June 10, 2008
Rice Conference Room
||Dr. Francis Fox; Mr. Brooke Greenhouse;
Mr. Michael McLaughlin, Jr.; Mr. Frank Proto (12:45 PM);
Dr. Jeffrey Snedeker, President (12:10 PM); and Dr. William
||Mrs. Sylvia Allinger, Director of CSCN; Mrs.
Liz Cameron, Director of Environmental Health; Mrs. Alice
Cole, Public Health Director; Mrs. Sigrid Connors, Director
of Patient Services; Dr. William Klepack, Medical Director;
Jonathan Wood, County Attorney; and Mrs. Patty Stamm, Administrative
||Mr. Greg Stevenson and Mrs. Brenda Grinnell
Crosby, Public Health Administrator
||Dr. James Macmillan
||Steven Kern, Sr. Public Health Sanitarian
Dr. Snedeker called the regular meeting of the Board of Health
to order at 12:12 PM.
Mrs. Cole introduced and welcomed Mr. Michael McLaughlin, Jr.
as the newest member of the Board of Health.
Approval of Minutes:
Dr. Tyler moved to accept the minutes of the May 13, 2008 meeting
as written, seconded by Mr. Greenhouse, and carried by a unanimous
In Mrs. Grinnell Crosby’s absence, Mrs. Cole stated there
was no financial summary for today. She added the proposed 2009
budget would be presented at the July Board of Health meeting.
Mrs. Cole distributed:
Mrs. Cole reported:
- On June 26th, 3:00 – 4:00 P.M., LaBella Associates
will be doing a presentation for staff in the Rice Conference
Room on the design for the new Health Department. Mrs. Cole
stated the Brown Road project is only about a week behind
schedule. It is hoped renovations will be started in January
2009, with move in scheduled for October 2009.
- Mrs. Connors has been chosen as an NEPHLI (Northeast
Regional Public Health Leadership Institute) scholar. Mrs. Connors
will spend the next year with other selected colleagues from
the Northeast region from Maine to Pennsylvania working on various
projects they hope to take back to their local health departments.
Congratulations to Sigrid!
Medical Director’s Report:
Dr. Klepack had nothing to add to his written report.
Division for Community Health:
Mrs. Connors reported:
- The vacant Sr. Clerk position in WIC was just offered to
a new candidate on Monday, June 9th. A response to this offer
is expected on Wednesday, June 11th. An acceptance of this
position would bring the WIC Program back up to full staff.
- Mrs. Connors has received notice of two upcoming retirements:
one Home Care nurse and a clerical staff position.
- Regarding WIC: The State informed the Health Department
the RFA (Request for Application) was going to be delayed
for another year. In addition, the State has informed Mrs.
Cole (to be acknowledged in writing) the funding will be stable
and they also expect to add funding for additional nutrition
time. The decision was made for the Health Department to apply
for the RFA when it comes next year. Mrs. Connors added that
she is currently working with the WIC Director in her submission
of the 2009 budget, since their fiscal year starts October
1st. They are looking at creating a Team Leader position who
would cover for the WIC Director when she is not in the office.
This person would take some of the duties that fall to Mrs.
Connors when the WIC Director is unavailable, thus alleviating
some of the drain on Mrs. Connor’s time.
Children with Special Care Needs:
Mrs. Allinger reported:
- The Children with Special Care Needs Division collaborated
with the Early Childhood Direction Center of the Southern
Tier Independence Center to present a workshop on ‘Autism
and Sensory Integration Perspectives.’ She added it
was well received, with very positive feedback. Mrs. Allinger
passed around handouts from this workshop for everyone to
look at. She stated her Division would be partnering with
the Early Childhood Direction Center to bring future workshops,
adding they are in the early stages of planning a workshop
for first responders working with children on the autism spectrum
when handling an emergency in the field.
County Attorney’s Report:
Mr. Wood stated he had nothing to report.
Environmental Health Report:
Mrs. Cameron reported:
- A situation is developing in the Congers Mobile Home Park
(MHP). The Environmental Health (EH) Division visited in March
of 2007 and found Congers MHP was installing a new sewage
system without a permit; their other system had failed. The
Board of Health issued orders in November 2007. Mrs. Cameron
stated the EH Division has been working with the DEC on this
issue. Since the sewage system is greater than 1,000 gallons
per day, the DEC must issue a SPDES (State Pollutant Discharge
Elimination System) Permit. She added the DEC did the official
review of the system and issued a permit. Congers MHP started
some of the construction, but they did not install the system.
