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05/04/1994 I I I 25 Mr. John Coble called the regular business meeting of the New Hanover County Board of Health (NHCBH) to order at 8:00 A.M. on Wednesday, May 4, 1994, in the Carl Thomas Durham Auditorium, New Hanover County Health Department (NHCHD), Wilmington, North Carolina. Members Present: John M. Coble, Chairman Spiro J. Macris, DDS, Vice-Chairman Mary Lou Alford Thomas V. Clancy, M Mary King Dean W. Keith Elmore, RPh. Robert G. Greer Dennis L. Jackson, DVM Laura Pitts Maness Edward L. Paul, Jr., OD Mark A. Veenstra, PE Members Absent: Others Present: Robert S. (Bob) Parker, Health Director Daisy Brown, Recording Secretary Mr. Greer presented the invocation. Mr. Coble called for corrections to the minutes of the meeting on April 6, 1994. The minutes were approved. Recognitions: Presentation of Flowers to Health Department Staff for Blood Drive Victory Mr. Wayne Morris, Director, Social Services, presented a staff in recognition of their 1993 County Blood Drive. 100% smokefree Establishments New Hanover County Department of bouquet of flowers to the NHCHD victory over DSS in the December Mr. Coble recognized and congratulated recipients of 50 New Hanover County Smokefree Establishments with 100% Smokefree Establishment Certificates. Jeanne Rose, R.N., N.C. Association for Home Care Provider of The Year Award Mr. Coble recognized and congratulated Ms. Jeanne Rose, R.N., Home Health Quality Assurance Coordinator, recipient of the N.C. Association for Home Care Provider of The Year Award. 26 Ms. Frances Arnold, Resolution of Appreciation On behalf of the Halifax County Board of Health, Mr. presented a Resolution of Appreciation to Ms. Frances Board of Health member, for serving six years on the County Board of Health. John Bullock, RPh, Health Department Pharmacist - Retirement Parker Arnold, Halifax I Mr. Coble presented to Mr. John Bullock, dollar /plaque in recognition of his retirement Mr. Parker commended him for dispensing prescriptions at the health department. RPh, a silver from the NHCHD. over 100,000 Class Act Award Program Mr. Andre Mallette, Director, New Hanover County Department of Human Resources, informed the Board regarding the Class Act Award Program for New Hanover County employees. Mr. Mallette explained that the first recipient of this award will be recognized at the County Commissioners meeting on May 16, 1994. Mr. Coble thanked Mr. Mallette for his presentation. Department Focal: Mr. Ken Sholar, Vector Control Manager, presented the department focal entitled, "BTI Kill" (Mosquito Control). Committee Reports: I Unfinished Business: Approval of New Hanover County Board of Heal th (WCBB) Rules Governing the Operation of Temporary Food Facilities in New Hanover County Mr. Coble requested that the Board of Health consider the adoption of the proposed NHCBH Rules Governing the Operation of Temporary Food Facilities in New Hanover County. Dr. Macris, Chairman, Environmental Health Committee, reported that the Committee had made minor changes to the proposed temporary food facilities rules and that fees will be addressed at a future meeting of the Committee. Ms. Harvell explained that the proposed foodstand rules will better define the standards for temporary food service operations. She stated the County Attorney has reviewed these changes to the rules. Dr. Macris moved from the Environmental Health Committee for the I Board of Health to adopt the revised NHCBH Rules Governing the Operation of Temporary Food Facilities in New Hanover County . effective July 1, 1994. Upon vote, the MOTION CARRIED. I I I '¿/'¡ New Business: Approval for Home Health Agency to Move Due to the lack of space for staff and inadequate parking for health department clients and staff, Mr. Coble requested for the Board to grant permission for the Home Health Agency to plan for relocation of their agency to a leased facility. Mr. Parker explained that the NHCHD needs extra clinical and parking space. He explained that the lease will have to be signed and approved by the New Hanover County Commissioners. After a lengthy discussion, Dr. Jackson moved for the Board to approve for the Home Health Agency to proceed with their plans to relocate the NHCHD Home Health Agency to a leased facility. Upon vote, the MOTION CARRIED. Approval of Animal Control Advisory Committee Member Mr. Coble presented a request to the Board to approve Ms. Melinda Stallard to serve on the Animal Control Advisory Committee. Mr. Currie explained that this position had been vacated by Ms. Mary Ann Waldron. Mr. Coble moved for the Board of Health to approve the nomination of Ms. Melinda Stallard to the NHCHD Animal Control Advisory Commi t tee. Upon vote, the MOTION CARRIED. Comments: Board of Health Members Health Director On behalf of the health department staff, Mr. Parker thanked the Board of Health for honoring the Health Department Staff with a luncheon at 12 Noon on Friday, April 29, 1994. The cooks for the luncheon were recognized. He stated the news coverage of the luncheon was outstanding. Mr. Parker announced the California Raisins from the Dream Team performed for the New Hanover County Commissioners on April 18, 1994. He stated that he has issued an invitation to Governor James B. Hunt, Jr., to see the California Raisins' performance. Mr. Parker invited Board members to visit with Dr. Ronald H. Levine, State Health Director and other state officials, who plan to visit with NHCHD staff from 10:30 A.M. - 12 Noon on May 10, 1994. Mr. Parker reminded the Board that the North Carolina General Assembly will convene on Tuesday, May 24, 1994. t)R ......