The Board of Supervisors to order.

Mr.

Howen, may I have a roll call, please?

Supervisor Giomi here.

Supervisor White.

Supervisor Horton.

Supervisor Shuddy.

Mayor Bagwell.

You have your quorum.

Thank you so much.

And I see that Pastor Haskins already has his seat.

He's ready to go.

So how about giving us some great words to get us started this morning?

Let's pray.

Heavenly Father, your desire for all of your children is that they might have an abundant life.

Not the accumulation of things.

Rather, life with purpose, quality of life that is uh is good.

And I pray for our mayor, our supervisors that as they work hard to improve the quality of life for the residents of the city because their efforts in Jesus' name, amen.

Amen.

Thank you so much for that.

And uh Mr.

Stobb, would you do us the honor this morning of leading us in the pledge?

Pledge allegiance to the flag of the United States of America and to the republic for which it stands one nation under God, indivisible with liberty and justice for all.

Thank you so much.

Okay, we are now on uh opening public comment.

Do I have anyone that wants to make opening public comments?

Good morning.

Good morning, thank you, Mayor.

Denny French, Carson City.

I have several things I'd like to bring up.

One is the word apathy.

Um I looked up the meaning and I've got it in here.

It's a lack of energy or interest or involvement, and the intent not to be involved is what I think it means.

And I was really surprised and appreciated of the Nevada appeals section from their Douglas County hometown newspaper.

300 people showed up for a meeting about stormwater drainage, and I find it hard to find 12 people or maybe even two people here at our meetings that are talking about major considerations in this city.

And while I stick to bugs and insects and trees and environment, because actually without it, we don't exist.

So we're all based on those factors.

So to me, those are important and they're not brought up enough.

There was also a gathering in Palm Springs, where a thousand thirty people dressed up like Marilyn Monroe, where you can figure out how to find the interest in something, you can get the people here.

So what's going wrong here?

I think there are several things that I have been pushing for.

The consent agenda to have more merit and to have a prestigious position, not just to be mentioned, but to be mentioned as a specific position on the agenda.

Not just to say we go from special presentations to 7A, but to add consent agenda would be 7B.

Review by the board as to what they would like to have or not have pulled from it, be C, or D.

I'd like public to be able to weigh in on that at that point, not in my opening comments or my public speaking moment.

I've already run out of time just getting there.

So I would like those to be considered as such.

Thank you.

Thank you.

Good morning, Mayor Bagwell, members of the board and staff.

My name is Teresa Jones, and I'm speaking on behalf of multiple neighbors on West 4th Street and Albany Avenue.

I'm providing an update on the ongoing parking issues along these two streets since my last public comment before this board.

On May 21st, I submitted a packet with a letter requesting an amendment to Carson City Municipal Code 10.24.90090 regarding residential parking and provided photos showing how one resident uses vehicle parking as a means of harassing multiple neighbors.

Today's packet contains the letter provided on May 21st with 12 signatures and a new set of photographs documenting the ongoing harassment.

Deputies have been called to Albany Albany Avenue four times in the last five weeks.

One resident's harassment towards multiple neighbors has become increasingly aggressive.

Examples of re recent behavior all occurring within the past four weeks include mocking efforts of sheriff personnel and volunteers responding to parking complaints by moving her red tag vehicle, moving her red tag vehicle a foot or two, moving neighbors' trash containers to park her vehicle in front of their residence, claiming a neighbor tried to run her over with their car, and another neighbor was trespassing onto her property.

Her father making walking along Albany, making threatening gestures with a pitchfork and a hammer striking it with a metal pipe.

Refusing to locate her vehicle for a permitted construction project, resulting in a building code exception to complete curb and gutter installation, reporting a neighbor's vehicle for enforcement action while it was legally parked in front of the owner's own residence, intentionally balking a neighbor from having their personal vehicle towed to a mechanic shop, intentionally filling a permitted construction excavation with water hindering the project on a driveway apron project, hindering progress on a driveway apron project.

Photo and or video documentation is available for each bullet point and may be useful to review police reports and code enforcement reports involving the resident at 233 Albany over the past four years.

We respectfully request that the board direct staff to evaluate our proposed code amendment provided on May 21st.

Um this matter illustrates how the code can be manipulated in a matter that creates continuing neighbor nuisance.

We appreciate the board's consideration of this matter and respectfully request continue review and action.

Thank you for your time and service to our community.

Do I have any other public comments?

Well, I don't know.

Account is public.

Oh Lord, uh just wanted to take a second to um give a little shout out to um the sheriff's office having its annual cops and kids this weekend from 10 to 2 down at the sheriff's office open house.

Uh second to that is just to let this board know we did go live uh this week on Tuesday with our Tyler project that this board has supported for quite some time.

Um the kickoff was very very successful, and I know Frank is in the room and he'll probably get mad at me, but um as as we finish up each day and do our round tables, um I our IT department was noted as the best the um this vendor has ever seen, uh, committing the most amount of resources and devotion to the successful completion of the project.

Um, it is going fantastic.

It's a great tribute uh to the team, Carson City team that IT does stand out just like many of the other departments that that are here.

Um fantastic organization.

So with that, thank you.

Sure if you said this weekend, but is it just Saturday or is it both Saturday and Sunday?

It's Saturday at the sheriff.

I just said weekend, so going to clarify.

Saturday 10 to 2.

Thanks.

Thank you.

Have anyone else?

I have anyone else.

Okay.

Then we will move on to agenda item 6A, which is approval of our minutes of May 7th.

Do I have any corrections?

If not, I'll accept a motion, Supervisor Giomi.

Move to approve the Carson City Board of Supervisors meeting minutes from the 7th of May 2026 as presented.

We have a motion and a second for approval.

All those in favor, please say aye.

Aye.

Any opposed say no.

Let the record reflect it was unanimous.

Thank you.

Would you join me on the um floor and we'll do our presentation?

Hi.

This proclamation, I don't know.

I just think it's full of fun on top of it, right?

So this is for National Pollinator Month.

Whereas pollinator species, such as birds and insects are essential partners of farmers and ranchers in producing much of our food supply.

Whereas the pollinator species provide significant environmental benefits that are necessary for maintaining healthy biodiverse ecosystems, and whereas the state of Nevada provides producers with conservation assistance to promote wise conservation stewardship, including the protection and maintenance of pollinators and their habitats on working lands and wildlands.

Whereas Carson City has been named the 76th B city USA in the nation, and the first in Nevada by the Circe Society to acknowledge the work done by local pollinators to create and maintain pollinator habitats.

Whereas the Carson City Chamber leadership class of 2019 and 2020 further acknowledged the importance of pollinators by having created a special bee habitat on the Carson Tahoe Health property to attract pollinators.

If you hadn't had a chance to go up there and see that, it's really pretty uh spectacular.

Uh whereas Carson City continues to support Nevada agencies nonprofits and volunteers' work to protect, support, maintain, and improve a healthy environment for pollinators.

Now, therefore, I Lori Bagwell, Mayor of Carson City, Nevada, on behalf of the Board of Supervisors to hereby proclaim June 2026 as National Pollinator Month in Carson City.

And I urge all citizens to recognize the important role of pollinator species and conservation efforts to ensure their protection.

Are you guys gonna talk to us about the events coming up?

Yeah, we gotta invite everyone.

Come on.

So we are very excited that we have a pollinator palooza on June the 13th at the Nevada State Museum, and it's a wonderful place for families.

Um we'll have lots of arts and crafts and learning activities for children, and it'll run basically from 8 30 to 2.

But the star of the show will be Mayor Bagwell leading the parade at 10 a.m.

And we we encourage everyone in town to come dress up as your favorite pollinator.

You can be a bat, you can if you're a boy, bats are popular.

Um butterfly, bees, and um we really encourage the entire community to come out and enjoy the parade and then have a learning experience and fun at the state museum.

Thank you.

Thank you for all you do, Kelly, to do that.

Do you have a yeah?

Uh Jennifer Budge, Parks and Recreation Director.

I just wanted to acknowledge the Sierra Garden Club for their donation for a recent pollinator project in front of the Wanganima House at Mills Park.

It's really beautiful.

It really created um a wonderful space.

I did want to acknowledge Kelly and the local B City Group.

They're wonderful.

And if anyone wants to financially contribute to the pollinator efforts in town, you can uh make a donation to the Foundation for Carson City Parks and Recreation, and they support all that efforts and it's a tax-deductible donation.

How about that?

Okay, we have to clap because we right not to clap, right?

Yes.

And then, you know, it didn't happen if we don't have a picture, so we count on Deanna today.

Perfect.

Maybe Stacy can bring his granddaughter.

She's going to be mine now today.

Bring her to the to the little holiday parade.

It's a lot of fun, right?

Oh, a little gift for each of the supervisors.

Thank you.

These are um examples of uh educational materials.

We're gonna get a little handy now at the pollinator schools and um there we go.

I already have mine.

Perfect.

The other thing we should mention is, thank you.

The other thing we should mention is the library has the B City USA.

We have one of the one of the um display cases.

This year is different.

We normally it's really kid oriented, but this year it's very scientific, and it shows all the different native pollinators in Nevada.

There's uh a whole section about wasps and all kinds of different pollinators.

So might want to check that out if you go to library.

Thank you guys so much for all you do to help uh protect the pollinators.

Thank you.

It's a fun little way back.

Okay.

Try not to have it.

Okay, we're gonna move on to our consent agenda.

Um, Supervisor White, may I have your disclosure, please?

Yes.

Uh item 8A.

NRS 2814.420 requires me to disclose a conflict and abstain from voting when I have a disqualifying conflict in my private capacity.

I serve as president of the Nevada State Prison Preservation Society.

In that unpaid volunteer position.

I have a fiduciary duty to the prison preservation society, just as I have a fiduciary duty to the Board of Supervisors in my role as a Carson City Supervisor.

The Prison Preservation Society engages with and retains the services of the cultural tourism, cultural, and tourism authority to assist with marketing and advertising efforts for the purpose of publicizing various events and functions.

Here, the renewal of the city's contract with the CTA does not have any significant nexus to that collaborative relationship between the preservation society and the authority.

I do not have a personal pecuniary interest in this situation, and my independence of judgment is not materially affected by my dual fiduciary duties, especially since my consideration of this contract renewal is driven solely by whether I believe the continued contractual relationship between the CTA, the city, and the district attorney's office would be beneficial to the Carson City community.

I make this disclosure for full transparency, but I do not have a disqualifying conflict, and I will be voting on this agenda item.

Thank you.

Supervisor Giomi, your disclosure, please.

Yes, my disclosure is on item 11 D is in David.

NRS 281A.420 requires me to disclose a conflict of interest and abstain from voting when I have a disqualifying conflict in my private capacity as an employee of Nevada Health Centers.

One of my responsibilities is to manage my employer's contract with Lawn Pro for landscaping services as a private citizen.

I have also been using Law and Pro for landscaping services at my personal residence for several years and expect that I will continue to do so in the future.

Pursuant to advice from legal counsel and based on written opinions issued by the Nevada Ethics Commission addressing other similar circumstances.

I'm making this disclosure for full transparency because it is likely that I have a substantial and continuing business relationship with LAN PRO, which could constitute a commitment in a private capacity to Lawn Pro's interests.

However, I had no involvement in the open competitive bid process recommending the award of this contract, and I have no pecuniary interest in whether or not this contract is awarded.

Furthermore, I do not believe that the independence of judgment of a reasonable person in my situation would be materially affected.

Based on these reasons, advice from council and guidance from the ethics commission, as well as the statutory provisions requiring abstentions only in clear cases.

I do not have a disqualifying conflict and we'll be voting on this matter.

Thank you so much.

Um, that was good.

Supervisor Giomi, would you like to make the motion for the agenda, please?

We'll plow through this.

I move to approve the consent agenda consisting of item 8A, 8B, 9A, 9B, 10A, 11A, 11B, 11C, 11D, 11E, 11F, and 11G, all as presented.

Second.

I have a motion and a second for approval.

All those in favor, please say aye.

Aye.

Any opposed say no.

Let the record reflect the consent agenda was approved.

We're now on to agenda item 13A.

This is for the proposed amendment with ID Bailey.

I will make my disclosure on this item.

