NOTICE OF MEETING AND AGENDA  
District Board of Health  
Thursday, November 20, 2025  
1:00 p.m.  
Members  
Devon Reese, Chair  
Clara Andriola, Vice Chair  
Paul Anderson  
Washoe County Administration  
Complex  
Michael Brown  
Dr. Eloy Ituarte, MD  
Steve Driscoll  
Commission Chambers, Building A  
1001 East Ninth Street, Reno, NV  
Dr. Reka Danko, MD  
1:00 p.m.  
1.  
2.  
3.  
Roll Call and Determination of Quorum.  
Pledge of Allegiance.  
Public Comment.  
Comment heard under this item will be limited to three (3) minutes per person and may pertain to matters  
both on and off the Board agenda. Unused time may not be allocated to other speakers. Comments are to  
be made to the Board as a whole. Virtual Public Comment may be taken when facilities are available.  
A speaker's viewpoint will not be restricted; however, reasonable restrictions may be imposed upon the  
time, place, and manner of speech. Irrelevant statements, unduly repetitious statements, and personal  
attacks that would objectively antagonize or incite others are examples of speech that may be reasonably  
limited.  
This Board carries out the business of Northern Nevada Public Health and its citizens during its meetings.  
The presiding officer may order a person to be removed if the person's conduct or statements disrupt the  
order or safety of the meeting. Warnings about disruptive conduct or comments may or may not be given  
prior to removal.  
Furthermore, certain disruptions of a public meeting are criminal acts as defined under NRS 208.090 and/or  
NRS 203.119, which may result in prosecution in appropriate cases.  
4.  
Approval of Agenda. (FOR POSSIBLE ACTION)  
5.  
Recognitions.  
Dr. Danika Williams - Epidemiologist (PHD) - DeBeaumont Foundation’s Class of 2025 list of 40 Under 40 in  
Public Health  
Years of Service -  
i. Heather Holmstadt - Public Health Investigator (PHD) - 15 years 11/08/2010  
ii. Andrea Esp - Preparedness and EMS Program Manager (PHD) - 10 years 11/12/2015  
iii. Kara Roseburrough - Clinic Office Supervisor (CCHS) - 10 years 11/16/2015  
iv. Kaleigh Behrendt - Senior Public Health Nurse (CCHS) - 5 years 11/9/2020  
Health Heroes -  
i. Melissa Shaffer - PHD - Collaboration  
ii. Andrea Esp - PHD - Compassion, Trustworthiness  
iii. Julieta Gallardo - CCHS - Adaptability, Compassion  
iv. Marisol Martinez-Avila - CCHS - Collaboration, Compassion, Inclusivity  
6.  
Consent Items. (FOR POSSIBLE ACTION)  
A.  
Possible approval of October 23, 2025, Draft Minutes. (FOR POSSIBLE ACTION)  
Attachments: 10232025 Draft Minutes.docx  
B.  
Recommendation for the Board to uphold an uncontested violation issued to JC Golden Mesa,  
LLC, Case No. 1579, Notice of Violation No. AQMV25-0017 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: Francisco Vega  
Attachments: DBOH - 11-20-2025 - AQMD - Case No. 1579 NOV No.  
AQMV25-0017 (Staff Report)  
AQMD - Case No. 1579 NOV No. AQMV25-0017  
(Supporting Documentation)  
C.  
Recommendation for the Board to uphold an uncontested citation issued to Smith’s Food & Drug  
Centers, Inc., Case No. 1585, Notice of Violation No. AQMV25-0018 with a $500.00  
Administrative Penalty for failing to comply with vapor recovery testing requirements in Permit  
to Operate No. AAIR16-0800. (FOR POSSIBLE ACTION)  
Staff Representative: Francisco Vega  
Attachments: DBOH - 11-20-2025 - AQMD - Case No. 1585 NOV No.  
AQMV25-0018 (Staff Report)  
DBOH - 11-20-2025 - AQMD - Case No. 1585 NOV No.  
AQMV25-0018 (Supporting Documentation)  
D.  
Approve the Subgrant Agreement between the State of Nevada, Department of Conservation  
and Natural Resources, Nevada Division of Environmental Protection (NDEP), Bureau of Safe  
Drinking Water and Northern Nevada Public Health, effective upon NDEP Administrator’s  
approval through September 30, 2029 in the total amount of $262,000.00 (no match required),  
in support of the Environmental Health Services Division (EHS) Safe Drinking Water Act (SDWA)  
and Residential Wells programs; and if approved, authorize the District Health Officer to execute  
the Agreement and any future amendments. (FOR POSSIBLE ACTION)  
Staff Representative: Anne Stoll-Truelock & David Kelly  
Attachments: DBOH 11-20-25 PFAS Sampling Grant  
NNPH_EC-SDC Subgrant Contract_10-9-2025  
E.  