¡(. Mr. Parker invited Board members to attend the Home Health Agency Strategic Planning meeting to be held on May 25 and 26, 1994. I Ms. Alford is to represent the Board of Health at this meeting. There being no further business Mr. Coble adjourned the meeting at 9:46 A.M. ~?rL~. t#£ M John M. Coble C airman, Board of Health w~ Robert S. (Bob) Parker Secretary to the Board Approved: I I NEW HANOVER COUNTY BOARD OF HEALTH RULES GOVERNING THE OPERATION OF TEMPORARY FOOD FACILITIES IN NEW HANOVER COUNTY NORTH CAROLINA EFFECTIVE JULY 1, 1994 Table Of Contents Section Page . 1000 1001 1002 1003 1004 1005 1006 1007 1008 1009 1010 1011 1012 1013 1014 1015 1016 Purpose 3 General Provisions 3 Definitions 3 Exemptions 5 Permit 5 Construction Standards 6 EquiPment And Utensils 7 Sources And Protection Of Food 9 Hygiene/personnel 10 Water Supply 11 Toilet Facilities And Disposal Of Waste 11 Procedure When Infection Suspected 12 Right Of Entry 12 Appeals Procedure 12 Remedies 13 Severability 13 Effective Date 13 2 Section 1000 Purpose To establish standards for temporary food service operations which are not regulated by the North Carolina Commission For Health Services Rules Governing The Sanitation Of Restaurants And Other Foodhandling Establishments (15A North Carolina Administrative Code 18A .2600) so as to minimize the risk of disease transmission through the handling of food at special events of short duration such as exhibi tions, festi vals and street fairs, the New Hanover County Board Of Health declares that the following rules for protection of the public health are hereby adopted pursuant to authority granted by Chapter 130A Section 39 of the North Carolina General Statutes, and shall apply throughout New Hanover County, North Carolina. Section 1001 General Provisions (a) Scope No person shall construct, operate or renovate or cause to be constructed, operated or renovated any temporary food service operation contrary to the provisions of these Rules. These Rules supersede regulations, requirements, rules and standards relative to temporary food service operations previously adopted by the New Hanover County Board Of Health. (b) Conflict The provisions of any federal, state or municipal law, ordinance, regulation or rule establishing requirements and standards affording greater protection to the public health, safety and welfare shall prevail within the jurisdiction of such agency or municipality over requirements and standards established by these Rules. (c) Permits No person shall handle, dispense and/or sell food in or from a temporary food service operation until such has been: (1) found to be exempt from these Rules; OR, (2) (A) inspected; (B) found to comply with these Rules; and, (C) permitted by the New Hanover County Health Department. Section 1002 Definitions The following definitions shall apply in the interpretation and enforcement of these Rules: Approved means determined by the Department to be in compliance with these rules. Food which complies with requirements of the North Carolina Department Of Agriculture or Uni ted States Department Of Agricul ture and the requirements of these rules shall be considered as approved. 3 . Board Of Health means the New Hanover County Board Of Health. Department means the New Hanover County Health Department or its authorized representative. Director means Director of the New Hanover County Health Department or his/her authorized representative. Employee means any person who handles food or drink during preparation or serving, or who comes in contact with any eating or cooking utensils, or who is employed at any time in any area in which food or drink is handled, prepared or served. . Food means any raw, cooked or processed edible substance, ice, beverage or ingredient used or intended for use or for sale in whole or in part for human consumption. Person means any individual, firm, association, organization, partnership, business trust, corporation or company. Potentially hazardous food means any food or ingredient, natural or sYnthetic, in a form capable of supporting the growth of infectious or toxigenic microorganisms, including Clostridium botulinum. This term includes raw or heat treated foods of animal origin, raw seed sprouts and treated foods of plant origin. The term does not include foods which have a pH level of 4.6 or below or a water activity (Aw) value of 0.85 or less. Sanitize means the approved bactericidal treatment by a process which meets the temperature and chemical concentration levels in 15A NCAC 18A .2619. Sewage means the liquid and solid human body waste, and liquid waste generated by water-using fixtures and appliances, including those associated with foodhandling. Single service means cups, containers, lids, closures, plates, kni ves, forks, spoons, stirrers, paddles, straws, napkins, wrapping materials, toothpicks and similar articles intended for one-time, one person use and then discarded. Special event means an event in which businesses, churches, organizations and/or persons participate such as an exhibition, festival, street fair or similar public gathering including but not limited to the Azalea Festival, City Of Wilmington Fourth Of July Celebration, David Walker Festival, Feast Of The Pirates Street Fair, Pleasure Island Spring Festival, Piney Woods Festival and Riverfest. 4 " / . Temporary food facility means any facility that meets all of the following criteria: 1) where potentially hazardous food is handled, portioned, prepared and/or served; 2) where potentially hazardous food is either given away or sold to the public; and, 3) operates for a period of 48 hours or less in conjunction with a special event. Section 1003 Exemptions These Rules shall not apply to temporary food service operations meeting the following criteria: (a) those that only handle popcorn, candied apples, cotton candy and/or beverages in single-service containers; OR, (b) those that only handle baked food items or dairy products regulated solely by the North Carolina Department Of Agriculture; OR, (c) .. those that meet the following three (3) criteria: (1) duration of the special event does not exceed 24 hours from beginning to end; (2) duration of the food service operation does not exceed 24 hours from beginning to end; and, (3) only handle ready-to-eat/ready-to-serve food catered from an establishment under regulation by the North Carolina Commission For Health Services Rules Governing The Sanitation Of Restaurants And Other Foodhandling Establishments (15A North Carolina Administrative Code 18A .2600); OR, " those that meet the following three (3) criteria: (1) duration of the special event does not exceed 24 hours from beginning to end; (2) duration of the food service operation does not exceed 24 hours from beginning to end; and, (3) are one (1) of no more than two (2) temporary food facilities operated at the special event. Section 1004 Permit (d) (a) A permit to operate shall be obtained from the Department prior to handling, dispensing and/or selling food in or from a temporary food facility. (b) The Department shall provide upon request an Application For A Permit To Operate A Temporary Food Facility to a potential participant. A completed, signed and dated application along with fee payment as specified in the current fee schedule established by the Board Of Health should be submitted to the Department at least 14 calendar ~ 5 · days prior to commencement of the special event. The completed application shall include a menu listing of each food and beverage item to be handled, dispensed and/or sold. Applications and/or fee payments submitted to the Department less than 14 calendar days prior to commencement of the special event shall be subject to a penalty as specified in the current fee schedule established by the Board Of Health. Applications and fee payments including penalties shall only be accepted by the Department during normal business hours (Monday through Friday between the hours of 8:00 AM and 5:00 PM) prior to commencement of the special event. (c) Participants shall be responsible for obtaining from the local building code enforcement official and fire department all relevant information concerning electrical, fire and safety codes. (d) Participants shall be responsible for complying with all other applicable federal, state and local codes, laws, ordinances, regulations, rules and standards. (e) When an inspection by the Department shows that a temporary food facility fully complies with these Rules, a permit to operate shall be issued to the owner or operator. A permit to operate shall not be transferable, and shall not be valid for more than 48 consecutive hours after the date/time of issue. .. (f) The permit to operate shall be posted in a conspicuous place where it may be readily observed by the public at all times. The owner or operator of the temporary food facility shall be responsible for keeping the permit to operate posted for the duration of the special event. (g) Noncompliance with these Rules and/or conditions stated on the permit to operate shall be sufficient cause for the Department to deny or suspend the permit to operate. A suspended permit to operate shall not be reinstated until an inspection by the Department shows that the temporary food facility fully complies with these Rules and/or conditions stated on the permit to operate. Section 1005 Construction Standards (a) Temporary food facili ties shall be located in clean surroundings, and kept in a clean and sanitary condition. They shall be constructed, arranged and operated so that food, utensils and equipment will not be exposed to insects, dust