Amended - Southern Nevada Health District

___________________________________________________________________________________
Mission: To protect and promote the health, the environment and the well-being of Clark County residents and visitors.
____________________________________________________________________________________
Amended
MINUTES
CLARK COUNTY HEALTH DISTRICT
DISTRICT BOARD OF HEALTH MEETING
625 Shadow Lane
Las Vegas, Nevada 89106
Clemens Room - 8 A.M.
Thursday December 14, 2000
Dr. Kwalick asked for a moment of silent prayer in memory of Carol Emery, long-time Personnel
Director of the Clark County Health District.
Chairman Brown called the meeting of the District Board of Health to order at 8:05 a.m. and the
Pledge of Allegiance held. Chairman Brown noted that she had been provided with Affidavit of
Posting and Mailing of Agenda and the public notice, as required by Nevada’s Open Meeting
Law. The Affidavits will be incorporated into the Official Minutes.
Present:
Paula Brown
Jim Christensen, MD
Susan Crowley
Alice Fessenden
Joseph Hardy, MD
Paul Henderson
Erin Kenny
Donalene Ravitch, RN
Gary Reese
Stephanie Smith
Chairman, North Las Vegas
Secretary/Physician Member At-Large
Vice-Chairman, Henderson
Appointee, Mesquite
Councilman, Boulder City
Councilman, Mesquite
Commissioner, Clark County
Appointee, Boulder City
Councilman, Las Vegas
Councilwoman, North Las Vegas
Absent:
Sherry Colquitt, RN
Amanda Cyphers
Mary Kincaid
Appointee, Las Vegas
Councilwoman, Henderson
Commissioner, Clark County
Executive Secretary:
Donald S. Kwalick, MD, MPH
Legal Counsel:
Stephen Minagil, Esquire
Staff: David Rowles; Clare Schmutz; Fran Courtney, RN; Ed Wojcik; Mike Sword; Lonnie Empey; Glenn
Savage; Hope Arrington; Sherri Hurlburt; Nancy Hall Denise Young; Rose Bell, PhD; Karl Munninger;
Jane Shunney, RN; Michael Naylor; Harold Glasser; Lewis Wallenmeyer; Art Bashor; Jeanne Palmer;
Jennifer Sizemore; Leo Vega; Forrest Hasselbauer; secretary, Diana Lindquist
P. O. Box 3902 – Las Vegas, Nevada 89127 – (702) 385-1291 – www.cchd.org
Board of Health Minutes
December 14, 2000
Page 2 of 11
PUBLIC ATTENDANCE:
NAME
David M. Logue
Mark Caynor
Asa Marie Davis
Stephan Widell
Ashley Hall
Paul Fransioli
Larry Grossman
Ed Matteson
Steve McClintock
Helen Foley
Anthony Otto
Ed Koch
Todd Jaynes
Jim Kindel
David Emme
David Friedman
Les Gould
Dick Serdoz
Bob Hall
Rob Dorinson
Nick Dane
Terri Routh
Dianna Lamy
Mike Weinberg
Pik ()Patty) Havens
Dennis Havens
Clint Combs
Alan Gaddy
Tim Thurtle
Ed Lubbers
Michael Stevens
Mike Guerrero Jr.
Janna Velez
Agnes Mejia
Edward Martinez
I.
REPRESENTING
Accents in Art Tattoos
Accents in Art Tattoos
American Red Cross
American Red Cross
Ashley Hall & Associates
PM Research Advisory Committee
Cassidy & Associates
Clark County Fire Department
Clark County Fire Department
Faiss Foley Merica
Ironhorse Tattoo
Las Vegas Sun
Mesquite Fire Rescue
Mesquite Fire Rescue
Nevada Division of Environmental Protection
Nevada Division of Environmental Protection
Nevada Division of Environmental Protection
Nevada Division of Environmental Protection
Nevada Environmental Coalition
Nevada Recyclers Association / Evergreen
Old Mill, Inc
Only Skin Deep
Only Skin Deep
On The Wild Side Tattoo
P2K Beauti De Salon
P2K Beauti De Salon
RC Farms / Waste Management, Inc
Republic Services
Sin City Tattoos 2
Southern Nevada Home Builders Association
Tattoo Asylum
Toteim Tattoo & Body Piercing
University of Nevada Las Vegas
University of Nevada Las Vegas
Zia Engineering & Environmental
CONSENT AGENDA:
These are matters considered to be routine by the District Board of Health and which 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.
