reglab/statecodes huggingface dataset:
Nevada Administrative Code › Chapter 449 - Medical and Other Related Facilities › COMMUNITY HEALTH WORKER POOLS › Section 449.39583 - Qualifications of community health worker

Current through June 11,
			 2024
Each community health worker employed or retained pursuant to a
				contract by a community health worker pool must:
1. Be at least 18 years of age;
2. Demonstrate the ability to provide the
			 services of a community health worker;
3. Understand the provisions of this chapter
			 and chapter 449 of NRS;
4.
			 Demonstrate the ability to read, write, speak and communicate effectively with
			 the clients of the community health worker pool;
5. Provide to the community health worker
			 pool and maintain documentation of either:
(a) A certificate of completion evidencing
			 the successful completion of an initial training course for community health
			 workers which is not less than 30 hours and is approved by the Division; or
(b) Certification as a community
			 health worker by an accrediting body approved by the Division;
Nevada Administrative Code › Chapter 449 - Medical and Other Related Facilities › COMMUNITY HEALTH WORKER POOLS › Section 449.39585 - Personnel files for community health workers

Current through
			 June 11, 2024
1. A
			 separate personnel file must be kept for each community health worker employed
			 or retained pursuant to a contract by a community health worker pool and must
			 include, without limitation:
(a) The name,
			 address and telephone number of the community health worker;
(b) The date on which the community health
			 worker began working for the community health worker pool;
(c) Documentation satisfactory to the
			 Division that the community health worker has been screened for communicable
			 diseases as described in NAC
			 441A.375;
(d) Evidence of compliance with
			 NRS
			 449.123 by the administrator of the community
			 health worker pool or the person licensed to operate the community health
			 worker pool with respect to the community health worker;
(e) Proof that, within 6 months after the
			 community health worker began working for the community health worker pool, the
			 community health worker obtained a certificate in first aid and cardiopulmonary
			 resuscitation issued by the American National Red Cross or an equivalent
			 certificate approved by the Division and proof that such certification has been
			 maintained current;
(f) Proof that
			 the community health worker is at least 18 years of age;
(g) Proof of possession by the community
			 health worker of at least the minimum liability insurance coverage required by
			 state law if the community health worker will be providing transportation to a
			 client in a motor vehicle;
(h)
			 Documentation of each initial training course and continuing education attended
			 by the community health worker; and
(i) Documentation of the performance
			 evaluations of the community health worker.
Nevada Administrative Code › Chapter 449 - Medical and Other Related Facilities › COMMUNITY HEALTH WORKER POOLS › Section 449.39587 - Training and evaluation of community health workers

Current through
			 June 11, 2024
1. Each
			 community health worker employed or retained pursuant to a contract by a
			 community health worker pool shall:
(a)
			 Obtain a working knowledge of the provisions of this chapter which govern the
			 licensing of community health worker pools before providing the services of a
			 community health worker to the clients of the community health worker pool. The
			 community health worker pool must provide a copy of those provisions to a
			 community health worker before the community health worker may provide the
			 services of a community health worker to the clients of the community health
			 worker pool.
(b) Participate in and
			 complete a training program before independently providing the services of a
			 community health worker to the clients of the community health worker pool. The
			 training program must include an opportunity for the community health worker to
			 receive on-the-job instruction provided to clients of the community health
			 worker pool, as long as the administrator of the community health worker pool
			 or the administrator's designee provides supervision during this instruction to
			 determine whether the community health worker is able to provide the services
			 of a community health worker successfully and independently to the
			 client.
(c) Receive training:
(1) In the written documentation of:
(I) The services provided by the community
			 health worker to the clients of the community health worker pool; and
(II) Verification of time records.
(2) In the core competencies,
			 roles, values, scope of practice and ethics of a community health worker that
			 are consistent with guidelines of the American Public Health Association or an
			 equivalent association approved by the Division.
(3) In the rights of clients, including,
			 without limitation, training in methods to protect client confidentiality
			 pursuant to state and federal regulations.
(4) Related to outreach, community education,
			 informal counseling, social support, advocacy and improvement of the social
			 determinants of health.
(5) Related
			 to communication skills, including, without limitation, active listening,
			 problem solving, conflict resolution and techniques for communicating through
			 alternative modes with persons with communication or sensory
			 impairments.
Nevada Administrative Code › Chapter 449 - Medical and Other Related Facilities › COMMUNITY HEALTH WORKER POOLS › Section 449.39589 - Rights of clients: Duties of administrator; provision of written description to clients

