for recording stamp only - deschutes county, oregon€¦ · minutes of board of commissioners’...

Minutes of Board of Commissioners’ Work Session Monday, November 9, 2015

of 7 Pages

For Recording Stamp Only

Deschutes County Board of Commissioners

1300 NW Wall St., Bend, OR 97701-1960

(541) 388-6570 - Fax (541) 385-3202 - www.deschutes.org

MINUTES OF WORK SESSION

DESCHUTES COUNTY BOARD OF COMMISSIONERS

MONDAY, NOVEMBER 9, 2015 ___________________________

Present were Commissioners Anthony DeBone, Tammy Baney and Alan Unger.

Also present were Tom Anderson, County Administrator; Erik Kropp, Deputy

County Administrator; David Doyle, County Counsel; Christina Partain, Finance;

Nick Lelack, Peter Gutowsky and Matt Martin, Community Development; Jane

Smilie, Tom Kuhn, Sherri Pinner and Eric Mone, Health Services; and two other

citizens, including media representative Ted Shorack of The Bulletin.

Chair DeBone opened the meeting at 1:30 p.m.

___________________________

1. Discussion of Changes to the FY 2016 Fee Schedule (Environmental Health).

Tom Kuhn referred to a memo detailing the need for fee increases for some

services. The number of facilities has risen, creating a higher workload.

Commissioner Baney asked what has changed since the last budget was adopted

Sherri Pinner stated she did not have enough time to determine the necessary

amounts, since it had been a long time since there was an adjustment. Jane

Smilie added that the State is increasing licensing fees as of the first of the

calendar year. There has been no increase since 2009.

Commissioner Baney asked if they plan for future adjustments automatically as

necessary. Mr. Kuhn stated that he does not feel it needs to be adjusted

annually. Ms. Pinner noted that she would like to review this for next year,

depending on what the State indicates is the proper amount given the size of an

establishment, number of employees and other factors.

http://www.deschutes.org/


of 7 Pages

Mr. Mone added that the fee increase should cover most of another FTE, which

is badly needed. The added person will not necessarily add revenue, but can

help with the workload. There are unfunded mandates such as mold issues that

they are required to handle. There are measurements and standards for the food

service component.

Commissioner Unger asked why the fees are higher than in other counties. Mr.

Mone stated that some are heavily supported by the general fund or their solid

waste department. They are trying to be self-supporting as much as possible.

The policy question for the Board is whether the users should pay most of the

fee or if it should be supported more through the general fund. Mr. Anderson

stated that here there is a heavy emphasis on education, which takes more time

and effort than just flying through an inspection. This is a policy choice, which

has been supported by the Board in the past.

Chair DeBone asked if the restaurant owners have been advised of this potential

increase. Mr. Mone said there would be a renewal notice sent out in December

but they do have an electronic newsletter that goes out twice a year. The

additional FTE would also help with the educational component instead of just

enforcement. Mr. Kuhn added that the relationship part is important to the

department and the business owners. There are other businesses besides

restaurants, such as day care centers, public pools and schools. Christina

Partain stated that there is a public hearing on the increase as well, which will

be noticed. The department will reach out via e-mail to let the business owners

know.

The Board was supportive of moving forward.

2. Discussion of Plan Amendment and Zone Change Applications and

Request for Emergency Adoption of Ordinances, from CR Contracting.

Matt Martin said that the applicant has requested that the Ordinances be

adopted by emergency. The hearing before the hearings officer was held and

supported. The Board is to review the Ordinances but the applicant would like

this to happen more quickly. The applicant wants to get a faster start on the

development of the property. They have outgrown their current location and

wish to start on the process for the new property before spring.


of 7 Pages

Commissioner Unger would like the adoption process to be similar to that of the

cities. He suggested adopting by emergency with an effective date 30 days

afterwards. That would still allow some for someone to appeal.

Mr. Martin said that the Hearings Officer’s decision is final but the Board is to

review and adopt. The timeframe is at the Board’s discretion.

Chair DeBone said there is a Tumalo group that is fairly active, and perhaps

should be advised. Mr. Doyle stated that there is time to appeal to LUBA

regardless. Most jurisdictions do land use by emergency so someone can

appeal immediately to LUBA. Commissioner Baney said that some people

question each adoption by emergency. She thinks thirty days is defendable

since it is the same as the cities here, but would still have to be adopted by

emergency for the first and second readings.

Nick Lelack said this is a formality because the decision has already been made

and the appeal period has already passed. The Board is supportive of the

emergency component, as long as it is clear to the public as to the reasons why.

Commissioner Unger said the applicant requested the zone change but did not

indicate the proposed uses. He asked if there are other processes allowing for

oversight of what is being done there. Mr. Martin replied that there would be

site plan review. It was clear that it was for CR use, and they are a paving

company. It will include equipment storage and an office building. Traffic

impacts are also being considered.

3. Discussion of an Additional FTE for Assistant Planner.

Peter Gutowsky gave an overview of the request. They are reclassifying Paul

Blikstads’s position to assistant planner, but need to add an assistant planner

due to workload. This will help with more effective counter coverage without

overpaying for it. They are trying to gauge the workload, and staff accordingly.

They have land use planning fees adequate to cover the position. They have an

on-call planner now, but that person has had to work full time.

Mr. Lelack said they have not increased FTE’s for planning for almost a

decade. Commissioner Baney stated she appreciates them being conservative

while providing consistent service. The Board was supportive of this.


of 7 Pages

BANEY: Move approval of a Resolution in this regard.

UNGER: Second.

VOTE: BANEY: Yes.

UNGER: Yes.

DEBONE: Chair votes yes.

4. Other Items.

Ken Hales joined the meeting to discuss the CASA funding issue with the

Board. Commissioner Baney said she heard from Representative Gene

Whisnant and is reaching out to clarify the situation. It would take more time if

this goes back to the committee to review and approve. Benton County has

CASA in their application so perhaps it was stated differently.

Mr. Hales said that the award to Benton County included addressing the

questions the local CASA received. Apparently the information received

locally did not address the specific questions. It should have been presented a

different way.

