NOTICE OF MEETING AND AGENDA

District Board of Health

Thursday, April 23, 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.

Years of Service

Kelly Verling - CCHS Public Health Nurse Supervisor - 10 years 4/21/2016

Proclamations.

6.A.

6.B.

6.C.

Recognize the week of May 3-9, 2026, as Drinking Water Week.

Staff Representative: Latricia Lord

Attachments:

2026 Drinking Water Week Proclamation.docx

Recognize the week of May 4-8, 2026, as Washoe County Air Quality Awareness Week.

Staff Representative: Ben McMullen

Attachments:

Washoe County Air Quality Awareness Week

Recognize the week of May 17-23, 2026, as Emergency Medical Services Week with the theme

"Improving Outcomes, Together."

Staff Representative: Andrea Esp

Attachments:

DBOH - 4-23-2026-PHD-EMS Week Proclamation

Consent Items. (FOR POSSIBLE ACTION)

7.A.

7.B.

Possible Approval of March 26, 2026, Draft Minutes. (FOR POSSIBLE ACTION)

03262026 DBOH Meeting Minutes.docx

Attachments:

Approve a Notice of Subaward from the State of Nevada Department of Health and Human

Services, Division of Public & Behavioral Health retroactive to March 1, 2026 through February

28, 2027 in the total amount of $179,505.00 (no required match), in support of the Population

Health Division (PHD) STD Prevention and Control Program, and authorize the District Health

Officer to execute the Subaward and any future amendments. (FOR POSSIBLE ACTION)

Staff Representative: Nancy Diao

Attachments:

DBOH 04-23-26 STD Prevention and Control Staff Report

Notice_of_Subaward-SG-2026-00404

7.C.

Approve the Notice of Award from the Department of Health and Human Services, for the

project period retroactive to April 1, 2026 through March 31, 2027 in the total amount of

$391,216.00 ($1,901.989.00 required match) in support of the Community and Clinical Health

Services Division (CCHS) Title X Program and authorize the District Health Officer to execute the

Subaward and any future amendments. (FOR POSSIBLE ACTION)

Staff Representative: Irene Dominguez

Attachments:

FY26-27_Title X Family Planning_DBOH 4-23-26

NOA_5 FPHPA006601-05-00 PDF

7.D.

Recommendation to adoption of proposed revisions to the District Board of Health Regulations

Governing Air Quality Management Chapter 040 (Prohibited Emissions) Part 040.033 (Food

Establishments). (FOR POSSIBLE ACTION)

Staff Representative: Brendan Schnieder

Attachments:

DBOH 4-23-206Chapter 040 Revision Adoption Staff Report

AQMD Chapter 040 Revision Adoption Attachments

Food Certificate of Adoption

7.E.

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

POSSIBLE ACTION)

Staff Representative: Jack Zenteno

Attachments:

DBOH 04-23-26 - AHS - March Financials

ZS15 March 2026

End of Consent Agenda.

Recommendation to accept the REMSA Health Monthly Franchise Report for March 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 - 4-23-2026 - REMSA Health Monthly Franchise Report

Recommendation for the Board to Uphold the decisions of the Sewage, Wastewater & Sanitation

Hearing Board and the Air Pollution Control Hearing Board. (FOR POSSIBLE ACTION)

9.A

Recommendation to uphold the decision of the Sewage, Wastewater & Sanitation (SWS) Hearing

Board to approve Variance Case #H26-0002VARI, a variance to Section 040.100 Table 1 to allow

a reduced setback from a building sewer line to an existing on-site well on Parcel 038-132-12,

2425 Warrior Lane, Reno, NV 89523. (FOR POSSIBLE ACTION)

Staff Representative: Latricia Lord

Attachments:

DBOH 04-23-2025 - EHS - 2425 Warrior Lane Variance.docx

04-02-2026_SWS_Draft_Minutes.docx

H26-0002VARI 2425 WARRIOR LN BOARD PACKET 04.02.26 MTG.pdf

9.B.

Recommendation for the Board to uphold the decision of the Air Pollution Control Hearing Board

to deny the appeal of Notice of Violation No. AQMV26-0001, issued to JC Golden Mesa, LLC with

an Administrative Penalty of $1,000.00, for failure to control fugitive dust. (FOR POSSIBLE

ACTION)

Staff Representative: Francisco Vega

Attachments:

DBOH - 4-23-2026 - AQMD Case No. 1604 - Staff Report

DBOH - 4-23-2026 - AQMD Case No. 1604 NOV No. AQMV26-0001

(Supporting Documentation)

10.

Presentation of the identified items for NNPH to discuss with REMSA Health regarding the EMS

Franchise Agreement, in accordance with the directive to confer on these items within six months of

the agreement's approval on January 26, 2026.

Staff Representative: Chad Kingsley

Attachments:

DBOH 4.23.2026 Amended and Restated Franchise Agreement for

Ambulance Service Confer Items.docx

DBOH 4.23.2026 Documentation.pdf

EMS Franchise Meetings 2024 to 2026.docx

11.

Review and Discussion of the District Health Officer’s Annual Performance Evaluation Results, and

possible action to provide direction regarding continued service, contract renewal, and performance

expectations, including but not limited to: renewal of the contract for a one-year period, consideration

of a merit increase consistent with the contract, or development of a corrective action plan;

alternatively, consideration of non-renewal. (FOR POSSIBLE ACTION)

Staff Representative: Laurie Griffey

Attachments:

Staff rpt DHO 2026 Eval Results

Final 2026 DHO Eval Results.pdf

12.

Staff Reports and Program Updates.

12.A.

Air Quality Management - Nevada, Other States Face Off in Endangerment Finding Suits,

Divisional Update, Program Reports, Monitoring and Planning, Permitting and Compliance..

Staff Representative: Francisco Vega

Attachments:

DBOH 04-23-2026 AQMD Division Director Staff Report (Mar 2026)

12.B.

Community and Clinical Health Services - Update on Vaccine Policy Changes; 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 4-23-2026 CCHS Director Staff Report

12.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:

2026.04.23 - DBOH EHS Division Report

12.D.

12.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 4-23-2026 - 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 04-23-2026 - ODHO Division Report.docx

Response Time Standards and Design Letter Driscoll 040226.docx

March-Media-Mentions-2026.xlsx

13.

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.

14.

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 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 Commission 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