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2017, 10-03 Study Session MINUTES SPOKANE VALLEY COUNCIL MEETING STUDY SESSION Spokane Valley City Hall Council Chambers Spokane Valley, Washington October 3, 2017 Attendance: Councilmembers Staff Rod Higgins, Mayor Mark Calhoun, City Manager Arne Woodard, Deputy Mayor John Hohman,Deputy City Manager Caleb Collier, Councilmember Cary Driskell, City Attorney Pam Haley, Councilmember Erik Lamb, Deputy City Attorney Mike Munch, Councilmember Chelsie Taylor, Finance Director Ed Pace, Councilmember Mark Werner, Police Chief Sam Wood, Councilmember Mike Stone, Parks &Recreation Director Gloria Mantz, Engineering Manager Jenny Nickerson,Assistant Building Official Christine Bainbridge, City Clerk Mayor Higgins called the meeting to order at 6:00 p.m. At Mr.Calhoun's request,IT Specialist Bingaman explained that the installation for everything in this room is about 80-85% complete; he said they are working on some adjustments and final testing, and plan to be able to broadcast for next Tuesday's Council meeting. City Clerk Bainbridge called the roll; all Councilmembers were present except Councilmember Haley. It was moved by Councilmember Pace, seconded and unanimously agreed to excuse Councilmember Haley. ACTION ITEM: 1. Second Reading Proposed Ordinance 17-010 Sidewalk Snow Removal—Cary Driskell After City Clerk Bainbridge read the ordinance title,it was moved by Deputy Mayor Woodard and seconded to approve Ordinance 17-010 relating to sidewalk snow removal. It was then moved by Councilinember Pace and seconded to amend that motion by changing section 4 effective date, to have two effective dates: that the education program and new snow removal equipment and procedures be effective today for as stated on the ordinance,five days after publication of the ordinance or a summary in the City's official newspaper]; and that Tier 1 be effective October 3, 2018. Councilmember Pace said this would give the ordinance a season for the education and new procedures before enforcing the Tier 1 on citizens. Councilmember Collier mentioned exploring if there are any other options other than fining citizens. Councilmember Munch said he is opposed to the amendment as common sense should prevail; that most people know they are supposed to be taking care of sidewalks and that is not being done at this point; he said the fine is much lower as well. [Councilmember Haley arrived at 6:06 p.m.] Mayor Higgins invited public comments on the amendment. Ms. Nina Fluegal questioned how this will work and if it is not working,who do citizens contact or what should citizens do.Mr. Calhoun said if citizens have a complaint, they can either call or go on-line and enter the complaint through our CARE system. Deputy Mayor Woodard said this is the eleventh meeting and we have been discussing this for about two years now and we have to get started someplace; that an ordinance with no "teeth" to it will give the same results as previous years, and at some point you have to have teeth to it; said we are not pursuing this to fine the citizens but rather we want compliance so we have clear sidewalks. Vote on the amended motion:In Favor: Councilmembers Collier and Pace. Opposed: Mayor Higgins, Deputy Mayor Woodard, and Councilmembers Wood, Haley, and Munch. Motion failed. After City Attorney Driskell gave a brief explanation of the proposed ordinance, mentioning the slight revision with the clearance, as he checked with ADA and rather than 42, it should be 36 inches, Mayor Higgins invited public comment. Ms. Nina Council Study Session: 10-03-2017 Page 1 of 5 Approved by Council: 10-24-2017 Fluegal asked who would enforce this and where would the funds go. Mr.Driskell said the funds would be placed in the general fund; and Mr. Calhoun added that if Council desires, it could be placed in the street fund, but as Mr. Driskell mentioned, these typically go in the general fund. Mr. Bob Blum: said he feels this proposal is even worse than the first draft as it states that tier 2 is not on par with tier 1 so those people are less important; he rhetorically asked about kids who walk on tier 2 and if they are less important; said if the ordinance is cherry picking maybe it doesn't need to be implemented; said it will still mean more money out-of-pocket for doing something he thinks the City is responsible for; and that it should be applied to all neighborhoods, and not just a select few; he asked under what authority can the City force homeowners who don't own the sidewalk to maintain and clear the sidewalk by threats and punishments. There were no further public comments. Councilmember Collier mentioned Mr.Adam Jackson's previous presentation on safe routes to school and grants, and that there is only a 9% success rate on those grants; said we are not getting the grants because we aren't having accidents; and said perhaps the ordinance is not necessary. Councilmember Pace said he appreciates Mr. Driskell's work on this but he would like to see a year of operation with the plows not throwing as much snow on the sidewalk,and said he also appreciates Mr.Blum's comments that this should be applied to all as there are some streets that don't have sidewalks; said it doesn't make sense. Vote by Acclamation on the original motion: In Favor: Mayor Higgins, Deputy Mayor Woodard, and Councilinember°s Munch, Haley, and Wood. Opposed: Councilmembers Pace and Collier. Motion carried. NON-ACTION ITEMS: 2. Spokane Regional Health District—Mark Calhoun and Dr. Lutz City Manager Calhoun introduced Dr. Lutz, new administrator for the Spokane Health District; said that Dr. Lutz had requested an opportunity to introduce himself to Council and explain a little about the mission of the Health District.Mr. Calhoun said this is not an opportunity to discuss parental rights or vaccinations, but rather an opportunity to get introduced to Dr. Lutz. Dr. Lutz said he has lived in Spokane since 2004 when he started working for First Care Urgent