark, Champaign, and Madison Counties and responded to over 950 complaints, comments, and requests for assistance with compliance. He said they are working hard to help our community move forward as normally as possible. He said we are also the safety resource for all Health District staff through evaluation of risk and promulgating procedures to mitigate it. Mr. Shaffer said they continue to be timely with their regular work as our clients and community are depending on us and he is very proud of the entire environmental team. Mr. Shaffer said some swimming pools and food services will not open this year due to COVID-19 and they are advising those that have already paid a license fee that they may request a refund. Mr. Shaffer said nine (9) of twenty (20) Motorcycle Ohio classes scheduled for this year were cancelled. He said classes will resume next week and class size is reduced from twelve (12) to eight (8) to allow for social distancing in the classroom. He said they are using the conference room in the High Street building as the small conference room here on Home Road is being used as the contact tracing call center. Mr. Shaffer said we have hired a college intern, Ms. Ashley Seibert, who started this week to monitor and abate mosquitos. He said due to the COVID-19 response, the Ohio Department of Health has a hiring freeze and will not be able to hire summer help to count, identify species, and test for West Nile Virus. He said Ms. Seibert will count the mosquitos and we will decide our control measures based solely on count. He said we will try to identify species as well. Early Childhood: Ms. Lambert said she is excited to have Ms. Marcia Johnson who started with us on May 4, 2020 in the Early Childhood Division as our new Community Health Worker. She said when we are able we will have Ms. Johnson and a couple of our other home visitors come to meet the Board. She said we are still doing our home visits virtually and that will continue through June when we will reassess as directed from the Ohio Department of Health. She said we completed 549 virtual visits in April. She said we dispensed 169 safety items through April and 17,000 diapers. She said we had a special contract with the Ohio Department of Health to be able to do that, which we were really excited about and our families were extremely grateful that we were able to provide that additional support. She shared that we received the notice of award for the Moms Quit program for FY21 that will start July 1, 2020. She said the grant is for $64,000, however, when you mix that with the five (5) other grants it adds up to a little over $1 million. She said the Governor gave a shout out today to Help Me Grow and his commitment to Help Me Grow. She said we also received $250 from Young Women's Mission which we are thankful for as it will be used to buy books for a month for our families. She said as Ms. Conover mentioned she has been working with some great Health Planners here to help support operations for food and support services to help with quarantined and isolated families. WIC: Ms. Hawke said we have our new computers and new certification system up and running. She said it has been a bit of a learning curve with positives and negatives compared to the old system, however, staff have been patient and adaptive to the change. She said as of this week 82% of the state’s WIC clinics have been successfully converted to the new system. She said we received notification from the USDA that waivers put in place due to COVID-19 will be extended through June 30, 2020. She said this means we will continue our current process of completing visits via phone with our drive thru service for food benefits. Vital Statistics: Ms. Hackathorne said there is nothing unusual to report.


Financial Report: Ms. Hardacre referred to Fund 8223 in the report, which is the COVID-19 fund. She said this fund is currently in the negative. She said this is a monthly grant and therefore the money is spent by the time it comes in from the Ohio Department of Health. She said in the coming months we will need to adjust personnel hours in that fund to balance the funds as we receive them. Legislative Update: Mr. Patterson said there have been several attempts by the legislature to truncate the long standing powers of the Director of Health. He said they first passed a piece of legislation that said after fourteen (14) days the Director’s Orders would be null and void unless passed by the legislature. He said the Governor said he would veto that bill if it made it to his desk. He said they did not have the number of votes to override that as several Republicans that voted against it and they were not able to get that veto override together. He said there have been a number of subsequent bills introduced, one co-sponsored by one of our representatives here in Clark County, Representative Bill Dean. He said Representative Dean represents a portion of eastern Clark County, a portion of Madison County and into Greene County and co-sponsored a bill that said the Governor’s Orders would have no effect until the legislators gave them authority. He said the bill as written was useless as the Governor doesn’t give those orders, the Director of Health gives those orders. He said we continue to watch pieces of legislation, however, with this being an election year, not much is likely to happen between now and November. He said we have recommended to our legislatures in the Senate and the House that we are not opposed to them taking this up, however, it might be better to wait until this situation is over since we only have a pandemic like this every 100 years. He said there have been a lot of people upset about the powers used to shut the state down and we understand that and understand that economics and health go hand in hand. He said that is not lost on the public health leaders in Ohio and that is why we are seeing a pretty liberal approach to reopening even though we have not met the fourteen (14) day standard decrease in cases. Vouchers: Ms. Hardacre presented the bills.

R 36-20 A resolution approving payment of the bills from April 1, 2020 to April 30, 2020.

Moved by: Ms. Moore Seconded by: Ms. Potina Dr. deGuzman Absent Mr. Scarff Yes Ms. Potina Yes Ms. Moore Yes Dr. Crompton Yes Ms. DeWitt Yes Dr. King Yes Motion carried. Transfers/Advances: Ms. Hardacre said we are asking the Board for approval of a budgeted advance from the General Revenue Fund to the COVID-19 Fund in the amount of $20,000.00 and a budgeted advance from the General Revenue Fund to the Contact Tracing Fund in the amount of $70,000.00. R 37-20 A resolution approving a budgeted advance from the General Revenue Fund to the COVID-19

Fund in the amount of $20,000.00 and a budgeted advance from the General Revenue Fund to the Contact Tracing Fund in the amount of $70,000.00.

Moved by: Mr. Scarff Seconded by: Ms. DeWitt Ms. Potina Yes Ms. DeWitt Yes Dr. King Yes Ms. Moore Yes Mr. Scarff Yes Dr. deGuzman Absent Dr. Crompton Yes Motion carried. Special Reports – none Old Business: none


New Business: WIC Grant Submission: Ms. Hawke said we are asking for approval to submit the grant and do all things necessary for the FY2021 WIC grant. R 38-20 A resolution authorizing the Health Commissioner to do all things necessary including submitting

the grant and negotiating and executing all related contracts for the Women, Infants & Children (WIC) grant for federal fiscal year 2021.

Motioned by: Dr. King Second by: Ms. Potina Dr. deGuzman Absent Ms. Moore Yes Ms. Potina Yes Dr. King Yes Dr. Crompton Yes Mr. Scarff Yes Ms. DeWitt Yes Motion carried Safe Communities Grant Submission: Ms. Conover said we are asking for permission to submit the grant and do all things necessary for the Safe Communities grant. R 39-20 A resolution authorizing the Health Commissioner to do all things necessary including submitting

the grant and negotiating and executing all related contracts for the Safe Communities grant. Motioned by: Dr. King Seconded by: Ms. Potina Ms. DeWitt Yes Ms. Potina Yes Dr. Crompton Yes Dr. deGuzman Absent Mr. Scarff Yes Dr. King Yes Ms. Moore Yes Motion carried. Bike Patrol Contracts: Ms. Conover said this is something made possible by community funders to increase bike patrols by extra duty police officers during the summer. She said while we are not fully ready to put those contracts in place, wanted to go ahead and request permission so we are ready when it is reasonable and necessary to increase those bike patrols. Dr. Crompton asked what the role is for the bike patrol. Ms. Conover said they increase presence on the path to monitor for issues or concerns. Dr. Crompton asked how the Health District is involved in the funding. Ms. Conover said we receive the funds through different sources and pass them along. Mr. Patterson said that initially the Creating Healthy Communities grant had a deliverable to increase access to walking and biking trails to make them safer. He said we wrote that into the grant and in subsequent years we have had local funders who want to continue that and have provided funding since it is no longer a deliverable in the grant. Ms. Conover said we are the coordinator who receives the funds, develops the contract and contacts the individuals who complete the training. R 40-20 A resolution authorizing the Health Commissioner to negotiate and execute Bike control contracts

with funding from local grantors. Motioned by: Ms. Potina Seconded by: Dr. King Mr. Scarff Yes Dr. deGuzman Absent Ms. Potina Yes Ms. Moore Yes Dr. Crompton Yes


Ms. DeWitt Yes Dr. King Yes Motion carried. Vaccine Refrigerator Purchase: Ms. Conover said one of our roles during the COVID-19 response had been to receive test kits from the Ohio Department of Health and when there is an opportunity to push them out to facilities, such as long-term care so they have media and swabs to collect specimens and get them to a lab. She said many of these test kits require refrigeration before and of course all of them require refrigeration after collecting the specimen. She said over time we have come to a shortage in our refrigeration space and would like to purchase a Helmer refrigerator which will also be used for vaccine in the upcoming months and long term. She said we have two (2) Helmer refrigerators that are older and still doing a great job. R 41-20 A resolution authorizing the purchase of a vaccine refrigerator, not to exceed $10,000.00. Motioned by: Mr. Scarff Seconded by: Ms. Moore Ms. Potina Yes Ms. DeWitt Yes Dr. King Yes Ms. Moore Yes Mr. Scarff Yes Dr. Crompton Yes Dr. deGuzman Absent Motion carried. Contact Tracer Job Description Approval: Ms. Conover said contact tracing is an essential part of the public health response for COVID-19. She said contact tracing is when you find an identified case, interview that case and counting back two (2) days according to when their symptoms started, collect information on various people they have been in close contact with and reach out to those contacts to find out if they have symptoms and make sure they understand that quarantine is necessary since they have been exposed. She said this takes a lot of interviews and manpower. She said we are grateful to have received funds from the Ohio Department of Health specifically for contact tracing. She said it will be a constant shuffle of hiring and training as some people will be only seasonable, but we are thankful for the opportunity to have others share in this work. She said people seem to be excited as well to share in the work. She referred to the job description in the Board packet and said it is modeled very closely to the Ohio Department of Health and surrounding counties. She said one difference is that we are still asking our employees to come into the building as we are not quite ready for remote work. Dr. Crompton asked how many we anticipate hiring. Ms. Conover said it is hard to determine as it will depend on availability. She said it will likely be around 8-10 full time employees. R 42-20 A resolution approving the Contact Tracer job description and authorizing the Health

Commissioner to do all things necessary to post and hire for the positions. Motioned by: Ms. Potina Seconded by: Dr. King Dr. deGuzman Absent Mr. Scarff Yes Ms. Potina Yes Ms. Moore Yes Dr. Crompton Yes Ms. DeWitt Yes Dr. King Yes Motion carried. Community Health Foundation COVID-19 Emergency Grant Submission: Ms. Conover said the Community Health Foundation has set aside monies for multiple agencies should they need it for the COVID-19 response. She said they notified us of a potential funding opportunity and we would like to submit that grant, which will be the funding for the refrigerator if approved. Mr. Patterson said we are asking for this grant because it is a local asset and the $10,000.00 can be used in our request for FEMA reimbursement. He said if approved we will get approximately 75% of what we submit. He said for the 25% they do not pay we can submit match money to cover that. He said our 25% would be covered with


this grant and will allow us to pull in the additional money. He said in theory we will get $20,000.00 out of this $10,000.00 grant. He said we will use this is a local match as part of our submission. He said we are trying to balance this as best we can without our General Fund being negatively affected at the end of our fiscal year. R 43-20 A resolution authorizing the Health Commissioner to do all things necessary including submitting the grant request and negotiating and executing all related contracts for a COVID-19 emergency grant from the Community Health Foundation. Motioned by: Ms. DeWitt Seconded by: Ms. Potina Ms. Moore Yes Ms. Potina Yes Ms. DeWitt Yes Dr. King Yes Mr. Scarff Yes Dr. deGuzman Absent Dr. Crompton Yes Motion carried. FCFC Shared Funding Agreement: Mr. Patterson said this is our annual contribution and we are asking to maintain level funding. R 44-20 A resolution authorizing the Health Commissioner to negotiate and execute the Family and

Children First Council (FCFC) Shared Funding contract for fiscal year 2021, funding at the 2020 level.

