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Item L1 L1 BOARD OF COUNTY COMMISSIONERS COUNTY of MONROE u,.. 9 Mayor Craig Cates,District 1 The Florida Keys Mayor Pro Tern Holly Merrill Raschein,District 5 Michelle Lincoln,District 2 - James K. Scholl,District 3 ' David Rice,District 4 Board of County Commissioners Meeting June 21, 2023 Agenda Item Number: L1 2023-1156 BULK ITEM: Yes DEPARTMENT: Administration TIME APPROXIMATE: STAFF CONTACT: Carla Fry n/a AGENDA ITEM WORDING: Approval of a Resolution approving the Florida Department of Health for Monroe County Environmental Health(EH) Fee Schedule. ITEM BACKGROUND: The Monroe County EH Fee Schedule was last updated in 2010. Recommended updates are based on best practices from other counties and the EH Division in Tallahassee. The EH Fee Schedule is indirectly related to the BOCC funding request for FDOH as the fee adjustments will ensure the EH department is financially self-sufficient. PREVIOUS RELEVANT BOCC ACTION: Resolution setting allowable fees for primary care services (required by F.S. 154.06)was approved in 2010. CONTRACT/AGREEMENT CHANGES: n/a STAFF RECOMMENDATION: Approval. DOCUMENTATION: Cover letter 6.5.2023.pdf Resolution Monroe_County_Health_Department_Environmental_Health Fee Schedule 2023.pdf FINANCIAL IMPACT: n/a 3276 Mission: Ron DeSantis To protect,promote&improve the health Governor of all people in Florida through integrated state,county&community efforts. ��I� m Joseph A. Ladapo, PhD State Surgeon General Vision:To be the Healthiest State in the Nation Date: June 5,2023 To: Roman Gastesi,Monroe County Administrator John Quinn, Monroe County Office of Management and Budget Craig Cates,Monroe County Mayor- District l Holly Merill Raschein, Monroe County Mayor Pro Tem-District 5 Michelle Lincoln,Monroe County Commissioner-District 2 David Rice,Monroe County Commissioner-District 4 Jim Scholl,Monroe County Commissioner-District 3 From: Dr. Carla Fry,Administrator-Florida Department of Health-Monroe Subject: 2023-2024 Environmental Health Fee Schedule Based on our records,the Fee Schedule for Environmental Health(EH) service provision in Monroe County was last updated in 2010. As such,FDOH-Monroe conducted an in-depth analysis of labor costs for each service provided. We also conferred with other counties throughout the state and the Environmental Health Division in Tallahassee to prepare a Fee Schedule for Monroe County comparable to those with more recent updates. Revenue generated from Environmental Health services, once approved,will support all departmental functions, and an additional 0.5 FTE to assist with public pool inspections throughout the county. Changes to the Fee Schedule are outlined with a side-by-side comparison in Exhibit A. Of note,many EH services are currently being provided at no charge as indicated by a dash symbol. Please reach out with any questions. Thank you for your consideration! CC: James Rachal, Environmental Health Program Manager Florida Department of Health in Monroe County 1100 Simonton Street,Key West,FL 33040 Accredited HealthDepartment PHONE:305-293-7500 •FAX:305-809-5629 In Public Health Accreditation Board Monroe.FLHealth.gov 3277 RESOLUTION NO. 2023 A RESOLUTION OF THE BOARD OF COUNTY