Current through June 11,
			 2024
1. The
			 administrator of a community health worker pool shall ensure that a client is
			 not prohibited from speaking to any person who advocates for the rights of the
			 clients of the community health worker pool.
2. The administrator of a community health
			 worker pool shall establish and enforce a procedure to respond to grievances,
			 incidents and complaints concerning the community health worker pool in
			 accordance with the written policies and procedures of the community health
			 worker pool. The procedure established and enforced by the administrator must
			 include a method for ensuring that the administrator or the administrator's
			 designee is notified of each grievance, incident or complaint. The
			 administrator or his or her designee shall personally investigate the matter in
			 a timely manner. A client who files a grievance or complaint or reports an
			 incident concerning the community health worker pool must be notified of the
			 action taken in response to the grievance, complaint or report or must be given
			 a reason why no action was taken.
3. The administrator of a community health
			 worker pool shall ensure that the community health worker pool is in compliance
			 with
			 NRS
			 449A.100 to
			 449A.118,
			 inclusive.
4. The community health
			 worker pool shall develop a written description of the rights of clients and
			 provide a copy to each client or a representative of the client upon initiation
			 of the service plan established for the client. A signed and dated copy of the
			 receipt of this information by the client or a representative of the client
			 must be maintained in the record of the client.
5. The written description of the rights of
			 clients developed pursuant to subsection 4 must include, without limitation, a
			 statement that each client has the right:
(a)
			 To receive considerate and respectful care that recognizes the inherent worth
			 and dignity of each client;
(b) To
			 participate in the development of the service plan established for the client
			 and to receive an explanation of the services of a community health worker that
			 will be provided pursuant to the service plan and a copy of the service
			 plan;
(c) To receive the telephone
			 number of the Bureau which may be contacted for complaints;
(d) To receive notification of any authority
			 of the Division to examine the records of the client relating to the regulation
			 and evaluation of the community health worker pool by the Division;
			 and
(e) To receive from the
			 community health worker pool, within the limits set by the service plan
			 established for the client and within the program criteria, responses to
			 reasonable requests for assistance.
Nevada Administrative Code › Chapter 449 - Medical and Other Related Facilities › COMMUNITY HEALTH WORKER POOLS › Section 449.39591 - Initial screening of client

Current through June 11,
			 2024
The administrator of a community health worker pool or the
				administrator's designee shall conduct an initial screening to evaluate each
				prospective client's requests for the services of a community health worker and
				to develop a service plan for the client or to accept a service plan
				established for the client.
Added to NAC by Bd. of
				Health by R133-15, eff. 12-19-2017
NRS
				  449.0302
Nevada Administrative Code › Chapter 449 - Medical and Other Related Facilities › AGENCIES TO PROVIDE PERSONAL CARE SERVICES IN THE HOME › General Provisions › Section 449.396 - Definitions

Current through June 11, 2024
As used in NAC
				  449.396 to
				  449.3982, inclusive, and section
				  8, the words and terms defined in NAC
				  449.3961 to
				  449.3968, inclusive, have the
				  meanings ascribed to them in those sections.
Added to NAC by Bd. of
				  Health by R182-07, eff. 1-30-2008; A by
				  R048-22A,
				  eff. 12/29/2022
NRS 439.200,
					 449.0302
Nevada Administrative Code › Chapter 449 - Medical and Other Related Facilities › AGENCIES TO PROVIDE PERSONAL CARE SERVICES IN THE HOME › General Provisions › Section 449.3961 - "Activities of daily living" defined

Current through June 11,
				2024
"Activities of daily living" means the activities listed in
				  NRS
				  449.0021.
Added to NAC by Bd. of
				  Health by R182-07, eff. 1-30-2008
NRS
					 449.0302
Nevada Administrative Code › Chapter 449 - Medical and Other Related Facilities › AGENCIES TO PROVIDE PERSONAL CARE SERVICES IN THE HOME › General Provisions › Section 449.3962 - "Agency" defined

Current through June 11,
				2024
"Agency" means an agency to provide personal care services in
				  the home as defined in
				  NRS
				  449.0021.
Added to NAC by Bd. of
				  Health by R182-07, eff. 1-30-2008
NRS
					 449.0302
Nevada Administrative Code › Chapter 449 - Medical and Other Related Facilities › AGENCIES TO PROVIDE PERSONAL CARE SERVICES IN THE HOME › General Provisions › Section 449.3963 - "Attendant" defined

Current through June 11,
				2024
"Attendant" means a person who is employed by or retained
				  pursuant to a contract by an agency for the purpose of providing personal care
				  services to a client.
Added to NAC by Bd. of
				  Health by R182-07, eff. 1-30-2008
NRS
					 449.0302
Nevada Administrative Code › Chapter 449 - Medical and Other Related Facilities › AGENCIES TO PROVIDE PERSONAL CARE SERVICES IN THE HOME › General Provisions › Section 449.3964 - "Client" defined

Current through June 11,
				2024
"Client" means an elderly person or a person with a
				  disability who desires the provision of personal care services in the home in
				  which the person lives.
Added to NAC by Bd. of
				  Health by R182-07, eff. 1-30-2008
NRS
					 449.0302
Nevada Administrative Code › Chapter 449 - Medical and Other Related Facilities › AGENCIES TO PROVIDE PERSONAL CARE SERVICES IN THE HOME › General Provisions › Section 449.3965 - "Personal care services" defined

Current through June 11,
				2024
"Personal care services" means the nonmedical services
				  described in
				  NRS
				  449.0021.
Added to NAC by Bd. of
				  Health by R182-07, eff. 1-30-2008
NRS
					 449.0302
Nevada Administrative Code › Chapter 449 - Medical and Other Related Facilities › AGENCIES TO PROVIDE PERSONAL CARE SERVICES IN THE HOME › General Provisions › Section 449.3966 - "Representative of the client" defined

