Loading...
8 1 11 Work Session Materials_Green and Healthy Homes InitiativeMasterpiece on the Mississippi TO: FROM: SUBJECT: DATE: The Honorable Mayor and City Council Members Michael C. Van Milligen, City Manager Work Session Green and Healthy Homes July 25, 2011 Dubuque All - Amenca City 2007 1 Public Health Specialist Mary Rose Corrigan, is providing information for the Green and Healthy Homes Work Session scheduled for August 1, 2011, at 5:15 p.m. Michel C. Van Milligen MCVM:jh Attachment cc: Barry Lindahl, City Attorney Cindy Steinhauser, Assistant City Manager Mary Rose Corrigan, RN, Public Health Specialist Masterpiece on the Mississippi TO: Michael C. Van Milligen, City Manager FROM: Mary Rose Corrigan, RN, Public Health Specialist SUBJECT: Green and Healthy Homes Work Session DATE: July 25, 2011 Dubuque All-America City 2007 INTRODUCTION The purpose of this memo is to provide information on the Green and Healthy Homes Initiative (GHHI) work session scheduled for August 1, 2011. BACKGROUND The National Coalition to End Childhood Lead Poisoning is leading the Green and Healthy Homes Initiative project. With support from the U.S. Department of Housing and Urban Development (HUD) and the Centers for Disease Control and Prevention (CDC), the Coalition is currently providing technical assistance to 15 Green and Healthy Homes Initiative (GHHI) project sites to implement Green and Healthy Homes programs. In pilot sites, new public /private partnerships are established, focusing on the creation of Green and Healthy Homes. These sites will inform the national agenda by generating best practices and lessons learned in performing integrated green and healthy home housing assessments and interventions. GHHI is a public /private partnership that focuses on how a nation can repair and improve housing in economically challenged communities. GHHI is leading a national strategy to make sure all families and children live in homes that are healthy, safe, energy efficient and sustainable. Last November, the City sent a letter to the National Green and Healthy Homes Initiative, signed by the Mayor, expressing our interest in becoming a GHHI community. On March 31, 2011, the first meeting to initiate GHHI locally and form the Green and Healthy Homes Collaborative, was organized and facilitated by the Community Foundation of Greater Dubuque. City staff, along with partners from Alliant, Black Hills, Operation New View, VNA and NICC participated. A second workshop focused on using LEAN principles, was held June 9, 2011. On July 21, a third meeting was held to continue the process for creating the collaborative and preparing for GHHI. Hector Moreno, from the (Baltimore) Coalition to End Childhood Lead Poisoning and GHHI, provided technical assistance at the meeting and worked with staff afterwards on the second pilot home inspection. DISCUSSION The Green and Healthy Homes Initiative director, Ruth Ann Norton, encouraged the City of Dubuque to become a Green and Healthy Homes Initiative Pilot site and participated in our initial Green and Healthy Homes Collaborative meeting with local stakeholders in March. The National Coalition to End Childhood Lead Poisoning supports pilot sites in the following ways: ® Provide technical assistance to the Green and Healthy Homes sites — to aid in project planning and design and to support their overall development of Green and Healthy Homes work. ® Consult with sites on leveraging additional funding for GHHI work. ® Oversee a GHHI learning network, utilizing a data platform and comprehensive assessment tool, to allow sites to measure their progress, share data and information and learn from each other. © Provide best - practice recommendations, research and data on the project and assist federal officials in developing a housing intervention model and a national housing standard that combines weatherization, energy, efficiency, Healthy Homes, and lead hazard reduction interventions into one integrated, "household - centric" approach. At the U.S. Conference of Mayors meeting in June 2011, Mayor Buol signed the GHHI Compact. The Green and Healthy Homes Initiative will provide enhanced tools and practices for implementing the Healthy Homes Production Program grant received earlier this year. The Green and Healthy Homes Initiative will allow us to broaden the Healthy Homes Production efforts to include sustainability and energy efficiency, which is an overall goal of HUD. The City of Dubuque's Green and Healthy Homes Initiative Project involves both a staff and community -wide effort. In addition to the HUD - funded Lead and Healthy Homes Programs through the Housing and Community Development Department, others involved include the Health Services Department, the Office of Sustainability, the Community Foundation of Greater Dubuque, Operation New View, Alliant Energy, and Black Hills Energy. Additional community partners, such as Dubuque VNA, will also be part of the program as resources and services for residents. The following information will be presented at the work session: 1. Sustainable Dubuque and the Green and Healthy Homes Program — Mary Rose Corrigan 2. GHHI and Healthy Homes Primer — Eric Dregne, Community Foundation of Greater Dubuque 3. First GHHI Pilot Home progress — Lindsey Harmes, Community Foundation of Greater Dubuque, Home Advocate 2 4. City GHHI model — Kim Glaser, Healthy Homes Program Supervisor, Kevin Hirsch, Lead Paint Program Supervisor, Bob Boge, Housing Inspector Supervisor. 5. GHHI Challenges and Opportunities and Goals of GHHI Program Sustainability — David Harris 6. Wrap -up — GHHI as an investment for Sustainable Dubuque — David Lyons. MRC /cj cc: Eric Dregne, CFGD Lindsey Harmes, CFGD Kim Glaser, Healthy Homes Program Supervisor Kevin Hirsch, Lead Point Program Supervisor Bob Boge, Housing Inspector Supervisor David Harris, Housing & Community Development Department Manager David Lyons Cindy Steinhauser, Assistant City Manager Masterpiece on the Mississippi Dubuque *r ** All-America City 2007 The goal of the Green Healthy Homes Initiative is to create healthy living environments. What we are collaborating to create in Dubuque, though, has a bigger vision. That is the idea of transforming lives. We revitalize neighborhoods by lifting families out of the cycle of poverty and socio- cultural impoverishment. Bill Strickland's book, Making the Impossible Possible, defines poverty as "the acceptance of meager possibility." We want our programs to be a beginning for these families, a first step toward self - sufficiency and greater possibility. We want to take HUD's Healthy Homes model to another level. We will not only address the conditions in the physical environment in the home, but also issues in the lives of the occupants of the dwelling. Our goal is to make participation in the GHHI initiative a stairway to success. And then the transformation of our neighborhoods will follow. In our own dwellings, we make our homes into places of refuge and safety, and communion. Most times, persons in poverty and lower income don't have that same opportunity. How can we help them do that? To transform their dwelling into a place that honors and supports the family, and enhances their opportunity to realize a better way of life. We're good at assessing a physical space, eliminating hazards, remodeling and retrofitting. The GHHI model we will implement will go beyond that. We want to also assess the family's health and welfare. We're not social workers, but we will be in the home and able to recognize certain family dynamics. And when we do, our goal will be to refer the family to resources to deal with those issues. We'll facilitate that by developing a checklist for the home advocate to use as part of the intake and assessment process. We'II sit down with the family and discuss resources available to help. Like financial counseling, or our Section 8 and Bridges programs, Hawk -I health insurance coverage for the children, GED classes at NICC, income tax preparation and earned income credit availability. And so on. The point is to Zink people with resources. The GHHI /Healthy Homes Program will be a hub for our service delivery system. It will bring together the Lead Paint and Rehab Programs, and New View's Weatherization Program, the Community Foundation's home advocate, the Health Department and VNA and other service agencies, into a seamless provider network. As part of that service, we will establish a tracking and monitoring system to measure the family's improvement, over time: a `Family Empowerment' index. Using this, we can measure success, things like family reunification, establishing a BankOn checking account or an IDA account at one of the credit unions, an increased credit score, obtaining a drivers license or addressing chronic health care issues of household members. As well, we will follow up in the home, to confirm improvements in housekeeping maintenance and utility cost savings, over time. Part of this may include developing an index of civic engagement, that could measure the family's assimilation into community life. Things like membership in a neighborhood group, or a parent - teacher association, church affiliation or kids involvement in after - school activities. This concept will take some time to define and develop. But we begin it with great expectations. Our job is to use our programs to help move people out of poverty, create economic opportunity and make our community healthy and safe. How we integrate the Healthy Homes and other Housing and Health Department programs with the Green Healthy Homes Initiative will go a long way in determining our long -term success in achieving that goal. David Harris Housing and Community Development Department August 2011 CITY OF DUBUQUE LEAD HAZARD CONTROL GRANT FACT SHEET GRANT Grant Funds Match Provided TOTAL $ °S # of Units Completed Average Cost per Unit ROUND 4 LEAD GRANT 1997 - 2002 $3,690,619 $865,482 $4,556,101 464 $5,141 ROUND 11 LEAD GRANT 2003 - 2007 $2,417,399 $608,145 $3,025,544 270 $6,898 ROUND 14 LEAD GRANT 1/1/2008 - 12/31/2010 $2,982,769 $500,728 $3,483,497 232 $12,000 PROFESSIONAL LEAD TRAINING PROGRAMS TYPE OF TRAINING Contractors Workers Sampling Tech /Inspector 8 Hr. Safe Work Practice Visual Risk Assessor/ Inspector Refresher Worker /Contractor Refresher TOTAL TINED ROUND 4 LEAD GRANT 172 173 86 108 124 59 722 ROUND 11 LEAD GRANT 77 127 69 41 138 69 521 ROUND 14 LEAD GRANT 43 64 60 7 39 45 258 Blood Lead Level Decrea (for children 1 - 6 years) * * This compares to the national average of 1.6% for children 1 - 6 years. Target Area 12.8% City 10.8% Target Area 8.6% City 6.8% ECONOMIC IMPACT Round 4 Grant- 95% of the total dollar amount that awarded was to Section 3 businesses. Round 11 Grant - 96% of the total dollar amount was awarded was to Section 3 businesses. Round 14 Grant - 87% of the total dollar amount was awarded to Section 3 businesses. Target Area 4.5% City 2.8% TOTAL $9,090,787 $1,974,355 $11,065,142 966 TOTAL 292 364 215 156 301 173 1501 F: \Council \Health Services \[Copy of Grant Comparative Fact Sheet2.xls]Comparative facts 00111116,,, ,._ Green & Healthy Homes Initiative Lindsey Harms • Project Coordinator 700 Locust Street Suite 195 • Dubuque, Iowa 52001.563- 588 -2700 • Lindsey @dbqfoundation.org n (n r=1,, ana c), To Explain to the Client Receiving this Survey: This survey is a tool to help us determine what services may be available to you. Some questions may deal with sensitive issues about you or your family's financial, health and housing situation. If there is anything you are uncomfortable answering, you do not need to respond Information you provide is only used to connect you with additional supports and resources and is kept confidential. Name of applicant: Address: Phone 1 Phone 2 Dubuque, IA Phone 3 E -mail: General ' 1. Do you own your home? a. Is the deed to the house under your name? 2. What is your annual household income (for all people living in house)? 