Motioned by: Dr. King Seconded by: Ms. Potina Dr. Crompton Yes Mr. Scarff Yes Dr. King Yes Ms. Moore Yes Ms. DeWitt Yes Dr. deGuzman Absent Ms. Potina Yes Motion carried. COVID-19 Quarantine/Isolation Housing: Mr. Patterson said as a follow up to discussion earlier in the month we have had the need for additional housing due to the housing units at the CJ Brown Reservoir no longer being available. He said we appreciate ODNR providing this to us, however, it was very expensive. He said with cleaning the ten (10) day stay will cost $3,200.00. He said the cleaning was approximately $2,100.00 to $2,200.00 from the contractor the state hired. He said this brought the idea of having the travel trailers at the Downs Armory for housing. He said upon the Board’s tacit approval we are asking for a renewal tonight. He said we have purchased two (2) trailers that are at the site with one occupied and other coming in on Memorial Day. He said in addition we believe we will need up to three (3) additional trailers. He said the resolution tonight is asking for authorization of up to $60,000.00 for five (5) trailers. He said we have been buying used trailers that are fairly new to eliminate the need for significant repairs. He said we plan on selling the trailers with hopes of recuperating at least 50-75% of our money. He said additionally we have had to enter into two (2) lease agreements with the cost being less than one (1) stay at CJ Brown Reservoir. He said we have committed to two (2) leases for three (3) months and we are asking for permission to enter into up to five (5) lease agreements as needed. He said even the hotels have cancelled contracts with PHDMC due to opening back up. Ms. DeWitt said our numbers are increasing so it seems the need will remain. Mr. Patterson said if we had something with a hotel that would be beneficial, however, many do not understand the disease and worry about having ill people in the hotels. Ms. Moore asked how we know the individual will be placed into quarantine on Memorial Day weekend. Mr. Patterson said this will be our third (3rd) individual released by the Ohio Department of Corrections so they have the release date and due to the exposure they know the individual will need to be quarantined. He said some have needed to be quarantined and some isolated because they were positive. He said we have had to house those


individuals as they had no other opportunity to move into temporary housing. He said the Hartley House is not able to put them into a group situation. Ms. Potina said this is what we are here for, the health of community and this is the best way to ensure that happens. Mr. Scarff asked how we feed those quarantined and is that our responsibility. Mr. Patterson said that is our responsibility and Mr. Lambert and her team of Health Planners take care of the food and housing needs. He said Second Harvest Food Bank is one of the entities helping supply food and supply appropriate food based on dietary restrictions and ethnicity. He said we are tailoring meals, have purchased a television with an antenna to help provide entertainment and are doing all we can to prevent the quarantined individuals from leaving. He said we are working with a discount grocery in New Carlisle, with Pizza Hut for gift cards for pizza delivery and sometimes we have to go out and purchase food. He said other organizations such as Interfaith Hospitality are helping us, however, they are spending an extraordinary amount of money housing people to keep them out of congregate situations. He said the Food Bank has increased spending as well due to the number of people unable to work and needing extra assistance. Dr. Crompton asked if the individuals are being reliable in following quarantine orders. Mr. Patterson some individuals have been excellent and obeyed every order and others we have had to have firm conversations with about having to spend the rest of their quarantine in the Clark County Jail if they leave again. He said the Sheriff & Prosecutor’s Office work closely with us and have been a great support. He said luckily we have not had to resort to that like some of our brethren in other counties. R 45-20 A resolution authorizing the purchase of up to five (5) RV’s for placement at the Downs Armory

for quarantine/isolation not to exceed $60,000.00 and appropriating funds in the General Health Fund in that amount from carryover dollars. In addition, authorizing the Health Commissioner to enter into leasing agreements for up to three (3) additional housing units, not to exceed $3,000.00 per month, for three (3) months.

Motioned by: Mr. Scarff Seconded by: Ms. Potina Ms. Potina Yes Ms. DeWitt Yes Dr. King Yes Ms. Moore Yes Mr. Scarff Yes Dr. deGuzman Absent Dr. Crompton Yes Motion carried. Wi-Fi Access Point Purchases: Mr. Patterson said with the additional use of laptops and staff our current Wi-Fi access points need to be upgraded. He said we are working with our consultants and IT for the purchase of multiple access points. He said we will attempt to recoup up to 75% through FEMA as the purchase is needed directly due to the outbreak. R 46-20 A resolution authorizing the purchase of Wi-Fi access points, not to exceed to $2,000.00. Motioned by: Ms. Moore Seconded by: Dr. King Dr. King Yes Ms. DeWitt Yes Dr. Crompton Yes Ms. Moore Yes Ms. Potina Yes Dr. deGuzman Absent Mr. Scarff Yes Motion carried. Regional (PHDMC) COVID-19 Computer Contract: Mr. Patterson said this is requesting acceptance of a contract which is a regional grant from the State Health Department to PHDMC who is our regional coordinator for public health. He said they took the $60,000.00 grant and are pushing out a portion to each Health District. He said we


will use the funds to purchase laptops to help with the response. He said the fund is approximately $8,200.00 which will allow us to purchase an additional 8 laptops and another reason we need the additional Wi-Fi access points. He said this is no cost to the Board of Health and just accepting the money from PHDMC. R 47-20 A resolution authorizing the Health Commissioner to negotiate and execute a contract with Public

Health Dayton Montgomery County (PHDMC) for regional COVID-19 monies for the purchase of laptop computers.

Motioned by: Ms. DeWitt Seconded by: Ms. Moore Ms. Potina Yes Dr. King Yes Ms. DeWitt Yes Ms. Moore Yes Mr. Scarff Yes Dr. deGuzman Absent Dr. Crompton Yes Motion carried. New Fund Creations: Ms. Hardacre said we are asking for approval of the creation of two (2) new funds. She said the first is for the contract tracing fund and the second is a FEMA fund. She said as we begin submitting and receiving reimbursement from FEMA it will be put in this fund and then reallocated. R 48-20 A resolution authorizing the creation of a new fund for the Contact Tracing grant from the Ohio

Department of Health and authorizing the creation of a new fund for FEMA reimbursement associated with the COVID-19 response.

Motioned by: Ms. Potina Seconded by: Dr. King Dr. deGuzman Absent Mr. Scarff Yes Ms. Potina Yes Ms. Moore Yes Dr. Crompton Yes Ms. DeWitt Yes Dr. King Yes Motion carried. Appropriations: Ms. Hardacre said we are asking for approval of appropriations for Fund 8201 our General Fund, our COVID-19 Grant Fund and the new Fund for Contract Tracing. She said we received money from the Ohio Department of Health for the contact tracing fund in the amount of $147,395.00. R 49-20 A resolution approving budget appropriations, agenda numbers 8L1 – 8L3, as written. R 49-20-8L1 A resolution approving the General Fund budget appropriations submitted

at the May 21 2020 Clark County Combined Health District Board of Health meeting.

R 49-20-8L2 A resolution approving the COVID-19 Fund budget appropriations

submitted at the May 21, 2020 Clark County Combined Health Board of Health meeting.

R 49-20-8L3 A resolution approving the Contact Tracing Fund budget appropriations

submitted at the May 21, 2020 Clark County Combined Health Board of Health meeting.

Motioned by: Ms. DeWitt Seconded by: Ms. Potina Ms. Moore Yes Ms. Potina Yes Ms. DeWitt Yes


Dr. King Yes Mr. Scarff Yes Dr. deGuzman Absent Dr. Crompton Yes Motion carried. Sewage Variance Request – 4533 Upper Valley Pike: Mr. Shaffer said the homeowner at 4533 Upper Valley Pike desires to add a room on the back of the residence. He said the new addition would be located approximately 4 feet from the septic tank and the household sewage rules require a 10 foot isolation distance. He referred to the diagram of the proposed scenario in the Board packet as well as the public health ethics review. He said we do not believe the septic tank would have any detrimental effects on the home nor the home have any detrimental effects on the tank. He said accessibility to the tank for pumping would not be hindered. He said the home is in German Township and German Township trustees have been solicited to comment and have not responded. He said the cost to abate the existing tank and install a new one is approximately $5,000.00 to $6,000.00. R 50-20 A resolution approving a household sewage treatment system rules variance at 4533 Upper Valley Pike, Springfield, OH Ohio (Parcel # 0500200009000060) allowing a household sewage treatment system to be installed in a location that is less than 10 feet from a residential dwelling with the responsible party signing a Hold Harmless Agreement. Motioned by: Dr. King Seconded by: Ms. DeWitt Dr. Crompton Yes Mr. Scarff Yes Dr. King Yes Ms. Moore Yes Ms. DeWitt Yes Dr. deGuzman Absent Ms. Potina Yes Motion carried. Health Commissioner’s Comments: Mr. Patterson referred to the charts included in the Board packet. He said the first shows the number of confirmed cases per week. He said the week after the last Board meeting we went up four (4) cases, the following week we nearly doubled and another eighteen (18) the week after. He said there was another large increase May 7, 2020 and May 14, 2020. He said we focus on the blue numbers, which are the laboratory confirmed positive cases. He said the orange numbers are the probable cases, which are in most

instances a household member to a confirmed case who is symptomatic, but has not been tested. He said they are then considered a probable COVID-19 case. He said there a couple that are also annotated on our website that show they are antibody positive tests who were also symptomatic the last couple months, which are probable cases according to the CDC and State Health Department. He said the blue tells us those who now or in the last couple days tested positive for COVID-19. He said he estimates that we are seeing the first wave surge right now, getting ten (10) plus cases for the past several days. He said we work with the hospital frequently and they are seeing some additional cases. Ms. Potina said they are steady and continue to be high on the COVID-19 unit. Mr. Patterson said the next chart shows the zip codes with the dark red showing more positives in those zip codes. He said this will be available on our website for the public to view. Mr. Patterson said he would like to reiterate that staff are pulling double duty working six (6) to seven (7) days a week to get this done. He said hopefully in the coming weeks as we bring more contact tracers on they can help take some of the weekend shifts. He said we are learning something new every day and working with more partners in the community every day and together will be able to beat this, however, we still have a long road ahead. Additional Business: Mr. Patterson said he would like to take a few minutes to answer questions from the Board. He said we do get praises daily for the work we are doing as well as some yelling from those who feel we did not communicate fast enough. He said every time we do an exercise, communication comes back as something that needs improvement. He said the most recent survey monkey with staff to find out where we can do better, communication was something that came up again. He said we are spending countless hours with internal and external communications to keep as much communication out as possible. He said that as far as communication with the Board he will work to do a better job at keeping the Board updated.


Ms. DeWitt said she appreciates the updates sent out daily by Ms. Gracie Hemphill as they are very helpful when individuals come to her. She asked what the number one complaint is that we get and what the number one question is. Mr. Shaffer said the number one complaint is a split between no facial coverings and no social distancing. Ms. Moore asked if that is people not wanting to wear facial coverings. Mr. Shaffer advised that the complaint is that people are not wearing facial coverings. He said that he believes to a large extent the complaints are valid, but for the most part when we go talk to businesses we get compliance. He said the number one question is what needs to be done to comply and maintain social distancing. He said if you go out to dine, you will see a lot of creativity to maintain social distancing such as Plexiglas, tape on floors, people staggering and people waiting in cars until it is time to come in. He said the number one question for our communicable disease team is what to do if an employee tests positive. Ms. Conover said there is a little confusion on prolonged or close contact which is another question. She said in general that is at least fifteen (15) minutes within six (6) feet of someone who is positive. She said there is also some confusion about a negative test result meaning you do not have the disease for those that might be tested too early. She said a negative test may mean that the viral load is not high enough yet when tested too early or too late. She said that has also played into companies and long-term care facilities when discussing mass testing. She said that is just a point in time picture and there will need to be a lot of vigilance and retesting. She said testing in coordination with the other measures will be effective. Ms. Potina asked for clarification on the fifteen (15) minutes exposure timeframe. She asked if she passes a friend in the local grocery and keeps going and they test positive does she need to be as worried as if she sits with that positive person in an hour meeting. Ms. Conover said that is correct with some exceptions depending on how sick the positive person is or how symptomatic such as uncovered coughing. She said this is why universal masking is so key for the community. Mr. Scarff asked about the amount of testing. Ms. Conover said we do a few tests here and there, but it is really how many does the community do. She said the primary tests sites are Rocking Horse, Northparke and Dr. Davetha in New Carlisle, but a lot of the positive results are coming from facilities outside of Clark County. She said we do not get negatives reported to us so it is hard to know the number of tests being done. Ms. Moore asked if you still need an order to be tested. Ms. Conover said at Northparke there is an arrangement so the assessment is part of the encounter allowing people to be tested without an order. She said similarly but slightly different Rocking Horse Center is working to onboard new patients which allows them to provide the order if it is an unaffiliated patient. Ms. Moore said that seems to be a problem as many of the underserved population do not have primary care providers. Ms. Conover said the health departments in the state have been divided into regions with a regional lab asset in each section. She said for our region, Dayton Children’s lab has been selected. She said they are not online yet, however, that is scheduled for May 26, 2020. She said this is at no cost because it is a state asset. She said we are trying as a region to figure out the best way to take the most advantage of this asset. She said Dr. Thompson was kind enough to work with Ms. Free to put a standing order in place. She said this is a little out of the usual scope but after speaking with Dr. Dohn who is the Medical Director at PHMDC he too felt in a public health emergency it makes sense. She said this should allow us a little more flexibility when testing becomes available. Ms. Moore asked if an individual feels sick and does not have a primary care physician, can they contact the Health District to have access to that standing order to be tested. Ms. Conover said the one purpose we have experienced is for employees of a long-term care facility. She said the long-term care Medical Director is sometimes willing to write the testing order for residents but the employees unaffiliated without a physician would use this standing order. She said we are having a hard time understanding where the Health District fits into the testing picture outside of mass testing in long-term care facilities as there are other places in the community doing testing, but there still seems to be a need for testing. She said we want more testing, but are working to figure out where we belong and how that works. Ms. Moore said although our minority is not that large they are still very much at risk due to the number of healthcare providers servicing that area. She said there was something released in Columbus today discussing how racism effects the ability to access healthcare, which has a larger impact in a rural area such as Clark County. Mr. Scarff asked if you did an overlay of the flu season in 2019 to COVID-19 what would it look like. Mr. Patterson said if you look at the number of flu deaths we likely had more over the course of the year. He said flu season is over six (6) months starting in October and this just started in March. He said the question is what will this look like after six (6) months and we are not sure. He said we are seeing people get sick and people who have passed away for no other reason than COVID-19. We are hoping to keep our numbers low, but as we continue to get these infections in our at risk population there are more with comorbidities because of the health disparities, which is why we are fighting this so hard. He said that is a great question and apologized that we do not have more


