1. CALL TO ORDER
2. PLEDGE OF ALLEGIANCE
3. RECOGNITIONS:
   • Facilities Staff
4. 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.
5. ADOPTION OF THE OCTOBER 26, 2017 AGENDA (for possible action)
6. CONSENT AGENDA: Items for action to be considered by the Southern Nevada District Board of Health Public Health Advisory Board 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: September 28, 2017; direct staff accordingly (for possible action)
   2. PETITION #28-17: For possible action to approve Amendment to Self-Funded Health Benefits Plan, effective January 1, 2018, between Clark County; Clark County Water Reclamation District; University Medical Center of Southern Nevada; the Las Vegas Convention and Visitors Authority; the Las Vegas Valley Water District; Clark County Regional Flood Control District; the Regional Transportation Commission of Southern Nevada; the Southern Nevada Health District; Henderson District Public Libraries; Mount Charleston Fire Protection District and the Las Vegas Metropolitan Police Department; or take other action as deemed necessary
   3. PETITION #29-17: For possible action to approve Amendment to Health Plan of Nevada Group Benefits Plan, effective January 1, 2018, Group Enrollment to Interlocal Agreement between Clark County; Clark County Water Reclamation District; University Medical Center of Southern Nevada; the Las Vegas Convention and Visitors Authority; the Las Vegas Valley Water District; Clark County Regional Flood Control District; the Regional Transportation Commission of Southern Nevada; the Southern Nevada Health District; Henderson District Public Libraries, Mount Charleston Fire Protection District and the Las Vegas Metropolitan Police Department; direct staff accordingly or take other action as deemed necessary.
7. 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. Consider/Adopt Variance Request to Permit and Install a New Individual Sewage Disposal System (ISDS) on an Undersized Lot Served by an Off-Site Public Water Supply with a Shallow Absorption Field within Eight (8) feet of a Structure and Ten (10) Feet of the Property Lines (APN 129-36-101-014). The variance seeks approval to place an ISDS five (5) feet away from any structure or property line, where at least 8’ is required for a structure, and 10’ is required for a property line. The variance will also allow for an ISDS to be placed on a lot less than ¼ acre serviced municipal water. Staff is of the opinion the offsite water quality will not be affected by the proposed septic system and that granting this variance will not endanger or tend to endanger human health and recommends approval with conditions; direct staff accordingly or take other action as deemed necessary (for possible action)
   2. Consider/Adopt Variance Request to Permit an Existing Individual Sewage Disposal System (ISDS) on an Undersized Lot Served by a Domestic Well to Utilize an Existing Septic Tank and an Existing Shallow Absorption Field within Eight (8) Feet of a Structure and Ten (10) Feet of the Property Line (APN 140-16-201-009). The variance seeks approval to have the existing septic system permitted under a Commercial ISDS permit. Staff is of the opinion that granting this variance will not endanger or tend to endanger health and recommends approval with conditions; direct staff accordingly or take other action as deemed necessary (for possible action)
   3. Consider/Adopt Variance Request to Operate a Child Care Facility not in Compliance with the Nevada Administrative Code (NAC) 444.116, Children, located at 2225 C. Renaissance Dr., Las Vegas, Nevada, 89119; [Assessor’s Parcel Number (APN) 162-23-812-004] for Health Permit PR0121164; Leah Kirkwood, President, representing Kofe International Schools, Inc. The variance seeks approval to construct a child care facility without meeting the counter and height fixture requirements specified in Section 6.8.7 and 6.8.8 for the Southern Nevada Health District Regulations Governing the Safety and Sanitation of Child Care Facilities. Staff is of the opinion that granting this variance will not pose unreasonable danger to public health or safety, and recommends approval with conditions; direct staff accordingly or take other action as deemed necessary (for possible action)