3. How many people live in the house? 4. Are you currently working with any other organizations to assist you with your home needs? List: Yes No Yes No $ /year or $ /month people Yes No Housing 11 1. Do you have an active roof leak? Comment: 2. Are there sewer leaks, damaged sewer lines or back -ups? Comment: 3. Are the walls, floors and ceilings structurally stable? Comment: 4. Is there noticeable mold/mildew in the house? Comment: 5. Is there water damage in the basement? Comment: 6. Are there major electrical hazards in the house? Comment: Yes No Yes No Yes No Yes No Yes No Yes No 2 3 Asthma Is there a child age 2 -18 in the household? A If yes to I above, please continue with the Asthma section. Names: Ages: Yes No 1. 2. 3. 4. 5. How In missed In you In you What would you rate your child's asthma during the past 6 months the past 6 months, how many days of school /daycare has your child due to asthma? the past 6 months, how many times has your child's asthma caused go to the emergency room? the past 6 months, how many times has your child's asthma caused to spend the night in the hospital? types of insects or pests do you see in or around your home: -Out of control - Poorly controlled - Somewhat controlled -Well controlled -I don't know 0 times 1 or 2 times 3 days 4 +days 0 times 1 time 2 times 3 times 4 + times 0 times 1 times 2 times 3 times 4 + times Never Daily- Weekly Monthly or Longer Roaches Mice Rats 3 .. Lead Paint /Early Childhood Note: Energy conservation services can only be offered to houses without Rehab needs. So, if the house has Rehab needs, ask the questions below but wait to do a weatherization referral until the issues are fixed. I. ❖ 1. Do you consider your energy bills to be... 2. Do you ever have difficulty paying your monthly energy bills? 3. Do you have a turn off notice? E 4. Have you received an Energy Assistance benefit since July 1st of the past year? Low Moderate High Never Once in a while Often Always Yes No Yes No I Does your heating system work? a. If no, i. Do you have an oil, gas, or heat pump heating system? Yes No Oil Gas Heat pump 4 Lead Paint /Early Childhood I. ❖ Is there a child under the age of 6 or pregnant woman in the home? If there was a yes to I above, then continue with the Lead Paint/Early Childhood section. Yes No 1. 2. Is there any chipping or peeling paint in your home? Has your child been tested for an elevated blood level? Yes No Yes No 4 Falls/In'ury Infant Safety I. Is there a senior citizen living in the house (62 years or older)? A If there was a yes to questions I, please continue with Falls /Injury. I. ❖ Is there a child under the age of 2 or a pregnant woman in the house? If there is a yes to I above, then continue with the Infant Safety section. Yes No 1. Where does /will the child sleep? Falls/In'ury I. Is there a senior citizen living in the house (62 years or older)? A If there was a yes to questions I, please continue with Falls /Injury. Yes No Questions for the Senior Citizen: 1. Are you sometimes afraid you may fall in your house? Why? -One -None -Two — Three -Four + 2. How many falls have you had in the past year? 3. What was the reason for your fall(s) (i.e. medical, housing, other)? 4. Have you been hospitalized in the past year due to a fall? 5. Do you use an ambulatory aid? If so what type? Yes No -None - Wheelchair /scooter - Crutches /cane /walker - Furniture 5 1. What is the health insurance status of members of your household? Private Medicaid Medicare No insurance 6 Mobility Economic Security 1. Do you have a cell phone? Yes No 2. Do you have difficulty getting to or using public transportation? a. 3. Are you in need of any assistive technology equipment to help you with hearing, vision, mobility and/or speaking impairments Yes No Yes No 1. What is the health insurance status of members of your household? Private Medicaid Medicare No insurance 6 Economic Security 1. Food Security Never a. How often does it happen that you do not have enough money to pp Y g Y afford the kind of food you (and your family) need? Once in a while Often Always 2. Foreclosure Prevention a. Are you up to date on your mortgage? Yes No b. If no, how many months behind are you? Months 3. Financial Security a. Are you interested in help managing your budget or repairing your credit? Yes No b. Are you interested in a benefits check -up to see if there are financial assistance programs you may be eligible for? Yes No c. Do you need assistance with your taxes? Yes No 1. What is the health insurance status of members of your household? Private Medicaid Medicare No insurance 6 Employment junim 1. Is there a person age 18 — 25 in the household seeking employment? 2. Is anyone in the household seeking employment assistance such as resume building, interview assistance, or computer skills training? Yes No Yes No General Evaluation General Health & Safety Are there any needs that I haven't addressed that you need help with? Yes No 2. 1. Are there working smoke alarms in the house? 2. Are there working carbon monoxide detectors in the house? 3. Do you believe you have or have had bed bugs in your house? 4. Is there a vacant house adjacent to your property? Yes No Yes No Yes No Yes No Do you or anyone in the house have any major health concerns that you want to share? 7 General Evaluation 1. Are there any needs that I haven't addressed that you need help with? Yes No 2. Are you or anyone in the house facing emotional challenges? Yes No 3. Do you or anyone in the house have any major health concerns that you want to share? Yes No 7 Green & Healthy Homes Initiative Masterpiece on the Mississippi COMMUNITY FOUNDATION of Greater Dubuque DC µew Viek o . , community agency Green & Healthy Homes Initiative Join the limited pilot study for Green and Healthy Homes! SAVE MONEY! Break the link between unhealthy housing and unhealthy children. What is Green and Healthy Homes? Green and Healthy Homes (GHH) ensures homes are healthy, safe, lead and hazard -free, energy T efficient, and weatherized. GHH brings together several community organizations to do this work efficiently and effectively. A Home Advocate will contact you to set up a time to talk about what will take place, answer any questions and gather bask information from you. The Home Advocate will then coordinate with you and different organizations (such as a weatherization team, lead abatement team, etc.) to do an assessment and work on your home. During this entire process, the Home Advocate will answer your questions and ease any fears you may F YO �._.._ !_1► 1 • Increase the value of your home • Reduce utility costs • Reduce asthma and health risks for kids For more information or to see if you qualify to be a part of Green and Healthy Homes contact: 563-588-27001 Lindsey@dbqfoundation.org Let's work to s ether to... Keep Kids Healthy! Every child has the right to live in a Green, Healthy • and Safe Home. Audit #: Auditor: Green & Healthy Homes Initiative ❑ H &S Assessment ❑ Energy Audit ❑ IPM Page 1 of 21 Green and Healthy Homes Initiative Baltimore Comprehensive Environmental Health and Housing Assessment The Comprehensive Environmental Health and Housing Assessment is a model form developed by the National Coalition To End Childhood Lead Poisoning, a non- profit organization based in Baltimore, MD that is committed to the creation of resources, programs, and policies to prevent childhood lead poisoning and home -based environmental health hazards so that every child may grow to reach his or her full potential. This Comprehensive Environmental Health and Housing Assessment form is designed as a model form with broad applicability that other organizations can use as a basis for developing environmental health assessment forms that fit their specific needs. Credit to the National Center for Healthy Housing's Pediatric Environmental Home Assessment Survey; Community Environmental Health Resource Center,' and the Maryland Weatherization Assistance Program. Client Name: Client #: Address: Home Phone: City, State, Zip: Work Phone: Email: Cell Phone: Landlord Name: Best time to contact: am /pm Address: Home Phone: City, State, Zip: Work Phone: Home Owner /Tenant Interview (Conducted by the Environmental Health Educator) A. General Characteristics 1 Age of property 2 House Type ❑ Pre -1950 ❑ Single family Detached (1 story) ❑ Townhouse 3 Floors lived in ❑ Basement 4 Utility information Electric Company Gas Company Heating Fuel Provider • 1950- 1978 ❑ Single family Detached, (2 -3 stories) Row house ❑ 1St floor Account number: Account number: Account number: ❑ Post - 1978 ❑ Single family Semi - detached 1' Mobile home ❑ 2nd floor ❑ Don't know ❑ Multi- family (end or inside unit) ❑ Other ❑ 3rd or higher B. Demographic Information 1. Type of ownership ❑ Own house 2. How long have you lived in this residence? ❑ Market rate rental ❑ Subsidized rental housing housing ❑ Other years 3. How man •eo•le live in the house as Name their •rims Age residence? Disabled Indicate below: Elderly_ Asthmatic 5. Do household members have a primary care provider? 