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2023 Nevada Revised Statutes › Chapter 432A - Services and Facilities for Care of Children › NRS 432A.079 - Policy providing for coordination among agencies.

1. The Administrator shall establish a policy providing for coordination among all interested public, private and commercial agencies or entities to foster their cooperation in the interests of:
(a) Improving the quality of child care services offered by each participating agency and entity.
(b) Ensuring continuity in the program of community child care for each family.
(c) Reaching the maximum number of families possible within available resources, with top priority given to low-income families.
(d) Increasing opportunities for developing staff competence and career development within and between cooperating agencies and entities.
(e) Developing the most efficient, effective and economical methods for providing services to children and families.
(f) Ensuring an effective voice by parents of children receiving child care in the policy for and direction of programs.
(g) Mobilizing the resources of the community in such a manner as to ensure maximum public, private and individual commitment to provide expanded child care.
2. Such a policy must be primarily concerned with the coordination of day care and preschool programs, and also be concerned with:
(a) Availability of other needed services for children in preschool or day care programs;
(b) Availability of needed services for children of school age; and
(c) Coordination of community services with preschool or day care programs.
(Added to NRS by 1979, 885; A 2023, 1725)
2023 Nevada Revised Statutes › Chapter 432A - Services and Facilities for Care of Children › NRS 432A.080 - Cooperation with Federal Government.

The Department through the Division may make agreements, arrangements or plans to:
1. Cooperate with the Federal Government in carrying out the purposes of this chapter or of any federal statutes pertaining to child care services and programs and to this end may adopt such methods of administration as are found by the Federal Government to be necessary for the proper and efficient operation of such agreements, arrangements or plans; and
2. Comply with such conditions as may be necessary to secure benefits under those federal statutes.
(Added to NRS by 1973, 1688; A 1981, 1905; 2011, 1366)
2023 Nevada Revised Statutes › Chapter 432A - Services and Facilities for Care of Children › NRS 432A.090 - State plan for services and programs relating to child care; compliance with other requirements to obtain federal money.

The Division may develop a state plan for services and programs relating to child care and may comply with such other requirements as may be necessary to obtain federal money. In developing and revising the state plan, the Division shall consider, among other things, the amount of money available from the Federal Government and the conditions attached to the acceptance of such money, and the limitations of legislative appropriations for services and programs relating to child care.
(Added to NRS by 1973, 1688; A 1979, 884; 1981, 1906; 2011, 1366)
2023 Nevada Revised Statutes › Chapter 432A - Services and Facilities for Care of Children › NRS 432A.100 - Custody and disbursement of money received from Federal Government.

1. The State Treasurer is designated as custodian of all money received from the Federal Government for carrying out the purposes of this chapter or any agreements, arrangements or plans authorized thereby.
2. The State Treasurer shall make disbursements of such money and from all state funds available for the purposes of this chapter upon certification by the designated official of the Division.
(Added to NRS by 1973, 1688; A 1979, 884; 2011, 1366)
2023 Nevada Revised Statutes › Chapter 432A - Services and Facilities for Care of Children › NRS 432A.110 - Gift Account for Child Care Services.

1. All gifts of money which the Division is authorized to accept must be deposited in the State Treasury for credit to the Gift Account for Child Care Services in the Department of Health and Human Services’ Gift Fund. The money may be invested and reinvested and must be used in accordance with the conditions of the gift.
2. All claims must be approved by the Administrator of the Division before they are paid.
(Added to NRS by 1973, 1689; A 1979, 622; 1981, 78; 1993, 2705; 2005, 22nd Special Session, 47; 2011, 1366)
2023 Nevada Revised Statutes › Chapter 432A - Services and Facilities for Care of Children › NRS 432A.120 - Officer and employee prohibited from partisan political activities; penalty.

1. An officer or employee engaged in the administration of this chapter shall not use his or her official authority to influence or interfere with an election or affect the results thereof or for any partisan political purpose. Such an officer or employee shall not solicit or receive, or be obliged to contribute or render, any service, assistance, subscription, assessment or contribution for any political purpose.
2. Any officer or employee violating the provisions of this section shall be discharged.
(Added to NRS by 1973, 1689)
2023 Nevada Revised Statutes › Chapter 432A - Services and Facilities for Care of Children › NRS 432A.131 - Licensing and registration by counties, cities and Division; standards and regulations; waiver of compliance; notification of intent to amend or repeal ordinance.

