SOUTHERN NEVADA DISTRICT BOARD OF HEALTH

Meeting Agenda

October 23, 2014 – 8:30 A.M.

Southern Nevada Health District
280 S. Decatur Boulevard, Las Vegas, NV 89107
Red Rock Trail Room A and B

NOTICE

Nevada Revised Statutes (NRS) 241.020 requires that written notice of all meetings of the Southern Nevada District Board of Health be given at least three working days before the meetings. The notice shall include the time, place, location, and agenda of the meeting. Individuals may request notice, but a request for notice lapses six months after it is made. The Southern Nevada District Board of Health informs each requester of this fact by this notation on this copy of the notice mailed to them.


Note:

  • Agenda items may be taken out of order at the discretion of the Chair
  • The Board may combine two or more agenda items for consideration
  • The Board may remove an item from the agenda or delay discussion relating to an item on the agenda at any time

CALL TO ORDER
PLEDGE OF ALLEGIANCE
RECOGNITIONS

  • In recognition of National Disease Intervention Specialist (DIS) Day, a short video was shown and all Disease Investigation and Intervention Specialists from Community Health and Nursing were recognized for their service and dedication.
  • Michelle Nath, EMS Program/Project Coordinator was presented with a Safe Community Partnership award for her outreach efforts in pedestrian safety.
  • Dr. Christina Madison, Clinical Pharmacist received a Public Health Leadership Award from the Nevada Public Health Association due to her diligence at being an effective and motivational Public Health Leader in the State of Nevada.
  • Amineh Harvey, Health Educator II – Suzann Pruitt accepted on behalf of Amineh Harvey.  Amineh received the Public Health Hero award for her diligent efforts in engaging her peers to increase the knowledge of sexual health and pregnancy prevention within the community.  Amineh also mentors the Teen Advocates for Pregnancy Prevention Program, which received the Nevada Community Program award at the Nevada Public Health Association Conference.
  • Cheryl Radeloff, Disease Investigation and Intervention Specialist II – Cheryl was recognized for publishing the second edition of Transforming Scholarship.
  • Registered Environmental Health (EH) Specialists, Sanitarians and Engineers took a symbolic Oath of Office in recognition of the badges all EH inspectors recently received.
  1. PUBLIC COMMENT: A period devoted to comments by the general public about those items appearing on the agenda. Comments will be limited to five (5) minutes per speaker. Please step up to the speaker’s podium, clearly state your name and address, and spell your last name for the record. If any member of the Board wishes to extend the length of a presentation, this may be done by the Chairman or the Board by majority vote.Tom Collins, County Commissioner, brought up two items:
    • Multi-vendor use permits for smaller venues
    • Protection of property rights

    Sharon Linsenbardt, resident of Las Vegas, requested that property rights, with regard to the use of the city sewer line, be protected and secure.

    Mary Kippiea, representative for Horseman’s Park, commented on special event permit fees and the financial burden to vendors who want to participate at smaller events. Member Jones asked about the availability of an annual permit. Jackie Reszetar, SNHD Environmental Health Director, responded that currently there is no annual permit, but the fee schedule is being restructured and this is being taken into consideration. Member Giunchigliani requested that smaller vendors be involved in this process to determine what the impacts would be. Dr. Iser stated that public workshops would be held.

    Victoria Harding, Acting SEIU President, commented on employee morale being at its lowest. Andy Glass, SNHD Administration Director, stated that an employee recognition committee has been developed and a recognition event is being planned for the end of the year. He also stated that the Joint Labor Management Committee has been reinstituted. Ms. Reszetar provided feedback on the EH picnic and stated how well-received it was. Member Giunchigliani stated she would like the District to move forward with an employee satisfaction survey. Member Tarkanian agreed and added that she is glad to see that the District is on the right track. Member Noonan asked if his staff had contacted the District regarding assistance with the employee satisfaction survey and Mr. Glass confirmed that they had. Dr. Iser stated that employee recognition at Board meetings have been taking place since he has been with the District.