Chairman Brown stated that Item #9, Memorandum #44-00 - Board Approval of Confidential
Settlement Agreement was being withdrawn from the Consent Agenda. Also, she had a Board
Member request to move Item #2 under Section III, Report/Discussion/Action, to be heard right after
the Consent Agenda.
She opened the public hearing on the Consent Agenda and asked if any member of the public
wished to speak on any of the variances. There being no response the public hearing was closed.
Board of Health Minutes
December 14, 2000
Page 3 of 11
Member Reese moved to approve the Consent Agenda with the withdrawal of Item #9. Motion was
seconded by Member Ravitch and carried unanimously.
1. Approve Minutes/Board of Health Meeting – 11/16/00
2. Payroll Overtime for Periods of - 10/14/00 – 10/27/00
3. Approve Accounts Payable Register - #795: 10/22/00 – 11/03/00; #796: 11/06/00 – 11/17/00
4. Petition #87-00 - Request to: Set a Public Hearing Date on January 25, 2001 to Approve or
Deny Nevada Forest Products, Inc.’s, Compost Plant Application to Construct and Operate a
Compost Plant at 5355 North Beesley Drive, Clark County, Nevada
5. Petition #88-00 – Request to Set a Public Hearing Date on February 22, 2001 for Adoption of
Environmental Health Regulations Governing the Transportation of Solid Waste
6. Petition #91-00 - Approval of a New Position and Classification Specification for Prevention
Activities Coordinator to be Placed on Schedule 22 ($40,832.48 to $56, 927.52 Annually)
7. Petition #92-00 - Request that the Board Award Request for Proposal #10-00, Provision of the
Development of Construction Site Test Methods for Section 94 Compliance, to Converse
Consultants
8. Petition #93-00 - Request to: Authorize the Chief Health Officer to Execute Agreements with
Participants in the Clean Diesel Engine Incentive Program
9. Memorandum #44-00 - Board Approval of Confidential Settlement Agreement
10. Public Hearing Upon request of any person any public hearing item shall be removed
from this consent agenda and placed on the regular agenda for public hearing.
a. Memorandum #38-00 - Variance Request: to Approve a Temporary Variance to the District
Emergency Medical Services Regulations for the Weekend of December 29, 2000 to
January 3, 2001(New Year’s Eve) to Allow for Transport to Facilities Other than Hospital
Emergency Departments According to Protocol.
b. Memorandum #39-00 - Variance Request: to Section 900.500 of the District Emergency
Medical Services for the Mesquite Fire and Rescue Department to Operate Their Second,
Third and Fourth Ambulances at the Paramedic Level.
c. Memorandum #40-00 - Variance Request: to Consider Renewal of Clark County Fire
Department’s Variance to Section 900.500 of the District Emergency Medical Services
Regulations to Operate Their Volunteer Ambulance Service on a Part-Time Advanced Life
Support (ALS) Basis in Sandy Valley.
III. REPORT / DISCUSSION / ACTION (Taken this time by Member Kenny Request)
2. Memorandum #43-00 - Selection of Federal Legislative Lobbyist
Dr. Kwalick remarked that a listing and brief analysis of the five proposals received from
respondents to the request for proposals had been submitted for Board guidance and direction.
The proposals range from $63,000 to approximately $250,000.
Board of Health Minutes
December 14, 2000
Page 4 of 11
Member Kenny explained that she had asked that this item be researched a number of months
ago. She recommended that the Board approve Cassidy and Associates as they have several
companies in the community who are already using them and have had tremendous results.
The University of Nevada Las Vegas (UNLV) employs Cassidy and Associates. In their first
year with UNLV they have been responsible for an additional 17 million dollars of federal funds.