information. Mr. Scarff said many are saying this is no worse than a flu epidemic. Mr. Patterson said we have heard that as well, but it certainly feels worse than a flu epidemic. He said you never want it to happen but you wonder what would have happened if we had not stayed home. He said we would love to open back up and everything be fine, but it doesn’t feel like that at this point. He said typically pandemics have a second wave. Mr. Scarff said he is proud of the work of the Health District. Mr. Patterson said with our resources and size we are doing extraordinary work and while not perfect we are doing more for our citizens than many other Health Departments you put us up against, especially with our isolation and quarantine and other services with non-English speaking populations and things to keep people in place. He said he is very proud of the staff and very proud of how they drive the decisions with the data and the need to work to keep people in place. He said United Way is bringing someone on to help with assistance. He said without these resources, individuals will go to work or someone in the household will go to work. He said the city and county came together and created a new position at a nonprofit to work with individuals on these resources. He said it is not just the Health District, but many of our community partners. He said we have some social workers from the Department of Job and Family Services working with us on our communicable disease team to help supplement, Developmental Disabilities is providing us a van to use for transportation and helping us pick up supplies and EMA has been a great partner in addition to all the other community partners already mentioned, which is what makes Clark County a great place. Ms. DeWitt asked when this is all over will the emergency evaluation on where we did well and where we need improvement be on a state level or an individual level. Mr. Patterson said it will be on an individual level with the state doing one as well. He said we have already started working on that and have a list of after action report (AAR) items to adequately write that report. He said we are already changing some of that with things we have learned and do not want to lose as we go into the next phase. He said another thing to keep in mind is that if we get a vaccine, it may be similar to H1N1 where we give those vaccinations, which would be another phase with all of our staff coming together to put on those mass vaccination clinics. He said we do have planning going on for that now as well with closed pods. Ms. Conover said we have a resource from the state that if we have an agreement in place with a business or a long-term care facility that has the capacity to deliver that medication or vaccine themselves then that would be an extension of our operations. She said the more education and MOU’s we are able to be put in place earlier will make it a smoother process. Ms. DeWitt thanked the staff for their hard work. The next regular Board of Health meeting will be held Thursday, June 18, 2020 at 6:00 p.m. at 529 E. Home Road, Springfield, Ohio. With no further business to come before the Board, meeting adjourned at 7:38 p.m. _______________________________ _______________________________ Charles A. Patterson, Secretary Catherine Crompton, President Clark County Combined Health District Clark County Combined Health District Board of Health Board of Health

ENVIRONMENTAL HEALTH MONTHLY REPORT 41

PROGRAM: May'20 YTD '20 PROGRAM: May'20 YTD '20 May'20 YTD '20

C&DD-Active: DOMESTIC PREPAREDNESS: FOOD-MOBILE:

Consultations 1 8 Complaints/Consultations 16 24 Consultations 1 5

Enforcement 0 0 Field Activity Hours (Clinics, Etc.) 280.5 2186.75 Licenses Issued:

Licenses, Permits, Orders Issued 0 0 Inspections/Re-Inspections 0 0 Food Establishment 0 1

Inspections &/or Re-Inspections 0 3 Sample/Re-Sample 0 0 Food Service 7 42

C&DD-Closed: Sample or Specimen Pick-Up/Delivery 0 2 Inspections-Standard 10 52

Consultations 0 0 Training-Given 0 0 Notices of Critical Viol.-Standard Insp. 0 0

Enforcement 0 0 Training-Received 3 8 Follow-Up Inspections 0 3

Inspections &/or Re-Inspections 1 1 FOOD-RISK (144): Complaints Rec'd./Investigated/FU/Pend. 0 0

CAMPGROUNDS (182): PLAN REVIEW 5 31 FOOD-TEMPORARY:

Consultations 3 3 Consultations 8 43 Consultations 0 0

Licenses Issued 7 7 Licenses Issued: Licenses Issued:

Inspections-Standand 0 1 Food Establishment 1 195 Food Establishment 0 14

Licenses Issued-Temporary 1 1 Food Service 4 396 Food Service 2 31

Inspections-Temporary 1 1 Inspections-Food Establishment: Inspections-Standard 2 25

Notices of Critical Viol.-Standard Insp. 0 0 Standard Inspections 39 151 Notices of Critical Viol.-Standard Insp. 0 0

Re-Inspections 0 0 PR Inspections 3 10 Follow-Up Inspections 0 0

Complaints Pending-Beg. Of Month 1 Notices of Critical Viol.-Stand./PR 0 0 Complaints Rec'd./Investigated/FU/Pend. 0 0

Complaints Rec'd.-Current Month 0 0 Follow-Up Inspections 1 25 FOOD-VENDING:

Complaints Investigated: Outbreak Investigations: 0 0 Consultations 0 1

Valid Complaints 0 0 Sample or Specimen Pick-Up/Delivery 0 0 Licenses Issued 0 63

Notices of Violation Sent 0 0 Inspection/Sample 0 0 0 1

Summary Compliance Abated 0 0 Inspections-Food Service: Inspections - Misc 0 0

Non-Valid Abated 0 0 Standard Inspections 61 250 Notices of Critical Viol.-Standard Insp. 0 0

Complaint Re-Inspections 0 0 CCP Inspections 28 124 Follow-Up Inspections 0 0

Complaints Pending-End of Month 1 Notices of Critical Viol.-Stand./CCP 0 0 Complaints Rec'd./Investigated/FU/Pend. 0 0

Outbreak Investigations 0 0 Follow-Up Inspections 4 49 INDOOR AIR QUALITY:

Orders to Appear before CCCHD 0 0 Outbreak Investigations: 0 0 Consultations 7 77

BOH Orders Issued 0 0 Sample or Specimen Pick-Up/Delivery 0 0 Inspections &/or Re-Inspections 0 16

Citations to Appear before BOH 0 0 Inspection/Sample 0 0 INFECTIOUS WASTE:

Citations into Court 0 0 Complaints Pending-Beg. Of Month 3 Consultations 0 5

CLEAN FILL OPERATION: Complaints Rec'd.-Current Month 13 57 Enforcement 0 0

Complaints 1 2 Complaints Investigated: Inspections &/or Re-Inspections 0 1

Consultations 7 11 Valid Complaints 0 9 INSECT/RODENT (146):

Enforcement 0 0 Notices of Violation Sent 0 1 Bed Bugs:

NOITF, Orders Issued 1 1 Summary Compliance Abated 3 9 Consultations 1 10

Inspections &/or Re-Inspections 3 9 Non-Valid Abated 10 39 Inspections &/or Re-Inspections 0 1

COMPOSTING FACILITY: Complaint Re-Inspections 0 4 Consultations-Insect/Rodent 0 0

Consultations 0 9 Complaints Pending-End of Month 2 Complaints Pending-Beg. Of Month 1

Enforcement 0 0 Orders to Appear before CCCHD 0 0 Complaints Rec'd.-Current Month 0 2

Licenses, Permits, Orders Issued 0 0 BOH Orders Issued 0 0 Complaints Investigated:

Inspections &/or Re-Inspections 4 12 Citations to Appear before BOH 0 0 Valid Complaints 0 1

Citations into Court 0 0 Notices of Violation Sent 0 3

PROGRAM:

Inspections-Standard



INSECT/RODENT (cont'd.): MERCURY (199):

Summary Compliance Abated 0 0 Consultations 1 1 Complaint Re-Inspections 0 0

Non-Valid Abated 0 1 Enforcement 0 0 Complaints Pending-End of Month 0

Complaint Re-Inspections 0 1 Inspections/Re-Inspections 0 0 Orders to Appear before CCCHD 0 0

Complaints Pending-End of Month Complaints Rec'd./Investigated/FU/Pend. 0 0 BOH Orders Issued 0 0

Orders to Appear before CCCHD 0 0 MOLD: Citations to Appear before BOH 0 0

BOH Orders Issued 0 0 Consultations 8 55 Citations into Court 0 0

Citations to Appear before BOH 0 0 Inspections &/or Re-Inspections 0 0 NUISANCES-WATER/UTILITIES (160):

Citations into Court 0 0 MOTORCYCLE OHIO: Consultations 0 0

JAIL: # of Classes Conducted 1 1 Complaints Pending-Beg. Of Month 8

Complaints Rec'd./Investigated/FU/Pend. 0 0 # SUCCESSFULLY COMPLETED: MALE 5 5 Complaints Rec'd.-Current Month 0 10

Consultations 0 0 FEMALE 7 7 Complaints Investigated:

Enforcement 0 0 MINORS 0 0 Valid Complaints 0 8

Inspections 0 2 # DID NOT PASS: MALE 0 0 Notices of Violation Sent 0 7

Inspection/Sample 0 0 FEMALE 0 0 Summary Compliance Abated 0 0

Re-Inspections 0 0 MINORS 0 0 Non-Valid Abated 0 2

Sample or Specimen Pick-Up/Delivery 0 0 # DROPPED OUT: MALE 0 0 Complaint Re-Inspections 0 9

Outbreak Investigations 0 0 FEMALE 0 0 Complaints Pending-End of Month 6

LANDFILLS-CLOSED: MINORS 0 0 Orders to Appear before CCCHD 0 0

Consultations 0 2 NUISANCES-GENERAL ANIMAL (147): BOH Orders Issued 0 0

Enforcement 0 0 Consultations 0 0 Citations to Appear before BOH 0 0

Inspections &/or Re-Inspections 5 11 Complaints Pending-Beg. Of Month 0 Citations into Court 0 0

LEAD: Complaints Rec'd.-Current Month 1 6 PLUMBING (141):

Consultations 9 29 Complaints Investigated: PLAN REVIEW 5 24

MAN. HOME PARK (180): Valid Complaints 1 6 Inspections 13 128

Consultations 0 0 Notices of Violation Sent 1 5 Finals 27 146

Inspections-Standard 5 30 Summary Compliance Abated 0 0 Permits 57 230

Notices of Critical Viol.-Standard Insp. 0 0 Non-Valid Abated 0 0 Registrations 5 217

Re-Inspections 1 3 Complaint Re-Inspections 0 7 Backflow Certifications 125 880

Complaints Pending-Beg. Of Month 1 Complaints Pending-End of Month 1 Consultations 2 19