Commissioner Baney said this is an important asset to the system. Mr. Hales

noted that the committee has recommended awarding it as it is now, but they

might entertain another submission from CASA prior to the award. Mr.

Anderson added that this part of the process was coordinated by the District

Attorney’s Office.

Chair DeBone said the State does not want to build more prisons so are

apparently redirecting funds this way. Mr. Hales said that CASA received

funds previously but this year had to go through an application process. It

might not be the correct funding pool for CASA. Commissioner Baney said

that every child who is subject to neglect is not necessarily a victim. However,

they need to work on prevention and this part of it.

Mr. Hales stated that the other application included a CASA component, which

included a sub-section on children that could be specifically called a victim due

to certain crimes. They have to show what they would be doing that is new and

different with this funding. He can contact the CASA director and try to

institute changes. However, the submittal from the Public Safety Coordinating

Council would have to be modified if they want to pursue a change in the

submittal.


of 7 Pages

Commissioner Unger feels they should focus on other sources of funding. Mr.

Anderson said they are a County service partner. Mr. Hales stated he provided

some guidance as to how CASA might get more attention at budget time. Chair

DeBone does not want them to suffer because the criteria have changed in the

grant process with the State. CASA is facing a shortfall and pursuing other

avenues would take time.

Mr. Hales stated that he can meet with some of the parties again and look at

strategies. Commissioner Baney would like them to examine what Benton

County did and see if it can be duplicated locally, so is willing to try this if they

can pull PSCC back together to make a decision, due to the tight timeframe.

The Board is willing to give them a chance to make appropriate changes to the

application, if they can get it done quickly.

___________________________

Mr. Anderson spoke of a message from Dan Moore of ONDA, who is lobbying

hard for the Canyonlands designation in southeastern Oregon. Mr. Moore

wants to make a presentation to the Board. Commissioner Baney said it was

not that the Board does not support wilderness, but more to support local

control. Commissioner Unger feels they should review the monument

designation process overall, including the local governments. He does not think

anyone has the whole story. The Board is open to a presentation at a work

session.

Whitney Malkin spoke about Sunriver being approached for the dates for the

WIR conference, so it would have to be moved up a week or another venue

considered. Chair DeBone would like to attend as he hasn’t before.

Commissioners Baney does not know what kind of attendance might be

expected. Ms. Malkin said most people prefer the Memorial Day aspect so they

can perhaps stay longer. Commissioner Unger stated that it is going to be up to

the WIR. Commissioner Baney thinks they will be flexible, but they should

stay away from the Pole-Pedal-Paddle event. Ms. Malkin will speak with Alana

at COVA about any potential conflicts.

___________________________

Chair DeBone spoke about the chili feed at the Historical Society this Friday to

have city representatives and others speak together about the upcoming

Deschutes County centennial.

___________________________


of 7 Pages

CONVENED AS THE GOVERNING BODY OF THE 9-1-1 COUNTY

SERVICE DISTRICT

A. Before the Board was Consideration of Approval of Weekly Accounts

Payable Vouchers for the 9-1-1 County Service District in the Amount of

$36,039.31.

UNGER: Move approval, subject to review.

BANEY: Second.

VOTE: UNGER: Yes.

BANEY: Yes.


CONVENED AS THE GOVERNING BODY OF THE EXTENSION/4-H

COUNTY SERVICE DISTRICT

B. Before the Board was Consideration of Approval of Weekly Accounts

Payable Vouchers for the Extension/4-H County Service District in the

Amount of $1,135.16.


BANEY: Second.

VOTE: UNGER: Yes.

BANEY: Yes.


RECONVENED AS THE DESCHUTES COUNTY BOARD OF

COMMISSIONERS

C. Before the Board was Consideration of Approval of Weekly Accounts

Payable Vouchers for Deschutes County in the Amount of $1,086,327.88.


BANEY: Second.

VOTE: UNGER: Yes.

BANEY: Yes.


Being no further items discussed, the meeting adjourned at 3: 15 p. m.

Deschutes County Board of Commissioners. DATED this 2015 for the

Anthony DeBone, Chair

Al~YV1tch:r ATTEST: ~~miSSioner ~~ Recording Secretary

Minutes of Board of Commissioners' Work Session Monday, November 9, 2015 of 7 Pages

______________________________________

PLEASE NOTE: At any time during this meeting, an executive session could be called to address issues relating to ORS 192.660(2) (e), real property negotiations; ORS 192.660(2) (h), litigation; ORS 192.660(2)(d), labor negotiations; or ORS 192.660(2) (b), personnel issues; or other

issues under ORS 192.660(2), executive session.

______________________________________

Meeting dates, times and discussion items are subject to change. All meetings are conducted in the Board of Commissioners’ meeting

rooms at 1300 NW Wall St., Bend, unless otherwise indicated. If you have questions regarding a meeting, please call 388-6572.

_________ ______________________________________

Deschutes County encourages persons with disabilities to participate in all programs and activities. To request this information in an alternate format please call (541) 330-4640, or email [email protected].

_________ ______________________________________

Deschutes County Board of Commissioners

1300 NW Wall St., Suite 200, Bend, OR 97701-1960

(541) 388-6570 - Fax (541) 385-3202 - www.deschutes.org

WORK SESSION AGENDA

DESCHUTES COUNTY BOARD OF COMMISSIONERS

1:30 P.M., MONDAY, NOVEMBER 9, 2015 ___________________________

1. Discussion of Changes to the FY 2016 Fee Schedule (Environmental Health)

– Wayne Lowry; Jane Smilie, Tom Kuhn, Eric Mone

2. Discussion of Plan Amendment and Zone Change Applications and Request

for Emergency Adoption of Ordinances, from CR Contracting – Matt Martin

3. Discussion of an Additional FTE for Assistant Planner – Nick Lelack and

Peter Gutowsky

4. Other Items

mailto:[email protected]

http://www.deschutes.org/

Work Session

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Deschutes County Health Services

Memorandum

To: Deschutes County Board of County Commissioners

CC: Tom Anderson, County Administrator Jane Smilie, Health Services Director

From: Tom Kuhn, Community Health Manager Eric Mone, Environmental Health Supervisor

Date: November 9, 2015

Re: Request to increase Environmental Health Program Fees

Rationale:

Standard 8 of the Food and Drug Administration (FDA) Voluntary National Retail Food

Regulatory Program Standards recommends “a staffing level of 1.0 FTE devoted to the

foodservice program for every 280-320 inspections performed per year.” Currently, Deschutes

County Health Services Environmental Health (EH) foodservice staff perform 810 foodservice

inspections per year, per FTE. This high volume of inspections can have the impact of reducing

the quality of inspection, ultimately reducing the quality of public health protection staff can

deliver.