Further, Cassidy and Associates have been able to obtain approximately $900,000 for the
University Medical Center’s Pediatric Department. For the short period of time that Cassidy and
Associates has been working with community leaders they have been very successful. A
company that has a base already in Washington will only add to the strength of the Health
District.
She moved that the Board approve Cassidy and Associates and direct Staff to negotiate a price in
the range submitted in the proposal; Member [Cyphers] Smith seconded the motion.
Member Reese commented that Alcalde and Fay have represented the City of Las Vegas very
successfully and expressed concern over the price difference between $63,000 requested by
Alcalde and Fay and $120,000 to $251,000 requested by Cassidy and Associates. He
suggested that Alcalde and Fay could garner some of the same monies that Cassidy and
Associates could.
Discussion ensued by the Board Members, and Staff regarding the possibility of renegotiating a
price at the low end of the $120,000, unbudgeted projects, fee on a per month basis, also the
expectations/deliverables of the successful proposer were reviewed. Additionally the motion
would need to be amended to include an additional funding appropriation increasing the current
budget’s expenditure threshold.
Larry Grossman, representing Cassidy and Associates, indicated that the initiatives that Cassidy
and Associates will be working on would be very specific in nature depending on the client.
Also, the executive branch of congress will fund very specific projects that will define how the
money will be spent. Cassidy and Associates currently does not have a contract with other
community health districts however are working with various health care institutions.
Chairman Brown asked if there were any other companies represented in the audience. There
was no response.
Member Kenny amended the motion to approve Cassidy and Associates and direct Staff to
negotiate a price in the range submitted in the proposal, to include an additional funding
appropriation increasing the current budget’s expenditure threshold. Member [Cyphers] Smith as
the second agreed with the amended motion.
Member Reese stated that he could not support the vote for Cassidy and Associates because of
the high-end cost of the proposal when there was a capable low-end bidder of $63,000.
The motion was approved 8 to 2 with Member Reese and Ravitch voting nay.
POINT OF ORDER: Mr. Robert Hall at this time stated that he was rising for a point of order on an
open meeting law violation.
Chairman Brown stated that the District was in compliance with the open meeting law. The agenda had
been properly noticed and posted. She asked that he wait until the Citizen Participation section.
Mr. Hall explained that the item he was concerned about the Board had already taken action on they
were trying to get into the room. He added that people had not come into the room and the Board was
Board of Health Minutes
December 14, 2000
Page 5 of 11
conducting business. Also, he had called the previous day (Dec. 13th) and no one had returned his
calls.
Chairman Brown stated that Mr. Hall was out of order and asked that he please sit down.
II. PUBLIC HEARING/ACTION
1. Memorandum #41-00 - Public Hearing: To Consider Proposed Changes to Section 18 (Permit
and Technical Services Fees), to Increase the Dust Control Permit Fee, Amend the Allocation of
Particulate Matter Emission Control Research Advisory Committee Funds, and Initiate Staff
Hiring
Mike Sword, Assistant Air Quality Director, stated that the public hearing was to consider
proposed changes to Section 18 (Permit and Technical services fees), to increase the dust
control permit fee, amend the allocation of particulate matter emission control research advisory
committee funds, and initiate staff hiring. The dust permit fee will increase to $15 per acre
effective January 20, 2001 and is in addition to the Consumer Price Index annual adjustment.
Staff estimates that enforcement of the new newly passed regulations on Section 90-94 will
require 15 additional enforcement staff to issue permits, perform field audits, carry out
enforcement actions, supervise the program, and provide administrative support. Also, approval
of this petition will authorize the addition of 15 positions to the Air Quality Division Enforcement
staff and commit the budget necessary to commence hiring. The reason for increasing the fees
is to raise revenues to fund the positions along with funds from the PM Research Advisory
Committee. Additionally, AQD staff is examining the entire fee structure/baseline as outlined in
Section 18. Fees for services rendered and increases in some existing fees are anticipated to
provide the budget necessary to fund the dust mitigation Enforcement Section for the following
fiscal years and to restore some of the PM Research Advisory Committee funds. Staff is
anticipating returning to the Board in April to discuss an increase in some of the baseline fees
after workshops with the public. Education will continue to be a part of the process with the
current dust classes, which are being revised to incorporate the changes in the rules.