1. Child care facilities, other than child care institutions, in any county or incorporated city where the governing body has established an agency for the licensing of child care facilities and enacted an ordinance requiring that child care facilities be licensed by the county or city need not be licensed by the Division. The licensing agency shall adopt such standards and other regulations as may be necessary for the licensing of child care facilities, and the standards and regulations:
(a) Must be not less restrictive than those adopted by the Board; and
(b) Take effect only upon their approval by the Division.
2. An agency for the licensing of child care facilities established by a city or county may waive compliance with a particular standard or other regulation by a child care facility if:
(a) The agency finds that the practices and policies of that facility are substantially equivalent to those required by the agency in its standards and other regulations; and
(b) The waiver does not allow a practice which violates a regulation adopted by the Board.
3. A governing body may adopt such standards and other regulations as may be necessary for the regulation of facilities which provide care for fewer than five children. If the standards so adopted are less restrictive than the standards for the licensure of child care facilities which have been adopted by the Board, the governing body shall not issue a license to the smaller facilities, but may register them in accordance with the standards which are less restrictive.
4. If a governing body intends to amend or repeal an ordinance providing for the licensing of child care facilities and the effect of that action will be the discontinuance of the governing body’s licensure of child care facilities, the governing body shall notify the Division of its intention to do so at least 12 months before the amendment or repeal becomes effective.
5. A child care institution must be licensed by the Division.
(Added to NRS by 1979, 885; A 1985, 1472; 1989, 280, 1481; 2007, 1192; 2011, 1366)
2023 Nevada Revised Statutes › Chapter 432A - Services and Facilities for Care of Children › NRS 432A.136 - Accommodation facilities: Adjustments allowed for minimum amount of space and minimum number of toilets required per child; required to permit parent or guardian to attend to needs of child under certain circumstances.

1. To the extent that the Board or an agency for the licensing of child care facilities established by a county or city requires a child care facility to make available a minimum amount of space per child in the facility, an accommodation facility may include the space occupied by any recreational toys that are used in the accommodation facility in satisfying the requirement for the minimum amount of space per child in the facility.
2. To the extent that the Board or an agency for the licensing of child care facilities established by a county or city requires a child care facility to make available a minimum number of toilets per child in the facility, the Board or agency shall adjust the number of toilets per child required in an accommodation facility to a number that is appropriate for accommodation facilities, taking into account the unique nature of such facilities.
3. An accommodation facility shall permit each parent or guardian of a child who is receiving care in the accommodation facility to attend to the needs of the child if the parent or guardian does so in an area of a bathroom facility that is designated for use by one person.
(Added to NRS by 2005, 2091)
2023 Nevada Revised Statutes › Chapter 432A - Services and Facilities for Care of Children › NRS 432A.141 - License: Issuance by Division; fee; duration; nontransferable; scope.

1. If, after investigation, the Division finds that an applicant is in full compliance with the provisions of this chapter and the standards and regulations adopted pursuant to this chapter, the Division shall issue to the applicant the license applied for.
2. The Division shall charge and collect a fee for each license issued for a child care facility in an amount prescribed by regulation of the Board.
3. The initial license issued by the Division may be effective for a period not exceeding 1 year from the date of issuance.
4. A license that is renewed by the Division is effective for 1 year from the date of renewal.
5. A license applies only to the person named therein and is not transferable.
6. A license issued for:
(a) An outdoor youth program is valid only for the area of operation described in the license.
(b) Any other child care facility is valid only for the premises described in the license.
(Added to NRS by 1979, 885; A 1989, 1050; 1991, 2308; 2011, 1367)
2023 Nevada Revised Statutes › Chapter 432A - Services and Facilities for Care of Children › NRS 432A.150 - License: Contents.

Each license issued by the Division must contain:
1. The name of the person or persons authorized to operate the licensed facility;
2. The location of the licensed facility or, if the license is for an outdoor youth program, the area of operation of the program; and
3. The number of beds authorized in the licensed facility, the nature of services offered and the service delivery capacity.
(Added to NRS by 1979, 885; A 1991, 2308; 2011, 1367)
2023 Nevada Revised Statutes › Chapter 432A - Services and Facilities for Care of Children › NRS 432A.1756 - Registration of small child care establishment with Division of Welfare and Supportive Services of Department; certain persons prohibited from operating establishment.

1. A person, state or local government unit or agency thereof that wishes to operate or operates a small child care establishment may register the small child care establishment with the Division of Welfare and Supportive Services of the Department by submitting to the Division of Welfare and Supportive Services on the Internet website of the Division of Welfare and Supportive Services the following information:
(a) The name, address and contact information of the operator of the small child care establishment;
(b) The name and address of the small child care establishment;
(c) An affirmation that the operator of the small child care establishment is in compliance with subsection 2; and
(d) Such additional information as the Division of Welfare and Supportive Services deems necessary.
2. A person shall not serve as the operator of a registered small child care establishment if the person has been convicted of a crime listed in subsection 2 of NRS 432A.170 or has had a substantiated report of child abuse or neglect made against him or her.
(Added to NRS by 2017, 1701)
2023 Nevada Revised Statutes › Chapter 432A - Services and Facilities for Care of Children › NRS 432A.1757 - Licensees of certain child care facilities required to adopt certain policies relating to medical care and medications for children and to ensure employees receive copy of and understand policy.

