NOTICE OF MEETING AND AGENDA  
District Board of Health  
Thursday, March 26, 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. 9th Street, Reno, Nevada 89512  
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.  
New Hires -  
Kathleen Patterson - APRN - CCHS - 2/23/2026  
Years of Service -  
Heylyn Lorena Solorio - Office Specialist - CCHS TB Clinic - 30 years 2/26/1996  
Sunita Monga - Registered Dietitian Nutritionist - CCHS WIC - 30 years 3/6/1996  
Nicholas Florey - Environmental Health Specialist - EHS - 20 years 3/27/2006  
Michael Crawford - Air Quality Specialist - AQM - 10 years 3/21/2016  
Nancy Diao - Division Director Population Health Division - 5 years 2/1/2021  
Health Heroes -  
Ryan Rennie - EHS - Adaptability  
Victoria Nicolson-Hornblower - CCHS - Adaptability  
Eva Sandoval - ODHO - Compassion and Inclusivity  
Dawn Edwards - CCHS - Adaptability, Compassion, Collaboration, Inclusivity, Trustworthiness  
April Miller - PHD - Adaptability, Compassion, Collaboration, Inclusivity, Trustworthiness  
6.  
7.  
Proclamations.  
6.A.  
Proclaim the week of April 6-12, 2026, as National Public Health Week.  
Staff Representative: Scott Oxarart  
Attachments:  
2026-National Public Health Week Proclamation.docx  
Consent Items. (FOR POSSIBLE ACTION)  
7.A.  
7.B.  
Possible Approval of February 26, 2026, Draft Minutes. (FOR POSSIBLE ACTION)  
02262026 Draft Minutes.docx  
Attachments:  
Approve the Grant Agreement from the U.S. Environmental Protection Agency (EPA) providing  
partial funding in the amount of $200,000.00 retroactive to October 1, 2025 through September  
30, 2026 for the Air Quality Management, EPA Air Pollution Control Program, IO# 12586 and  
authorize the District Health Officer to execute the Agreement and any future amendments.  
(FOR POSSIBLE ACTION)  
Staff Representative: Kristen Palmer & Francisco Vega  
Attachments:  
FY26_12586_EPA_DBOH_03-26-26  
A-00905426-0 Washoe County Award  
7.C.  
Accept menstrual product donation from Swoon Bridal with an estimated $2,000 value for  
product distribution in the community. (FOR POSSIBLE ACTION)  
Staff Representative: Christina Sheppard  
Attachments:  
DBOH 3-26-2026 Period Kit Donations  
7.D.  
Recommendation for the Board to uphold an uncontested violation issued to StoneHaven  
Construction & Development, Case No. 1603, Notice of Violation No. AQMV26-0002 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 3-26-2026 - AQMD - Case No. 1603 Staff Report  
DBOH - 3-26-2026 - AQMD - Case No. 1603 Supp Docs  
7.E.  
7.F.  
Acknowledge receipt of the Health Fund Financial Review for January, Fiscal Year 2026. (FOR  
POSSIBLE ACTION)  
Staff Representative: Jack Zenteno  
Attachments:  
DBOH 02-26-26 - AHS - January Financials  
ZS15 January 2026  
Acknowledge receipt of the Health Fund Financial Review for February, Fiscal Year 2026. (FOR  
POSSIBLE ACTION)  
Staff Representative: Jack Zenteno  
Attachments:  
DBOH 03-26-26 - AHS - February Financials  
ZS15 February 2026  
End of Consent Agenda.  
Presentations.  
8.  
8.A.  
Presentation and discussion of Northern Nevada Public Health's Suicide Prevention Initiatives.  
Staff Representative: Joseph Dibble  
Attachments:  
IP Suicide Prevention Initiatives_March DBOH _03-2026_ JDibble  
FINAL.pdf  
8.B.  
8.C.  
Presentation and discussion of the Chronic Disease and Injury Data Dashboard.  
Staff Representative: Nicole Alberti, Stephanie Chen, Tayler Gerhard  
Attachments:  
CDIP Data Dashboard DBOH Presentation 03262026.pdf  
Presentation and discussion of the 2025-2026 Pertussis Overview.  
Staff Representative: Liliana Wilbert  
9.  
Recommendation to accept the REMSA Health Monthly Franchise Reports for January and February  
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 - 3-26-2026 - REMSA Health Monthly Franchise Report  
REMSA Franchise Reports  
10.  