NRS 281A 420 requires me to disclose a conflict and abstain from voting when I have a disqualifying conflict.

My son is employed with Id Bailey as a partner.

Although he does not currently have any direct involvement in Carson City audits, the compensation and benefits he receives may in general be impacted by the awarding of contracts to his firm.

Therefore, the independence of judgment of a reasonable person in my position may be materially affected by this familial relationship, which is within the third degree of consequentity.

As such, I consider this to be a disqualifying conflict, and I will not be voting on this matter.

Supervisor Giomi, the floor is yours.

Alright.

Uh, we will take up item of uh uh agenda item 13A, uh, which is, as you heard, discussion and possible action regarding a proposed amendment to contract 2130271 with ID Bailey for fiscal year 27 internal audit services uh for an additional 110,000, resulting in total not to exceed amount of 550,000.

Uh, are there any uh comments from any of the board members?

Any public comment?

All right, I'd entertain a motion.

I move to approve the amendment as presented.

I second.

The motion and a second.

All those in favor, please say aye.

Aye.

Anyone opposed, say no.

And anyone abstaining, say how do you do that?

I abstain.

All right.

Please note the uh motion passed 40 with one abstention.

Thank you so much.

I hand the metaphoric gavel back to you.

There you go.

We're now on to agenda item 14a under our community development and community and economic development.

This is discussion and possible action to adopt on second reading.

Bill number 105, an ordinance amending the zoning map to change the zoning from limited industrial to public on the 13.91 acre located at 3000 North Wampa.

Ms.

Manzo, are there any changes from the first reading?

Thank you.

No changes, Mayor.

No changes.

Does any member have a question?

See none.

Is there any public comment on this item?

See none.

Oops, let me clear.

Um would someone like to make a motion then?

Supervisor Horton, a motion, please.

I move to adopt on second reading bill number 105, ordinance number 2026-8.

I have a motion and a second.

All those in favor, please say aye.

Aye.

Any opposed say no.

Let the record reflect it was unanimous.

We're now on to agenda item 14B.

This is discussion and possible action regarding a report from the city engineer for the fiscal 27 downtown neighborhood improvement district.

Consideration of any hardship determinations and consideration of any complaints.

We have not received any complaints.

We also have not received any hardships.

Okay, neither of those.

And the cost that has been identified for 27 amount.

Just is there a change major or is it pretty online with what we normally have there?

I'll have the city engineer identify what the assessment will be.

He's the one who um identifies what that dollar amount is.

We'll help you.

Oh, the binder's not up there.

Oh, Stephanie's not here.

We let Stephanie have a vacation, everyone, and she usually brings the binder for the table.

Yeah.

Sorry, so Darren Anderson, city engineer.

So for the downtown need, it's it's 101,865.

And the city, just so the public is aware how these actually operate, right?

So whenever we create these assessment districts, the at that moment in time of creation, the city has a portion that it's supplied and used to do for improvements, and so we continue to be a participant.

So the overall assessments 56,265 will be paid by the participants, the private property owners.

Yes, Mayor.

The assessment basically reflects the delta between what the maintenance cost was of the city at the time the NID was created, and um the amount of the cost for the maintenance of the improvements that are realized in the in the within the boundaries of the NID with a formula based on what street you're on, what your frontage is, how big your building is.

So the city is going to continue to pay into the NID what its original maintenance cost was.

With um there's there's I think a uh like an increase annually.

So the city's cost in fiscal year 27 will be $37,510, the private cost will be $56,265 for a total budget in the NID of 101,865.

And again, that's only the downtown NID, not the South Carson NID.

And I'll remind the board that there is a um admin fee associated with this because the uh the city is the administrator of the NID.

Is there any other questions?

No hardships or anything or for us to deal with.

So is there any public comment then on this item?

Seeing that I'll bring it back up here.

Um, so don't have any hardships, and we don't have any complaints, so at this point we've had the hearing and have no action needed.

Thank you so much.

Then we will I'm gonna guess it's close here to the same thing on 14.

I'm sorry, Mayor, before we leave 14B, we do need a motion.

Yeah, but oh, it didn't.

List one.

There's no hardship.

Oh, okay.

And there's no complaints to deal with.

You're good.

That's all right.

It's better we make sure before we leave the item, trust me.

Right?

It's easier then.

Do we do it the next meeting?

We actually adopt the assessment then, right?

Correct.

Thank you.

Okay.

So we'll move on then to agenda item 14 C.

This one is for the South Carson Neighborhood Improvement District.

Um have we received any hardships?

There have been no hardships and there have been no complaints unless you hear one tonight or this morning at the meeting.

And its assessment.

I have that.

I thought you had to ready this time.

The assessment is 137,689.

The city's contribution will be 20,249,000.

And the private property on our assessment will be 80,952,000.

And on this one, because we use the licenses from the right-of-way to pay towards the NID, those licenses are anticipated to cover 44,163 of the overall budget.

And again, because the city is the administrator of the NID, there will be as part of the budget and administrative fee.

Okay.

Does any member have a question?

Pretty much do it every year, huh?

We're getting kind of used to it.

Is there any public comment on this item?

Okay, so we've received no hardships or complaints, so we have no action necessary.

Thank you so very much.

Okay, we're now gonna move on to agenda item 15A.

Um this is recommendations from the Charter Review Committee.

Um who's gonna yeah, I was gonna say I saw Mr.

Staub earlier, and uh Mr.

Gresh.

All right, good morning, Mayor and Supervisors.

I'm Cameron Gresh from Carson City's government affairs liaison, and I am joined here today by chair of the Carson City Charter Review Committee, Mr.

Richard Staub, to talk to you about the committee's work earlier this year and its recommendations for charter amendments.

And I'm here to assist Mr.

Staub in my capacity as a government affairs liaison, but I'll turn it over to Chair Stock to talk a little bit about the committee's work.

Thank you, Cameron.

I appreciate uh appreciate that.

Good morning, everyone.

For the record, my name is Richard Staub, and I serve as chairman for the third time of the Charter Review Committee.

As you all know, the committee is made up of members as appointed by yourselves and by our legislative representatives, uh PK O'Neill and uh Lisa Crasher.

Uh on the board or on the committee, uh Vice Chairman Seuss and Hoppen, uh serves Kimberly Fagan, Joe Hart, Stacy Wilkie McCullough, Steve Robinson, and Ronnie Hanneman.

Uh we met on February 12th and February 16th to review amendments to the charter.

Uh the amendments that we review reviewed were actually reviewed by the committee in 2024, and they were approved by this board in 2024.

But apparently there was some kind of faux pas obtaining a BDR for it to go before the legislature.

So we basically review re-reviewed uh the uh the provisions or the proposals and recommendations uh twice, and we again make recommendations to you today.

Uh you're going to hear from Mr.

Gresh about issues regarding license fees and animal shelters, animal services matters.

Uh you're going to also hear about how long we keep our election records.

Um, and you're going to hear about um the form and style of the way we produce ordinances and their effective dates.

Uh and lastly, and probably most importantly to this group, uh, there is a recommendation regarding how many meetings this board has to hold each month.

And uh it also addresses conflicts in scheduling when board meetings are on non-judicial days or holidays.

So I appreciate uh and I think on behalf of the board, all the members appreciate the opportunity to provide service to the city uh and to our citizens, and uh we take it very seriously, and uh that was the end of our work.

Only two meetings we go forward.

So Mr.

Gresh.

Thank you, uh Chair Staub, and um just to offer a little more clarity.

Um, the reason that the board today is considering two recommendations from 2024 is that uh per NRS, Carson City is only allowed a single bill draft request for each session, and for the 83rd session of the Nevada legislature, uh the board uh voted to put forward what eventually became AB 32, uh, which was a uh recommendation to the legislature to study the function and operations of the commission for the pardon me, Virginia and Truckee Railway.

Um, and so while that effort unfortunately did not pass, um that was uh the reason that these recommendations were held back, and the board recommended that they be re-reviewed at the following meeting of the Charter Review Committee in 2026.

Um so moving into our recommendations going uh in order of their appearance uh in the charter by number.

Recommendation one for section two point zero five zero of the Carson City Charter concerns the frequency of board meetings.

Uh this section governs the board's meeting schedule as written.

The charter requires the board to hold at least two regular meetings each month.

The committee recommends reducing that minimum to one regular meeting per month while fully preserving the board's discretion to schedule additional meetings by ordinance as the workload requires.

Uh, just so uh there's been just a little bit of confusion here.

I just want to be very clear that this does not automatically limit the board to one meeting every month.

It simply gives the board discretion to decide if the workload does not merit a second meeting, that there doesn't need to be one.

Um this change also it does two things.

Um, it aligns our charter with NRS 244.085, the statute that governs county commissions, which already gives them this flexibility.

Um, and then second, the amendment expressly allows a regular meeting that falls on a Saturday or a non-judicial day, a holiday, to be moved to another business day, provided the public notice requirements under Chapter 241 of NRS are satisfied.

So that's the second function of this recommendation.

Um this item took both meetings to finalize, but uh it passed unanimously, as did every recommendation uh of the charter review committee this cycle, uh just worth noting.

Um, and so that is a just very basic summary of section 2.050's recommended amendment.

And if there are no questions, I can move on to recommendation number two, which is section 2.100, the form and style of ordinances.

Um this sets out uh how these are supposed to look.

Uh, the current language carries older formatting mandates, for example, requiring that omitted matter be shown in brackets and new matter shown by underscoring or italics.

Um, the committee recommends two updates here.

Uh, first, the amendment would allow different effective dates for individual sections of an ordinance rather than a single effective date for the whole.

You will often see this in bills from the Nevada legislature, which you're going to hear about in the very next item.

Um, so that just grants us the same flexibility uh legislatively.

Um second, it replaces the rigid bracket and underscore formatting with a requirement that new and amended language simply be presented in a clear, conspicuous and uniform manner.

Um the practical benefit here is that this approach matches the Nevada Legislative Council Bureau and it accommodates automated drafting tools and software that is now available to our ordinance drafters, which reduces the risk of typographical errors and improves the accuracy of ordinance preparation.

And that is uh the recommendation for section 2.100.

All right.

Pardon me.

It allows them to different effective dates.

Yes.

Yes, correct.

It allows different effective dates as you might see in a in a in a Nevada bill.

Um, and if there are no more questions there, I will now be moving into the two repeats uh from 2024.

Uh the first uh is a amendment to section 2.180 of the Carson City Charter pertaining to the power of the board over animals.

Uh the existing language refers to a per capita tax on dogs to the establishment of a pound and the appointment of a pound keeper and to the capture and disposal of unregistered dogs.

These provisions do not reflect Carson City's current animal control practices.

As you can imagine, they've changed a little bit since 1969.

The recommended amendment makes four changes.

One, it provides that the board's authority applies to all animals and removes the separate references to poultry since poultry are animals already.

Two, it changes the annual change charge, pardon me, from a per capita tax on dogs to a license fee on animals.

A fee is the more precise term, and Northern Nevada Charter singles out dogs while excluding authority over other animals.

So it just brings us in line with what you're going to see throughout the state.

Three, it replaces pound with animal shelter and pound keeper with animal services manager and authorizes the board to appoint that manager and prescribe their duties.

And four, it removes the provisions on capturing and disposing of unregistered dogs in the related impound and distrain language.

Again, this was passed uh unanimously.

Uh and uh this review, pardon me, this revision was drawn from existing law and from other Nevada city charters to support legislative approval of the draft without further modification.

Always good to show the legislators some things that they've seen before.

No more dog pound.

Correct.

No more, no more dog pound.

Um all right, and then moving on to our last recommendation, another one that you'll be familiar with: a recommendation to amend section 5.10 of the charter concerning the retention of election returns.

Um that section currently requires the clerk recorder to keep sealed election returns for six months.

Uh that provision dates to 1969 is inconsistent with state law.

NRS now requires that election materials be preserved for at least 22 months.

Um the recommended amendment changes the retention period in subsection two from six months to not less than 22 months, bringing the charter into line with state requirements.

Um the clerk recorder confirmed during the review that Carson City already retains these materials for 22 months in practice.

So this change just formalizes existing practice rather than imposing a new requirement, um, and there is no fiscal impact.