6. Does household rely on urgent care facilities and emergency room visits for healthcare? Mar -Apr 2011 ❑Y ❑N ❑N /A ❑ Y CN ❑N /A Page 2 of 21 7. Do all children in household have health insurance? What kind? 8. Do all adults in the household have health insurance? What kind? ❑ Y ❑N ❑N /A ❑ Y ❑N ❑N /A C. Lead Hazards Questions for households in which a child may have elevated blood lead (EBL) level 1. If property is rental did landlord give them a lead hazard disclosure pamphlet? 2. Have any children under age six been tested for lead poisoning? 3. What were their results? 4. Is anyone pregnant in the house? 5. Has this residence ever been tested for lead? 6. Is there chipping, flaking, or peeling paint anywhere around your home? Indicate locations: (If the house was constructed before 1978, there is a strong possibility that it contains lead based paint. If this paint is chipping or peeling, it may pose a threat to residents, particularly children. A trained lead assessor will conduct tests to ascertain hazard risk, but it is important to note in the table below the presence of any damage to the existing paint) 1 EX Side _ ❑ Foyer Side _ ❑ DR Side ❑ Bath Side ❑ BR1 Side ❑ BR3 Side ❑ H Side 1 LR Side ❑ K Side ❑ BA Side ❑ BR2 Side ❑ BR4 Side 7. Has any renovation, repairs, or paint work taken place in your home in the past year? Describe and indicate location: • EX Side _ ❑ Foyer Side ❑ DR Side ❑ Bath Side ❑ BR1 Side _ ❑ BR3 Side ❑ H Side ❑ LR Side ❑ K Side ❑ BA Side ❑ BR2 Side ❑ BR4 Side ACTION • Recommend for Lead Risk Assessment? • Children under age 6 must be tested for lead ❑Y ❑N E ❑N ❑ Y ❑N ❑N /A ❑ Y ❑N ❑N /A ❑Y ❑N ❑N /A ❑ Y ❑N ❑N /A ❑ Y ❑N ❑N /A ❑ Y ❑N ❑N /A ❑ Y ❑N ❑N /A D. Asthma Questions for households in which a child has asthma 1. Does anyone in the residence suffer from ? ❑ Allergies ❑ Asthma ❑ Chronic bronchitis ❑ Hay fever ❑ Frequent ear infections ❑ Skin infections /rashes ❑ Eye irritations ❑ Sinus problems ❑ Frequent headaches /migraines ❑ Respiratory disease ❑ Other RT afflictions such as ❑ Y ❑N ❑N /A 2. In the past month: a How often did your child's asthma kept you home from work? times b How many days of school /daycare did your child missed due to asthma? times c How often did asthma symptoms (wheezing, coughing, and shortness of breath) wake times your child up in the night or earlier than usual in the morning? d How would you rate child's asthma? ❑ In control ❑ Out of control ❑ Somewhat in control 3. Was your child prescribed a rescue inhaler or nebulizer? 4 If yes, how many times in the past month has the child had to use the rescue pump or nebulizer (such as Albuterol)? L1Y ❑N ❑N /A times E. Indoor Pollutants 1. Mold/Moisture a Do you see areas with mold inside the home? Indicate where: ❑ EX Side C Foyer Side _ ❑ DR Side _ ❑ Bath Side C BR1 Side _ ❑ BR3 Side CI H Side _ I LR Side _ C K Side _ L' BA Side 5 BR2 Side ❑ BR4 Side b Do you sense a moldy odor in areas of the home? Indicate where: C EX Side _ ❑ Foyer Side C DR Side _ ❑ Bath Side _ L7 BR1 Side 1 H Side G LR Side C' K Side C' BA Side BR2 Side C BR3 Side 1 BR4 Side ❑ Y ❑N ❑N /A ❑ Y ❑N ❑N /A Coalition to End Childhood Lead Poisoning Comprehensive Environmental Health and Housing Assessment Form Page 3 of 21 c Has there been any major flooding event (broken water pipe, backed up sewer line, etc.) in your home in the past year? Indicate where: ❑ EX Side _ ❑ Foyer Side _ E DR Side C Bath Side _ 11 BR1 Side _ ❑ BR3 Side C H Side _ ❑ LR Side L K Side ❑ BA Side ❑ BR2 Side _ ❑ BR4 Side _ d Is there water condensation on walls, windows, ceiling, or floor of the home? (Not including ❑Y LNLN/A the bathroom after a shower) Indicate where: ❑ Y ❑ N ❑ N/A ❑ EX Side _ ❑ Foyer Side _ ❑ DR Side _ ❑ Bath Side ❑ BR1 Side ❑ BR3 Side ❑ H Side ❑ LR Side _ ❑ K Side ❑ BA Side ❑ BR2 Side ❑ BR4 Side e Has the occupant seen any water stains appear or grow during the past year? Where? C EX Side _ ❑ Foyer Side _ L DR Side _ ❑ Bath Side ❑ BR1 Side ❑ BR3 Side ❑ H Side F LR Side ❑ K Side ❑ BA Side ❑ BR2 Side ❑ BR4 Side f Have there been any water leaks during the past year? Indicate where: ❑ EX Side _ ❑ Foyer Side _ ❑ DR Side LI Bath Side _ ❑ BR1 Side ❑ H Side ❑1 LR Side _ ❑ K Side _ ❑ BA Side ❑ BR2 Side g Is there any water leak in the home? Indicate where and describe: ❑ BR3 Side ❑ BR4 Side ❑ EX Side _ L Foyer Side _ ❑ DR Side _ ❑ Bath Side _ L BR1 Side _ ❑ BR3 Side ❑ H Side ❑ LR Side ❑ K Side ❑ BA Side ❑ BR2 Side ❑ BR4 Side h Is there a dehumidifier in the home? i Have the occupants used a dehumidifier in the past year? 1 Is the sump pump draining properly? ❑ Y ❑N ❑N /A 1 LN ❑N/A ❑ Y DIVE N/A ❑ Y ❑N ❑N /A D ❑N ❑N/A ❑ Y ❑N ❑N /A 2. Tobacco Smoke a Smoking practices in the home? ❑ No smoking b Total number of smokers living in home? ❑ Outdoors ❑ Indoors ❑ N/A 3. Pets a Are pets present in your home? b How many pets? c Type of pets? d Where are your pets kept? Cats? Dogs? LII Full access to house ❑ Inside, but not in child's bedroom Other? ❑ Outside only N/A e Is there pet waste (i.e. Kitty litter box, etc) inside the residence? Where? ❑ EX Side _ ❑ Foyer Side _ ❑ DR Side F: Bath Side _ C BR1 Side ❑ H Side ❑ LR Side L K Side ❑ BA Side C BR2 Side ❑ BR3 Side ❑ BR4 Side 4. Pests o Remove pet waste A Clean pets living areas 1Y _N ❑N /A ❑Y -N ❑N /A a Do you see ❑ cockroaches / ❑ water -bugs inside the home? How often? Where? • EX Side _ ❑ Foyer Side ] DR Side _ ❑ Bath Side ❑ BR1 Side ❑ BR3 Side ❑ H Side ❑ LR Side ❑ K Side ❑ BA Side ❑ BR2 Side ❑ BR4 Side b Do you see mice inside the home? How often? Where? ❑1 EX Side _ ❑ Foyer Side ❑ DR Side ❑ Bath Side _ ❑1 BR1 Side ❑ H Side ❑ LR Side ❑ K Side ❑ BA Side C BR2 Side 1 1 BR3 Side ❑ BR4 Side c Do you see ❑ rats or ❑ rat borrows outside your home? d Do you see rats inside your home? e Do you have bedbugs in your home? Where? • EX Side _ ❑ Foyer Side ❑ DR Side ❑ Bath Side _ ❑ BR1 Side _ ❑ BR3 Side ❑ H Side ❑ LR Side ❑ K Side Li BA Side ❑ BR2 Side ❑ BR4 Side ❑ Y ❑N ❑N /A ❑Y END N/A ❑ Y ❑N ❑N /A 1 High Infestation ❑ Low Infestation ❑ Y ❑N ❑N /A ❑ High Infestation ❑ Low Infestation ❑ Y ❑NI ❑N /A ❑ Y ❑N ❑N /A ❑Y CIN ❑N /A Coalition to End Childhood Lead Poisoning Comprehensive Environmental Health and Housing Assessment Form Page 4 of 21 • Needs to improve sanitation in the home • Recommend an IPM intervention? ❑Y E Y ❑ N 5. Pesticide Usage a How often do you use pesticides? b What type of pesticide do you use? c Who is treating for pests in your home? Ci Daily ❑ Weekly ❑ Monthly ❑ Yearly • Not used ❑ Spray ❑ Gel ❑ Liquid ❑ Powder ❑ Pellets ❑ None ❑ Certified PCO ❑ Non - certified person ❑ Yourself ❑ No one d If sprays /bombs are used, do you leave your home during pesticide application? 6. Asbestos a Is there asbestos in the house? Indicate where: ❑ EX Side _ ❑ Foyer Side ❑ DR Side ❑ Bath Side _ ❑ BR1 Side ❑ H Side ❑ LR Side _ 11 K Side _ CI BA Side _ ❑' BR2 Side b Has your home ever been tested for asbestos? ❑ Tested, none present ❑ Tested, present and mitigated CI Tested, present, not mitigated ❑ Not tested /don't know ❑ BR3 Side ❑ BR4 Side Home needs to be inspected for asbestos ❑Y ❑N ❑ N/A ❑ Y ❑N ❑N /A ❑ Y ❑N ❑N/A ❑ Y ❑N ❑N /A 7. Radon a Has your home ever been tested for radon? ❑ Tested, none present ❑ Tested, present and mitigated ❑ Tested, present, not mitigated ❑ Not tested /don't know ❑Y ❑N ❑N /A 8. Other Irritants a Are air fresheners used in the home? b Are strong fragrances or candles used in the home? c Where do you store your cleaning solutions and pesticides? ❑ EX Side _ ❑ Foyer Side _ ❑ DR Side _ ❑ Bath Side ❑ BR1 Side _ ❑ BR3 Side ❑ H Side ❑ LR Side 11 K Side ❑ BA Side ❑ BR2 Side ❑ BR4 Side ❑ Y ❑N ❑N /A ❑ Y ❑N ❑N /A F. Indoor Hazards Management 1. Cleaning Methods a What is your preferred method for cleaning? ACTION 2. Ventilation LI Damp mop & damp dusting ❑ Vacuum (non -HEPA) ❑ Sweeping, dry dusting ❑ HEPA vacuum • Recommend to used the damp mop & damp dusting method for cleaning a Does the air in your home feel stuffy? b Is your home drafty? Indicate where: ❑Y ENE N/A • Stairs CI Foyer Side _ [1 DR Side _ G Bath Side ❑ BR1 Side ❑ BR3 Side H Side _ ❑ LR Side ❑ K Side ❑ BA Side _ ❑ BR2 Side ❑ BR4 Side c Have you used an air filtering /purifying device in the past year? N/A ❑ Y ❑N CI N/A ❑ Y ❑N ❑N /A ❑ Y ❑IN ❑N /A d What is the approximate time of last filter change? ❑ N/A Coalition to End Childhood Lead Poisoning Comprehensive Environmental Health and Housing Assessment Form Page 5 of 21 3. Heating See the Energy Audit for more detailed information on the heating system a Is there heat in the house? If not, explain reason: b Have you used your oven to heat your home in the past year? c Do you use the thermostat to adequately control the heat supplied? d Do you use kerosene heaters in your home? e If yes, are they vented to the outside? ❑ Y ❑N ❑N /A El N N/A E ❑N ❑N/A ❑Y ❑N ❑N /A ❑ Y ❑N ❑N /A 4. Air Conditioning See the Energy Audit for more detailed information on the cooling system a Does your apartment have air conditioning? b If yes, what type of air conditioning? c Are the window units or central air in good repair? ❑ Central AC Li Window units None ❑Y ❑N ❑N /A ❑ Y ❑N ❑N /A G. Safety & Injury Prevention 1. Is there electricity in the house? If not, explain reason: ❑ Y ENE N/A 2. Is there water in the house? If not, explain reason: ❑ Y ❑ N ❑ N/A 3. Has family developed a fire escape plan? 4. Do you have the poison control number posted anywhere in your home? 5. Have any accidents or injuries occurred in this household in the past 6 months? ❑ Y ❑N ❑N /A ❑Y ❑N ❑N /A ❑ Y ❑N ❑N/A 6. Do you test the smoke detectors in your home? How often? ❑ Y ❑ N ❑ N/A If not, explain reason why: 7. Do you test the Carbon Monoxide detectors in your home? How often? ❑ Y ❑ N ❑ N/A If not, explain reason why: Notes: Coalition to End Childhood Lead Poisoning Comprehensive Environmental Health and Housing Assessment Form Page 6 of 21 Health & Safety Audit (In depth audit to be conducted by the Environmental Health Assessor) A. Smoke Alarms 1. Smoke alarms on each floor? 2. Indicate location of Smoke alarms: How Many? ❑ LR side LI DR side ❑ BA side ❑ BR1 side ❑ BR2 side ❑ BR3 side ❑ BR4 side ❑ K side ❑ Attic side ❑ Hall 2 "d FI. side 3. Are all smoke alarms functional? If not, indicate location of non - functional units? ❑ LR side ❑ DR side ❑ BA side ❑ BR1 side ❑ BR2 side I BR3 side ❑ BR4 side ❑ K side ❑ Attic side ❑ Hall 2 "d FI. side 4. Are the smoke detectors hard - wired? 