During a recent site visit of the EH program, FDA Regional Food Specialist Katey Kennedy noted

that the program is unable to fully meet any of the nine (9) FDA Voluntary National Retail Food

Regulatory Program Standards due to insufficient FTE.

Current staff workload allows little room for building capacity or performing other important EH

functions including responding to animal bites, mold mitigation, program planning, and quality

improvement/evaluation programs.

In the summertime, the surge of tourism inflates the population of Bend alone to approximately

100,000 (18,000 visitors a day) and rarely falls below 93,000 year-round. This increased

population creates a burden on EH staff who are actually serving a larger population and a larger

per capita food and tourist industry.

The EH Supervisor must spend 50% of his time in the field in order to support staff inspections.

This field work contribution allows him less time to perform traditional supervisory duties such

as performance management, operational development, data analysis, and budget functions.

EH fees have not been raised since 2009. It was decided after 2009 not to raise fees due to the

burden caused by the recession on local business owners.

Proposal: Raise Environmental Health Program Fees 6%

Raising all EH fees 6% would provide approximately $50,000 additional revenue (FY 15 revenue

of $819,187 x 6% = $49,157), which would be sufficient to support 0.5 Environmental Health

Specialist II FTE in the FY 17 budget.

This position will inspect 250-300 Licensed Facilities per year. This position will take lead in

functions such as animal bites, mold, outbreak investigations, FDA Voluntary Standards, and

reduce the burden of inspections for EHS staff.

The FDA Standard for foodservice inspections is 280-320 per year per FTE. Currently, 3.3 FTE

DCHS staff perform 810 foodservice inspections per FTE. Adding 0.5 FTE would reduce the

inspection volume to 703 inspections per FTE, which is a 13.2% reduction.

In order to meet the FDA standard of 280-320 inspections per year, EH would have to increase

at least 5.0 FTE, which would require a 60% increase in fees. Such an increase would be

excessive and not an option.

Comparison of similarly sized Oregon county environmental health programs

County Inspections

annually

Foodservice

FTE

Inspections

per FTE per

year

EH funding source Food Service

License cost

for 0-15 seat

Yamhill (102K) 962 1.25 770 100% fees $497

Douglas (109K) 1,514 2.2 688 75% fees; 25% GF $600 (7/1/16)

Linn (119K) No stats 75% Fees; 25% Solid Waste $485

Deschutes (166K) 2,672 3.3 810 92% fees, 8% GF (FY 15) $645

Jackson (208K) 2,404 3.15 763 100% fees $599

Marion (326K) 3,404 4.6 740 96% fees, 4% GF $425

Lane (358K) 3,846 4.2 916 100% fees $536

OF 1 – RESOLUTION NO. 2015-105

For Recording Stamp Only

BEFORE THE BOARD OF COUNTY COMMISSIONERS OF DESCHUTES COUNTY, OREGON

A Resolution Adopting and Continuing Fees and Charges

for Services and Providing an Effective Date.

*

*

RESOLUTION NO. 2015-105

WHEREAS, various departments of Deschutes County charge fees for services and permits; and

WHEREAS, any fee that charged by the County which is established or authorized may be amended in

accordance with Chapter 4.12 of the Deschutes County Code, as amended; and

WHEREAS, Deschutes County Environmental Health Department has proposed a modification to fees

and charges for services and permits; and

WHEREAS, The Board of County Commissioners held a public hearing on November 23, 2015, on the

proposed change to the fee schedule as set forth in Exhibit “A” reflect the actual cost of providing services and

permits; now, therefore,

BE IT RESOLVED BY THE BOARD OF COUNTY COMMISSIONERS OF DESCHUTES

COUNTY, OREGON, as follows:

Section 1. That the fees set forth in Exhibit “A”, attached hereto and, by this reference, incorporated

herein, is hereby adopted as the fees and charges of Deschutes County, Oregon.

Section 2. The fees and charges for services and permits adopted in Section 1 of this Resolution are

effective January 1, 2016.

Section 3. All fees and charges for services and permits in effect prior to January 1, 2016, are hereby

continued or superseded as provided herein.

Dated this _______ day of ______________, 2015 BOARD OF COUNTY COMMISSIONERS

OF DESCHUTES COUNTY, OREGON

_____________________________________________

Anthony DeBone, Chair

_________________________________________ Alan Unger, Vice Chair

ATTEST:

______________________________

Recording Secretary

_________________________________________ Tammy Baney, Commissioner

REVIEWED

______________ LEGAL COUNSEL

Deschutes County Fee Schedule

FY 2016 2

DESCRIPTION FY 2016 Fee ($) UNIT ENACTMENT AUTHORITY

Public Health

HLTH 1 Certified Copy of Birth Certificate-first copy of order 20.00 per order State of Oregon

HLTH 2 Certified Copy of Birth Certificate-after first copy of order 15.00 each State of Oregon

HLTH 3 Certified Copy of Death Certificate or Abstract-first copy of order 20.00 per order State of Oregon

HLTH 4 Certified Copy of Death Certificate or Abstract-after first copy of order 15.00 each State of Oregon

HLTH 5

Corrected Certificate Replacement charge after third copy (no charge

first 3 copies) 20.00 per order State of Oregon

HLTH 6 Vital Records Search 20.00 State of Oregon

HLTH 7 Birth Abstract Listing for Publication 0.10 per name

HLTH 8 Page Copy 0.25 per page

HLTH 9

Release of Information fees for medical record copies (patients

requesting personal information will be charged the page copy) 25.00 1-10 pages State of Oregon

HLTH 10 Copies (after 10 pages) 0.25 per page

HLTH 11 Actual postage charges ACS per mailing

HLTH 12 Charge for provider's time to respond to written questions 35.00 per hour

New Patient Office Visits and Well Service Visits

Fees are charged at actual cost of services based on annual cost analysis.