Uh again, it was passed unanimously.

Um with that to summarize, the committee recommends four charter amendments, reducing the minimum meeting requirement and allowing rescheduling under section 2.050, modernizing the form and style of ordinances under section 2.100, updating the board's authority over animals under section 2.180, and aligning election return retention with state law under section 5.100.

Um with that, the recommended motion before the board is to accept the committee's recommendations and direct staff to prepare a bill draft request incorporating them for this board's review before timely submission to the Nevada legislature.

And with that, that is our presentation.

We're happy to take questions if the board has any.

So I have one and then I'll go to Supervisor White has his hand raised.

On the um election one with the retention of the ballots, because the Nevada law is 22 months.

I'm wondering, instead of placing the exact number of months, would we be wiser to just indicate we will uh follow whatever the Nevada law designation is there?

That way we wouldn't have to change it if they went to 30 months or 20 months.

Uh I certainly see.

Thank you.

You can tell I actually read these line by line.

So that's what I'm saying.

You'll notice he didn't say that on the record though.

Yeah, he did.

Yeah, that was good.

So anyway, that's in keeping with what the committee's trying to accomplish.

It's great.

I just think we can just nail it a little bit more so that maybe we don't need another charter bill.

So that's one recommendation there.

Supervisor White, your thoughts.

Thank you.

Uh let's talk about uh section 2.180.

Uh, power of the Board of Animals, and uh paragraph two of that.

I see that it is recommended to remove the language about uh impounding animals running at large.

Uh I I feel like this charter is more or less viewed like our constitution.

Um how Carson City is governed.

Uh I feel like uh when you look at the health and the safety of our constituents, uh impounding animals uh running at large uh is really a mandatory thing.

Uh I I would like to leave the language about impounding animals uh running at large uh in the charter, and then we use our municipal code to dictate how that impounding uh takes place.

So I'm wondering what's the thought process behind uh removing the impounding animals.

Thank you, Supervisor White.

Um I think that provision came more from uh how the Nevada Humane Society and the City function together when it comes to uh the impounding of animals, and was seen as slightly outdated compared to current operations.

That being said, um we are certainly able to further refine that section if you would like to uh you know underscore the board's ability or the city's ability to still do this with our nonprofit partners from the Nevada Humane Society.

Um so I can absolutely uh go back and make sure that we still retain that ability um with without you know, or while also matching it up to current practices, so that way we don't rob ourselves of the ability to actually take stray dogs and and impound them with the Nevada Humane Society, even though impound is not the correct word right now.

Um that's the function that we're trying to preserve here.

So, happy to go happy to go back and make sure that we don't lose that ability.

I'm reading it as so the clean section to it reads regulate, the board may regulate or prohibit the running at large within Carson City of all kinds of animals.

Establish an animal shelter, appoint an animal service manager and prescribe his or her duties.

So it's I don't read it as it's not allowing, it's is allowing the regulation and um prohibition of the running at large.

Um could we get some clarification from Dan?

Mr.

U.

Do you believe that um the clean copy of uh number two does give us the I I think it gives us actually what Supervisor White was after.

We have the authority and we'll do the finite rules by municipal code.

I don't want it to be left as allowed.

I want it to be that's what we will do.

I don't I don't want to do it through contract with a private contractor or something of that nature.

I want it to be clearly stated, um at large.

Anyway, Dan.

Mr.

U.S., okay.

Um, you know, I I think what I'm seeing here are maybe two different questions, so I'll address the first one first with respect to the proposed mandatory language here for this charter provision.

I I do agree with Supervisor Shuty's reading of this is that you know the removal of the impounding language would not make it so restrictive that this board would not have that authority, especially when you do, and I'll just reference again the clean language here where it does reference specifically regulator prohibit the running at large.

So, you know, just by way of example, I'll point out um specifically the removal of the word poultry, for example, right?

So the removal of the word poultry would not not make it such that this board would no longer be vested with that authority to implement any sort of policy or regulation via code or otherwise to regulate uh you know chickens running around, you know, at large in Carson City.

Um so um, but then as to the although I will say, of course, that I do understand Supervisor White's concern here because sometimes with the removal or it's the express revision of statutory or or charter language that's currently in existence, that could be construed as some sort of legislative intent to remove that authority in its entirety.

However, I would give assurance to this board that based on my reading of these amendatory provisions, that would not be the case here because I think that language that remains would still be broad enough to vest that or remain um or maintain that uh authority with this board.

So as to the second question, the may or the shallow that really is a policy question.

I leave that to the you know wisdom and judgment of this board.

Okay, supervisor Giomi.

I mostly had a question on another item, but I I don't on this item, and then I'll defer back to Supervisor White in case he has more.

I I don't think that um I think it gives us the right to do whatever we want.

I mean, it's it's prescriptive, it's not I don't read it as being restricted.

So if we decided we wanted to impound, even though that may not be the right word, collect capture whatever the word is.

I I I it seems like we have the right to do it with that language.

Um okay.

So then on the last line, uh where it's talking about proceeds, um, it is suggested that we remove the language that says uh proceeds uh from this operation that the animal shelter would be deposited in the treasury of the city.

I'm I'm wondering w why are we suggesting that language come out?

Certainly there is revenue generated within that operation, and any monies generated in the city's name should go in the city's treasury, because we have a contract, and this allows us the opportunity to um let individuals that uh want to pay an adoption fee or pay for their fee for their animal running at large and being returned, that those can go straight to the contractor and reduce the city liabilities when we negotiate how much money to pay.

It does not prohibit us from requiring that in any contract negotiation.

We could decide to do just what you're saying, but again, it leaves us the option of which way we want to do it, whether we want a direct payment or whether we want it to come to the city and then the they bill us and we remit to them.

I mean, there's lots of choices, but it gives us uh broader authority.

That's why.

Um I think as as this comes up multiple times.

Um I think we need to have uh just a general a general comment uh mostly around uh title seven.

I feel like this may not be the time, but uh I think we really need to consider what is the definition of an animal, because as this is written, if you use the definition within uh Title 7, Carson City defines an animal as every living creature except humans, and then we say we don't want animals running at large.

I know this will come across as a little bit ridiculous, but um, so we're not gonna allow rabbits to jump around in your backyard or don't say that too loud.

Some people might agree with you, right?

Uh don't.

Where are we going with this?

And when you look at at NRS, there are multiple places that have really very varying uh levels of trying to define what an animal is.

I mean, they go from livestock to uh wild animals being kept as pets to domesticated animals like dogs and cats, um and trying to regulate bees and all that sort of thing.

So I think at some point before this gets to the legislature, we need to have a discussion about what are we calling an animal?

And and I think from what I've looked at, NRS 171 point 1539 at 7A is a pretty good description of uh the definition of an animal.

I just think, as you said, we want to give ourselves authority, but the current definition that Carson City uses is very broad.

Okay.

Yeah, we certainly title seven needs updates.

Uh we already have that on the on the cue card and uh to do some corrections there, but I just want to say I am not opposed to the language as written here.

Uh Supervisor Horton.

Supervisor White's comments might not be as ridiculous as you might think because I believe you could inadvertently open the door to managing wild animals, which we have a discussion about, you know, with in Dow all the time.

You know, when you say animal, those coyotes and other animals are animals by definition.

You know, and I think when we when we do this, we need to be very conscious of those things because we don't want to assume responsibility for things that we cannot manage.

Right.

No, I think Title 7 is uh is a big deal.

And I may I suggest that perhaps be because of the definition of animals, uh maybe maybe we should park this particular suggestion once again until we really understand what are we talking about here?

What is an animal that we want to regulate?

Air, can I ask a question?

Certainly.

Um of uh Dan.

Would it uh what if we stuck that definition in in here?

The NRS definition that Supervisor White mentioned in right after the word animal or whatever the case may be.

You know, my I mean, I think that's a great question, good discussion topic.

Uh, my recommendation to this board would be not to provide a defined um well to provide a definition in the charter itself, especially because this is not a mandatory provision, it is a May, so it vests the authority in this board to provide, for example, regulations, you're not required to do so.

I think the better placement of a statutory definition if this board wanted to align that with NRS, for example, would put would be to put that into order in Title VII or elsewhere in CCM.

I can look at that.

I'm not personally in favor of pushing this off again.

We pushed it off last time, and um I think the framework is sufficient for us to be able to do what we need to do in ordinance.

So it's my two cents word.

I also have another question on another topic, but I can go with that.

Let's see if we're done with this one.

Uh are we completed with this?

And again, we'll just vote and where it goes, it goes.

Okay.

Um Supervisor Giomi, did you have another question?

Yeah, just on the um meeting minutes again.

I I mean, I you kind of answer the question, um, Dan, if I may, when when you discussed it here about the ordinance, so this is just um again, framework language.

We would still have an ordinance that would dictate when and how meetings occur.

So we would likely continue to say that we'll meet the first and third Thursday.

Um but add a provision that allows for us to drop a meeting um if we declare it at some point enough in advance, uh, or move a meeting again based on um you know holidays and non-judicial days.

You lawyer folks say uh absolutely correct uh just to be crystal clear this language proposed for section 2.050 for meetings of the board of supervisors it just establishes a a floor and is not establishing a ceiling for the number of meetings for this board of supervisors I'm good so that was my only question mayor thank you.

I don't see any other questions is there any public comment on this item.

Was that Mr.

French did you indicate Denny French Carson City Nevada as I'm looking at 15 D and that's what we're discussing it would be helpful when we're on 15a this is a legislative no this is charter.

Okay.

You say charter and the item number 15a gotcha 15a the considerations about the meetings I don't want that changed I'd like you all to be exposed to us even if we're not showing up but us to be exposed to you.

And I want to see you in action I want to hear your discussions I like to feel your discussions I like to know if there's heat or energy or enthusiasm or if they're rolled eyes or people are just falling asleep.

I want people to know you as well as the uh situations and such that are brought before you as a as a commission and a committee and a supervisor board so I don't want that changed I don't want to give you any room to move that I would like if anything's moved is not to allow any votes at workshops.

That's my thank you is there any other public comment okay I'll bring it back up here then for motion or discussion so let's deal with the first issues first or I I think the only change that I'm supporting is on 5.100 to change the 22 months to the NRS statute that says we'll just keep ballots for whatever we're required to by law and they can they can conform that at the district attorney's office yep okay I see that um and then we can vote on supervisor white wanted to uh not do 2.180 I'm in favor of moving forward on 2.180 but oh I I didn't intend it to mean I don't want to change 2.10 I want to leave the impounding or whatever the current modern word is in there so that our intent is perfectly clear to the community.

I understand what you say in regulator prohibits gives us the opportunity to do impounding uh but I I think we need to leave it perfectly clear what our intent is by leaving that language in the charter.

Okay.

I'm good with the May but that again we can anybody else we can you want to give it a shot with a motion supervisor shooting is that what you're saying yes and um you know it it does say regulate or prohibit and so that in and of itself is the impounding okay I would like to um let me go back so I move to accept the recommendations of the charter review committee.

With the addition or the changing of language um for five point one zero zero to read to be consistent with the NRS statute in regarding length of I don't have the other in front of me.

And okay, so to prepare the bill draft request incorporating these recommendations for review by this board before timely submission to the Nevada legislature.

Sorry that's so messy, but conforming that the district attorney's office will conform that change.

Okay.

Okay, I have a motion and a second, but is that a non-discussion?

Discussion.

Yes.

Supervisor White.

I do not intend to support the suggested change on section 2.180.

So do we need to separate that one in a second motion so that I can vote no on that or you know what?

I'd be more than happy if the makers of the motion would like to just exclude 2.180 on the primary motion, and then we'll take another motion on 2.180.

To allow Supervisor White to vote on the rest of the charter recommendations.

Are you okay with that?

Absolutely.

Okay, so the the new new motion supervisor shooty, just so we make sure it's recommending the all except for 2.180 with the correction of the conforming change for the district attorney on the 22 months to be the statutory one.

Correct.

Is that the same with the second?

Is that our understanding?

That's that's motion one.

And she withdrew in the new motion.

Well, you said she didn't so why don't you just make it?

Okay, I'll make it.

I move to accept the recommendations of the charter review committee with the exception of 2.180 and a correction to uh 5.100 to allow the district attorney's office to conform the 22 months to the NRS reference.