1. A licensee that operates a child care facility which occasionally or regularly has physical custody of children pursuant to the order of a court, including, without limitation, an emergency shelter, shall adopt a policy concerning the manner in which to:
(a) Document the orders of the treating physician of a child;
(b) Administer medication to a child;
(c) Store, handle and dispose of medication;
(d) Document the administration of medication and any errors in the administration of medication;
(e) Minimize errors in the administration of medication; and
(f) Address errors in the administration of medication.
2. The licensee shall ensure that each employee of the child care facility who will administer medication to a child at the child care facility receives a copy of and understands the policy adopted pursuant to subsection 1.
(Added to NRS by 2011, 1361)
2023 Nevada Revised Statutes › Chapter 432A - Services and Facilities for Care of Children › NRS 432A.1759 - Certain child care facilities required to treat child in accordance with gender identity or expression; regulations concerning placement in facility.

1. A child care facility which occasionally or regularly has physical custody of children pursuant to the order of a court, including, without limitation, an emergency shelter, shall treat each child who is placed in the facility in all respects in accordance with the child’s gender identity or expression.
2. The Division of Child and Family Services of the Department shall adopt regulations establishing factors for a court to consider before placing a child in the custody of a child care facility and protocols for a child care facility to follow when placing a child within the facility that ensure that each child who is so placed is placed in a manner that is appropriate for the gender identity or expression of the child. Such regulations must be adopted in consultation with:
(a) Lesbian, gay, bisexual, transgender and questioning children who are currently residing in foster homes, facilities for the detention of children, child care facilities, mental health facilities and receiving centers or who have resided in such settings;
(b) Representatives of each agency which provides child welfare services in this State;
(c) Representatives of state and local facilities for the detention of children;
(d) Representatives of lesbian, gay, bisexual, transgender and questioning persons;
(e) Attorneys, including, without limitation, attorneys who regularly represent children in child welfare or criminal proceedings;
(f) Representatives of juvenile courts and family courts;
(g) Advocates of children; and
(h) Any other person deemed appropriate by the Division of Child and Family Services of the Department.
3. A court shall consider the factors prescribed in the regulations adopted pursuant to subsection 2 before placing a child in a child care facility.
4. A child care facility, including, without limitation, an emergency shelter, which has physical custody of a child pursuant to the order of a court shall follow the protocols prescribed in the regulations adopted pursuant to subsection 2 when placing the child within the facility.
5. As used in this section:
(a) "Agency which provides child welfare services" has the meaning ascribed to it in NRS 432B.030.
(b) "Foster home" has the meaning ascribed to it in NRS 424.014.
(c) "Gender identity or expression" has the meaning ascribed to it in NRS 424.0145.
(d) "Receiving center" has the meaning ascribed to it in NRS 424.0175.
(Added to NRS by 2017, 24; A 2021, 2650)
2023 Nevada Revised Statutes › Chapter 432A - Services and Facilities for Care of Children › NRS 432A.176 - Licensee of child care facility required to ensure employee is in presence of independent contractor when child present.

1. A licensee of a child care facility shall ensure that an employee of the child care facility is in the presence of an independent contractor retained by the child care facility during any period in which the independent contractor is performing any services at the child care facility when a child is present.
2. The employee of the child care facility who is required to be in the presence of the independent contractor pursuant to subsection 1:
(a) Must be qualified to supervise the children at the child care facility; and
(b) Shall, during the period for which the independent contractor is performing the services at the child care facility, supervise and ensure the safety of each child at the child care facility.
(Added to NRS by 2017, 4209)
2023 Nevada Revised Statutes › Chapter 432A - Services and Facilities for Care of Children › NRS 432A.177 - Licensees of certain child care facilities required to ensure training of employees who have direct contact with children; regulations.

1. A licensee that operates a child care facility which occasionally or regularly has physical custody of children pursuant to the order of a court, including, without limitation, an emergency shelter, shall ensure that each employee who comes into direct contact with children in the facility receives training within 90 days after employment and annually thereafter. Such training must be approved by the licensing authority and include, without limitation, instruction concerning:
(a) Controlling the behavior of children;
(b) Policies and procedures concerning the use of force and restraint on children;
(c) The rights of children in the facility;
(d) Suicide awareness and prevention;
(e) The administration of medication to children;
(f) Applicable state and federal constitutional and statutory rights of children in the facility;
(g) Policies and procedures concerning other matters affecting the health, welfare, safety and civil and other rights of children in the facility;
(h) Working with lesbian, gay, bisexual, transgender and questioning children; and
(i) Such other matters as required by the Board.
2. The Board shall adopt regulations necessary to carry out the provisions of this section.
(Added to NRS by 2007, 1191; A 2017, 25)
2023 Nevada Revised Statutes › Chapter 432A - Services and Facilities for Care of Children › NRS 432A.1771 - Adoption of regulations concerning providing space for breastfeeding and program of physical activity.

