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Nevada Administrative Code › Chapter 432A - Services and Facilities for Care of Children › STANDARDS OF OPERATION › General Requirements › Section 432A.372 - Medical care: Chart and first-aid kit; written provisions; directory

Current through June 11, 2024
1. An easily understandable chart describing
				first aid and emergency treatment must be available in each facility. A
				well-stocked first-aid kit must be readily available at all times.
2. Every licensee of a facility other than an
				accommodation facility shall have written provisions for:
(a) Consulting with physicians or registered
				nurses regarding the health of the children;
(b) Obtaining assistance in developing and
				maintaining current health policies; and
(c) Informing members of the staff on matters
				of health affecting the children, including dental health and personal
				cleanliness and care.
Nevada Administrative Code › Chapter 432A - Services and Facilities for Care of Children › STANDARDS OF OPERATION › General Requirements › Section 432A.374 - Medical care: Isolation of ill or injured child; transportation of child

Current through June 11, 2024
1. If a child becomes seriously ill or
				injured in a child care facility, other than a facility that provides care for
				ill children:
(a) The child must be
				immediately isolated from other children and placed under appropriate
				supervision;
(b) A parent, a person
				designated by a parent or a physician designated by a parent must be promptly
				notified and the child must be removed from the facility as quickly as
				possible;
(c) Members of the staff
				of the facility must not administer any medical treatment, except emergency
				first aid and prescribed medications to the child; and
(d) Not later than 24 hours after the
				occurrence of the illness or injury, a member of the staff of the facility must
				create a written report concerning the illness or injury. The written report
				must be placed in the file concerning the child that is maintained by the
				facility, and a copy of the written report must be provided to a parent of the
				child. Upon request by the Division, the facility must provide to the Division
				the written report and any statements by members of the staff of the facility
				that are part of the written report.
Nevada Administrative Code › Chapter 432A - Services and Facilities for Care of Children › STANDARDS OF OPERATION › General Requirements › Section 432A.376 - Medication

Current through June 11, 2024
Except as otherwise provided in NAC 432A.585:
1. Each prescribed medication must:
(a) Be kept in the original container which
				must have a child-proof lid;
(b) Be
				plainly labeled;
(c) Contain the
				name of the child or adult for whom it is prescribed; and
(d) Be stored in a locked cabinet or be made
				inaccessible to children.
Nevada Administrative Code › Chapter 432A - Services and Facilities for Care of Children › STANDARDS OF OPERATION › General Requirements › Section 432A.378 - Reports of accident, injury, communicable disease or death

Current through June 11, 2024
1. Upon the occurrence of any accident or
				injury which requires emergency professional medical care of a child, the
				director of each facility shall report the occurrence to the Division or local
				licensing agency within 48 hours after the accident or injury and shall keep on
				file at the facility a written report detailing the occurrence.
2. If the director of a facility finds that
				any reportable communicable disease may be present in the facility, he or she
				shall report that condition to the Division or local licensing agency as soon
				as possible. The Division or local licensing agency shall provide the list of
				reportable communicable diseases to all licensees and applicants.
3. The director of each facility shall report
				as soon as possible to the Division or local licensing agency the death of any
				child who attends or lives in the facility.
Added to
				  NAC by Bd. for Child Care, eff. 6-5-84; A 11-1-94; A by
				  
				  R013-14, eff. 6/23/2014; A by
				  R092-16AP,
				  eff. 9/21/2017
NRS
				  432A.077
Nevada Administrative Code › Chapter 432A - Services and Facilities for Care of Children › STANDARDS OF OPERATION › General Requirements › Section 432A.380 - Nutrition

Current through June 11, 2024
1. To the extent set forth in subsections 3
				and 4, a licensee of a facility shall meet the daily nutritional needs of each
				child. Meals and snacks must be of a quality and quantity which supplement the
				food served at home. Cultural and ethnic foods which are appropriate for
				children must be considered in planning meals. To the extent possible,
				information provided by parents concerning their child's eating habits and
				preferences or special needs regarding food must be considered in planning for
				meals.
2. A licensee of a facility
				shall follow the current nutrition standards for meals and snacks which are
				applicable to children of ages receiving care at the facility as issued by the
				Child and Adult Care Food Program of the United States Department of
				Agriculture.
3. A child who stays
				in a facility:
(a) For 10 hours or less in 1
				day must be offered at least one meal and two snacks or two meals and one
				snack; and
(b) For more than 10
				hours in 1 day must be offered at least two meals and two snacks or one meal
				and three snacks.
Nevada Administrative Code › Chapter 432A - Services and Facilities for Care of Children › STANDARDS OF OPERATION › General Requirements › Section 432A.382 - Restriction on employment of or contracting with person to provide medical nutrition therapy or nutrition services

Current through June 11, 2024
A licensee shall not employ or contract with a person to
				  provide medical nutrition therapy or nutrition services unless the person is
				  licensed pursuant to chapter 640E of NRS or exempt from such licensure.
Added to NAC by Bd. of
				  Health by R090-12, eff. 12-20-2012
NRS
					 432A.077
Nevada Administrative Code › Chapter 432A - Services and Facilities for Care of Children › STANDARDS OF OPERATION › General Requirements › Section 432A.385 - Snacks and meals

