District Board of Health Meeting Notice and Agenda - Final


Members

Devon Reese, Chair

Clara Andriola, Vice Chair Paul Anderson

Michael Brown

Dr. Reka Danko, MD Steve Driscoll

Dr. Eloy Ituarte, MD

Thursday, July 24, 2025

1:00 p.m.


Washoe County Administration

Complex Commission Chambers, Building A

1001 East Ninth Street

Reno, NV


TO ATTEND VIRTUALLY, PLEASE USE THE LINK BELOW

https://washoecounty-gov.zoom.us/j/98998549419

NOTE: This option will require a computer with audio capabilities if you wish to make Public Comment.

1:00 p.m.

  1. Roll Call and Determination of Quorum.

  2. Pledge of Allegiance.


    1001 East Ninth Street, Building B, Reno, NV 89512 Telephone: 775.328.2416 Fax: 775.328.3752

  3. Public Comment.

    Action may not be taken on any matter raised during this public comment period unless the matter is specifically listed on an agenda as an action item. All public comment is limited to three minutes per person. Members of the public may submit public comment by attending the meeting in person or via Zoom. Please log into the Zoom meeting via the above link and utilize the "Raise Hand" feature during any public comment period.


    Other requests for public comment must be submitted to jlawson@nnph.org no later than 4:00 p.m. on the day before the scheduled meeting. Reasonable efforts will be made to hear all public comment during the meeting.

  4. Approval of Agenda. (FOR POSSIBLE ACTION)


  5. Recognitions.


    YEARS OF SERVICE

    1. Jennifer Howell - Public Health Supervisor - CCHS - 25 years 7/3/2000

    2. Ana Richeson - Public Health Investigator II - CCHS - 10 years 7/27/2015

    3. Kelsey Zaski - Office Specialist - PHD - 5 years 7/20/2020 HEALTH HEROES

    1. Joe Dibble - CCHS - Adaptability, Collaboration, Compassion, Trustworthiness

    2. Stephanie Chen - CCHS - Collaboration

  6. Consent Items. (FOR POSSIBLE ACTION)


    1. Possible approval of June 26, 2025, Draft Minutes. (FOR POSSIBLE ACTION)

      Attachments: 06262025 _Draft Minutes

    2. Retroactively approve the State Public Health Funds Interlocal Agreement for the period of upon execution by the Nevada Board of Examiners through June 30, 2027, in the total amount of 2,364,160 ($1,182,080 per fiscal year), in support of core functions of public health, and if approved, authorize the District Health Officer to execute any future amendments. (FOR POSSIBLE ACTION)

      Staff Representative: Kristen Palmer and Erin Dixon


      Attachments:

      DBOH 7-24-25 Public Health Funding 2025.7.7 Executed Contract


    3. Recommendation for the Board to uphold an uncontested violation issued to STC Ventures, LLC, Case No. 1548, Notice of Violation No. AQMV25-0011 with a reduced Administrative Penalty of $9,000.00 for failing to control fugitive dust from construction activities. (FOR POSSIBLE ACTION)

      Staff Representative: Craig Petersen


      Attachments:

      DBOH 7-24-2025 AQMD-Case No. 1548 Staff Report DBOH-7-24-2025-Case No. 1548 Supp Doc


    4. Recommendation for the Board to uphold an uncontested violation issued to Pyramid Materials, Inc., Case No. 1558, Notice of Violation No. AQMV25-0010 with a $500.00 Administrative Penalty for failing to control fugitive dust from an aggregate facility. (FOR POSSIBLE ACTION)

      Staff Representative: Craig Petersen


      Attachments:

      DBOH 7-24-2025-AQMD-Case No. 1558 Staff Report DBOH - 7-24-2025 Supp Docs


    5. Recommendation for the Board to uphold an uncontested violation issued to Alston Construction Company, Inc., Case No. 1569, Notice of Violation No. AQMV25-0012 with a $500.00 Administrative Penalty for failing to obtain a Dust Control Permit prior to the commencement of a dust generating activity. (FOR POSSIBLE ACTION)

      Staff Representative: Craig Petersen


      Attachments:

      DBOH 7-24-2025 AQMD-Case No. 1569 Staff Report DBOH 7-24-2025 Case No. 1569 Supp Docs

    6. Acknowledge receipt of the Health Fund Financial Review for June, Fiscal Year 2025. (FOR POSSIBLE ACTION)

      Staff Representative: Jack Zenteno


      Attachments:


      End of Consent Items.

