reglab/statecodes huggingface dataset:
Nevada Administrative Code › Chapter 449 - Medical and Other Related Facilities › FACILITIES FOR THE TREATMENT OF ALCOHOL OR OTHER SUBSTANCE USE DISORDERS › Operation of Facility › Section 449.150 - Records of clients

Current through June 11,
				2024
1. Each facility
				must maintain an organized system for clients' records.
2. Clients' records must be available to
				members of the staff who have authority to review such records.
3. Clients' records must be available to
				representatives of the Division.
4.
				Clients' records must contain:
(a)
				Identification information;
(b)
				Past medical and social history;
(c) Copies of initial and periodic
				examinations;
(d) Evaluations and
				progress notes; and
(e) A review
				and any revisions of each plan of treatment.
Nevada Administrative Code › Chapter 449 - Medical and Other Related Facilities › FACILITIES FOR THE TREATMENT OF ALCOHOL OR OTHER SUBSTANCE USE DISORDERS › Operation of Facility › Section 449.153

Current through
				June 11, 2024
Bd. of Health, Alcohol
				  and Drug Abuse Treatment Facilities Art. 15, eff. 3-27-76-NAC A 8-1-91;
				  R077-01, 10-18-2001; R by
				  R016-20A,
				  eff. 11/2/2020
NRS
				  449.0302
Nevada Administrative Code › Chapter 449 - Medical and Other Related Facilities › FACILITIES FOR MODIFIED MEDICAL DETOXIFICATION › Section 449.15311 - Definitions

Current through June 11, 2024
As used in NAC 449.15311 to
				449.15367, inclusive, unless the
				context otherwise requires, the words and terms defined in NAC
				449.15313 to
				449.15321, inclusive, have the
				meanings ascribed to them in those sections.
Added to NAC by Bd. of
				Health by R129-99, 11-29-99, eff. 1-1-2000; A by
				R016-20A,
				eff. 11/2/2020
NRS
				449.0302
Nevada Administrative Code › Chapter 449 - Medical and Other Related Facilities › FACILITIES FOR MODIFIED MEDICAL DETOXIFICATION › Section 449.15313 - "Administrator" defined

Current through June 11,
			 2024
"Administrator" means the person who is appointed by the
				governing body of a facility who has primary responsibility for the overall
				operations of the program of the facility.
Added to NAC by Bd. of
				Health by R129-99, 11-29-99, eff. 1-1-2000
NRS
				  449.0302
Nevada Administrative Code › Chapter 449 - Medical and Other Related Facilities › FACILITIES FOR MODIFIED MEDICAL DETOXIFICATION › Section 449.15315 - "Client" defined

Current through June 11,
			 2024
"Client" means a resident or patient of a facility.
Added to NAC by Bd. of
				Health by R129-99, 11-29-99, eff. 1-1-2000
NRS
				  449.0302
Nevada Administrative Code › Chapter 449 - Medical and Other Related Facilities › FACILITIES FOR MODIFIED MEDICAL DETOXIFICATION › Section 449.15317 - "Facility" defined

Current through June 11,
			 2024
"Facility" means a facility for modified medical detoxification
				as defined in
				NRS
				449.00385.
Added to NAC by Bd. of
				Health by R129-99, 11-29-99, eff. 1-1-2000
NRS
				  449.0302
Nevada Administrative Code › Chapter 449 - Medical and Other Related Facilities › FACILITIES FOR MODIFIED MEDICAL DETOXIFICATION › Section 449.15319 - "Overall program" defined

Current through June 11,
			 2024
"Overall program" means tasks that are commonly undertaken by a
				board of directors, including, without limitation, general fiscal management,
				fund-raising projects and establishing the general long-term goals of a
				facility.
Added to NAC by Bd. of
				Health by R129-99, 11-29-99, eff. 1-1-2000
NRS
				  449.0302
Nevada Administrative Code › Chapter 449 - Medical and Other Related Facilities › FACILITIES FOR MODIFIED MEDICAL DETOXIFICATION › Section 449.15321 - "Program" defined

Current through June 11,
			 2024
"Program" means the program established pursuant to NAC
				449.15337.
Added to NAC by Bd. of
				Health by R129-99, 11-29-99, eff. 1-1-2000
NRS
				  449.0302
Nevada Administrative Code › Chapter 449 - Medical and Other Related Facilities › FACILITIES FOR MODIFIED MEDICAL DETOXIFICATION › Section 449.15323 - Proof of certification required; revocation of license