Care; said it is his intention to get out in the community and understand the issues; to meet with elected officials, stakeholders,and community leaders and talk a little about the Health District. Dr.Lutz mentioned the two handouts he had distributed tonight: the September 26,2017 "News Release"which discussed experiences of violence in the County; and the"Quick Guide to our Programs & Services." Dr. Lutz said there is a lot of violence in our community, including assault and bullying, and that one out of five adolescents over the past year had contemplated suicide; one in three have found themselves depressed; and one in four have been in a fight or been bullied; said there are also those with a history of abuse and those who were abused as youth have more problems as adults and are more likely to commit violence;said that the"News Release" is a very timely report. After Dr. Lutz referred to and explained the two slides accompanying this Council packet, Council thanked him for coming and for his information. 3. CenterPlace Great Room Bid—Mike Stone Parks and Recreation Director Stone explained about the sound and video system update needed for CenterPlace's Great Room as noted in his October 3,2017 Request for Council Action form;he mentioned the three bidders and of his due diligence in his research of Proton360 and said he feels confident that company fully understands the project. Mr. Stone said he will be employing our consultant as a contract manager,which means spending a little bit of money to make sure all goes as it should. There was Council consensus to bring this back next week for a motion consideration. 4. Proposed 2017 Budget Amendment—Chelsie Taylor After Finance Director Taylor went through the budget amendment information contained in her October 3,2017 Request for Council Action form, Council concurred in moving this forward as planned. Council Study Session: 10-03-2017 Page 2 of 5 Approved by Council: 10-24-2017 5. Amendment to Procurement Code—Erik Lamb After Deputy City Attorney Lamb explained the background of our contracting and purchasing code and of the need for the three changes, all as outlined in his October 3, 2017 Request for Council Action form, Councilmember Pace said a goal he'd like to see us set would be to have every contract have at least two qualified bids, and he would request having a meeting with the City Manager and City Attorney, perhaps some contract administration staff and some Councilmembers, to brainstorm on how to look at goals, policies and procedures; and after that meeting takes place, to include this topic on an advance agenda to kick off the process.Mr.Calhoun said he will talk with other staff members such as Mr.Driskell,Mr.Lamb, Mr. Hohman and Ms. Taylor, and will set up a meeting and report back to Council. Councilmember Pace suggested perhaps Mayor Higgins could decide which Councilmembers to include. 6. Washington State Depaitment of Transportation Grant Program Status—John Hohman, Gloria Mantz Mr.Hohman explained that this is a companion piece to Adam Jackson's report last week about the various grants and our successes with those;he said that part of how we participate in that is important and with the grants,there are requirements that must be met in order to receive those funds;he noted that grants are from taxes paid by our citizens and these grants enable us to return some of that money back into the community. Mr. Hohman said it is very important to have solid foundations to work on these grants and stay in good standing with the various programs; he said that when we went through the re-organization, there were some deficiencies with the capital improvement program, and in an audit conducted in 2014. Mr. Hohman explained about Project Management Review and that those reviews are conducted from Olympia; if we are in good standing the review is conducted every three years, if there are areas upon which to focus,the review is conducted annually; and he mentioned the Department of Transportation's audit letter and correction action staff put together,copies of which were included in tonight's Council agenda packet. Via the PowerPoint presentation, Ms. Mantz explained about the Certification Acceptance (CA) Program, its requirements, compliance process, and possible repercussions for noncompliance. Mr. Hohman then explained the levels of CA and what each means along with the City's current status of "Level 2. Corrections required;" he went over the history of our CA status as well as the 2017 Corrective Action Plans, and next steps of implementing the Correction Action Plan,accessing staffing workloads and needs, having an ongoing evaluation of the capital improvement program, and continuing to build relationships with WSDOT Local Programs staff, and to continue pursuing grants to help fund our capital projects. Ms. Mantz added that we have a great, skilled, and dedicated staff; that there was a deficiency in formal and consistent procedures and to make sure all documentation requirements are met,that staff will examine the basics to make sure we have resources and manpower to deliver these projects. Mr. Hohman added that staff has a variety of experience and will work together and come up with consistent policies and procedures to make sure we have a solid foundation before we do anything else;to ensure we have the basics such as proper training, including how to properly conduct an inventory of all the different materials in a project. There was discussion about the letters included in the packet and that they were not "cc'd" to the City Manager; and Mr. Hohman stated we could request DOT to include the City Manager on these types of correspondence, but we have developed a very strong management team to discuss these things, and as we became aware,the information was forwarded to Mr. Calhoun and Ms. Taylor. Mr. Hohman stated that on these projects, a lot is billed through the grant and on large projects, we don't have the staff to do that; he said it doesn't