Current through June 11,
				2024
"Representative of the client" means the spouse of a client,
				  a parent or stepparent of a client who is a minor, the legal guardian of a
				  client and any other person required by law to provide medical support to a
				  client.
Added to NAC by Bd. of
				  Health by R182-07, eff. 1-30-2008
NRS
					 449.0302
Nevada Administrative Code › Chapter 449 - Medical and Other Related Facilities › AGENCIES TO PROVIDE PERSONAL CARE SERVICES IN THE HOME › General Provisions › Section 449.3967 - "Service plan" defined

Current through June 11,
				2024
"Service plan" means a plan which includes a written
				  description of the needs of a client for personal care services and which
				  specifies the tasks that an attendant is authorized to provide for the
				  client.
Added to NAC by Bd. of
				  Health by R182-07, eff. 1-30-2008
NRS
					 449.0302
Nevada Administrative Code › Chapter 449 - Medical and Other Related Facilities › AGENCIES TO PROVIDE PERSONAL CARE SERVICES IN THE HOME › General Provisions › Section 449.3968 - "Work station" defined

Current through June 11,
				2024
"Work station" means a satellite office of an agency that is
				  established for the sole purposes of providing a location where copies of
				  records may be sent to an agency and providing a location from which an
				  attendant may work to serve a geographic area outside the geographic area in
				  which the attendant normally works.
Added to NAC by Bd. of
				  Health by R182-07, eff. 1-30-2008
NRS
					 449.0302
Nevada Administrative Code › Chapter 449 - Medical and Other Related Facilities › AGENCIES TO PROVIDE PERSONAL CARE SERVICES IN THE HOME › Licensing › Section 449.3971 - Applicant required to submit fingerprints to Central Repository for Nevada Records of Criminal History for report on background (Repealed)

Current through June 11, 2024
Added to NAC by Bd. of
				  Health by R182-07, eff. 1-30-2008; R111-12,
				  3-28-2014
NRS
					 239B.010,
					 449.0302
Nevada Administrative Code › Chapter 449 - Medical and Other Related Facilities › AGENCIES TO PROVIDE PERSONAL CARE SERVICES IN THE HOME › Licensing › Section 449.3972 - Location to which license applies; agency to retain proof of liability coverage and compliance with certain statutory provisions

Current
				through June 11, 2024
1.
				Except as otherwise provided in this subsection, each license issued to operate
				an agency is separate and distinct and is issued to a specific person to
				operate the agency at a specific location. A person may operate an agency at
				multiple work stations if the agency maintains the records for the clients,
				attendants, other members of the staff of the agency and operations of the
				agency at the specific location designated on the license.
2. The name of the person who is designated
				as responsible for the conduct of the agency must appear on the face of the
				license.
3. Each agency must
				retain:
(a) Proof that it is adequately
				covered against liabilities resulting from claims incurred in the course of
				operation; and
(b) Proof of
				compliance with
				NRS
				449.065 and
				449.067.
Nevada Administrative Code › Chapter 449 - Medical and Other Related Facilities › AGENCIES TO PROVIDE PERSONAL CARE SERVICES IN THE HOME › Administration and Personnel › Section 449.3973 - Qualifications and duties of administrator; appointment of designee to act in administrator's absence

Current through June 11,
				2024
1. The
				administrator of an agency must:
(a) Be at
				least 18 years of age;
(b) Have a
				high school diploma or its equivalent;
(c) Be responsible and mature and have the
				personal qualities which will enable the administrator to understand the
				problems of elderly persons and persons with disabilities;
(d) Understand the provisions of this chapter
				and chapter 449 of NRS; and
(e)
				Demonstrate the ability to read, write, speak and understand the English
				language.
Nevada Administrative Code › Chapter 449 - Medical and Other Related Facilities › AGENCIES TO PROVIDE PERSONAL CARE SERVICES IN THE HOME › Administration and Personnel › Section 449.3974 - Maintenance of policies and procedures concerning qualifications, responsibilities and conditions of employment for staff members

Current
				through June 11, 2024
An agency shall maintain written policies and procedures
				  concerning the qualifications, responsibilities and conditions of employment
				  for each attendant and other members of the staff of the agency. The written
				  policies and procedures must be reviewed and revised as needed. The written
				  policies and procedures must be made available to the attendants and other
				  members of the staff of the agency upon hire and whenever revisions are made to
				  those policies and procedures. At a minimum, the policies and procedures
				  must:
1. Provide descriptions of the
				duties and responsibilities of attendants;
2. Provide descriptions of any activities
				that attendants are prohibited from engaging in, including, without limitation:
(a) Making a long distance telephone call
				that is personal in nature:
(1) On a
				telephone owned by or provided by a client; or
(2) While on duty providing personal care
				services to a client;
Nevada Administrative Code › Chapter 449 - Medical and Other Related Facilities › AGENCIES TO PROVIDE PERSONAL CARE SERVICES IN THE HOME › Administration and Personnel › Section 449.3975 - Attendants: Qualifications; annual training

