Michael Cambridge, DirectorClaudine Jones Rafferty, Field Coordination

LiaisonMay 7, 2013

CEH Updates

Center DirectorInterim: Kevin GleasonAppointment: Nathan Graber, M.D., M.P.H.

Division of Environmental Health ProtectionField Coordination Capital Area EH BCEHFPBWSP

Center Directory Will be updated late Spring/early Summer

Regulatory Updates

BCEHFPFood ProtectionTanningTattoo & Body PiercingChildren’s Camps

BWSPRoger Sokol will provide the update

BCEHFP Regulatory UpdatesPart 14 Food Protection -

Consolidate all current subparts by adopting Chapters one through seven (technical content) of the U.S. Food and Drug Administration (FDA) Model Food Code.

Modernize Part 14 which was last amended in 1997 will provide consistency with national standards.

Promote uniformity within NYS with National standards.

BCEHFP Regulatory Updates72-1 Tanning Facilities

Amending to be consistent with recent amendments to Public Health Law Article 35-A –Tanning Facilities concerning minimum age requirements (17 years of age).

Additionally, the proposed amendments will clarify a LHD’s authority to implement all aspects of the program.

When the regulation is signed by the Commissioner, it will be included in the State Register as a consensus regulation and undergo a 45 day comment period. If no substantive comments are received it will be approved and published in the State Register.

Currently 20 local health departments have received PIO delegations.

BCEHFP Regulatory UpdatesProposed Subpart 72-2 Body Art

Body Piercing and Tattooing – Amend to be consistent with Public Health Law Article 4-A – Regulation of Body Piercing and Tattooing.

The regulations will provide definitions and requirements for permit, inspection, and operation of tattooing facilities and the licensing of tattoo artists.

Draft regulations will be sent to you for comment.

Health Risk Awareness

Consent Requirements

Studio Information

Parent / Guardian Consent Details

Owner / Artist Signature

BCEHFP Regulatory UpdatesSubpart 7-2 Children’s Camps

Justice Center Regulations - addresses the requirements of Chapter Law which established the New York State Justice Center for the Protection of People with Special Needs (Justice Center).

Designed to strengthen and standardize the safety of vulnerable people that receive care from New York’s Human Services Agencies and Programs.

Includes children’s camps for children with developmental disabilities as a type of facility within the oversight of the Justice Center .

Required the Department to promulgate regulations approved by the Justice Center pertaining to staff hiring, staff training and incident management.

NYS Justice Center On December 17, 2012, the New York State Justice Center for the Protection of People with Special Needs (Justice Center) was established through legislation in order to strengthen and standardize the safety net for vulnerable people that receive care from New York’s Human Services Agencies and Programs.

NYS Justice Center• The legislation identifies children’s

camps for children with developmental disabilities to be within the oversight of the Justice Center.

• It requires the Department of Health to promulgate regulations approved by the Justice Center pertaining to staffing requirements and incident management.

NYS Justice CenterSubpart 7-2 amendments for children’s camps with 20% or more children with DDs •New staff screening requirements.

– Camps must verify that staff is not on the Justice Center staff exclusion list (SEL). Camps have been asked to submit a form to the Justice Center to designate and authorize a person to check the Justice Center SEL.

– Camps are also required to check the OCFS State Central Registry of Child Abuse and Maltreatment

NYS Justice CenterSubpart 7-2 amendments for camps that have 20% or more children with a DD.• New staff training requirements.

– Staff are now required to obtain mandated reporter training and report abuse, neglect and other significant incidents to the Justice Center vulnerable person’s central registry and to the local health department.

NYS Justice CenterAmendments - New Reporting Requirements

Psychological abuse Neglect The deliberate and inappropriate use of

restraints Use of aversive conditioning (use of a

physical stimulus to induce pain to modify the behavior of an individual)

Obstruction of reports of reportable incident by mandated reporters

NYS Justice CenterAmendments - Incident Management

•Camps are required to cooperate fully with reportable incident investigations and provide/disclose all necessary information and access to conduct investigations.

•Unless a waiver has been granted, camps must convene a Facility Incident Review Panel to review the camp's responses to a reportable incident.

NYS Justice CenterHow many camps will be impacted by the amendments?•There are between 40 and 50 camps with 20% or more children with development disabilities. (A list of DD camps provided to regional offices are being verified by LHDs)

When will the amendments become effective? •The amendments will be effective this camp season.

Claudine Jones RaffertyMay 7, 2013

e-Forms PilotLHD Business Need

400-600 LHD staff enter data annuallyField and Office Workflow IssuesLHD Staffing Reductions & Maximizing Efficiencies

DOH Business NeedScan-able Forms Distribution & CostsScan-able Forms Data Verification

ObjectivesDeploy Electronic Forms and Devices in the FieldBatch Submission Using Available Wi-Fi

Connectivity

e-Forms PilotImplementation

DO’s: I-Pad 2 Tablet (Wi-Fi Only)LHDs: Wi-Fi 3G/4G and Wired Internet Devices

BenefitsBetter Quality InspectionsEliminates Paper and PrintingError Checks as Data is Collected/EnteredDistribution of Inspection Results to Multiple

RecipientsProvides Time Stamping and GPS Locational

Information (with connectivity)

e-Forms PilotPhase I Pilot Implementation

9 District Offices9 County Health Departments

Areas of ConcernInternet Access and Lack of

ConnectivityeHIPS Data CompletenessEnd User TrainingRecent Issues

e-Forms Pilot

2013 User Goal200 Users

For More InformationRefer to Handout for Links to 2 Recorded WebEx

Sessions Contact CEH ITS with Questions (518-402-7474)

e-Forms

e-Forms Inspection Summary Reports

e-Forms Inspection Summary Report

e-Forms Inspection Summary Report

e-Forms Inspection Summary Report

Article 6 Regulatory UpdatesPart 40 -2 Amendments

Adopted 12/19/12Repealed 40-3 Programs for Radiation Protection

Two New Sections Added to Part 40-2 Radiation Producing Equipment (Parts 40-2.240 and 40-

2.241) Radioactive Materials Licensing & Inspection [NYC only]

Parts 40-2.250 and 40-2.251

Technical Clarification Individual Water & Sewage (Parts 40-2.200 and 40-2.201)“Residents of the municipality shall receive, upon request, technical

assistance regarding the installation, maintenance and operation of individual water supplies and individual sewage systems”.

State Aid Reporting Updates2013 Environmental Health Reporting

2013 State Aid Application Call LetterEnvironmental Health ScheduleQuarterly Expenditure Report (QER)

2013 eHIPS State Aid ReportNew report to reflect 2013 State Aid reporting

requirementsWill be available in next eHIPS re-build later this week

Webfocus Report CEHW-0085 Updates (5/2/13)Part 40-2 and 40-3 regulatory updates Operation Codes Ineligible for Reimbursement

eHIPS Time & Activity Clean-up’sPast LHD Requests

RocklandSchoharieRensselaer

General Clean-up

Training Updates Basic Environmental Health Program (BEHP)

Targeted for Fall 2013 at SPH in Rensselaer (Albany) Sanitary Survey (SS) Courses

Targeted for Fall 2013 – locations to be determined based on need

Reconvene the BEHP Advisory Committee Work with CEHD Training Committee Discuss BEHP Course Delivery, Training Needs &

Emerging Issues Training Needs Survey

Targeted for Summer 2013 Engineering Accreditation Program

Kevin Kenyon, Residential Sanitation & Recreational Engineering Program, BWSP

mjc03@health.state.ny.uscfj02@health.state.ny.us

Phone: 518-402-7500