and other contamination. (b) Temporary food facilities shall not be located: 6 · (1) within 100 feet of animal/poultry pens, stables or yards; (2) in areas that are likely to be flooded; (3) in areas that support vermin harborage; and, (4) near other environmental factors/features that contribute to, create or promote unsanitary conditions. .. (c) A temporary food facility shall consist of at least one ( 1) enclosure in a location, of a construction and in an arrangement approved by the Department. All food dispensed and/or sold at a special event shall be handled, portioned, prepared and served from such an approved enclosure. Floors, walls and ceilings shall be constructed of canvas, plastic, wood or other similar impervious material. Except for access space to the inside of the enclosure, walls shall extend to a minimum height of 30 inches above the floor surface. The roof or ceiling of the enclosure shall extend at least to the outer edge of all bars, counters, tables, work surfaces, and cooking, display and preparation equiPment. Floors, walls and ceilings shall be maintained in a condition or state of repair so as to be cleanable through routine procedures, and shall be kept clean. (d) All food and food service equipment with the exception of bulk storage and grills with lids shall be located inside an approved enclosure and shall not be exposed either to the public or other potential sources of contamination. The space occupied by bulk storage, waste disposal containers and any other utility type items shall be treated as an extension of the food service operation. Provisions shall be made to exclude animals from the area comprising the total temporary food facility. Only employees of the temporary food facility and delivery persons shall be allowed in the enclosure(s) or extended food service area comprising the total temporary food facility. Section 1006 Equipment And Utensils (a) All equipment and utensils shall be of a type design, construction and fabrication that can be effectively and safely used in a temporary food service operation. All eating, drinking and cooking utensils, tables, sinks, cabinets, hoods, shelves and other equipment and fixtures used in connection with the operation shall be so constructed as to be easily cleanable and in good repair. All surfaces with which food or drink comes in contact shall consist of smooth, not readily corrodible, non-toxic material such as stainless steel, phenolic resin, marble slabs or tight wood in which there are no open cracks or joints that will collect food particles and slime, and be readily accessible for cleaning. Shelves, tables and counters shall not be covered with paper, cardboard, oil ~ 7 · cloth or other absorbent material and shall be free of crevices. (b) An equipment and utensil wash/rinse/sanitize station shall be provided. It shall consist of at least a series of three (3) basins of an adequate size for washing, rinsing and sani tizing equipment surfaces and utensils, and drainboards. (c) Materials and a procedure conforming with Rules Governing The Sanitation Of Restaurants And Other Foodhandling Establishments (15A North Carolina Administrative Code 18A Section .2600) shall be provided, established and utilized to sanitize equipment surfaces and utensils. 4 (d) All equipment and utensils shall be thoroughly cleaned and sanitized prior to the handling of any food in the temporary food facility and, thereafter, as frequently as necessary. During the staging of operation, all equipment and utensils shall be transported, stored, handled and arranged in a manner so as to maintain a cleaned and sanitized condition. All equiPment and utensils that come into contact with potentially hazardous food shall be cleaned and sanitized regularly, or exchanged for cleaned and sanitized items at regular intervals. (e) A metal stem-type food thermometer accurate to +2 degrees F and with a range of 0 to 220 degrees F shall be available to check food temperatures. (f) Adequate refrigeration and/or freezer space shall be provided for the storage of all perishable foods. Air temperature thermometers accurate to +3 degrees F shall be provided in all refrigeration and freezer units. (g) An employee handwash station shall be provided. It shall consist of at least a two (2) gallon, closed container of potable water with a cut-off valve, basin, soap and single use towels. (h) Effective sneeze guards shall be provided to protect food as well as equipment and utensils from potential sources of contamination. Glass or similar shields shall be provided to separate unenclosed or unwrapped food from customers. ~ (i) All pieces of small equipment, utensils and food shall be stored off the floor surface on shelving or pallets. No pieces of small equipment, utensils and food shall be stored directly on the ground. 