"If they can't approve the action, then I'll have employees going into July," Kirk said. "It would be very difficult to meet the July payroll.
"Employees were paid current as of this Friday. Coming mid-July, it would be very difficult with the funding they have right now to meet the full payroll. Goal is to not have that final full payroll, frankly."
Kirk has requested an emergency meeting with the Division of Personnel to get the reduction in force approved.
She said workers laid off by state agencies are given preference for hiring by other state agencies, so some of those who lose their jobs in Putnam could be hired by Kanawha County.
The Putnam health board will contract with the Kanawha department for six months to offer services with Putnam's $414,000 in state funds. That is this year's allotment for the county to provide basic public services, Kirk said.
With that money, the Kanawha department can fill about six full-time positions, including sanitarians, a nurse and a clerical worker.
After six months, the board will re-evaluate the contract and determine whether to continue the arrangement.
Kirk said the goal is for the Putnam department to reopen once its finances are stable.
The same services offered in Kanawha County can be offered in Putnam County.
"Kanawha-Charleston is very good at taking our show on the road, so to speak. We provide vaccines all over the county," Kirk said.
"Even if we can't find an exam room that accommodates us, we're willing to go wherever they have room for us -- courthouse, community center, we'll set up shop."
Kirk said Putnam hasn't eliminated services to this point, but it has been unable to purchase adequate supplies of vaccines. Children with CHIP or Medicaid coverage can still receive vaccines, but supplies for others have been lacking, she said.
Kirk said she actually hopes to expand clinical services eventually.
The Putnam department will look for a new location and figure out what to do about its current leased facility. The department moved into a new, larger facility in Teays Valley in 2010 in hopes of expanding services.
The department had hoped to apply to the state health department for $186,000 in emergency funding, but it had to withdraw the application when the state requested additional details it could not provide by the deadline.
The largest chunk of unpaid bills is at least $80,000 for rent and "associated shared costs," according to officials.
Other unpaid expenses include at least $36,513 in vaccine costs; $18,000 in federal taxes; $8,570 in state taxes; and $4,513 to the state office of technology.
The Putnam County Commission is loaning the department $30,000 to cover necessary, immediate expenses.
Kirk said she anticipates an audit report to be available in July or early August.
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