Current through June 11, 2024
1. The staff of
				each facility shall:
(a) Provide appropriate
				and adequate seating for the children at the facility during snacks and
				meals;
(b) If a high chair is used,
				ensure that the chair:
(1) Is in good
				condition;
(2) Has a wide base;
				and
(3) Has a safety belt for the
				child;
(c) Wash with a
				detergent and disinfect before and after each use of any table that is used
				during a snack or meal;
(d) Allow,
				encourage and assist each child to feed himself or herself, including, without
				limitation, encouraging a child to hold and drink from a cup, use a spoon and
				use his or her fingers to feed himself or herself;
(e) Offer each child drinking water at times
				other than during his or her regular feedings;
(f) Discard any food that is left in a dish
				after a meal;
(g) Ensure that
				bottles and containers of food are not kept in water longer than 5 minutes, and
				stir, shake and test a bottle or container of food before using the bottle or
				container to feed an infant;
(h)
				Not hold an infant while preparing food;
(i) On a daily basis, empty, clean and
				sanitize any pot used to warm a bottle or food;
(j) Store each bottle of formula and
				container of food in accordance with the instructions from the manufacturer of
				the formula or food;
(k) Label each
				bottle of formula and container of food with the name of the child to whom it
				belongs and the date the formula or food was prepared by the facility or was
				prepared or purchased by the parent;
(l) Immediately refrigerate and label each
				container of breast milk provided by a parent;
(m) Return each bottle to the appropriate
				parent each day;
(n) Return any
				unused, open container of food to the appropriate parent each day if the child
				was not fed directly from the container of food; and
(o) Develop with the parents of a child a
				plan for feeding the child, which must include, without limitation:
(1) Instructions for feeding;
(2) Any special dietary restrictions,
				including, without limitation, any allergies to food;
(3) A schedule of times for
				feeding;
(4) Whether the child will
				be fed breast milk, formula or solid food;
(5) If the child will be fed breast milk or
				formula, when to begin feeding solid food; and
(6) Likes and dislikes of certain
				foods.
Nevada Administrative Code › Chapter 432A - Services and Facilities for Care of Children › STANDARDS OF OPERATION › General Requirements › Section 432A.390 - Standards for programs

Current through June 11, 2024
1. Every licensee
				of a facility shall develop a program to meet the basic needs of children for:
(a) Good health and normal physical
				development;
(b) Optimal mental
				growth;
(c) Stimulating language
				and communicative experiences;
(d)
				The attention, acceptance and affection of others;
(e) Opportunities to experience success and
				to test mental, physical and social skills;
(f) Self-identity and a sense of competence
				and worth;
(g) The security
				provided by gentle discipline;
(h)
				Relations with others which set forth the rights of adults and the rights of
				children;
(i) Learning experiences
				planned with the aid of the child's parents which ensure harmony with the life
				style and cultural background of the child;
(j) Activities which facilitate social growth
				and adjustment; and
(k) The time
				and opportunity to learn independence and personal care.
Nevada Administrative Code › Chapter 432A - Services and Facilities for Care of Children › STANDARDS OF OPERATION › General Requirements › Section 432A.400 - Discipline

Current through June 11, 2024
1. A licensee of a facility shall enhance a
				child's behavior through positive guidance, redirection of the child's behavior
				and the setting of clear-cut limits on behavior.
2. A member, employee or other person associated with
				a facility shall not, for any reason:
(a)
				Inflict physical punishment, in any manner or form, upon any child;
(b) Verbally abuse or threaten a
				child;
(c) Make derogatory remarks
				about the child or the child's family;
(d) Threaten a child with the loss of love of
				any person;
(e) Threaten a child
				with punishment by a deity;
(f)
				Subject a child to any form of punishment which pertains to food or rest or
				restricts the use of a toilet or other bathroom fixture;
(g) Withhold or use physical activity as a
				form of punishment;
(h) Confine a
				child as a form of punishment by any means, including, without limitation, in a
				car seat, high chair, infant carrier or jump seat; or
(i) Subject a child to any form of punishment
				by other children.
Parental consent to allow any person within the facility to
				  punish a child contrary to the provisions of this section is void.
Nevada Administrative Code › Chapter 432A - Services and Facilities for Care of Children › STANDARDS OF OPERATION › General Requirements › Section 432A.410 - Reports of child abuse or neglect

Current through June 11, 2024
If any person suspects that child abuse or neglect is
				  occurring in a facility, the person may immediately report such suspicions to
				  the Division. Every licensee or employee of a facility who has reason to
				  believe child abuse or neglect is occurring in the facility, in the child's
				  home or elsewhere shall report such beliefs to:
1. The appropriate authority as required in
				NRS
				432B.220; and
2. If the suspected child abuse or neglect is
				occurring in the facility, the Division.
Bd. for Child Care,
				  Child Care Facilities Reg. §5.7, eff. 2-28-80; A by
				  R135-18A,
				  eff. 8/26/2020
NRS
				  432A.077
Nevada Administrative Code › Chapter 432A - Services and Facilities for Care of Children › STANDARDS OF OPERATION › General Requirements › Section 432A.411 - Sanitary measures for changing diapers