8 · (j) Only single service utensils shall be offered for the customer's use. (k) Condiment containers shall be pump/ squeeze type containers or have self-closing covers or lids for content protection. Single serving packets are recommended. Section 1007 Sources And Protection Of Food (a) Potentially hazardous foods such as cream-filled pastries and pies, and salads such as potato, chicken, ham, crab, etc., shall not be served in a temporary food facili ty . Hamburgers, poul try and other meats shall be obtained from an approved market or plant in a ready-to-cook preportioned state, and kept refrigerated or frozen until cooked. 4 (b) All food shall be obtained from sources that comply with all laws relating to food and food labeling, shall be properly stored in original packaging materials and shall be properly identified. Food in hermetically sealed containers shall have been processed in a commercial food processing establishment operated in compliance with North Carolina General Statutes 106-120 through 145. Establishments with a valid permit to operate under Rules Governing The Sanitation Of Restaurants And Other Foodhandling Establishments ( 15A North Carolina Administrative Code 18A Section .2600) shall be considered approved sources of food. Food transported by the temporary food facility operator from out-of-state shall be stored in original, unbroken packaging materials, and shall be accompanied by an invoice stating the date and place of purchase. Foods prepared in a domestic kitchen shall not be considered from approved sources. All food shall be clean, wholesome, free from adulteration and spoilage, safe for human consumption, and shall be handled, served, or transported in such a manner as to prevent contamination, adulteration, and spoilage. Foods that are spoiled or otherwise unfit for human consumption shall be immediately disposed of as garbage except as specified in Section 1011 of these Rules. " (c) Raw fruits and raw vegetables shall be thoroughly washed with potable water before being cooked or served. (d) All potentially hazardous foods shall be kept at or below 45 degrees F or at or above 140 degrees F except during frozen storage and during the preparation or serving processes. Potentially hazardous foods requiring cooking shall be cooked to heat all parts of the food to a temperature of at least 140 degrees F except as follows: (1) ground beef shall be cooked to an internal temperature of at least 155 degrees F; 9 · (2) pork shall be cooked to an internal temperature of at least 150 degrees F; and, (3) poultry shall be cooked to an internal temperature of at least 165 degrees F with no interruption of the cooking process. All potentially hazardous foods that have been cooked and then refrigerated shall be reheated rapidly to 165 degrees F or higher throughout before being served or before being placed in hot food storage. All potentially hazardous foods that are transported shall be maintained at the temperatures heretofore stated in this Rule. (e) No unprotected foods including condiments shall be displayed for self-service or exposed to the public on counters or table tops. Section 1008 Hygiene/Personnel (a) All employees shall be clean as to their person and methods of foodhandling, and shall wear clean outer clothing. All employees shall wear effective hair restraints to prevent the contamination of food or food contact surfaces. , (b) All employees shall scrupulously wash their hands with soap and water, and then dry their hands with a clean, single-use towel: (1) before starting work; (2) after use of the toilet; (3) prior to any direct contact of the hand(s) with food or food contact surfaces; (4) between the handling of cooked food and raw food; (5) upon returning to work from a break; (6) after drinking, eating or smoking; and, (7) at the conclusion to any other activity or procedure where the probably exists of contaminating or cross-contaminating food. (c) Employees preparing food shall have used antibacterial soap, dips or hand sanitizers immediately prior to food preparation or shall use clean, plastic disposable gloves or sani tized utensils during food preparation. This is in addition to all handwashing requirements in this Section. Sanitary food handling techniques shall be used at all times. (d) No employee shall use tobacco in any form within the enclosure(s) and extended food service area. (e) OWners/operators shall maintain a list of all employees for a period of 90 days after the event. 10 · (f) No person who has a communicable or infectious disease that can be transmitted by foods, or who is a carrier of organisms that cause such a disease, or who has a boil, infected wound, or a disease with sudden onset and severe symptoms including cough or nasal discharge, shall work in a temporary food facility in any capacity in which there is' a likelihood of such person contaminating food or food contact surfaces with disease-causing organisms or transmitting the illness to other persons. , Section 1009 Water Supply (a) The water supply shall be from a source located, constructed, maintained and operated in accordance with either the current Rules Governing Water Supply Wells In New Hanover County or the current Rules Governing Public Water Supplies [15A North Carolina Administrative Code (NCAC) 18C] . (b) The Department shall collect and analyze