Solicitation Attach D. FYHC Integrated Pest Management Plan.pdf

Indian Health Service Phoenix Area

Ft. Yuma Service Unit Ft. Yuma Health Care Facility

Winterhaven, CA

Integrated Pest Management Plan March, 2018

Prepared by: Environmental Health Officer, LT Kathryn Pink______ _03/01/18__ Position, Name Date

Approved by: _Safety Committee_____________________________ __03/08/18__ Date

03/2018

TABLE OF CONTENTS

I. INTRODUCTION…………………….....……………………………………

II. SCOPE………………………………………………………...………………….. 3

III. PESTS………………………………….……………………………………..…... 4

IV. MITIGATION.……………………..……………………………………..….…... 5

V. MONITORING AND IDENTIFICATION.…………………..…………..……... 5

VI. THRESHOLD AND TREATMENT………………………..…………..……..…. 6

VII. MANAGEMENT ACTIONS……...……..…………………………...……..…… 7

APPENDIX A – Property Maps……………………………...…………………..……….. 8

APPENDIX B – Pest Recordation Form…..…………………………….……..……….… 10

I. INTRODUCTION

The primary goals of an Integrated Pest Management (IPM) program is to eliminate and prevent pests from inhabiting the building and damaging the clinic property and to reduce the amount of pesticides used. IPM is the tool for controlling pests through monitoring, mitigation, and treatment. The extent of the work involved in an IPM program depends on the type and size of the facility. This document serves as the framework for addressing specific IPM at the facility-level by:

Describing the two common categories of pests found in the clinic.

Developing mitigation strategies to prevent pests from entering clinic spaces.

Discussing basic methods of monitoring and the need for identification.

Outlining inexpensive yet effective means of treatment for clinic spaces.

Educating and involving staff to ensure the IPM plan is properly implemented.

When monitoring procedures and mitigation strategies in this IPM plan are performed as scheduled and followed consistently, pests should be preventable in the facility without resorting to chemical treatments. However, if pests are detected or an infestation is found, inexpensive treatment options such as freezing can be used to eliminate pests found in or on objects.

Involving and educating housekeeping, security, clinic and office staff about the IPM plan will help to ensure the plan is successfully implemented.

II. SCOPE

The Indian Health Service is at the end of construction for a new 7,088 gross square-meter health clinic at 401 Picacho Road, Winterhaven, CA 92283. This new location is across from Paradise Casino, the Quechan Senior Center, and Pipa Market.

The American Indian/Alaska Native (AI/AN) patient population at the health center is generally a higher-risk population than the general public at-large (non-AI/AN) and therefore, the use of the least toxic and least amount of chemicals is preferred to ensure the overall health of the patients. Non-chemical pest prevention such as air curtains (not provided during construction) and traps are preferred to the use of chemical sprays.

The Indian Health Service anticipates beginning service around March 24th, 2018. Routine and general pest control inside the building is required. The facility does not include a food service area although a demonstration kitchen with a residential stove is included for diabetes education and nutrition demonstration. Cockroaches are a particular concern: the property and supply warehouse is especially susceptible to cockroaches due to the nature of receiving outside shipping containers through a roll-up door. The pest control contractor shall take special precautions to ensure that cockroaches are baited and eliminated around the warehouse section of the building.

The close proximity of agricultural fields to the south-west of the property raises the concerns of mice on the grounds and in the facility. Vertebrae trapping is excluded from the scope (to be performed by Quechan Fish and Game), but sufficient traps for rodents will be provided to ensure safe and sanitary conditions at the clinic. Contractor is responsible to survey the building for appropriate locations, provide proper trap quantities, and proper set up of traps (e.g., spring loaded mouse traps should be perpendicular to walls).

Flies are a frequent pest due to the close proximity of agricultural fields. Sufficient ultraviolet (UV) fly traps indoors and traps with non-toxic attractants outdoors will be provided.

The facility includes a 5-year warranty on termite control; termite inspection shall be included but baiting and treatment shall be excluded.