1. The Board shall adopt regulations that:
(a) Require each licensee that operates a child care facility to provide an appropriate, private space on the premises of the child care facility where a mother may breastfeed.
(b) Require each licensee that operates a child care facility, other than an accommodation facility or a child care institution, to provide a program of physical activity that:
(1) Ensures that all children receive daily periods of moderate or vigorous physical activity that are appropriate for the age of the child;
(2) Limits the amount of sedentary activity, other than meals, snacks and naps, that children engage in each day; and
(3) Allows for specialized plans for children with special needs or who have disabilities.
(c) Prohibit an employee of or a licensee who operates a child care facility from withholding or requiring a child to participate in physical activity as a form of discipline.
2. As used in this section:
(a) "Moderate or vigorous physical activity" means activity that significantly uses arms or legs, including, without limitation, brisk walking, skipping, bicycling, hiking, dancing, kicking a ball, gardening, running, jumping, playing tag, chasing games, soccer, basketball and swimming.
(b) "Sedentary activity" means activity that does not significantly use arms or legs or provide significant exercise, including, without limitation, sitting, standing, reading, playing a board game, riding in a wagon or drawing.
(Added to NRS by 2015, 1542)
2023 Nevada Revised Statutes › Chapter 432A - Services and Facilities for Care of Children › NRS 432A.1773 - Licensee or person responsible for daily operation, administration or management of child care facility: Registration required; qualifications.

1. A licensee of a child care facility, or a person appointed by the licensee, who is responsible for the daily operation, administration or management of a child care facility must:
(a) Be at least 21 years of age and:
(1) Hold an associate’s degree or a higher degree in early childhood education and have at least 1,000 hours of verifiable experience in a child care facility;
(2) Hold an associate’s degree or a higher degree in any field other than early childhood education, have completed at least 15 semester hours in early childhood education or related courses and have at least 2,000 hours of verifiable experience in a child care facility;
(3) Hold a high school diploma or, if approved by the Administrator, a general educational development certificate, have completed at least 15 semester hours in early childhood education or related courses and have at least 3,000 hours of experience in a child care facility;
(4) Hold a current credential as a "Child Development Associate" with an endorsement for preschool age children or infants or toddlers, as appropriate, which has been issued by the Council for Professional Recognition, or its successor organization, and have at least 2,000 hours of verifiable experience in a child care facility; or
(5) Have a combination of education and experience which, in the judgment of the Administrator, is equivalent to that required by subparagraph (1), (2), (3) or (4);
(b) Have at least 1,000 verifiable hours in an administrative position or have completed a course or other training in business administration; and
(c) Within 90 days after the licensee or person appointed by the licensee commences service as the director of a child care facility, apply to the Nevada Registry or its successor organization, and annually renew his or her registration before the date on which it expires.
2. As used in this section, "Nevada Registry" means the organization that operates the statewide system of career development and recognition created to:
(a) Acknowledge and encourage professional achievement in the early childhood care and education workforce in this State;
(b) Establish a professional development system in this State for the field of early childhood care and education;
(c) Approve and track all informal training in the field of early childhood care and education in this State; and
(d) Act as a statewide clearinghouse of information concerning the field of early childhood care and education.
(Added to NRS by 2013, 736; A 2023, 1725)
2023 Nevada Revised Statutes › Chapter 432A - Services and Facilities for Care of Children › NRS 432A.1774 - "Child care facility" further defined for purposes of NRS 432A.1775 and 432A.1776.

As used in NRS 432A.1775 and 432A.1776, unless the context otherwise requires, "child care facility":
1. Has the meaning ascribed to it in NRS 432A.024; and
2. Includes an establishment described in paragraph (a) of subsection 1 of NRS 432A.024 that is operated and maintained for the purpose of furnishing care to fewer than five children under 18 years of age, if compensation is received for the care of any of those children.
(Added to NRS by 2017, 4209)
2023 Nevada Revised Statutes › Chapter 432A - Services and Facilities for Care of Children › NRS 432A.1775 - Employees of certain facilities to complete training.

