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WC CWF Health District Board Minutes - 05/10/2024 WICHITA FALLS-WICHITA COUNTY PUBLIC HEALTH BOARD MINUTES ��tpcouNrr� May , Wichita Falls-Wichita County102024 Public Health District ,i) 1700 Third Street- Clements Conference Room Wichita Falls, Texas Public Health BOARD MEMBERS PRESENT: Keith Williamson, M.D., Chair Physician —City Appointment Rachel Reitan, DNP, FNP-c Citizen At-Large—City Appointment Melissa Plowman Restaurant Association —City Appointment Tonya Egloff, D.D.S. Dentist—County Appointment Jered Harlan, D.V.M. Veterinarian —City Appointment Nichole Jefferson, RN Registered Nurse—City Appointment BOARD MEMBERS EXCUSED ABSENCE: Raymond Forsythe Citizen At-Large-County Appointment OTHERS PRESENT: Amy K. Fagan, M.P.A. Director of Health Brandi Smith, B.S., RN Assistant Director of Health Mark Beauchamp County Commissioner Michael Smith City Liaison James McKechnie City Deputy Attorney I. CALL TO ORDER Dr. Williamson, Chair, called the meeting to order at 12:00 pm after a quorum of members attained. II. APPROVAL OF MINUTES AND ABSENCES Dr. Williamson called for the review and approval of the March 8, 2024 minutes. Dr. Williamson requested two changes. Dr. Williamson asked for a motion to approve the minutes. Dr. Tonya Egloff made a motion to approve and Rachel Reitan seconded. The minutes were approved unanimously. III. Food Ordinance Modification Update Amy spoke about the status of the Food Ordinance and where we are in the process. On the City website is the original draft, when the stakeholder meetings were held, the updated draft, the graphic, and the video. Last time we met we were at stage 4. Since then we have sent out stakeholders' letters, held 5 stakeholders meetings, received survey feedback online, and had a Public Health Fair that we handed out cards that had a QR code on it that would take people to the survey. We had another meeting with legal to discuss the proposed updates and now we are at stage 5. We are asking for a vote today and Amy will construct a memo that goes to Council next week with the detail changes. If Council gives the go ahead Amy & Samantha will present it to Council the first or second meeting in June. If it passes at Council there is a 60 day period to go into effect. The same process will be done in Burk, Electra, Iowa Park and Wichita County. Amy showed a Video on how a bill becomes a law and it will also be on the website. Samantha went over the changes they made to the draft Ordinance. The reason they are doing this is because the last update was in 2019. The Texas Food Establishment rules were updated in 2021. There is a QR code for the survey that the public can take. It is in the Environmental office and on the website. She talked about the changes in definitions in Division 1. Pop-up food vendors must have a contract with a central preparation facility and at least one certified food protection manager scheduled and available. She explained the Sample Permit and what it is and how it works. Temporary Event was changed to Temporary Permit with a limit of 15. Division 2 was listed and talked about. Samantha talked about the State Law Hierarchy and under that is Statutory Law and Administrative Regulations. Amy added that local codes and ordinances, Texas is still a home ruled municipality and for cities we are allowed to be more stringent than the state. We can be more stringent just not less. Samantha stated that the Administrative Rule TAC 228.31 — Certified Food Protection Manager and Food Handler Requirements. And the Statute — HSC 437.0075. We have decided to go with Scheduled and Available instead of On Duty at all Times. Melissa Plowman asked for clarification on 'Scheduled and Available'. Samantha told her it meant available in a reasonable amount of time. Such as, if they needed you there for an inspection, could you be there in a short amount of time. Melissa said they have Managers but they are not Certified Managers. Samantha said if they have an inspector come they would need to have a Certified Manager there within a short time. The Certified Manager can go to lunch, the bank and run an errand. But would need to be able to come if needed. Samantha went over the following Food Handlers requirements. All food employees, except for the Certified Food Protection Manager, that prepare or handle exposed Time/Temperature Control for Safety (TCS) food shall successfully complete an accredited food handler training course, prior to preparing or handling exposed TCS food. Volunteers working with exposed TCS food are not required to have a valid food handler's card provided that they are under direct supervision of a person who has a valid Certified Food Protection Manager certificate or food handler's certificate. The food establishment shall maintain on premises a certificate of completion of the food handler training course for each food employee. In Division 3 one of the changes was in the Frozen Dessert section. We wanted to be sure that every food establishment that prepares, serves, provides, sells, displays or stores for future sale, or offers for sale frozen desserts that are dairy-based, contain dairy, or a dairy alternative prepared in a frozen dessert mixing machine for human consumption must have a frozen dessert permit in addition to its permit, regardless of permit category. No changes in Division 4. Samantha went over the Draft Fees. They went up about 3% on all fees. They also wanted to have round numbers and rounded up to the nearest 5. 2 Mark Beauchamp asked why a Pop-up Food Vendor is $270 and a Multi-departmental Grocery Store is $215? Samantha said the Grocery Store will have additional fees of$135 for each of their departments. Michael Smith asked how we compared to other cities our size regarding fees. Samantha said we are in the middle to low end and gave examples of fees and permits. Mr. Smith asked if our fees cover the cost of the service. Amy explained that is does not. It covers about half. The city provides the additional funding. Amy asked Nichole Jefferson about the Environmental ride along that she participated in. Nichole said it was very eye opening and interesting. She can understand more about the decisions being made. She stated Stephanie was very knowledgeable and explained things to her. The employees were very receptive to the inspector and cooperated. It was a very good experience. Amy stated we have one memo from a business owner that has concerns. Melissa stated that is why she wanted to be sure she understood the meaning of Scheduled and Available. Amy said we appreciate her asking and understanding because when we take a vote today we want to be sure everyone feels good about it. There is not a time line to this and we can go back and look at it again. It is good to ask questions and we appreciate it. The Board is very important to the process. Melissa stated she likes the Schedule and Available, but she wasn't sure if it was clear enough for people to understand. Amy said our Inspectors are educators first and will be talking and explaining to all the food establishments that they visit. Samantha said there is 60 days before it goes into effect. We have time to be sure everyone understands. Amy said we need to show compliance with the Texas Food Establishment rules. There does need to be a responsible person Scheduled and Available to make decisions. Dr. Williamson asked if everyone was okay with the updated proposed Ordinance and asked for a motion to recommend it to City Council. Nichole made a motion and Tonya seconded it. It passed unanimously. Amy spoke about the Animal Ordinance Education campaign. We have a new It's Hip to Snip Campaign to help reduce the amount of unwanted animals. There is now a OR code that is on everything. We want to talk about Spay and Neutering with the goal of reducing the number of animals euthanized by Animal Care Officers. It is the hardest job for Animal Services to do. The public needs to know the resources to help them know what is available and not just what is wrong. We have started releasing the income and outcome numbers. There is a numbers board when you walk in Animal Services and on the website. It tells you how many animals we have and where they came from. There are more animals brought to us from citizens than Animal Care Officers pick up. We have a video about It's Hip to Snip, Spay and Neutering campaign. As a community we want to tackle the issue. IV. NEXT MEETING DATE Next meeting will be July 12, 2024. V. ADJOURN Dr. Willia son adjourned the meeting at 1:20. Si ure Print - Keith Williamson,MD,Chair,Tonya Egloff,D.D.S.,Vice-Chair,Nichole Jefferson,Secretary 3