The facility has a number of retention ponds on the grounds and is in close proximity to Yuma’s West Wetlands Park and Gateway Park. Mosquito control services shall be included in the scope but shall remain unfunded unless services are required (a contract modification will be executed to provide funding if service is required).

Bed bugs are a potential concern for the community, treatment is included in the scope but shall remain unfunded unless services are required (a contract modification will be executed to provide funding if service is required).

III. PESTS

Common pests that damage clinic property can be divided into two distinct categories: insects and vertebrates. However, the two categories are interrelated as they can provide a food source for one another.

Insects

The most common categories of insects that may damage clinic property or create a nuisance include: termites, cockroaches, flies, mosquitoes and bed bugs. Some insect pests may damage objects by feeding, whereas others may damage objects when burrowing to develop into the next life stage. Additionally, some insects may pose a public health risk or nuisance issue.

Vertebrates

Rodents, birds, and bats can cause both direct and indirect damage to clinic property. Rodents may chew and nest in refuse areas or supply areas. The excrement of rodents, birds, and bats may be a public health hazard, and their excrement and nests can attract insects. In addition, some vertebrate pests may carry and potentially spread diseases that can be harmful to humans.

Specifically, field mice that may carry Hantavirus and bats that may carry Rabies. Additionally, West Nile Virus and St. Louis Encephalitis are prevalent in this area and birds are “amplifier hosts” for these two diseases.

IV. MITIGATION

Before beginning to place traps, inspect the space(s) to be monitored. Make note of possible entry points for pests, where traps should be placed, and what types of pests that could be living in the space(s). The following is a list of suggested mitigation strategies that could be implemented for each facility.

Seal cracks in walls, along baseboards, and around points of entry for water (e.g., plumbing).

Look for evidence of rodents, such as nesting, chew marks on objects, or droppings.

Observe where spider webs are located as they are evidence of a food source located nearby.

(Note: spiders are usually only casual invaders and not considered pests).

Check out other areas adjacent or connected to the space(s). These areas may potentially attract pests, which could find their way into the space(s).

Visually inspect the exterior of the building for evidence of birds or nests. If nests are found, they should be removed immediately as they provide a habitat for insect pests and relocated to a safe habitat if possible.

Ensure all windows have well-fitted screens free of holes or other damage (if able to be opened).

If possible, avoid having trees, bushes, and mulch any closer than five feet from the building.

Growth of tree branches should be monitored and trimmed back from exterior walls as needed.

Procedures should be in place to remove all food debris on a daily basis from administrative office spaces. Daily trash removal, dusting, and vacuuming will need to be coordinated with housekeeping staff.

Live plants attract pests. They provide food, water, and shelter for insect and vertebrate pests. For administrative office spaces, conditions should be placed on live plants, such as cut flowers must be greenhouse grown; potted plants must be in sterilized soil, treated with pesticides, and grown in a controlled environment; and facilities staff must be informed when new plants are brought into the building.

Take measures to ensure there is no standing water around the building or in drainage systems after a rain.

V. MONITORING AND IDENTIFICATION

Monitoring

Monitoring is the key to developing an effective IPM program by establishing baseline information on the biological activity and environmental conditions on the property and evaluating effectiveness of actions taken. Monitoring space(s) for pests is important to ensure that the property, employees and clientele are not being subjected to undue harm. A good monitoring program will assist in preserving clinic property and provide a safe and healthy environment for staff and clients.

The primary concerns would be to monitor for the presence of 1) pests of public health concern,

2) larger pests that are able to enter clinic space(s), 3) pests that may be attracted to paper records, 4) pests that would cause facility deterioration.

Routine Inspection

Routinely inspect the property for evidence of pest activity. No supplies or equipment is required, only direct observation on a regular schedule. Evidence of pest activity may include:

rodent droppings, insect casings, holes in supplies, spider webs and dead insects. Become familiar with space(s) and the property in order to identify areas of concern or any changes since the last inspection.

In order for monitoring to be effective, all inspections and findings must be properly documented even if the inspections were negative.

Organize tasks by the frequency by which they are to be performed, such as daily, weekly, monthly, quarterly, semi-annually, annually, and as needed.

Identification

Identification of pests is vital to determine an appropriate mitigation strategy for clinic space(s).