make sense to hire someone as we would be better served to contract out for that. Councilmember Collier asked about any cost that might be associated with the annual audit, and Mr. Calhoun replied what then WSDOT conducts an audit,we are not billed as compared to when state auditors conduct an audit,we are billed. Mayor Higgins called for a recess at 7:30 p.m. and reconvened the meeting at 7:41 p.m. 7. State Feasibility Study of Home Growing Recreational Marijuana—Erik Lamb Deputy City Attorney Lamb stated that Police Chief Werner and City Assistant Building Official Jenny Nickerson will also participate in this agenda item.Mr.Lamb explained that currently Washington prohibits Council Study Session: 10-03-2017 Page 3 of 5 Approved by Council: 10-24-2017 home growing of recreational marijuana, and of those states who have legalized marijuana,we are the only state that does so. Mr. Lamb explained that one of the provisions of the Engrossed Substitute Senate Bill 5131 was direction to the Washington State Liquor and Cannabis Board to conduct a study on the feasibility of allowing home growing of recreational marijuana;he explained that the Liquor and Cannabis Board must provide written findings and recommendations to the Legislature by December 1, 2017; and in that vein, that Board has requested comments from interested stakeholders,with comments due by October 11,2017. Mr. Lamb described the three potential proposals as part of the aforementioned study,which proposals are explained in Mr. Lamb's October 3,2017 Request for Council Action form;he also explained current state law as well as current city law; he explained the Cole memo, which was published by the Department of Justice telling states with laws legalizing marijuana, that if a strict regulatory framework and a tracking system is used to monitor the growth, distribution and sale of regulated cannabis to prevent diversion and create a transparent, accountable market, then the federal government would not interfere; and said therefore,that staff recommends the state continue to prohibit home growing of recreational marijuana. Chief Werner expressed his concerns about controlling youth access, preventing diversion, and of the increased burden this will place on local law enforcement; he mentioned marijuana is illegal in Idaho so there are those who would seek to profit from such legislation; and he expressed great concern in trying to control youth access in homes. Mr. Lamb added that if Council agrees, both letters included in tonight's Council packet will be sent; he mentioned again our lack of enforcement resources; said the amount of funds we get from the state in marijuana taxes won't contribute to the increased issues we will see if this passes;he also noted the Building Code is not set up to allow recreational home growing,nor are residences designed for such.Ms.Nickerson explained that regulatory updates have been made over the last few years concerning marijuana; said if there were to be personal production of marijuana in a home,there would be heating and air conditioning as well as lighting needs; and if this production were to be done improperly, it could create safety issues; she said there are very stringent fire and building code regulations; adding that moisture and heat could result in mold and rot to structures. Mr. Lamb said there is also the potential for odor which could result in neighborhood disputes and complaints; he said it is difficult to control odors; and again said he recommends sending our comments to maintain the status quo and not allow recreational home growing; but if it were allowed, we must maintain the right to deal with the issues at a local level, even to the point of prohibition. Mr. Lamb said the Washington State Liquor and Cannabis Board will be issuing their report in December, and that it will be interesting to see if anything happens in the 2018 legislative session. Deputy Mayor Woodard said he thinks we must continue to have local control, but also doesn't want the state to withhold revenues to get us to do what the state wants, and Mr. Lamb said he can add that to the letter. Councilmember Pace said normally whatever people do in their own home is their own business,but these recommendations make sense, and cities should be the ones to control this. Councilmember Munch said that he feels that the legislators haven't come close to digesting what is already allowed to make sure growers, etc. are in compliance; that there is a lot of confusion and he feels the Board shouldn't increase that. Mayor Higgins added that it would be unenforceable and create a whole new black market, as well as additional revenues for minors. With Council concurrence,Mr. Lamb said staff will send the letter with the requested changes, and include Chief Werner's letter as well. 8. Draft 2018 Legislative Agenda—Mark Calhoun City Manager Calhoun mentioned that the previous item regarding marijuana was placed on the agenda prior to this Legislative Agenda item in case Council is interested in asking our lobbyist from Gordon Thomas Honeywell to engage the legislators in this issue; said that he feels with the exception of this most recent report,the legislative agenda is likely confirmed;he mentioned he spoke with the Executive Director of SRTC (Spokane Regional Transportation Council)who encouraged our City to focus on just one grade separation project, i.e. the Barker Road project, as that is likely the most well understood. Mr. Calhoun noted he met with assistants from Senator Patty Murray's office and Representative Cathy McMorris Rodgers' office and after discussing these issues with them, they too agreed we should focus just on the Barker Project. Mr. Calhoun said next week City Engineer Adam Jackson will come before Council asking Council Study Session: 10-03-2017 Page 4 of 5 Approved by Council: 10-24-2017 for authorization for staff to apply for both the TIGER and the INFRA grants,and again,our plan is to come forward just for the