Current through June
				11, 2024
Each attendant of an agency must:
1. Be at least 18 years of age;
2. Be responsible and mature and have the
				personal qualities which will enable the attendant to understand the problems
				of elderly persons and persons with disabilities;
3. Understand the provisions of this chapter
				and chapter 449 of NRS;
4.
				Demonstrate the ability to read, write, speak and communicate effectively with
				the clients of the agency;
5.
				Demonstrate the ability to meet the needs of the clients of the agency;
				and
6. Receive annually not less
				than 8 hours of training related to providing for the needs of the clients of
				the agency.
Added to NAC by Bd. of
				  Health by R182-07, eff. 1-30-2008
NRS
					 449.0302
Nevada Administrative Code › Chapter 449 - Medical and Other Related Facilities › AGENCIES TO PROVIDE PERSONAL CARE SERVICES IN THE HOME › Administration and Personnel › Section 449.3976 - Attendants: Maintenance of personnel file; evaluation of competency

Current through June 11, 2024
1. A separate personnel file must be kept for
				each attendant of an agency and must include, without limitation:
(a) The name, address and telephone number of
				the attendant;
(b) The date on
				which the attendant began working for the agency;
(c) Documentation that the attendant has had
				the tests or obtained the certificates required by NAC 441A.375;
(d) Evidence that the references supplied by
				the attendant were checked by the agency;
(e) Evidence of compliance with
				NRS
				449.123 by the administrator of the agency or
				the person licensed to operate the agency with respect to the
				attendant;
(f) Proof that, within 6
				months after the attendant began working for the agency, the attendant obtained
				a certificate in first aid and cardiopulmonary resuscitation issued by the
				American National Red Cross or an equivalent certificate approved by the
				Division;
(g) Proof that the
				attendant is at least 18 years of age;
(h) Proof of possession by the attendant of
				at least the minimum liability insurance coverage required by state law if the
				attendant will be providing transportation to a client in a motor vehicle;
				and
(i) Documentation of all
				training attended by and performance evaluations of the attendant.
Nevada Administrative Code › Chapter 449 - Medical and Other Related Facilities › AGENCIES TO PROVIDE PERSONAL CARE SERVICES IN THE HOME › Administration and Personnel › Section 449.39775 - Attendants: Performance of certain tasks

Current through June 11,
				2024
1. An attendant may
				perform a task described in
				NRS
				449.0304 if the attendant:
(a) Before performing the task, annually
				thereafter and when any device used for performing the task is changed:
(1) Receives training concerning the task
				that meets the requirements of subsections 6 and 7; and
(2) Demonstrates an understanding of the
				task;
Nevada Administrative Code › Chapter 449 - Medical and Other Related Facilities › AGENCIES TO PROVIDE PERSONAL CARE SERVICES IN THE HOME › Administration and Personnel › Section 449.3978 - Attendants: Prohibition on provision of certain types of services to clients

Current through June 11,
				2024
1. The
				administrator of an agency shall ensure that each attendant working for the
				agency is working within the attendant's scope of service and conducts himself
				or herself in a professional manner. An attendant is prohibited from providing
				any of the services listed in subsection 2 to a client.
2. The services an attendant must not provide
				to a client include, without limitation:
(a)
				Insertion or irrigation of a catheter;
(b) Irrigation of any body cavity, including,
				without limitation, irrigation of the ear, insertion of an enema or a vaginal
				douche;
(c) Application of a
				dressing involving prescription medication or aseptic techniques, including,
				without limitation, the treatment of moderate or severe conditions of the
				skin;
(d) Administration of
				injections of fluids into veins, muscles or the skin;
(e) Administration of medication, including,
				without limitation, the insertion of rectal suppositories, the application of a
				prescribed topical lotion for the skin and the administration of drops in the
				eyes;
(f) Performing physical
				assessments;
(g) Monitoring vital
				signs;
(h) Using specialized
				feeding techniques;
(i) Performing
				a digital rectal examination;
(j)
				Trimming or cutting toenails;
(k)
				Massage;
(l) Providing specialized
				services to increase the range of motion of a client;
(m) Providing medical case management,
				including, without limitation, accompanying a client to the office of a
				physician to provide medical information to the physician concerning the client
				or to receive medical information from the physician concerning the client;
				and
(n) Any task identified in
				chapter 632 of NRS and the regulations adopted by the State Board of Nursing as
				requiring skilled nursing care, including, without limitation, any services
				that are within the scope and practice of a certified nursing
				assistant.
Nevada Administrative Code › Chapter 449 - Medical and Other Related Facilities › AGENCIES TO PROVIDE PERSONAL CARE SERVICES IN THE HOME › Provision of Services › Section 449.3979 - Provision of written disclosure statement to client upon acceptance for services by agency

Current through June 11,
				2024
1. When a person is
				accepted as a client by an agency, the agency shall:
(a) Provide a written disclosure statement to
				the client;
(b) Require the client
				or a representative of the client to sign the written disclosure statement;
				and
(c) Ensure that a copy of the
				written disclosure statement is incorporated into the record of the
				client.
Nevada Administrative Code › Chapter 449 - Medical and Other Related Facilities › AGENCIES TO PROVIDE PERSONAL CARE SERVICES IN THE HOME › Provision of Services › Section 449.398 - Rights of clients: Duties of administrator; provision of written description to clients