Complaints Rec'd.-Current Month 0 3 Orders to Appear before CCCHD 0 0 Complaints Pending-Beg. Of Month 6

Complaints Investigated: BOH Orders Issued 0 0 Complaints Rec'd.-Current Month 0 1

Valid Complaints 0 2 Citations to Appear before BOH 0 0 Complaints Investigated:

Notices of Violation Sent 0 0 Citations into Court 0 0 Valid Complaints 0 0

Summary Compliance Abated 0 0 NUISANCES-OTHER (149): Notices of Violation Sent 0 0

Non-Valid Abated 0 1 Consultations 0 0 Summary Compliance Abated 0 0

Complaint Re-Inspections 0 1 Complaints Pending-Beg. Of Month 0 Non-Valid Abated 0 1

Complaints Pending-End of Month 1 Complaints Rec'd.-Current Month 0 1 Complaint Re-Inspections 0 0

Orders to Appear before CCCHD 0 0 Complaints Investigated: Complaints Pending-End of Month 6

BOH Orders Issued 0 0 Valid Complaints 0 0 Orders to Appear before CCCHD 0 0

Citations to Appear before BOH 0 0 Notices of Violation Sent 0 0 BOH Orders Issued 0 0

Citations into Court 0 0 Summary Compliance Abated 0 0 Citations to Appear before BOH 0 0

Non-Valid Abated 0 1 Citations into Court 0 0

PROGRAM:

NUISANCES-OTHER (cont'd.):



RABIES CONTROL: Mercury Spills 0 0 SMOKING:

Animal Bite Investigation 9 60 Orders to Appear before CCCHD 0 0 Administrative Review 0 0

Re-Inspections 0 0 BOH Orders Issued 0 0 Complaints 2 11

Consultations 0 0 Citations to Appear before BOH 0 0 Consultations 0 0

Sample or Specimen Pick-Up 9 20 Citations into Court 0 0 Fines 0 0

Sample or Specimen Delivery 2 6 SCRAP TIRE ADDRESS: 2 10

Citations into Court 0 0 Consultations 0 4 2 11

RADON: Enforcement 0 0 0 4

Consultations 3 16 Inspections 2 6 Letters Sent - Misc 0 0

REAL ESTATE: SEWAGE (143): SOLID WASTE (142):

Consultations 0 0 Consultations 28 93 Hauler Registrations 0 9

Inspections - Well Only 3 10 Inspections: Truck Registrations-w/Registration Fee 0 0

Inspections - Septic Only 4 21 Aerator Inspections 18 34 Truck Registrations-Additional Trucks 0 101

Inspections - Well & Septic 13 61 Dye Tests/Sampling 0 1 Truck Inspections 2 144

Re-Inspections 1 20 Finals (New/Repair) 7 25 Consultations 2 2

Sampling 26 88 1 Year Operation Inspections 41 86 Complaints Pending-Beg. Of Month 23

Resampling 1 5 Site Approvals 7 17 Complaints Rec'd.-Current Month 10 62

RECYCLING/TRANSFER STATION: Site Review Inspections 13 46 Complaints Investigated:

Inspections 0 0 Subdivision Review Inspections 0 8 Valid Complaints 7 45

ROUTINE WATER: Truck Inspections/Re-inspections 0 2 Notices of Violation Sent 4 48

Consultations 0 0 Licenses, Permits, Orders Issued: Summary Compliance Abated 0 0

Sampling by CCCHD Staff 16 113 Site Review Applications 12 54 Non-Valid Abated 3 17

Sampling by Owner (Self) 11 60 Subdivision Review Applications 1 8 Complaint Re-Inspections 13 103

Inspections 0 0 Installation (New, Replace or Alter Permits) 8 41 Complaints Pending-End of Month 22

Dye Tests 0 0 Operation Permits/Inspection Fees 67 198 Orders to Appear before CCCHD 0 0

SALVAGE YARD: Site Approval Applications 7 18 BOH Orders Issued 0 0

Consultations 1 5 Sewage Installer Registrations 0 12 Citations to Appear before BOH 0 0

Enforcement 0 0 Service Provider Registrations 0 9 Citations into Court 0 0

Inspections 1 1 Septage Hauler Registrations/Trucks 0 8 SWIMMING POOLS/SPAS (181):

SCHOOL/PLAYGROUND (145): Variance Applications 2 5 Consultations 3 3

Consultations 0 0 Complaints Pending-Beg. Of Month 19 Licenses Issued 0 2

Inspections-Standard 0 42 Complaints Rec'd.-Current Month 4 32 Inspections-Standard 13 62

Re-Inspections 0 0 Complaints Investigated: Notices of Critical Viol.-Standard Insp. 0 3

Complaints Pending-Beg. Of Month 0 Valid Complaints 1 15 Re-Inspections 0 4

Complaints Rec'd.-Current Month 0 0 Notices of Violation Sent 3 16 Complaints Pending-Beg. Of Month 0

Complaints Investigated: Summary Compliance Abated 1 4 Complaints Rec'd.-Current Month 0 0

Valid Complaints 0 0 Non-Valid Abated 2 13 Complaints Investigated:

Notices of Violation Sent 0 0 Complaint Re-Inspections 0 1 Valid Complaints 0 0

Summary Compliance Abated 0 0 Complaints Pending-End of Month 21 Notices of Violation Sent 0 0

Non-Valid Abated 0 0 Orders to Appear before CCCHD 0 0 Summary Compliance Abated 0 0

Complaint Re-Inspections 0 0 BOH Orders Issued 0 0 Non-Valid Abated 0 0

Complaints Pending-End of Month 0 Citations to Appear before BOH 0 0 Complaint Re-Inspections 0 0

Outbreak Investigations 0 0 Citations into Court 0 0 Complaints Pending-End of Month 0

Letters Sent - Notice of Report

Letters Sent - Violation Warning

PROGRAM:

Investigations



SWIMMING POOLS/SPAS (cont'd.): WEST NILE VIRUS (198): WEST NILE VIRUS (cont'd.):

Outbreak Investigations 0 0 Consultations 0 0 Orders to Appear before CCCHD 0 0

Orders to Appear before CCCHD 0 0 Complaints Pending-Beg. Of Month 0 BOH Orders Issued 0 0

BOH Orders Issued 0 0 Complaints Rec'd.-Current Month 1 1 Citations to Appear before BOH 0 0

Citations to Appear before BOH 0 0 Complaints Investigated: Citations into Court 0 0

Citations into Court 0 0 Valid Complaints 0 0 MEETINGS/TRAINING:

TATTOO/BODY PIERCING (171): Notices of Violation Sent 0 0 Meetings 48 215

Consultations 0 0 Summary Compliance Abated 0 0 Training-Given 24 72

Licenses Issued/*Temporary 1 11 Non-Valid Abated 1 1 Training-Received 40 337

Inspections-Standand/*Temporary 1 6 Complaint Re-Inspections 0 0

Notices of Critical Viol.-Standard Insp. 0 0 Complaints Pending-End of Month 0

Re-Inspections 0 0 REPORTED ANIMAL BITES/ May'20 May'19 May'19

Complaints Pending-Beg. Of Month 0 RABIES EXPOSURE: OWNED UNOWNED YTD 2020 OWNED UNOWNED YTD 2019

Complaints Rec'd.-Current Month 0 2 DOG: Bite/Non-Bite/Other Events 18 2 86 25 0 25

Complaints Investigated: Total Persons Exposed 14 76 25 25

Valid Complaints 0 1 # People Rec. Post-Exposure 0 0 0 0

Notices of Violation Sent 0 0 # Vaccinated at Time of Incident 5 24 8 8

Summary Compliance Abated 0 1 # Sent to ODH-Negative 0 6 4 4

Non-Valid Abated 0 0 # Sent to ODH-Positive/*Unsat. 0 0 0 0

Complaint Re-Inspections 0 0 CAT: Bite/Non-Bite/Other Events 0 15 4 4

Complaints Pending-End of Month 0 Total Persons Exposed 0 16 3 3

Outbreak Investigations 0 0 # People Rec. Post-Exposure 0 0 2 2

Orders to Appear before CCCHD 0 0 # Vaccinated at Time of Incident 0 2 1 1

BOH Orders Issued 0 0 # Sent to ODH-Negative 0 2 0 0

Citations to Appear before BOH 0 0 # Sent to ODH-Positive/*Unsat. 0 0 0 0

Citations into Court (*Search Warr.) 0 0 RACCOON:

VECTOR-BORNE (TICKS): Bite/Non-Bite/Other Events 2 6 0 0

Consultations 0 0 Total Persons Exposed 1 3 0 0

# Ticks Received 0 1 # People Rec. Post-Exposure 0 0 0 0

# Ticks Identified 0 0 # Sent to ODH-Negative 2 4 0 0

# Ticks Sent to ODH 0 1 # Sent to ODH-Positive/*Unsat. 0 0 0 0

# Ticks Ident. by ODH/Pending 1 2 BAT: Bite/Non-Bite/Other Events 1 3 0 0

WELLS (PWS): Total Persons Exposed 0 0 0 0

Consultations 0 0 # People Rec. Post-Exposure 0 0 0 0

Licenses/Permits/Orders Issued: # Sent to ODH-Negative 1 2 0 0

Alterations 1 8 # Sent to ODH-Positive/*Unsat. 0 0 0 0

New 4 24 OTHER:

Sealing Permits 1 6 Bite/Non-Bite/Other Events 2 3 1 1

Inspections 4 36 Total Persons Exposed 0 2 1 1

PWS Contractor Inspections 0 0 # People Rec. Post-Exposure 0 0 0 0

Re-Inspections 0 0 # Sent to ODH-Negative 1 2 0 0

New Well Sampling 6 39 # Sent to ODH-Positive/*Unsat. 0 0 0 0

Dye Tests 0 0 Cases Pending: Dogs: 7 Cats: 0

PROGRAM:

Type of Referral Current FYTD Referral Sources Current

Help Me Grow-Home Visiting FY: July 1, 2019 - June 30, 2020

5 107 Health District 2

Federal Home Visiting (MIECHV) FY: October 1, 2019 - September 30, 2020

13 92 Primary Caregiver 3

Moms & Babies First FY: October 1, 2019 - September 30, 2020

2 28 8

Total Referrals For May 20 227 7

20

ProgramTotal

Served Target %

Home Visits

Current FYTD

Help Me Grow 89 91 98% HMG-HV 203 1784

Federal (MIECHV) 123 132 93% MIECHV 232 1527

Moms & Babies First 23 65 35% MBF 16 137

Total 451 3448

Moms Quit For Two:

Activity Served Activity Enrolled

Safe Sleep Initiative 15 Baby & Me Tobacco Free 29

Activity Served

Safety items distributed through May 196

Division Programs:

Moms Quit For Two grant funds Baby & Me Tobacco Free: mom enrolls prenatally and can be served up to 1 year after birth of baby

Cribs For Kids: prenatal (last trimester) up to 1 year

WIC

Help Me Grow-Ohio Healthy Families: prenatal to age 3

Moms & Babies First: funded by Ohio's Black Infant Vitality Program: prenatal to age 1

Safety Initiative:

Clark County Combined Health DistrictEarly Childhood Division

May 2020

Cribs For Kids:

Referrals

Families Served in Home Visiting

Other

Total

mk 05/07/2020

Ohio Department of Health - Bureau of Health ServicesInitial Participation Report - Part B (Charts) - ODHWIC0407

Reporting Month - MAY 2020

Agency Monthly Initial Caseload Trend

600

700

800

900

1,000

1,100

1,200

JUN

201

8JU

L 20

18AU

G 2

018

SEP

2018

OC

T 20

18N

OV

2018

DEC

201

8JA

N 2

019

FEB

2019

MAR

201

9AP

R 2

019

MAY

201

9JU

N 2

019

JUL

2019

AUG

201

9SE

P 20

19O

CT

2019

NO

V 20

19D

EC 2

019

JAN

202

0FE

B 20

20M

AR 2

020

APR

202

0M

AY 2

020

Category CodeWomenInfantsChildren

CLARK COUNTY WIC PROGRAM

Jun 5, 2020 - 2 - 11:35:13 AM

4D



WIC Distribution of Women, Infants and Children Charts

Agency Distribution of Women, Infants and Children

Children42%

Infants35%

Women23%

Children42%

Infants35%

Women23%

CLARK COUNTY WIC PROGRAM

Jun 5, 2020 - 3 - 11:35:13 AM

4D



WIC Initial Participation by Participant Type Charts

Clinic Initial Participation by Participant Type

Children41%

Exclusively Br...3%

Exclusively B...3%

Other Infants30%

Partially Breast Fed Infants2% Partially Breastfeedin...