Annual cost analysis is on file for review.

New Patient - Office Visit

HLTH 13 Problem focus straightforward 117.00 per visit

HLTH 14 Expanded straightforward 200.00

HLTH 15 Detailed Low 289.00

HLTH 16 Comp Moderate 441.00

HLTH 17 Comp High 554.00

Established Patient - Office Visit

HLTH 18 Incident to Minimal 53.00

HLTH 19 Problem focus straightforward 117.00

HLTH 20 Expanded problem focused 194.00



Note: Most fees are based on sliding scale according to Federal Poverty income guidelines. Consult each program

ITEM NO.


FY 2016 DESCRIPTION FY 2016 Fee ($) UNIT ENACTMENT AUTHORITYITEM NO.

Public Health (continued)

Well Services - New Patient

HLTH 23 12 - 17 year 366.00

HLTH 24 18 - 19 year 355.00

HLTH 25 40 - 64 year 411.00

Well Services - Established Patient

HLTH 26 12 - 17 year 312.00

HLTH 27 18 - 39 year 319.00

HLTH 28 40 - 64 year 341.00

Maternal Child Health Program* DHS

Fees set by State DHS Program are adjusted as DHS adjusts fees. List of current prices is on file for review

HLTH 29 Initial needs assessment 24.00 visit

HLTH 30 Case management full 75.00 visit

HLTH 31 Case management partial 37.00 visit

HLTH 32 High risk case management full 128.00 visit

HLTH 33 High risk case management partial 64.00 visit

HLTH 34 Home assessment 42.00 visit

HLTH 35 Telephone contact 21.00 each

HLTH 36 Case management visit 42.00 visit

HLTH 37 Topical application of fluoride 18.00 each

* Fees set by State DHS Program are adjusted as DHS adjust fees.

Counseling / Education / Training / Promotion / Consultation / Screening / Referral

Fees are charged at actual cost of services based on annual cost analysis

*Annual cost analysis is on file for review.

**New procedures not included in cost analysis will be billed at minimum Medicaid reimbursement rate plus any additional cost for staff or supplies.

*ACS=Acutal Cost of Services

3


FY 2016 4

DESCRIPTION FY 2016 Fee ($) UNIT ENACTMENT AUTHORITYITEM NO.


Procedures

Misc Medical Procedures - medical procedures are charged at actual cost of services based on annual cost analysis.



HLTH 38 Cervical biopsy 343.00

HLTH 39 Biopsy of Uterus Lining 292.00

HLTH 40 Diaphragm fit 163.00

HLTH 41 Lesion destruction penis cryo 356.00

HLTH 42 Lesion destruction vulva any 351.00

HLTH 43 IUD insert 189.00

HLTH 44 IUD remove 254.00

HLTH 45 Contraceptive Capsule Insert (Implanon) 377.00

HLTH 46 Contraceptive Capsule Removal (Implanon) 383.00

HLTH 47 Contraceptive Capsule Removal and Reinsertion (Implanon) 597.00

HLTH 48 Non-genital lesion destruction up to 14 295.00

HLTH 49 Non-genital lesion destruction 15 or more 350.00

Visiting Physician

HLTH 50 Colposcopy w/o biopsy 293.00

HLTH 51 Colposcopy w/biopsy 384.00

HLTH 52 Colposcopy of vulva w/o biopsy 317.00

HLTH 53 Colposcopy of vulva w/biopsy 423.00

HLTH 54 Vulvar biopsy 1st lesion 221.00

HLTH 55 Endocervical curettage w/o D&C 411.00

HLTH 56 Cervical Cryotherapy - simple 306.00




Immunizations**

Clients eligible for Vaccines for Children Program (VFC) pay only an administrative fee. This admin fee is set by the State and is subject ot change

HLTH 57 Administration fee on first immunization - other than State 50.00 DHS

HLTH 58 Administration fee on addt'l immunization - other than State 27.00 DHS

HLTH 59 Admin Fee for State and/or each additional immunization 21.96 DHS

Fees for clients not eligible for the VFC Program are based on the actual cost of the vaccine plus the admin fee.

HLTH 60 DTAP 19.51 DHS

HLTH 61 DTaP / IPV 47.55 DHS

HLTH 62 HIB 19.21 DHS

HLTH 63 Polio IPV (Eipv) 27.44 DHS

HLTH 64 MMR 59.85 DHS

HLTH 65 MMRV 168.30 DHS

HLTH 66 Td 7+yrs 22.35 DHS

HLTH 67 Tdap 11-16 years 33.03 DHS

HLTH 68 Varicella 104.75 DHS

HLTH 69 DTAP/HEPB/IPV 68.22 DHS

HLTH 70 Hep A Peds 20.11 DHS

HLTH 71 Hep B Ped/adol 14.01 DHS

HLTH 72 PCV 13 156.75 DHS

HLTH 73 Rotavirus DHS

HLTH 74 Menveo 105.75 DHS

Special Programs**

HLTH 75 Influenza 30.00 DHS

HLTH 76 Flumist 35.00 DHS

HLTH 77 IG - only pay admin fee 0.00 DHS

HLTH 78 HPV Vaccine 142.62 each DHS

Vaccines Not in VFC Program**

HLTH 79 Hep A/Hep B Adult 58.65 DHS

HLTH 80 Hep A Adult 30.61 DHS

HLTH 81 Hep B Adult 36.31 DHS

HLTH 82 Pneumo - 23 70.21 DHS

HLTH 83 PPD - TB Test 30.00

HLTH 84 Antibiotic Injection Administration 27.00

** If the cost of the immunization increases during the fiscal year, the

Health Department will adjust the price to reflect the actual increase in cost.


5


FY 2016 6



Laboratory Processing Specimen

HLTH 85 Handling fee - varies depending on fee charged from laboratory 15.00 - 30.00 each

In-House Testing

In-House testing is charged at Actual Cost of Service including supply costs.