Um and direct I'll do the other one.

We'll direct staff to bring the whole thing back on the second one, second motion.

I second.

Okay.

All those in favor, please say aye.

Aye.

Any opposed, say no.

Let the record reflect that was approved.

Let's go to the secondary motion.

Um I'll keep going.

I move to accept the recommendation of the charter review committee concerning uh 2.180.

I second, I won't do that.

I second.

Let's see where we go.

Yes.

Okay, we have a second.

Um supervisor Horton on discussion.

On the recommendation in the in the charter, it's going to provide us the authority to do this, and we are going to direct the animal control operation with a duty to perform this task through policy or contract.

Is that correct?

Correct.

Or ordinance, Title 7.

We have a couple of ways we can do it, but yes.

Okay.

Um, just on discussion, I I see we had a thing to direct staff to bring it back, but by adopting these ordinance recommendations, it is it not obvious it's coming back as a bill our bill draft for the okay.

I just wanted to make sure I don't see any need to further add, because you'll bring both motions back to the bill.

Well, I can I just make your comments.

You can absolutely.

You don't direct them to bring it back, it just approves it.

It just recommends their just affirms their recommendation, but it doesn't take any additional action.

Well, automatically we bring bill drafts up for discussion and adopt our bill draft for session.

But that's fine.

I'll add into the motion if it makes you feel more comfortable.

Direct staff to bring back a bill draft.

That's fine.

I'm happy to put that in there.

And I'm happy to second.

Okay.

Um, we have a motion and a second.

All those in favor, please say aye.

Aye.

Those opposed say no.

No.

Let the record reflect it was 401.

Supervisor White voting no.

Thank you guys for your hard work.

You can tell it's hard up here, too, right?

We're all just trying to do the right thing.

Yeah.

Thank you so much.

Okay, we're gonna move on to agenda item 15B.

This is implementation of legislation passed during the 83rd session.

And so uh Mr.

Gresh, the couple of bills that uh impact us this shot.

Hello again.

Uh thank you, mayor.

Um yes, these are two bills from the 83rd session uh going into effect on July 1st, 2026 that have effects on Carson City.

Um I'll briefly summarize both here.

Uh both expand the city's obligations for public safety employee health monitoring and industrial insurance, and both carry a fiscal impact.

Uh I'm joined by Jill Valdez from Risk Management, who can speak to the technical and cost details.

First off, with Assembly Bill 93.

Uh, this bill broadens the legal definition of police officer in Nevada law.

Previously, that definition covered a relatively narrow group of law enforcement officers for the purpose of certain benefits.

AB 93 expands it to include several new categories, those being school police officers, juvenile probation officers, bailiffs and deputy marshals of municipal courts, marshals and deputy marshals of cities and towns, and all category one, two, and three peace officers.

The practical effect for Carson City is that employees in these newly covered positions now become eligible for benefits previously limited to a smaller group, such as and primarily what we're going to focus on today, industrial insurance coverage for heart and lung diseases considered as occupational diseases.

In preparing for this, we've identified the affected employees and risk management has coordinated with the impacted departments, including juvenile services and the courts, to determine which positions will require annual physicals and expanded coverage.

Those newly covered employees will be enrolled in annual physical programs consistent with what we already do for sheriff's office personnel.

Moving into Senate Bill 170, which is similar, this relates to industrial insurance for firefighters and certain other public safety personnel.

SB 170 requires firefighters who aren't State Executive Department employees to submit to cancer screenings upon employment upon commencement of coverage and annually thereafter as a condition of their industrial insurance coverage.

It also sets more detailed standards for physical examinations and requires where possible that those exams be performed by medical professionals familiar with the demands of firefighting and law enforcement.

Under the law, the employer pays for all required screenings and examinations.

Implementation of SB 170 is ongoing.

Risk management has worked is working with our insurance brokers and third-party providers to obtain contract rates and to determine which tests are mandatory under the statute.

I'll note that final costing here isn't fully settled.

Participation rates remain uncertain.

Some employees may waive certain screenings if they've already completed them through their group health coverage.

To improve our data over time, the vendor who conducts the physicals will be using employee questionnaires to capture prior screening activity ahead of annual physicals.

That won't give us reliable projections in the first year, but it will certainly help us with utilization and cost data going forward.

So we have that to look forward to to help us with further implementation.

I'll speak for a moment here on the fiscal impact.

The current estimate for the first year, which would be FY27 is approximately 39,288.

That figure covers the affected employee groups across the fire department, sheriff's office, juvenile probation, the courts, and wildland fire personnel.

I'd offer one important caveat, and Jill can speak to this in more detail.

In her coordination with the fire department, we identified that the newly required testing does not include separate uh screening in the firefighter CBA.

Based on these uncertainties about a first year programmatic change with no historical data, I'd ask the board to treat $39,288 as a conservative estimated figure rather than a final number.

This amount is currently budgeted.

I'd also note that the legislature included language in both bills exempting these additional local government expenses from standard budget limitations under NRS 354.599, which gives us some flexibility in absorbing the costs.

That concludes the summary.

Jill and I are happy to take any questions about this, and Jill can also address the technical specifics much better than I can.

Does any member have any questions?

Kind of nothing we can question.

It's mandatory language, so I don't know what we're gonna question.

And it uh has no action because again, we have to do it, so no public comment.

It just is what it is, right?

You want public comment?

Are we still uh is the city still using ARC?

Yes, we are through a joinder provision.

With the state.

We did use the state, but uh now it's through Washoe County, so that that joinder provision allows us to continue doing the services with ARC, and they fortunately are coordinating many of these new uh tests.

And there are options for some employees with the new testing, such as a colonoscopy, uh, mammogram of Papsmere, that they could elect to do that with their primary care or another doctor under group health and just notify ARC that they've done it, or they could do it through ARC.

So there's a lot of new coordination, and that helps to explain why it's difficult to cost, because we just don't know how many people are going to want to use their own doctor for this, and how many people will elect to do it through ARC.

So a lot of unknowns, no historical data to go on, but the more years we put into it, the better we'll get at estimating the costs.

Thank you.

Uh Mr.

French, you have to put it on the record.

Thank you, Mayor.

I appreciate the fact that it is not an action deal, but I do object to this kind of um personal invasion of our health information.

I'd like person picked on their qualification, their mental stability and their experience, not on their body at the time.

And if somebody wants a base on their body, then they can do that on their time.

If it turns out that they relate it to a smoke-related situation or they intend to be writing fires or such, then I think that should be mandatory lung.

But when you get off into personal situations like the cancer or whatever, I think we're out of line.

And so I'd like that uh taken off of the uh the mantle just like uh several other things on there, but thank you.

Thank you.

Okay, thank you very much.

Well, double check since I opened that.

Is there anyone else with public comment?

Okay, again, this is a non-action item.

Thank you for the report.

While it was not rosy, thank you.

Okay, we're gonna move on to agenda item 15C.

This is our resolution for the adoption of the 2026 hazard mitigation plan for our public safety goals.

Uh Mr.

Bachendah, welcome.

Morning, Mayor.

You tested our reading uh midnight reading.

Uh yeah, I was like, woohoo.

Anyway, did you want to give us a few highlights of what uh what changes the committee worked on from our past?

Absolutely.

So John Back at all emergency manager for the record.

Thank you, Mayor and Supervisors for the opportunity to present the 2026 Carson City hazard mitigation plan.

The plan is required by FEMA.

It puts in place an annual review, and then every five years a rewrite of the plan.

Carson City took this on as a 13-month process, creating a committee that represented our hazards and our community.

The committee represented our government, our businesses, volunteer organizations, regional partners such as the schools, the airport, and the hospital, along with other neighboring counties.

We took the time to work with our contractor integrated solutions consulting, specifically Miss Yuriza Alvarez, who's on the line, to evaluate our current threats and hazards and to work to develop a plan that is not only usable but operational to our community for our hazards.

The plan went to three public workshops for comments and was posted on a website to allow public survey and comment for multiple months.

The survey was shared on social media, email groups, press releases, and on local TV and radio for the opportunity for public comment.

With that, the big changes to the plan, we're removing volcano as a threat to us.

There are nearby active volcanoes, but with every hazard we identify, we must then therefore identify a mitigation strategy to that hazard.

Be very difficult for us to manage other states' volcanoes.

And the specific language that the current administration has put under FEMA, the Federal Emergency Management Agency, is to allow us to identify our hazards and input all of the availability of our resources specifically to those hazards without creating a different category that would specifically identify populations of interest.

So our plan is to help support the entire community for all of our recognized threats and hazards.

Thank you.

Does any member have any questions?

Okay, is there any public comment on this item?

Okay, I'll bring it back up here then for the approval or adoption of a resolution.

Oh wait, I'm sorry.

Supervisor Horton, did you have a question?

Uh no.

Comment?

I just wanted to comment very quickly.

Uh great job, John.

This is very well done, and I appreciate all the effort that you put into it.

Thank you.

Supervisor Giomi, a motion, please.

I move to approve resolution number 2026-R-11.

I second.

I have a motion and a second for approval.

All those in favor, please say aye.

Aye.

Any opposed, say no.

Let the record reflect it was unanimous.

Please uh actually thank everyone on the team.

That was a lot of work and a lot of members too.

So thank everybody.

Okay.

We're now on to our non action items.

Um, Mr.

Martell, do you have a city manager update for us today?

I do, Mayor.

Thank you very much.

I just wanted to bring the board up to speed on our big project right out the front door here, the East Williams Street, complete street project running from uh South Carson Street Incomplete Street right now.

Incomplete street right now.

Oh, complete street.

Um and that's that's a highlight I'll get to in just a second.

But uh, as we've talked about before, from uh Carson Street East all the way to Russell, just short of the 580 overpass there uh and just west of uh LOMPA.

Uh that project is a 25 million dollar investment in the community, not only by the city, but also by our federal partners as well as our partners with Nevada Energy, to the tune of two million dollars that went directly to assisting in removing power poles and other utility infrastructure that was outdated, and a great portion of that is already underground and had increased our view line, if you will, with those distractions gone.

Much much prettier project, if you will, along that corridor already.

Um, that project was scheduled to be complete later this year, um, early fall, if you will.

That schedule, that original schedule is still the schedule.

We have not had any delays.

Uh, despite the weather and some other challenges associated with construction in general, that schedule still stands.

Um, for any updates uh that you might want to do, uh, we post those every week on the city's Facebook site as well as Instagram, but you can also go to Carson City Public Works uh, excuse me, Carson Proud.com, which will take you to the public works page and William Street is the highlighted project there.

So if you don't have access to Facebook or anything like that, you can you can certainly try that resource.

It is also posted uh both in the Carson now and our friends at Nevada Peel, who Scott's here in the audience with this.

I'm understanding this is a sidebar real quick, his last meeting.

So, Scott, good luck.

Um, but that is also there.

So I wanted to highlight some of the things that this complete street project will do when it's done.

As you've seen on the north side, just across East Williams from here, that sidewalk is not only expanded uh structurally uh north and south a little wider, but it is also now all the way out to State Street and and is going out past uh towards uh the Napa Auto Parts and in front of the outlet uh store now with all that additional uh paved access.

That'll provide uh pedestrian access uh that where there wasn't any before.

Uh pedestrian access will all be also be safer as you cross uh from Mills Park to the north to that area there with the old state buildings there.

Uh that'll be good.

Additional trees and landscaping, similar to what we have on South Carson Street that was completed a few years ago.

Uh that'll definitely be highlighted and provide again some some visual relief and some changes for us.

Additional transit stops will be installed along the way as improved lighting.

The lighting will be much more efficient and meet our current lighting code, so that'll be an improvement.

And as I mentioned, uh I think a big one personally is the lack of those polls now.

If you if you look from Carson Street to the east, those polls are gone.

I know everybody gets frustrated with the cones and some of the patching and the trenching, but when you look, those old polls are gone.

Uh, and that is a huge visual uh relief.

So I just want to give the board an update.

Everything is moving along on that $25 million investment, and I look forward to it being complete in the fall and having a brand new safer corridor for not only our residents but our visitors to come enjoy the community center, Mills Park, and some of our other amenities.