4%Post-Partum Wo...8%

Pregnant Wo...9%

Children41%

Exclusively Br...3%

Exclusively B...3%

Other Infants30%

Partially Breast Fed Infants2% Partially Breastfeedin...

4%Post-Partum Wo...8%

Pregnant Wo...9%

Clinic 01200

Children46%

Exclusively ...6%

Exclusively B...3%

Other Infants26%

Partially Breast Fed Infants1%

Partially Breastfee...3%

Post-Partum ...7%

Pregnant Wo...7%

Children46%

Exclusively ...6%

Exclusively B...3%

Other Infants26%

Partially Breast Fed Infants1%

Partially Breastfee...3%

Post-Partum ...7%

Pregnant Wo...7%

Clinic 01231

Jun 5, 2020 - 5 - 11:38:31 AM

4D

FY20

: M

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Nov

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Jul-2

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366

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111

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110

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235

240

234

241

228

214

204

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199

198

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129

124

118

117

105

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5053

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2

4D

Total Births Jan Feb Mar Apr May June July Aug Sept Oct Nov Dec

Y-T-D

Total Previous 12

Month Avg

2020 84 91 103 93 80 451 99

2019 98 76 101 87 93 99 122 119 96 96 93 97 1,177 92

2018 83 88 104 91 116 85 108 80 89 84 95 85 1,108 98

No. of LBW Newborns

2020 11 13 9 4 5 42 9

2019 11 6 7 4 3 13 10 13 8 9 10 9 103 7

2018 2 14 9 7 7 7 11 4 6 7 13 5 92 9

2020 13.10% 14.29% 8.74% 4.30% 6.25% 9.31% 9.44%

2019 11.22% 7.89% 6.93% 4.60% 3.23% 13.13% 8.20% 10.92% 8.33% 9.38% 10.75% 9.28% 8.75% 7.97%

2018 2.41% 15.91% 8.65% 7.69% 6.03% 8.24% 10.19% 5.00% 6.74% 8.33% 13.68% 5.88% 8.30% 9.35%

Mothers' Ages

Age 0-14

2020 0 1 0 0 0 1 0.2

2019 0 0 0 0 0 0 0 0 0 0 1 0 1 0.1

2018 0 0 0 0 0 0 1 0 0 0 0 0 1 0.3

Age 15-19

2020 12 11 12 7 7 49 10

2019 8 10 7 10 9 6 8 10 8 8 13 11 108 9

2018 11 9 11 12 10 7 13 7 8 10 10 9 117 10

Age 20-24

2020 30 30 35 35 24 154 33

2019 39 18 33 27 32 37 37 47 30 27 27 27 381 27

2018 25 20 39 24 37 19 29 24 32 21 30 16 316 33

Age 25+

2020 42 47 56 51 49 245 56

2019 51 48 61 50 52 55 77 62 58 55 52 59 680 56

2018 47 48 54 55 69 59 65 48 49 53 55 58 660 54

April

3 YEAR COMPARATIVE

BIRTH DATABirth Certificates Issued In May - 450 4E

4E

Cause of Death - 2020 Jan Feb Mar Apr May June July Aug Sept Oct Nov Dec

Y-T-D

Total

Heart Disease 40 38 45 35 42 200

Cancer 19 19 25 25 21 109

Chronic Lower

Respiratory Disease 15 13 13 10 10 61

Accidents 6 3 3 0 1 13

Cerebrovascular Disease 12 9 10 7 6 44

Alzheimer's Disease 11 14 14 13 9 61

Drug Intoxication 4 3 4 6 0 17

Diabetes 2 2 1 0 0 5

Influenza/Pneumonia 12 5 7 15 6 45

Kidney Related Disease 4 2 3 3 1 13

Septicemia 3 6 3 5 6 23

Suicide 3 0 1 1 0 5

Liver Disease/Cirrhosis 5 2 2 2 0 11

Hypertension 4 4 0 2 0 10

Parkinson's Disease 3 0 2 1 3 9

Other 12 8 14 11 14 59

Pending 0 0 2 6 23 31

Totals 155 128 149 142 142 0 0 0 0 0 0 0 716

Causes of Death - 2019 Jan Feb Mar Apr May June July Aug Sept Oct Nov Dec

Y-T-D

Total

Heart Disease 38 46 29 31 40 30 34 28 27 28 26 44 401

Cancer 27 22 23 25 28 17 29 30 25 21 24 27 298

Chronic Lower

Respiratory Disease 15 4 13 15 9 15 14 6 8 7 8 6 120

Accidents 0 1 0 2 3 0 4 2 4 2 3 4 25

Cerebrovascular Disease 5 3 4 9 6 5 7 4 1 6 4 7 61

Alzheimer's Disease 18 7 5 6 9 3 9 4 6 5 9 12 93

Drug Intoxication 6 4 5 2 3 3 4 5 3 6 9 0 50

Diabetes 6 4 2 0 2 2 7 3 1 2 3 0 32

Influenza/Pneumonia 7 7 12 9 7 8 6 10 4 8 8 5 91

Kidney Related Disease 11 5 5 9 4 5 4 7 3 5 5 6 69

Septicemia 3 3 4 3 1 3 5 2 4 4 4 2 38

Suicide 5 1 1 0 4 1 1 2 2 1 5 0 23

Liver Disease/Cirrhosis 3 2 4 1 2 3 5 0 4 3 2 2 31

Hypertension 7 6 5 3 7 2 3 1 3 7 2 4 50

Parkinson's Disease 2 3 0 0 1 1 0 1 2 3 2 1 16

Other 20 15 12 12 11 5 9 9 15 9 17 11 145

Pending 0 0 0 0 0 0 0 0 0 0 3 11 14

Totals 173 133 124 127 137 103 141 114 112 117 143 142 1,566

"Other" Causes of Death - May - 2020

Bowel/Intestinal Obstruction 1Covid 19 4Failure to Thrive 4Fetal 2Ischemic Bowel 1Peritonitis 1Pulmonary Embolism 1

14

VITAL STATISTICS

2020 DEATH REPORT Death Certificates Issued in MAY-497

06/11/2020 CASH SUMMARY BY FUND FOR CLARK COUNTY

FROM 05/01/2020 TO 05/31/2020

CASH AND INVESTMENT ACCOUNTS

Beginning Ending

Balance Total Total Balance

Fund Description 05/01/2020 Debits Credits 05/31/2020

8201 HEALTH DISTRICT 2,361,600.10 53,837.14 257,105.83 2,158,331.41

8202 FOOD SERVICE 166,598.82 2,575.95 22,331.61 146,843.16

8203 SOLID WASTE 718.17 33,750.00 910.87 33,557.30

8204 RECREATION PARKS & CAMPS 9,899.27 1,073.00 0.00 10,972.27

8205 WATER SYSTEMS 17,898.14 4,830.86 9,412.15 13,316.85

8206 SWIMMING POOL 14,567.26 877.75 0.00 15,445.01

8207 MOSQUITO CONTROL GRANT 3,612.18 17,470.00 342.73 20,739.45

8208 MEDICAID ADMIN CLAIM 128,110.52 0.00 40,642.41 87,468.11

8209 HIV GRANT 6,477.14 3,725.66 4,679.81 5,522.99

8211 DRUG OVERDOSE PREVENTION 26,810.52 0.00 8,240.11 18,570.41

8212 EARLY START GRANT 497,267.66 44,172.71 39,688.58 501,751.79

8213 CRIBS FOR KIDS 29,550.09 0.00 2,413.82 27,136.27

8214 IMMUNIZATION GRANT 39,515.26 0.00 2,276.85 37,238.41

8217 PLUMBING 73,825.21 4,372.00 11,728.45 66,468.76

8220 WIC 76,255.05 49,589.33 48,700.44 77,143.94

8223 COVID-19 (9,481.45) 69,481.45 119,441.09 (59,441.09)

8224 OIMRI GRANT 43,039.13 0.00 6,922.97 36,116.16

8225 WATER POLLUTION CONTROL GRANT 33,082.35 10,157.86 20,074.00 23,166.21

8226 MOM QUIT FOR TWO 13,477.03 0.00 3,742.63 9,734.40

8227 SAFE COMMUNITIES GRANT 11,636.74 0.00 442.59 11,194.15

8228 TOBACCO USE PREVENTION 30,366.26 0.00 4,188.63 26,177.63

8229 CONTINGENCY 400,000.00 0.00 0.00 400,000.00

8233 HL PREVENTION GRANT 7,855.65 311.69 29.93 8,137.41

8237 PUBLIC INFRASTRUCTURE 27,984.82 936.25 17,545.50 11,375.57

8238 SW NON DIST 17,347.45 65.00 0.00 17,412.45

8239 LEAVE ACCRUAL 135,935.08 0.00 0.00 135,935.08

8240 ENVIRONMENTAL SERVICES 7,961.36 1,000.32 4,561.07 4,400.61

8246 CD&D FUND 27,609.52 5,192.00 5,871.09 26,930.43

8248 SEWAGE TREATMENT SYSTEMS 29,169.15 6,210.00 7,846.04 27,533.11

8252 CONTACT TRACING 0.00 70,000.00 0.00 70,000.00

8257 FHV 45,911.16 33,379.97 34,886.89 44,404.24

8259 MSG GRANT 38,477.53 0.00 0.00 38,477.53

8260 HEALTH - CHC 60,267.55 0.00 7,306.54 52,961.01

8261 REPRODUCTIVE HEALTH AND WELLNESS (RHW) 89,734.06 25,727.16 11,568.97 103,892.25

8262 MATERNAL & CHILD HEALTH PROGRAM (MCHP) 27,071.31 0.00 7,278.05 19,793.26

TOTAL - ALL FUNDS 4,490,150.09 438,736.10 700,179.65 4,228,706.54

06/11/2020 REVENUE AND EXPENDITURE REPORT FOR CLARK COUNTY

PERIOD ENDING 05/31/2020

*NOTE: Available Balance / Pct Budget Used does not reflect amounts encumbered.

ACTIVITY FOR

2020 YTD BALANCE MONTH % BDGT

GL NUMBER DESCRIPTION AMENDED BUDGET 05/31/2020 05/31/2020 USED

Fund 8201 - HEALTH DISTRICT

Revenues

Dept 810 - CCCHD

8201-810-411100 TAXES - REAL ESTATE 1,976,000.00 1,100,671.69 0.00 56%

8201-810-411300 TAXES - MANUFACTURED HOMES 3,200.00 2,622.57 0.00 82%

8201-810-421000 INTERGOVERNMENTAL 89,771.00 35,871.84 0.00 40%

8201-810-422110 INTERGOVERNMENTAL - H/R 278,000.00 135,034.61 0.00 49%

8201-810-431000 CHARGES FOR SERVICES 513,644.00 138,515.43 11,041.14 27%

8201-810-481000 OTHER REVENUE 444,000.00 185,897.13 42,796.00 42%

8201-810-520000 ADVANCES IN 342,000.00 215,096.00 0.00 63%

Total Dept 810 - CCCHD 3,646,615.00 1,813,709.27 53,837.14 50%

TOTAL REVENUES 3,646,615.00 1,813,709.27 53,837.14 50%

Expenditures

Dept 810 - CCCHD

8201-810-702000 SALARIES - EMPLOYEES 1,485,938.00 583,939.27 63,114.34 39%

8201-810-711000 PERS 208,031.00 84,694.97 8,906.02 41%

8201-810-712000 WORKERS COMPENSATION 29,717.00 0.00 0.00 0%

8201-810-714000 MEDICARE 21,546.00 8,174.47 878.29 38%

8201-810-715000 DENTAL INSURANCE 5,247.00 1,648.98 168.96 31%

8201-810-716000 LIFE INSURANCE 1,190.00 350.23 36.20 29%

8201-810-717000 HEALTH INSURANCE 414,218.00 157,427.26 15,139.35 38%

8201-810-718100 TRAINING & DEVELOPMENT 10,000.00 1,585.91 0.00 16%

8201-810-718400 TRAVEL 13,000.00 4,262.58 1,024.50 33%

8201-810-721000 OFFICE SUPPLIES 380,644.00 150,943.91 43,638.20 40%

8201-810-740000 CONTRACT SERVICES - REPAIRS 5,000.00 635.00 0.00 13%

8201-810-744000 CONTRACT SERVICES 67,000.00 51,464.58 16,226.26 77%

8201-810-745000 MAINTENANCE 30,000.00 20,045.68 1,040.45 67%

8201-810-746000 RENTS & LEASES 100,000.00 0.00 0.00 0%

8201-810-746200 UTILITIES 55,000.00 23,675.51 4,403.84 43%

8201-810-751000 SMALL EQUIPMENT 15,000.00 630.68 0.00 4%

8201-810-790000 OTHER EXPENSES 2,000.00 1,663.00 1,663.00 83%

8201-810-797100 FEES - STATE 190,000.00 96,646.82 220.00 51%

8201-810-798000 COVID-19 EXPENDITURES 41,000.00 10,646.42 10,646.42 26%

8201-810-830000 ADVANCES OUT 342,000.00 224,000.00 0.00 65%

8201-810-850000 TRANSFERS OUT 185,000.00 210,000.00 90,000.00 114%

Total Dept 810 - CCCHD 3,601,531.00 1,632,435.27 257,105.83 45%

TOTAL EXPENDITURES 3,601,531.00 1,632,435.27 257,105.83 45%

Fund 8201 - HEALTH DISTRICT:

TOTAL REVENUES 3,646,615.00 1,813,709.27 53,837.14

TOTAL EXPENDITURES 3,601,531.00 1,632,435.27 257,105.83

NET OF REVENUES & EXPENDITURES 45,084.00 181,274.00 (203,268.69)

06/11/2020 INVOICE GL DISTRIBUTION REPORT FOR CLARK COUNTY

INVOICE ENTRY DATES 05/01/2020 - 05/31/2020

BOTH JOURNALIZED AND UNJOURNALIZED

PAID

Invoice Line Desc Vendor Amount

Fund 8201 HEALTH DISTRICT

ADMIN MILEAGE - MAR - APR SHANNON HACKATHORNE 45.00

ADMIN MILEAGE - MAY (COVID) TREVOR FISHER 116.00

ADMIN MILEAGE - APRIL & CELL REIMB DOROTHY TOADVINE 75.50

CELL REIMB JESSICA C TAYLOR 25.00

NURSING MILEAGE - APRIL BETH DORSEY 192.00

MILEAGE - APRIL JAMIE DETLING 12.50

APRIL CELL REIMB JO WINDON 15.00

APRIL CELL REIMB TINA FISHER 25.00

NURSING MILEAGE - MAR - APRIL VINCE CARTER 282.00

NURSING MILEAGE - MAY COVID BETH DORSEY 187.00

APR MILEAGE & APR/MAY CELL REIMB KYLE TROUT 85.50

NURSING MILEAGE - APRIL (COVID) LORI LAMBERT 49.50

KROGER - WATER QUARANTINE FAMILIES CARDMEMBER SERVICES 28.50

TRANSPORT OF NON-COVID PATIENTS CLARK COUNTY BOARD 80.00

HOME DEPOT - COVID SUPPLIES CARDMEMBER SERVICES 69.29

FRUIT AND POTATOES W R HACKETT INC 157.50

ANUAL MEMBERSHIP DUES NACCHO 775.00

REIMB - PROTECTIVE MASKS CHARLES PATTERSON 299.64

QUARTERLY POSTAGE METER CHGS QUADIENT INC 171.54

KMBS STAPLES PROSOURCE 68.93

QUARANTINE SUPPLIES CARDMEMBER SERVICES 37.50

TB MEDS HARDING ROAD PHARMACY 7.07

ALCOHOL PREP PADS - COVID MCKESSON MEDICAL-SURGICAL 260.37

COVID19 - RENT FOR QUARANTINE FAMILIES PITSTICK REALTY 700.00

PROTECTION COVERALL SUIT ALKALI SCIENTIFIC 68.44

1

TYVEK LAMINATE SUITS ALKALI SCIENTIFIC 237.13

TUVEK LAMINATE SUIT ALKALI SCIENTIFIC 421.43

1000 BLUE MASKS ALKALI SCIENTIFIC 871.39

NSG SUPPLIES - QUARANTINED MEDS HARDING ROAD PHARMACY 374.30

RABIES TITER KANSAS STATE UNIVERSITY KSVDL 379.76

COVID RENTAL ASSISTANCE CARDMEMBER SERVICES 443.00

COVID CLIENT ASSISTANCE CARDMEMBER SERVICES 72.76

COVID CLIENT ASSISTANCE CARDMEMBER SERVICES 45.49

EMPLOYEE RESPIRATOR FILE REVIEW CITRAN OCCUPATIONAL HEALTH LLC 1,190.00

QUARANTINE SUPPLIES W R HACKETT INC 102.45

COVID TESTING - SOUTHBROOK COMPUNET CLINICAL LABORATORIES 69.00

ONE2ONE SYRINGES DAVE PURCHASE PROJECT/NASEN 220.63

COVID CLEANING SUPPLIES KROGER 37.84

MISC COVID SUPPLIES KROGER 21.52

COVID CLEANING SUPPLIES KROGER 28.95

NSG SUPPLIES - MCKESSON MEDICAL-SURGICAL 86.47

REIMB OF BITTERS MICHELLE CLEMENTS-PITSTICK 126.84

TB QUANTIFON TESTING CHGS PATHOLOGY LABORTORIES INC 123.00

COVID QUARANTINE BEDDING CARDMEMBER SERVICES 1,200.00

QUARANTINED MEDICATIONS CARDMEMBER SERVICES 66.26

COVID WORK SPRINGFIELD ACME ELECTRIC CO 700.00

NSG SUPPLIES - TRACPHONES CARDMEMBER SERVICES 109.98

QUARANTINE MEALS - PIZZA HUT GIFT CARDCARDMEMBER SERVICES 200.00

QUARANTINE VOUCHERS - PIZZA HUT CARDMEMBER SERVICES 200.00

QUARANTINE VOUCHER - PIZZA HUT CARDMEMBER SERVICES 200.00



COVID WORK - CAMPER SPRINGFIELD ACME ELECTRIC CO 450.00

COVID SUPPLIES - WALMART CARDMEMBER SERVICES 49.45

COVID FOOD - QUARANTINE (LEES) CARDMEMBER SERVICES 13.58

COVID QUARANTINE COURTYARD BY MARRIOTT 172.22

LEASE - JUNE (NURSING) HONDA FINANCIAL SERVICES 324.25

INFECTIOUS WASTE PICKUP STERICYCLE INC 142.32

NSG SUPPLIES - RX RETURN UNITED PARCEL SERVICE INC 12.85

2

RENTAL KEYS BAKERS LOCKSMITHING SERVICES LLC 10.00

OCTF SUPPLIES CARDMEMBER SERVICES 758.67

OCTF SUPPLIES CARDMEMBER SERVICES 1,607.52

VACCINE - SANOFI PASTEUR INC 5,984.55

VACCINE - HAVRIX, ENGERIX-B GLAXO SMITH KLINE PHARMACEUTICALS 2,094.33

VACCINE - SHINGRIX GLAXO SMITH KLINE PHARMACEUTICALS 1,512.60

VACCINE - MMR, VARIVAX MERCK SHARP & DOHME CORP 1,998.16

VACCINE - GARDASIL MERCK SHARP & DOHME CORP 10,835.43

COVID 19 - DOWN PAYMENT ON CAMPER #1CARDMEMBER SERVICES 500.00

COVID 19 - DOWN PAYMENT ON CAMPER #2CARDMEMBER SERVICES 500.00

COVID 19 - CAMPERS - DEAL #171113 COLERAIN RV OF DAYTON LLC 9,500.00

COVID-19 SUPPLIES - 1315 LEX RENT GARLIND PROPERTIES LLC 175.37

OFICE 365 - MAY BLUEPRINT CYBER ENGINEERING 616.59

CONTRACT SERVICES - MAY BLUEPRINT CYBER ENGINEERING 3,400.00

CONTRACT SERVICES WITTENBERG UNIVERSITY 157.92

LIABILITY INSURANCE POLICY PUBLIC ENTITIES POOL OF OHIO 10,000.00

CONTRACT SERVICES - HELPDESK PROSTRATUS LLC 217.50

INTERPRETER SERVICES VOCALINK INC 134.25

INTERPRETER SERVICES VOCALINK INC 438.55

MAINTENANCE RUMPKE 131.80

- FEB 20 THRU JAN 21 HAUCK BROS INC 770.63

MAINTENANCE - FRONT WALK PAINT SHERWIN WILLIAMS 72.56

MAINTENANCE A-1 ABLE PEST DOCTORS 32.10

MAINTENANCE MILLER'S TEXTILE SERVICE 33.36

WIC - CABLE TIME WARNER CABLE 435.41

UTILITIES A T & T 75.02

UTILITIES OHIO EDISON 2,403.67

UTILITIES COLUMBIA GAS OF OHIO 53.46



UTILITIES CITY OF SPRINGFIELD 356.49

CABLE - WIC TIME WARNER CABLE 435.41

BURIAL PERMIT FEES - APRIL OHIO DIVISION OF REAL ESTATE 220.00

COVID 19 - CAMPER #2 COLERAIN RV OF DAYTON LLC 9,500.00

3

COVID 19 - DIGITAL THERMOMETERS CARDMEMBER SERVICES 17.98




COVID 19 - SIGN IN BOARD FOR CONTACT TRACARDMEMBER SERVICES 68.49

COVID 19 - DIGITAL THERMOMETERS NASHVILLE MEDICAL & EMA PRODUCTS 885.00

COVID 19 - WASTE SERVICES - CAMPER STORTS SANITATION SERVICE LLC 130.00

COVID 19 - TEMP ELECTRIC 05/18 TO 05/25SPRINGFIELD ACME ELECTRIC CO 450.00

COVID 19 - 532 B S. FOUNTAIN RENT SPRINGFIELD REAL ESTATE 1,500.00

COVID 19 - THERMOMETERS CARDMEMBER SERVICES 34.65

COVID 19 - THERMOMETER CARDMEMBER SERVICES 9.99

THERMOMETER CARDMEMBER SERVICES 9.99

THERMOMETER CARDMEMBER SERVICES 9.99

COVID 19 - CLEANING SUPPLIES & FOOD CARDMEMBER SERVICES 170.00

COVID 19 - TRAC PHONES CARDMEMBER SERVICES 89.76

COVID 19 - CLEANING SUPPLIES CARDMEMBER SERVICES 28.94

COVID 19 EXPENSES - 1315 LEXINGTON AVEGARLIND PROPERTIES LLC 245.74

COVID 19 EXPENSES - 1315 LEX RENT GARLIND PROPERTIES LLC 624.63

COVID 19 EXPENSES - ARSENAL DISINFECTANHILLYARD OHIO 340.40

COVID 19 - FOOD QUARANTINE KROGER 36.77

COVID 19 - CAMPER #3 COLERAIN RV OF DAYTON LLC 10,991.00

COVID 19 CLEANING SERVICES ABSOLUTE CLEAN 650.00

Total For Dept 810 CCCHD 94,161.56

Total For Fund 8201 HEALTH DISTRICT 94,161.56

Fund 8202 FOOD SERVICE

4

APRIL CELL REIMB DANIEL LYNCH 25.00

MILEAGE - APRIL & CELL REIMB EMILY GRIESER 29.50

GAS PURCHASES - SUPERFLEET MASTERCARD PROGRAM 133.74

REFUND OF FSO LICENSE FEE ENON GIRLS SOFTBALL 188.50

REFUND OF FSO LICENSE FEE SPRINGFIELD ARTS COUNCIL 377.00

REFUND OF FSO LICENSE FEE SPRINGFIELD YOUTH BASEBALL 188.50

STATE FEES - FSO APRIL TREASURER STATE OF OHIO 168.00

STATE FEES - FE APRIL TREASURER STATE OF OHIO 56.00