Current through June 11,
				2024
1. The
				administrator of an agency shall ensure that a client is not prohibited from
				speaking to any person who advocates for the rights of the clients of the
				agency.
2. The administrator of an
				agency shall establish and enforce a procedure to respond to grievances,
				incidents and complaints concerning the agency in accordance with the written
				policies and procedures of the agency. The procedure established and enforced
				by the administrator must include a method for ensuring that the administrator
				or the administrator's designee is notified of each grievance, incident or
				complaint. The administrator or his or her designee shall personally
				investigate the matter in a timely manner. A client who files a grievance or
				complaint or reports an incident concerning the agency must be notified of the
				action taken in response to the grievance, complaint or report or must be given
				a reason why no action was taken.
3. The administrator of an agency shall
				ensure that the agency is in compliance with
				NRS
				449.700 to
				449.730,
				inclusive.
4. The agency shall
				develop a written description of the rights of clients and provide a copy to
				each client or a representative of the client upon initiation of the service
				plan established for the client. A signed and dated copy of the receipt of this
				information by the client or a representative of the client must be maintained
				in the record of the client.
5. The
				written description of the rights of clients developed pursuant to subsection 4
				must include, without limitation, a statement that each client has the right:
(a) To receive considerate and respectful
				care that recognizes the inherent worth and dignity of each client;
(b) To participate in the development of the
				service plan established for the client and to receive an explanation of the
				personal care services provided pursuant to the service plan and a copy of the
				service plan;
(c) To receive the
				telephone number of the Bureau which may be contacted for complaints;
(d) To receive notification of any authority
				of the Division to examine the records of the client as related to the
				regulation and evaluation of the agency by the Division;
(e) To receive from the agency, within the
				limits set by the service plan established for the client and within the
				program criteria, responses to reasonable requests for assistance;
				and
(f) To receive information,
				upon request, concerning the policies and procedures of the agency, including,
				without limitation, the policies and procedures of the agency relating to
				charges, reimbursements and determinations concerning service plans.
Nevada Administrative Code › Chapter 449 - Medical and Other Related Facilities › AGENCIES TO PROVIDE PERSONAL CARE SERVICES IN THE HOME › Provision of Services › Section 449.3981 - Initial screening of client and development or acceptance of service plan; requirements before providing personal care to client

Current
				through June 11, 2024
1.
				The administrator of an agency or the administrator's designee shall conduct an
				initial screening to evaluate each prospective client's requests for personal
				care services and to develop a service plan for the client or to accept a
				service plan established for the client.
2. The initial screening and the development
				or acceptance of a service plan must be documented. The documentation must be
				dated and signed by the person who conducted the initial screening and
				developed or accepted the service plan.
3. The agency shall complete the following
				tasks before providing the personal care services outlined in the service plan
				established for the client and as often as necessary if the service plan is
				revised:
(a) Evaluate whether the agency has
				sufficient resources and the capability to satisfy the requests of the client
				and to provide the client with the personal care services described in the
				service plan;
(b) Review the
				service plan with the client, including, without limitation, the schedule for
				the provision of personal care services to the client, the procedure to follow
				if an attendant fails to provide personal care services in accordance with the
				service plan, the hiring and training policies of the agency, the
				responsibilities of the agency, the procedure for filing a grievance or
				complaint and any personal care services that an attendant is prohibited from
				providing pursuant to NAC 449.3978;
(c) Review the procedure to be followed if an
				attendant does not appear for a scheduled visit and the procedure to be
				followed if an additional visit from an attendant is required;
(d) Ensure that the personal care services
				requested by the client are services which assist the client with the
				activities of daily living; and
(e)
				Ensure that the agency is coordinating the personal care services that it will
				be providing to the client with the care and services available to the client
				from other organizations and persons.
Nevada Administrative Code › Chapter 449 - Medical and Other Related Facilities › AGENCIES TO PROVIDE PERSONAL CARE SERVICES IN THE HOME › Provision of Services › Section 449.3982 - Supervisory home visits or telephone calls required to ensure quality of care provided; documentation of evaluation

Current through June 11,
				2024
1. The
				administrator of an agency or the administrator's designee shall conduct
				supervisory home visits or telephone calls to the home of each client of the
				agency to ensure that quality personal care services are provided to the
				client.
2. Each supervisory visit
				and each telephone call must be documented. The documentation must be dated and
				signed by the administrator or the administrator's designee. Each supervisory
				visit and each telephone call must consist of an evaluation of whether:
(a) Appropriate and safe techniques have been
				used in the provision of personal care services to the client;
(b) The service plan established for the
				client has been followed;
(c) The
				service plan established for the client is meeting the personal care needs of
				the client;
(d) The attendant
				providing personal care services to the client has received sufficient training
				relating to the personal care services that the attendant is providing to the
				client; and
(e) It is necessary for
				the administrator or the administrator's designee to follow up with the
				attendant or client concerning any problems in the personal care services being
				provided to the client or the service plan established for the client that are
				identified as the result of the supervisory visit or telephone call.
Nevada Administrative Code › Chapter 449 - Medical and Other Related Facilities › FACILITIES FOR CARE OF ADULTS DURING THE DAY › General Provisions › Section 449.4061 - Definitions