5. If battery operated, do the batteries need to be replaced? Circle above the ones needing batteries. • Number of smoke detectors needed: • Number of smoke detectors installed: ❑ Y ❑N ❑N /A ❑Y ❑N ❑N /A ❑ Y ❑N ❑N /A ❑ Y ❑N ❑N /A B. Carbon Monoxide (CO) Detectors 1. Are there unvented combustion appliances in the home? (Stove, space heater, etc.)? Indicate numbers type and 2. CO Alarms present in the home? 3. Indicate locations of CO detectors How Many? ❑ LR side ❑ DR side ❑ BA side ❑ BR1 side ❑ BR2 side ❑ BR3 side ❑ BR4 side ❑ K side ❑ Attic side ❑ Hall 2 "d FI. side 4. Are the CO Alarms hard - wired? 5. If battery operated, do the batteries need replacement? • Number of carbon monoxide (CO) alarms needed: • Number of carbon monoxide (CO) alarms installed: ❑ Y ❑N ❑N /A ❑ Y ❑N ❑N /A ❑ Y ❑N ❑N /A ❑ Y ❑N ❑N /A C. Fire Exits 1. Are there acceptable fire exits for the home? 2. Most acceptable fire exit (s): 3. Are the fire exits blocked? 4. If yes, indicate reason: 1 Front/back doors ❑ Fire ladder /stairs ❑ Windows 15t Floor ❑ Other ❑ Debris blocking exit ❑ Nailed shut ❑ Broken lock ❑ Locked • Recommend to ❑ Y ❑N ❑N /A AY ❑NAN /A ❑ Other D. Electrical Hazards 1. Any exposed electric wires? Indicate where: ❑ EX Side _ LI Foyer Side ❑ DR Side ❑ Bath Side ❑ BR1 Side _ 0 BR3 Side ❑ BA Side ❑ BR2 Side ❑ BR4 Side ❑ H Side ❑ LR Side ❑ K Side 2. Electrical outlets near water sources GFCI -type? 3. Electric outlets without a cover? Indicate where: ❑ EX Side ❑ Foyer Side _ ❑ DR Side ❑ Bath Side L BR1 Side _ ❑ BR3 Side ❑ H Side L LR Side L K Side ❑ BA Side L BR2 Side H BR4 Side ❑ Y ENE! N/A ❑ Y ❑N ❑N /A ❑ Y ❑N ❑N /A Coalition to End Childhood Lead Poisoning Comprehensive Environmental Health and Housing Assessment Form Page 7 of 21 4. Any other electrical hazard in the house? Indicate where: ❑ EX Side _ C Foyer Side _ ❑ DR Side ❑ Bath Side Li BR1 Side _ ❑ BR3 Side ❑ BR2 Side ❑ BR4 Side ❑ H Side ❑ LR Side ❑ K Side ❑ BA Side • Recommend to ❑ Y LIN ❑N /A E. Children Safety 1. Cleaning products, pesticides, or toxic chemicals inaccessible to children. If not why? 2. Any chocking hazards within reach of toddler? (I.e. window cords, etc.) Describe and indicate where: ❑ EX Side _ ❑ Foyer Side ❑ DR Side ❑ Bath Side ❑ H Side ❑ LR Side ❑ K Side ❑ BA Side LI BR1 Side _ ❑ BR3 Side ❑ BR2 Side ❑ BR4 Side 3. All radiators are covered with radiator covers? If not, indicate where: C LR Side ❑ DR Side ❑ Bath Side ❑ BA Side ❑ BR1 Side ❑ BR2 Side BR3 Side ❑ BR4 Side ❑ K Side ❑ Hallway Side ❑Y LiNLIN/A ❑ Y CN ❑N /A ❑Y ❑N ❑N /A 4. If there is a crib in the home, does the crib mattress fit securely? (If infants under 1 year old) ❑ Y ❑ N ❑ N/A 5. Is crib located in a safe place? If not describe hazard: ❑ Y ❑ N L N/A 6. Is the crib located near /below a wooden window? In homes constructed before 1978 7. If yes, please describe condition of window frame ❑ Good Li Poor 8. Safety cabinet locks in the kitchen and bathroom cabinets? 9. Safety covers for electrical outlets in the home? 10. Matches and lighters inaccessible to children? 11. Drugs and medicine inaccessible to children? • Number of safety cabinet locks & outlet covers required: Locks Covers • Store toxic products in a safe area • Install radiator covers • Relocate crib away from hazards ❑ Y ❑N ❑N /A ❑ Y ❑N ❑N /A ❑ Y ❑N ❑N /A LY ❑N ❑N /A ❑ Y ❑N ❑N /A ❑ Y ❑N ❑N /A ❑ Y LN ❑N /A LIY LiNLN /A F. Clutter 1. Presence of clutter in the household? Indicate where: ❑ LR Side DR Side ❑ Bath Side • BA Side ❑ BR1 Side • BR2 Side ❑ BR3 Side • BR4 Side ❑ K Side ❑ Hallway Side 2. Does it present a mobility hazard within the house? Indicate where: ❑ LR Side C' DR Side C Bath Side ❑ BA Side El BR1 Side • BR2 Side ❑ BR3 Side • BR4 Side ❑ K Side ❑ Hallway Side 3. Presence of pests in the clutter? Describe: ACTION • Recommend to ❑ Y ❑N ❑N /A ❑ Y ❑N ❑N /A ❑ Y LN ❑N /A Coalition to End Childhood Lead Poisoning Comprehensive Environmental Health and Housing Assessment Form Page 8 of 21 G. Stairs & Railings Safety 1. Are there exterior stairs present? If more than 3 steps, indicate location. 2. Condition of exterior stairs? ❑ Good ❑ Poor 3. Are there interior stairs present? If more than 3 steps note location: 4. Condition of interior stairs? ❑ Good 1 Poor 5. Are there safe hand rails present for stairs of more than 3 steps? If not, indicate why and where: 6. Is there appropriate lighting on the stairs? If not, indicate where: ❑ Y ❑N ❑N /A ❑ Y ❑NCN /A ❑ Y ❑N ❑N /A ❑ Y ❑N ❑N /A Are there any hazards on the ceiling or floors? Where? Describe: ❑ LR Side ❑ DR Side ❑ Bath Side ❑ BA Side ❑ BR1 Side ❑ BR2 Side • BR3 Side • BR4 Side • K Side ❑ H Side 2. Are there any hazards on the walls? Where? Describe: ❑ LR Side ❑ DR Side ❑ Bath Side ❑ BA Side ❑ BR1 Side ❑ BR2 Side ❑ BR3 Side ❑ BR4 Side ❑ K Side ❑ H Side 3. Are there structural hazards on the exterior of home? Describe and indicate where: ❑ Side A ❑ Side B ❑ Side C 4. Is there any unsafe window or door? Describe and indicate where: ❑ Side D ❑ LR Side ❑ DR Side ❑ Bath Side ❑ BA Side ❑ BR1 Side • BR2 Side BR3 Side ❑ BR4 Side K Side ❑ Hallway Side ❑ Y ENE N/A ❑ Y ❑N ❑N /A ❑ Y ❑N ❑N /A ❑ Y ❑N ❑N /A 1. Is outdoor lighting present? 2. Is lighting on stairs needed? Indicate where: 3. Are there rooms without proper lighting? Indicate where: ❑ LR Side ❑ DR Side ❑ Bath Side ❑ BA Side ❑ BR1 Side ❑ BR2 Side BR3 Side ❑ BR4 Side ❑ K Side ❑ Hallway Side • Recommend to ❑ Y ❑N ❑N /A ❑Y ❑N ❑N /A ❑ Y ❑N ❑N /A J. Waste Management 1. Presence of trash in the kitchen? Describe: 2. Presence of a trash can in the kitchen? 3. Is the trash can in the kitchen covered? 4. Presence of trash in the bathrooms? Describe: 5. Presence of a trash cans in the bathrooms? ❑ Y ❑N ❑N /A ❑ Y ❑N ❑N /A ❑ Y ❑N ❑N /A ❑ Y ❑N ❑N /A ❑ Y ❑N ❑N /A Coalition to End Childhood Lead Poisoning Comprehensive Environmental Health and Housing Assessment Form Page 9 of 21 6. Are the trash cans in the bathrooms covered? C Y L N ❑ N/A 7. Presence of trash on the outside? Describe: ❑ Y E N ❑ N/A 8. Presence of trash cans outside the home? E Y E N E N/A 9. Are the trash cans outside covered? ❑ Y N 1 N/A • Recommend to Notes: Coalition to End Childhood Lead Poisoning Comprehensive Environmental Health and Housing Assessment Form Page 10 of 21 A. Exterior Inspection Energy Audit (To be conducted by an Energy Auditor) 1. Exterior composite ❑ Asbestos /cement ❑ Brick 2. General condition of the exterior surfaces? 3. Is the exterior painted? 4. Condition of paint 5. Is there chipping, peeling or flaking paint? If yes, where? ❑ Vinyl ❑ Aluminum ❑ Good ❑ Block ❑ Wood ❑ Poor LI Good ❑ Poor ❑ EX Side ❑ Foyer Side _ ❑ DR Side Bath Side ❑ H Side -I LR Side ❑ K Side ❑ BA Side ❑ BR1 Side _ ❑ BR3 Side ❑ BR2 Side E BR4 Side 6. Structural issues observed 7. Uneven structure, describe: 8. Sagging roof. Where? Indicate where: AEI • LR ❑ Bath ❑ BR1 ❑ BR3 ❑ K ❑ DR ❑ BA ❑ BR2 ❑ BR4 ❑ Hallway 9. Cracks on walls. Where? Indicate where: CI LR s CI DR s CI Bath S ❑ BA s • BR1 s ❑ BR2 s ❑ BR3 s ❑ BR4 s K s_ ❑ Hall s 10 Cracks on foundation. Indicate where: N ❑ Side A ❑ Side B ❑ Side C 11 Rotted wood. Indicate where: ❑ LR S ❑ Baths ❑ BR1 s CI DRS ❑ BAs ❑ BR2 s_ 12 Defective flashing? Indicate where: ❑ Side A ❑ Side B ❑ Side C ❑ Side D ❑ Floor B. Gutters & Downspouts: Exterior Moisture BR3 s • BR4 s ❑ Side D 1. Presence of gutters & downspouts? 2. General condition of gutters & downspouts? 3. Location of missing gutters & downspouts: ❑ Side A 4. Do downspouts drain water away from dwelling? 5. Are gutters aligned for proper drainage? 6. Are gutters clogged? 7. Drainage Plane: Does the land slope toward the dwelling? ❑ KS_ ❑ Hall s C Good ❑ Poor ❑ Side B ❑ Side C • Recommend to ❑ Board ❑ Other 1Y❑NEN /A ❑ Y ❑N ❑N /A ❑ Yi—IN ❑N /A ❑ Y ❑N ❑N /A ❑ Y❑N0N/A ❑ Y ❑N ❑N /A ❑ Y ❑N ❑N /A ❑ Y ❑N ❑N /A ❑ Y ❑N ❑N /A ❑Y ❑N ❑N /A ❑ Side D ❑Y ❑N ❑N /A ❑ Y ❑N ❑N /A 1YLIN1[1N /A ❑ Y ❑N ❑N /A 1. General condition of the exterior doors? 2. Is any door missing? Indicate where: ❑ Good ❑ Poor C LR Side ❑ 'DR Side ❑ Bath Side ❑ BA Side ❑ BR1 Side ❑ BR2 Side BR3 Side ❑ BR4 Side ❑ K Side ❑ Hallway Side 3. Is weather - stripping present on each door? 4. Are thresholds present on each door? Front Door Rear Door ❑ Y ❑N ❑ Y ❑N ❑ Y ❑N ❑ Y ❑N ❑ Y❑Ni1N /A Coalition to End Childhood Lead Poisoning Comprehensive Environmental Health and Housing Assessment Form Page 11 of 21 • Install weather stripping on door frames • Install door sweeper under the door 7YHIN ❑N /A ❑Y ❑N ❑N /A D. Exterior Windows 1. Condition of the exterior windows? 2. Frame condition? 3. Total number of windows? ❑ Side A = 7 Side B = 4. Is any window missing? Indicate where: ❑ LR Side ❑ Bath Side ❑ BR1 Side ❑ DR Side ❑ BA Side ❑ BR2 Side 5. Single or double pane windows? ❑ Good ❑ Good ❑ Poor ❑ Poor ❑ Side C = ❑ Side D = 6. Window material? 7. Average size of windows? 8. Age of windows? 9. Any signs of condensation? Indicate where: ❑ BR3 Side ❑ BR4 Side ❑ Single ❑ Wood ❑ Vinyl ❑ K Side ❑ Hallway Side ❑ Double ❑ Metal 7 Storm ❑ LR Side ❑ DR Side ❑ Bath Side ❑ BA Side L BR1 Side ❑ BR2 Side ❑I BR3 Side ❑ BR4 Side K Side 7 Hallway Side • Recommend to ❑ Y]N ❑N/A ❑ Y ❑N ❑N /A E. Crawlspace & Basement 1. What is the foundation /basement type: 2. Foundation wall composite: 3. Is the foundation vented? 4. 6. 7. 8. 9. 10. 11. 13. 14. 15. 16. 17. 18. T•=nMni Type of crawlspace? Intentionally heated? R -19 Insulation present? If not, how much is present? inches /R- Vapor barrier present? Ground vapor barrier present? If yes, is it continuous? Ceiling insulated? Are there windows in the basement? ❑ Full basement ❑ Finished ❑ Full basement, partially finished ❑ Crawlspace L Block ❑ Brick H Wood ❑ Other 7 Combo (full /crawl) ❑ Open ❑ Enclosed Type of windows? ❑ Single pane wood • Triple pane wood ❑ Single pane metal ❑ Triple pane vinyl ❑ Double pane wood ❑ Glass block ❑ Double pane vinyl ❑ Other If wood, what is the condition of the paint? Are the walls insulated? Is the ceiling Insulated? Any moisture barrier? C Good ] Poor ❑ Fiberglass ❑ Fiberglass ❑ Foam ❑ Foam ] Other 1 Other ❑ Y ❑N ❑N /A ❑ N/A ❑Y ❑N ❑N /A ❑Y ❑N ❑N /A ❑Y ❑N ❑N /A ❑Y ❑N ❑N /A ❑ Y ❑N ❑N /A ❑Y ❑N ❑N /A ❑ Y ❑N ❑N /A ❑ N/A ❑ N/A ❑ Y ❑N ❑N /A ❑Y ❑N ❑N/A ❑Y ❑N ❑N /A Coalition to End Childhood Lead Poisoning Comprehensive Environmental Health and Housing Assessment Form Page 12 of 21 • Recommend to 1. Condition of main sewer line? 2. Indications of sewage backups? 