   4. Consider/Adopt Variance Request to Operate a Public Bathing Place not in Compliance with the Nevada Administrative Code (NAC) 444.116, 444.118, 444.128, and 444.130; PN II Inc., dba Pulte Homes of Nevada, located at 11160 Desert Hope Dr., Las Vegas, Nevada, 89138; [Assessor’s Parcel Number (APN) [137-14-611-156] for Health Permit PR0125036; John Schippert, for the Owner(s), PN II Inc. The variance seeks approval to construct a swimming pool not in accordance with NAC, which would allow the pool to be constructed with a tiled, zero depth, beach style entry on one end. Staff is of the opinion that granting this variance will not likely pose an unreasonable danger to the public health or safety and recommends approval with conditions; direct staff accordingly or take other action as deemed necessary (for possible action)
8. REPORT / DISCUSSION / ACTION
   1. Receive Report, Discuss, and Approve Recommendations from the October 19. 2017 Chief Health Officer Annual Review Committee: Committee Members:  Chris Giunchigliani (Chair), Ricki Barlow, Bob Coffin, Doug Dobyne, and Frank Nemec; direct staff accordingly or take other action as deemed necessary (for possible action)
   2. 2018 Meeting Schedule; direct staff accordingly or take other action as deemed necessary (for possible action)
   3. Review/Discuss Proposed eClinicalWorks Electronic Health Records and Employee Health Electronic Medical Records Software License and approve Petition #31-17, Electronic Health Records and Practice Management System Software License and Support Upfront Agreement between the Southern Nevada Health District and eClinicalWorks for $245,250; and an Employee Health Electronic Medical Records And Practice Management System Software License And Support Upfront Agreement  between the Southern Nevada Health District and eClinicalWorks, for $7,500; direct staff accordingly or take other action as deemed necessary (for possible action)
   4. Receive, Discuss, and Approve Recommendations from the October 9, 2017 Advisory Board Meeting:
      1. 1. In response to Dr. Osgood’s declination of the appointment by the Southern Nevada District Board of Health to the position of Chair of the Advisory Board, the Advisory Board unanimously approved the recommendation that Tim Jones be named as Chair; direct staff accordingly or take other action as deemed necessary (for possible action)
         2. The Advisory Board approved the recommendation for the schedule of meetings for Calendar Year 2018 as the second Monday in January, April, July and October at 8:30 a.m.; direct staff accordingly or take other action as deemed necessary (for possible action)
9. BOARD REPORTS:  The Southern Nevada District Board of Health members may identify and comment on Health District related issues. 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. (Information Only)
10. HEALTH OFFICER & STAFF REPORTS (Information Only)
    • CHO Comments
      • Primary Care Briefing (Tabled from September 28, 2017 meeting)
    • Update Mass Casualty Incident (MCI)
    • Program Update – Teen Pregnancy Prevention
      
      
11. INFORMATIONAL ITEMS
    1. Chief Health Officer and Administration Monthly Activity Report
    2. Clinical Services Monthly Activity Report
    3. Community Health Monthly Activity Report
    4. Environmental Health Monthly Activity Report
12. 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

NOTE: Disabled members of the public who require special accommodations or assistance at the meeting are requested to notify Jacqueline Wells or Michelle Nath 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: 1) CLARK COUNTY GOVERNMENT CENTER, 500 S. Grand Central Parkway, Las Vegas, NV, 2) LAS VEGAS CITY HALL, 495 S. Main Street, Las Vegas, NV; 3) NORTH LAS VEGAS CITY HALL, 2250 Las Vegas Blvd North, North Las Vegas, NV; 4) HENDERSON CITY HALL, 200 Water Street, Henderson, NV; 5) BOULDER CITY, CITY HALL, 401 California Avenue, Boulder City, NV; and 6) MESQUITE CITY HALL, 10 E. Mesquite Boulevard, Mesquite, NV; SOUTHERN NEVADA HEALTH DISTRICT, 280 S. Decatur Boulevard, Las Vegas, NV 89107 and on the Nevada Public Notice website at notice.nv.gov. This Agenda is available on the Southern Nevada Health District Internet Website at southernnevadahealthdistrict.org. For copies of agenda backup material, please contact Jacqueline Wells or Michelle Nath at (702) 759–1201. In addition, handouts are available at the date and time of the meeting at 280 S. Decatur Boulevard, Las Vegas, Nevada.