COMMISSIONERS OF MONROE COUNTY, FLORIDA AUTHORIZING THE MONROE COUNTY HEALTH DEPARTMENT TO ESTABLISH FEES SPECIFICALLY FOR ENVIRONMENTAL HEALTH AS SET FORTH IN EXHIBIT "A" ATTACHED HERETO AND MADE A PART OF THIS RESOLUTION. WHEREAS, F. S. 154.01(2) requires counties to establish and maintain full-time county health departments to provide environmental health, communicable disease control and primary care services; and WHEREAS, F.S. 154.01(3) requires the Department of Health to enter into contracts with counties for this purpose; and WHEREAS, on July 19, 2022, the Board approved the annual core contract between Monroe County and the Florida Department of Health for public health services; and WHEREAS, F. S. 154.06(1) authorizes each county and each county health department to collect fees for Environmental Health services rendered through the county health departments provided that a schedule of such fees is established by resolution of the Board of County Commissioners or by rule of the department; and WHEREAS, F.S. 154.06(2) requires all funds collected under this section to be expended solely for the purpose of providing health services and facilities within the county served by the county health department and pursuant to the rules and regulations cited therein and pursuant to all other applicable rules and regulations; and WHEREAS, the Monroe County Health Department has indicated the need to re-define and re-establish fees for Environmental Health services offered at the Monroe County Health Department as set forth in Exhibit "A"attached hereto and made a part of this Resolution; and WHEREAS, the Board is satisfied with the justification provided by the Monroe County Health Department; 3278 NOW, THEREFORE, BE IT RESOLVED BY THE BOARD OF COUNTY COMMISSIONERS OF MONROE COUNTY, FLORIDA that; 1. The Monroe County Health Department shall collect fees for Environmental Health services as specified in Exhibit "A" attached hereto and made a part of this Resolution. 2. The Monroe County Health Department is solely responsible for ensuring effective notice is provided to the general public and other impacted agencies and organizations of the specific service fee increases. 3. The Monroe County Health Department is solely responsible for ensuring the County's compliance with all financial and transitional rules and regulations, and any other factors that may be impacted by the service fee increases at all levels; local, state, and federal. 4. Any prior resolution, ordinance, or contract inconsistent herewith is hereby repealed. PASSED AND ADOPTED by the Monroe County Board of County Commissioners at a regular meeting of the Board held on June 21, 2023. Mayor Craig Cates Mayor Pro Tern Holly Merrill Raschein Commissioner Michelle Lincoln Commissioner James K. Scholl Commissioner David Rice BOARD OF COUNTY COMMISSIONERS OF MONROE COUNTY, FLORIDA (SEAL) BY: MAYOR CRAIG CATES ATTEST: KEVIN MADOK, CLERK Approved as to form and legal sufficiency: C��4. g4 Monroe County Attorney's Office: 6-13-2023 AS DEPUTY CLERK 3279 EXHIBIT A MONROE COUNTY HEALTH DEPARTMENT ENVIRONMENTAL HEALTH COUNTY FEE SCHEDULE CURRENT PROPOSED PROGRAM COUNTY FEE DESCRIPTION CHARGE CHARGE POOLS CF-POOLS EXEMPT CONDO (OVER 32 UNITS) 25.00 50.00 