  2. ADOPTION OF THE OCTOBER 23, 2014 AGENDA (For possible action)A motion was made by Member Scow seconded by Member Jones and unanimously carried to adopt the October 23, 2014 Agenda as presented.
  3. CONSENT AGENDA: Items for action to be considered by the Southern Nevada District Board of Health which may be enacted by one motion. Any item 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 PDF 142KB: September 25, 2014 (for possible action)
    2. PETITION #20-14: Approval of Interlocal Contract Amendment One between the University Medical Center of Southern Nevada and Southern Nevada Health District (for possible action)A motion was made by Member Jones seconded by Member Beers and unanimously carried to adopt the Consent Agenda as presented.
  4. PUBLIC HEARING / ACTION: Members of the public are allowed to speak on Public Hearing / Action items after the Board’s discussion and prior to their vote. Each speaker will be given five (5) minutes to address the Board on the pending topic. No person may yield his or her time to another person. In those situations where large groups of people desire to address the Board on the same matter, the Chair may request that those groups select only one or two speakers from the group to address the Board on behalf of the group. Once the public hearing is closed, no additional public comment will be accepted.
    1. MEMORANDUM #10-14: Consider/Approve Application to Modify a Permit for APEX Regional Landfill / Republic DUMPCo, Inc. 13550 North Highway 93, Las Vegas, NV 89165, PN #(s): 103-13-000-003, 103-13-000-005, 103-13-000-006, 103-13-000-008, 103-24-000-004, 104-07-000-003, 104-07-000-005, 104-18-000-001, 104-18-000-002, 104-18-000-003, 104-19-000-001, 104-19-000-002, 104-19-000-003, and 104-20-000-001 SNHD Control No.: LF002-G3X-01; direct staff accordingly or take other action as deemed necessary (for possible action)After a comprehensive review of submitted documents, SNHD staff recommends that APEX Regional Landfill be issued a modification to the existing permit to operate the solid waste management facility as a Class I Disposal Site at this location. Bob Coyle from Republic Services and Mark Clinker from APEX, were present to answer questions. After questions were addressed and public comment period closed (there were no comments), a motion was made to approve with the staff conditions stated in the memo and two additional conditions – one being an updated closure plan be provided (if an update is needed) and reemphasize the regulatory requirement for annual financial assurance updates.

      A motion was made by member Dobyne seconded by Member Tarkanian and unanimously carried to approve the Class I landfill as modified, with two additional conditions: updated closure plan be provided (if an update is needed) and reemphasize the regulatory requirement for annual finance assurance updates.

      Member Delaney left at 9:38 am and returned at 9:43 am
      Member Nemec left at 9:40 am and returned at 9:42 am

  5. REPORT/DISCUSSION/ACTION
    1. Review/Discuss Three Year Budget Projection; direct staff accordingly or take other action as deemed necessary (for possible action)Dr. Iser provided an introduction and then turned the discussion over to Andy Glass, Director of Administration. Mr. Glass addressed four financial scenarios and discussed potential changes. Brief discussions were held regarding a sinking fund and EH carryover. The Chair commended the current administration for being transparent and appreciates the effort being made to establish a long-term budget. No motions were made and the Chair moved on to the next item.

      Member Dobyne left at 9:50 am and returned at 9:51 am
      Member Tarkanian left at 9:50 am and returned at 9:53 am

    2. Receive Report and Approve Recommendations from the Finance Committee (Committee: Chair Beers, Members: Crowley, Dobyne, Marz, Osgood, Woodbury; direct staff accordingly or take other action as deemed necessary (for possible action)Annette Bradley, Legal Counsel, reported the recommendations from the Finance Committee meeting, which was to accept the Fiscal Year 2015 projection with the caveat that it may change pending the audit findings. There was also the recommendation that education be provided to the Board members regarding the sinking fund.

      A motion was made by Member Beers seconded by Member Osgood and unanimously carried to accept the recommendations of the Finance Committee as stated by Ms. Bradley.

