NOTICE OF MEETING AND AGENDA  
District Board of Health  
Thursday, December 18, 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.  
New Hires -  
i. Emily Nelson - UNLV Fellow - start date 12/2/2025  
Years of Service -  
i. Jackie Lawson - Administrative Assistant I (ODHO) - 15 years 12/13/2010  
ii. Sonya Smith - Public Health Nurse Supervisor (CCHS) - 10 years 12/14/2015  
Health Heroes -  
i. Crystallena Christensen - Community Health Worker (CCHS) - Compassion, Collaboration,  
Trustworthiness  
ii. Steve Kutz and Jan Hauk - Registered Nurses (CCHS) - Adaptability, Compassion, Trustworthiness  
Consent Items. (FOR POSSIBLE ACTION)  
6.  
6.A.  
Possible approval of November 20, 2025, Draft Minutes. (FOR POSSIBLE ACTION)  
Attachments: 11202025 Draft Minutes.docx  
6.B.  
Approve a Subaward from the Nevada Department of Health and Human Services, Division of  
Public and Behavioral Health in the total amount of $105,558.00 (no match required) for the  
period retroactive to July 1, 2025 through April 28, 2026 in support of the Population Health  
Division (PHD) Tobacco Prevention and Control Grant Program, and authorize the District Health  
Officer to execute the Subaward and any future amendments. (FOR POSSIBLE ACTION)  
Staff Representative: Anne Stoll-Truelock and Nancy Diao  
Attachments: DBOH - 12-18-25 Tobacco CDC Award  
Notice_of_Subaward-SG-2026-00155  
6.C.  
Approve a Subaward from the Board of Regents, NSHE obo University of Nevada, Reno in the  
total amount of $101,705.97.00 (no match required) for the period retroactive to October 1,  
2025 through September 30, 2026 in support of the Population Health Division (PHD)  
Supplemental Nutrition Assistance Program Education (SNAP-Ed) Program and authorize the  
District Health Officer to execute the Subaward and any future amendments. (FOR POSSIBLE  
ACTION)  
Staff Representative: Anne Stoll-Truelock and Nancy Diao  
Attachments: DBOH - 12-18-25 SNAP-Ed Award FFY26  
UNR-26-34 SNAP-Ed FFY26 Subaward  
6.D.  
Approve a Notice of Subaward from the State of Nevada Department of Health and Human  
Services, Division of Public & Behavioral Health for the period October 1, 2025 through  
September 30, 2026 in the total amount of $116,216.00 (no required match) in support of the  
Community and Clinical Health Services (CCHS) Division Fetal Infant Mortality Review (FIMR)  
Program and authorize the District Health Officer to execute the Subaward and any future  
amendments. (FOR POSSIBLE ACTION)  
Staff Representative: Irene Dominguez and Christina Sheppard  
Attachments: DBOH 12-18-2025 FIMR Grant Staff Report 11.25.25  
Notice_of_Subaward-SG-2026-00284  
6.E.  
Approve the Notice of Subaward from the State of Nevada Department of Health and Human  
Services, Division of Public and Behavioral Health in the total amount of $471,713.00  
($47,171.30 cash match) retroactive to July 1, 2025 through June 30, 2026 in support of the  
Assistant Secretary for Preparedness and Response (ASPR) Public Health Preparedness Program;  
approve authorization to travel and travel reimbursements for non-County employees that are  
Inter-Hospital Coordinating Council (IHCC) Coalition members (to be designated by IHCC  
leadership) in an amount not exceed the FY26 travel budget to attend the Health Care Coalition  
Conferences (dates to be determined); and authorize the District Health Officer to execute the  
Notice of Subaward, any future amendments and MOU agreements with partnering agencies.  
(FOR POSSIBLE ACTION)  
Staff Representative: Kristen Palmer and Andrea Esp  
Attachments: FY26_HPP-ASPR_12-18-25_DBOH  
Notice_of_Subaward-SG-2026-00036 (3)  
6.F.  
