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HomeMy WebLinkAbout1967-12-01157 Dental Clinic-Personell Services Dental Clinic -Expense Budget TOTAL DENTAL CLINIC BUDGET Anim al Inspector-Personel1 Service Rabies Clinic -Expense Budget TOTAL ANIMAL INSPECTOR BUDGET $ 6,300. 800. $ 7,315. $ 1,270. 1,120. $ 2,390. The article for the Mystic Valley Mental Health Children's Clinic was discussed by the Board. A request for $7847. was made based on 25C per capita for the Town of Lexington, this is an increase of $2197. over last years budget. The Board discussed this budget and felt they would like to have more information. The clerk was instructed to; send a letter to the Mental Health Association requesting that a representative of the clinic who could answer any questions on the budget attend the next regular meeting of the Board of Health. No action will be taken on this article until after the December Meeting. Dr. Cosgrove said he had been interviewing dentists for the Dental Clinic and if he is to get a dentist for the clinic he will have to have a hi -speed drill. Dr. Cosgrove said he was looking into a second-hand outfit and will have a definite price within the next few weeks. The Board approved the purchase of this equipment. The clerk reported that the Health Department will have to have a new refrigerator for the biologics station. If there is enough money left in the Budget this year it will be purchased before December 31, if not it will have to be purchased as soon after January 1, 1968 as possible. The purchase of some of the equipment might have to be a special article but the clerk will check with the comptroller's office before the next meeting. Meeting adjourned at 10:00 P.M. BOARD OF HEALTH MEETING DECEMBER 1, 1967 The regular meeting of the Board of Health was held Friday, December 1, 1967 at 7:00 P.M. in the Selectmen's Room of the Town Office Building. Members present were R.L. McQuillan, Chairman, Dr. William L. Cosgrove, Dr. Charles G. Colburn and Robert Heustis, Director of Public Health. Minutes of the November 3, 1967 meeting were approved as read. Representatives of the Mystic Valley Mental Health Associa- tion met with the Board to discuss the financial operation of the Children's Clinic. The Board of Health wanted more information 158 before submitting the Article for the Town Warrent. Represent- atives from the Clinic were: Mr. Norris, Mr. Neal Borden, Dr. Morrell and Mrs. Goode, Executive Director. Mr. McQuillan explained that the Board had a few questions they wanted to ask about the proposed budget for the Clinic and also about the financial operation of this Clinic. Mr. Norris: The property at 186 Bedford Street was purchased for 50 thousand dollars last year and item listed as rent in the budget submitted was the mortization of the mortgage plus interest. If we were renting a property it would be consider- able more. Dr. Cosgrove: I understood that the fund raising drive, Chairmaned by Mr. Maloney, had been very successful. Were not those funds used to purchase the building? C.J 004 1 Mr. Norris: Considerable more than 50 thousand dollars was raised in the drive. When the building was purchased the owner agreed to take only a portion of the down payment, 2000 dollars, and a 25 year mortgage for 48 thousand dollars at 41/2 percent interest was obtained. A great deal of renovation had to be done to to accomadate the clinic and there are still certain things to be done to the building. Twenty thousand dollars was depos- ited in a separate account and that is drawing interest and will be used for further repairs and enlargement of the clinic as necessary. Mr. Borden: The clinic has been taking patients from Burl- ington, on a fee basis, since they were squeezed out of the Lowell area, and every bit of space is being used. With the addition of patients from Burlington it is going to be necessary to put additional offices either in the basement or an addition to the existing building. Part of the money on hand will be used for this. Dr. Colburn: What has been done about the fee schedule? Dr. Morrell: This is handled by a committee from the Pro- fessional Staff and is still being worked on. The committee is looking into Medicaid to see if fees can be covered by that source. The committee is also trying to work out some fee schedule to keep the Town Assessments from esculating as they have done in the past 2 years. Mr. McQuillan: I noticed your estimated fees were only one-half as much as for the previous year. Mr. Norris: I believe the committee was allowing for more low income families at the time the estimated budget was com- piled, but now through November of this year the fees have gone counter to the expected trend. 