HLTH 86 Glucose blood test 10.00

HLTH 87 Preg test - urine 10.00

HLTH 88 Strep test 20.00

HLTH 89 UA w/o micro test 4.00

HLTH 90 Wet Mount Test 10.00

HLTH 91 Wet mount test, KOH 10.00

HLTH 92 Hemoccult feces screen 5.00

HLTH 93 HGB test 5.00

External Labs

HLTH 94 Lab fees - actual flow-through price from outside lab ACS

Medication and Lab Charges - Non Title X

Charge at cost, no slide, client must pre-pay

HLTH 95 Other labs and medications ACS

Injections

HLTH 96 Therapeutic/Antibiotic Injection Administration 27.00

Dispensed Medications ***

***Medications and drugs are priced at Health Department costs and may

be adjusted during the year. A current fee schedule will be on file for

review. Cost varies according to specials and amounts purchased.

Clients may be eligible for FPEP coverage at no charge for contraception services.



Public Health - Environmental Health Division

LICENSES: Food Service

Note: A supplementary inspection charge equal to 50% of the annual

license fee shall be assessed for each complete inspection required

because of failure to meet applicable standards when such complete

inspection is performed during the license period in addition to the two semi-

annual inspections normally performed. Charges accrued and not paid

during the current license period will be added to the license fee for the

next license period and will be subject to the late penalties specified. New

licensees will not be assessed any surcharges accrued by the previous

license holder. Any licensed facility opened in Oct/Nov/Dec will be charged

1/2 fee.

Full service restaurant seating:

HLTH 97 0 - 15 645.00

HLTH 98 16 - 50 700.00

HLTH 99 51 - 150 830.00

HLTH 100 151 and over 930.00

HLTH 101 Commissary 250.00

HLTH 102 Warehouse 200.00

HLTH 103 Limited service 540.00

Government Entities - fee is 50% of full service restaurant fees, based on restaurant seating. Senate Bill 631

Mobile Unit Annual Operating License per OAR 333-162-0020

HLTH 104 Class I 215.00

HLTH 105 Class II 240.00

HLTH 106 Class III 300.00

HLTH 107 Class IV 345.00

Temporary Restaurant License

HLTH 108

Temporary Benevolent: Must show a valid I.R.S. tax exempt I.D. number to

qualify 40.00 per event

HLTH 109 Temporary for Profit 125.00 per event

HLTH 110

Temporary Prior to Event: Temporary Restaurant Applications must be

received at least 7 calendar days before the day the event starts. 80.00 per event

HLTH 111 Temporary at Event (operating without a license) 200.00 per event

HLTH 112 Temporary Event - Ice as only non-exempt food 50.00

HLTH 113

Temporary Event - Events with five or more applicants (received 7

calendar days before the event) 70.00


7


FY 2016 8


Public Health - Environmental Health Division (continued)

Intermittent Temporary Restaurant License

HLTH 114Intermittent Temporary Benevolent: Must show a valid I.R.S. tax exempt

I.D. number to qualify 62.50

HLTH 115 Seven days or more before event start date 125.00

HLTH 116 Less than seven days before event start date 150.00

Seasonal Temporary Restaurant License

HLTH 117

Seasonal Benevolent: Must show a valid I.R.S. tax exempt I.D. number to

qualify 62.50

HLTH 118 Seven days or more before event start date 125.00

HLTH 119 Less than seven days before event start date 150.00

HLTH 120 Operational Review 85.00

HLTH 121

Operational Review Benevolent: Must show a valid I.R.S. tax exempt I.D.

number to qualify 42.50

HLTH 122 Re-check fee for Temporary Restaurant 85.00

School Cafeteria & Kitchens:

HLTH 123 School Inspection (production kitchen) 200.00

HLTH 124 School Inspection (satellite branch) 150.00

HLTH 125 Bed and breakfast (food facility) 375.00

Vending machines (of potentially hazardous foods):

HLTH 126 1 - 10 120.00

HLTH 127 11 - 20 160.00

HLTH 128 21 - 30 200.00

HLTH 129 31 - 40 240.00

HLTH 130 41 - 50 280.00

HLTH 131 Food handlers certification 10.00

HLTH 132 Certification card replacement 5.00

Review of restaurant plan prior to construction

HLTH 133 New 500.00

HLTH 134 Remodel 300.00

HLTH 135 School cafeteria plan review 500.00

HLTH 136 Daycare Plan Review 200.00

HLTH 137 Daycare Remodel Plan 75.00

HLTH 138 Commissary/Base of Operation 250.00



Health Services - Environmental Health Division (continued)

Mobile Unit (review of mobile unit plan prior to construction)

HLTH 139 Class I 215.00

HLTH 140 Class II 270.00

HLTH 141 Class III 375.00

HLTH 142 Class IV 400.00

HLTH 143 Non-profit organization plan review 250.00

Note: A penalty of $150.00 shall be added if payment is 30 days after the

license expiration date. An additional penalty of $150.00 shall be added on

the first day of each succeeding month of delinquency.

Tourist facilities:

HLTH 144 Organizational camp or picnic park 135.00 plus fee for each space

HLTH 145 Traveler’s accommodation 200.00 plus fee for each space

HLTH 146 Recreation park 135.00 plus fee for each space

HLTH 147 First 50 spaces 3.00 per space

HLTH 148 Next 50 spaces 2.00 per space

HLTH 149 Each space beyond 100 1.00 per space

Note: Any person initially licensed under ORA 446.310 to 446.350 for

engaging in the recreation park or travelers accommodation business who

has failed to renew a license on or before the expiration date is delinquent.

If delinquency extends 15 days past the expiration date, a penalty fee

of 50% of the annual license fee shall be added. The penalty fee shall

be increased by 50% of the license fee on the first day of each

succeeding month of delinquency.