      DBOH 07-24-25 - AHS - June Financials ZS16 June 2025


  7. Recommendation to accept the REMSA Health Monthly Franchise Report for June 2025 which includes REMSA Health Accounts Receivables Summary, Compliance by Zones, Average Response Times, Incident Details Reporting, Summary Penalty Fund Reconciliation, Ground Ambulance Operations Report, Patient Experience Report and Comments, Education Report, and Public Relations Report, and provide possible Board direction. (FOR POSSIBLE ACTION)

    Presented by: Barry Duplantis


    Attachments:

    DBOH - 7-24-2025 - REMSA Health Monthly Franchise Report DBOH 7-24-2025 - REMSA Health Monthly Franchise Report –June 2025


  8. Presentation of the Inter-Hospital Coordinating Council FY25 Accomplishments. Staff Representative: Andrea Esp

  9. Discussion and Possible Appointment of Dr. Nicholas Von Foerster, Emergency Room Physician Representative to the Regional Emergency Medical Services Advisory Board for a three-year term effective July 24, 2025. (FOR POSSIBLE ACTION)

    Staff Representative: Andrea Esp


    Attachments:

    DBOH - 7-24-2025 - Appointment of ER Physician EMSAB DBOH 7-24-2025 - Dr. Von Foerster CV

    DBOH 7-24-2025 - EMSAB Emergency Room Physician Representative Application

  10. Presentation, discussion, and possible approval of the 2025 Legislative Summary Report for the 83rd Nevada State Legislative Session. (FOR POSSIBLE ACTION)

    Staff Representative: Joelle Gutman Dodson


    Attachments:

    Staff Report_July 2025 Legislative Summary Report 2025 final report JULY


  11. Presentation and possible approval of revisions to the FY24-FY26 Strategic Plan. (FOR POSSIBLE ACTION)

    Staff Representative: Rayona LaVoie


    Attachments:

    Staff Report_FY26 Strategic Plan Revisions Strategic Plan Revisions FY26


  12. Review, discussion, and direction to staff regarding the provisions of the Interlocal Agreement (ILA) entered into by the Cities of Reno and Sparks and Washoe County for the creation of the Health District. Take action to accept the ILA in its current form or direct staff to forward any additional recommendations for possible amendments to Reno, Sparks and Washoe County. (FOR POSSIBLE ACTION)

    Presented by: Dania Reid, DDA

    Attachments: 2025 Interlocal Staff Report 7-24-2025


  13. Staff Reports and Program Updates.


    1. Air Quality Management - EPA Announces Sunset of the Advance Program After 13 Years, EPA Issues FY2026 Proposed Budget Justification, June 2025 EPA Small Business Newsletter, Divisional Update, Program Reports, Monitoring and Planning, Permitting and Compliance.

      Staff Representative: Craig Petersen


      Attachments:

      DBOH 07-24-2025 AQMD Division Director Staff Report (June 2025)

    2. Community and Clinical Health Services - 2025 Client Satisfaction Survey Results; Data & Metrics; Sexual Health (Outreach and Disease Investigation), Immunizations, Tuberculosis Prevention and Control Program, Reproductive and Sexual Health Services, Chronic Disease Injury Prevention Program, Maternal Child and Adolescent Health, Women Infants and Children, and Community Health Workers.

      Staff Representative: Christina Sheppard

      Attachments: DBOH 7-24-2025 CCHS Director Staff Report


    3. Environmental Health Services Program - Consumer Protection (Food Safety Plan Review & Operations, Commercial Plan Review, Foodborne Illness, Special Events, Permitted Facilities); Environmental Protection (Land Development, Safe Drinking Water, Vector-borne Disease Surveillance, Waste Management / Underground Storage Tanks).

      Staff Representative: Robert Fyda

      Attachments: 2025.07.24 - DBOH EHS Division Report


    4. Population Health - Epidemiology, Statistics and Informatics, Public Health Preparedness, Emergency Medical Services, Vital Statistics, Sexual Health Investigations and Outreach, Chronic Disease and Injury Prevention.

      Staff Representative: Dr. Nancy Diao

      Attachments: DBOH 7-24-2025 - PHD-Division Report


    5. Office of the District Health Officer Report - Northern Nevada Public Health Communications Update, Accreditation, Quality Improvement, Workforce Development, Community Health Improvement Program, Equity Projects/Collaborations, Community Events, and Public Communications and Outreach.

      Staff Representative: Dr. Chad Kingsley


      Attachments:

      DBOH 07-24-2025 - ODHO Division Report June-Media-Mentions-2025

  14. Public Comment.

    Action may not be taken on any matter raised during this public comment period unless the matter is specifically listed on an agenda as an action item. All public comment is limited to three minutes per person. Members of the public may submit public comment by attending the meeting in person or via Zoom. Please log into the Zoom meeting via the above link and utilize the "Raise Hand" feature during any public comment period.