Recommendation for the Board to uphold an uncontested violation issued to North Pyramid  
Investors, Case No. 1592, Notice of Violation No. AQMV25-0019 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 - 12-18-25 AQMD - Case No. 1592 NOV No.  
AQMV25-0019 (Staff Report)  
DBOH - 12-18-25 AQMD - Case No. 1592 NOV No. 1592  
Supp Doc  
End of Consent Agenda.  
7.  
Presentation, discussion and possible acceptance of the Northern Nevada Public Health (NNPH)  
Environmental Health Services (EHS) Evaluation Report and possible direction from the Board of  
Health on policy and program implementation within the community. (FOR POSSIBLE ACTON)  
Staff Representative: Robert Fyda  
Attachments: DBOH EHS Assessment Staff Report  
NNPH EHS Evaluation Report 11-18-2025  
8.  
Presentation on PFAS Health and Regulatory impacts in Washoe County.  
Staff Representative: Latricia Lord  
Attachments: Health and Regulatory Impacts of PFAS in Drinking Water  
in Washoe County.pptx  
9.  
Presentation on Reproductive and Sexual Health Services.  
Staff Representative: Christina Sheppard  
Attachments: Item 9 - Presentation on Reproductive and Sexual Health  
Services.pptx  
10.  
Presentation on Mosquito Abatement Funding and Request for Approval to Present Data and Future  
Funding Options to the Board of County Commissioners (BCC). (FOR POSSIBLE ACTION)  
Staff Representative: Chad Kingsley  
Attachments: Staff-Report-DBOH Dec 2025 Mosquito Abatement  
Funding.docx  
11.  
Review, discussion, and possible adoption of the Business Impact Statement regarding proposed  
revisions to the District Board of Health Regulations Governing Sewage, Wastewater, and Sanitation,  
with a finding that the revised regulations do not impost a direct and significant economic burden on  
businesses or citizens; nor do the revised regulations directly restrict the formation, operation, or  
expansion of a business; and set a public hearing for the possible adoption of the proposed revisions to  
the Regulations for January 22, 2026, at 1:00 p.m. (FOR POSSIBLE ACTION)  
Staff Representative: David Kelly  
Attachments: DBOH 12-18-25- EHS- BIS for Septic Regulations.docx  
BIS Septic Regulation update 2025  
SWS Regulation Change Justification - July 30 2025  
Final proposed regulation changes from public feedback  
with rationale  
SWS_Regs_Internal draft NNPH EDIT - Dec 3 2025 - final  
draft  
Customer feedback and concerns  
Public Workshops 10-13  
Public Workshops 10-20  
12.  
Discussion and Possible Appointment of Cassandra Deen, Hospital Continuous Quality Improvement  
Representative to the Regional Emergency Medical Services Advisory Board for a three-year term  
effective December 18, 2025. (FOR POSSIBLE ACTION)  
Staff Representative: Andrea Esp  
Attachments: DBOH - 12-18-2025 - Appointment of Hospital CQI -  
EMSAB  
DBOH - 12-18-2025 - Cassandra Deen -  
Resume_Redacted  
DBOH - 12-18-2025 - Letter of  
Recommendation_Redacted  
DBOH – 12-18-2025 - EMSAB Hospital Continuous  
Quality Improvement Representative  
Application_Redacted  
13.  
Staff Reports and Program Updates.  
13.A.  
13.B.  
13.C.  
Air Quality Management - EPA Asks D.C. Circuit 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 12-18-2025 AQMD Division Director Staff Report  
(Nov 2025).docx  
Community and Clinical Health Services - Overview of Reproductive and Sexual Health Services;  
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 12-18-2025 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: 2025.12.18 - DBOH EHS Division Report  
13.D.  
13.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 12-18-2025 - 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 12-18-2025 ODHO Division Report.docx  
Nov-Media-Mentions-2025.xlsx  
14.  
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.  
15.  
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.  
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  
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