Barker project; that we will continue the design efforts on Pines, but our focus will remain on Barker. After Mr. Calhoun went over the remainder of the draft 2018 Legislative Agenda, he mentioned adding verbiage encouraging the state legislature to adopt the status quo regarding residential home growing of marijuana. Councilmember Pace said he agrees with adding the new item, and to also include parental rights. Deputy Mayor Woodard said he feels it is late in the game to add that, and is not sure what discussion of that would mean or what we would want the state to do; said this will be a short legislative session and is really about the budget, so he wouldn't want to overburden it. Councilmember Munch said there is supporting legislation already as Senator Padden has introduced some bills concerning informed consent for abortions; again said legislation already exists that would support parental rights and he would encourage the legislators to support those instead of new legislation. Mr. Calhoun said that if Council concurs,he will work with City Attorney Driskell and our lobbyist to ask them to get a sense from the legislators whether they would support this particular topic in this particular session, and he can report back to Council again. Councilmembers nodded in agreement. 9. Advance Agenda—Mayor Higgins There were no suggestions for changes to the Advance Agenda. 10. Information Only(will not be reported or discussed) The Community Development Block Grant topic was for information only and was not reported or discussed. 11. Council Check in—Mayor Higgins There were no further Council comments. 12. City Manager Comments—Mark Calhoun Mr. Calhoun mentioned that we are aware Spokane County is having some difficulty balancing their 2018 budget and the Commissioners have requested each of their departments to prepare budgets with a 7% budget reduction; that with such a reduction, the Sheriffs Office would likely lose several positions, and Mr. Calhoun's said he wanted to assure the community and Council that irrespective of the County's budget, that will not have an impact on our budget and we will continue with the same number of police officers.Mr. Calhoun noted that if the County is forced to eliminate some positions in the Sheriff's Office, we still have vacant positions so Chief Werner would work through that issue,and it might aid us in filling our staffing. On a different topic, Mr. Calhoun noted we received notice last week that Moody's has reaffirmed our great bond rating. Mr. Calhoun brought attention to the pictures hanging in Council Chambers, which he explained have been provided by the Museum, and that there will be more to come with plans on having pictures on the first floor, and in the landing area of each floor. Mr. Calhoun also reminded everyone of the City Hall Grand opening event October 14. It was moved by Deputy Mayor Woodard, seconded and unanimously agreed to adjourn. The meeting adjourned at 8:16 p.m. graspATTEST: L.R. Higgins, L(-71/ Christine Bainbridge, City Clerk Council Study Session: 10-03-2017 Page 5 of 5 Approved by Council: 10-24-2017 SPDME • REGICINAL LTH News Release U i S 7 R i GT Sept. 26, 2017 Medea Contact: Kim Papich kpapich asrhd.orR (509) 324-1535, c(509) 994-5958 A Closer Look at.Experiences of Violence in Spokane County; Some Groups ;Disproportionally Affected New Confronting Violence report by Spokane Regional Health District examines factors that contribute to, or protect people from, violence in cotttimrity; afters something everyone can do toward prevention SPOKANE,Wash,—Nearly has of Spokane's youth experienced at least one violence-related incident in the past year, according to findings released today by Spolcane Regional Health_District(SRH D)—and those numbers only tell part of the story of community violence in Spokane County, Community violence includes: homicide and suicide, domestic and sexual violence, elder abuse, child abuse and neglect, and youth violence. Over 50,000 incidents of child abuse were verified in the last decade in the county, For the most recent year of data available.there were over 4,000 domestic violence offenses. For certain groups in Spoka.ne,how they experienced this violence and associated risk factors was disproportionate=black and Hispanic students were more likely than whites to report being arrested;Native American/Alaska Native students were more likely than whites to have been bullied; and females were more likely than males to experience depression, the report says. "This landmark report paints a dear picture of the numerous and substantial impacts that violence has on human health and well-being in our community," said.SR1-11.7 Health Officer Dr.Bob I:utz. "Our hope is that the information presented will serve as a vital tool to guide collaborative efforts among partners across Spokane County, and shape future funding and program initiatives to confront violence." Confronting Violence is one of SRHD's latest public health reports, generated by researchers in its Data Center program, designed to better describe and monitor the magnitude of 37 separate measures of violence in Spokane County.The measures range from physical abuse, child abuse,and domestic violence,to gang membership,homicide and suicide.it is a comprehensive report providing estimates of violence in the community, as well as risk and protective factors related to violence locally. Critical impacts of violence, service gaps and strategies to confront violence are also presented. 