1. Each person who is employed in a child care facility, other than in a facility that provides care for ill children, shall, in addition to completing the training required by NRS 432A.1776, complete 24 hours of training each year.
2. At least:
(a) Twelve hours of the training required by subsection 1 each year must be devoted to the care, education and safety of children specific to the age group served by the child care facility in which the person is employed and must be approved in accordance with regulations adopted by the Board; and
(b) Two hours of the training required by subsection 1 each year must be devoted to the lifelong wellness, health and safety of children and must include training relating to childhood obesity, nutrition and physical activity.
3. As used in this section:
(a) "Chronic disease" means a health condition or disease which presents for a period of 3 months or more or is persistent, indefinite or incurable.
(b) "Obesity" means a chronic disease characterized by an abnormal and unhealthy accumulation of body fat which is statistically correlated with premature mortality, hypertension, heart disease, diabetes, cancer and other health conditions, and may be indicated by:
(1) A body mass index of 30 or higher in adults;
(2) A body mass index that is greater than two standard deviations above the World Health Organization’s growth standard for children who are at least 5 but less than 19 years of age, or greater than three standard deviations above the standard for children who are less than 5 years of age;
(3) A body fat percentage greater than 25 percent for men or 32 percent for women; or
(4) A waist size of 40 inches or more for men or 35 inches or more for women.
(Added to NRS by 2011, 408; A 2013, 736; 2017, 1335, 4214)
2023 Nevada Revised Statutes › Chapter 432A - Services and Facilities for Care of Children › NRS 432A.1776 - Employee of child care facility required to complete training concerning child abuse and neglect.

Each person who is employed in a child care facility shall complete at least 2 hours of training in the recognition and reporting of the abuse or neglect of a child, as defined in NRS 432B.020:
1. Within 90 days after commencing his or her employment in a child care facility; and
2. At least once every 5 years thereafter.
(Added to NRS by 2017, 4209)
2023 Nevada Revised Statutes › Chapter 432A - Services and Facilities for Care of Children › NRS 432A.1777 - Child care facility required to give priority in admission to children of certain members of Armed Forces.

A child care facility shall, to the extent authorized by federal law, give priority in admission to a child whose application for admission includes official documentation from the Federal Government that his or her:
1. Parent or guardian is currently serving on active duty in the Armed Forces of the United States;
2. Parent was killed or died as a direct result of injuries received while serving honorably on active duty in the Armed Forces of the United States; or
3. Parent was reported as a prisoner of war or missing in action while serving honorably on active duty in the Armed Forces of the United States and is currently or has, within 180 days before the date on which the application for admission of the child is submitted, been a prisoner of war or missing in action under such circumstances.
(Added to NRS by 2017, 215)
2023 Nevada Revised Statutes › Chapter 432A - Services and Facilities for Care of Children › NRS 432A.178 - Child care facility required to maintain certain information; reporting of information to parents and guardians; notice of right to information.

1. A child care facility shall maintain a copy of:
(a) The license issued to the facility by the Division or an agency for the licensing of child care facilities established by a county or incorporated city;
(b) Any summaries of complaints provided to the facility pursuant to subsection 3 of NRS 432A.190;
(c) The report of any investigation conducted with respect to the complaints; and
(d) The report of any disciplinary action taken against the facility pursuant to NRS 432A.190.
2. The information maintained pursuant to subsection 1 must be provided in the form prescribed pursuant to subsection 3:
(a) To the parent or guardian of a child who enrolls the child in the facility, at or before the time of enrollment.
(b) To the parent or guardian of a child, upon request, who is considering enrolling the child in the facility.
(c) In the case of disciplinary action taken pursuant to NRS 432A.190, to the parents or guardians of all children admitted to the facility. Notice of disciplinary action must be provided to the parents or guardians of the children admitted to the facility within 3 working days after receipt by the licensed child care facility.
3. The Division shall develop a standard form for reporting the information required to be provided pursuant to subsection 2. The information reported on the form must include all required information for the 12-month period ending on the last day of the month immediately preceding the month in which the information is provided.
4. The Division and every agency for the licensing of child care facilities established by a county or incorporated city shall inform persons seeking information concerning child care facilities of their right to information pursuant to this section.
(Added to NRS by 2007, 269; A 2011, 1370)
2023 Nevada Revised Statutes › Chapter 432A - Services and Facilities for Care of Children › NRS 432A.180 - Inspection of child care facilities and small child care establishments by Division, State Fire Marshal and Administrator; publication and availability of reports of certain inspections.