Current through June 11, 2024
1. Each area in
				a facility that is used for changing diapers must:
(a) Have a smooth, nonabrasive, impervious
				surface;
(b) Be located within
				close proximity to a sink that is not used for the preparation of
				food;
(c) Not be located in an area
				in which food is prepared;
(d) Have
				a smooth, nonabsorbent floor covering;
(e) Have nearby, for wet or soiled diapers, a
				washable receptacle that is lined with plastic and covered with a
				lid;
(f) Be kept in good repair and
				in a safe condition; and
(g) Be
				cleaned and disinfected after each use by removing any visible soil and
				applying an approved disinfectant.
Nevada Administrative Code › Chapter 432A - Services and Facilities for Care of Children › STANDARDS OF OPERATION › General Requirements › Section 432A.412 - Written procedures for washing of hands

Current through June 11, 2024
1. Each
				facility must have written procedures concerning the washing of
				hands.
2. The staff of a facility
				shall follow the procedures of the facility concerning the washing of hands and
				shall instruct, monitor and assist the children being cared for at the facility
				to ensure that the children follow the procedures.
3. The procedures concerning the washing of
				hands must require, without limitation, that:
(a) The staff of the facility wash their
				hands with soap from a dispenser and warm water:
(1) Any time that their hands come into
				contact with blood, mucus, vomit, feces or urine;
(2) Before preparing or handling
				food;
(3) Before engaging in any
				activity related to serving food, including, without limitation, setting the
				table;
(4) Before and after eating
				a meal or snack;
(5) After using
				the toilet, helping a child use the toilet or changing a diaper with or without
				gloves;
(6) After attending to an
				ill child;
(7) After handling an
				animal;
(8) Before and after giving
				medication to a child; and
(9)
				After cleaning a container used to store garbage or handling garbage.
Nevada Administrative Code › Chapter 432A - Services and Facilities for Care of Children › STANDARDS OF OPERATION › General Requirements › Section 432A.413 - Written guidelines for toilet training

Current through June 11, 2024
1. Each
				facility shall develop written guidelines concerning the methods used by the
				staff of the facility for toilet training and the use of appropriate equipment
				and clothing for such training.
2.
				The guidelines concerning toilet training must be distributed to each parent of
				each child being cared for at the facility who is not yet toilet
				trained.
3. The guidelines must
				require the staff of the facility:
(a) Not to
				force a child to remain on the toilet for a prolonged period of time or punish
				a child for wetting or soiling his or her clothing;
(b) Not to leave a child unattended while the
				child is sitting on a potty-chair or on the toilet;
(c) To instruct and assist the children in
				washing their hands after using the toilet; and
(d) If a potty-chair is used to train a child
				to use the toilet, to:
(1) Place the
				potty-chair on a washable, impervious floor;
(2) Use the potty-chair in accordance with
				the instructions from the manufacturer;
(3) Ensure that the potty-chair is stored and
				used in an area that is not in close proximity to an area used for the
				preparation of food;
(4) Empty the
				potty-chair into a toilet immediately after each use;
(5) Thoroughly clean and disinfect the
				potty-chair after each use; and
(6)
				Disinfect the utility sink where the potty-chair was cleaned.
Nevada Administrative Code › Chapter 432A - Services and Facilities for Care of Children › STANDARDS OF OPERATION › General Requirements › Section 432A.414 - Sanitary measures for floors, rugs, carpets and nonporous surfaces

Current through June 11, 2024
1. A carpeted floor or rug on a floor that is
				too large to wash in a washing machine must be vacuumed not less than one time
				each day or more often if necessary and cleaned not less than one time every 3
				months or more often if necessary. If the carpeted floor or rug is cleaned by a
				member of the staff of the facility using a carpet cleaning machine, the
				Division may require the carpeted floor or rug to be professionally cleaned if
				the carpeted floor or rug does not appear to be clean.
2. Each floor of a facility that is not
				carpeted must be swept and mopped not less than one time each day or more often
				if necessary.
3. When cleaning a
				nonporous surface in a facility, including, without limitation, cleaning toys,
				cribs, tables, high chairs and surfaces used to change diapers, the staff of
				the facility shall:
(a) Clean the surface
				first with soap and water to remove any dirt or debris; and
(b) Disinfect the surface with a disinfecting
				agent.
Nevada Administrative Code › Chapter 432A - Services and Facilities for Care of Children › STANDARDS OF OPERATION › General Requirements › Section 432A.415 - Safety and sanitation of toys, equipment and other objects and material used for play