3. Does the clean -out have a cap? ❑ Good ❑ Poor ❑Y ❑N ❑N /A ❑Y ❑N ❑N /A • Add a cap to the clean -out? Size? G. Heating S stem (General Descri tion • 2. 3. 4. 5. 6. 7. 8. 9. 10 11. 12. 13. 14. 15. 16. 17. 18. ❑Y ❑N ❑N /A System type: ❑ Forced air furnace ❑ Gravity furnace Condition of heating system ❑ Good ❑ Poor Heating system fuel source? ❑ Oil ❑ Gas ❑ Electric Age of the heating system? Does heating system work? ❑ Y ❑ N ❑ N/A If not, for how long has not been working? ❑ N/A If not, how is house heated? ❑ N/A yrs Is flue sloped upward? Is flue sealed at chimney? Does the chimney show signs of deterioration? Does the chimney appear to be blocked? Does the chimney need a cap? a) E c w4- R M xu) d L O LL m Manufacturer: Model # System size: Last service date: Output (kBtuh): Input (kBtuh): Efficiency: Set point Temp: If Forced Air, what type? If, Gravity Furnace, what type? ❑Y ❑N ❑N /A ❑ Y ❑N ❑N /A ❑ Y ❑N ❑N /A ❑ Y ❑N ❑N/A ❑ Y ❑N ❑N /A ❑ Conventional ❑ N/A • Mid - efficiency ❑ N/A P High efficiency ❑ N/A ❑ Steam boiler system ❑ Hot water boiler System 19. Type of filter? ❑ Washable 20. Condition of the air filter? 21. °' Filter size: 22. L Is filter easily accessible for family maintenance? Is the filter designed and positioned to filter return air? Does the filter need a cover? Space heater (ductless) present? If yes, what type of space heater? If yes, indicate locations for space heaters: ❑ Disposable ❑ Good ❑ Poor ❑ Electric ❑ Kerosene ❑ LR ❑ DR ❑ Bath ❑ BA ❑ BR1 ❑ BR2 ❑.BR3 ❑ BR4 L ❑ Hallway • Provide service to heating system • Replace heating unit • Replace air filter in furnace. ❑Y ❑N ❑N /A ❑ Y ❑N ❑N /A ❑ Y ❑N ❑N /A Coalition to End Childhood Lead Poisoning N/A 1 N/A • N/A ❑ N/A • N/A ❑ YIN ❑N/A ❑ Y ❑N ❑N /A ❑ Y ❑N ❑N /A ❑ Y ❑N ❑N/A ❑ N/A L N/A Comprehensive Environmental Health and Housing Assessment Form Page 13 of 21 H. Distribution System: General Description 1. Type of heat distribution system? ❑ Radiator hot water ❑ Circulator ❑ Radiator steam ❑ Gravity duct 3. Condition of distribution ducts? 4. If boiler, are pipes wrapped? If not, what size? 5. Are there any ducts /pipes in side unconditioned spaces? 6. If yes, do they need to be sealed? How much? 7. Is asbestos present in the system? If yes, where? ACTION I. Heating Syster 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. 12. 13. 14. 15. 16. a ca ❑ Gravity system ❑ Baseboards ❑ Forced air vents ❑ Other ❑ Good E Poor ❑ In the distribution ❑ In the unit o Clean distribution ducts ® Repair radiators ® Inspect for presence of asbestos © Seal heating ducts /pipes o Other Does the chimney share the flue and supply ducts? Air return duct? Is the furnace's blower clean? Does the fan make noises? System type? Do radiators heat completely? If not, indicate locations of problem radiators by room ❑ Y ❑N ❑N /A ❑ Y ❑N ❑N /A • Y ❑N ❑N /A ❑ Y ❑N ❑N /A ❑ Steam ❑ Hot water ❑ LR Side ❑ Bath Side ❑I DR Side ❑ BA Side ❑ BR1 Side ❑ BR2 Side ❑ BR3 Side ❑ BR4 Side • K Side ❑ Hallway Side Is the pressure relief in good condition? Does visible steam escape from the piping or vents? Are there any visible leaks? Where? Are the steam distribution pipes insulated? How many feet? Does the unit make noises upon startup? Condition of the boiler? Pressure relief valve? PSI rating? If yes, what is the low limit set point? Are there any visible leaks? Where? Good ❑ Poor ACTION J. Coolin • S stem • Recommend to ❑Y ❑N ❑N /A ❑Y ❑N ❑N /A ❑Y ❑N ❑N /A ❑Y ❑N ❑N /A ❑ N/A ❑ Y ❑N ❑N /A ❑ Y ❑N ❑N/A EYE N ❑N/A ❑ Y ❑N ❑N /A ❑ N/A ❑Y❑NJN /A ❑ N/A ❑Y ❑N ❑N /A ❑Y ❑N ❑N /A ❑Y ❑N ❑N /A ❑Y ❑N ❑N /A ❑Y ❑N ❑N /A ❑ N/A ❑Y ❑N ❑N /A ❑Y ❑N ❑N /A ❑Y ❑N ❑N /A . Type of cooling system 2. If window units are used, indicate locations: ❑ Window a/c units • ❑ Fans ❑ Central air conditioning ❑ None CI LR Side ❑ DR Side ❑ Bath Side ❑ BA Side ❑ BR1 Side ❑ BR2 Side BR3 Side ❑ BR4 Side Li K Side P Hallway Side ❑ N/A 3. Are window units angled down to drain condensation? ❑ Y '❑ N ❑ N/A 4. r = Type of system: 5. d a Model #: Efficiency: 6. System age? years Output: Set point: ❑ Gas ❑ Electric Coalition to End Childhood Lead Poisoning Comprehensive Environmental Health and Housing Assessment Form Page 14 of 21 7. Is a programmable thermostat present? • Provide service to central air • Install programmable thermostat ❑Y ❑N ❑N /A ❑Y ❑N ❑N /A ❑Y]N ❑N /A K. Hot Water System 1. What is the location of the water heater? 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. 12. 13. 14. 15. ❑ LR Side ❑ DR Side ❑ Bath Side ❑ BA Side ❑ BR1 Side ❑ BR2 Side ❑ BR3 Side ❑ BR4 Side K Side ❑ Hallway Side What is the primary fuel source? ❑ Natural gas ❑ Electric ❑ Propane V L cu Cb 4-. ra R _ R Manufacturer: Model #: Hot water heater size: Input: BTU years gallons Last service date: Insulation blanket present? E Y E N E N/A Condition of flue Rust on flue? ❑ Y ❑ N ❑ N/A Drop tube present on hot water heater? ❑ Y ❑ N ❑ N/A Pressure relief valve present on hot water heater? ❑ Y ❑ N ❑ N/A Pressure relief valve condition? ❑ Good ❑ Poor Any leaks? If yes, where? ❑ Y ❑ N ❑ N/A Broken fixtures? If yes, where? ❑ Y LI N ❑ N/A Hot water pipe material? C Galvanized ❑ Copper ❑ PVC Pipe Insulation present? ❑ Y ❑ N ❑ N/A ❑ Good ❑ Poor o Repair flue O Install insulation blanket? • Install a drop tube? • Install a pressure relief valve? • Install pipe insulation? ❑ Y ❑N ❑N /A ❑ Y ❑N ❑N /A ❑ Y ❑N ❑N /A ❑Y ❑N ❑N/A ❑ Y ❑N ❑N /A L. Water Conservation 1. Does bathroom need low flow toilet? Which bathroom? 2. Does bathroom need low flow shower heads? Which bathroom? 3. Does bathroom need low flow Low flow aerators? Which bathroom? o Install shower heads and/or aerators o Install a low flow toilet ❑ Y ❑N ❑N /A ❑ Y ❑N ❑N /A ❑ Y ❑N ❑N /A ❑ Y]N ❑N /A ❑ Y ❑N ❑N /A M. Mechanical Ventilation 1. Are there exhaust fans in the bathrooms? 2. Are there windows in the bathrooms that can be used for ventilation? 3. If present, do the exhaust fans work? 4. Is there a stove vent or exhaust fan to the outside in the kitchen? 5. If present, does the stove vent or exhaust fan work? 6. Are there windows in the kitchen that can be used for ventilation? 7. Is the dryer vented to the outside? • Install exhaust fans in bathrooms • Install exhaust fans in kitchen • Install vent for dryer ❑ Y ❑N ❑N /A ]YCN ❑N /A ❑ Y ❑N ❑N /A ❑ Y ❑N ❑N /A ❑ Y ❑N ❑N /A ❑ Y ❑N ❑N /A ❑ Y ❑N ❑N /A ❑ Y ❑N ❑N /A ❑ Y ❑N ❑N /A ❑ Y❑N❑N /A Coalition to End Childhood Lead Poisoning Comprehensive Environmental Health and Housing Assessment Form Page 15 of 21 Lighting Assessment Room Number of light bulbs present 1. Kitchen 2. Living Room 3. Dining Room 4. Bedroom 1 5. Bedroom 2 6. Bedroom 3 7. Hall 1 8. Hall 2 9. Main bathroom 10. Bathroom 2 11. Bathroom 3 12. Basement 13. Porch 14. Total: Light bulb type CFL or INCAND 1 A C4 1 0 ❑3 G4 1 0 0 0 n ❑2 0 E 0 0 0 El 0 0 0 D 0 0 1 0 0 ❑2 D 0 0 ❑2 0 D D 12 0 D 1 112 03 D 0 ❑2 0 0 1 12 0 CI 1 1 0 0 ❑ CFL ❑ CFL CFL • CFL ❑ CFL • CFL ❑ CFL ❑ CFL • CFL ❑ CFL ❑ CFL ❑ CFL ❑ CFL ❑ CFL L INCAND L INCAND ❑ INCAND ❑ INCAND ❑ INCAND ❑ INCAND ❑ INCAND ❑ INCAND ❑ INCAND G INCAND C INCAND C INCAND ❑ INCAND C INCAND Wattage Appliances Stove /Oven Gas Electric............ Vented...... ...... .... Gas line original......... Gas line replaced Present? Condition? Age? Clean? Energy all LY EN 'Good i_Poor ❑ Good IN Poor LY ❑N LY AN en replaced in the past 25 years are yellow 1 Refrigerator -. ❑ Y ❑ N ❑ Good IN Poor ❑ Y ❑ N ❑ Y LJ N Freezer Chest ize: ❑ Y ❑ N ❑ Good ❑ Poor ❑ Y ❑ N ❑ Y N N 'Dehumidifier Washer Top Loader ............... Front Loader............. ❑ 11 ❑ Y ❑ Y ❑ N ❑ N IN Good IN Poor ❑ Good ❑ Poor ❑ Y L Y ❑ N D N ❑ Y C Y ❑ N [IN Dryer Gas Electric..... Vented 11 LY N L Good ❑Poor LY JN LY El Other ❑ Y ❑ N ❑ Good ❑ Poor L Y D N L Y ❑ N Credit to the Maryland Weatherization Assistance Program Application Coalition to End Childhood Lead Poisoning Comprehensive Environmental Health and Housing Assessment Form Page 16 of 21 Air Infiltration Reduction Blower Door Test a. Record airflow in CFM at 50 Pa of pressure CFM50 Calculations to determine BAS (Building Airflow Standard = amount of ventilation the house should have) a. House volume b. Calculate Building Airflow = 0.35 x volume / 60 = c. Calculate People Airflow = (# Bedrooms + 1) x 15 = d. Between b & c, which is larger? (This is the BAS) e. Multiply BAS x 0.7 = f. Enter the blower door reading from section above g. Divide by N (N = h. Is mechanical Ventilation recommended / required per BAS scale? ft3 cmf cmf cmf cmf CMF50 cmf Calculate air changes per hour a. Blower door reading from Step f = b. House volume from Step a = c. CMF50x 60 /volume = d. ACH50 /N = Combustible Systems Diagnostics ir Heating S stem Dia• nostics co ppm CO (AF) , ppm CO2 % Efficiency % CO2 % Hot Water System Combustion Diagnosis CO (AF) ppm Combusting Efficiency Water Heater Heating CO2 % Efficiency % (if 75% or lower, recommend tune up or change out) % (if 80% or lower, recommend tune up or change out)4 Back -draft and Carbon Monoxide Testing Results Coalition to End Childhood Lead Poisoning Comprehensive Environmental Health and Housing Assessment Form Spillage (Enter PASS or FAIL below) Draft Test Carbon Monoxide Stand Alone Test (Enter units in PPM below) Stand Alone Test Combined Test Stand Alone Test Combined Test Worst Case Worst Normal Case Normal Pre Post Pre Post Pre Post Water Heater Heating J Pass _ Pass _! Pass Pass . —I Fail - Fail I Fail -! Fail : Pass I Pass _1 Pass 1 Pass Fail 1 Fail ❑ Fail _l Fail ill _,_ il il Coalition to End Childhood Lead Poisoning Comprehensive Environmental Health and Housing Assessment Form Page 17 of 21 Visual Survey (Visual walk thru conducted by the Environmental Assessor or Energy Auditor) Check boxes with the appropriate letters if a listed problem appears in the room. Circle any room(s) where a child sleeps or plays. EX = Exterior OB = Out Bldg P = Porch F = Foyer K = Kitchen LR = Living Room DR = Dinning Room BR = Bedroom B = Bathroom BA = Basement H = Hallway S = Stairs /stairwell W A-D = Wall A -D F = Floor CE = Ceiling WIS = Window Sill WIT = Window Trough WSA = Window Sash WIF = Window frame D= Door DJ = Door Jamb DF = Door Frame T = Threshold F -W = Floor Wood F -T = Floor Tile F -C = Floor Concrete F -CA = Floor Carpet Outside Temp: Inside Temp: Indoor CO: Rel. Humidity: Home Health ° x w w E �°. > J o c __ O = w Y 1 V �, 3 x 1 o 2 R m E 0 al 0 2 m cx E 0 o m M E 0 0 m v E 0 0 d m N o co m „ 1 cu E co I m m r 0 ° F ppm (Inside) Hazards Lead Paint Hazards - Peeling or Chipping Paint (Indicate Sides A, B, C or D) Walls Windows Doors Ceiling (C) F Floors ( ) Paint Chips on Soil (SH), Tripping (TN) Hazards: Structural Electrical (EH), Moisture, Mold, Mildew (Indicate Sides A, B, C or D) Water Leaks Condensation Mold (M), Mildew (D) Water Damage Pests Cockroaches Rodents Mice Rats Bedbugs Clutter (c) Sanitation: Garbage (G) Worn -out Carpeting (C) or Floors (F) Smoke Detector (so) CO Alarm (Co) Smell: Natural Gas (NG), Sewer Gas (SG), Musty Smell (MS) Unvented Appliances: Gas stove (GS), Gas Dryer (GD), Gas Heater Asbestos: Tiles (T), Boiler (0), Dist. System (DS) Source: Community Environmental Health Resource Center www. cehrc. orq Coalition to End Childhood Lead Poisoning Comprehensive Environmental Health and Housing Assessment Form Page 18 of 21 Sketch of rooms in residence, showing approximate square footage. Coalition to End Childhood Lead Poisoning Comprehensive Environmental Health and Housing Assessment Form Page 19 of 21 Sketch of rooms in residence, showing approximate square footage. Coalition to End Childhood Lead Poisoning Comprehensive Environmental Health and Housing Assessment Form Page 20 of 21 Sketch of rooms in residence, showing approximate square footage. Scope of Work for Energy, Health and Safety Audits Coalition to End Childhood Lead Poisoning Comprehensive Environmental Health and Housing Assessment Form Page 21 of 21 1. 