STATE FEES - FSO/FE MARCH TREASURER STATE OF OHIO 280.00

STATE CERTIFICATION FEES - MARCH TREASURER STATE OF OHIO 2,114.00


Total For Fund 8202 FOOD SERVICE 3,560.24

Fund 8203 SOLID WASTE


Total For Dept 810 CCCHD 22.17

Total For Fund 8203 SOLID WASTE 22.17

Fund 8205 WATER SYSTEMS

TUITION REIMBURSEMENT LARRY SHAFFER 200.89

MILEAGE - APRIL CELL REIMB STEPHANIE JOHNSON 25.00

MILEAGE - APRIL & CELL REIMB ELIZABETH DEWITT 54.50

MILEAGE - EMILY GRIESER 22.50


WATER TESTING MOBILE ANALYTICAL SERVICES INC 78.75







5










VEHICLE MAINTENANCE CLARK COUNTY BUILDINGS & GROUNDS 40.00


Total For Fund 8205 WATER SYSTEMS 1,781.14

Fund 8207 MOSQUITO CONTROL GRANT

REIMB OF GRANT SUPPLIES CLARK COUNTY COMBINED HEALTH 216.95

GAS PURCHASES CARDMEMBER SERVICES 125.78


Total For Fund 8207 MOSQUITO CONTROL GRANT 342.73

6

Fund 8208 MEDICAID ADMIN CLAIM

EMPLOYEE SHIRTS 4 IMPRINT INC 1,120.69

EMPLOYEE SHIRTS 4 IMPRINT INC 426.13

SUPPLIES 4 IMPRINT INC 156.04

CONTRACT SERVICES - PUBLIC ENTITIES POOL OF OHIO 38,532.00

SELMA ROAD RENT - JUNE ZEUS SHOPPING CENTER 400.00

SELMA RD UTILITIES CITY OF SPRINGFIELD 7.55


Total For Fund 8208 MEDICAID ADMIN CLAIM 40,642.41

MILEAGE - APRIL AMY TAYLOR 43.95

MILEAGE - APRIL CHARMAINE SIMONSON 13.95

MILEAGE - APRIL KRYSTAL COLEMAN 17.10

MILEAGE - APRIL AIMEE HAMILTON 69.30

MILEAGE - APRIL ANTIONETTE PEREZ 8.85

MILEAGE - APRIL DAWN STASAK 36.55

MILEAGE - APRIL ESTHER KEYES 91.75

MILEAGE - APRIL KAREN BRUBAKER 39.75

MILEAGE - APRIL KRISTINA FULK 67.30

MILEAGE - APRIL LORI LAMBERT 72.00

MILEAGE - APRIL MICHELINE DRUGMAN-DEWITT 12.25

MILEAGE - NATALIE OLIVER 6.55

SUPPLIES - WALMART DIAPERS CARDMEMBER SERVICES 1,449.05

SUPPLIES - WALMART DIAPERS CARDMEMBER SERVICES 388.55

7

SUPPLIES - WALMART DIAPERS CARDMEMBER SERVICES 2,229.60

WALMART - DIAPERS CARDMEMBER SERVICES 4,177.82

WALMART - DIAPERS/WIPES CARDMEMBER SERVICES 1,520.13

WALMART - DIAPER WIPES CARDMEMBER SERVICES 291.88

COVID SUPPLY REIMB LORI LAMBERT 44.16



MAINTENANCE CARDMEMBER SERVICES 66.51

LEASE - JUNE COMMUNITY HEALTH FOUNDATION 470.07


UTILITY COLUMBIA GAS OF OHIO 26.78

UTILITIES SHIVER SECURITY SYSTEMS INC 14.93

UTILITY TIME WARNER CABLE 211.70

UTILITY CITY OF SPRINGFIELD 32.14

UTILITIES OHIO EDISON 86.23


Total For Fund 8212 EARLY START GRANT 11,516.57

Fund 8213 CRIBS FOR KIDS

SUPPLIES - CARDMEMBER SERVICES 13.31

SUPPLIES - MILLER'S TEXTILE SERVICE 0.82

LEASE - COMMUNITY HEALTH FOUNDATION 94.02



UTILITY OHIO EDISON 17.25





Total For Fund 8213 CRIBS FOR KIDS 164.28

8

Fund 8217 PLUMBING


SUPPLIES - WATER HEATER PERMIT FORMSBOX KING 320.01

PRINTING - PLBG PERMIT FORMS BOX KING 495.00

PRINTING - BOX KING 5.00

PLBG SERVICES - APRIL MIAMI COUNTY PUBLIC HEALTH 1,439.34

CONTRACT SERVICES - APRIL MIAMI COUNTY PUBLIC HEALTH 894.56


Total For Fund 8217 PLUMBING 3,188.75

Fund 8220 WIC

MILEAGE - APR & CELL REIMB EMILY HAWKE 39.50

MILEAGE - MAY & CELL REIMB EMILY HAWKE 39.00

1 YR SERVICE CONRACT RENEWAL EDUCATIONAL MESSAGE SERVICES INC 1,000.00

MAINTENANCE COLUMBIA GAS OF OHIO 245.37


HIGHST MAINT - CARDMEMBER SERVICES 393.04

HIGHST MAINT - MILLER'S TEXTILE SERVICE 26.47


LEASE - COMMUNITY HEALTH FOUNDATION 3,055.49




NEW CARLISLE PHONE/INTERNET A T & T 132.91

UTILITIES A T & T 47.04


Total For Fund 8220 WIC 5,848.69

9

Fund 8224 OIMRI GRANT

MILEAGE - APRIL & CELL REIMB NATALIE OLIVER 51.00



MAINTENANCE TIME WARNER CABLE 49.55








Total For Fund 8224 OIMRI GRANT 454.85

Fund 8225 WATER POLLUTION CONTROL GRANT

INSTALLATION 3255 E. HIGH ST HARROD SEPTIC SOLUTIONS 20,074.00


Total For Fund 8225 WATER POLLUTION CONTROL GRANT 20,074.00

10

Fund 8226 MOM QUIT FOR TWO

MILEAGE - APRIL NATALIE OLIVER 22.95

SUPPLIES CARDMEMBER SERVICES 13.31

SUPPLIES TIME WARNER CABLE 13.05

SUPPLIES MILLER'S TEXTILE SERVICE 0.82









Total For Fund 8226 MOM QUIT FOR TWO 187.23

Fund 8237 PUBLIC INFRASTRUCTURE

APRIL CELL REIMB BRENNA HEINLE 30.00


Total For Fund 8237 PUBLIC INFRASTRUCTURE 30.00

Fund 8240 ENVIRONMENTAL SERVICES

TRAINING - LARRY SHAFFER 440.00

MILEAGE - APR & CELL REIMB MEGAN DAVIS 38.00

APR CELL REIMB JESSICA BEIKE 25.00

AGENCY MEMBERSHIP FEE OHIO HEALTHY HOMES NETWORK 75.00

SUPPLIES - 3 HOLE PUNCH CARDMEMBER SERVICES 20.42

SCHNEIDER LAB PICKUP UNITED PARCEL SERVICE INC 5.30

REFUND OF POOL LATE FEE ROCO REAL ESTATE 79.75


Total For Fund 8240 ENVIRONMENTAL SERVICES 683.47

11

Fund 8246 CD&D FUND

STATE FEES - CD&D MARCH 2020 TREASURER STATE OF OHIO 3,439.70


Total For Fund 8246 CD&D FUND 3,439.70

Fund 8248 SEWAGE TREATMENT SYSTEMS

STATE FEES - SEWAGE SYSTEMS - APRIL TREASURER STATE OF OHIO 802.00


Total For Fund 8248 SEWAGE TREATMENT SYSTEMS 802.00

Fund 8257 FHV

MILEAGE - APRIL AMY TAYLOR 8.55

MILEAGE - APRIL CHARMAINE SIMONSON 22.05

MILEAGE - APRIL KRYSTAL COLEMAN 9.90

MILEAGE - APRIL & CELL REIMB AIMEE HAMILTON 53.70

MILEAGE - APRIL ANTIONETTE PEREZ 12.15

MILEAGE - APRIL DAWN STASAK 4.95

MILEAGE - APRIL & CELL REIMB ESTHER KEYES 71.25

MILEAGE - APRIL KAREN BRUBAKER 20.25

MILEAGE - APRIL KRISTINA FULK 20.70

MILEAGE - APRIL & CELL REIMB MICHELINE DRUGMAN-DEWITT 62.25

PARENTS AS TEACHERS - M. EGGLESTON CARDMEMBER SERVICES 240.00

CHILDRENS BOOKS BOOKS BY THE BUSHEL LLC 162.00






12




UTILITY COLUMBIA GAS OF OHIO 60.39


Total For Fund 8257 FHV 1,965.57

Fund 8260 HEALTH - CHC

SUPPLIES - AMAZON - BARRELL TUBE CARDMEMBER SERVICES 15.04

AMAZON - BUSHEL BASKETS CARDMEMBER SERVICES 62.09

HOME DEPOT - MULCH CARDMEMBER SERVICES 309.92

COVID SUPPLIES - RURAL KING CARDMEMBER SERVICES 327.94

-HOME DEPOT - MIRACLE GROW/GROW BAGSCARDMEMBER SERVICES 1,035.01

HOME DEPOT - MIRACLE GROW/GROW BAGSCARDMEMBER SERVICES 780.39


Total For Fund 8260 HEALTH - CHC 2,530.39

Fund 8261 REPRODUCTIVE HEALTH AND WELLNESS (RHW)

RHW MEDICATIONS - CLARK CAPITAL WHOLESALE DRUG 22.56

SUPPLIES - CONTRACEPTIVES CAPITAL WHOLESALE DRUG 0.50


Total For Fund 8261 REPRODUCTIVE HEALTH AND WELLNESS (RHW) 23.06

13

Fund 8262 MATERNAL & CHILD HEALTH PROGRAM (MCHP)

MILEAGE - APR & CELL REIMB LESLIE STINE 32.42

APR - MAY CELL REIMB LESLIE STINE 42.58


Total For Fund 8262 MATERNAL & CHILD HEALTH PROGRAM (MCHP) 75.00

Fund Totals:

94,161.56

3,560.24

22.17

1,781.14

342.73

40,642.41

11,516.57

164.28

3,188.75

5,848.69

454.85

20,074.00

187.23

30.00

683.47

3,439.70

802.00

1,965.57

2,530.39

23.06

75.00

191,493.81

14

The following transfers will be made after approval by the

Board of Health at the June 2020 Board meeting.