a water sample from any source other than those governed by 15A NCAC 18C to verify acceptable bacteriological water quality. (c) Cross-connections with unapproved water supplies are prohibited. Running water under pressure shall be provided within 100 feet of all temporary food facilities, and shall be provided in sufficient quantity to carry out all food preparation, cleaning, handwashing, utensil washing and other water-using operations. Food grade hose shall be used for the distribution of water. Section 1010 Toilet Facilities And Disposal Of Waste (a) Adequate toilet facilities shall be provided for food service personnel as well as the public, and shall be located within a reasonable distance of all temporary food facilities. ~ (b) All wastewater shall be disposed in accordance with the North Carolina General Statutes. Wastewater generated by temporary food facilities includes but is not limited to the following: (1) condensate from refrigeration equipment; (2) liquid waste from beverage dispensing units, and ice machines and storage bins; and, (3) liquid waste from cleaning, hand washing and utensil washing activities. Wastewater shall be collected or drained into a leakproof container or holding tank and shall not be discarded onto the ground surface or into a stormwater collection system. (c) All hose or pipe connections to the wastewater collection system shall be of a different size/type than that used for supplying potable water. 11 · (d) Garbage shall be collected and stored in standard, watertight cans with tightfitting lids or containerized systems. Plastic garbage bags may be used within a temporary food facility enclosure for short term storage. Garbage and other solid waste including emptied cans and containers, and used single service items shall frequently be removed from the temporary food facility enclosure and extended food service area. Garbage and other solid waste shall be disposed through composting, incinerating or landfilling at a facility/operation permitted by the North Carolina Department Of Environment, Health And Natural Resources. , (e) Watertight containers with tightfitting lids shall be provided for short term storage of waste grease generated through the normal operation of a temporary food facility. Waste grease shall be collected by a professional service company and transported to an approved recycling operation. Section 1011 Procedure When Infection Suspected When the Department has reason to suspect the possibility of exposure to, or transmission of, infection within a temporary food facility from any person or from any food or drink, the Director shall act in accordance with the Communicable Disease Laws And Rules (Chapter 130A Sections 133 through 148 of the North Carolina General Statutes, 15A North Carolina Administrative Code 19A). Section 1012 Right Of Entry Pursuant to authority granted by North Carolina General Statute 130A Section 17, the Department shall have the right to enter upon the premises of any temporary food or other facili ty for the purpose of conducting an inspection and determining compliance with these Rules. Section 1013 Appeals Procedure (a) Director Appeals concerning interpretation and enforcement of these Rules shall be made by written petition to the Director and shall be made within fifteen (15) days of the challenged action. The Director may require the appellant to submit such information as deemed necessary to make a decision concerning interpretation and enforcement. The Director shall respond to affirm, modify or reverse the challenged action. When granting variance from these Rules, the Director may impose such conditions as deemed necessary to protect the public health. (b) Board Of Health Appeals concerning decisions of the Director shall be made by written petition to the Board Of Health and shall be made within fifteen (15) days of the ~ 12 · challenged action. The Board Of Health shall conduct a hearing within forty-five (45) days after receipt of an appeal petition and shall give the appellant not less than fifteen (15) days notice of the date, time and place of the hearing. The Board Of Health shall respond to affirm, modify or reverse the challenged action. When granting variance from these Rules, the Board Of Health may impose such conditions as deemed necessary to protect the public health. Section 1014 Remedies If a person violates any part of these Rules, then he(she) shall be guilty of a misdemeanor and shall be subject to sanctions provided in Chapter 130A Section 25 of the North Carolina General Statutes. , Section 1015 Severability If any provision of these Rules or the application thereof to any person or circumstance is declared invalid, then the remainder of these Rules or the application of such provision to other persons or circumstances shall not thereby be affected. Section 1016 Effective Date Adopted May 4, 1994 by the New Hanover County Board Of Health, these Rules shall be effective on and after July 1, 1994. Signed Chairman New Han -.dJ'~ County Board Of Health Slgn~W~ Director New Hanover County Health Department 13