Chairman Brown opened the public hearing and asked if anyone wished to speak. There was
no response; therefore, she closed the public hearing.
Member [Cyphers] Crowley moved to adopt of the proposed changes. The motion was seconded
by Member Reese and carried unanimously.
2. Memorandum #42-00 - Public Hearing: To Consider Amendments to the Clark County Health
District Regulations Governing the Sanitation of Tattoo and Permanent Makeup Establishments
and the Sanitation of Body Piercing Establishments
Clare Schmutz remarked that during the September Board of Health meeting the Board
approved to hold public hearings on the District regulations governing the Sanitation of Tattoo
and Permanent Makeup Establishments and the Sanitation of Body Piercing Establishments.
Since that time, two workshops have been conducted with the regulated industry. Notices were
sent out to all permitted facilities and published in the local newspapers. All recommendations
and suggestions received from participants at the workshops were considered and incorporated
into the amendments as determined by staff. He thanked Member Ravitch for attending the
workshop.
Phillipa Pointin, Senior Environmental Health Specialist thanked the Board for approving the
request to update the regulations and hold the public hearing. Changes have been extensively
discussed in the workshops. She briefly summarized the major changes, which included:
Board of Health Minutes
December 14, 2000
Page 6 of 11
1. An addition of a list of Substantial Health Hazards that will result in the closure of an
establishment until corrected;
2. The Occupational Safety and Health Association (OSHA) has specific requirements for
Hepatitis B vaccinations for individuals who are exposed daily to blood and body fluids of the
general public. This is not well complied with in the tattoo/body piercing industry.
3. Addition of the Hepatitis A vaccine requirement for obtaining a Health Card; during the
workshop, industry requested additional education requirements for obtaining and renewing
a health Card;
4. Training by the American Red Cross in Preventing Disease Transmission (PDT), CPR and
First Aid. Ms. Asa Marie Davis, of the American Red Cross, worked closely with Staff to
arrange classes that can be held at the Health District at no cost to the District but would be
$55 to the operator for an all day class.
5. Specific requirements for obtaining identification of patrons, specifically to document the age
of a patron. More specific requirements on record keeping to ensure that the permanent
records of all patrons tattooed or body pierced at a facility can be easily accessed.
6. Several administrative changes including the revisions of the definitions and inclusion of the
tattoo, permanent makeup and body piercing facilities in the division’s fee schedule for
inspection of facilities.
Staff has spent many hours working on the amendments and has involved industry and local
agencies to update them to the current industry technology and public health requirements.
Chairman Brown opened the public hearing and asked if anyone wished to speak.
Mike Weinberg, operator of On The Wild Side Tattoo, expressed concern about the cost of the
CPR and Blood Pathogen classes with the American Red Cross. Since many of the artists are
transient, asking them to pay an additional $55 will be a burden. He suggested that only the
shop owner be required to pay the $55 or his designee. This one person would go through the
course get the certification and then it would be his/her responsibility to train the shop staff from
what has been learned. To have everyone in the shop pay $55 will be a burden as many of the
artists are transient. The shop owner is responsible for the business and his/her responsibility to
train the people within the shop.
Phillipa Pointon explained that some of the shop owners are not tattoo artists and we have
absent owners. The requirement allows 30 days to complete the training.
Discussion followed with the Board, Staff, Asa Davis, American Red Cross representative, and
citizens pertaining to cost and designating a owner/operator to receive the CPR training.
Member Christensen suggesting the possibility of having the designated operator having the
complete CPR and First Aid training and each tattoo artist be required to take only the blood
pathogen universal precaution training part of the American Red Cross class at a cost of $20.
One operator on duty would be fully trained in all three courses.
Also, equivalent training may be obtained in another community from the American Red Cross it
could be used in Clark County. The American Red Cross card would ensure maintenance in
the standard of training, public safety and would be valid in Clark County.