Thank you, Mayor.

Thank you.

Um, Supervisor Um Gione, you have some um information to share.

Yeah, just wanted to mention a few things.

I uh acknowledge uh uh Scott and his team.

Uh I voted this past week uh in person, and uh I it was smooth as smooth could be.

I think I was in and out in like five minutes, and uh uh great staff, great job, uh highly professional.

So thank you, and just want to acknowledge that and encourage people who who may not have voted yet to uh get your ballot in the mail or or get down to the community center uh and vote.

Yeah, till Friday, is that correct?

And then Tuesday.

Yeah, Friday for early voting and Tuesday election day.

So it is open on election day, the Stuart Wellness Center.

Excellent.

Okay.

Um great couple of great community events I attended this past week.

I think a lot of us did.

Brew fest was amazing as usual, uh, beautifully done in the middle of downtown.

A lot of vendors were great.

People I talked to had a great time.

The weather was just about perfect.

And uh my granddaughter's school, Board of Wick Bray held their first ever uh uh in-house all grade talent show.

Um, so it just uh which there's nothing to do with the rest of the city except to say that it, you know, great community and and you know, things like that make it uh uh what's great and make it why we live here and love to live here.

So uh great week all in all.

Thank you.

And it was great to celebrate the 80-year anniversary of Eagle Valley Children's Home.

They've provided great services to our community for is it's amazing.

It's that organization is truly an unsung organization in this community.

Uh very few people who are outside that outside that world realize the contributions they make.

Um, they're an amazing organization.

Yeah, I just couldn't believe it had been 80 years, but was happy to celebrate uh this last weekend with them.

Supervisor Shuti?

Yes, in addition to everything that was said, and I used to work at Eagle Valley Children's Home, and it's it's incredible.

Um, really just um the growth and the amazing work that they do.

Um last week ago, Thursday, I participated in Ride for Reading.

Uh, Erica Rosales.

Um I know I'm just pronounced your last name incorrectly.

Uh she is our safe routes to school coordinator.

She does a fabulous job and really reaching out to students and um, you know, watching her present in about you know the importance of of wearing a helmet and the whole process of the fingers, you know, two fingers here and under your chin.

And you know, it really helped kiddos um connect with that, and then the older students uh a different uh spiel.

So that was wonderful.

And then Friday the 29th, the meet the orchestra.

Uh this is fantastic, and the the second graders going in.

Good.

Oh my gosh.

And um hearing Peter and the Wolf, and I don't know how many folks in here remember those albums when we were little and listening to the album and reading the story, and um, and so it was wonderful for for the students.

So again, yeah, just uh the great things that are going on in this community, the Sheriff's Department uh golf tournament on Saturday.

So good things happening, and a lot of folks coming out and supporting this wonderful community.

So kudos to everyone.

Okay.

Let's see.

Anyone else?

So we will go to our uh final public comment.

Come on up.

Come on up.

Good morning.

Good morning, Mayor Bagwell and board members.

I am Kim Perondi, and I'm the secretary for the Carson City Elks Lodge.

We came prepared with all kinds of responses for the questions you were gonna ask us, and then you didn't ask them.

So we just wanted this.

We're excited about this event, and we invite all of you and your families to come.

It's very family-oriented, so kids are welcome.

We're gonna have little kids' carnival type thing for them and lots of adult fun too.

So thank you very much.

Thank you.

What else?

Denny French Carson City.

First, I'd like to appreciate the mayor for letting me do a little bit of a uh milk carton stand up on my legislative considerations, but I do want to let you know that um Cameron uh Gretsch has been a very impressive opportunity for me when I've been at the legislative activity, he's engaged, he's keeping track of what's going on, and and I just ask him to slow down a little bit when he's giving his presentations because it's hard to keep up, but otherwise, very much appreciated both the individual's comments.

I do have a comment that I have been doing some study after having uh heard Mr.

Um Larry Shoemaker's comments about the privacy and considerations about the company that will be taking the information that's being received from the cameras, many cameras around town, and what's done with it.

Are they data brokers?

And there is some concern what I found in Los Angeles Times article, that in fact they had a few moments where they were considered to be under investigation for just that, and now this is only preliminary review, so I'm not backing it with a whole lot of sites, and I I won't go into specifics, but I was able to find pros and cons.

Their pros were from their own business and their their sales deal, and they had a lot of good information about it.

Sounds very interesting, but I think it's an invasion of a major privacy consideration, especially with not only their gathering, but the availability to people that can hack, and that is causing me a lot of grief because we're actually just getting information for other people.

In fact, there was a TV show that showed a person knowing where those cameras were and utilizing that information to set up a robbery.

They watched the security for days, they watched comings and goings, they really were looking out for the place, so it was actually used against us, and so until they tightened down some of the regulations and some of the observations.

I'm totally opposed to that.

Um, I'd also like to say um that the gentleman that stood up had suggested that they hadn't gotten back to him about his request for public information, and thank you.

Thank you.

But uh update I hadn't gotten, thank you.

I'm sorry, that's 46 seconds.

40 now, 30.

You still have more time.

See that okay.

I'd like to talk about the clock.

I really would like to have the clock taken away, but I also want to bring up the fact that I don't think the trans I I looked up on AI, I put it to AI, is the deal that's being the little bit of the information that's given out about the Hope May and uh Adams Foundation involvement as far as a community and public and business connect.

It suggested, hey, it's great for the economy, it's all this, but you know what?

People are concerned about the lack of uh transparency and information.

I'm gonna be going to a meeting on okay.

Okay, see, now I'd like the time back, I missed.

Thank you.

Thank you.

Thank you.

Come on up.

Good morning.

You have to push the button so that it turns green.

There you go.

Thank you.

I'm a resident of Carson City.

Um, I appreciate all the work that's being done, all of the betterments and improvement and making the roads better.

It's just ridiculous.

Getting around town right recently.

Signage is very difficult.

Um, not knowing when you can make a left and not, you know, and then having it's a small town, so do detours aren't that bad.

Um, but it's confusing, especially for older people.

I'm seeing people coming to a complete stop, not knowing which way to go because there's not signing.

There's not flaggers.

We need to have more people out there directing traffic if they're going to be cones from Carson Street to Goldust West.

Tell people, kind of give it an idea because sometimes you're going there at night, might be a little um sunshine in your face.

You don't know where the cones are.

You can't figure it out.

And there's so many, and the businesses are getting hurt by not being in the box store.

He hasn't been, people haven't gone there forever.

It's a very small business, and he's getting hurt by not have being able to, people can't get to his business.

So these are just concerns that I'm hearing walking around town, and I drive around town a lot and taking my mom to doctor's appointments.

It's how do I get from one place to another when there's this road's closed this, and we don't know until we get there.

We don't know until we're ready to make that turn.

So we need to have more signs to let us know how to get around town.

We appreciate the work being done, but we need to be able to know where to go and how to get to places.

Okay, that's all I got.

Thank you.

Thank you.

Do I have any other public comments?

Okay.

Then seeing none, we will, um, unless there's any objection, anything to see.

Okay, we will adjourn as the Board of Supervisors, and I don't see Dr.

Lyons.

Oh, she's out there.

Ten minutes, we'll be back as the board of health.

Okay.

Ta-da-da-da.

Um, Oh, the little thing.

Did I add it?

The two order and ask for Roll Call.

Chairperson Lions here.

Vice Chair Jamie.

Member Horton.

Yeah.

Member White.

You have your quorum.

Thank you.

And um, moving none, um public comment.

Is there any public comment before we get into the remainder of the agenda?

With the approval of the minutes from December fourth.

Uh I'll move to approve the Carson City Board Health Meeting.

Anyway, for the 5th of March twenty twenty six as presented.

Despite the chair's uh misreading of the uh minutes.

I just mean she loves the presence.

Um do we have a second for that?

Okay, we have a second.

All those in favor?

Aye.

Any opposed motion passes and unanimously, and then on to um the agendas under 23.

Would like to ask that we move forward uh 23D, which is the vitality report, to allow one of our nonprofits to proceed with other activity.

Hello, my name is Marshall Gluthill, and I'm the director of the SED treatment services for Vitality Unlimited.

Any questions for me at this time?

Yeah.

If I maybe, yes, please.

Okay.

Talk to us just a little bit about the service.

Um pretty continuity, quarter over quarter and stuff.

Yeah, consistent on the clientele.

You're not seeing huge needs for increase or any of that.

Um over the well, since our last report, we have seen an uptick in um severe mental health come through.

Um, a lot of schizophrenia.

Um, those applications that are submitted to us are always cleared by our APRN before we bring those clients in because we're not quite uh fully equipped for severe mental illness, but as long as they're medicated appropriately, we're able to see them.

Um, and they do really well when they're medicated.

So that's really the only uptick we've seen in mental health.

Um a lot of opioid fentanyl and alcohol and methamphetamine.

Yeah.

Thank you.

Kara, I have a question if I may.

Um, will the new facility help with um schizophrenia patients?

Yeah, it's gonna be the same services that we offer over at the Long Street facility right now.

Um, same process, they can apply the request for admission.

Is going to be approved by our APR and we can bring them in.

Same thing, yeah.

But my question was will it be better there than it is now?

Is it easier to care for them there?

Is really no change.

There is there's really gonna be no change, yeah.

Thank you.

Yeah, I have a question.

Yes, please.

Thank you.

Uh let's talk a little bit about uh recidivism.

Uh it looks like you uh really only had three folks returned.

Um, and I gotta say that's amazing that you only have that much return uh customers.

Um but I'm wondering the overall long picture.

Where is your recidivism in that regard?

Like over a year, over two years.

Um, to be honest with you, I haven't been in this role long enough to get those numbers, but it is something that I'm looking into and evaluating.

Okay.

To give us that long range look.

It might not be a full 12 months, but I can definitely expand it to you know six or maybe even nine.

Okay, thank you.

Welcome.

I just really appreciate the very thorough report, so thank you.

Welcome.

Any other comments or questions?

No.

Um, hearing none, do we have a motion to accept this report?

I'm I'm sorry.

Sorry, public comment after each one.

Any uh public comment?

Okay, hearing none, do I have a motion to accept the report?

From Vitality?

Report as presented.

Second.

And um motion first and second.

Is there any all those in favor say aye?

Aye.

Any opposed?

Hearing none, the motion passes unanimously to accept the report.

Thank you very much.

Thank you.

Now we'll go back to the regular order.

This is the health officer report.

Everyone will notice this ran to 10 pages.

And I just want to make a brief comment in that regard that I think our situational awareness about what is happening in general in health care nationally, as well as more specifically as afforded by the Nevada Hospital Association, is very important because one of these items is gonna bite our community, and we just don't know when that's gonna occur.

So that's the importance of having a public health department that stays involved, informed and um connected.

I find that interesting.

We we like to think of these conditions as one and done, but just like with um chicken pox that can come back and bite you with shingles.

Um measles can come back and bite you in very serious ways uh years later.

So it's not just the ration fever at the time, it can be more problematic to include the diminution of the immune system for up to a period of a year, maybe even two years, kind of wipes out the immune system's memory for everything else it's been previously exposed to, so you're at risk for a period of time after having had a good case of the measles.

And um otherwise, the state health officer um pointed out that thankfully uh while they're now looking at I believe it's Utah, claiming that the measles is no longer being going to be considered pandemic, it's gonna be considered endemic, meaning they're stuck with it on an ongoing rolling basis.

Um they're being on our border means we're at risk for a local epidemic, pandemic.

Um, but thankfully the state health officer shows that uh unlike some of our surrounding states, we do have a better immunization rate overall, although it is not at the top herd immunity rate, it's still better, and um we don't tend to have clusters of unimmunized all altogether.

So hopefully that'll help us.

Um I think that's all I wanted to say, other than um remember that your body is 75% water, although as we gray hairs uh age, it does um tend to decrease uh and uh as we move into the summer months and uh hotter and hotter to stay well hydrated, and it's surprising how much uh fluids are recommended for adults.

So check your urine.

I'll drink to that.

Um so any comments or questions about the health officer report.

I appreciated the report very much, and thank you for um talking about situational awareness because we don't live in a vacuum, and so the impacts um of what is going on around us can ultimately affect this community.

So thank you.