1. Any authorized member or employee of the Division may enter and inspect any building or premises of a child care facility or small child care establishment, whether registered or not, or the area of operation of an outdoor youth program at any time to secure compliance with or prevent a violation of any provision of this chapter.
2. The State Fire Marshal or a designee of the State Fire Marshal, which may include a local fire agency that meets an industry standard accepted by the State Fire Marshal, may, in accordance with regulations adopted by the Board:
(a) Enter and inspect every building or premises of a child care facility, on behalf of the Division; and
(b) Observe and make recommendations regarding the drills conducted pursuant to NRS 432A.077,
to secure compliance with standards for safety from fire and other emergencies.
3. The Administrator or a designee of the Administrator shall enter and inspect at least annually, every building or premises of a child care facility and area of operation of an outdoor youth program to secure compliance with laws and regulations concerning the health, safety and welfare of children in the care of the facility or program.
4. The annual inspection of any child care facility which occasionally or regularly has physical custody of children pursuant to the order of a court must include, without limitation, an inspection of all areas where food is prepared and served, bathrooms, areas used for sleeping, common areas and areas located outdoors that are used by children at the child care facility. The Administrator shall publish reports of the inspections and make them available for public inspection upon request.
(Added to NRS by 1979, 886; A 1985, 1474; 1991, 2310; 1997, 1268; 2007, 1192; 2011, 1371; 2017, 1706, 4215; 2023, 1726)
2023 Nevada Revised Statutes › Chapter 432A - Services and Facilities for Care of Children › NRS 432A.182 - Authority of Division to collect cost of investigating substantiated complaint; use of money collected.

1. If a complaint against a child care facility, a small child care establishment or a person who operates a child care facility without a license, or a person who operates a small child care establishment, whether registered or not, is substantiated, the Division may charge and collect from the facility, establishment or person the actual cost incurred by the Division relating to the violation, including the actual cost of conducting an inspection or investigation of the facility, establishment or person.
2. Any money collected pursuant to subsection 1 may be used by the Division to administer and carry out the provisions of this chapter and the regulations adopted pursuant thereto.
(Added to NRS by 2017, 1701)
2023 Nevada Revised Statutes › Chapter 432A - Services and Facilities for Care of Children › NRS 432A.184 - Regulations concerning system for rating child care facilities based on inspections; posting of rating and report after inspection.

1. The Division shall adopt regulations establishing:
(a) A system for rating child care facilities based on inspections conducted pursuant to subsection 3 of NRS 432A.180. The rating system must provide for the assignment of a letter grade of A, B, C, D or F to each child care facility based on the facility’s compliance with applicable laws and regulations and the severity of any violations.
(b) Procedures by which a child care facility that is assigned a grade of C, D or F may request a follow-up inspection.
2. Not later than 60 days after an inspection of a child care facility pursuant to subsection 3 of 432A.180, the Division shall post on an Internet website maintained by the Division a report which must include:
(a) The letter grade assigned to the child care facility based on the inspection; and
(b) A report of each unresolved violation of an applicable law or regulation, proposed actions to correct the violation and the date by which the child care facility is expected to correct the violation.
3. After each inspection described in subsection 1, a child care facility shall post the letter grade assigned to the facility in a conspicuous place near each entrance to the facility that is regularly used by the public and inform any person of that letter grade upon request.
(Added to NRS by 2017, 4209)
2023 Nevada Revised Statutes › Chapter 432A - Services and Facilities for Care of Children › NRS 432A.186 - Administrative sanctions: Imposition by Division; disposition of money collected.

1. If a child care facility violates any law or regulation related to its licensure, including any provision of this chapter or any condition, standard or regulation adopted by the Board, the Division, in accordance with the regulations adopted pursuant to NRS 432A.188, may:
(a) Prohibit the facility from accepting additional children until it determines that the facility has corrected the violation;
(b) Limit the number of children to which the facility may provide care until it determines that the facility has corrected the violation;
(c) Impose an administrative penalty of not more than $1,000 per day for each violation, together with interest thereon at a rate not to exceed 10 percent per annum;
(d) Appoint temporary management to oversee the operation of the facility and to ensure the health and safety of the children to whom the facility provides care until:
(1) It determines that the facility has corrected the violation and has management which is capable of ensuring continued compliance with the applicable statute, condition, standard or regulation; or
(2) Improvements are made to correct the violation; or
(e) Impose any combination of the sanctions prescribed in paragraphs (a) to (d), inclusive.
2. If the child care facility fails to pay any penalty imposed pursuant to paragraph (c) of subsection 1, the Division may:
(a) Suspend the license of the facility until the penalty is paid; and
(b) Collect court costs, reasonable attorney’s fees and other costs incurred to collect the penalty.
3. The Division may require any child care facility that violates any provision of this chapter, or any condition, standard or regulation adopted by the Board to make any improvements necessary to correct the violation.
4. Any money collected as an administrative penalty pursuant to paragraph (c) of subsection 1 must be accounted for separately and used to administer and carry out the provisions of this chapter, to protect the health, safety, well-being and property of the children to which child care facilities provide care in accordance with applicable standards or for any other purpose authorized by the Legislature.
(Added to NRS by 2017, 4210)
2023 Nevada Revised Statutes › Chapter 432A - Services and Facilities for Care of Children › NRS 432A.188 - Administrative sanctions: Regulations of Board.