Tim Thurtle, operator of Sin City Tattoos 2, thanked staff for all their help with the workshops.
He expressed concern about the $55 charge for the CPR and Blood Pathogen classes. The
fees for a tattoo artist can exceed $100. He reiterated that only one individual in the shop
should get the certification who would have the responsibility of training the other persons in the
shop.
Board of Health Minutes
December 14, 2000
Page 7 of 11
Also, Mr. Thurtle and Mr. Weinberg expressed concern that the regulation covering the
temporary license and 6 month apprenticeship program period for artists (3.9.2) was vague
because it appeared as if the artist would not need to meet the requirements to complete the
American Red Cross course and get the Hepatitis B for 6-months. He suggested holding off on
the Hepatitis B requirement until statistics could be provided on the number of individuals
immunized and those who contracted the disease after immunization.
Staff felt that the regulation for temporary license and 6 month apprenticeship program
requirement could be more clearly defined on the requirements for the apprenticeship period.
Also, the statistical information on Hepatitis B vaccine can be retrieved from the Centers of
Disease Control (CDC) website.
Jimmy Nicholson, representing Sin City Tattoos 2 expressed concern about the risks associated
with taking the vaccination and individuals contracting Hepatitis from the vaccination.
Dr. Christensen explained that the risk is very minimal and must be balanced with risk for
Hepatitis virus related liver disease. All newborns are immunized with the Hepatitis vaccine.
Also, the vaccine is a killed vaccine. Mr. Nicholson was referred to CDC’s website for
information. Staff is handing out an information sheet on the Hepatitis vaccine because of
concerns that the industry has expressed.
Chairman Brown asked if any member of the public wished to speak. There was no response;
therefore, she closed the public hearing.
Member Reese moved for approval of Memorandum #42-00 - amendments to the Clark County
Health District Regulations Governing the Sanitation of Tattoo and Permanent Makeup
Establishments and the Sanitation of Body Piercing Establishments changing the requirement for
the American Red Cross that the designated operator will have to complete the entire $55 CPR
training program and each tattoo artist be required to take only the $20 blood pathogen universal
precaution training portion of the class. Also, clarify Section 3.9.2 for the 6-month apprenticeship
program to reflect a 30-day time frame to complete the requirements. Motion was seconded by
Member Crowley and carried unanimously.
NOTE: Concerning the “Point of Order” on page 4, Dr. Kwalick informed the Board of a complaint that
the front doors were opened a couple of minutes late and some of the individuals from the public were
unable to get into the Board room by the time the Consent Agenda was being discussed.
In response to this allegation, Dr. Christensen stated that he had walked through the front doors and
was in the room after the Pledge of Allegiance and was seated before the Consent Agenda.
Also, Helen Foley, Legislative Lobbyist with Faiss, Foley, Merica remarked that she was waiting out
front with approximately 20 other people to get in. She arrived in the room during the Pledge of
Allegiance and seated before the Consent Agenda. A lot of people were standing waiting in line to get
some of the agenda item materials.
III. REPORT / DISCUSSION / ACTION (The Board may take action on any items in this section and/or
direct staff accordingly:)
1. Nominating Committee: (Members Reese, Chair; Henderson and Ravitch)
Member Reese stated that the Committee had met and were pleased with the job the current slate
of officers and move to approve the following incumbents for another year:
Board of Health Minutes
December 14, 2000
Page 8 of 11
Paula Brown, Chairman
Susan Crowley, Vice-Chairman
Jim Christensen, MD, Secretary
Motion was seconded by Member Hardy and carried unanimously.
(2. Memorandum #43-00 - Selection of Federal Legislative Lobbyist - per Member Kenny request
moved after the Consent Agenda)
3. Report: On Rodent Infestation in Valley – Clare Schmutz, Environmental Health Director, et
al (Member Kenny Requested Item)
Clare Schmutz, Environmental Health Director, commented staff had met with representatives
from the State Department of Agriculture, Clark County Vector Control, and Animal Control to
discuss the extent of the reported rodent/rat sightings in the Las Vegas Valley.
