Agenda - Northern Nevada Public Health

NOTICE OF MEETING AND AGENDA

District Board of Health

Thursday, June 25, 2026

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 E. Ninth Street, Reno, Nevada

89512

Dr. Reka Danko, MD

1:00 p.m.

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.

Approval of Agenda. (FOR POSSIBLE ACTION)

Recognitions.

Retirements:

Cindy Hawks - Office Specialist PHD - 26 years of service 5/30/2026

Sunita Monga - Registered Dietitian Nutritionist CCHS - 30 years of service 7/7/2026

Health Heroes:

Falisa Hilliard - PHD

Kelsey Zaski - PHD

Raquel Depuy Grafton - PHD

April Miller - PHD

Anastasia Gunawan - PHD

Brandon Koyama - AQM

Steve Fisher - AHS

Candace Brown - AQM

Stephen Shipman - PHD

Andrea Esp (2) - PHD

Consent Items. (FOR POSSIBLE ACTION)

6.A.

Recommendation for Approval of May 28, 2026, Draft Minutes. (FOR POSSIBLE ACTION)

05282026 Draft Minutes.docx

Attachments:

6.B.

Recommendation to approve FY27 purchases in the approximate amount not to exceed

$200,000 from Merck & Company Inc. for vaccines in support of clinic operations on behalf of

the Community and Clinical Health Services Division. (FOR POSSIBLE ACTION)

Staff Representative: Irene Dominguez

Attachments:

DBOH 6-25-26 Merck PO FY27

FY27 Merck Sole Source

6.C.

Approve the Agreement between Northern Nevada Public Health and the Board of Regents of

the Nevada System of Higher Education to provide access to community and clinical public

health opportunities for medical residents during their preceptorship experience for the period

July 1, 2026 through June 30, 2027 unless extended by the mutual agreement of the Parties;

with automatic renewal for two successive one-year periods for a total of three years on the

same terms unless either party gives the other written notice of non-renewal at least 60 days

prior to June 30 of each year; and authorize the Board Chair to execute the agreement and

authorize the District Health Officer to execute any future amendments. (FOR POSSIBLE

ACTION)

Staff Representative: Christina Sheppard

Attachments:

Staff Report DBOH 6.25.2026 Interlocal agreement Board of Regents NV

Higher Ed

NNPH UNR SOM ILA

6.D.

6.E.

6.F.

6.G.

Recommendation of Staff to Uphold Notice of Violation No. AQMV26-0003, issued to ASK

Nevada for failing to utilize the installed gasoline vapor control system when unloading gasoline

into an underground storage tank. (FOR POSSIBLE ACTION)

Staff Representative: Francisco Vega

Attachments:

DBOH - 6-25-2026 - AQMD - Case No. 1612 NOV No. AQMV26-0003

(Staff Report) (1)

DBOH - 6-25-2026 - AQMD - Case No. 1612 NOV No. AQMV26-0003

(Supporting Documentation)

Recommendation of Staff to Uphold Notice of Violation No. AQMV26-0004, issued to Hunt &

Sons, Inc. for failing to utilize the installed gasoline vapor control system when unloading

gasoline into an underground storage tank. (FOR POSSIBLE ACTION)

Staff Representative: Francisco Vega

Attachments:

DBOH - 6-25-2026 - AQMD - Case No. 1614 NOV No. AQMV26-0004

(Staff Report)

DBOH - 6-25-2026 - AQMD - Case No. 1614 NOV No. AQMV26-0004

(Supporting Documentation)

Recommendation for appointment to the Food Protection Hearing Advisory Board as a member.

Staff recommends: The appointment of Ms. Joni Hammond for a three-year term beginning on

July 1, 2026, and concluding on June 30, 2029. Applicants include: Derrek Brown, Veronica

Cortes, Kevin Futamachi, Mark Gregory, Vance Hardin, Gary Thomas, and Suzanne Ward. (FOR

POSSIBLE ACTION)

Staff Representative: Kristen DeBraga

Attachments:

DBOH 6_25_26_FPHAB Member Appointment Final

June 2026 Redacted Applications FPHAB

Acknowledge receipt of the Health Fund Financial Review for May, Fiscal Year 2026. (FOR

POSSIBLE ACTION)

Staff Representative: Jack Zenteno

Attachments:

DBOH 06-25-26 - AHS - May Financials

ZS15 May 2026

End of Consent Agenda.

Recommendation to accept the REMSA Health Monthly Franchise Report for May 2026 which include

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 - 6-25-2026 - REMSA Health Monthly Franchise Report

DBOH – 6-25-2026 - REMSA Health Monthly Franchise Report –May

2026

Presentation and recommendation to accept the "Washoe County, Nevada Air Quality Trends Report

(2016-2025)". (FOR POSSIBLE ACTION)

Staff Representative: Ben McMullen

Attachments:

DBOH – 6-25-26 – Washoe County AQ Trends Staff Report (2016-2025)

DBOH - 6-25-2026 - AQ Trends Report

Washoe County, Nevada Trends Report 2016-25 Presentation

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, Deputy District Attorney

Attachments:

06-25-2026 DBOH Interlocal Staff Report .docx

Interlocal Agreement Concerning NNPH 1986

Interlocal Agreement Amendment 1993

Interlocal Agreement Amendment 2022

10.

Staff Reports and Program Updates.

10.A.

Air Quality Management - DBOH Board Member Follow Up on American Lung Association Ozone

Data, House Passes the Nationwide Consumer and Fuel Retailer Choice Act, Divisional Update,

Program Reports, Monitoring and Planning, Permitting and Compliance.

Staff Representative: Francisco Vega

Attachments:

DBOH 06-25-2026 AQMD Division Director Staff Report (May 2026)

10.B.

10.C.

Community and Clinical Health Services - WIC Food Package Updates; 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 6-25-2026 CCHS Director Staff Report

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:

2026-06-25 DBOH EHS Division Report

10.D.

10.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 6-25-2026 - 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: Chad Kingsley

Attachments:

DBOH 06-25-2026 - ODHO Division Report.docx

May-Media-Mentions-2026.xlsx

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.

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 will 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, shall

have a single public comment period per block, and public comment will only be heard about the specific items

being considered by the Board in the block. For the remainder of the agenda, during items designated “for possible

action” that are considered individually, public comment will 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.

Posting the Notice. Pursuant to NRS 241.020, the Agenda for the District Board of Health has been posted as

required at the following locations: Washoe County Administrative Building (1001 E. 9th Street, Bldg A), Northern

Nevada Public Health (1001 E. 9th St., Building B), https://www.nnph.org, https://notice.nv.gov,

https://www.cityofsparks.us/your_government/public_meetings/index.php.

Although no longer required under NRS 241.020, the agenda has also been physically posted at the Downtown

Reno Library (301 S. Center St., Reno).

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. 9 th 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.

The meeting will be televised live and replayed on YouTube at:

https://www.youtube.com/@northernnevadapublichealth