The Board shall adopt regulations establishing the criteria for the imposition of each sanction prescribed by NRS 432A.186. These regulations must:
1. Prescribe the circumstances and manner in which each sanction applies;
2. Minimize the time between identification of a violation and the imposition of a sanction;
3. Provide for the imposition of incrementally more severe sanctions for repeated or uncorrected violations; and
4. Provide for less severe sanctions for lesser violations of applicable statutes, conditions, standards or regulations.
(Added to NRS by 2017, 4210)
2023 Nevada Revised Statutes › Chapter 432A - Services and Facilities for Care of Children › NRS 432A.200 - Denial, suspension or revocation of license or imposition of administrative sanction: Notice; hearing.

1. When the Division denies, suspends or revokes a license for a child care facility or imposes an administrative sanction pursuant to NRS 432A.186, the Division shall afford reasonable notice to all parties by certified mail, which notice must contain the legal authority, jurisdiction and reasons for the action taken.
2. The aggrieved person may file notice of appeal with the Administrator of the Division or a designee of the Administrator within 10 calendar days after receipt of notice of action of the Division.
3. Within 20 calendar days after the receipt of the notice of appeal, the Administrator of the Division or a designee of the Administrator shall hold a hearing.
4. Notice of the hearing must be given no less than 5 days before the date set for the hearing.
(Added to NRS by 1979, 886; A 2011, 1373; 2017, 4215)
2023 Nevada Revised Statutes › Chapter 432A - Services and Facilities for Care of Children › NRS 432A.210 - Operation of child care facility without license or with suspended license: Issuance of cease and desist order; injunctive relief; civil penalties; use of money.

1. If the Division believes that a person, state or local government unit or agency thereof is operating a child care facility without a license or with a suspended license, the Division may issue an order to cease and desist the operation of the facility. The order must be served upon the person, state or local government unit or agency thereof by personal delivery or by certified or registered mail, return receipt requested. The order is effective upon service.
2. If the person, state or local government unit or agency thereof does not cease operating the child care facility without a license or apply for licensure within 30 days after the date of service of the order issued pursuant to subsection 1 or does not cease operating the child care facility with a suspended license, as applicable, the Division may bring an action in the name of the State to enjoin the person, state or local government unit or agency thereof from operating or maintaining the child care facility without a license or with a suspended license.
3. It is sufficient in such an action to allege that the defendant did, on a certain date and in a certain place, operate and maintain the facility without a license.
4. Upon a showing by the Division that a person, state or local government unit or agency thereof is operating a child care facility without a license or with a suspended license, a court may:
(a) Enjoin the person, state or local government unit or agency thereof from operating the facility.
(b) Impose a civil penalty on the person, state or local government unit or agency thereof, to be recovered by the Division, of not more than $10,000 for the first offense or not less than $10,000 or more than $25,000 for a second or subsequent offense.
5. Any money collected as an administrative penalty pursuant to subsection 4 must be accounted for separately and used to administer and carry out the provisions of this chapter, to protect the health, safety, well-being and property of the children to which child care facilities provide care in accordance with applicable standards or for any other purpose authorized by the Legislature.
(Added to NRS by 1979, 887; A 2011, 1373; 2017, 4215)
2023 Nevada Revised Statutes › Chapter 432A - Services and Facilities for Care of Children › NRS 432A.220 - Operation of child care facility without license: Criminal penalty.

Any person who operates a child care facility without a license issued pursuant to NRS 432A.131 to 432A.220, inclusive, is guilty of a misdemeanor.
(Added to NRS by 1979, 887; A 1991, 482; 2005, 2092; 2007, 1193; 2009, 930; 2011, 1362; 2013, 737; 2017, 25, 1707, 4216)
2023 Nevada Revised Statutes › Chapter 432A - Services and Facilities for Care of Children › NRS 432A.230 - Certificate of immunization prerequisite to admission to child care facility; conditional admission; report to Division of Public and Behavioral Health.