Current through June 11, 2024
1. Equipment and
				any material other than a toy that is used for play in a facility must be
				durable and free from characteristics that may be hazardous or injurious to a
				child who is less than 2 years of age, including, without limitation, such
				characteristics as sharp or rough edges, toxic paint or objects that are small
				enough for a child of that age to swallow and choke on.
2. Any object, toy or component of a toy that
				is accessible by a child who is less than 3 years of age at a facility must
				meet the federal size requirements set forth in
				16 C.F.R. §
										1501.4.
3. Toys with sharp points or edges, plastic
				bags and objects made from Styrofoam must not be accessible to a child who is
				less than 3 years of age.
4. A toy
				or any other piece of equipment that is used for play must be made of a
				material that is capable of being disinfected and must be cleaned and
				disinfected promptly after the toy or other piece of equipment has been soiled
				or put into the mouth of a child, or not less than one time each day.
5. The staff of a facility shall not provide
				a stuffed animal to any child unless the stuffed animal is laundered or
				disinfected not less than one time each day or more often if
				necessary.
6. Toys must not be
				placed in a crib at any time. The staff of a facility shall adhere to any
				requirement set forth on the label of a toy regarding the safe use of the
				toy.
7. Each room at a facility
				that is used for play and other activities for children must have:
(a) Low, open shelves to store
				toys;
(b) An adequate supply of
				toys that are in good condition and appropriate for the age of the
				children;
(c) Tables and chairs
				that are the appropriate size for the children; and
(d) Any other equipment that is necessary to
				meet the needs of the children.
Nevada Administrative Code › Chapter 432A - Services and Facilities for Care of Children › STANDARDS OF OPERATION › General Requirements › Section 432A.416 - Sleeping devices; napping

Current through June 11, 2024
1. Each member of
				the staff of a facility that is necessary to meet the applicable requirement
				for the ratio of caregivers to children set forth in section 5 for napping or
				sleeping children must be on the same floor in the same building where the
				children are napping or sleeping. Members of the staff of each facility must be
				readily accessible and available to be summoned to ensure the safety of the
				children in the facility.
2. Areas
				provided for napping or sleeping in a facility must be sufficiently lighted to
				provide for visual supervision of the children at all times.
3. The staff of each facility shall:
(a) Ensure that each infant under 12 months
				of age is placed on his or her back on a firm mattress, mat or pad manufactured
				for use by an infant when the infant is napping or sleeping;
(b) Use a safe, sturdy, well-constructed,
				single-level, free-standing crib, portable crib or playpen for children to nap
				or sleep in;
(c) Equip any such
				sleeping device with a waterproof, firm-fitting mattress;
(d) Ensure that each crib to be used by a
				child who is 6 months of age or younger is constructed with vertical slats that
				are not more than 2 3/8 inches apart;
(e) Ensure that a child who is 18 months of
				age or younger naps or sleeps in a crib which is appropriate for his or her age
				or in another sleeping device which has been approved by the
				Division;
(f) Ensure that a child
				who is older than 18 months of age naps or sleeps in an appropriate crib or on
				a cot or mat;
(g) Ensure that each
				sleeping device has appropriate bedding and a waterproof and washable
				covering;
(h) Wipe clean each
				sleeping device with a disinfectant not less than one time each week or more
				often if necessary;
(i) Ensure that
				the bedding that each child uses is used only for that particular
				child;
(j) Replace the bedding each
				time it is wet or soiled by a child or when the sleeping device is to be used
				by another child;
(k) Within 15
				minutes after a child in a crib has awakened from a nap or from sleeping, take
				the child out of the crib and engage him or her in an appropriate
				activity;
(l) Ensure that each
				child takes a nap as needed;
(m)
				Ensure that each napping or sleeping child is in an area from which the staff
				can readily hear and see the child; and
(n) Ensure that each napping or sleeping
				child is checked by a caregiver not less than one time every 15
				minutes.
Nevada Administrative Code › Chapter 432A - Services and Facilities for Care of Children › STANDARDS OF OPERATION › Additional Requirements for Certain Types of Facilities › Section 432A.420

Current through June 11, 2024
Bd. for Child Care,
				  Child Care Facilities Reg. §§ 17.1-17.15, eff. 2-28-80-NAC A 6-5-84;
				  11-19-85; 5-29-86; R203-97, 4-1-98; R112-06, 4-23-2009; R by
				  R092-16AP,
				  eff. 9/21/2017
NRS
				  432A.077
Nevada Administrative Code › Chapter 432A - Services and Facilities for Care of Children › STANDARDS OF OPERATION › Additional Requirements for Certain Types of Facilities › Section 432A.425 - Nurseries for infants and toddlers: General requirements

Current through June 11, 2024
1. The director or a designated member of the
				staff of a nursery for infants and toddlers or other facility that enrolls
				infants and toddlers shall discuss policies concerning the health of an infant
				or toddler with the parents before enrollment of the child. Every parent must
				be given a description of and agree in writing to the following matters
				concerning the child:
(a) Feeding;
(b) Diapering;
(c) Changes of clothing, which are to be
				provided by the parents;
(d)
				Bathing, including, without limitation, the kind of soap to be used;
(e) Precautions against infectious
				disease;
(f) Sleeping;
(g) Toilet training;
(h) Daily reports to the parents;
(i) Any special precautions regarding the
				health and safety of the child; and
(j) Any other information deemed necessary by
				the facility or the Division.
Nevada Administrative Code › Chapter 432A - Services and Facilities for Care of Children › STANDARDS OF OPERATION › Additional Requirements for Certain Types of Facilities › Section 432A.430 - Early care and education programs