And one other thing I I wanted to say too is that um I hate to use the word health care system when describing uh medicine in the United States.

It seems much more to be chaos, and we often confabulate having health insurance as though that's like health care, and it's not, and so certainly this report shows all the different ways in which having health insurance doesn't protect you from medical bankruptcy, doesn't um provide you with the health care service or prescriptions that you may need.

I mean, so there's just um a lot that um came out in this particular um report as excerpted from the Nevada Health, the Nevada Hospital Association.

So any other comments or questions.

Okay.

We'll ask for public comment then.

Thank you, Chair.

Nice to have you here, Dr.

Lyon.

Um Denny French, Carson City.

I'm not gonna look at the clock somebody just yell at me.

I appreciate the fact that I didn't get a chance to read the medical report.

However, I do think again, I'll just bring it up because everybody doesn't have access to information is that ticks are still a big thing, big consideration, and then also with the e-bike situation, a lot more and more bicycling out.

Please advise people you see on a bicycle that you know and care about and feel you can say anything to have a helmet on.

The last thing you want to lose is your senses and your ability to communicate, which is already a struggle for me.

So I'm gonna start wearing a helmet as I walk at times.

But the main thing is I just want to thank the health community's efforts to keep us advised, and thank you.

Thank you.

Any other public comment?

Okay.

Do I have a motion to accept the health officer report?

Second, second.

Okay.

Um motion um first and second, and uh all those in favor of accepting the health officer report.

I closed hearing none of the um it pass the motion passes unanimously to accept the report.

Moving on to 23B.

This is for possible action discussion, and this is the um report from Jeannie Freeman, the director of Carson City Health and Human Services.

Good morning, everyone.

Jeannie Freeman for the record.

Uh with me today, I have Rachel Freshman.

She's our epidemiologist, and she's going to be giving you some of the information that we have in the report this morning.

So I always get excited when I get to start off by talking about some of the really positive things that have been happening in our department.

I just wanted to take a moment.

I know it was at a recent board of supervisors meeting where you all approved the agreement between UNR and Carson City Health and Human Services to be designated as an academic health department.

I want you to hear from me how big of a win that is for us.

And I really thank you so much for your support in that.

That is something that we've been working on for about three years, and all of your conversations with me about what the benefits would be and what the challenges might be.

I just really appreciate you giving me that dialogue and giving us that opportunity to do this.

Workforce development, uh, we had an opportunity to participate at the UNR's um School of Public Health Intern Fair.

And uh what we do is we actually take some of the jobs that we have within our agency and we create sort of mini job description sheets for them that they can see what are some of those entry-level opportunities that they might find in a local health department and gives them an idea of what sort of trainings they might want to make sure that they're getting in place or how an internship can play into that.

Also, gives them an idea of what a salary range might look like, um, puts maybe a little bit of reality in front of them as to what an entry-level position in public health might look like.

Um, but it gives them some things to also consider, like maybe I don't need to go straight into a master's program.

Maybe this is something that I can look at some other training opportunities that would be available.

It also highlights Carson City as a potential employer, which I think is another great opportunity for us to look at what we're doing with our workforce.

Human Services is fully staffed for the first time in two years.

That is a huge win.

Uh, Christy, our human services manager is incredibly excited.

We are excited.

We have um Samuela or Sammy Prize.

She is our new social worker that we have in place, and then we had a contract community health worker that got hired as a full-time community health worker within our agency, and Susie Stitch.

So we're really glad to have her.

And Shelby Davy was promoted to our case manager.

So to have that in place makes Chrissy's team even more dynamic than what it was.

And it also relieves Christy from being this one woman superwoman that does all kinds of things.

So it's nice to be able to have all of that in place.

When you're sharing or at these events, do you get an opportunity to speak more broadly about the needs in healthcare in general, or are other community partners like the hospital or local physicians' offices there as well?

Because I I know there's a tremendous need, particularly in entry-level positions, medical assistance, community health workers.

So I I just hope you're sharing that it's broader than just Carson City when you're there talking about them.

We're one employer, but there are many opportunities and many needs.

Thank you for the question, Supervisor Giomi.

Absolutely.

There are a lot of community partners that are there.

So they bring in uh nonprofits, they bring in for-profits, they have.

Okay, so you don't really have to share because they're already there.

Correct.

Actually, this is the second year that we've done this with these types of job descriptions, and there were two other agencies there that followed our lead this year from what had happened previously.

So before they just kind of talked about what their agency did, but it didn't really talk about how we're trying to engage.

Why would you want to work here?

What might you benefit?

How might this build the overall larger public health and health care structure for employers?

Because community health workers can be in hospitals, they can be in a variety of settings, not just ours, but um, because we have a job description of what a community health worker looks like, and then pulling out what the NRS has as to what those actually entail for the state certification, that was really helpful.

We had students who were like, Oh, I just thought I'd be a community health worker, and I would just give myself that title.

I was like, No, there's actually some, there's actually some training and testing that goes with it.

Yeah.

I I you know, I think it'll be interesting to see what grants come out of the rural health transformation grant.

I know it's not applicable to us, but but um in a roundabout way it could impact us because I, you know, I'm hoping that I I know one of the areas that they're focusing on is education workforce development.

And while um, you know, we can't have a program here, it doesn't mean that programs outside of here couldn't be developed that could benefit this community and the rest of the state eventually, in especially in training because it's expensive to get uh a certification as a uh community health worker or even an MA.

And and those jobs are not um, you know, they're entry-level jobs, they don't pay a lot of money, and so people tend to not stay in them.

Yes, so hopefully the training that this rural health transformation grant um is encouraging will bear fruit.

I'm hopeful of that too.

I know that it has been a challenge even for our agency and Carson to stay staffed because there are opportunities that open up, and um, one of the things that we talk about with our staff is we can understand the desire to be promoted, we can understand the desire to move beyond, but moving up too fast is like a tree that grows without a good root structure, and it tends to topple.

And so you have to kind of think about your depth as well as you think about your promotion capabilities.

You have an entire career to hit your peak, you know, six or seven years in, that's not gonna suit you too well.

I'm gonna sound like an old man, but I think we need a reset in expectations uh because it's very it it's very apparent that people come into a job with the exact expectation that you said that that you know I've got my training now.

I'm I'm a community health worker, and um, you know, I'll work a couple of weeks and then I'll be in charge of this whole thing.

And it just it really doesn't work that way, and there's uh people start down that path with a fundamental um negative view already.

It doesn't take uh and and so it you can't survive in that environment.

Um, so I don't know what the answer is there, it's a societal issue that I don't think we're gonna address, but uh every opportunity you get to have those conversations from professionals in the healthcare field have has got to help.

So thanks for that.

You're welcome.

We've also made some changes this year.

Our environmental health leading our mosquito abatement.

Um, as we have in the report, we had already done our first treatment, and earlier this week we did our second treatment, so uh we've been successful.

The drone is its own unique experience, but it has been positive because as we've had the construction increase within Carson and we've had the homes and multifamily units being built, this gives us better access where we don't have the helicopter having that.

We do want to continue to encourage the public to please have play your role in helping to prevent mosquitoes.

So taking that standing water out of your out of your backyards and out of your gardens and so forth, and then wear your protection, wear your long sleeves, wear your bug spray, and so forth.

The bug spray will also help you if you've uh got the promethean in it.

You can have it protect you against the ticks as well because there are ticks.

These are natural parts of our community, and so um we respect them by protecting ourselves.

The environmental health branch of our agency has also been working on the voluntary FDA standards, and they um actually submitted their documentation that they met the first standard, which was standard seven, and they that prompted an audit.

So, Northern Nevada Public Health has actually been approved by the FDA on several of the standards for quite a long time.

So they were brought in, they were asked to come in by the FDA and actually do an audit on our programming to verify that we were that, and uh they reported that we met the standard with shining bright, beautiful colors, and uh which was a really nice thing.

And that standard was really about the community relations.

And I think what's really nice that one of the things that Candice and her team have done is creating a newsletter that now goes out quarterly to the operators and it has different topics associated with it, everything from again how to make sure that you're keeping food safe, and you might think, Well, they're doing this already.

Well, we forget, we get lazy sometimes, and even that happens in our own homes, and so it's a reminder of there what we would look for with pools and their cleanliness and so forth.

So she's done a great thing with that, and then also making sure that we're sharing those food recalls.

There have been a lot of food recalls over the last six or seven months across the country for all sorts of things, and so making sure that our vendors are aware of that or our operators are aware of that, so that they're checking the food products that they have coming in as well, and then we're making the public aware of those recalls.

So, environmental health has been making some really good um progress with that, and then they're working on their next area.

Um the whooping cough update that is in your report.

I'm gonna hold off on giving any news related to that because I'm gonna turn it over to Rachel now.

I'm gonna be her slide advancer and um serve her in that way.

But she's gonna give you our 2025 communicable disease summary, and then she'll talk about the whooping cough or the protesses during that time.

Thank you, Jeannie.

Good morning, everyone.

Uh, my name is Rachel Freshman for the record.

Um, that's spelled R-A-E-C-H-E-L-F-R-E-S-H-M-A-N.

I'm the epidemiologist over at Carson City Health and Human Services.

Thank you for the opportunity to allow me to come in and provide this overview of our um our epidemiology branches' activities in uh this last year for our communicable disease investigations.

So, to provide a brief overview, our branch investigated nearly 3200 reports that we received of about 60 reportable illnesses.

So approximately 2,700 of these were classified as confirmed or probable cases based off of national case definitions.

So, what this looks like is we gather information based off of lab results, symptoms, maybe epidemiology links.

Um, and so even though all these reports that we receive do not necessarily are not necessarily counted as cases, we still have staff going and calling uh providers, recommending testing, and then sometimes directly reaching out to patients before making that call and counting it as a case.

I would also like to note that we are in the process of our annual data audit, so some of this data is preliminary, may change slightly based off of some delays in reporting as well.

Next slide, please.

So respiratory illnesses, these include influenza, COVID-19, and RSV.

They continue to represent our overall largest disease burden in Carson City each year.

Although these trends are typically reported separately as our respiratory seasons overlap calendar years.

These illnesses require ongoing monitoring, and we do respond to these year-round as well.

In 2025, our branch responded to 20 outbreaks, 19 of which were respiratory related.

Figure one displays the breakdown of these outbreaks and shows that over half of these were associated with hand foot and mouth disease.

This was primarily in school and child care settings.

We also investigated five cases of protessis in 2025.

This was an increase from one case in 2024, and we did have one outbreak that we investigated.

This increase in protessis reflects broader increases in activity observed across Nevada.

To provide a little bit of an update of what this is looking like as of right now.

So in October of 2025, the division of public and behavioral health they released a technical bulletin noting a relatively or an increase in protestis activities in some parts of the state.

So from 2018 and 2024, we did have a relatively low incidence of protessis.

This was ranging from zero to two cases reported annually.

However, as I noted before, in 2025, we had that increase to five cases.

As of right now, so at the time that we submitted this report, as of mid-April, we had seven cases that were already reported in Carson City.

Since then, most recently we've had three additional cases.

So our yearly total as of right now has doubled what we had totaled last year.

So we have 10 cases.

Most of these cases have been identified in our school age population.

So what this looks like when we receive these cases, we are trying to take a lot more of a proactive response.

We have created fact sheets and parent letters that go out to school nurses and we recommend disseminating those to parents just so they know that they can monitor the staff and students to see if they have any symptoms.

What we found out, we've heard feedback from providers that actually parents are taking these fact sheets in with them when they go and seek care for their child if they do develop symptoms.

So that's something that's on their radar, and I do believe that it's been increasing the amount of tests that we've been seeing, which is good.

Ultimately, you know, if we have more testing, we inevitably most likely will find more cases, but that way we have that information to be able to respond very quickly.

As for clusters that we've identified, so in 2025, we did have the one protessis outbreak in a facility.

We were able to close that in mid-February.

It takes a while for us to close outbreaks and clusters of protussis.

This illness has a long incubation period.

So from the time that somebody's exposed to when they could develop symptoms, this could be upwards of three weeks.

So to close an outbreak, we actually have to wait for two whole incubation periods to go by with no new cases.

So this would be 42 days.

We did have a cluster identified in a school in mid-March.