Except as otherwise provided in NRS 432A.235 for accommodation facilities:
1. Except as otherwise provided in subsection 3 and unless excused because of religious belief or medical condition, a child may not be admitted to any child care facility within this State, including a facility licensed by a county or city, unless the parents or guardian of the child submit to the operator of the facility a certificate stating that the child has been immunized and has received proper boosters for that immunization or is complying with the schedules established by regulation pursuant to NRS 439.550 for the following diseases:
(a) Diphtheria;
(b) Tetanus;
(c) Pertussis if the child is under 6 years of age;
(d) Poliomyelitis;
(e) Rubella;
(f) Rubeola; and
(g) Such other diseases as the local board of health or the State Board of Health may determine.
2. The certificate must show that the required vaccines and boosters were given and must bear the signature of a licensed physician or his or her designee or a registered nurse or his or her designee, attesting that the certificate accurately reflects the child’s record of immunization.
3. A child whose parent or guardian has not established a permanent residence in the county in which a child care facility is located and whose history of immunization cannot be immediately confirmed by a physician in this State or a local health officer, may enter the child care facility conditionally if the parent or guardian:
(a) Agrees to submit within 15 days a certificate from a physician or local health officer that the child has received or is receiving the required immunizations; and
(b) Submits proof that the parent or guardian has not established a permanent residence in the county in which the facility is located.
4. If a certificate from the physician or local health officer showing that the child has received or is receiving the required immunizations is not submitted to the operator of the child care facility within 15 days after the child was conditionally admitted, the child must be excluded from the facility.
5. Before December 31 of each year, each child care facility shall report to the Division of Public and Behavioral Health of the Department, on a form furnished by that Division, the exact number of children who have:
(a) Been admitted conditionally to the child care facility; and
(b) Completed the immunizations required by this section.
(Added to NRS by 1979, 318; A 1987, 1336; 1989, 1849; 1995, 809; 2005, 2092; 2023, 1727)
2023 Nevada Revised Statutes › Chapter 432A - Services and Facilities for Care of Children › NRS 432A.240 - Exemption from immunization when contrary to religious belief.

If the religious belief of a child’s parents or guardian prohibits the immunization of the child as required by NRS 432A.230 or 432A.235, a written statement of this fact signed by the parents or guardian and presented to the operator of the facility exempts the child from the provisions of that section for purposes of admission.
(Added to NRS by 1979, 319; A 2005, 2093)
2023 Nevada Revised Statutes › Chapter 432A - Services and Facilities for Care of Children › NRS 432A.250 - Exemption from immunization because of medical condition.

If the medical condition of a child will not permit the child to be immunized to the extent required by NRS 432A.230 or 432A.235, a written statement of this fact signed by a licensed physician or advanced practice registered nurse and presented to the operator of the facility by the parents or guardian of such child exempts such child from all or part of the provisions of NRS 432A.230 or 432A.235, as the case may be, for purposes of admission.
(Added to NRS by 1979, 319; A 2005, 2093; 2017, 1746)
2023 Nevada Revised Statutes › Chapter 432A - Services and Facilities for Care of Children › NRS 432A.260 - Additional requirements for immunization imposed after admission; additional certificate or documentation required.

If, after a child has been admitted to a child care facility, including a facility licensed by a county or city, additional immunization requirements are provided by law, the child’s parents or guardian shall submit an additional certificate or certificates or, if the facility is an accommodation facility, additional written documentation in a form authorized pursuant to NRS 432A.235 to the operator of the facility stating that such child has met the new immunization requirements.
(Added to NRS by 1979, 319; A 2005, 2093)
2023 Nevada Revised Statutes › Chapter 432A - Services and Facilities for Care of Children › NRS 432A.270 - Protection of child exempt from immunization if dangerous disease exists in facility.

Whenever the State Board of Health or a local board of health determines that there is a dangerous contagious disease in a child care facility attended by a child for whom exemption from immunization is claimed pursuant to the provisions of NRS 432A.240 or 432A.250, the operator of the facility shall require either:
1. That the child be immunized; or
2. That the child remain outside the school environment and the local health officer be notified.
(Added to NRS by 1979, 319)
2023 Nevada Revised Statutes › Chapter 432A - Services and Facilities for Care of Children › NRS 432A.280 - Penalty for refusal to remove child from child care facility when required by law.

Any parent or guardian who refuses to remove his or her child from the child care facility to which the child has been admitted when retention in the facility is prohibited under the provisions of NRS 432A.230, 432A.235, 432A.260 or 432A.270 is guilty of a misdemeanor.
(Added to NRS by 1979, 319; A 2005, 2093)
2023 Nevada Revised Statutes › Chapter 432A - Services and Facilities for Care of Children › NRS 432A.320 - Definitions.

As used in NRS 432A.320 to 432A.560, inclusive, unless the context otherwise requires, the words and terms defined in NRS 432A.330 to 432A.370, inclusive, have the meanings ascribed to them in those sections.
(Added to NRS by 1991, 2301)
2023 Nevada Revised Statutes › Chapter 432A - Services and Facilities for Care of Children › NRS 432A.340 - "Field administrator" defined.

"Field administrator" means a person who is responsible for:
1. The management of a base camp for an outdoor youth program;
2. The supervision of the staff of the program; and
3. The daily operation of the program.
(Added to NRS by 1991, 2301)
2023 Nevada Revised Statutes › Chapter 432A - Services and Facilities for Care of Children › NRS 432A.370 - "Support staff" defined.

"Support staff" means persons responsible for the delivery of supplies and mail to the participants in an outdoor youth program, the facilitation of communication between the base camp and groups on expeditions, and the provision of assistance to field staff in the administration of first aid.
(Added to NRS by 1991, 2301)