1 9 Dr. Colburn: What is the present fee schedule? Mr. Norris: The fee schedule is set so that the services may be available to all people in all income bracketts. Mrs. Goode: The present fee schedule is 50 cents to 25 dollars per interview hour. These fees were set by a professional advisory council but no one is refused because of lack of funds. The new fee schedule will be ready early in the coming year. Dr. Colburn: What happens if there is an excess on the estimate from the towns involved, is there any reductions or refunds made? Mr. Norris: Two years ago when the representatives of the towns involved met it was agreed that any excess would be deposited in a separate account to build up a back -log to be used to pay the clerical help from January 1 to March 31, this is the three months that the clinic has no income from the Towns. Mr. McQuillan: Dr. Colburn is now our representative and he should be notified of all the meetings. Mr. Borden: The clinic committee is the committee of the representatives of the towns and that committee meets only once a year, in September. Mr. McQuillan: Don't you think that committee should meet more often than once a year to get a more satisfactory picture of the operation of the clinic? Mr. Norris: When we first started that was what the repre- sentatives wanted. I suppose they had so many other commitments. Dr. Colburn: Is there an annual report of a break -down of expenses available or are these reports sent to the clinic committee? Mr. Norris: When the books are audited and the audit report made I will be glad to send you a copy of that report. The finance committee shecks the expenditures very carefully. If you would like any of the financial reports just let the clinic know and we will be glad to send them to you. After further discussion of the operation of the clinic the Board thanked the representatives of the Mental Health Association for coming in and discussing these questions with the Board. The representatives of the Mental Health Association retired. The Board discussed the article for the Mental Health Associa- tion, Children's Clinic and voted to approve that the sum of $7847.00 be placed on the special article for the Town Warrent for the coming year. The clerk was instructed to prepare this article for the Town Warrent. i60 BAMBOO HUT Mr. Chuck Lee, owner of the Bamboo Hut, came before the board at the request of Mr. Heustis, to discuss the unsanitary condition of his food establishment. Mr. Heustis: Mr. Lee has applied for renewal of his Common Victular License which is issued by the Board of Selectmen on the recommendations from the Board of Health. I have inspected Mr. Lee's establishment twice and found it to be unsatisfactory. The selectmen are holding the Common Victular's License until we report that the establishment is in satisfactory condition. On August 9th when I made the first inspection I pointed out a number of things to Mr. Lee. A second inspection was made November 27th and I still found a number of things not corrected. Mr. McQuillan: When Mr. Heustis inspected your establishment in August you should have corrected the violations then, Mr. McQuillan turned to Mr. Heustis and asked, "what are the violations at the Bamboo Hut." Mr. Heustis: The hot water does not meet the standards. Dr. Cosgrove: What is the standard? Mr. Heustis: 180 degrees. Dr. Cosgrove: What do our regulations state and what was the temperature of the water. Mr. Heustis: Lexington Health Regulations state 170 degrees, the State Sanitary Code requires 180 degrees. When I checked the eater the other day it was only 160 degrees. Mr. Lee: I installed a new floor after the August inspection and I have ordered a booster for the hot water to be placed on the dish washing machine. Mr. Heustis: Mr. Lee does not get to the restaurant until around eleven o'clock and when I come in to make an inspection the dirty dishes are standing from the night before and I have noticed bones from spare ribs and rolls under the booths, the screen door in the back has been off since my first inspection and is in need of repair. The rubbish and garbage containers in the back are never closed, there just doesn't seem to be any plan for cleaning the place. Mr. Lee: I havei>nstalled anew floor and the booster for the hot water has been ordered. The garbage and rubbish men empty the containers and leave them open. This week I hired a man to come in every day to clean, he will come early in the morning, before I had a man clean only three times a week. We do the dirty dishes in the afternoon when we get a chance. Mr. McQuillan: You realize, Mr. Lee, you must get this 1 1 1 place cleaned and keep it clean or we will have to revoke your license and until it is satisfactory we will advise the Selectmen to hold up your Common Victular's License. Mr. McQuillan turned to Mr. Heustis and asked "How long do you think the Board should give Mr. Lee to get this place taken care of. Mr. Heustis: When is the Booster coming? Mr. Lee: I don't know, I just ordered it this week and it will take 2 or 3 weeks before it comes, this booster will go right on the dishwasher. The Board agreed with Mr. Lee that the hot water booster could be delayed but if it was installed as soon as it was received and the rest of the place cleaned up satisfactorly the Board would be satisfied. How long did Mr. Heustis think the Board should give Mr. Lee. Mr. Heustis: Two weeks should be time enough. The Board told Mr. Lee to try to get the place cleaned and if the hot water booster came to have it installed immediately. Mr. Heustis will make another inspection on December 15, 1967 to see if things were in satisfactory condition. The Board told Mr. Lee that it was very important that he met the requirements of the Health Department so that we could recommend the renewal of his Common Victular's License. Dr. Colburn: You understand, Mr. Lee, we must make sure that all the restaurants meet the standards set by the Sanitary Code for the protection of the people who patronize these places. The Board agreed with Dr. Colburn, and told Mr. Lee to get the Bamboo Hut in shape before the 15th. The Board thanked Mr. Lee