Presentation, discussion, and possible approval of the Regional Emergency Medical Services Authority  
(REMSA) Health Franchise Compliance Report for the period of 7/1/2024 through 6/30/2025 (FY25).  
(FOR POSSIBLE ACTION)  
Presented by: Andrea Esp  
Attachments:  
DBOH - 3-26-2026 - REMSA Health Franchise Compliance Staff Report  
DBOH – 3-26-2025 – REMSA Health Franchise Compliance Report FY25  
DBOH – 3-26-2025 – REMSA Health Franchise Compliance Checklist  
FY25  
11.  
12.  
Presentation, discussion, and possible approval of the Proposed REMSA Response Zone Map for the  
Ambulance Franchise Service Area with a July 1, 2026, Effective Date. (FOR POSSIBLE ACTION)  
Presented by: Andrea Esp  
Attachments:  
DBOH - 3-26-2026 - Annual Franchise Map Review  
Item 11 Annual Franchise Service Area.pdf  
Recommendation to uphold the decision of the Sewage, Wastewater & Sanitation (SWS) Hearing  
Board to approve Variance Case #H26-0001VARI, a variance to Section 040.030 to allow a reduced lot  
size for a second parcel map on a lot created after October 23, 2001, Parcel 038-280-67, 430 River  
Pines, Washoe County, NV. (FOR POSSIBLE ACTION)  
Staff Representative: David Kelly  
Attachments:  
DBOH 03-26-2025 - EHS - Cook 2011 Family Trust Variance  
03-05-2026_SWS_Draft_Minutes  
H26-0001VARI 430 RIVER PINES BOARD PACKET 03.05.26 MTG  
13.  
Review, discussion, and possible adoption of the Business Impact Statement regarding proposed  
revisions to the District Board of Health Regulations Governing Air Quality Management Part 040.033  
(Food Establishments) with a finding that the revised regulation does not impose a direct and  
significant economic burden on a business; nor does the revised regulation directly restrict the  
formation, operation, or expansion of a business. (FOR POSSIBLE ACTION)  
Staff Representative: Craig Petersen  
Attachments:  
DBOH 3-26-2026 Chapter 040 Revision BIS Staff Report  
Chapter 040 Revision BIS -Supp Docs  
Item 13 NNPH BIS Food.pdf  
14.  
Presentation, discussion, and possible acceptance of Northern Nevada Public Health's 2026 Bay Area  
Regional Health Inequities Initiative (BARHII) Assessment and Results. (FOR POSSIBLE ACTION)  
Presented By: Eva Sandoval  
Attachments:  
Staff Report BARHII Assessment and Results 3262026  
FINAL 2026 BARHII PPT.pdf  
2026 BARHII Action Plan.docx  
15.  
16.  
Presentation, discussion, and possible acceptance of the 2025 PH WINS Survey Results and Workforce  
Insights. (FOR POSSIBLE ACTION)  
Presented By: Rayona LaVoie  
Attachments:  
Staff Report Workforce Insights DBOH 32626  
2022_2024 Workforce Development Plan Staff Report v_4 2.24.2022  
Review and approval of Annual 360 Feedback Survey Questions, Process, List of Participants, and  
Adjustments (addition of a second rating calculation to include a fourth (4th) group of participants) for  
the District Health Officer’s Annual 360 Feedback Survey, and direct staff to conduct the survey  
utilizing the Microsoft Forms Survey Program. (FOR POSSIBLE ACTION)  
Staff Representative: Laurie Griffey through Devon Reese  
Attachments:  
Staff rpt DHO Beg Eval Process 2026  
2026 List of Participants w-4th group  
2026 DHO Eval Questions  
17.  
Staff Reports and Program Updates.  
17.A.  
Air Quality Management - States/Groups Urge DC circuit to Deny EPA’s Motion to Vacate 2024  
PM2.5 NAAQS, September 2025 EPA Small Business Newsletter, Divisional Update, Program  
Reports, Monitoring and Planning, Permitting and Compliance.  
Staff Representative: Francisco Vega  
Attachments:  
DBOH 03-26-2026 AQMD DD Staff Report (Jan and Feb 2026)  
17.B.  
17.C.  
Community and Clinical Health Services - 2026 World TB Day; 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 3-26-2026 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:  
2026.03.26 - DBOH EHS Division Report  
17.D.  
17.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 3-26-2026 - 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:  
ODHO Staff Report 03262026.docx  
February-Media-Mentions-2026.xlsx  
18.  
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.  
19.  
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