2. 3. 4. 5. 6. 7 8. 9 10. 11. 12. 13. 14. 15. 16. 17. 18. 19. 20. 21. 22. 23. 24. 25. Coalition to End Childhood Lead Poisoning Comprehensive Environmental Health and Housing Assessment Form I M ?ACT of UNHEALTHY HOMES I'gOGPAMS BALTIMORE: 45,000 Pew MARYLAND= 357.000 people VS: 22/404000 poople 0 o ust 250,000 N. chi I4 eil "r BALTimovs: 349 dii Idren MARYLAND: 553 c lleiren for I4 AGTN -A w� Green & Healthy Homes Initiative ENERGY COSTv V NWEATNERIZEV FROM ES BALTIMORE- $'fl rriitlion MARYLAND - $323 rrlillion u5- $207 billion PO 50141444 BALTIMORE-$60 Million MARYLAND - $96 ThlJII aA U.S. -$LI34 billion. ALTIMORE -24401000 hom s RYLAND -1.5 million homes 5 - 100 rrliltion homes ACnMoRE - $105 MittiOn ARYLAND - 4642 Million s - gy3.7 billion oftWSkr Gfeen & Healthy Homes initiative ' 1.. C.orrp4cti • Co rei imothirty C °Wiwi:triter& CoMprithdinSitie, Ary 14. inteAigted, Weil/GA.11^ S. L1-043H, iw Attable4 .For46443 G.# Neve Stowitutk6r •Houts4, Infante/Ow .140114 to Witiciffitatifttsi ei di srrem... litiert 0 NAL LeARNIMel NierviOgg ropeami. cbsr-i N N gOUCA oroVe 44Lotiver7„:-14 u4,14-vr tor 0,4 viloRK emi FORC ophioto in paVel" b5 osts veer' Jo ' se46515 .iSiL 90.01.1 latare tam cove AA ves17-- -seek ASIAmetn,. 1""--. ...ALVICreltne, isorkefle ieflioilL %no. Sitaibifizareept, 14:414,fr.,71° Low Wellikorloo Family needs Energy inefficiency Lead hazards Housing defects WNDC Complaints VNA City Departments GHH Collaborative Service agencies Police Referrals Project Concern from Agencies 77 DHS Operation New View Green Corps Home Advocate - Community Foundation of Greater Dubuque Intake and Assessment Utility Companies New View Black Hills /Alliant Weatherization U of I Research Connections to Agencies VNA Dubuque 2.0 Healthy Home Inspections City -Lead -Rehab -Code Enforcement - Health - Healthy Homes -Other City depts CFGD • GHH Collaborative • HH Advocate ENERGY • Black Hills /Alliant Energy HOUSING & COMMUNITY DEVELOPMENT •HUD Grants •Lead Hazard Control •Healthy Homes Production' •Pest Control Operators •Radon Mitigators •Rehab •Section 8 •General Housing WEATHERIZATION • Operation New View WASHINGTON NEIGHBORHOOD LTH DEPT. • VNA • CCHC • Health Care Providers • I- lospitals JOB CREATION • HEART Workforce Developmen CITY OF DUBUQUE OTHER CITY DEPTS. •Sustainability Coordinator •Building • Water •Public Works •WPCP •Legal •Etc. ED! icATION R CERTIFICATION • NICC • Housing Dept. Dubuque 2.0 Your home is a very important environment where you and your family may spend much of your time. This booklet has been developed by the Iowa Department of Public Health and the Environmental Protection Agency as a tool to help you make your home healthy. As you flip through the pages you will find a little information about a lot of different topics. You will also find phone numbers and Web sites for many different resources so you can learn more about a particular topic that interests you. Pir Quality Water Quality Toxics Home Maintenance Health and Safety Go Green Resources L First and Secondhand SmnV First and secondhand smoke comes from a burning cigarette, cigar, pipe, or an exhaling smoker. Not only is secondhand smoke an asthma trigger, but people exposed to it tend to have more ear and respiratory infections such as bronchitis and pneumonia. The Environmental Protection Agency (EPA) estimates that secondhand smoke is responsible for about 3,000 lung cancer deaths each year among nonsmokers in the U.S. About 800 of these are estimated to be from exposure to secondhand smoke at home, and 2,200 deaths are from exposure in work or social situations. Smoking greatly increases the risk of lung and heart disease. In addition, current smokers and former smokers are at greater respiratory risk from other exposures such as asbestos and radon. Smoking is also associated with an increased risk for Sudden Infant Death Syndrome (SIDS). Actions you can take: Take the smoke -free pledge. Choose to smoke outside. Don't smoke around your children. CaII Quitline Iowa (1-800-QUIT-NOW) for help. Garber Monoxide Carbon Monoxide (CO) is a colorless, odorless gas that can cause sudden illness and death. Carbon monoxide is harmful when breathed because it robs the heart, brain, and other vital organs of oxygen. Depending on the level and length of exposure, carbon monoxide can cause shortness of breath, nausea, headaches, diz- ziness, vision problems, loss of coordination, mental confusion, fainting, or even death. In early 2007, 41 Iowans were poisoned by carbon monoxide. Most of the cases involved the use of generators, furnaces, gas stoves, or wood burners as a source of heat during power outages. All carbon monoxide poisonings could have been prevented by proper use of generators and gas powered appliances, annual gas appliance inspections, and maintenance of exhaust vents during storms. To help prevent carbon monoxide poisoning, buy a carbon monoxide detector with a battery backup and make sure to install it correctly. Look for detectors with the UL (Underwriters Laboratories) seal with an easy to hear alarm. Actions you can take: Use carbon monoxide detectors. Properly vent heating systems, gas or propane stoves, ovens, and dryers. Never use barbeque grills indoors and never leave gasoline - powered motors running in the garage. Never use stove tops or ovens to heat a room. 3 C c Asthma Asthma is a chronic, inflammatory airway disease of the lungs that causes breathing problems. Asthma affects infants, children, adults, and the elderly. In 1999, approximately 47,000 children and 145,000 adults in Iowa were affected by asthma. Each year in Iowa, uncontrolled asthma results in approximately 12,000 hospi- talizations, 45,000 emergency room visits, 37,000 unsched- uled doctor's office visits, and 140,000 lost school days. The common symptoms of asthma are wheezing, shortness of breath, chest tight- ness, and coughing that produces mucus. For infants and young children, symptoms may include wheezing, persistent coughing, and recurring or lingering chest colds. Many causes of asthma attacks are commonly found in the home and include: dust, cigarette smoke, pet fur, mold, cockroaches, dust mites, and fumes from household items. Actions you can take: Visit your doctor regularly and have an asthma action plan. Know your asthma triggers and do your best to avoid or reduce them. Call the The Lung HelpLine at (1- 800 - LUNG -USA) if you have additional questions. Exposure to radon gas is the the leading cause of lung cancer in nonsmokers and the second leading cause in smokers. Radon is a naturally occurring radioactive gas that enters homes through cracks, holes, or spaces in the basement walls and floor. It is colorless, odorless, and tasteless. Studies show that at least two out of three homes in Iowa have elevated levels of radon and at least half of the homes have readings above EPA's action level of 4 pCi /L (picocuries per liter). Iowa's indoor radon level is almost eight times the national indoor average of 1.3 pCi /L. Radon exposure accounts for approximately 55 percent of a person's radiation dose in their lifetime, however, in Iowa it accounts for approximately 75 percent. The overall risk of exposure depends on how much and how long you have been exposed to radon gas. Actions you can take: Test your home for radon. CaII 1- 800 - 206 -7818 for inexpensive do- it- yourself radon test kits. CaII the Radon Hotline at 1- 800 - 383 -5992 if you have questions. 4 N.< 13G 5 DrinKing Water Clean drinking water is necessary for good health. High concentrations of bacteria, synthetic chemicals, and natural contaminants in drinking water have the potential to cause health problems. Public water supplies are monitored by the Iowa Department of Natural Resources (IDNR). Every year, public water supplies are required to send a water quality report (Consumer Confidence Report) to the households they serve. In the rare case when there is a problem with the public water supply, the supplier must alert everyone who might be affected. Private wells should be tested annually to ensure the quality of the drinking water. In most cases, testing of private wells is the owner's responsibility. If you are interested in having your well tested, contact your local county health department to see if they participate in the Grants -to- Counties program. This program provides free water testing to Iowa residents whose primary source of drinking water comes from private wells. ANN Actions you can take: • Read the Consumer Confidence Report from your local public water supply. • Have the water in your private well test. • Contact your local county health department or IDNR with questions. Septic and Sewer Wastewater treatment systems, such as an on -site septic or a community sewer, are necessary to properly treat and dispose of wastewater contaminants. Septic tanks should be properly constructed and maintained to ensure that they are getting rid of the treated water safely. The solid waste in the tank should be pumped out once every three to five years depending on the size of the tank and water usage. If your wastewater is treated at a public sewer, there are still ways you can help reduce the impact your wastewater has on the environment. Conserving water and being careful about what you put down the drain are easy ways to help. You should not flush non - biodegradable products down the toilet such as: coffee grounds, cigarette butts, diapers, or feminine products. In Iowa, local boards of health are responsible for sewer systems serving fewer than 15 people, while IDNR is responsible for the larger public systems. There may be financial assistance programs available in your county to aid in the replacement of inadequate, outdated, or failing septic systems. Actions you can take: • Conserve water and consider composting your food waste. • Contact your local solid waste management agency or landfill to find details on how to properly dispose of hazardous wastes. • Contact IDNR, your county's sanitarian, or your nearest Iowa State Extension Office for more information about wastewater management. 