POOLS CF-POOLS EXEMPT CONDO(UP TO 32 UNITS) - 40.00 POOLS CF-POOLS LATE FEE 50.00 50.00 POOLS CF-POOLS UP TO 25K GALLONS 115.00 115.00 POOLS CF-POOLS GREATER THAN 25K GALLONS 100.00 100.00 POOLS CF-POOLS INSPECTION FEE - 50.00 POOLS CF-POOLS VIRTUAL REINSPECTION - 25.00 POOLS CF-POOLS SPAS/WATER ACTIVITY/ALL OTHERS - 115.00 MHP CF-MHP 5-25 SPACES 125.00 125.00 MHP CF-MHP 26-149 SPACES ($/SPACE) 3.50 3.50 MHP CF-MHP INSPECTION FEE - 50.00 MHP CF-MHP LATE FEE - 25.00 GROUP CF-GROUP INSPECTION FEE - 50.00 GROUP CF-GROUP SCHOOL PUBLIC/PRIVATE (<-1000 CHILDREN) - 50.00 GROUP CF-GROUP PUBLIC/PRIVATE SCHOOL(>1000 CHILDREN) - 100.00 GROUP CF-GROUP ADULT LIVING FACILITY - 100.00 GROUP CF-GROUP PLAN REVIEW FEE - 100.00 BMW CF-BMW INSPECTION FEE - 50.00 BMW CF-BMW PERMIT 40.00 40.00 TANNING CF-TANNING LATE FEE - 25.00 TANNING CF-TANNING INSPECTION FEE - 50.00 TANNING CF-TANNING ADDITIONAL DEVICE - 40.00 TANNING CF-TANNING PLAN REVIEW FEE - 40.00 TANNING CF-TANNING PERMIT FEE 100.00 100.00 PIERCING CF-PIERCING INSPECTION FEE - 50.00 PIERCING CF-PIERCING PERMIT FEE 100.00 100.00 TATTOO CF-TATTOO TEMPORARY OPERATING PERMIT FEE - 50.00 TATTOO CF-TATTOO PERMANENT OPERATING PERMIT FEE - 50.00 TATTOO CF-TATTOO ARTIST LICENSE - 40.00 TATTOO CF-TATTOO GUEST ARTIST REGISTRATION FEE - 40.00 TATTOO CF-TATTOO INSPECTION FEE - 50.00 3280 FOOD CF-FOOD FRATERNAL/CIVIC PERMIT FEE 35.00 35.00 FOOD CF-FOOD 3 INSPECTIONS 105.00 105.00 FOOD CF-FOOD 4 INSPECTIONS 125.00 125.00 FOOD CF-FOOD MOVIE THEATER 115.00 115.00 FOOD CF-FOOD DETENTION 40.00 40.00 FOOD CF-FOOD BAR 35.00 35.00 FOOD CF-FOOD RESIDENTIAL FACILITY 65.00 65.00 FOOD CF-FOOD LIMITED 115.00 115.00 FOOD CF-FOOD ADULT DAY CARE - 100.00 FOOD CF-FOOD INSPECTION FEE - 50.00 FOOD CF-FOOD PLAN REVIEW/HOUR - 50.00 FOOD CF-FOOD OTHER FOOD SERVICE - 50.00 FOOD CF-FOOD LATE RENEWAL - 25.00 CF-OSTDS PERFORMANCE-BASED TREATMENT SYSTEM 100.00 OSTDS APPLICATION 75.00 OSTDS CF-OSTDS SITE EVALUATION - 50.00 OSTDS CF-OSTDS SITE PLAN REVISION - 20.00 OSTDS CF-OSTDS NEW PERMIT 25.00 75.00 OSTDS CF-OSTDS MODIFICATION PERMIT - 50.00 OSTDS CF-OSTDS INITIAL INSPECTION 50.00 75.00 OSTDS CF-OSTDS REINSPECTION 25.00 25.00 OSTDS CF-OSTDS ABANDONMENT PERMIT 40.00 40.00 OSTDS CF-OSTDS ABANDONMENT INSPECTION 50.00 50.00 OSTDS CF-OSTDS ANNUAL OPERATING PERMIT - 50.00 OSTDS CF-OSTDS BIENNIAL OPERATING PERMIT - 150.00 OSTDS CF-OSTDS OPERATING PERMIT AMENDMENT - 50.00 OSTDS CF-OSTDS OPERATING PERMIT LATE FEE - 25.00 OSTDS CF-OSTDS SEPTAGE DISPOSAL SERVICE 45.00 50.00 OSTDS CF-OSTDS TEMPORARY TOILET SERVICE 45.00 50.00 OSTDS CF-OSTDS ADDITIONAL VEHICLE 5.00 35.00 OSTDS CF-OSTDS AEROBIC TREATMENT UNIT MAINTENANCE ENTITY 75.00 75.00 OSTDS CF-OSTDS INSPECTION FEE - 50.00 OSTDS CF-OSTDS CISTERN SAMPLING FEE 77.00 100.00 OSTDS CF-OSTDS HOLDING TANK PERMIT - 50.00 OSTDS CF-OSTDS INSPECTION INJECTION WELL 95.00 95.00 MISC CF-BEACH SAMPLES NOT ON HEALTHY BEACHES LIST - 80.00 MISC CF-INSPECTIONS WHERE NO STATE FEE - 100.00 MISC CF-SQG HAZARDOUS WASTE ASSESSMENT/INSPECTION - 40.00 MISC CF-ENVIRONMENTAL FIELD SAMPLE COLLECTION - 50.00 MISC CF-RETURNED CHECK FEE - 30.00 ABBREVIATIONS: OSTDS ON-SITE SEWAGE TREATMENT AND DISPOSAL SYSTEM CF COUNTY FEE MHP MOBILE HOME PARKS BMW BIOMEDICAL WASTE SQG SMALL QUANTITY GENERATOR 3281