Swimming pools:

HLTH 150 License (first public pool, spa, bathhouse) 565.00

HLTH 151 Second pool or spa (same location) 340.00

HLTH 152 Additional pools or spas (same location) 280.00

HLTH 153 Pool plan review fee 460.00

HLTH 154 Pool construction permit 460.00

Surcharges for pools, spas & tourist facilities will be based on the amount

set forth by the Oregon Health Division for local govts.. Varies


9


FY 2016 10



Miscellaneous:

HLTH 155 Children’s Service: Foster home/day care inspection 175.00

HLTH 156 Children's Service: Child Care Center Inspection 200.00

HLTH 157 Fee for licensed facility that requires + two re-check inspections / year 150.00

HLTH 158 Miscellaneous Inspection or Plan Review 200.00

HLTH 159 Limited Inspection or Plan Review ACS

HLTH 160 Outdoor Mass Gathering 200.00

HLTH 161 Convenience/Handling Fee (On-line renewal of Food Service license) Varies 2.5% of transaction amount





FY 2016

DESCRIPTION FY 2016 Fee ($) UNIT ENACTMENT AUTHORITY Requested Fee ($)

Public Health

HLTH 1 Certified Copy of Birth Certificate-first copy of order 20.00 per order State of Oregon

HLTH 2 Certified Copy of Birth Certificate-after first copy of order 15.00 each State of Oregon

HLTH 3 Certified Copy of Death Certificate or Abstract-first copy of order 20.00 per order State of Oregon

HLTH 4 Certified Copy of Death Certificate or Abstract-after first copy of order 15.00 each State of Oregon

HLTH 5

Corrected Certificate Replacement charge after third copy (no charge first

3 copies) 20.00 per order State of Oregon

HLTH 6 Vital Records Search 20.00 State of Oregon

HLTH 7 Birth Abstract Listing for Publication 0.10 per name

HLTH 8 Page Copy 0.25 per page

HLTH 9

Release of Information fees for medical record copies (patients

requesting personal information will be charged the page copy) 25.00 1-10 pages State of Oregon

HLTH 10 Copies (after 10 pages) 0.25 per page

HLTH 11 Actual postage charges ACS per mailing

HLTH 12 Charge for provider's time to respond to written questions 35.00 per hour

New Patient Office Visits and Well Service Visits

Fees are charged at actual cost of services based on annual cost analysis.

Annual cost analysis is on file for review.

New Patient - Office Visit

HLTH 13 Problem focus straightforward 117.00 per visit

HLTH 14 Expanded straightforward 200.00



HLTH 17 Comp High 554.00

Established Patient - Office Visit

HLTH 18 Incident to Minimal 53.00

HLTH 19 Problem focus straightforward 117.00

HLTH 20 Expanded problem focused 194.00



Note: Most fees are based on sliding scale according to Federal Poverty income guidelines. Consult each program page

ITEM NO.


1


FY 2016 2

DESCRIPTION FY 2016 Fee ($) UNIT ENACTMENT AUTHORITY Requested Fee ($)ITEM NO.


Well Services - New Patient

HLTH 23 12 - 17 year 366.00

HLTH 24 18 - 19 year 355.00

HLTH 25 40 - 64 year 411.00

Well Services - Established Patient

HLTH 26 12 - 17 year 312.00

HLTH 27 18 - 39 year 319.00

HLTH 28 40 - 64 year 341.00

Maternal Child Health Program* DHS

Fees set by State DHS Program are adjusted as DHS adjusts fees. List of current prices is on file for review

HLTH 29 Initial needs assessment 24.00 visit

HLTH 30 Case management full 75.00 visit

HLTH 31 Case management partial 37.00 visit

HLTH 32 High risk case management full 128.00 visit

HLTH 33 High risk case management partial 64.00 visit

HLTH 34 Home assessment 42.00 visit

HLTH 35 Telephone contact 21.00 each

HLTH 36 Case management visit 42.00 visit

HLTH 37 Topical application of fluoride 18.00 each

* Fees set by State DHS Program are adjusted as DHS adjust fees.

Counseling / Education / Training / Promotion / Consultation / Screening / Referral

Fees are charged at actual cost of services based on annual cost analysis




FY 2016



Procedures

Misc Medical Procedures - medical procedures are charged at actual cost of services based on annual cost analysis.



HLTH 38 Cervical biopsy 343.00

HLTH 39 Biopsy of Uterus Lining 292.00

HLTH 40 Diaphragm fit 163.00

HLTH 41 Lesion destruction penis cryo 356.00

HLTH 42 Lesion destruction vulva any 351.00

HLTH 43 IUD insert 189.00

HLTH 44 IUD remove 254.00

HLTH 45 Contraceptive Capsule Insert (Implanon) 377.00

HLTH 46 Contraceptive Capsule Removal (Implanon) 383.00

HLTH 47 Contraceptive Capsule Removal and Reinsertion (Implanon) 597.00

HLTH 48 Non-genital lesion destruction up to 14 295.00

HLTH 49 Non-genital lesion destruction 15 or more 350.00

Visiting Physician

HLTH 50 Colposcopy w/o biopsy 293.00

HLTH 51 Colposcopy w/biopsy 384.00

HLTH 52 Colposcopy of vulva w/o biopsy 317.00

HLTH 53 Colposcopy of vulva w/biopsy 423.00

HLTH 54 Vulvar biopsy 1st lesion 221.00

HLTH 55 Endocervical curettage w/o D&C 411.00

HLTH 56 Cervical Cryotherapy - simple 306.00


3


FY 2016 4



Immunizations**

Clients eligible for Vaccines for Children Program (VFC) pay only an administrative fee. This admin fee is set by the State and is subject ot change

HLTH 57 Administration fee on first immunization - other than State 50.00 DHS

HLTH 58 Administration fee on addt'l immunization - other than State 27.00 DHS

HLTH 59 Admin Fee for State and/or each additional immunization 21.96 DHS

Fees for clients not eligible for the VFC Program are based on the actual cost of the vaccine plus the admin fee.

