Minutes

Southern Nevada District Board of Health Meeting
Thursday, February 23, 2006 - 8:00 a.m.

625 Shadow Lane
Las Vegas, NV 89106
Clemens Room

Board Chair Stephanie Smith called the meeting of the District Board of Health to order at 8:05 a.m. and the Pledge of Allegiance was held. She noted that she had been provided with the Affidavits of Posting and Mailing of Agenda meeting notices, as required by Nevada’s Open Meeting Law. The Affidavits will be incorporated into the Official Minutes.

Board Members Present:

Stephanie Smith Chair, North Las Vegas
Lynette Boggs McDonald Commissioner, Clark County
Tom Collins Commissioner, Clark County
Robert Eliason At-Large Member, Business/Industry
Joseph Hardy, MD At-Large Member, Physician
Steven Kirk Secretary, Councilman, Henderson
Mary Jo Mattocks, RN At-Large Member, Registered Nurse

Absent:

Karla Burton Council Member, Boulder City
Jim Christensen, MD At-Large Member, Physician
Susan Crowley At-Large Member, Environmental Specialist
Donna Fairchild Vice Chair, Council Member, Mesquite
Gary Reese Councilman, Las Vegas
Lawrence Weekly Councilman, Las Vegas

Executive Secretary:

Donald S. Kwalick, MD, MPH

Legal Counsel:

Stephen R. Minagil, Esquire

Staff: Karl Munninger, Sylvia Claiborne, Dr. Lawrence Sands, Deborah Williams, Patricia Rowley, Sheniz Moonie, Rory Chetelat, Mary Ellen Harrell, Rose Henderson, Nancy Hall, Patricia Hayde, Ann Markle, Angus MacEachern, Glenn Savage, Ed Wojcik, Paul Klouse, Keith Zupnik, Robert Newton, Robert Muldowan, Dennis Campbell, Rory Chetelat, Deborah Williams, Jennifer Sizemore, Dave Tonelli, Susan Eiselt, Forrest Hasselbauer, Diana Lindquist, Shelli Clark, Leo Vega

Attendance:

Chair Smith indicated that due to lack of quorum the Board would hear the Health Officer and staff reports first.

V. Health Officer & Staff Reports

Mr. Glenn Savage, environmental health director, Nancy Hall, senior environmental health specialist, and Rose Henderson, supervisor of the Henderson office which serves the Laughlin area, addressed the issue of dry camping in Laughlin. Also present was Patricia Hayde, Laughlin environmental health specialist. Mr. Savage described the situation using slides and photos of RVs, campers, including trucks with camper shells which were parked in various hotel parking lots. These parking lots are not permitted as camping facilities. They often lack potable water, garbage dumpsters and dumping services. This has been an ongoing issue for a minimum of three years. He addressed each hotel, its parking facilities and what services, if any, were available for RVs. Mr. Savage stated that staff has offered several solutions, including installing dumpsters, offering potable water and providing dumping facilities or services. He indicated that he and his staff are working closely with the hotels.

A copy of the presentation is attached.

It is felt that all properties need to be treated consistently and properties allowing these activities must comply with existing regulations or apply for variances.

Dr. Hardy stated that this issue needs to be addressed from the Health District’s perspective and we should obtain input from all stakeholders and involve everyone in all aspects of this issue as there are far reaching ramifications across the entire state. He further stated the regulations date to the 1970’s and some of the language was vague and out of date with respect to newer model RVs.

Quorum was met at 8:10 a.m. and the meeting continued as outlined on the agenda.

I. Consent Agenda:

These are matters considered to be routine by the District Board of Health and may be enacted by one motion. Any item, however, may be discussed separately per Board Member request before action. Any exceptions to the Consent Agenda must be stated prior to approval.

1. Approve Minutes/Board of Health Meeting: 1/26/06
2. Approve Payroll/Overtime for Periods of: 12/31/05 - 1/13/06; 1/14/06 - 1/17/06
3. Approve Accounts Payable Registers: #1008: 1/05/06 - 1/11/06; #1009: 1/12/06 - 1/18/06; #1010: 1/19/06 - 1/25/06; #1011: 1/26/06 - 2/01/06
4. Petition #11-06: Approval of New Classification Specification for Publication Specialist (formerly Graphic Artist) – Recommended Schedule 20 ($44,661 - $62,252)
5. Memorandum #02-06: Consider/Adopt the Clark County Trauma System Plan
   
   Chair Smith indicated a change to item number 4. It should read “Publication Specialist” not “Production Specialist.”

A motion was made by Member Eliason to approve all consent items, seconded by Member Hardy and was unanimously approved.

1. Variance Request: To Allow a Ceiling Height not in Compliance with the District Board of Health Regulations 1996 Governing the Sanitation of Food Establishments (APN #162-16-310-000). Petitioner Lido Restaurant, LLC dba Lido, LLC by Joseph V. Bastianich, Manager
   
   Ed Wojcik, environmental health supervisor, and Paul Klouse, environmental health specialist, presented the variance request. Staff recommended approval of this variance with conditions listed. Acting under power of attorney, Mr. Alejandro Muñoz was present on behalf of the petitioner and agreed to the conditions as listed.
   
   No one else spoke on this matter.

A motion was made to approve the variance request by Dr. Hardy, seconded by Member Boggs McDonald and was unanimously approved.

III. Report/Discussion - Items on which action may be taken

1. Committee Report/Recommendation: Bylaws and Selection Process Development Committee (Chairman Smith, Members Christensen, Fairchild, Kirk and Reese) – Adoption of Clark County Health District Board of Health Bylaws and selection process for at-large members
   
   Chair Smith indicated the bylaws and selection process committee met and discussed the current 2 year term for at-large members. There was a suggestion that the term be set for one year, with the 2-year cycle beginning at the end of those appointments.
   
   After discussion by the Board, it was determined that an alternate could be assigned to fill in for a member who cannot attend, whether on an occasional basis, or if a member will remain away for an extended period of time. Member Hardy was presented as an example. He is a member of the legislature and will be absent during the session. If needed, the alternate could attend in his absence.
   
   It was determined that the term should remain two years and a provision for alternates should be added. The recommendation to appoint an alternate can be added to the proposed by-laws by amendment. It was decided that the name “Clark County District Board of Health” be changed to “Southern Nevada District Board of Health” to provide a more accurate description of the agency and the jurisdictions served. The name change will also avoid confusion with Clark County.
   
   Members asked about the fiscal impact. Dr. Kwalick responded that there would be a phase in period to reduce costs associated with the name change.

A motion was made by Member Collins to adopt the bylaws with the name change and a recommendation they be amended at a future meeting to include an alternate. This was seconded by Member Mattocks and was unanimously approved.

Chair Stephanie Smith invited any individuals to speak under the Citizen Participation portion of the agenda.

No one came forward and the citizen participation portion of the meeting was closed.

Chair Smith called asked for additional reports. Dr. Kwalick mentioned that in the interest of time and the need for all of the Board to hear the information, the report on the lead candy issue would be brought back next month. Chair Smith agreed and tabled the report until the March meeting.

VI. Informational Items

Adjournment

There being no further business to come before the Board, Chair Smith adjourned the meeting at 8:50 a.m.

Submitted for Board Approval

Donald S. Kwalick, MD, MPH, Chief Health Officer
Executive Secretary

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