1 Key indicators and impacts of violence as explored in the report include: For yrrth • Nearly one in five Spokane County adolescents reported they seriously considered attempting suicide in the last year. • One-third of Spokane County adolescents experienced depression in the last year. • One-quarter of Spokane County adolescents reported being in a fight in the last year. • Students who reported abuse history were 2.2 times more likely to be failing in school and were 17 times more likely to report a low quality of life. • Academic failure significantly increased as the number of experiences of violence increased— meaning that violence is independently associated with poor academic outcomes. Eye on inequity Experiences of violence in Spokane County are unfairly distributed,resulting in disparate risks, exposures, and outcomes by race and ethnicity,neighborhood, and other factors. Children of color have more risk factors and fewer protective factors than white children, perpetuating an ongoing cycle of racial bias and trauma across generations. For example,the data show: • Fighting–American Indian/Alaska Native,Hispanic and `other' races were more likely than white stints to have been in a fight. • Depression-American Indian/Alaska Native and `oilier' races were more likely than white-students to have experienced depression. • Bullying- compared to white students,American Indian/Alaska Native students were more likely to have been bullied. • Safety at school - compared to white students,black,Native,r mcrican/.Ala_ska Native, and Hispanic students were more likely to report not feeling safe at school. Furthermore,there is almost a 90-fold difference between the neighborhood with the highest rate of violent crime(Riverside, i.e., downtown Spokane) compared to the neighborhood with the lowest rate(Northwest:). Like income, education, and other social determinants of hea]tb €nd well-being,experiences of violence are unfairly distributed. For adults Poor health outcomes were also often carried into adulthood for adults exposed to trauma during childhood or adolescence. in Spokane County, adults who experienced three or more traumatic.or stressfulevents were: • 2.1 times more likely to have mental health problems and 3.3 times as likely to have a serious mental illness. • 1,4 times more likely to have physical activity limitations. 2 • L3 times as likely to have fair to poor overall health. • 3.4 times more likely to be unable to work. • 1.5 times as likely to ben smoker. • 2.3 times as likely to have poor quality of life. With the recent Freeman High School shooting in the Spokane area, it is more important than ever for the community to take action on preventing violence. "Violence is still very present in our community. We need to get at the root of what is causing youth to become violent,"said Spokane County Sheriff Ozzie Kn.ezovieb. "We need to look inward at what we have done to allow this to happen in our society.How can we address root causes of intergenerational violence and incarceration, such as poverty,and stop these issues from continuing in the next generation?" Based on report findings, stakeholders should consider where alignment and partnership with other organizations can be furthered to confront and eliminate violence in Spokane County. Combating violence takes thecollective efforts of stakeholders that provide services on many different levels, from working directly with victims to changing policies, and shifting cultural views. The report also presents opportunities for media, employers, schools, individuals and others to tackle violence—there is something that everyone can do to prevent violence. A desired outcome of this report is to catalyze action. The health district is working to convene anti-violence advocates and professionals in the community and help support data-driven and focused improvements. The health district is committed to: • providing data evaluation support for stakeholders who address violence,to help guide effective interventions and establish shared systems for measuring progress. • Supporting children and marginalized individuals through efforts to build individual and community resilience and combat inequities. • Convening the community and specifically focusing on and mowing prevention efforts and capacity to support the health and well-being of the community's children. The health district is asking each of the many organizations and dedicated people in this community to identify how their own efforts can be renewed,re-energized, and refocused to prevent violence. The report, as well as its Executive Summary,and more information on next steps,can be found at www.srhd.org, SRH1 's website offers comprehensive,updated information about Spokane Regional Health District and its triumphs in making Spokane a safer and healthier community. Become a fan of SRHD on Facehook to receive local safety and wellness tips.You can also follow us on Twitter ftspokanehealth. ti## 3 2011 SPOKANE 1EGIONAL : . H LTH I , DISTRICT o A Quick Guide to Our Programs & Services 509.324.1500 Main Line 509.3 .144Toll Free 50What i Public Health? 9.32424.3.466A TI3[3 CI srhd.org Public health is an essential set of services guaranteed to all citizens. It is a network IJ fspokanehealt'h of local,state and national professionals working together for a safer and healthier 0 @5pokanehealth community. From restaurant inspections, to health education, immunizations, and Monday-Friday disease control and prevention, Spokane Regional Health District (SRHD) is a public 8:00 a.m.-5:DO p.m. health agency providing over 20 different programs and services to individuals,families, 1101 W.College Ave. and organizations across Spokane County. Spokane,WA 99201-2095 SRHD now has over 200 employees, at several locations, and serves a population of _ more than 475,000 in Spokane County. SRHD is one of 34 public health agencies serving .grA Cwo!,il Washington state's 39 counties.These public health agencies,together with Washington ' :�^ �� Cioadvray 4Venu StateDepartment of Health (DOH), make up the statewide public health network. The U,5, Centers for Disease Control and and Prevention (CDC) lead the national public college Avenue l health network. 