    Other requests for public comment must be submitted to jlawson@nnph.org no later than 4:00 p.m. on the day before the scheduled meeting. Reasonable efforts will be made to hear all public comment during the meeting.

  15. Board Comment.

District Board of Health members' announcements, reports and updates, requests for information topics for future agendas. (No discussion among Board Members will take place on this item.)

Adjournment.

Possible Changes to Agenda Order and Timing: Items on the agenda may be taken out of order, combined with other items, withdrawn from the agenda, moved to the agenda of another later meeting; moved to or from the Consent section, or they may be voted on in a block. Items with a specific time designation will not be heard prior to the stated time but may be heard later. Items listed in the Consent section of the agenda are voted on as a block and will not be read or considered separately unless withdrawn from the Consent agenda.

Special Accommodations: The Northern Nevada Public Health Meetings are accessible to the disabled. Disabled members of the public who require special accommodations or assistance at the meeting are requested to notify the Office of the District Health Officer in writing at the Northern Nevada Public Health, 1001 E. 9th Street, Building B, Reno, NV 89512, or by calling 775.328.2416, 24 hours prior to the meeting.

Public Comment: During the “Public Comment” items, anyone may speak pertaining to any matter either on or off the agenda, to include items to be heard on consent, by filling out a “Request to Speak” form and/or submit comments for the record to the Recording Secretary. For the remainder of the agenda, public comment will only be heard during items that are marked FOR POSSIBLE ACTION. All public comment should be addressed to the Board of Health and not an individual member. The Board asks that your comments are expressed in a courteous manner. Any public comment for hearing items will be heard before action is taken on the item and must be about the specific item being considered by the Board. Public comment and presentations for individual agenda items are limited as follows: fifteen minutes each for staff and applicant presentations, five minutes for a speaker representing a group, and three minutes for individual speakers unless extended by questions from the Board or by action of the Chair. Reasonable efforts will be made to hear all public comment during the meeting.

All public comment is limited to three minutes per person. Unused time may not be reserved by the speaker nor allocated to another speaker.

Members of the public that wish to attend via zoom may make public comment by submitting an email comment to jlawson@nnph.org before the scheduled meeting, which includes the name of the commenter and the agenda item number for which the comment is submitted.

Response to Public Comment: The Board of Health can deliberate or take action only if a matter has been listed on an agenda properly posted prior to the meeting. During the public comment period, speakers may address matters listed or not listed on the published agenda. The Open Meeting Law does not expressly prohibit responses to public comments by the Board of Health. However, responses from the Board members to unlisted public comment topics could become deliberation on a matter without notice to the public. On the advice of legal counsel and to ensure the public has notice of all matters the Board of Health will consider, Board members may choose not to respond to public comments, except to correct factual inaccuracies, ask for Northern Nevada Public Health staff action or to ask that a matter be listed on a future agenda. The Board of Health may do this either during the public comment item or during the following item: “Board Comments – District Board of Health Member’s announcements, reports and updates, request for information or topics for future agendas. (No discussion among Board Members will take place on the item)”

Posting of Agenda; Location of Website:

Pursuant to NRS 241.020, Notice of this meeting was posted electronically at the following locations:

Northern Nevada Public Health, 1001 E. 9th St., Reno, NV Reno City Hall, 1 E. 1st St., Reno, NV

Sparks City Hall, 431 Prater Way, Sparks, NV

Washoe County Administration Building, 1001 E. 9th St, Reno, NV Downtown Reno Library, 301 S. Center St., Reno, NV

Northern Nevada Public Health Website https://www.NNPH.org State of Nevada Website: https://notice.nv.gov

The meeting will be televised live and replayed on Washoe Channel at: https://www.washoecounty.gov/mgrsoff/divisions/Communications/wctv-live.php and also on Youtube at: https://www.youtube.com/user/WashoeCountyTV

How to Get Copies of Agenda and Support Materials: Supporting materials are available to the public at the Northern Nevada Public Health located at 1001 E. 9th Street, in Reno, Nevada. Ms. Jackie Lawson, Recording Secretary to the Board of Health is the person designated by the Board of Health to respond to requests for supporting materials. Ms. Lawson is located at the Northern Nevada Public Health and may be reached by telephone at (775) 328-2415 or by email at jlawson@nnph.org. Supporting materials are also available at the Northern Nevada Public Health Website https://www.NNPH.org pursuant to the requirements of NRS 241.020.