      Member Giunchigliani left at 10:17 am and returned at 10:20 am

    3. Review/Discuss Establishing a Sinking Fund and/or Emergency Services Fund; direct staff accordingly or take other action as deemed necessary (for possible action)Dr. Iser suggested an alternative course to use the general fund for emergency services. As Fiscal Year 2016 budget preparations begin, he will bring back to the Board a variety of options, including a sinking fund, continuing the bond reserve fund, an emergency services fund and how we should go forward. No motions were made.

      Member Tarkanian left at 10:57 am and returned at 11:01am
      Member Nemec left at 11:00 am and did not return
      Member Marz left at 11:01 and did not return

    4. Review/Discuss Building/Facilities Updates; direct staff accordingly or take other action as deemed necessary (for possible action)Dr. Iser introduced Roland Sansone from the Sansone Group, who made a presentation regarding the Dillards Building located at the Boulevard Mall. He requested an opportunity to see what was being proposed so he could review the proposal and revise his offer. Mr. Glass then presented an overall update to the presentation made at last month’s retreat, bringing forward additional information recently provided by the Boulevard Mall.

      Member Tarkanian stated that the medical district is going to burst with expansion and the new school of medicine is going to be located in this district. She added it would be beneficial to the Health District to be close to the expansion and reap the benefits of the new school.

      Larry Singer, Realtor, provided an update to finalizing the purchase agreement for the Decatur property. PGAL gave an update regarding costs for construction renovations and improvements. Dr. Iser stated the City of Las Vegas would assist with redevelopment funds for the Decatur property.

      Member Giunchigliani asked for an indulgence to have Mr. Sansone respond to whether the numbers continue to reflect comparatively. Member Osgood voiced his concern of sharing a health district building with retail space due to the potential infectious disease issues that could arise, even if only once a year.

      Dr. Iser stated that unless other direction is given, he will continue in the direction previously given by the board. Chair Woodbury stated there are pros and cons but the District is knee deep in this purchase. Mr. Sansone could present a proposal but the board is hesitant to back up at this point. However, it is interested in what numbers Mr. Sansone can provide. Chair Giunchigliani stated she wished there could have been negotiations. To continue, Mr. Sansone needs a schematic drawing so he can move quickly to provide a number. Chair Woodbury is in favor of providing a drawing to Mr. Sansone and getting a number as a backup plan. PGAL agreed to provide conceptual information to Mr. Sansone.

      Member Beers would like items of this nature moved to the top of the agenda.

    5. 5. Receive Report and Recommendations from the CHO Annual Review Committee; Approval of the First Amendment to the Chief Health Officer Employment Agreement for the period September 23, 2014 – September 22, 2015 (Committee: Chair Woodbury, Members: Dobyne, Giunchigliani, Jones, Noonan and Scow); direct staff accordingly or take other action as deemed necessary (for possible action)Chair Woodbury reported the recommendation of the CHO Annual Review Committee meeting is that Dr. Iser’s contract is renewed for two years; he will receive a 2.5% salary increase and the term for providing notice is three months for both parties. Annette Bradley stated the document that the Board Members received needs to be changed to reflect a two-year agreement. Member Giunchigliani asked that for future reference minutes of the committee meeting be made available.

      A motion was made by Member Osgood seconded by Member Tarkanian and unanimously carried to accept the CHO Annual Review Committee report and recommendations as presented.

    6. Review/Discuss the Health District’s Longevity Plan; direct staff accordingly or take other action as deemed necessary (for possible action)Dr. Iser stated that this was brought forward at Member Jones’ request from two months ago. The goal is to discuss the current Executive longevity plan and how it compares to general staff, get direction from the Board, and possibly bring back a petition to change the Executive longevity plan. Shirley Oakley, Human Resources Administrator, discussed details of the current Executive longevity plan and stated there is only one member currently on this plan. Member Giunchigliani stated that the county got rid of their longevity plan and management no longer receives longevity. She thought direction was given by this Board to eliminate Executive longevity as it was not in the contracts of Drs. Sands, Middaugh or Iser and any new hires after that time period should not qualify. If management does receive it, it should be a flat rate versus a percentage. Chair Woodbury asked that it be investigated to see if any action had been previously taken. Most local governments got rid of longevity for management and Member Giunchigliani would support removing it entirely for management. Member Tarkanian recalls the discussion but cannot recall if a formal vote was taken. Mr. Glass stated that delaying a decision until next month will have no impact on payments. It was agreed that previous minutes will be reviewed to determine whether a vote was held and will be brought back to the Board next month for possible action.
    7. 2015 BOH Meeting Schedule; direct staff accordingly or take other action as deemed necessary (for possible action)Dr. Iser presented the proposed meeting schedule for next year. The changes are to move the evening meeting up a month (to March) to give the public a chance to provide input regarding the budget and to move the November meeting up a week so that the meeting remains on a Thursday. No objections were stated. The approved meeting schedule will be sent as soon as possible.