Current through June 11, 2024
1. Each facility,
				including, without limitation, a family home and a group home, shall have an
				early care and education program.
2. Each facility described in subsection 1
				shall develop a written assessment plan which is designed to, without
				limitation:
(a) Identify the interests and
				needs of each child enrolled in the facility;
(b) Describe the developmental and
				educational progress of each child enrolled in the facility who is not
				attending public or private elementary school;
(c) Identify the need for and referral of a
				child enrolled in the facility for developmental screening and the referral of
				the child for diagnostic assessment, if appropriate;
(d) Describe the methodology for developing
				curriculum for the children enrolled in the facility;
(e) Adapt teaching practices and the
				environment to the children enrolled in the facility;
(f) Facilitate the early care and education
				program required pursuant to subsection 1; and
(g) Promote communication with the family of
				a child enrolled in the facility.
Nevada Administrative Code › Chapter 432A - Services and Facilities for Care of Children › STANDARDS OF OPERATION › Additional Requirements for Certain Types of Facilities › Section 432A.435 - Accommodation facilities

Current through June 11, 2024
1. During the hours
				of operation, each accommodation facility must have a person on duty who is
				designated as the person responsible for the operation of the
				facility.
2. An accommodation
				facility may care for a child for not longer than 3 1/2 hours in any 24-hour
				period while the adult responsible for placing the child in the accommodation
				facility remains on the premises of the business establishment which operates
				the accommodation facility.
3. The
				accommodation facility must maintain a daily attendance record which includes
				the name of each child cared for in the facility, the child's date of birth,
				the names of his or her parents or guardians, the home address and telephone
				number of the parents or guardians, the time of arrival and departure of the
				child and the name of a person to contact in the case of an
				emergency.
4. The accommodation
				facility must be located in a separate section of the business establishment
				and enclosed from the other business conducted in the establishment. If the
				accommodation facility is operated by a business that is licensed to sell or
				dispense alcohol or to conduct gaming in any form, the accommodation facility
				must be physically located in such a manner that the sale and dispensing of
				alcohol and the participation in gaming ventures are isolated and obscured from
				the view and hearing of the children in the accommodation facility.
5. No medication may be administered to a
				child in an accommodation facility.
Added to NAC by Bd.
				  for Child Care, eff. 3-11-92
NRS
					 432A.077
Nevada Administrative Code › Chapter 432A - Services and Facilities for Care of Children › STANDARDS OF OPERATION › Additional Requirements for Certain Types of Facilities › Section 432A.436 - Extended care accommodation facilities

Current through June 11, 2024
1. Each extended
				care accommodation facility must have:
(a) A
				designated napping area for all children cared for in the facility;
				and
(b) A separate area designated
				for infants and toddlers.
Nevada Administrative Code › Chapter 432A - Services and Facilities for Care of Children › STANDARDS OF OPERATION › Additional Requirements for Certain Types of Facilities › Section 432A.437 - Facilities for special events: Licensure of applicant

Current through June 11, 2024
1. In addition to satisfying the requirements
				of NAC 432A.200, an applicant for a license to operate a facility for special
				events must:
(a) Have and indicate in his or
				her application for a license to operate the facility for special events a
				permanent physical location for the business where the records concerning the
				facility will be maintained.
(b)
				Submit to the Division an application for a license to operate the facility for
				special events for each special event for which child care will be provided by
				the facility for special events, which must include written approval from the
				owner or operator of the premises of the business at which the special event
				will be held and at which child care will be provided. The application must be
				filed with the Division at least 60 working days before the date on which the
				special event begins and must include:
(1) The
				appropriate fee as prescribed in NAC 432A.200;
(2) The name of the special event and the
				address at which the special event will occur;
(3) The square footage and a diagram of the
				specific area in which child care will be provided;
(4) A copy of the contract which will be
				provided to the parent of a child who will receive care provided by the
				facility for special events;
(5)
				The plan for the program of care for the children who will receive child care
				provided by the facility for special events, which must be broken down by the
				age groups of the children who will be served by the facility and the ages and
				number of children to whom child care services will be provided; and
(6) A copy of the statement that will be
				provided to each parent of a child who receives care provided by the facility
				for special events which indicates that the members of the staff of the
				facility may have varied levels of training and experience.
Nevada Administrative Code › Chapter 432A - Services and Facilities for Care of Children › STANDARDS OF OPERATION › Additional Requirements for Certain Types of Facilities › Section 432A.438 - Facilities for special events: Requirements for care of children; records; procedures for emergencies; field trips

Current through June 11, 2024
1. Child care that
				is provided by a facility for special events may be provided only:
(a) To the children of persons who are
				attending the special event; and
(b) On the dates on which the special event
				is occurring and may not be provided for more than:
(1) Seven days; and
(2) Ten hours in 1 day.
Nevada Administrative Code › Chapter 432A - Services and Facilities for Care of Children › STANDARDS OF OPERATION › Additional Requirements for Certain Types of Facilities › Section 432A.440 - Institutions: General requirements

Current through June 11, 2024
1. A licensee of an
				institution may:
(a) Contract with any parent
				for the supervision, care and guidance of a child;
(b) Provide for the moral and religious
				training of the children according to the religious belief of the child or the
				child's parents; or
(c) Accept
				guardianship of a child when appointed as a guardian by a juvenile
				court.
Nevada Administrative Code › Chapter 432A - Services and Facilities for Care of Children › STANDARDS OF OPERATION › Additional Requirements for Certain Types of Facilities › Section 432A.445 - Institutions: Social workers