Current through June 11, 2024
As used in NAC 449.4061 to 449.4089, inclusive, unless the
				  context otherwise requires:
1.
				"Division" means the Division of Public and Behavioral Health of the Department
				of Health and Human Services.
2.
				"Facility" means a facility for the care of adults during the day as defined in
				NRS
				449.004.
Added to NAC by Bd. of
				  Health, eff. 6-23-86
NRS
					 449.0302
Nevada Administrative Code › Chapter 449 - Medical and Other Related Facilities › FACILITIES FOR CARE OF ADULTS DURING THE DAY › Licensing › Section 449.4063 - Design, construction, equipment and maintenance of facility: General requirements; prerequisites to approval for licensure

Current
				through June 11, 2024
1.
				A facility must be designed, constructed, equipped and maintained in a manner
				that protects the health and safety of the clients and personnel of the
				facility and members of the general public.
2. A facility shall comply with all
				applicable:
(a) Federal and state
				laws;
(b) Local ordinances,
				including, without limitation, zoning ordinances; and
(c) Environmental, health, fire and local
				building codes,
related to the construction and maintenance of the facility.
				  If there is a difference between state and local requirements, the more
				  stringent requirements apply.
Nevada Administrative Code › Chapter 449 - Medical and Other Related Facilities › FACILITIES FOR CARE OF ADULTS DURING THE DAY › Licensing › Section 449.4065 - Consultation with representative of Division; notice of nonconformity

Current through June 11, 2024
1. A representative of the Division will be
				available upon request for consultation to assure compliance with applicable
				regulations.
2. If a licensed
				facility does not conform to any requirement for licensing, the Division will
				issue a written notice specifying the nature of the nonconformity and set a
				time within which the facility must conform.
Added to NAC by Bd. of
				  Health, eff. 6-23-86
NRS
					 449.0302
Nevada Administrative Code › Chapter 449 - Medical and Other Related Facilities › FACILITIES FOR CARE OF ADULTS DURING THE DAY › Licensing › Section 449.4067 - Operation in combination with other medical facility or facility for the dependent

Current through June 11,
				2024
A facility must not be operated in combination with any other
				  medical facility or facility for the dependent unless it is licensed as a
				  separate and distinct unit.
Added to NAC by Bd. of
				  Health, eff. 6-23-86
NRS
					 449.0302
Nevada Administrative Code › Chapter 449 - Medical and Other Related Facilities › FACILITIES FOR CARE OF ADULTS DURING THE DAY › Licensing › Section 449.4069 - Insurance

Current through June 11, 2024
1. A facility must maintain a contract of
				insurance for protection against liability to third persons in amounts
				appropriate for the protection of clients, employees, volunteers and visitors
				to the facility.
2. A certificate
				of insurance must be furnished to the Division as evidence that a contract is
				in force, and a license will not be issued until that certificate is
				furnished.
3. Each contract of
				insurance must contain an endorsement providing for a notice of 30 days to the
				Division before the effective date of a cancellation or nonrenewal of the
				policy.
Added to NAC by Bd. of
				  Health, eff. 6-23-86
NRS
					 449.0302
Nevada Administrative Code › Chapter 449 - Medical and Other Related Facilities › FACILITIES FOR CARE OF ADULTS DURING THE DAY › Operation of Facility › Section 449.407 - Advertising and promotional materials

Current through June 11,
				2024
Advertising and promotional materials for the facility must
				  be accurate and represent the accommodations, programs or other services
				  actually offered by the facility.
Added to NAC by Bd. of
				  Health, eff. 6-23-86
NRS
					 449.0302
Nevada Administrative Code › Chapter 449 - Medical and Other Related Facilities › FACILITIES FOR CARE OF ADULTS DURING THE DAY › Operation of Facility › Section 449.4071 - Policies and procedures; accounting

Current through June 11,
				2024
1. Every facility
				must have a written policy concerning:
(a)
				Admission, discharge and care of clients;
(b) Employees of the facility; and
(c) Fiscal and administrative procedures for
				the facility,
which must be evaluated at least once a year.
Nevada Administrative Code › Chapter 449 - Medical and Other Related Facilities › FACILITIES FOR CARE OF ADULTS DURING THE DAY › Operation of Facility › Section 449.4072 - Director and employees: Qualifications and duties; physical and mental health

Current through June 11,
				2024
1. Each facility
				must have the number and kind of employees required by the physical
				characteristics of the facility, the number of clients and the services
				provided.
2. The director of a
				facility:
(a) Must be responsible and mature
				and have the personal qualities which will enable him or her to understand the
				problems of aged and infirm adults.
(b) Must be at least 21 years of
				age.
(c) Must have a high school
				diploma or its equivalent.
(d)
				Shall designate an acting director, who is similarly qualified, to act when the
				director is absent from the facility.
Nevada Administrative Code › Chapter 449 - Medical and Other Related Facilities › FACILITIES FOR CARE OF ADULTS DURING THE DAY › Operation of Facility › Section 449.40723 - Supervision of clients; volunteers

