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WC CWF Health District Board Minutes - 07/08/2022 WICHITA FALLS-WICHITA COUNTY PUBLIC HEALTH BOARD MINUTES 4,�.��Gdu+arv�� `y July, 2022 5 � 0 Wichita Falls-Wichita County Public Health District 1700 Third Street - Parker Conference Room ti. Wichita Falls, Texas Public Health BOARD MEMBERS PRESENT: Paris Ward, M.A.,B.S., Secretary Citizen At-Large -City Appointment Jered Harlan, D.V.M Veterinarian —City Appointment Melissa Plowman Restaurant Association —City Appointment David Carlston, Ph.D. Citizen At-Large—County Appointment BOARD MEMBERS EXCUSED ABSENCE: Lauren Jansen, Ph.D., R.N., Vice-Chair Registered Nurse—City Appointment Tonya Egloff, D.D.S. Dentist—County Appointment Keith Williamson, M.D., Chair Physician — City Appointment OTHERS PRESENT: Lou Kreidler, R.N., B.S.N. Director of Health Amy K. Fagan, M.P.A. Assistant Director of Health Woodrow W. Gossom, Jr. County Judge Robert McBroom, M.D., FACP Health Authority I. CALL TO ORDER Paris Ward, Secretary called the meeting to order at 12:15 pm after a quorum of members attained. II. APPROVAL OF MINUTES AND ABSENCES Paris Ward called for the review and approval of the March 25, 2022 minutes. Melissa Plowman introduced a motion to approve the minutes as presented and Judge Gossom seconded the motion. The motion passed unanimously. Excused absence noted for Tonya Egloff, D.D.S, Lauren Jansen, Ph.D.,R.N. & Keith Williamson, M.D. III. Lodging Ordinance Paris Ward introduced Samantha Blair, Environmental Administrator, to discuss the changes in the lodging ordinance. Lodging Ordinance was last updated in 2010. New Definitions Bed and Breakfast is a residential building operating as a lodging establishment which offers seven or more rooms to rent and serves breakfast to overnight guests. A bed and breakfast does not mean a short-term residential rental in which the host occupies the primary dwelling structure on the property as their primary residence. A bed and breakfast with seven or fewer rooms and which only serves breakfast is not required to have a retail food establishment permit. Judge Gossom asked "What is a room"? A Guest room means any room or unit of a lodging establishment where sleeping accommodations are regularly offered to the public. Lou stated the 7 rooms is in line with the State definition. Short-term Residential Rental means of all or part of a person's residence is offered for rent for a period of 28 days or less. Short-term residential rentals typically operate using a peer-to-peer advertising platform but do not have to do so to be considered a short-term residential rental. Short-term residential rentals do not provide time or temperature controlled for safety(TCS) food to guests. Lodging establishment means any building, group of buildings, structure, facility, place or places of business where seven or more guest rooms are provided, which is owned, maintained,. or operated by any person and which is kept, used, maintained, advertised or held out to the public for hire. The term "lodging establishment" can be construed,to be a hotel, motel, motor hotel, apartment hotel, tourist court, resort, cabins, tourist home, bunkhouse, bed and breakfast,'non-hosted hotel, or other similar place by whatever name called, and includes all such accommodations operated for hire as lodging establishments for either transient guests, permanent guests, or for both transient and permanent guests. The term"lodging establishment"does not include duplexes, quadriplexes, dormitories, short-term residential rentals, and apartment complexes. Permit Posted A person may not operate a lodging establishment without a permit issued by the regulatory authority. Permits are not transferable from one person to another or from one location to another location, except as otherwise permitted by these rules. A current lodging establishment permit must be conspicuously displayed where it may be readily viewed by guests within a common lobby area at all lodging establishments at all times. Corded Equipment Corded cooking or heating devices such as portable hot plates or crockpots shall not be allowed in rooms unless they are property of the lodging establishment provided for extended stay guests and the room has a kitchenette. Corded cooking equipment provided by the lodging establishment must be kept in good condition. The operator shall either post signs; state this policy verbally; provide in writing during check-in procedures; or provide this information within the guest services book within each guest room to comply with this section. Bed Bug Management Every lodging establishments,shall be constructed and maintained in such a condition as to prevent the entrance, harborage of breeding of insects or rodents. Openable windows shall be screened