Recommendation for the Board to approve the Interlocal Agreement between Northern Nevada  
Public Health (NNPH) and Washoe County School District Nutrition Services to provide a tasting  
component for students participating in NNPH’s school-based program, Power Up Kids,  
agreement not to exceed $5,000.00. (FOR POSSIBLE ACTION)  
Staff Representative: Stephanie Chen  
Attachments: DBOH - 11-20-2025 - ILA WCSD Nutritional Services  
Interlocal Form_WCSD_2025.docx  
F.  
Recommendation to approve FY26 purchases in the approximate amount not to exceed a total  
of $215,000 from Merck & Company Inc. for vaccines in support of clinic operations on behalf of  
the Community and Clinical Services Division. (FOR POSSIBLE ACTION)  
Staff Representative: Irene Dominguez and Christina Sheppard  
Attachments: DBOH 11-20-25 Merck PO increase  
Merck Sole Source $215k 11.4.25  
G.  
Acknowledge receipt of the Health Fund Financial Review for October, Fiscal Year 2026. (FOR  
POSSIBLE ACTION)  
Staff Representative: Jack Zenteno  
Attachments: DBOH 11-20-25 - AHS - October Financials  
ZS16 October 2025  
End of Consent Agenda.  
7.  
Recommendation to accept the REMSA Health Monthly Franchise Report for October 2025 which  
includes REMSA Health Accounts Receivables Summary, Compliance by Zones, Average Response  
Times, Incident Details Reporting, Summary Penalty Fund Reconciliation, Personnel, Ground  
Ambulance Operations Report, Patient Experience Report and Comments, Education Report, Public  
Relations Report, and Frequently Asked Questions, and provide possible Board direction. (FOR  
POSSIBLE ACTION)  
Presented by: Barry Duplantis  
Attachments: DBOH - 11-20-2025 - REMSA Health Monthly Franchise  
Report  
DBOH – 11-20-2025 - REMSA Health Monthly Franchise  
Report –October 2025  
8.  
9.  
Presentation and discussion of the 2025 Vector Season including surveillance, treatment and testing.  
Staff Representative: Will Lumpkin and Wes Rubio  
Attachments: 2025 Vector Season.pptx  
Presentation and possible acceptance of the FY26 Q1 Strategic Plan Results. (FOR POSSIBLE ACTION)  
Staff Representative: Rayona LaVoie  
Attachments: FY26 Q1 Strategic Plan Results Staff Report  
FY26 Q1 Strategic Plan Results Slide Deck DBOH  
FY26 Q1 status snapshot  
FY26 Q1 Outcomes Report  
10.  
Staff Reports and Program Updates.  
A.  
Air Quality Management -Scientists Unveil Better Way to Predict Heat Deaths, Proposed Electric  
Vehicle (EV) Tax, September 2025 EPA Small Business Newsletter, Divisional Update, Program  
Reports, Monitoring and Planning, Permitting and Compliance..  
Staff Representative: Francisco Vega  
Attachments: DBOH 11-20-2025 AQMD Division Director Staff Report  
(Oct 2025)  
B.  
Community and Clinical Health Services - Impact of the Federal Shutdown; Data & Metrics;  
Immunizations, Tuberculosis Prevention and Control Program, Reproductive and Sexual Health  
Services, Maternal Child and Adolescent Health, Women Infants and Children, and Community  
Health Workers  
Staff Representative: Christina Sheppard  
Attachments: DBOH 11-20-2025 CCHS Director Staff Report  
C.  
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: 2025.11.20 - DBOH EHS Division Report1  
D.  
E.  
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 11-20-2025 - PHD-Division Report  
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 11-20-2025 ODHO Division Report.docx  
Oct-Media-Mentions-2025.xlsx  
11-20-2025 Flyer.docx  
11.  
Public Comment.  
Comment heard under this item will be limited to three (3) minutes per person and may pertain to matters  
both on and off the Board agenda. Unused time may not be allocated to other speakers. Comments are to  
be made to the Board as a whole. Virtual Public Comment may be taken when facilities are available.  
A speaker's viewpoint will not be restricted; however, reasonable restrictions may be imposed upon the  
time, place, and manner of speech. Irrelevant statements, unduly repetitious statements, and personal  
attacks that would objectively antagonize or incite others are examples of speech that may be reasonably  
limited.  
This Board carries out the business of Northern Nevada Public Health and its citizens during its meetings.  
The presiding officer may order a person to be removed if the person's conduct or statements disrupt the  
order or safety of the meeting. Warnings about disruptive conduct or comments may or may not be given  
prior to removal.  
Furthermore, certain disruptions of a public meeting are criminal acts as defined under NRS 208.090 and/or  
NRS 203.119, which may result in prosecution in appropriate cases.  
12.  
Board Comment.  
Board members' announcements, reports and updates, requests for information topics for future agendas.  
(No discussion among Board Members will take place on this item.)  
Adjournment.  