Current through June 11,
				2024
1. A client must be
				supervised by an employee of the facility at all times during the operating
				hours of the facility. The employee shall report a change in any physical,
				mental, emotional or social function of the client to the director of the
				facility. These reports must be included in the client's file.
2. The facility may use volunteers or outside
				consultants or services to meet the needs of its clients.
3. A volunteer shall conform to the same
				standards and requirements as a paid employee who performs a similar function,
				except that a volunteer is only required to provide the results of a tuberculin
				test and not the results of a complete physical examination.
Added to NAC by Bd. of
				  Health, eff. 6-23-86
NRS
					 449.0302
Nevada Administrative Code › Chapter 449 - Medical and Other Related Facilities › FACILITIES FOR CARE OF ADULTS DURING THE DAY › Operation of Facility › Section 449.40725 - Orientation and training of employees and volunteers

Current
				through June 11, 2024
All employees and volunteers at the facility:
1. Shall participate in a program of general
				orientation to inform them of the programs, policies and services of the
				facility;
2. Must receive a copy of
				the facility's policies and procedures; and
3. Must receive training at the facility on a
				regular basis, but not less than 12 hours per year.
Added to NAC by Bd. of
				  Health, eff. 6-23-86
NRS
					 449.0302
Nevada Administrative Code › Chapter 449 - Medical and Other Related Facilities › FACILITIES FOR CARE OF ADULTS DURING THE DAY › Operation of Facility › Section 449.4073 - Files concerning employees

Current through June 11,
				2024
A separate file must be maintained and kept current on each
				  employee. The file must include the following:
1. The employee's:
(a) Name, address and telephone
				number;
(b) Social security
				number;
(c) Date of
				birth;
(d) Date of
				employment;
(e) Educational
				qualifications; and
(f) Application
				for employment.
Nevada Administrative Code › Chapter 449 - Medical and Other Related Facilities › FACILITIES FOR CARE OF ADULTS DURING THE DAY › Operation of Facility › Section 449.4074 - Requirements of facility; health and sanitation; medications; exits

Current through June 11, 2024
1. The facility must:
(a) Provide proper access for each client to
				all activities and services;
(b)
				Have furniture and equipment appropriate for use by the clients;
(c) Have free local telephone service
				available for use by clients;
(d)
				Have sufficient space to accommodate a full range of activities and
				services;
(e) Provide for each
				client at least 40 square feet of space inside the facility excluding areas for
				maintenance of the facility;
(f)
				Contain offices sufficient to permit employees to work effectively and without
				interruption;
(g) Provide adequate
				space for storage of supplies;
(h)
				Provide at least one toilet for every 10 clients;
(i) Have sufficient areas for parking and the
				safe delivery and pick-up of clients; and
(j) Provide secure space for the temporary
				storage of the property of clients.
Nevada Administrative Code › Chapter 449 - Medical and Other Related Facilities › FACILITIES FOR CARE OF ADULTS DURING THE DAY › Operation of Facility › Section 449.4075 - Preparations for fires and other emergencies; reporting of fire or disaster

Current through June 11, 2024
1. Each facility must have a plan in case of
				a fire or other emergency. The plan must be:
(a) Understood by all employees;
(b) Posted in a conspicuous place;
				and
(c) Reviewed at least once a
				year.
Nevada Administrative Code › Chapter 449 - Medical and Other Related Facilities › FACILITIES FOR CARE OF ADULTS DURING THE DAY › Operation of Facility › Section 449.4076 - First aid

Current through June 11, 2024
A first-aid kit must be available at the facility.
Added to NAC by Bd. of
				  Health, eff. 6-23-86
NRS
					 449.0302
Nevada Administrative Code › Chapter 449 - Medical and Other Related Facilities › FACILITIES FOR CARE OF ADULTS DURING THE DAY › Operation of Facility › Section 449.4077 - Policy for admissions; retention of signed copy

Current through
				June 11, 2024
1. A
				facility's written policy on admissions must include:
(a) A statement of nondiscrimination
				regarding admission to the facility and treatment after admission;
				and
(b) The requirements for
				eligibility as a client.
Nevada Administrative Code › Chapter 449 - Medical and Other Related Facilities › FACILITIES FOR CARE OF ADULTS DURING THE DAY › Operation of Facility › Section 449.4078 - Requirements for admission; designation of physician

Current
				through June 11, 2024
1.
				Each client shall, before being admitted to the facility, provide the facility
				with:
(a) The results of a physical
				examination conducted by a physician, physician assistant or advanced practice
				registered nurse within the preceding 6 months;
(b) A summary of the client's medical history
				prepared by a physician, physician assistant or registered nurse, within the
				preceding 6 months;
(c) A statement
				from the client's physician which indicates that the facility is an appropriate
				setting for the client; and
(d) Any
				special dietary requirements.
Nevada Administrative Code › Chapter 449 - Medical and Other Related Facilities › FACILITIES FOR CARE OF ADULTS DURING THE DAY › Operation of Facility › Section 449.4079 - Required services