Mrs. Cameron stated when staff visited on June 5th, part of
the pipe from the old system had been cut and had sewage surfacing.
Another Stipulation Agreement and Orders will be drafted for
the Board of Health to consider requiring that the surfacing
sewage be stopped. Mrs. Cameron also stated they are concerned
that Congers MHP does not have the financial resources to
install the new sewage system. If Congers MHP is not able
to comply with orders, Mrs. Cameron stated they would then
be looking at revoking their MHP permit for that part of the
park which serves between 28-30 units.
- Due to the time spent on the proposed Environmental Health
fees for 2009, she did not get the materials prepared for
the proposed revisions to Article VII, so she would like to
have this discussed at the July Board of Health meeting.
Richard Louie, Flanders Ventures, LLC Re: Newfield Estates
Mobile Home Park, T-Newfield – NYS Sanitary Code and Tompkins
County Sanitary Code (water/sewage) Violation:
Mrs. Cameron stated she had received a request for an extension
of time from Mr. Louie, the agent/operator of Newfield Estates
Mobile Home Park, in order to come into compliance on all items
discussed in the resolution. Mrs. Cameron stated action has
been taken to address the violations discussed in the resolution,
however, as requested by Mr. Louie, she would like to change
the 6/2/08 deadlines for compliance to 7/2/08, thus allowing
time for all violations to be addressed by that time. She added
work has been done, however a report from a NYS licensed professional
engineer was not submitted by June 6th. Mr. Louie has contacted
an engineer and Mrs. Cameron stated they expect to receive design
plans by July 2nd. She added the well cap will be replaced by
July 2nd, as well as the water storage tank issue being addressed
by that time.
Mr. Greenhouse moved to accept the resolution as modified,
seconded by Dr. Tyler, and carried by a unanimous voice vote.
Continued Discussion of Proposed Revision to Tompkins County
Sanitary Code, Article VII – Water Supply: discussion
This item was removed from today’s agenda and will be
addressed at the July meeting.
For Discussion: Environmental Health Fees proposed for 2009:
Dr. Snedeker commended Mrs. Cameron for the very detailed proposed
Environmental Health Fee Schedule for 2009.
Due to no significant changes in fee-related expenses, Mrs.
Cameron reviewed and discussed the proposed fee changes, which
- Low Risk Food Service Establishment Annual Operating Permit
fee decreased from $210 to $205 to limit cost recovery to
less than 100% of expected expenses.
- Established separate Community Water System (CWS) fees
for groundwater systems and surface water systems based on
an analysis of oversight costs (Table 3b).
Mrs. Cameron added that in discussions with Steve Maybee, Public
Health Engineer which occurred after she had prepared the proposed
fees, it came up that there are some categories which are not
being captured in engineering plan review. She passed around
a modified pg. 2 of 2 (Proposed Water System Fees and Proposed
Sewage System and Development Fees) and discussed proposed categories
to be added to the proposed fee schedule.
A short discussion ensued regarding the proposed modifications
to the Proposed Water System Fees and Proposed Sewage System
and Development Fees schedule. Dr. Snedeker asked Mr. Wood’s
opinion of the proposed 2009 fee schedule and Mr. Wood stated
he felt the proposed changes were small enough no one would
likely challenge them, and they would be much easier to justify
if they were challenged.
Mrs. Cameron stated next year she planned to do a more comprehensive
review of the programs to see if there was a way to include
a percentage of fees to cover administrative and overhead costs
which would be consistent for all programs.
The proposed Environmental Health Fees for 2009 will be voted
on in July when the full budget package is voted on.
Based on previous events, Dr. Snedeker suggested Mrs. Cameron
send the three large water systems a draft copy of the proposed
fees for 2009. This would give them an opportunity to contest
the proposed fees before they go to the full Legislature for
Dr. Fox moved to adjourn the meeting at 12:46 P.M., seconded
by Mr. Greenhouse, carried.