for coming in. Mr. Lee retired. The Board instructed Mr. Heustis to notify Mr. Lee in writing the conditions to be corrected and also the date that these things should be done. Dr. Cosgrove: As 1 remember, Lexington Inn was having trouble with the hot water in their kitchen, has anything been done about it. If not I feel they should have a letter written to them setting a time limit for corrections to be made. Mr. Heustis said nothing had been done to date. Their opera- tion was exceeding their facilities, and they had told him work would be started soon on a new kitchen. He would see that a letter was sent to the Lexington Inn also. 161 1 CI 69 SPRING STREET 305 WALTHAM STREET Mr. Heustis said he went to court on the clomplaint of over- flowing sewage against Johnson, 69 Spring Street, and the judge gave Mr. Johnson 30 days to connect the house to public sewer. The Public Works Department has notified us that Mrs. Johnson paid the $200. dollars to the Town for their work and the work will be done this week. In the case of the unfinished dwelling owned by Carmine Salvucci Mr. Heustis reported that Mr. Nylander of Miller and Nylander had been in to see what information the Health De- partment had on file. Mr. Nylander was also going to talk to Mr. Lucas of Whitman & Howard. FOREMAN'S The letter from the State Health Department regarding the GARAGE Foreman's Garage at Route 2 and 128 was placed on file. Mr. Heustis reported nothing had been received by the office on this system as yet. WATER The letter from Mrs. Anthony on the pollution of streams POLLUTION and waterways in the area was read and discussed by the Board. The Selectmen have referred this letter to the Health Depart- ment for further action. The Board instructed Mr. Heustis to acknowledge this letter. WOODSIDE The definitive subdivision plan entitled "Woodside Acres" ACRES was approved by the Board. This subdivision was checked by Mr. Lucas of Whitman & Howard. A copy of the engineer's report will be included with the report to the Planning Board. 87 HANCOCK STREET ANIMAL PERMITS The proposed subdivision "Land of Edward Webster, 87 Hancock St.," was disapproved by the Board. Mr. Lucas of Whitman & Howard checked this property and reported that there would be standing water on the lots. The following applications to keep horses were approved by the Board on the recommendations of Mr. Heustis: E. N. Eames, 115 Burlington St. Kieran J. Lowry, Jr., 16 King St. Paul M. Cormack, 92 Blossomcrest Rd. Mr. Heustis reported that another resident from Blossom - crest Road had been in and his lot is not large enough for a horse but he has made arrangements with a neighbor to use part of his lot for a corral and would the Board consider such an arrangement. The Board discussed this and said that if the neighbor would file a letter stating that he agreed to the corral on his property then the Board would consider such an arrangement. F000 The Food Establishment permit for ARA Vending Service PERMITS located in Braintree and servicing the cafeteria at Weston Instrument Co. was signed by the Board on Mr. Heustis recommendation. 1 1 1 The massage permit for Patsy F. Arone was signed by the Board. Mr. Arone will supervise a health program at the Lexing- ton Indoor Tennis Club. The required letters of recommendations were read and approved by the Board. The renewal permit for the Iris Howard Child Care Center was discussed by the Board. Mr. Heustis stated that he called to Mrs. Howard's attention the need of a school bus sign to be posted in or on the station wagon used to pick up the children. Mrs. Howard said the sign caused a great deal of confusion but she would check with Chief Corr. Dr. Colburn suggested flashing lights be installed on the station wagon. The Board signed the permit write to Mrs. Howard and suggest lights and also that the sign be and instructed Mr, Heustis to the installation of flashing displayed. The renewal permit for Community Nursery School was signed by the Board. A 0 MASSAGE PERMIT The milk counts for Blue Ribbon Dairy and Cumberland Farms MILK were discussed. The Board expressed the opinion that these COUNTS companies had not improved since August and action should be taken. Dr. Cosgrove said he felt unless we had a ruling on the pro- cedure to follow there was not much sense in trying to enforce the milk laws. Mr. Heustis was instructed to write to Mr. Legro, Town Counsel, and ask for advise and a ruling of the proper way to sample milk in case any of these companies continued with such high counts. The Board also suggested that more samples be taken of milk from these companies before the next Board Meeting and request that represent- atives from these companies come in for a hearing at the January 5, 1968 meeting. The report regarding the condition of the property owned by 556 MASS. Wilson Farm at 556 Massachusetts Ave., was discussed by the Board Mr. Heustis said a family of eleven occupied the house and the owner wanted to condemn the house so that a new duplex house could be bu i 1 t . Dr. Cosgrove said he felt the complaint as listed was a structural one and not one the Board of Health had any jurisdiction over. The Board agreed. The request for a new refrigerator was discussed by the Board and purchase was approved if sufficient funds were available in the Budget. Mr. Heustis asked the Board if they would approve the purchase of a milapore filter kit for water samples. The Board asked if