Current
			 through June 11, 2024
1.
			 As a condition of the issuance of a license to a facility, the facility shall
			 provide proof that it is certified by the Division.
2. If the Division revokes or does not renew
			 the certification of a facility, the Division shall revoke the license of the
			 facility subject to the appeals procedure set forth in NAC 439.300 to 439.395,
			 inclusive.
Added to NAC by Bd. of
				Health by R129-99, 11-29-99, eff. 1-1-2000
NRS
				  449.0302
Nevada Administrative Code › Chapter 449 - Medical and Other Related Facilities › FACILITIES FOR MODIFIED MEDICAL DETOXIFICATION › Section 449.15325 - Governing body; bylaws and policies

Current through June 11,
			 2024
1. Each facility
			 shall have a governing body that has the ultimate authority for the
			 administration of the overall program of the facility.
2. The governing body shall adopt written
			 bylaws and policies that define the powers and duties of the governing body,
			 its committees, the administrator and any advisory group.
3. The bylaws and policies must:
(a) Identify the overall goals of the
			 facility;
(b) Include, without
			 limitation, an organizational chart of the facility;
(c) Define the major lines of authority and
			 areas of responsibility within the program of treatment provided by the
			 facility;
(d) Define the membership
			 of the governing body, the types of membership, the method of selection or
			 appointment of members, offices or committees and their terms of office;
			 and
(e) Define the frequency of
			 meetings of the governing body and attendance requirements.
Nevada Administrative Code › Chapter 449 - Medical and Other Related Facilities › FACILITIES FOR MODIFIED MEDICAL DETOXIFICATION › Section 449.15327 - Policies and procedures for services and operation of facility

Current through June 11, 2024
1. Each facility shall have written policies
			 and procedures available to members of the staff, clients and the public that
			 govern the operation of the facility and services provided by the
			 facility.
2. The policies must:
(a) Ensure that only those persons are
			 accepted as clients whose needs can be met by the facility directly or in
			 cooperation with community resources or other providers of treatment with which
			 it is affiliated or has contacts.
(b) Ensure that a client whose physical or
			 mental condition has changed to such an extent that the client can no longer be
			 adequately served by the facility will be transferred promptly to an
			 appropriate facility. Written transfer agreements or other written provisions
			 with such other facilities must be maintained by the facility.
(c) Set forth the rights of clients and
			 members of the staff and provide for the registration and disposition of
			 complaints without threat of discharge or reprisal against any employee or
			 client.
Nevada Administrative Code › Chapter 449 - Medical and Other Related Facilities › FACILITIES FOR MODIFIED MEDICAL DETOXIFICATION › Section 449.15329 - Transfer of client

Current through June 11,
			 2024
1. Except in the
			 case of an emergency, the transfer of a client must not be effected until the
			 client, attending physician of the client, if any, and responsible agency are
			 consulted in advance.
2. Except as
			 otherwise provided in subsection 3, if a client is transferred to a hospital or
			 other medical facility, a summary of discharge containing a plan for
			 continuation of care must be prepared and forwarded to the receiving facility
			 if the client or his or her guardian consents to release such information to
			 the receiving facility.
3. If a
			 client is transferred to a hospital or other medical facility as a result of a
			 medical emergency, information required for appropriate continuation of care
			 must be released to the receiving facility in compliance with the standards set
			 forth in 42 C.F.R. Part 2.
4. The
			 admission agreement must not allow the licensee or his or her designee to be
			 given power of attorney.
Added to NAC by Bd. of
				Health by R129-99, 11-29-99, eff. 1-1-2000
NRS
				  449.0302
Nevada Administrative Code › Chapter 449 - Medical and Other Related Facilities › FACILITIES FOR MODIFIED MEDICAL DETOXIFICATION › Section 449.15331 - Handling of money of client

Current through June 11,
			 2024
1. If a facility
			 handles the money of a client, a written ledger account of all deposits,
			 disbursements or other transactions must be maintained. A record must be made
			 available to the client at least quarterly.
2. The money of a client must be given to the
			 client within 24 hours after his or her exit from the facility.
3. Large sums of money must be maintained in
			 a financial institution in the community where the facility is located in a
			 separate trustee account apart from the operational accounts of the facility
			 and must be clearly designated.
Added to NAC by Bd. of
				Health by R129-99, 11-29-99, eff. 1-1-2000
NRS
				  449.0302
Nevada Administrative Code › Chapter 449 - Medical and Other Related Facilities › FACILITIES FOR MODIFIED MEDICAL DETOXIFICATION › Section 449.15333 - Inventory of belongings of client