Identification helps to provide an understanding of actions and steps necessary to properly avoid and/or block at least one of the three needs of pests (food, water, and shelter) to live in the clinic.

Eliminating just one of these will lead to a reduction in pest activity. If all three can be eliminated, a pest problem may no longer exist.

When pests are caught in sticky traps or found on objects during routine inspection, bag each trap/object separately in a sealable polyethylene bag.

Bag the trap/object at its location. Do not carry a dirty trap/infested object across the clinic.

Note the date and location found on the bag.

Identification can be done through the pest control contractor or an entomologist.

See Section VI for further instruction when an infestation is discovered.

VI. THRESHOLD AND TREATMENT

Threshold

One insect or rodent inside the building warrants action to prevent further pests from establishing a presence in the building. Up to three non-poisonous, non-rodent invertebrates may be discovered in a 30-day period through monitoring and inspection before action is justifiable.

Treatment

If evidence of pest activity is found, action should be taken immediately to prevent further infestation.

Isolate any infested objects. Use polyethylene bags to bag the infested object in place.

Do not carry infested material across the room without bagging first as this may cause the infestation to spread.

Identify the pest. This can be done through a local extension service, university, or entomologist.

Determine the source of the pest and how it may have been introduced while isolating any additional infested objects discovered in the process.

Develop and implement any additional mitigation strategies to help prevent the pests from being allowed continued access to food, water, and/or shelter.

Treatment decisions must consider the infested materials/areas, type of pest, clinic policy on pesticides or other hazardous materials, and the expertise of a pest management specialist when more complex treatments are necessary.

VII. MANAGEMENT ACTIONS

Recordkeeping

Place Pest Recordation Forms (see Appendix B) in separate archival folders for each space within the facility. Summarize data recorded on the Pest Recordation Forms quarterly. Look for trends in data to determine if pest issues are occurring seasonally, under certain environmental conditions within clinic space(s), or when specific activities take place such as receiving deliveries or bringing in new supplies/equipment. Adjust mitigation strategies/policies, as appropriate, when data indicates a current weakness in the IPM program.

All treatment must be documented. Record which areas were treated (if applicable), the date treatment was undertaken, the duration of the treatment, the treatment method used, the type of pest, and the treatment results.

Staff Involvement

Inform the housekeeping, maintenance and security staff of the presence of traps in and outside the clinic. Describe or physically show these staff what the traps look like to help ensure the traps are not disturbed. Housekeeping, maintenance and security staff may be assigned duties to monitor traps and/or inspect facility spaces and equipment. One person should be assigned overall responsibility for the pest management program for the clinic, however, specific duties may be assigned to other staff as needed.

To ensure continued awareness of the IPM program in the Ft. Yuma Health Center, staff must conduct informational meetings with all staff on an annual basis. The meetings should include a brief description of the pests that could pose a problem or are a problem at the facility (suggest showing photographs of pest damage and infestation found in the facility if applicable), the monitoring devices that staff encounter, mitigation strategies that staff can do to prevent infestation, and contact information for reporting infestations or other observations. Focus will be on what staff can do to help prevent introducing pests into the facility and what can happen if an infestation occurs.

APPENDIX A: Property Map

Include a map, such as building plans, of each of the spaces identified in Section II of the Integrated Pest Management Plan that are to be monitored. Clearly identify the location of all traps including the type of trap, the date of placement, and a number that can be used for recording purposes.

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APPENDIX B: Pest Recordation Form

File all Pest Recordation Forms for future reference. Use the following sample form as a guide to create recordation forms for the traps and spaces identified in Section II and Appendix A of the Integrated Pest Management Plan.

Trap # ___________ Trap Type _______________ Space Type _______________________

Location (be specific) __________________________________________________________

Type of Pest ________________________________________________ Quantity _____

Genus/species __________________ _____ Life Stage __________ Dead/Alive __________

Object (if applicable) ___________________________________

Material Type(s) ______________________________________________________

Notes ______________________________________________________________________

Discovered By (please print) _______________________________________ Date ________

Recorded By (please print) _________________________________________ Date ________