and be in good condition without cracks or missing seals and shall be in good working order. Screening material'shall be 16 mesh to the inch. Routine inspections of the premises shall be conducted to control and minimize the presence of pests and harborage conditions. Professional pest services shall be used for preventive maintenance and for control and elimination of the presence of pests, or the health official may approve the following: a. For the control of bed bugs, a lodging establishment may self-treat with commercial grade heating treating equipment. The person administering the heat treatment must be able to demonstrate knowledge of how to use equipment and also have in their possession a manufacturer's manual for the operation of the heat treating equipment. If knowledge cannot be demonstrated the lodging establishment's right to self-treat shall be revoked and a professional pest control company shall be required for treatment. b. In the case the facility is not successful in self-treating for bed bugs, the health official shall require professional pest control and a pest management program. Judge Gossom—in Bed Bug Management self-treat—how many days do they have to get it completed? Samantha replied there is no time limit, but they can take as long as needed as long as they are working to resolve. Removal. Dead or trapped birds, insects, rodents, and other pests shall be removed from pest control devices and the premises at a frequency that prevents their accumulation, decomposition, or the attraction of pests. If bed bug evidence is found in a guest room, a thorough inspection of the room is required to determine where bed bugs are harboring. The room shall be closed and treated. The treatment room shall be inspected again after 48 hours to determine if there are any surviving bed bugs. If live bed bugs are found, the room,shall remain empty and be inspected again at 72 hours. The surrounding units (on either side, above and below) shall be inspected.for bed bugs also as bed bugs can easily move through walls to adjacent rooms. Each room that is evidence of bed bugs shall be closed and treated until no evidence of bed bugs is found. 2 Judge Gossom—in paragraph 5 there are several must/shall, should/shall, to/shall that need to be corrected. Lou replied those were but in by legal and have been corrected in the final copy. Judge Gossom—is the 20 day permit suspension to long? Lou replied the 20 days is the best language and similar to other ordinances we have had. While this process allows us 20 days it has never taken that long for food or lodging establishments. Judge Gossom—I thought it seemed like a long time if they had groups booked. Lou replied we do not get to that point of pulling a permit until we have worked with them for an extended amount of time trying to get them in compliance. _ Judge Gossom—thank you that answered my questions. Paris— are there any other questions? Can we have a motion to recommended to Council the approval of the ordinance with the changes mentioned by Judge Gossom? Dr. David Carlston so moved and Melissa Plowman seconded. All in favor—all approved. Lou stated our plan is to take this to council for first meeting in August. IV. COVID-19 UPDATE Amy asked Brandi Smith, our Lead Epidemiologist to give the presentation. Brandi said we have moved from weekly count on the website to a bi-weekly on May 27, 2022. And moved from bi-weekly graphics on social to monthly. We update on the last Friday of the month. The hospital count two weeks ago was 6 and now it is at 9. New cases are at a slight increase. Our Case Investigators are assisting in classes with the Health Educators. Vaccine update—CDC has updated their information on up to date boosters for those over 50. They are required to have 2 booster, the primary series and then 2 boosters. • - MONKEY PDX 605 confirmed cases in US 34,states, with 20 cases in Texas. All males between the ages of 21-49 years of age. Five cases in our Region (PH 2/3). The closest case is in Tarrant/Dallas County. No cases in Wichita County. We are keeping an eye on it and prepared and ready. Dr. Carlston — are we reporting the number of cases are lower because everyone is doing home testing and quarantine,and isolating themselves? Brandi answered yes. You are referring to COVID cases? We do not get reports of the home test. If someone calls in we do give them the recommended home guidelines and that is not being reported. Brandi -any other questions? Paris—Thank you Brandi. Anything else that needs to be discussed? V. NEXT MEETING DATE Next meeting will be September 9th. VI. ADJOURN Paris Ward adjoured the meeting at 12:45. 3 ,a)41/LAPLIV: ell/B Signature J Print Name-Keith Williamson, MD, Chair, Lauren Jansen, PhD, RN, Vice-Chair, Paris Ward, MA, BS, Secretary 4