NOTE: Items on this agenda may be taken out of order, combined with other items, removed from the  
agenda, or moved to the agenda of a later meeting. The Consent section is a single agenda item and is  
considered as a block and will not be read aloud. Items on this agenda may also be moved to or from  
the consent section. Items not voted on in the Consent section may also be voted on in a separate  
block or blocks. Items designated for a specified time will not be heard prior to the stated time, but  
may be heard later. There may be only one period of public comment on any block vote. Any public  
comment made during that period may pertain to any of the items being voted on in the block, but  
there will not be separate public comment periods for each item within the block.  
Location. This meeting will be held at the physical location designated on this agenda, but one or more  
of the Board Members and/or Staff may attend and participate by a remote technology system.  
Members of the public wishing to attend the meeting may do so at the designated physical location or  
may otherwise participate as stated in the Public Comment section. The Chair or their designee will  
make reasonable efforts to ensure that members of the public body and members of the public  
present at the physical location can hear or observe each member attending by remote technology  
system, and each member of the public body in attendance can participate in the meeting.  
Accessibility. Northern Nevada Public Health, in compliance with Title VI of the 1964 Civil Rights Act  
and Title II of the Americans with Disabilities Act, will make its public meetings accessible to members  
of the public. For limited English proficient and hearing-impaired individuals, the Wordly application is  
available to members of the public attending the meeting in person. Persons who require special  
accommodations or assistance in attending this meeting may contact Northern Nevada Public Health  
at least two working days before the meeting, if possible, by dialing 775-328-2415.  
Public Transportation. Public transportation is available to this meeting site. For eligible RTC ACCESS  
reservations call (775) 348-5438 or visit: https://www.rtcwashoe.com/public-transportation/.  
Public Comment. Public comment is welcomed during public comment periods and is limited to 3  
minutes per person per public comment period. Unused time may not be allocated to other speakers.  
A speaker’s viewpoint will not be restricted; however, reasonable restrictions may be imposed upon  
the time, place, and manner of speech. Irrelevant statements, unduly repetitious statements, and  
personal attacks that would objectively antagonize or incite others are examples of speech that may  
be reasonably limited. All comments are to be directed to the Board as a whole.  
During the general public comment periods at the beginning and end of the meeting, speakers may  
address any matter either on or off the agenda. Items voted on in the Consent section or in a separate  
block or blocks, may have a single public comment period per block, and public comment will only be  
heard about the specific items being considered by the Commission in the block. For the remainder of  
the agenda, during items designated “for possible action” that are considered individually, public  
comment may only be heard about the specific item being considered by the Board. Members of the  
public who wish to share documents or make a brief presentation within their public comment period  
must provide ten (10) printed copies of each document. Please note that USB drives or any other  
digital media will not be accepted due to the risk of introducing viruses or malicious code, which could  
potentially compromise the County’s systems.  
Members of the public may also submit comments by mail to NNPH at 1001 E. Ninth St., Reno, NV  
89512, or eComment at https://washoe-nv.legistar.com/calendar.aspx. NNPH will make reasonable  
efforts to include all such comments received by 4:00 pm one working day prior to the meeting in the  
record. Mail and eComment will not be read by the Clerk but will be entered into the record.  
Forum Restrictions and Orderly Conduct of Business. This Board carries out the business of Northern  
Nevada Public Health and its citizens during its meetings. The presiding officer may order a person to  
be removed if the person’s conduct or statements disrupt the order or safety of the meeting.  
Warnings about disruptive conduct or comments may or may not be given prior to removal.  
Responses to Public Comments. The Board may only deliberate or take action on matters that have  
been properly labeled “FOR POSSIBLE ACTION” and listed on a properly noticed Agenda. While the  
Open Meeting Law allows discussion of public comments by members of the Board, responses to  
matters not listed on the agenda could become deliberation without notice to the public. To avoid this  
situation and ensure the public has proper notice of all matters, members may choose not to respond  
to the public comments, except to correct factual inaccuracies, ask for staff to provide information, or  
ask that the matter be listed on a future agenda for consideration.  
Support documentation for the items on the agenda provided to this Board, is available to members of  
the public at Northern Nevada Public Health located at 1001 E. 9th Street, in Reno, Nevada. Ms.  
Jacqueline Lawson, Recording Secretary to the Board of Health may also 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.  
Pursuant to NRS 241.020, notice of this meeting has been posted physically or electronically at the  
following locations:  
Northern Nevada Public Health, 1001 E. 9th St., Building B, Reno, NV OR https://www.nnph.org  
Sparks City Hall, 431 Prater Way, Sparks, NV  
Washoe County Administrative Building, 1001 E. 9th St., Reno, NV  
Downtown Reno Library, 301 S. Center St., Reno, NV  
State of Nevada website: https://notice.nv.gov  
The meeting will be televised live and replayed on YouTube  
<https://www.youtube.com/@northernnevadapublichealth>