We were able to close that out with only two cases just this last month.

However, we did identify a new cluster a couple of weeks ago, and we are still monitoring that.

So what this looks like also is we're doing routine check-ins weekly with school nurses to be able to monitor if we have anybody that's symptomatic.

Usually in an outbreak as well, we don't only count laboratory confirmed cases.

So if somebody has what's called an epidemiology link to a case and they develop symptoms, we can actually call them a case as well.

So that changes things a little bit too.

And just kind of overall, especially with our outbreaks, what this looks like is we have that rapid coordination with affected facilities, especially with vaccine preventable diseases such as pertussis.

We're doing contact identification and then also implementation of infection prevention and control measures.

For sexually transmitted infections, similarly to state and national trends, the three most common STIs that were reported in Carson City were chlamydia, gonorrhea, and syphilis.

In 2025, we received 249 reports of confirmed STIs.

This was a decrease from 266 in 2024.

Figure two shows these trends from 2024 to 2025, where we observed a decrease in both chlamydia and gonorrhea, but we did see an increase observed in syphilis.

The burden of STIs was highest among our adolescent and young adult group in 2025, where nearly three out of every 10 diagnoses were identified in this group, so that's our ages 19 to 24.

During investigations, we worked to provide education, partner services and linkages to treatment to reduce barriers to care that individuals may be experiencing.

Through efforts made by our branch and local providers, I am very excited to say that our data shows that 97% of diagnosed STIs in Carson City were appropriately treated in 2025, thus reducing complications of untreated infections and transmission in our broader community.

I'm going to add something here a second.

The board approved with some of our Senate Bill 118 and the public health funding from the governor for us to develop an STI campaign.

We just received the final products from the contractor this week, so we can anticipate seeing some fun materials come around the community to draw the attention about the importance of making sure that you're tested for STIs if you're having sex.

Well, if you do the deed, go get the test.

So, yeah, we'll share them with you.

Thank you.

There's a comment to be made, but probably better just leave it alone.

Shut up is good.

Okay, our enteric illnesses.

So when we're speaking about these, these are illnesses that primarily infect the gastrointestinal tract.

These are commonly caused by various bacteria, viruses, parasites, all the different sorts of bugs.

Common ways that these are transmitted to humans include through contaminated food or water, person to person spread, animal to human or contact with contaminated surfaces.

Last year we investigated 31 cases of enteric illness, the majority being caused by campylobacter and norovirus.

During our investigation, we collect information regarding food products that individuals consume in recent activities to determine likely sources of infection, in addition to trying to provide recommendation to reduce the likelihood of reinfection in the future.

This includes proper hand hygiene, safe food handling, safe water practices, and environmental hygiene.

Figure three shows a breakdown of sources identified during investigation, where nearly three out of every 10 cases reported a foodborne exposure that may have caused their illness.

This was followed by almost two out of every 10 noting a waterborne exposure and one out of every 10 noting an animal exposure.

In addition to responding to our laboratory confirmed cases, our branch also acts as the intake point for foodborne illness complaints in Carson City and other counties in our surveillance area.

This last year we responded to 17 foodborne illness complaints from community members involving licensed Carson City establishments.

Our process when we receive these complaints is obtaining a three-day meal history, whether someone has sought care and gotten testing for their illness, and then whether they also went to a restaurant or an establishment with others and if multiple people are sick, since we'd be worried about possible outbreak situations.

We then share reports with our environmental health branch, and they ensure appropriate field follow-up is conducted when necessary, including both our laboratory confirmed cases and illness complaints.

This information really helps us to create a more accurate picture of enteric illness in our community, and we're able to respond more quickly to possible outbreaks if those are suspected.

Looking at latent tuberculosis infections, so this is something that became reportable in the state of Nevada pretty recently in late 2023.

This was part of a broader effort to reduce TB through expanded testing and treatment.

This specific infection, the latent type occurs when somebody is infected with tuberculosis bacteria, but they don't have symptoms necessarily and can't transmit this to other individuals.

However, without treatment, this infection can progress to active disease.

This last year we investigated 75 cases of latent TB in Carson City that were identified through various screenings.

When a case is identified, we provide education on the infection and assist in linking individuals to care if that's desired.

Among those that were successfully contacted, over four out of every 10 did initiate treatment.

This reduces the possible risk of progression to active tuberculosis and helps us to prevent future cases protecting our broader community.

And I did want to say that it was kind of brought to our concern about, you know, possibly when somebody does initiate treatment.

This can be very hard on their body, and so sometimes individuals are not able to complete that course of treatment.

We have updated our protocols to ensure that we are following up with uh patients, whether that's three months, six months after the medication was prescribed to see if they did in fact complete that, just in case if we did need to have that data, because there's always concerns of possible antimicrobial resistance when you have these different bacterial infections and things like that.

I did want to highlight a special notable response activity.

Um this crossed a couple of our branches, and we also got to work with some federal partners on this.

So we were notified last year of a yellow fever case due to international travel.

This was in our surveillance area.

Um yellow fever is not endemic to our area.

Uh we do not have the climate in uh this country and this area to support the mosquito population.

They really like the moist humid tropical environments.

So usually when we see these cases, it's due to travel.

Um, so when we identified this, we were contacted by federal partners.

Um testing for yellow fever is pretty limited.

It is a pretty rare condition.

And so we worked with our clinical services branch and the patient to obtain a serum donation, which has the goal of possibly being used to develop new diagnostic tools to respond into tech cases faster in the future.

So this was a really neat opportunity that we got to work on.

And that concludes uh the information that I have to go over.

Thank you again for the opportunity to present.

I'm happy to answer any questions.

So I I have uh several um comments to start with um on the protessa sweeping cough.

Just know that your grandkids will give this to you, and it's not pleasant.

It's a prolonged cough, it can cause uh you to crack your own ribs from the coughing, and it can go on easily six weeks, just as dry um hacking cough.

So do get updated on your TDAP.

That's your tetanus protests, um tetanus, diphtheria, acellular protestis.

So that's recommended every 10 years that you get boosted for that because protestes does the immunity to it does wane, and so we re-vaccinate uh kids around middle school age to help suppress it from spreading in the community, and then in regards to it.

Brain infarct.

Um open it for other questions or comments.

Okay.

On the um TB is to know approximately 10% of latent TB cases will subsequently go on to develop active T B.

And one of the things that we've also instituted for those six out of ten who decline to have treatment is that we give them a patient information level about you need to think about this again if.

Okay, so down the road you become diagnosed with anything that's gonna affect your immune system, diabetes.

You have you get cancer, you're gonna be on chemotherapy, you develop rheumatoid arthritis, and you're gonna be on an immune suppressive agent.

All of those situations need to be reconsidered for the treatment of their previously diagnosed latent TB because it'll put them at risk of developing active TB.

So we've instituted that as well in the clinic to provide those patients with that information so that it's not like, oh, it was my option, I chose not to, and I'm good to go.

Um there was one other thing, but I can't remember what it was.

So it'll be nice to have more information out there about syphilis because of our high risk of uh our heart high rate of congenital syphilis in the state.

Okay.

With that, then, Jeannie, you finished your comments.

Do we have a motion to do we have any public comment first?

Do we have a motion to accept the report?

I move to accept the report as presented.

An excellent report, by the way.

Well done.

Again.

And all those in favor?

Aye.

Aye.

Motion passes unanimously to accept the director's report.

Moving on to the next item, 23C.

This is the social services landscape assessment, the first for Carson City Health and Human Services.

Good morning, everyone.

Jeannie Freeman, director for Carson City Health and Human Services for the record.

We put this forward to you at the last Board of Supervisors meeting to give you just a little bit of a context about what we have preliminarily found.

I've asked our data analyst Rachel Hickman, who has really led this effort to come and give you a more robust report about what we have for you today.

So this is our discussion only item for you.

And I will be again progressing her slides for her.

Thank you, Vanna.

I am Rachel Higgin.

I am Rachel Hookman with Carson City Human Services for the Record.

That is called R A C H E L, H I C K M A N.

So we are giving our final social services landscape assessment report.

We are so excited to do this.

So we wanted to talk a little bit about the design and why we did what we did.

This was based on Maslow's hierarchy of needs framework, where this really describes that you have to meet people's most basic fundamental needs in conjunction with or before their other needs in order to for them to achieve well-being.

So with this in mind, we chose social service domains that are associated with people's most basic needs to measure.

And that included housing, clothing, food, health care, behavioral health, and workforce development.

To measure those, we did implement a mixed methods approach, which just includes quantitative and qualitative analysis.

So for our quantitative assessment, just meaning numerical data, we did complete 233 community member surveys where we are able to assess community members' health status in each of those domains if they're aware of services in the community and if those services are accessible and available to them.

We did also complete 23 service provider surveys where we assess their collaboration, uh referrals and service delivery in the community.

Then we also did complete our qualitative analysis, just meeting non-numerical data, and with that we were able to complete 18 key informant interviews with community members and conducted two focus groups with service providers where nine organizations were represented.

Thank you.

So a brief overview of our survey or quantitative findings, and we broke this down by domain that we measured.

For our community members, it was evident that there is housing instability.

So for example, one in every five of our respondents did indicate that they are worried about losing their housing at least once in the last year.

We did also have 10% of our respondents who had experienced homelessness as well.

So despite the apparent need, there was a very, very low uptake of services, and this is often driven by the most prominent barriers they reported, that being long program wait list and strict um eligibility requirements.

This was also echoed with service provider surveys where the most prominent barriers that they face are long wait list and restrictive eligibility requirements.

It was also worth noting that they do experience significant barriers related to collaborating with other organizations.

They did also note that the lack of affordable and available housing units also inhibits their ability to provide services to their clients.

For the healthcare domain, there were two main challenges that our community members did identify.

The first being related to financial barriers.

They did, many of our community respondents did note that they are struggle with paying for healthcare services regardless of their insurance status.

So that sort of mimics the sentiment that Dr.

Lyons was mentioning earlier.

As far as it goes for service providers, the main barrier that they experience is that there's a lack of funding or resources that can help support their collaboration with other organizations.

They did also mimic our community member concerns in that clients' financial situation and their ability to access transportation are main concerns and inhibit their ability to connect with their clients.

There was also significant findings that sliding scale fees do support their ability to meet with their clients.

So again, just echoing that financial barriers are an issue for both our providers and our clients.

Moving into behavioral health, there was also a need a large need identified here where one in every five of our respondents had experienced a behavioral health crisis in the last year, but only 13% of our respondents had received a service in Carson City.

This is often due to the barriers that they reported, that being there's a lack of provider availability, there's often long wait lists, the affordability of behavioral health services is a barrier, and once again transportation is a barrier here.

For our service provider, for Jesse's eager.

For our service providers and behavioral health, they did also identify that funding or a lack of funding and resources was an issue as it relates to collaboration.

This is uniquely important to behavioral health as they're often supported by unstable grant funds to implement their programming.

They also are unable to extend their fee-for-service payments to supportive services that are often integral to providing behavioral health services to reach client success.

Moving into the food domain as it relates to survey or quantitative findings, we did notice that there is food insecurity among our community members.

However, this domain specifically had much, much higher service uptake than all other domains, indicating that it is somewhat accessible to our community members.

Despite this, though, there were significant barriers that were identified.

That may include strict eligibility requirements, there's a lack of dietary accommodations, transportation once again another issue, and there's often inflexible hours of operations across our organizations.

As it relates to food service providers, there were two main challenges that were identified.

The first being that rising food and operational costs are a barrier for them to provide services.

Also, they did note that transportation barriers that clients experience inhibit them from connecting with their clients.

So this may look like transportation can often be untimely, it might be unavailable, or transportation even has inflexible operating hours.

They did also note that there's a greater need for mobile and home delivery services in Carson.

And with food, there was a significant finding for supports where they noted that volunteers and donations are a massive support to help them deliver their services.

As it relates to workforce development, there the main concern for our community members was job quality.

30% of our respondents did state that their current job does not meet their needs, and this is mostly due to low pay.

So despite this, only 3.5% of our respondents had use of workforce development service in Carson City.

This is likely due to the barriers that they reported, being that their personal schedules conflict with the scheduling of workforce development programs, transportation, restrictive eligibility requirements, which may include extensive background checks.