Current through June 11, 2024
1. A licensee of a
				child care institution shall maintain a ratio of social workers to children
				that will fulfill the needs of the children, but there must be at least two
				social workers for every 50 children in the institution.
2. Each social worker must:
(a) Possess a bachelor's or more advanced
				degree which is based on at least 15 credits in the social sciences;
				and
(b) Within 2 years after
				commencing employment with the institution, participate in at least 180 hours
				of documented training while in service.
Nevada Administrative Code › Chapter 432A - Services and Facilities for Care of Children › STANDARDS OF OPERATION › Additional Requirements for Certain Types of Facilities › Section 432A.450 - Institutions: Programs; use of isolation and restraints

Current through June 11, 2024
1. Each licensee of an institution shall:
(a) Formulate, in writing, a statement of:
(1) The services and specific programs
				offered; and
(2) The procedure for
				admission and the information which must be contained in an application for
				admission.
Nevada Administrative Code › Chapter 432A - Services and Facilities for Care of Children › STANDARDS OF OPERATION › Additional Requirements for Certain Types of Facilities › Section 432A.460 - Institutions: Records

Current through June 11, 2024
1. Each licensee of
				an institution shall maintain an individual record for each child accepted for
				care. The record is confidential and must be protected from examination by
				unauthorized persons.
2. Every
				record must contain the following information, if available:
(a) The child's full name, birthplace and
				date of birth;
(b) The religion of
				the child and his or her parents;
(c) Both parents' full names;
(d) If the child's parents are deceased, the
				date, place and cause of death;
(e)
				If the child's parents are divorced or separated, the date and place of the
				divorce or separation;
(f) The
				names, addresses and dates of birth of other children in the family;
(g) The names and addresses of close
				relatives;
(h) The name of a person
				to whom the child may be referred for care;
(i) The date and reason for placement of the
				child;
(j) The financial terms of
				the placement;
(k) The report of
				the original study and investigation of the child, including:
(1) All information concerning the
				educational, economic and cultural background of the child's family;
				and
(2) All personal information
				about the child, including his or her:
(I)
				History of development and health;
(II) Personality;
(III) Placement and adjustment in
				school;
(IV) Previous placements in
				institutions; and
(V) Relationships
				with his or her family;
(l) Any available documents pertaining to the
				current legal custody of the child;
(m) Every written contract between the
				licensee of an institution and the child's parents, except an authorization to
				provide medical care, which must be kept in the records of the health of the
				child;
(n) Reports and records of
				schools attended by the child, including his or her grades, progress and
				adjustment;
(o) Records or
				summarized reports of the child's progress and development while under care,
				the work done with the child's family, and plans for care and supervision of
				the child after discharge;
(p) If
				members of the staff of another agency or institution are also working with the
				child, the licensee of an institution mainly providing care to the child shall
				periodically provide the staff members of the other agency or institution with
				summary reports of the services it is providing and shall formulate plans for
				continuing the services, for maintaining an appropriate staff and for arranging
				conferences with other agencies and institutions who are also providing care
				for the child; and
(q) Reports of
				the staff of the institution concerning the child's adjustment to the
				institutional setting.
Nevada Administrative Code › Chapter 432A - Services and Facilities for Care of Children › STANDARDS OF OPERATION › Additional Requirements for Certain Types of Facilities › Section 432A.470 - Special needs facilities: Meeting required before admission of child

Current through June 11, 2024
Before a child may be admitted to a special needs facility,
				  the child's parents, the appropriate members of the staff of the facility and
				  any appropriate specialists shall meet to determine whether the needs of the
				  child can be adequately met by the facility and to ascertain the information
				  and training which must be obtained from the child's parents and other persons
				  who provide services to the child.
Added to NAC by Bd.
				  for Child Care, eff. 5-14-90
NRS
					 432A.077
Nevada Administrative Code › Chapter 432A - Services and Facilities for Care of Children › STANDARDS OF OPERATION › Additional Requirements for Certain Types of Facilities › Section 432A.475 - Special needs facilities: Training of staff; plan of services

Current through June 11, 2024
A special needs facility shall provide the members of its
				  staff with appropriate training and prepare a written plan of services for each
				  child with special needs it accepts. The plan of services must contain:
1. The name, age and date of birth of the
				child;
2. The name, address and
				telephone number of the parents of the child;
3. Any information needed to contact the
				parents of the child;
4. Any
				information needed to contact an appropriate person in an emergency;
5. The name and telephone number of any
				physician or specialist who is treating the child;
6. The name and telephone number of any
				special consultants who are available to the facility to assist in the care or
				treatment of the child;
7. The
				signatures of all persons participating in and agreeing to abide by the
				plan;
8. If relevant to the plan, a
				diagnosis of the child's special condition;
9. Any special needs of the child,
				precautions or arrangements concerning:
(a)
				Diet and feeding;
(b) Devices and
				equipment;
(c)
				Positioning;
(d) Body
				wastes;
(e)
				Communication;
(f) Management of
				behavior; and
(g) Modification of
				the building or other aspects of the environment;
Nevada Administrative Code › Chapter 432A - Services and Facilities for Care of Children › STANDARDS OF OPERATION › Additional Requirements for Certain Types of Facilities › Section 432A.485 - Special needs facilities: Qualifications of director