Investigations of reported sightings of rodents at 17 locations across the Las Vegas Valley
revealed that 16 locations had verified sightings of rats. Other sightings were determined to be
ground squirrels, pack rats, gophers and other rodent species. In 6 instances the rats were
identified as Rattus rattus, commonly known as the roof rat. The presence of roof rats has been
documented in the Las Vegas Valley since 1990. Initial identifications were made in the south
central part of the valley and were associated with imported palm trees. Since those initial
sightings, reports of roof rats, usually directed through Clark County Vector Control, have been
sporadic. During the summer of this year, numerous reports of the rats in urban areas in the
southwest section of the valley were received.
The Clark County Health District has had an active Plague and Hantavirus Surveillance
Program since 1981. Since that time, Environmental Health Division staff have developed a
county-wide network of trapping locations with the majority of these locations in sparsely
populated areas. This program is only intended to identify when and where diseases may exist
in the rodent populations. Subsequently, the public is notified of the public health importance,
problem areas, and preventive action it can take via press releases and site postings.
Information on disease associated with rodents is available from the Environmental Health
Division and the District’s website.
4. Report: Status of the Solid Waste Management Plan Revisions by Ed Martinez, Zia
Engineering
Ed Martinez, representing Zia Engineering, gave a brief overview of the proposed amendments
update to the solid waste management plan. He explained that after Board approval in June,
the project was initiated in mid-July. A Technical Advisory Committee (TAC) was developed
and the first meeting held the last week of August. The committee consists of individual staff
members from each of the jurisdictions that are within each incorporated community. A formal
draft plan has been developed with the assistance of District Staff and the TAC for both the
Solid Waste Management Plan update and for the Solid Waste Emergency Preparedness Plan
development. Draft work plans have undergone review and were approved for final publication
during the October meeting. Nevada Department of Environmental Protection (NDEP) and the
Environmental Protection Agency (EPA) meetings and discussion with CCHD staff in October
and November have resulted in potential need to address recycling and waste characterization
issues in greater depth than originally anticipated or scoped by the CCHD staff or the TAC. Due
to NDEP and EPA coordination in October and November, approved work plans require
modification. Work scopes may need to be expanded for recycling and waste characterization
and greater public coordination effort may be required in the future per input of NDEP and EPA.
Further discussions are underway with NDEP. It is anticipated that the final plan will be
Board of Health Minutes
December 14, 2000
Page 9 of 11
presented to the Board in July or August. Zia Engineering may have to come back to the Board
for an addendum to the contract. NDEP is concerned about flushing out all potential barriers or
challenges to increasing the waste reduction and recycling within the County. Additionally,
NDEP is preparing a very detailed implementation plan for how the various municipalities may
move forward with the plan with resulting outcomes. He handed out a flyer announcing the
project that has gone out to industry stakeholders along with a general questionnaire.
Dave Emme, representing NDEP, commented that there needs to be strategic planning for
recycling statewide. The current rate statewide is flat. While numbers in Clark County declined
to 8%. The goal of the statutes is 25% and invited the Board to offer options that are needed to
turn that rate around. The state is anticipating on conducting a kickoff forum in February or
March to bring in interested parties and establish a foundation with information. Disposal
companies, independent recyclers, citizens and government leaders in the community will be
invited.
IV. CITIZEN PARTICIPATION
A period devoted to comments by the general public about matters relevant to the Board's
jurisdiction will be held. The Board of Health cannot act upon items raised under this portion of the
Agenda until the notice provisions of Nevada's Open Meeting Law have been complied with.
Therefore, no vote may be taken on a matter not listed on the posted agenda, and; any action on
such items will have to be considered at a later meeting. Comments will be limited to three
minutes. Please step up to the speaker's podium, clearly state your name and address and please
spell your last name for the record. If any member of the Board wishes to extend the length of a
presentation, this will be done by the Chairman, or the Board majority by vote. All comments by
speakers should be relevant to Board action and jurisdiction.
Chairman Brown asked if any member of the public wished to speak. There was no response.
V. HEALTH OFFICER & STAFF REPORTS
Dr. Kwalick indicated that the Flu vaccine was in the pipeline.