For our service providers, the main concern they had is that there's a lack of resources, specifically noting that funding and staff time is inhibiting their ability to collaborate with other organizations, specifically organizations that provide supportive services.

And in alignment with that, documentation assistance was a significant support, which is again just an example of a supportive service.

And with clothing, there were no significant findings in either the community member or the service provider report that indicated there's really any need for change or modification because the gaps are not significant in Carson.

For our qualitative findings, we did this a little bit different.

We will include the domain-specific qualitative or interview and focus group findings into our next slide.

However, there were some main themes and patterns that were identified that were shared across every domain that really need to be considered with any actionable plans or program modifications that are implemented in response to this assessment.

So the first of that is being that there's a need to strengthen the informal processes and networks that are in place currently into more structured formal networks.

So what that means specifically for community members, they did note that our lived experience staff, so people like peer support specialists, street outreach workers, those who share their same experiences, are often the most effective and trusted first point of contact with Carson City's social service system.

And through this informal interaction, they're able to connect them to the broader social service system and get them with the service provider to meet their needs better.

Service providers specifically also mentioned working in an informal network where often we have these relationships one-on-one with our trusted organizations, and then they conduct referrals and resource navigation on a case-by-case reactive basis.

So both of these informal networks are really based on trust, which is fantastic.

We have that in our community, but at the service provider level, they reported that it often leads to inefficiencies.

This was described as sending clients on wild goose chases verbatim, where maybe it's as simple as duplicating paperwork at each organization they touch, or maybe they're falling through the cracks of our system and never receiving the help that they need, which breaks that trust.

So they describe needing a more formal structure, with the examples that they provided being sharing intake forms, sharing releases of information, and having a shared case management system, all of which should help make the referral and resource navigation process much more smoother.

Data can be consistent and they can better measure the impacts of all of these efforts.

And then the second main theme that we found was that there are unrealized or unmet expectations as it relates to our community members and our service providers.

And what that means for community members is that when they're going to access our social service system, they're not met with the basic compassion and dignity that they're expecting, and they describe this as feeling policed or demoralized when they're trying to access services.

They also did define that what's often available doesn't suit their needs, and this may be because the service is just outright not available to them.

They may experience again transportation and eligibility requirement barriers, and then often they experience language and literacy barriers.

So with that, the provider side, they expressed frustration where there's often limited funding as it relates to social services.

There's inconsistent data sharing across the community, and expanding on that, there's often poor collaboration in the community-wide social service system.

So all together makes it a lot harder for them to deliver the level of service that they want to deliver, therefore, not meeting their expectations.

All right.

So what are these findings suggest?

We broke it down by each domain based on the data on what could be implemented as a result of the gaps.

So within housing, there's a clear need for us to coordinate an effort between long-term housing options and emergency shelter options that can provide a wide variety of eligibility requirements so our clients' needs can be better met, and we're also serving that missing middle piece that we talked about in the last quarterly report, where they've been systematically excluded.

This has been defined by providers as implementing more long-term housing options in conjunction with a well-planned 24-hour emergency shelter.

That way they can meet people with different needs and experiences on their journey and they can get more out of Carson City's housing programs.

For health care, this looks like addressing financial barriers with sliding scale fees.

Again, those should be implemented across all providers.

When we talk about the transportation barriers that they experience, there should be a coordinated effort that's supported with funding and resources between healthcare providers and existing transportation organizations.

And what that may look like when you're putting funding and resources into this, it can support things like community contracts or MOUs as described by providers, where those can ensure that resources are distributed equally, that everybody in the in the participation or in the partnership can be held accountable to the specific job scopes that they have and the workload could be balanced.

So altogether, you're providing an efficient and effective service between this partnership.

I know that during the conversations that we were having with the community health plan, talking about even scheduling, having the medical providers schedule in such a way that several patients, if they're needing transportation assistance, can come at once to make transportation available.

And so I would I appreciated the creative thinking that goes into problem solving.

Thank you.

Yes, it was exciting writing this with some insight into that planning process and saying, oh my gosh, they're meeting or trying to meet a need already.

So that's cool.

That was cool to think while writing this.

Moving into behavioral health suggestions based on our findings, funding and resources need to be put towards integrating cross-sector or supportive services into behavioral health services.

There was a study completed that showed that behavioral health organizations that implement this type of framework were actually four times more likely to deliver a timely service than all other organizations who didn't use this type of framework.

So if we can put resources and funding towards this, whatever that may look like for Carson City, we may be able to deliver more timely services, thus addressing the issues around provider availability and long wait list that may also afford our behavioral health providers since they're seeing more clients to implement sliding scale fees for their clients.

Oh, sorry.

Moving into food, again, there was a lot more service uptake in this.

So we identified that those experiencing acute food insecurity are actually able to access services.

So it's our more vulnerable vulnerable clients who are not able to get food services.

So with that, there needs to be a coordinated community-wide effort for food where we can diversify food options and some eligibility requirements.

Some things that were noted in the assessment that could happen is we could reduce the limitations on the number of times that clients can receive food services.

But this also may look like considering those with dental issues.

Are they able to eat the food options?

Do they have the skill set or the equipment to cook current food options, or can they even store the food that's available?

And with this coordinated effort to address the significant transportation barriers as it relates to food services, that coordinated effort should really look at diversifying options that are most accessible by public transportation.

So making sure that the most options available to clients are along those existing routes.

Workforce development, the main finding here again is supportive services need to be implemented into here so that we can create better access for our clients.

So what this might look like is considering transportation to these programs, child care, supporting background checks, reducing other eligibility requirements, and there was a study completed that implemented all of those specific supportive services into their program, and they saw higher program completion rates that led to more gainful employment.

So while that's important and that's great, there does need to be further assessment in Carson City to define the exact supportive services that we need to best serve our clients.

And then lastly, clothing, again, nothing significant was found, but if we were to make a suggestion, it would be to offer a wider variety of sizing that should not require more resources or funding here.

Our community partners and providers could really utilize messaging to make sure that they're getting the donation of sizes that they need.

So wrap this up in a beautiful nice bow, we really want to emphasize why did the assessment process matter and why are the findings going to matter.

The first part is we were really able to empower our community members and those with lived experience within the social service system to engage in the discourse about services that directly impact them.

This also allowed us to build trust with a small subset of our population that verbatim said they didn't want to engage with stuffy office people, and now they have.

So that was really awesome.

And then also having this initial assessment and all of these conversations and potential modifications to our system based on these findings, we can really show them we're dedicated to positive change and we are listening to their needs.

So that was really cool.

Also, the data adds a very, very small and initial piece to our larger social service system puzzle.

We're now our elected officials, our service providers, our wonderful program directors, we have the opportunity to innovate really creative solutions based on the gaps found in this assessment.

We've never had this type of insight before.

So starting to make those steps is helping us to complete that puzzle where we can better define what's going on over time and continue to make improvements.

And then last, continuing this assessment is going to allow us to track progress and be able to keep a pulse check on what's happening in Carson City social service system.

We now have the opportunity to see what worked here, definitely what didn't work, but also with that, what we can do better in the future to measure what is important to us.

So overall, we've set a foundation for data-driven improvements in our social service system.

Any questions?

Impressive undertaking and really appreciate the response.

I mean, this was I think it's been needed for a long time, and and it sounds like the interaction in and of itself, irrespective of what data you collected is going to be beneficial as well, which kind of is the point.

So thank you.

Yeah, and indeed, I think this study was uh something we need to better understand the dynamics of what's going on uh here in town.

Uh I would say in the suggestions department, uh, when you talk about workforce develop development, um, there's already a pretty good uh outfit that does that.

It's called Nevada Works with Milt Stewart, and and I would suggest rather than trying to stand up any sort of Carson City specific arrangement that you would work with Nevada Works.

As far as the other suggestions there, uh one through four, you know, it looks like coordination and consolidation into a government activity.

And I I'm really not interested in growing government.

Um, I know that uh having these different entities um offering, you know, a different philosophy, a different way of doing business.

I I know that makes it harder on your side because you necessarily need to keep track of that stuff, but I would say because of the individual circumstance and personalities of the folks that need the services, um it it's a pretty good system, and for the most part, uh the groups involved in doing this uh work well together.

And um I certainly wouldn't be interested in trying to consolidate and bring those services all in-house as a government activity.

Supervisor White Jeannie Freeman for the record, let me give you a response related to that.

Um our next steps are to actually present this to the Social Services Community Board that we are one member of, one part of.

Um, and maybe it would be a better way to say when we keep saying we, we're referring to that collective as a whole, not as Carson City in that sense.

It's just like we as a community, we as the social services, the diverse providers of social services within in the community.

We're not looking to have that become something that Carson City Health and Human Services or that the city would be taking on behalf for the whole community.

And you know, the idea of um the comments you made about verbatim, but basically getting in front of people that are gaming the system that was tried probably 10 years ago, and it really didn't go well.

I'm certainly not opposed to uh addressing that part of the issue, but um that's a teeter totter tight rope.

Maybe the value uh the city can offer is to help set up and establish pathways for information to flow that should be able to accomplish without taking on the burden of the responsibility ourselves.

But I think one of the things that we've seen as a board is the diversity of the people who are providing the service in the community is vast.

Um they do an amazing job, but sometimes as you found in here, there are people who fall through the cracks because of a lack of of a connection from one kind of help to another kind of help.

And maybe that's maybe that's a role the city can play, you know, within the existing framework that we have, just to make sure people can travel that, I guess to continue the metaphor, the highway and pick the right off ramp and get back on and get to another off-ramp.

And I think I feel like, and I think I said this when I was providing input.

I think that's probably the thing that's lacking the most is a full understanding from each of the people who are providing the help as to what somebody else is providing, fully understanding it.

And I mean it's human nature.

We don't, you know, these nonprofits operate small, they have a lot of volunteers, and oftentimes there's just a lack of time to make that commitment.

Maybe that's you know, something that the city could could take on and help um facilitate if there was one thing that they could do.

I would like to give me just one more second, Dr.

Lyons, please.

Um, I would like to take a moment to give a special thank you to Victoria Tardani.

She is here in the um audience with us.

She is a graduate research assistant with us from UNR.

And the next project that she's gonna start working on is updating our Carson City opioid assessment.

We're coming close to that three-year time frame.

We figured we would better to lean forward than to wait until they ask for it.

So that's gonna be the next project that she's working on.

And then one of the interns that we have this summer under our academic health department, her name is Talia.

She's actually working with some of the different uh food providers uh within our community out of our social services group, and she's gonna be developing uh recipes with some what are the food staples that they have and how people can cook those items with limited cooking up uh limited cooking utilities, like maybe just a microwave.

If they only have a microwave, how can they use this to make meals and to be able to do that?

So she's gonna be collaborating with some of our partners, and that's one of the things that from the social services assessment that we saw that we're already looking at doing because of some of the partnerships that we have.

So those are some of those activities that we're participating in.

And any other comments or questions?

No.

Um, I would just add that the social determinants of health is the big and great thing in the last decade or so, and uh one of those big social determinants of health, of course, is your education.

Um, have to have a good education to have a good job, and then your health outcomes are markedly improved.

Um, I'm wondering, did you guys speak with um Nevada Health Access uh program to provide discounted services to community members?

I don't know, Rachel, if you're a member specifically, I know that we reached out to well over a hundred and eighty different agencies to participate.

So when um you're talking about um sliding scales fees, um, the they offer a discounted program that people can enroll in and it's not so if people don't qualify because of their eligibility anyway, it's a program that we probably should have more integration with and um in our community, and then also wondering did you reach out to the Nevada Urban Indians?

Yes, we did.

They um they did participate in this.

And so I would like to say that sliding scale fees were identified, but that's because we were really trying to limit ourselves to providing solutions that were only evident from data, but leave it to other people to innovate creative solutions that could expand on that.

So um, like Jeannie said, we reached out to so many people.

I'm not sure about Nevada Health Access.

I'd have to check, but Nevada Urban Indians did participate in this process.

Okay, great, great.

So do we have a motion to?

Oh, there's this was discussion only, okay.

Then um I'll ask for any public comment.

No public comment.

Then I will close out this meeting of the Board of Health for June 4th.