Current through June 11, 2024
In addition to satisfying the requirements of NRS
				  NRS
				  432A.1773, the director of a special needs
				  facility must:
1. Have earned a
				bachelor's or associate's degree, and have completed at least:
(a) Twelve semester hours of education, of
				which:
(1) Three semester hours are in child
				development;
(2) Six semester hours
				are in the education of children with special needs; and
(3) Three semester hours are in child
				psychology, education related to the health of children, the education of
				children with special needs or courses directly related to those subjects;
				and
Nevada Administrative Code › Chapter 432A - Services and Facilities for Care of Children › STANDARDS OF OPERATION › Immunization Against Disease › Section 432A.500 - Mumps

Current through June 11, 2024
1. The State Board of Health hereby declares
				the disease of mumps to be a communicable disease.
2. Unless excused because of religious belief
				or medical condition, a child may not be enrolled in a child care facility in
				this State unless he or she has been immunized against the mumps.
Added to NAC by Bd. of
				  Health, eff. 6-30-88; A 8-1-91
NRS
					 432A.230,
					 439.200
Nevada Administrative Code › Chapter 432A - Services and Facilities for Care of Children › STANDARDS OF OPERATION › Immunization Against Disease › Section 432A.501 - Hepatitis A

Current through June 11, 2024
1. The State Board
				of Health hereby declares infection with hepatitis A to be a communicable
				disease.
2. Unless excused because
				of religious belief or medical condition, a child may not be enrolled in a
				child care facility in this State unless he or she has been immunized against
				hepatitis A.
Added to NAC by Bd. of
				  Health by R099-07, eff. 10-31-2007
NRS
					 432A.230,
					 439.200
Nevada Administrative Code › Chapter 432A - Services and Facilities for Care of Children › STANDARDS OF OPERATION › Immunization Against Disease › Section 432A.502 - Hepatitis B

Current through June 11, 2024
1. The State Board
				of Health hereby declares infection with hepatitis B to be a communicable
				disease.
2. Unless excused because
				of religious belief or medical condition, a child may not be enrolled in a
				child care facility in this State unless he or she has been immunized against
				hepatitis B.
Added to NAC by Bd. of
				  Health by R099-07, eff. 10-31-2007
NRS
					 432A.230,
					 439.200
Nevada Administrative Code › Chapter 432A - Services and Facilities for Care of Children › STANDARDS OF OPERATION › Immunization Against Disease › Section 432A.503 - Varicella

Current through June 11, 2024
1. The State Board of Health hereby declares
				infection with varicella to be a communicable disease.
2. Unless excused because of religious belief
				or medical condition, a child may not be enrolled in a child care facility in
				this State unless he or she has been immunized against varicella.
Added to NAC by Bd. of
				  Health by R099-07, eff. 10-31-2007
NRS
					 432A.230,
					 439.200
Nevada Administrative Code › Chapter 432A - Services and Facilities for Care of Children › STANDARDS OF OPERATION › Immunization Against Disease › Section 432A.504 - Streptococcus pneumoniae

Current through June 11, 2024
1. The State Board
				of Health hereby declares infection with streptococcus pneumoniae to be a
				communicable disease.
2. Unless
				excused because of religious belief or medical condition, a child may not be
				enrolled in a child care facility in this State unless he or she has been
				immunized against streptococcus pneumoniae.
Added to NAC by Bd. of
				  Health by R099-07, eff. 10-31-2007
NRS
					 432A.230,
					 439.200
Nevada Administrative Code › Chapter 432A - Services and Facilities for Care of Children › STANDARDS OF OPERATION › Immunization Against Disease › Section 432A.505 - Haemophilus influenzae type b

Current through June 11, 2024
1. The State Board
				of Health hereby declares infection with Haemophilus influenzae type b to be a
				communicable disease.
2. Unless
				excused because of religious belief or medical condition, a child may not be
				enrolled in a child care facility in this State unless he or she has been
				immunized against Haemophilus influenzae type b.
Added to NAC by Bd. of
				  Health, eff. 8-1-91
NRS
					 432A.230,
					 439.200
Nevada Administrative Code › Chapter 432A - Services and Facilities for Care of Children › STANDARDS OF OPERATION › Immunization Against Disease › Section 432A.510 - Documents to be submitted by parent who resides outside county

Current through June 11, 2024
1. If the operator of a facility
				conditionally admits a child whose parent has not established permanent
				residence in the county in which the facility is located, the operator shall
				keep the proof submitted by the parent that he or she has not established a
				permanent residence in the county on file at the facility for 1 year. The proof
				must be in the form designated by the licensing authority and may include a
				driver's license.
2. In any case
				governed by this section, the parent shall submit a written statement of the
				immunization status of the child to the operator of the facility. The statement
				must be signed by the parent.
Added to NAC by Bd.
				  for Child Care, eff. 12-19-89
NRS
					 432A.077,
					 432A.230
Nevada Administrative Code › Chapter 432A - Services and Facilities for Care of Children › STANDARDS OF OPERATION › Staffing Requirements; Number of Children › Section 432A.520 - General requirements; requirements for field trips