December 12th and should be at the District in next few days.
It started being shipped on
A. Dr. Kwalick introduced Christine Robinson who gave an update on various studies, reports and
discussions on air quality issues.
Christine Robinson, Air Quality Director, gave a brief update on air quality issues occurring
throughout the community as well as within the District.
1. Cost Analysis - The cost analysis is moving forward nicely. Staff has met several times with
the team that is conducting the cost analysis. The report is due at the end of January and
they are on schedule.
2. Air Quality Organizational Management Study – Ralph Anderson and Associates was the
firm approved at the November meeting to conduct the study and has been regularly
meeting with staff. This is progressing well and a complete report is anticipated at the end of
January.
Both reports will be presented to the Board of Health, the Regional Planning Coalition and
other local governments in February.
3. Emission Reduction Credit Audit (ERC) – The ERC subcommittee appointed by the Board to
move forward with a scope of work (Members Christensen, Crowley and Jack Greco,
Board of Health Minutes
December 14, 2000
Page 10 of 11
Hearing Board) has met twice. The subcommittee approved the scope of work, which has
been published. It is anticipated the proposals on the scope of work will be back by the
deadline of January 5, 2001. The subcommittee will meet again as well as staff to review
the proposals and make a recommendation to the Board at the January 25th meeting.
There has been some discussion about the timing of all of the issues. It is important to get
the management study and the cost analysis done in order to have discussions done in a
timely fashion. Additionally, there have been lots of discussions with those involved in
requesting that the ERC audit be conducted. The ERC audit could probably extend into a
longer time frame in order to accomplish its goal as it is a very comprehensive scope of
work. A progress report is anticipated on April 1, 2001 and the study would be completed in
the late summer, probably August 1, 2001.
4. Legislative Commission – The Legislative Commission discussed the above items at their
meeting on December 11, 2000. The Commission oversees the work of the legislative
council bureau and they are also one of two standing committees that continue to meet
while the legislature is not in session. Some of the subcommittees presented reports to the
commission. District staff presented information on SB 432 and the items outlined above.
Member Crowley asked that any interested Board Members be given a copy of the scope of
work. Staff will provide the information to the Board Members.
B. David Rowles, Administrative Services Director, provided a brief summary of the responses to
the request for proposals for the Management Study of the Clark County Health District. One
respondent indicated that they would not be providing a request for proposal as they felt they
did not have adequate time to do so. Each of the firms will be researched for past performance
with their clients. He briefly covered the potential cost of the proposals. Staff will be providing
the subcommittee with copies of the proposals for their review prior to the January 25, 2001
Board of Health meeting.
VI. INFORMATIONAL ITEMS
Duly Noted
1. Administration:
a. Monthly Activity Report
b. Financial Data - Revenues, Expenditures, and Cash Flows for Fund 705 (Operating), 706,
(Capital Reserve), and 762 (Liability Reserve) for the Month of October
c. Health Education Monthly Report
d. Public Information Report
2. Air Quality:
a. Hearing Board Annotated Agenda and Minutes
b. Monthly Report, November 2000 (Air Quality, Enforcement Activity, Permitting, Source
Compliance and Regulation Development)
c. Particulate Matter Emissions Control Research Advisory Committee Agenda
3. Environmental Health:
a. Monthly Activity Report
b. Listing of Food Establishments in Plan Review for the Period of 11/012000 to 11/30/2000
c. Letter from the Nevada Division of Environmental Protection Regarding Recycling in Clark
County, 10/23/00
4. Epidemiology:
a. Monthly Report
Board of Health Minutes
December 14, 2000
Page 11 of 11
5. Nursing and Clinics:
a. Tuberculosis Treatment and Control Clinic Report
b. Home Health Advisory Minutes
6. Staff Recognition:
a. Letters of Appreciation
VII. ADJOURNMENT
There being no further business to come before the Board, Chairman Brown adjourned the meeting
at 9:50 a.m.
SUBMITTED FOR BOARD APPROVAL
________________________________________
Donald S. Kwalick, MD, MPH, Chief Health Officer
Executive Secretary
/mlg