General
The State Board of Health will grant a variance from a regulation only if it finds from the evidence presented at the hearing that:
(a)There are circumstances or conditions which:
1. Are unique to the applicant;
2. Do not generally affect other persons subject to the regulation;
3. Make compliance with the regulation unduly burdensome; and
4. Cause a hardship to and abridge a substantial property right of the applicant; and
(b) Granting the Variance:
1. Is necessary to render substantial justice to the applicant and enable him to preserve and enjoy his property; and
2. Will not be detrimental or pose a danger to public health and safety.
- Constructing a new food service establishment;
- Converting an existing structure for use as a food establishment;
- Remodeling an existing food service establishment.
• Where the incident happened – the type and name of the facility, where in the facility the incident happened (room number, unit, service area).
• The date the incident happened and names of staff or other people involved in the incident or who saw or heard the incident.
• Details about the incident. Include the reasons for your complaint and what you want the department to do about your complaint. Be specific about what happened to you, what you saw or heard, the time or part of the day (morning, afternoon, evening, night) and other information you feel is important. Give as much information as you can. If possible, include the name, address and phone number of each person who saw or heard the incident.
Most investigations consist of going to the facility, reviewing records, reviewing the facility's policies and procedures, reviewing any facility documents related to the incident, interviewing staff and depending on the incident observing staff. We collect all the appropriate information, including notes made during the visit and write a report of our findings. When we identify violations of law or rule we consult with management and facility program experts on the best approach to resolve the violations. Once we reach a decision on how to resolve the violations, the facility is informed. We also document the complainant regarding what our investigation found and what actions we took to resolve any violations.
Reporting a foodborne illness
Not all foodborne illnesses are the same. It occurs when food is contaminated with a harmful substance, such as bacteria, virus, parasites, natural toxins, or chemicals.
Some substances cause illness within minutes, while others take several hours, days or even weeks. For example, Salmonella bacteria usually take 12-72 hours after ingestion to cause illness. So remember, it’s not always the last food eaten that caused illness. The food that caused the illness may actually have been eaten several days before the illness began.
Symptoms of foodborne illness:
Common Symptoms | Frequent Symptoms | Unusual Symptoms |
Vomiting | Fever | Irregular Heartbeat |
Diarrhea | Headache | Flushing of skin |
Nausea | Chills | Difficulty Breathing |
Abdominal Cramps | Muscle Aches | Paralysis |
Dizziness |
Foodborne illness is not always the cause for vomiting or diarrhea. If you share a meal with someone and you both get sick, it’s likely that you are both suffering from a foodborne illness.
However, the more time you spend with another person, such as sharing the same residence or workplace, the more likely it is that you will both be exposed to the same illness. Many gastrointestinal illnesses, especially those that are viral, are not caused by food or drink.
People who work as food/beverage handlers should not handle food to be served to the public if they have specific foodborne illness symptoms or if they have been diagnosed with any illness that can be transmitted through food or food handling.
If you believe your illness was caused by eating prepackaged foods that were manufactured outside of Nevada, call the FDA at 1 (510) 337-6741. For Help with Non-Meat Food Products (Cereals, Fish, Produce, Fruit Juice, Pastas, Cheeses, etc): For complaints about food products which do not contain meat or poultry — such as cereal — call or write to the Food and Drug Administration (FDA). The FDA's Center for Food Safety and Applied Nutrition can be reached at 1-888-723-3366.
If you believe your illness was caused by eating meat, poultry and egg products you purchased at a federally inspected establishments and prepared at home, call the toll-free USDA Meat and Poultry Hotline at 1-888-MPHotline (1-888-674-6854) or report the complaint online.
When you call, be prepared to answer some questions. The interview may take 10-15 minutes to complete. You will be asked to provide details about the ill person(s), what they ate during the 72 hours before getting ill, and the symptoms they are experiencing. You will be asked to describe the symptoms, when they started, how long they lasted, and if you were seen by a health care provider. You may also be asked about recent travel, pet ownership and exposure to drinking and recreational water.
Note: If you have questions or concerns about your health you should consult your health care provider.
The inspector will review their food handling practices, including how the foods you consumed were handled and prepared. Corrective action will be taken on any food facility that is practicing food handling practices that facilitate foodborne illness spread.
Salmonela Typhi
Nontyphoidal Salmonella (NTS)
Shiga toxin-producing Escherichia coli (STEC), also known as E. coli
Hepatitis A
Norovirus
Nontyphoidal Salmonella
Shigella spp.
Shiga toxin-producing Escherichia coli
New and Remodeled Food Establishment Construction
Prior to construction or remodeling of a food service establishment, the Board of Health Office must complete a plan review process
- To initiate a plan review process, you must complete and submit the following items:
- New or Remodeled Food Service Establishment Construction Plan Review Application
- A copy of your menu or list of foods for sale or service
- Floor plan of proposed establishment and/or remodeling changes drawn to scale
- Equipment specifications including refrigeration units dimensions, make and model number
- If the establishment utilizes a septic system and/or well or public water system, approval has been obtained to use the sewage system and/or water supply
1. Construction debris removed.
2. All hand sinks stocked with soap, paper towels and waste receptacle.
3. Tempered hot and cold running water under pressure must be provided to all required plumbing fixtures.
3. Thoroughly clean and sanitize all food contact surfaces, refrigerators, freezers, cooking and hot-holding equipment.
4. Thoroughly clean all non-food contact surfaces.
5. Clean and sanitize ice machines and ice bins. (After sanitizing, run several batches of ice through the ice machine and discard these batches).
6. Thermometers must be available in all refrigerators and freezers.
7. Metal-stem thermometers measuring from 0-220 degrees F must be available for monitoring cooking, and hot/cold holding temperatures.
8. Ensure all cold holding and hot holding equipment is operating properly. All cold and hot holding equipment should be turned on and cooled or heated to the proper temperature prior to the inspection. There must not be any food present during this inspection.
9. Sanitizer and Sanitizer buckets must be present in the establishment
On the day of the scheduled inspection, if the above items are not completed or you are not ready to operate, call to reschedule your inspection.
Hazards Analysis Critical Control Point (HACCP) Plans
2. Determine the Critical Control Points.
3. Establish Critical Limits.
4. Establish a system to monitor control of the CCP.
5. Establish corrective actions.
6. Establish procedures for verification to confirm the system is working.
7. Establish records for documentation purposes.
Nevada Clean Indoor Air Act
In 2006, the U.S. Surgeon General released a comprehensive report stating that there is no risk-free level of secondhand smoke exposure.
(a) Areas within casinos where loitering by minors is already prohibited by state
law pursuant to NRS 463.350;
(b) Completely enclosed areas with stand-alone bars, taverns and saloons in which
patrons under 21 years of age are prohibited from entering;
(c) Age-restricted stand-alone bars, taverns and saloons;
(d) Strip clubs or brothels;
(e) Retail tobacco stores;
(f) The area of a convention facility in which a meeting or trade show is being
held, during the time the meeting or trade show is occurring, if the meeting or
trade show:
(1) Is not open to the public;
(2) Is being produced or organized by a business relating to tobacco or a
professional association for convenience stores; and
(3) Involves the display of tobacco products; and
(g) Private residences, including private residences which may serve as an office
workplace, except if used as a child care, an adult day care or a health care
facility.