Current through June 11, 2024
1. A licensee of a child care facility shall
				have a staff which is sufficient in number to provide physical care,
				supervision and individual attention to each child and allow time for
				interaction between the staff and the children to promote the children's social
				competence, emotional well-being and intellectual development.
2. Except as otherwise provided in subsection
				3, in addition to the number of caregivers that are required to satisfy the
				applicable ratio of caregivers to children set forth in section 5 , one
				additional caregiver or an adult volunteer per each group of children must be
				present on all field trips away from the child care facility to assist in
				providing direct supervision to the children and to increase the safety of the
				children.
3. The provisions of
				subsection 2 do not apply:
(a) If the purpose
				for leaving the child care facility is to transport the children from the child
				care facility to another location and, upon reaching that location, the
				responsibility for caring for the children is assumed by another
				adult.
(b) To a group of children
				that is composed entirely of children of school age, including children who are
				attending kindergarten.
Nevada Administrative Code › Chapter 432A - Services and Facilities for Care of Children › STANDARDS OF OPERATION › Staffing Requirements; Number of Children › Section 432A.5205 - Minimum staffing ratios; staff required to remain awake during duty hours at night

Current through June 11, 2024
1. Except as
				otherwise provided in NAC
				432A.290 and
				432A.546, a licensee of a child
				care center, child care institution, accommodation facility, facility for
				special events, nursery for infants and toddlers or special needs facility
				shall, between the hours of 6:30 a.m. and 9:00 p.m., abide by the following
				staffing levels in each classroom:
Age of Child
Required Staff to Child Ratio
Group Size
Less than 9 months of age
1 caregiver for every 4
								children
8
9 months of age or older but less than 2
								years of age
1 caregiver for every 6
								children
12
2 years of age or older but less than 3 years
								of age
1 caregiver for every 9
								children
18
3 years of age or older but less than 4 years
								of age
1 caregiver for every 12
								children
24
4 years of age or older but less than 5 years
								of age
1 caregiver for every 13
								children
26
5 years of age or older
1 caregiver for every 18
								children
36
2.
				Except as otherwise provided in NAC
				432A.546, a licensee of a child
				care center, child care institution, accommodation facility, facility for
				special events, nursery for infants and toddlers or special needs facility
				which is operated between the hours of 9:00 p.m. and 6:30 a.m. shall abide by
				the following staffing levels in each classroom:
Age of Child
Required Staff to Child Ratio
Group Size
Less than 3 years of age
1 caregiver for every 6
								children
12
3 years of age or older
1 caregiver for every 10
								children
20
3.
				Every member of the staff of a child care center, child care institution,
				accommodation facility, facility for special events, nursery for infants and
				toddlers or special needs facility who is on duty at night shall remain awake
				during duty hours.
4. A licensee of
				a child care facility is allowed to utilize all useable and measured square
				footage within a classroom to meet the requirements of NAC
				432A.250 if the requirements for
				ratios and groups described in subsections 1 and 2 are maintained within such
				classrooms.
5. If a licensee of a
				child care facility care for children of different age groups as described in
				subsections 1 and 2, the licensee shall abide by the required staff to child
				ratio and group size based on the age of the youngest child in the
				group.
Added to
				  NAC by Bd. for Child Care by
				  R092-16AP,
				  eff. 9/21/2017
NRS
				  432A.077
Nevada Administrative Code › Chapter 432A - Services and Facilities for Care of Children › STANDARDS OF OPERATION › Staffing Requirements; Number of Children › Section 432A.521 - Replacement of absent caregiver

Current through June 11, 2024
A facility, other than an accommodation facility or a
				  facility that provides care for ill children, may replace a caregiver who
				  has:
1. An unplanned absence with an
				alternate caregiver:
(a) Who is able to be on
				the premises of the facility within 5 minutes after being requested to do
				so;
(b) Whom the Division has
				investigated pursuant to paragraph (a) of subsection 2 of NAC
				432A.200; and
(c) Who satisfies the requirements of NAC
				432A.310 and subsection 1 of NAC
				432A.323.
Nevada Administrative Code › Chapter 432A - Services and Facilities for Care of Children › STANDARDS OF OPERATION › Staffing Requirements; Number of Children › Section 432A.522

Current through June 11, 2024
Added to NAC by Bd.
				  for Child Care, eff. 8-31-84; A 1-29-85; R112-06, 4-23-2009-Substituted in
				  revision for NAC 432A.331; R by
				  R092-16AP,
				  eff. 9/21/2017
NRS
				  432A.077
Nevada Administrative Code › Chapter 432A - Services and Facilities for Care of Children › STANDARDS OF OPERATION › Staffing Requirements; Number of Children › Section 432A.524

Current through June 11, 2024
Added to NAC by Bd.
				  for Child Care, eff. 8-31-84; A 5-14-90; 11-1-94; R112-06, 4-23-2009; R by
				  R092-16AP,
				  eff. 9/21/2017
NRS
				  432A.077