6 1-1 pesticides Many pesticides pose some risk to humans, animals, and the environment because they are designed to kill or otherwise adversely affect living organisms. At the same time, pesticides are often useful because of their ability to control disease - causing organisms, insects, weeds, or (1) other pests. In 2006, there were ✓ 1,984 cases of pesticide poisoning in Iowa. Most of these cases were related to improper handling of chemicals. The pesticide label contains information you should read and understand before you use the product. Poisoning from pesticides may cause nausea, dizziness or more serious harm such as: injury to the lungs or damage to the nervous, reproductive, endocrine or immune systems. The extent of these problems depends on the toxicity of the product and the amount and length of exposure. All pesticide product labels contain the word "danger," "warning" or "caution" to indicate how hazardous the product is to people. Make sure to keep all pesticides and other household chemicals in secure places, safely out of the reach of children and pets. Actions you can take: READ THE LABEL before you buy, use, or dispose of a pesticide. *Always wash your hands after working with pesticides. • Call POISON CONTROL at 1- 800 - 222 -1222, if you suspect poisoning. Asbestos Asbestos is a mineral found in some older building materials such as shingles, siding, pipe insulation, floor tiles, and ceiling panels (including acoustical tiles). Asbestos was also used in coatings, gaskets, vermiculite insulation, and in brake linings and disc -brake pads of some automobiles. Most materials that contain asbestos do not pose a health risk, as long as they are maintained in good condition. In these cases, the safest, easiest, and least expensive option may be to just leave it alone. When building materials break down, are damaged or disturbed, tiny fibers of the mineral can be released into the air. If these fibers are inhaled, they can cause serious lung damage, and even cancer. However, symptoms may not appear for up to 20 or more years after the exposure. Actions you can take: Do not disturb materials that you think may contain asbestos. Hire a state - certified asbestos contractor if you decide to have asbestos removed. Contact the IDNR Air Quality Bureau for more information on asbestos regulations. 9 Lead is found in many older Iowa homes. Before being banned in 1978, lead was added to household paint. Lead poisoning is usually caused by lead -based paint found in homes built before 1960. About 60 percent of the homes in Iowa were built before 1960. Lead paint that is chipping, peeling or in high use areas (like window sills, doors, or stairways) is considered a hazard. These hazards must be repaired to prevent lead poisoning and to help lead- poisoned children get better. One out of every seven Iowa children is lead- poisoned. This is three times the national average. Exposure to lead can result in lower intelligence in children and has been associated with behavioral problems and nerve damage. At very high levels, it can cause seizures, coma and even death. Even though children are much more sensitive, adults can also become lead- poisoned. The only way to tell if you or your child is lead- poisoned is to have a blood test. It is important to have your child's blood tested for lead at least once a year until they are six years old. Actions you can take: Have your children tested for lead poisoning. Keep painted surfaces in good condition. Contact the IDPH Lead Poisoning Prevention Program Bureau (1- 800 - 972 -2026) if you have questions about lead. Household Gleaners Many household products contain ingredients that have the potential to harm your health and your environment if not used properly. Organic vapors or volatile organic compounds (VOCs), found in paints and solvents, can be very hazardous to your health. Possible health effects of exposure to VOCs include: irritation to the eyes, nose, and throat; damage to the liver, kidneys and central nervous system; and cancer. You should make sure to use these products in well ventilated areas. Products like motor oil and pesticides have the potential to pollute drinking water or nearby streams if poured onto the ground. Take care to dispose of any unused products in a safe and responsible manner (for example, take your unused products to a household hazardous waste collection facility.) Actions you can take: Read and follow product labels and use products in well - ventilated areas. Buy only the amount of product you will need. Contact your local landfill or hazardous waste collection facility. 11 Mold Mold grows in moist and damp environments. Mold spores, which are found almost everywhere in our environment, need moisture to grow. If mold spores from the air land on a wet surface in your home, they may just need a day or two to grow. Potential symptoms associated with exposure to mold include allergic reactions, asthma, and other ` respiratory complaints. The only way to check for mold 4 is through visual inspection. • Once you have identified a mold issue, you will need to remove it. Use a mild household detergent to clean mold off of solid surfaces such as concrete, tile, vinyl flooring, tub surrounds, and plastic toys. For items with a porous surface such as drywall, carpeting, furniture, bedding, clothing, books, and stuffed animals, the best thing to do is to throw the moldy item away. The key to controlling mold problems is to control the amount of moisture in your home. It does no good to clean up the mold if you haven't solved the moisture problem. Actions you can take: Make sure to control the moisture in your home. *Fix leaks, reduce indoor humidity, and increase ventilation in your home. Visit http: / /www.cdc.gov /mold for more information. 1 HouseKeeping A clean home is a healthy home. Weekly dusting and vacuuming can help to elimate many health hazards in the home. When cleaning, pay particular attention to areas where moisture and condensation collect, such as under sinks, near toilets, and around bathtubs. Re- ducing clutter is also an important part of a maintaining a clean house. Too much clutter allows dust to accu- mulate and creates hiding spaces for cockroaches and other pests. Mites, molds, and other allergens can be controlled through managing the indoor environment, especially keep- ing humidity under 50 percent. Some ways to limit the growth of mold and mildew in your home include: monthly cleaning or replacing of your heating and air conditioning filters, using dehumidifiers, keeping windows open when outside conditions allow, and using fans to increase ventilation. Cleaning products themselves can contrib- ute to an unhealthy and unsafe home. Many household cleaners may be poisonous to young children, even in small quantities. Make sure to follow label directions and store all products safely. V rts I rb r Actions you can take: Reduce clutter in your home. Vacuum and dust regularly. Clean or change furnace filters monthly. Follow directions on cleaning products and store them safely. 12 13 3 a Food Safety Food safety is an important part of maintaining a healthy Q.) home. Keeping your kitchen clean and handling food Vproperly will help lower the amount of bacteria found in your home. Make sure to always wash fruits and vegetables before you eat them. You should defrost meat, poultry, and fish products `v either in the refrigerator, the microwave, or in cold water that is changed every 30 mintues. When cooking meat, use a meat thermometer to test for a safe internal temperature before eating. Do not eat raw or slightly cooked eggs, like you would find in cake or cookie batter. Any leftovers should be refrigerated as soon as possible, but no more than two hours after cooking. Keep your refrigerator's temperature at 40 °F or less. After each meal, you should wipe down your kitchen counters and clean your dishes within two hours of use. If you are hand - washing your dishes, let them air dry before putting them away. Dish towels and sponges should be sanitized regularly, and you should wash your cutting board with soap and hot water after each use. f Actions you can take: Cook and store your food properly. Keep your kitchen and your dishes clean. Contact your nearest Iowa State Extension Office for more information on food safety. Pest Management An important part of maintaining a healthy home is pest control. Insects and rodents can create a very unhealthy home. It's been reported that cockroaches spread at least 33 kinds of bacteria, six kinds of parasitic worms, and at least seven other kinds of human pathogens. They can pick up germs on the spines of their legs and bodies wherever they crawl and then carry these germs into food or onto food surfaces. There are many ways you can reduce the number of pests that get into your home. These include: getting rid of outdoor clutter and debris from around the home (especially firewood and building materials), sealing up cracks and holes, getting rid of standing water, and keeping weeds and tree branches cut back from the house. If pests still manage to get into your home, make it unfriendly to them by keeping the house clean, eliminating clutter, storing food in proper containers, and throwing away waste. If you have a pest control problem that is not solved by regular cleaning, consider using traps or chemical pesticides. But try to use the least - toxic product available, and choose one that is designed specifically for the type of pests you have. 0 3 rb n Actions you can take: Seal cracks and holes in and around the home. Properly store food and throw away trash. Contact your nearest Iowa State Extension Office for more information on pest management. 