1111$0° N A 12-member board of health is the governing body of the health district, uniting the cities and county in a cooperative effort to oversee all matters pertaining to public le health, according to state law.The board creates and promotes prudent health policy, compliance with all applicable chapters of state law and invites participation a 1- by ail persons and organizations interested in public health. The board adopts local 111 ordinances and resolutions and approves budgets. In February 2013, Spokane Regional Health District was among the nation's first cohort PROGRAMS BY DIVISION: to achieve national accreditation through the Public Health Accreditation Board (PHAB). Administration 1 The accreditation process validates the responsiveness of SRI-ID staff and programs in Community&Family Services ..2 meeting the health needs of residents and demonstrates increased accountability and Disease Prevention Response 2 credibility to the public,funders, elected officials and partner organizations. Environmental Public Health ...,.3 Agency Organization Health Promotion.... 4 Spokane Regional Health District is organized into five divisions to best serve the diverse Treatment Services 4 heeds of the community. Details about the wide variety of programs and services offered by the agency are contained in this publication. For more information, please visit Financial Services SRHD's web site at: srhd.org. &Vital Records 4 ADDITIONAL LOCATIONS: East Centro]WIC._509.323.2830 Administration Deer Park WIC 509.276.3770 North WIC......—509.323.2813 Health Officer,Administrator.......324.1512 Human Resources 324.1558 Northeast WIC 509.323.2828 Finance 324.1511 Job Line 324.1516 Financial Services/Vital Records.._324.1501 Information Systems 324.1513 Valley WIC.............509. 23.2$00 Communications 324,1515 Maintenance 324.1432 Community and Family Services Access to Baby & Child Dentistry(ARCD)324.1478 Neighborhoods Matter 324.11650 ARCD recruits and matches eligible children,from birth to age 5,to ABC[) Neighborhoods Matter is a community-based approach to reduce health dontists,where they receive.oral health services until age 6.Staff offers disparities impacting maternal,child and family health by promoting oral health resources via eduratirsnal outreach,information and materials. the resiliency of families.This is done using the strength and knowledge The A L CD program organizes quarterly Spokane Oral Health Coalition of community residents to build safe communities and strengthen meetings and assists other community groups with oral health promotion connectivity.Staff are currently in Spokane's Whitman neighborhood and activities. i•i the city of Airway Heights.Staff launched Kaleidoscope Play and Learn Access to Baby&Child Dentistry"Expanded"(ASCD"E"'}provides eligible groups to work with family-,friend-, and neighbor-caregivers,and parents, children with fluoride varnish applications at participating medical offices. 1"support early learning and development. Early Intervention Program 324.1649 Nurse Family Partnership 324.1621 Public health nurses with speclalixed training visit first-time, Public health nurses provide home-based services to children and families Iow•income mothers in their homes, providing services to pregnant who have been referred to the program by Child Protective Services, women and their infant until the child is 2 years old.All low-income Parenting skills and child development education are provided,along with women who are less than 23 weeks pregnant with their first baby are referrals to other resources.Services are designed to strengthen families eligible for the program.nursefrnllypartnership-erg and improve the health of all family members. Weaving Bright Futures 324.1650 Children and Youth with Special Health Care Needs Staff improve systems spocifc to children and families in Spokane County. (CYSHCN) 324.1696 Public health nurses In the program conduct presentations and multi-part Children under the age of 18 who have disabilities,chronic illness or trainings on adverse childhood experiences{ACEs)and impacts to children, related conditions are eligible for this program.Staff enroll eligible families,and c:ommunities.The program offers a trauma-informed toolkit children,then work collaboratively with the health maintenance for caregivers of children,1-2-3 CARE. organl,ation's Case manager to ensure the child is receiving appropriate and timely services. On a limited basis,staff may be able to assist families SpoKids 3241650 in obtaining financial assistance for needed medi€al equipment for their SpoKids engages parents and community partners in identifying policies to children. promoto safe,stable and nurturing environments for children. !Want Toddler Network 324.1651 Fostering Healthy Connections 324.1650 Many children in foster care have experienced difficult situations that can Children ages birth to 3 years with developmental delays and/or disability, affect their health and ability,to get along with others. Fostering Healthy and their families,are provided services.Anyone concerned about a child's Connections provides concrete tools to help foster parents look beyond development can call for assistance with screenings,evaluations and behavior and meet children's deeper need:to feel important,included and early-Intervention services. connected. Disease Prevention and Response Communicable Disease Epidemiology 324.1442 Public Health Emergency Preparedness& Response Epidemiologists monitor,track,and respond to infectious disease in the 324.1442 corn IT u rul ty to prevent further spread of the disease,Health care providers Public health responders and volunteers in this program work with other and laboratories must report over 60 notifiable conditions to epidemiology staff, health care partners,community organizations,and the public to staff.These reports are investigated and tracked to identify outbreaks or prepare for, respond to,and recover from public health emergencies. trends that require action or community education.Education on infection Program goals are to ensure a more resilient community and to protect prevention practices and general disease information is provided to the health and safety of citizens,staff coordinate with 10 counties and patients,healthcare providers and the public. three tribes in eastern Washington. I'IIV/STD Services 324,1542 --- ---'.