HLTH 60 DTAP 19.51 DHS

HLTH 61 DTaP / IPV 47.55 DHS

HLTH 62 HIB 19.21 DHS

HLTH 63 Polio IPV (Eipv) 27.44 DHS

HLTH 64 MMR 59.85 DHS

HLTH 65 MMRV 168.30 DHS

HLTH 66 Td 7+yrs 22.35 DHS

HLTH 67 Tdap 11-16 years 33.03 DHS

HLTH 68 Varicella 104.75 DHS

HLTH 69 DTAP/HEPB/IPV 68.22 DHS

HLTH 70 Hep A Peds 20.11 DHS

HLTH 71 Hep B Ped/adol 14.01 DHS

HLTH 72 PCV 13 156.75 DHS

HLTH 73 Rotavirus DHS

HLTH 74 Menveo 105.75 DHS

Special Programs**

HLTH 75 Influenza 30.00 DHS

HLTH 76 Flumist 35.00 DHS

HLTH 77 IG - only pay admin fee 0.00 DHS

HLTH 78 HPV Vaccine 142.62 each DHS

Vaccines Not in VFC Program**

HLTH 79 Hep A/Hep B Adult 58.65 DHS

HLTH 80 Hep A Adult 30.61 DHS

HLTH 81 Hep B Adult 36.31 DHS

HLTH 82 Pneumo - 23 70.21 DHS

HLTH 83 PPD - TB Test 30.00

HLTH 84 Antibiotic Injection Administration 27.00

** If the cost of the immunization increases during the fiscal year, the

Health Department will adjust the price to reflect the actual increase in cost.


FY 2016



Laboratory Processing Specimen

HLTH 85 Handling fee - varies depending on fee charged from laboratory 15.00 - 30.00 each

In-House Testing

In-House testing is charged at Actual Cost of Service including supply costs.

HLTH 86 Glucose blood test 10.00

HLTH 87 Preg test - urine 10.00

HLTH 88 Strep test 20.00

HLTH 89 UA w/o micro test 4.00

HLTH 90 Wet Mount Test 10.00

HLTH 91 Wet mount test, KOH 10.00

HLTH 92 Hemoccult feces screen 5.00

HLTH 93 HGB test 5.00

External Labs

HLTH 94 Lab fees - actual flow-through price from outside lab ACS

Medication and Lab Charges - Non Title X

Charge at cost, no slide, client must pre-pay

HLTH 95 Other labs and medications ACS

Injections

HLTH 96 Therapeutic/Antibiotic Injection Administration 27.00

Dispensed Medications ***

***Medications and drugs are priced at Health Department costs and may

be adjusted during the year. A current fee schedule will be on file for

review. Cost varies according to specials and amounts purchased.

Clients may be eligible for FPEP coverage at no charge for contraception services.


5


FY 2016 6


Public Health - Environmental Health Division

LICENSES: Food Service

Note: A supplementary inspection charge equal to 50% of the annual

license fee shall be assessed for each complete inspection required

because of failure to meet applicable standards when such complete

inspection is performed during the license period in addition to the two semi-

annual inspections normally performed. Charges accrued and not paid

during the current license period will be added to the license fee for the next

license period and will be subject to the late penalties specified. New

licensees will not be assessed any surcharges accrued by the previous

license holder. Any licensed facility opened in Oct/Nov/Dec will be charged

1/2 fee.

Full service restaurant seating:

HLTH 97 0 - 15 645.00 684.00

HLTH 98 16 - 50 700.00 742.00

HLTH 99 51 - 150 830.00 880.00

HLTH 100 151 and over 930.00 986.00

HLTH 101 Commissary 250.00 265.00

HLTH 102 Warehouse 200.00 212.00

HLTH 103 Limited service 540.00 572.00

Government Entities - fee is 50% of full service restaurant fees, based on restaurant seating. Senate Bill 631

Mobile Unit Annual Operating License per OAR 333-162-0020

HLTH 104 Class I 215.00 228.00

HLTH 105 Class II 240.00 254.00

HLTH 106 Class III 300.00 318.00

HLTH 107 Class IV 345.00 366.00

Temporary Restaurant License

HLTH 108

Temporary Benevolent: Must show a valid I.R.S. tax exempt I.D. number to

qualify 40.00 per event 42.00

HLTH 109 Temporary for Profit 125.00 per event 133.00

HLTH 110

Temporary Prior to Event: Temporary Restaurant Applications must be

received at least 7 calendar days before the day the event starts. 80.00 per event 85.00

HLTH 111 Temporary at Event (operating without a license) 200.00 per event 212.00

HLTH 112 Temporary Event - Ice as only non-exempt food 50.00 53.00

HLTH 113

Temporary Event - Events with five or more applicants (received 7

calendar days before the event) 70.00 74.00


FY 2016


Public Health - Environmental Health Division (continued)

Intermittent Temporary Restaurant License

HLTH 114Intermittent Temporary Benevolent: Must show a valid I.R.S. tax exempt I.D.

number to qualify 62.50 66.00

HLTH 115 Seven days or more before event start date 125.00 133.00

HLTH 116 Less than seven days before event start date 150.00 159.00

Seasonal Temporary Restaurant License

HLTH 117

Seasonal Benevolent: Must show a valid I.R.S. tax exempt I.D. number to

qualify 62.50 66.00

HLTH 118 Seven days or more before event start date 125.00 133.00

HLTH 119 Less than seven days before event start date 150.00 159.00

HLTH 120 Operational Review 85.00 90.00

HLTH 121

Operational Review Benevolent: Must show a valid I.R.S. tax exempt I.D.

number to qualify 42.50 45.00

HLTH 122 Re-check fee for Temporary Restaurant 85.00 90.00

School Cafeteria & Kitchens:

HLTH 123 School Inspection (production kitchen) 200.00 212.00

HLTH 124 School Inspection (satellite branch) 150.00 159.00

HLTH 125 Bed and breakfast (food facility) 375.00 398.00

Vending machines (of potentially hazardous foods):

HLTH 126 1 - 10 120.00 127.00

HLTH 127 11 - 20 160.00 170.00

HLTH 128 21 - 30 200.00 212.00

HLTH 129 31 - 40 240.00 254.40

HLTH 130 41 - 50 280.00 296.40

HLTH 131 Food handlers certification 10.00 11.00

HLTH 132 Certification card replacement 5.00 5.50

Review of restaurant plan prior to construction

HLTH 133 New 500.00 530.00

HLTH 134 Remodel 300.00 318.00

HLTH 135 School cafeteria plan review 500.00 530.00

HLTH 136 Daycare Plan Review 200.00 212.00

HLTH 137 Daycare Remodel Plan 75.00 80.00

HLTH 138 Commissary/Base of Operation 250.00 265.00


7


FY 2016 8



Mobile Unit (review of mobile unit plan prior to construction)