13 3 G Immunizations v., 4c3 oZ5 ic3 0:1) 15 Immunizations have saved millions of lives by prevent- ing hundreds of millions of cases of disease. Vaccines teach the immune system how to recognize and fight bacteria and viruses before an infection happens. Some vaccines require only one dose, while others require several doses to provide complete protection. Vaccines are available to protect against the following diseases: Anthrax Cervical Cancer Pneumococcal Pertussis (Whooping Cough) Diphtheria Hepatitis A Hepatitis B Haemophilus Influenzae Type b (Hib) Human Papillomavirus (HPV) Influenza (Flu) Japanese Encephalitis (JE) Lyme Disease Measles Meningococcal Monkeypox Mumps Polio Rabies Rotavirus Rubella (German Measles) Shingles (Herpes Zoster) Smallpox Tetanus (Lockjaw) Tuberculosis Typhoid Fever Vericella (Chickenpox) Yellow Fever Actions you can take: • Talk to your doctor or local public health agency to see if your child's immunizations are current. • Contact the Healthy Families Line (1- 800 - 369 -2229) to find out where you can go for free or low -cost vaccinations. • Contact the IDPH Immunization Program (1 -800- 831 -6293) with questions about immunizations. Water Safety Drowning is the second leading cause of unintentional in- jury- related death among children ages 1 to 14. Drown- ing can happen in a matter of seconds. In 2006, there were 29 deaths due to drowning in Iowa. A small child can drown in a very small amount of water. Toddlers have drowned in garden ponds, bathtubs, buckets, and toilets. Keep children out of the bathroom, except when they are directly supervised, and never leave a child unattended in the bathtub. Keep the drain plugs out of the reach of children, so the tub or sink can not fill with water. Toilet seat locks, safety gates, and door latches can also be used to keep children away from potential drowning hazards. If you have a pool or live near a body of water, make sure to set strict rules about playing near those areas and never let your child swim unsupervised. Never leave a container with even a small amount of liquid unattended. You should empty these containers as soon as you are done with them. Parents and caregivers should take a CPR course; it can be a lifesaver. ro S?° rb Actions you can take: • Never leave your child unsupervised in a pool or bathtub. • Always empty liquid out of containers, especially buckets, after use. • Contact the American Red Cross (www.redcross.org) to enroll in a CPR course. 16 a aI Fire Safety Fire is the second leading cause of accidental death in the home. In 2006, 21 Iowans died from fire - related injuries. Being prepared is the best way to protect your family from fire. Here are a few tips you should keep in mind: Supervise your children when they use kitchen appliances or any electrical devices. Use caution when operating space heaters. Place the heaters at least three feet from anything flammable. If you smoke, be especially careful around furniture, never smoke in bed, and be sure cigarettes are completely out before you toss them into the trash. Always keep matches and lighters out of children's reach. If you light candles, keep them out of the reach of children and pets. Never place a lit candle near curtains or furniture, and extinguish them before you go to bed or leave the house. Install smoke detectors on the ceiling or high on a wall, and make sure they are T".5 in working order. In case of a fire, plan an escape route and practice it often with your children. 17 Actions you can take: • Always be aware of potential fire hazards in your home. • Make sure all smoke detectors are placed properly and are in good working order. • Plan an escape route and practice it with your children. Reduce, Reuse, and Recycle One of the ways to keep a healthy home is to produce less waste and to properly dispose of the waste you do produce. Do this by following the three Rs: Reduce, Reuse, and Recycle. Reduce the amount of trash you throw away and only buy as much of something as you need. The old adage "One man's trash is another man's treasure" defines reuse. Reusing items by repairing them, donating them to charity or selling them reduces waste. Recycling includes collecting recyclable materials that would otherwise be considered garbage, sorting and processing recyclables into raw materials, and manufacturing raw materials into new products. Recyclable materials typically include: paper, cardboard, glass, metal, plastic, yard waste, electronic equipment, and food waste. Collecting recyclables varies from community to community; however, there are four primary methods of recycling: curbside pick -up, drop -off centers, buy -back centers, and deposit/refund centers. Actions you can take: Produce Tess waste. Reuse or recycle the waste you do produce. Call 1- 800 - CLEANUP for more information on recycling in your community. C.5 �J Ct) 19- e -Waste Electronic equipment, sometimes referred to as "e- waste," is an emerging and growing source of waste. These products include items like TVs, computer monitors, CPUs, keyboards, cell phones, printers, and copiers. Many natural resources, including metals and plastics, are found can be reclaimed. Computer monitors in e-waste and and older TV picture tubes contain an average of two to four pounds of lead (depending on their age) and require special handling when disposed. Electronics can also contain other hazardous substances including mercury, cadmium, and brominated flame retardants. When electronics are disposed of improperly, these toxic materials can present problems. Extending the life of your electronics or donating your most up -to- date and working electronics can save you money and saves valuable resources. Check to see what kind of electronics can be collected in your community. Many retailers and manufacturers will take their products back for free or for a fee. Actions you can take: • Dispose of electronic waste safely and correctly. • Donate used electronics for recycling. • Contact IDNR for more information about e- waste. Energy Stare Energy Star® is a program that helps businesses and individuals protect the environment through superior energy efficiency. Energy- efficient choices can save families about 30 percent on their energy bill and reduce greenhouse gas emissions. Most Energy Star® appliances offer the same features, style, and comfort as other appliances. Energy Star® qualified light bulbs are 75 percent more efficient than incandescent bulbs. Refrigerators use more energy than any other appliance in your home, but an Energy Star® qualified refrigerator uses about half the energy of a 10- year -old conventional model. Energy Star® qualified clothes washers use 50 percent less water and 70 percent less energy per load. An Energy Star® qualified programmable thermostat can automatically adjust the temperature of your home when you are away. Check with your local utility company to see what rebates and incentives are available for the purchase of Energy Star® qualified heating systems, air conditioners, light bulbs, and other appliances. Money Isn't All You're Saving -3 rb rts Actions you can take: Replace your old appliances with Energy Star® appliances. Replace your Tight bulbs with Energy Star° lighting. Contact your local utility company to ask about incentives for purchasing Energy Star° products or to schedule an energy audit. 20 21 Environmental Protection Agency Web site: http: / /www.epa.gov /region? Centers for Disease Control and Prevention Web site: http: / /www.cdc.gov National Pesticide Information Center Phone: 1- 800 - 858 -7378 Web site: http: / /www.npic.orst.edu American Red Cross Web site: http: / /www.redcross.org American Lung Association Web site: http: / /lungusa.org Consumer Product Safety Commission Web site: http: / /www.cpsc.gov Iowa Department of Public Health Web site: http: / /www.idph.state.ia.us Iowa Department of Natural Resources Web site: http: / /www.iowadnr.com Iowa Poison Control Center Phone: 1- 800 - 222 -1222 Web site: http: / /www.iowapoison.org Iowa State Extension Web site: http : / /www.extension.iastate.edu County Government Sites Web site: http: / /www.iowa.gov /state /main /govcounties.html Healthy Families Line Phone: 1- 800 - 369 -2229 COLOR YOUR This booklet was based on EPA New England's Healthy Homes brochure. It was made posssible by partnerships involving EPA, Iowa Department of Public Health, the Wellmark Foundation, and the Great Plains Public Health Leadership Institute. Iowa Department of Public Health 32-1 £ %zth St. Des Moines, IP1/4 5031q CITY OF DUBUQUE LEAD HAZARD CONTROL GRANT FACT SHEET GRANT Grant Funds Match Provided TOTAL $ °S # of Units Completed Average Cost per Unit ROUND 4 LEAD GRANT 1997 - 2002 $3,690,619 $865,482 $4,556,101 464 $5,141 ROUND 11 LEAD GRANT 2003 - 2007 $2,417,399 $608,145 $3,025,544 270 $6,898 ROUND 14 LEAD GRANT 1/1/2008 - 12/31/2010 $2,982,769 $500,728 $3,483,497 232 $12,000 PROFESSIONAL LEAD T INING PROGRAMS TYPE OF TRAINING Contractors Workers Sampling Tech /Inspector 8 Hr. Safe Work Practice Visual Risk Assessor/ Inspector Refresher Worker /Contractor Refresher TOTAL TRAINED ROUND 4 LEAD GRANT 172 173 86 108 124 59 722 ROUND 11 LEAD GRANT 77 127 69 41 138 69 521 ROUND 14 LEAD GRANT 43 64 60 7 39 45 258 Blood Lead Level Decrea (for children 1 - 6 years) * * This compares to the national average of 1.6% for children 1 - 6 years. Target Area 12.8% City 10.8% Target Area 8.6% City 6.8% ECONOMIC IMPACT Round 4 Grant- 95% of the total dollar amount that awarded was to Section 3 businesses. Round 11 Grant - 96% of the total dollar amount was awarded was to Section 3 businesses. Round 14 Grant - 87% of the total dollar amount was awarded to Section 3 businesses. Target Area 4.5% City 2.8% TOTAL $9,090,787 $1,974,355 $11,065,142 966 TOTAL 292 364 215 156 301 173 1501 C: \DOCUME- 1 \jhilkin \LOCALS -1 \Temp\XPgrpwise \[Copy of Grant Comparative Fact Sheet2_1.xls]Comparative facts