-..._ _ -_ . HfV staff provide HIV and hepatitis C testing for populations at highest Data Center 323.2853 l risk,The program offers a one-for-one needle exchange,HIV case Staff collect,analyze,and use - management and partner services.STIP staff provide education to peoplee health-related data to Inform the . recently diagnosed with a sexually transmitted disease,associated partner community shout current local p notification and work with local providers to inriprovo STD care. health issues,They develop and G . Immunization Outreach 324.1613 conduct surveys;provide data and :, •i i► A technical assistance to partners for i - Toimprove immunizationcoverage,staff build partnerships to improve -grants or community ' - vaccine access and promote the state's immunization registry by workingwith program or project planning; with schools,healthcare providers and other community partners. evaluate programs and assist with , Washington provides free vaccines for children under the age of 19.Staff "quality Improvement efforts;and • monitor the use of state provided vaccines working to assure individuals publish reports and fact sheets. - are protected from disease.Immunization info;immstoolkit-org - ' - - • 2 • Environmental Public Health ENVIRONMENTAL RESOURCES LIVING ENVIRONMENT Drinking Water(Private Wells)324.1560 ext.6 School Health and Safety 324.1560 ext.4 Assistance is provided to private well owners inquiring about water Public, private and parochial schools(l<-12)In Spokane County are quality,odor,taste,and contaminants. Environmental health specialists routinely inspected for public health and safety issues-Plans for proposed inspect new drinking water wells in Spokane County to assure they meet remodeling or new construction of schools are reviewed,and public construction standards.Old or unused wells are decommissioned when health arid safety concerns are investigated.School and community taken out of servlce. representatives serve on the School Advisory Committee to help guide program activities. Land Development 324.1560 ext. 3 Program staff review new subdivisions,conditional use permits,and Vector and Zoonotic Diseases 324.1560 ext.7 zoning changes for potential sewage disposal and water supply source Erwlronniental health specialists work with health district epidemiologists issues.Findings and conditions for development are provided to the to monitor and investigate illnesses transmitted from animals or insects appropriate planning jurisdiction. to humans. Illness prevention education is provided to pet shop owners, animal exhibitors and the public.Program staff investigate reports of bites Local Source Control 324.1560 ext.4 by dogs,cats,bats,ferrets, and wild animals for the risk of rabies,working Erwironrnental health specialists,through a contract with Washington closely with animal control agencies.The program also participates in state State Department of Ecology, conduct technical assistance visits to small surveillance efforts for emerging animal and Insect tarried diseases, quantity generators of hazardous waste,including businesses,schools,and government to prevent pollution.Staff evaluate waste handling practices Water Recreation 324.1560 ext.4 for regulatory compliance and offer new and best management practices Public and semi-public water recreation facilities(pools,water slides,spas) for improvement.The goal is to identify and control contaminants entering are permitted and annually inspected for compliance with state water wastewater,groundwater and stormwater at the source. . quality and safety regulations.Program staff investigate complaints and reported Illnesses,review plans for remodeling or new construction,and Ske Hazard Assessment 324.1560 ext.3 work with partners on drowning prevention. Contaminated sites,identified by the Washington State Department of Ecology as hazardous due to residual chemicals or toxins,are evaluated ON-SITE SEWAGE and ranked to help establish clean-up priorities-Identified hazardous waste sites are remediated so that public health is not affected. Program Liquid Waste (Septic Systems) 324.1560 ext. 1 staff post structures involved in methamphetamine laboratories as Septic system designs for single-family homes and small businesses uninhabitable,After cleaning of the structure by licensed contractors,staff (systems with flows less than 3,500 gallons per day)are reviewed for evaluate the testing results,clearing the site for occupancy- compliance with regulations,permitted,and inspected after installation. SRHD issues a renewable three-year permit for residential on-site sewage Solid Waste Handling(Garbage)324.1560 ext.3 systems and a one-year permit for commercial systems. As-built record All solid waste facilities and septic tonic pumper trucks in Spokane County drawings showing the location of anon-site sewage disposal system or a are licensed annually and periodically Inspected according to Solid Waste specific address or tax parcel are provided upon request(if available). To Handling Standards,This includes facilities and organizations involved request a record drawing,call the automated request line at 324 1546. In solid waste storage,collection,transportation,treatment,utilization, processing,and final disposal.Fees are assessed based on the type of _— facility and solid waste activity.Staff investigate complaints of improper management of solid waste,animal waste,or garbage on the ground, 1 s There is a 32 cent-per-ton tipping fee collected by all solid waste facilities payable to the health district for program compliance activities. -- - .i "� __._a � N' _ . • �' FOOD SAFETY - - Food Inspections 324.156D ext.2 ' ,-_ Environmental health specialists work with the food service industry -'- f - and the community to prevent food-borne illness,provide food I worker education,conduct food establishment inspections, Investigatte - mss y ` 4 • complaints and illnesses associated with food establishments,and muchI - ---- more.The program Issues permits to over 2,300 permanent retail food — 1 r---- i establishments and approximately 300 temporary food establishments ` • ' each year.Food industry and community representatives serve on the Food Advisory Committee to help guide program activities. Food Worker Permits 32 .156 All food service employees In Spokane County who handle unwrapped a .i: . foods or beverages are required to hold a current Washington State Food Worker Permit. Over 22,000 local Food worker permits are issued annually- - _ - _- 1 Education and testing are available both online and at Si#HD.The permit Is ' $10.information about the required class and test are available at srhd-o•rg or by calling the number above- 3 Health Promotion Treatment Services Breast, Cervical & Colon Health Program Opioid Treatment Program 3241420 324.1553 or 888.461,807€ The Oploid Treatment Program provides treatment for adults addicted to Staff facilitate free breast,cervical and colon cancer screenings and access opioids(heroin,morphine,hydrocodone,oxyEodone,etc.).The program is to cancer treatment for eligible men and women who are uninsured or federally-and state accredi#ed to provide medication assisted treatment. unrierinsuired-The program offers services In nine eastern Washington Ongoing therapy allows a team of medical and counseling professionals to help an individual set and achieve realistic health and lifestyle goals. counties- Healthy Communities Program 324.1530 Tuberculosis Program 324.1613 ; — - - The SRI[I0 Tuberculosis(TB)Program Healthy Communities staff use policy,systems,and environmental changesprovides treatment and case - to prevent arid reduce disease,disability,and deaths locally. They do 50 , management for adults and children il , ,. while advancing health equity and reducing health disparities in Spokane diagnosed with TB disease.The TB r L , County. Program also partners with local = Active Living:Staff work with cities,the county,school districts, clinics and medical facilities regarding non profits,etc-,to create more,and safer,opportunities for physical TB education and consultation for - activity such as walking,bicycling and taking transit.They also work with screening and treatment of latenta;aA. schools to increase use of safe routes- tuberculosis Infection(ILTW). Healthy Eating:Staff work with businesses,universities, nonprofits,senior centers'nd child care fadllties to Increase equitable access to healthy y �++ �++ } �y + foods and beverages,Staff assist organizations in sourcing and promoting Financial Services/Vital Records healthy foods to increase customer demand and to sustain availability. FF Staff participate in the Spokane Food Policy Council to address gaps and inequities in the county's food system through policy and systems change. Financial Payments/Birth & Senior Foils Prevention.Staff work with Fail Free Spokane Coalition to 1} Death Certificates 324:1501 increase the use of proven fall prevention strategies via community classes Financial payments and orders for - 2)increase the number of health care providers who incorporate fall birth and death certificates typically '' prevention assessment and education with older patients. take a few minutes.A completed application must be received to process Tobacco,Marijuana&Vaping Device Prevention:Staff work',Pi/youth, an individual`s certificate request.Each schools,health care providers,community ergs-,and retailers to prevent use of tobacco,vaping and marijuana by underage youth,Staff promote copy of a birth or death certificate _ cessation resources,educate retailers,promote campaigns,develop is$20.Certificates and invoices are youth as leaders,and work to change policies to decrease tobacco use, payable by cash,debit or credit card,or money order.To purchase a birth or secondhand smoke exposure,and youth marijuana and vapor product use, death certificate online, visit:srhd.orgflinks/certificates,asp Supplemental Nutrition Assistance Program Education (SNAP-Ed) 324.1520 The program works to improve the likelihood that adults who receive, Public Polls r or who are eligible to receive SNAP benefits will make healthy food Public Policy + choices and lead physically active lifestyles- The program works through a community-based peer-to-peer model,and also contracts with several Public Health Policy 3241517 ,, agencies throughout a 10 county region to further these efforts in a Public health policy staff work with variety of settings, health district programs and partners to identify policies that could positively Community Health Workers 324.3613 impact the community's health.A Implements CHW training in eastern Washington,providing core proven approach to enhancing health - .fir I competencies.Staff facilitate regional linkages wfvarious organizations and well-being,these policies change III the systems and environments that l ' and communities to services and information via CHWs. 1`s -' affect public health. Policy staff support Women, Infants & Children (WIC) the board of health in taking direct action to enact such changes.Staff also 324.1620 identify any negative health impacts SRI-El provides WIC services to over 10,000 clients annually at six Spokane associated with proposed policies and County locations. Eligible pregnant,postpartum and breast-feeding work with decision makers to modify ., Or women;infants;and children up to age 5 receive WIC nutrition services, the policy or mitigate its negative - , including:nutrition evaluation,education,and counseling;breast-feeding impacts, support;referrals to health care and other services;and vouchers to get free and healthy foods like:fresh fruits and vegetables,whole grains and low-fat dairy products.Visit;spokanewic.org or call the number above for more information. t 4 For crdr$itionol copies of this Publication,or for an alternate format coli'our Cornmunlecrtrons office at 509.324.1539.