Current through June 11,
				2024
The facility must:
1. Provide each client with such assistance
				as necessary for the activities of daily living;
2. Provide activities for a client which are
				suited to his or her interests and capacities;
3. Observe the health of the client and
				notify his or her next of kin, guardian, or other person responsible for the
				client of any significant change in his or her physical or mental
				condition;
4. Establish procedures
				for the administration of medication to clients, either directly by the client
				or by an employee at the facility;
5. Provide fluids to clients as necessary to
				prevent dehydration;
6. Have at
				least one employee on the premises at all times who is trained to administer
				first aid and cardiopulmonary resuscitation;
7. Provide information to a client about
				other local, state and federal agencies in the area that may be able to assist
				the client and his or her family; and
8. Prepare a monthly calendar of activities
				at the facility and distribute the calendar to clients and their
				families.
Added to NAC by Bd. of
				  Health, eff. 6-23-86
NRS
					 449.0302
Nevada Administrative Code › Chapter 449 - Medical and Other Related Facilities › FACILITIES FOR CARE OF ADULTS DURING THE DAY › Operation of Facility › Section 449.408 - Housekeeping and maintenance

Current through June 11,
				2024
Each facility must have adequate and regular services for
				  housekeeping and the maintenance of the facility.
Added to NAC by Bd. of
				  Health, eff. 6-23-86
NRS
					 449.0302
Nevada Administrative Code › Chapter 449 - Medical and Other Related Facilities › FACILITIES FOR CARE OF ADULTS DURING THE DAY › Operation of Facility › Section 449.4081 - Administration of medication; accidents or illnesses

Current through
				June 11, 2024
1. If the
				facility accepts a client who cannot administer his or her own medication, an
				employee licensed to administer medications must administer the medication to
				the client.
2. The next of kin or
				guardian or other person responsible for the client must be notified
				immediately in case of any accident, injury or illness involving the
				client.
3. Each client must be
				treated with dignity and respect and not subjected to verbal or physical abuse
				of any kind.
4. Restraints or
				sedatives in lieu of restraints may not be used or given to any client, except
				by a physician's order.
Added to NAC by Bd. of
				  Health, eff. 6-23-86
NRS
					 449.0302
Nevada Administrative Code › Chapter 449 - Medical and Other Related Facilities › FACILITIES FOR CARE OF ADULTS DURING THE DAY › Operation of Facility › Section 449.40815 - Performance of certain tasks by employee

Current through June 11,
				2024
1. An employee of a
				facility may perform a task described in
				NRS
				449.0304 if the employee:
(a) Before performing the task, annually
				thereafter and when any device used for performing the task is changed:
(1) Receives training concerning the task
				that meets the requirements of subsections 6 and 7; and
(2) Demonstrates an understanding of the
				task;
Nevada Administrative Code › Chapter 449 - Medical and Other Related Facilities › FACILITIES FOR CARE OF ADULTS DURING THE DAY › Operation of Facility › Section 449.4082 - Service of food; dietary consultants

Current through June 11,
				2024
1. Adequate
				facilities and equipment for the preparation, service and storage of food must
				be provided and meet the standards of the Division.
2. The dining area must be separated from the
				area used to prepare food.
3.
				Tables and chairs must be of proper height and of sufficient number to provide
				seating for the number of clients authorized for the facility. They must be
				sturdy and have easily washable surfaces. Chairs must be constructed so that
				they do not overturn easily. Tables must be designed to accommodate persons in
				wheelchairs.
4. Meals must be
				served by employees who have received training in the sanitary preparation and
				handling of food.
5. Each meal must
				provide one-third of the daily nutritional allowances recommended by the Food
				and Nutrition Board of the Institute of Medicine of the National
				Academies.
6. Any client who is in
				the facility for 5 hours or more a day must be served a meal. If he or she is
				in the facility for more than 6 hours in any day, additional nourishment must
				be provided.
7. Meals must be
				served in a manner suitable for the client and prepared with regard for
				individual preferences and religious requirements. Special diets and
				nourishment must be provided as ordered by the client's physician. If meals are
				prepared within the facility, the facility must consult with a licensed
				dietitian for at least 4 hours each month on the planning and serving of meals.
				If meals are prepared outside of and delivered to the facility, the facility
				shall develop and provide an alternative for any client on a special diet. The
				facility shall not accept a client who requires a special diet if it cannot
				develop an alternative which conforms to the client's prescribed
				diet.
Added to NAC by Bd. of
				  Health, eff. 6-23-86; A by R090-12, 12-20-2012
NRS
					 449.0302
Nevada Administrative Code › Chapter 449 - Medical and Other Related Facilities › FACILITIES FOR CARE OF ADULTS DURING THE DAY › Operation of Facility › Section 449.4083

Current through
				June 11, 2024
Added to NAC by Bd. of
				  Health, eff. 6-23-86; R by
				  R016-20A,
				  eff. 11/2/2020
NRS
				  449.0302
Nevada Administrative Code › Chapter 449 - Medical and Other Related Facilities › FACILITIES FOR CARE OF ADULTS DURING THE DAY › Operation of Facility › Section 449.40833 - Summary of client's care; referrals

Current through June 11,
				2024
When a client permanently discontinues his or her use of a
				  facility, the client must receive a:
1. Written summary of his or her care at the
				facility, including any recommendations for care in the future; and
2. Referral to any other agency in the
				community for service, as appropriate.
Added to NAC by Bd. of
				  Health, eff. 6-23-86
NRS
					 449.0302