      A motion was made by Member Giunchigliani seconded by Member Tarkanian and unanimously carried to accept the 2015 Board of Health Meeting Schedule as presented.

  6. BOARD REPORTS: The Southern Nevada District Board of Health members may identify emerging issues to be addressed by staff or by the Board at future meetings, and direct staff accordingly. Comments made by individual Board members during this portion of the agenda will not be acted upon by the Southern Nevada District Board of Health unless that subject is on the agenda and scheduled for action.Seeing none, this portion of the meeting was closed.
  7. HEALTH OFFICER & STAFF REPORTS
    Dr. Iser provided a brief update on Ebola and invited everyone to attend one of the many presentations that will be given. He stated that planning in Southern Nevada has been more advanced compared to other states. He has worked with hospitals to designate which hospitals are prepared to take Ebola patients, but for security purposes those names will not be released publicly. Dr. Iser also met with Airport Customs and Border Patrol and they are expediting passes to get behind security lines quickly if assistance is needed. He also met with hospital infection control Managers on several occasions. The District’s website is enabled with very useful tools, including an Ebola briefing document for anyone to use. He has been lauded by EMS and first responders, as well as the hospitals. Strike teams have been established to assist the community where needed. The District will continue forging ahead and do what is needed to help the community and keep it safe. A special accounting code has been set up to track time associated with Ebola activities.
  8. INFORMATIONAL ITEMS
    1. Chief Health Officer and Administration:
      1. Monthly Activity Report PDF 833KB– September 2014
    2. Community Health:
      1. Monthly Activity Report PDF 4.3MB– September 2014
    3. Environmental Health:
      1. Monthly Activity Report PDF 3MB– September 2014
    4. Clinics and Nursing:
      1. Monthly Activity Report PDF 2.1MB– September 2014
  9. PUBLIC COMMENT: A period devoted to comments by the general public, if any, and discussion of those comments, about matters relevant to the Board’s jurisdiction will be held. No action may be taken upon a matter raised under this item of this Agenda until the matter itself has been specifically included on an agenda as an item upon which action may be taken pursuant to NRS 241.020. Comments will be limited to five (5) minutes per speaker. Please step up to the speaker’s podium, clearly state your name and address, and spell your last name for the record. If any member of the Board wishes to extend the length of a presentation, this may be done by the Chairman or the Board by majority vote.Seeing none, this portion of the meeting was closed.
  10. ADJOURNMENT

    The meeting adjourned at 11:31 a.m.

    NOTE: Disabled members of the public who require special accommodations or assistance at the meeting are requested to notify Jacqueline Wells in Administration at the Southern Nevada Health District by calling (702) 759-1201.

This agenda has been posted in the main lobby of the following locations:

Clark County Government Center, 500 S. Grand Central Pkwy., Las Vegas, NV
Las Vegas City Hall, 495 S. Main St., Las Vegas, NV
North Las Vegas City Hall, 2250 Las Vegas Blvd. North, North Las Vegas, NV
Henderson City Hall, 200 Water St., Henderson, NV
Boulder City, City Hall, 401 California Ave., Boulder City, NV
Mesquite City Hall, 10 E. Mesquite Blvd., Mesquite, NV
Southern Nevada Health District, 330 S. Valley View Blvd., Las Vegas, NV

Contact Information

Phone:
(702) 759-1201