HLTH 139 Class I 215.00 228.00

HLTH 140 Class II 270.00 286.00

HLTH 141 Class III 375.00 398.00

HLTH 142 Class IV 400.00 424.00

HLTH 143 Non-profit organization plan review 250.00 265.00




Tourist facilities:

HLTH 144 Organizational camp or picnic park 135.00 plus fee for each space 143.00

HLTH 145 Traveler’s accommodation 200.00 plus fee for each space 212.00

HLTH 146 Recreation park 135.00 plus fee for each space 143.00

HLTH 147 First 50 spaces 3.00 per space

HLTH 148 Next 50 spaces 2.00 per space

HLTH 149 Each space beyond 100 1.00 per space

Note: Any person initially licensed under ORA 446.310 to 446.350 for

engaging in the recreation park or travelers accommodation business who

has failed to renew a license on or before the expiration date is delinquent.

If delinquency extends 15 days past the expiration date, a penalty fee

of 50% of the annual license fee shall be added. The penalty fee shall

be increased by 50% of the license fee on the first day of each

succeeding month of delinquency.

Swimming pools:

HLTH 150 License (first public pool, spa, bathhouse) 565.00 599.00

HLTH 151 Second pool or spa (same location) 340.00 360.00

HLTH 152 Additional pools or spas (same location) 280.00 297.00

HLTH 153 Pool plan review fee 460.00 488.00

HLTH 154 Pool construction permit 460.00 488.00

Surcharges for pools, spas & tourist facilities will be based on the amount

set forth by the Oregon Health Division for local govts.. Varies


FY 2016



Miscellaneous:

HLTH 155 Children’s Service: Foster home/day care inspection 175.00 186.00

HLTH 156 Children's Service: Child Care Center Inspection 200.00 212.00

HLTH 157 Fee for licensed facility that requires + two re-check inspections / year 150.00 159.00

HLTH 158 Miscellaneous Inspection or Plan Review 200.00 212.00

HLTH 159 Limited Inspection or Plan Review ACS

HLTH 160 Outdoor Mass Gathering 200.00 212.00

HLTH 161 Convenience/Handling Fee (On-line renewal of Food Service license) Varies 2.5% of transaction amount





9

MEMORANDUM

TO: Deschutes Board of County Commissioners FROM: Matthew Martin, Associate Planner DATE: November 4, 2015 RE: November 9, 2015, Work Session – CR Contracting Plan Amendment/Zone Change

(File Nos. 247-15-000272-ZC/273-PA) The purpose of this work session is to determine if the Board of County Commissioners (Board) is supportive of adopting ordinances by emergency. Based on Board direction, staff will prepare two ordinances for the business meeting on November 30. Summary C.R. Contracting, LLC, requested a Plan Amendment and Zone Change to change the zoning from Tumalo Residential-5 Acre Minimum (TuR5) to Tumalo Industrial (TuI) and the plan designation from Residential 5-Acre Minimum (TuR5) to Industrial (TuI) for a 5.39 acre property located near the southern boundary of the Tumalo Rural Community. The Hearings Officer held a public hearing on August 18, 2015, and found the application met, or could meet, all relevant criteria and approved the applicant’s proposal in a decision dated October 7, 2015 (attached). The Hearings Officer’s decision was not appealed. Under DCC 22.28.030(B), “In considering all quasi-judicial zone changes and those quasi-judicial plan amendments on which the Hearings Officer has authority to make a decision, the Board of County Commissioners shall, in the absence of an appeal or review initiated by the Board, adopt the Hearings Officer's decision. No argument or further testimony will be taken by the Board.” Staff will bring the ordinances for review and adoption on November 30, 2015. The attached letter from Sharon Smith, attorney for the applicant, explains their interest in adoption by emergency. ATTACHMENTS:

1. 247-15-000272-ZC/273-PA Hearings Officer Decision 2. Letter from Sharon Smith, on behalf of C.R. Contracting, LLC

Community Development Department Planning Division Building Safety Division Environmental Solis Division

P.O. Box 6005 117 NW Lafayette Avenue Bend, Oregon 97708-6005 (541)388-6575 FAX (541)385-1764

http://www.co.deschutes.or.us/cdd/

Memorandum

DATE: November 5, 2015

TO: Board of County Commissioners

FROM: Nick Lelack, Community Development Department Director Peter Gutowsky, Planning Manager

RE: Planning Staff I Budget Amendment I Authorization to Fund Assistant Planner Position

The Community Development Department (COD) is respectfully requesting the Board of County Commissioners (Board) amend the COD budget to add 1 New Full Time Equivalent (FTE) employee to fill an Assistant Planner position.

Background

In preparation for a Senior Planner retirement at the end of the calendar year, COD is reclassifying the Senior Planner position to an Assistant Planner. In addition to this reclassification, a new FTE position of Assistant Planner is requested. The result is to replace a Senior Planner with two Assistant Planners to reestablish the Planning Division's pre-recession organizational structure ( i.e. two Senior Planners, two Associate Planners and two Assistant Planners). The goals are to meet service demands, provide outstanding customer service and to adequately pay for the services delivered (Le. Senior Planners should not perform routine duties better suited for a lower planner classification).

Justification

To demonstrate the Planning Division's operational needs, COD offers the following as justification to add 1 FTE to its budget for a second Assistant Planner position:

• High land use volume shows since FY 2005-2006, that Planning Division FTEs rise and fall based on land use revenue (Attachment)

• Planning Division cannot meet its current needs as evidenced by an on-call planner working full time

• COD has sufficient revenue to fund the position based on year-to-date revenue total of t45% in Current Planning. Expenditures are on target at 33%.

• COD has employed an on-call planner in the last four months to meet the demands of the division (costs of this position is included within the 33% expenditure total).

Quality Services Performed with Pride t

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http://www.co.deschutes.or.us/cdd

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Deschutes County Land Use Applications

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With 2 New Proposed Positions

7/1/15 to

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for recording stamp only - deschutes county, oregon€¦ · minutes of board of commissioners’...

Documents