Transfer: From the General Revenue fund to the Environmental Services

fund (budgeted). $30,000

* = funds that were changed

8201 - General Fund *

ESTIMATED REVENUES 3,646,615

SALARIES & BENEFITS 2,165,889

OTHER EXPENSES 1,435,644

TOTAL - GENERAL FUND 7,248,148

8202 - FOOD SERVICE

ESTIMATED REVENUES 205,000

SALARIES & BENEFITS 166,572

OTHER EXPENSES 26,580

TOTAL - FOOD SERVICE 398,152

8203 - SOLID WASTE




TOTAL - SOLID WASTE 270,000

8204 - RECREATION PARKS AND CAMP




TOTAL - RECREATION PARKS AND CAMP 6,789

8205- WATER




TOTAL - WATER 239,000

Clark County Combined Health District

2020 Amended Budget

8206 - POOLS




TOTAL - POOLS 33,947

8207 - MOSQUITO*




TOTAL - MOSQUITO 34,940

8208 - MAC


SALARIES & BENEFITS -


TOTAL - MAC 276,800

8209 - HIV



OTHER EXPENSES -

TOTAL - HIV 88,544

8211- DRUG OVERDOSE




TOTAL - DRUG OVERDOSE 230,000

8212 - HMG




TOTAL - HMG 719,812

8213 - CRIBS FOR KIDS




TOTAL - CRIBS FOR KIDS 161,000

8214 - GET VACCINATED




TOTAL - GET VACCINATED 151,176

8217 - PLUMBING




TOTAL - PLUMBING 250,000

8220 - WIC




TOTAL - WIC 1,577,722

8223 - COVID-19*




TOTAL - COVID-19 358,000

8224 - MOMS & BABIES FIRST




TOTAL - MOMS & BABIES FIRST 260,000

8225 - WATER POLUTION CONTROL




TOTAL - WATER POLUTION CONTROL 140,000

8226 - MOMS QUIT FOR TWO




TOTAL - MOMS QUIT FOR TWO 121,117

8227 - SAFE COMMUNITIES




TOTAL - SAFE COMMUNITIES 142,296

8228 - TOBACCO




TOTAL - TOBACCO 160,238

8229 -CONTINGENCY

ESTIMATED REVENUES -


OTHER EXPENSES -

TOTAL - CONTINGENCY -

8230 - CONTACT TRACING * NEW FUND




TOTAL - LICE 347,503

8233 -LICE




TOTAL - LICE 73,526

8237 - PHEP




TOTAL - PHEP 248,795

8238 - SW NON DISTRICT




TOTAL - SW NON DISTRICT 8,145

8239 - SICK LEAVE PAYOUT



OTHER EXPENSES -

TOTAL - SICK LEAVE PAYOUT 20,000

8240 - ENVIRONMENTAL SERVICES




TOTAL - ENVIRONMENTAL SERVICES 188,320

8246 - CD&D




TOTAL - CD&D 110,115

8248 - SEWAGE




TOTAL - SEWAGE 232,124

8257 - MIECHV




TOTAL - MIECHV 891,956

8259 - MOTORCYCLE




TOTAL -MOTORCYCLE 102,857

8260 - CHC




TOTAL - CHC 195,789

8261 - RHW




TOTAL - RHW 1,057,150

8262 - MCH




TOTAL - MCH 146,306

TOTAL REVENUES 8,415,651

TOTAL SALARIES & BENEFITS 5,317,328

OTHER EXPENSES 2,758,286

2020 2020

CURRENT AMENDED

GL NUMBER DESCRIPTION BUDGET BUDGET

ESTIMATED REVENUES - FUND 8201

8201-810-411100 TAXES - REAL ESTATE 1,976,000 1,976,000

8201-810-411300 TAXES - MANUFACTURED HOMES 3,200 3,200

8201-810-413100 TAXES - PERS PROPERTY - -

8201-810-421000 INTERGOVERNMENTAL 89,771 89,771

8201-810-422110 INTERGOVERNMENTAL - H/R 278,000 278,000

8201-810-431000 CHARGES FOR SERVICES 513,644 513,644

8201-810-451000 LICENSES & PERMITS - -

8201-810-481000 OTHER REVENUE 444,000 444,000

8201-810-520000 ADVANCES IN 342,000 342,000

8201-810-540000 TRANSFERS IN - -

TOTAL ESTIMATED REVENUES 3,646,615 3,646,615

APPROPRIATIONS

8201-810-702000 SALARIES - EMPLOYEES 1,485,938 1,485,938

8201-810-711000 PERS 208,031 208,031

8201-810-712000 WORKERS COMPENSATION 29,719 29,719

8201-810-714000 MEDICARE 21,546 21,546

8201-810-715000 DENTAL INSURANCE 5,247 5,247

8201-810-716000 LIFE INSURANCE 1,190 1,190

8201-810-717000 HEALTH INSURANCE 414,218 414,218

8201-810-718400 TRAVEL 13,000 13,000

8201-810-718100 TRAINING & DEVELOPMENT 10,000 10,000

8201-810-721000 OFFICE SUPPLIES 380,644 380,644

8201-810-732000 ADVERTISING & PRINTING - -

8201-810-740000 CONTRACT SERVICES - REPAIRS 5,000 5,000

8201-810-744000 CONTRACT SERVICES 67,000 67,000

8201-810-745000 MAINTENANCE 30,000 30,000

8201-810-746000 RENTS & LEASES 100,000 100,000

BUDGET REPORT FOR CLARK COUNTY

8201-810-746200 UTILITIES 55,000 55,000

8201-810-751000 SMALL EQUIPMENT 15,000 15,000

8201-810-790000 OTHER EXPENSES 2,000 2,000

8201-810-797100 FEES - STATE 190,000 190,000

8201-810-798000 COVID 19 - 41,000

8201-810-830000 ADVANCES OUT 342,000 342,000

8201-810-850000 TRANSFERS OUT 185,000 185,000

TOTAL APPROPRIATIONS 3,560,533 3,601,533

NET OF REVENUES/APPROPRIATIONS - FUND 8201 86,082 45,082

2020 2020

AMENDED AMENDED

GL NUMBER DESCRIPTION BUDGET BUDGET

ESTIMATED REVENUES - MOSQUITO GRANT

8207-810-421000 INTERGOVERNMENTAL 6,232 17,470

8207-810-431000 CHARGES FOR SERVICES - -

8207-810-520000 ADVANCES IN - -

TOTAL ESTIMATED REVENUES 6,232 17,470

APPROPRIATIONS

8207-810-702000 SALARIES - EMPLOYEES 4,878 3,200

8207-810-711000 PERS 683 448

8207-810-712000 WORKERS COMPENSATION 98 64

8207-810-714000 MEDICARE 71 46

8207-810-718400 TRAVEL 500 500

8207-810-721000 SUPPLIES - 10,100

8207-810-732000 ADVERTISING & PRINTING - 3,112

8207-810-744000 CONTRACTS - -

TOTAL APPROPRIATIONS 6,229 17,470

NET OF REVENUES/APPROPRIATIONS - FUND 8207 3 (0)

Added COVID 19 line

Total FY20 Grant Amount

City of Springfield

Boundary Line

City Sewer Line

710 West Hom

e

710 West Home Road — Located in Springfield Township

Clark County Auditor Appraised—$178,300

Built in 1957 2,758 Square Feet

Price shown on Zillow— $242,000

Requesting variance from household sewage treatment system rule that does not

allow a permit to be issued when public sewer is accessible.

Clark County Combined Health District Divisions: All Divisions of Clark County Combined Health District (CCCHD)

Public Health Ethics Reviews

529 E. Home Road Springfield, OH 45503

1 Revised 4/16/2019

CCCHD Public Health Ethics Review Tool

Date of Review Meeting: 6/11/2020

Attendees by Name and Title

Stephanie Johnson, Sanitarian III Larry Shaffer; Director of Environmental Health

Area of Discussion: Variance request from Ohio’s Household Sewage Treatment System rule 3701-29-15 I: 710 West Home Road, Springfield, OH - Parcel #3100600006200006

Principles of Ethical Public Health Practice

Principles Applied to Program Level Principles Applied to Specific Event

1. Address principally the fundamental causes of disease and requirements for health, aiming to prevent adverse health outcomes.

Prevent humans and animals from contact with untreated sewage. Use best available technology to treat sewage.

Homes with foundations closer to

200’ to right-of-way to public sewer

are required to connect as it is

considered best available technology

as sewage is treated for safety at a

public facility that is monitored and

maintained daily.

2. Achieve community health in a way that respects the rights of individuals in the community.

Client is aware of option to request variance from rule.

Client has elected to request a

variance from rule.

3. Policies, programs, and priorities should be developed and evaluated through processes that ensure an opportunity for input from community.

As this is implementation of state law and rule- public input has occurred at the state level. The Board of Health consideration of variances occurs in a public meeting with input from the community.

Board of Health Meeting; June 18, 2020.

4. Advocate and work for the empowerment of disenfranchised community members, aiming to ensure that the basic resources and conditions for health are accessible to all.

The law and rules allows for a "hardship" or financial consideration when making the variance decisions.

The Board may consider cost and difficulty of connecting a home to public sewer while contemplating a variance from rule.

5. Seek the information needed to implement effective policies and programs that protect and promote health.

Not applicable- State Law and Rules. N/A




2 Revised 4/16/2019



6. Provide communities with the information they have that is needed for decisions on policies and programs and should obtain the community's consent.

Consent is not applicable- State Law and Rules.

N/A

7. Act in a timely manner on the information they have within the resources and the mandate given to them by the public.

Process variance request ASAP and present to the next Board of Health meeting for their consideration.

Received May 29, 2020; To be reviewed by Board of Health June 18, 2020.

8. Programs and policies should incorporate a variety of approaches that anticipate and respect the diverse values, beliefs and cultures in the community.


9. Programs and policies should be implemented in a manner that most enhances the physical and social environment.

Consideration should be given to the surrounding terrain and the variances impact on the neighboring properties as well as the owner's property.

N/A in this situation; no known impact to environment or neighboring properties at this time.

10. Protect the confidentiality of information that can bring harm to an individual or community if made public. Exceptions must be justified on the basis of high likelihood of significant harm to the individual or others.

Not applicable- no confidential information.

N/A

11 . CCCHD should ensure the professional competence of its employees.

Professional development and training must occur and documentation uploaded into the Workforce Development database.

Staff attends educational conferences as available, participates in quarterly roundtable meetings with other health departments in southwest Ohio, and monitors monthly statewide sewage conference calls. Issue discussed with Env. Health Supervisor and Director.




3 Revised 4/16/2019



12. CCCHD and its employees should engage in collaborations and affiliations that build the public's trust and the institution's effectiveness.

The general public, township trustees, county commissioners, village council members, realtors and realtor trade groups, mortgage bankers, builders and builder trade groups, installers, designers, and service providers have been educated and regularly informed of the implementation of the rules though meetings and the local media.

Springfield Township Trustees, City of Springfield City Manager and Utility Director to be advised of pending consideration of request for variance by Board of Health and opportunity to comment.

Next Steps:

Objective Related Activities Timeframe Responsible Party

Ensure compliance with conditions of the variance is passed.

Perform on-site inspections as needed.

By project’s completion. Environmental Health Staff




1 Revised 4/16/2019




Stephanie Johnson: Sanitarian III Larry Shaffer: Director of Environmental Health. Health

Area of Discussion: Variance request from Ohio’s Household Sewage Treatment System rule 3701-29-06 (G) (3): 800 Sheffield Drive, Springfield OH - Parcel #3000600002407011





Keep sewage below ground. Utilize

soil to treat sewage onsite.


Discuss options with client including change of design and request for variance from rule.

In order to install soil based sewage

treatment system in lieu of an off-lot

discharging system, the client has

elected to request a variance from

rule for isolation distance.



Board of Health Meeting; June 18, 2020. Springfield Township Trustees to be advised of pending review by Board of Health.



The Board may consider cost and difficulty of alternate design for a variance from rule.



6. Provide communities with the information they have that is needed for decisions on policies and programs and





2 Revised 4/16/2019



should obtain the community's consent.



Received June 8, 2020 for review by Board of Health on June 18, 2020.





N/A in this situation; no impact to neighboring properties, etc.



N/A





Township trustees, county commissioners, village council members, realtors and mortgage bankers, builders, installers, designers, and service providers

Springfield Township Trustees to be advised of the request for variance and requested to comment.




3 Revised 4/16/2019



should all be educated and regularly informed of the implementation of the rules.

Next Steps:





Room Addition

Proposed room addition is 5 feet

from existing septic tank.

2059 Old Coach Drive—Located in Springfield Township

> Requesting variance from household sewage treatment system rule requiring 10’ isolation distance from

foundation of home.




1 Revised 4/16/2019




Stephanie Johnson: Sanitarian III Larry Shaffer: Director of Environmental Health. Health

Area of Discussion: Variance request from Ohio’s Household Sewage Treatment System rule 3701-29-06 (G) (3): 2059 Old Coach Drive, Springfield OH - Parcel #3000700020306005





Keep sewage below ground. Utilize

soil to treat sewage onsite.


Discuss options with client including change of design and request for variance from rule.

To save cost of replacing septic tank

that would be too close to a

proposed room addition, the client

has elected to request a variance

from rule for isolation distance.



Board of Health Meeting; June 18, 2020. Springfield Township Trustees to be advised of pending review by Board of Health.



The Board may consider cost and difficulty of alternate design for a variance from rule.



6. Provide communities with the information they have that is needed for decisions on policies and programs and





2 Revised 4/16/2019



should obtain the community's consent.



Received June 11, 2020 for review by Board of Health on June 18, 2020.





N/A in this situation; no impact to neighboring properties, etc.



N/A





Township trustees, county commissioners, village council members, realtors and mortgage bankers, builders, installers, designers, and service providers

Springfield Township Trustees to be advised of the request for variance and requested to comment.




3 Revised 4/16/2019



should all be educated and regularly informed of the implementation of the rules.

Next Steps:





agenda clark county combined health district board … · seconded by: ms. moore ms. potina yes ms....

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