Current through June 11,
			 2024
If a facility holds or stores the belongings of a client, there
				must be an inventory of the belongings on admission, made a part of the record
				of the client and updated as needed. These belongings must be returned to the
				client upon his or her exit.
Added to NAC by Bd. of
				Health by R129-99, 11-29-99, eff. 1-1-2000
NRS
				  449.0302
Nevada Administrative Code › Chapter 449 - Medical and Other Related Facilities › FACILITIES FOR MODIFIED MEDICAL DETOXIFICATION › Section 449.15335 - Liability insurance

Current through June 11,
			 2024
Liability insurance in a sufficient amount to protect clients,
				members of the staff, volunteers and visitors, must be maintained by each
				facility. A certificate of insurance must be furnished to the Division. The
				certificate must include, without limitation, provision for 30 days' notice to
				the Division of cancellation or the nonrenewal of a policy of insurance.
Added to NAC by Bd. of
				Health by R129-99, 11-29-99, eff. 1-1-2000
NRS
				  449.0302
Nevada Administrative Code › Chapter 449 - Medical and Other Related Facilities › FACILITIES FOR MODIFIED MEDICAL DETOXIFICATION › Section 449.15337 - Program: Requirements; review

Current through June 11,
			 2024
1. Each facility
			 shall have a written program outlining short-term and long-term objectives and
			 goals. These goals must be realistic, attainable, and clearly and operationally
			 defined.
2. Each component of the
			 program must develop objectives that complement the goals of the
			 program.
3. The Division shall:
(a) Periodically evaluate the
			 program;
(b) Prepare a report of
			 the evaluation; and
(c) Distribute
			 the report to the persons who manage the program and make the report available
			 to the members of the staff of the facility and the Bureau of Licensure and
			 Certification of the Division.
Nevada Administrative Code › Chapter 449 - Medical and Other Related Facilities › FACILITIES FOR MODIFIED MEDICAL DETOXIFICATION › Section 449.15339 - Responsibilities and duties of administrator

Current through June 11,
			 2024
1. The
			 administrator of a facility is responsible to the governing body of the
			 facility for the operation of the facility in accordance with the policies and
			 procedures of the facility.
2. The
			 administrator shall:
(a) Organize the
			 administrative functions of the program, delegate duties and establish a formal
			 means of accountability on the part of subordinates.
(b) Ensure that a written manual defining the
			 policies and procedures of the program is prepared, regularly revised and
			 updated. The manual must:
(1) Contain all
			 policies and procedures of the facility, including, without limitation,
			 definitions and other documentation required by NAC
			 449.15311 to
			 449.15367, inclusive;
			 and
(2) Be available to members of
			 the staff of the facility at all times at designated and convenient
			 locations.
(c) Appoint a
			 person who has attained the age of majority to act for him or her during any
			 extended absence.
Nevada Administrative Code › Chapter 449 - Medical and Other Related Facilities › FACILITIES FOR MODIFIED MEDICAL DETOXIFICATION › Section 449.15341 - Policies and procedures concerning employees

Current through June
			 11, 2024
1. Each
			 facility shall have on duty, all hours of each day, members of the staff
			 sufficient in number and qualifications to carry out policies, responsibilities
			 and program continuity.
2. All
			 members of the counseling staff of a facility shall be authorized by state law
			 to provide alcohol and drug counseling.
3. The administrator or his or her appointee
			 shall be present and responsible for the operations of the facility during
			 normal hours.
4. Each facility
			 shall have written policies and procedures for the recruitment, selection,
			 promotion and termination of members of the staff.
5. Each facility shall have written policies
			 and procedures concerning wages and salaries, working hours, employee benefits,
			 vacation and sick leave, rules of conduct, and training and development of the
			 staff.
6. Each facility shall
			 provide an orientation session to new employees. Documentation of the session
			 must be maintained in the personnel file of the employee.
7. Each facility shall have written policies
			 and procedures governing disciplinary actions that clearly define the mechanism
			 for the suspension or dismissal of members of the staff as well as the
			 procedures for appeal.
8. Each
			 facility shall maintain a written job description for each position at the
			 facility. The job description must accurately reflect the actual job situation
			 and must be reviewed annually or whenever a change in the responsibilities of
			 the job or qualifications occurs. Job descriptions must be available on request
			 to all members of the staff. A job description must include, without
			 limitation:
(a) The title of the
			 job;
(b) The tasks and
			 responsibilities of the job;
(c)
			 The skills, education and experience necessary for the job;
(d) The relationship of the job to other jobs
			 within the program; and
(e) The
			 working conditions, location and shift of the job, and the materials and
			 equipment to be used on the job.
Nevada Administrative Code › Chapter 449 - Medical and Other Related Facilities › FACILITIES FOR MODIFIED MEDICAL DETOXIFICATION › Section 449.15343 - Nursing services

Current through June 11,
			 2024
1. Each facility
			 shall have an organized plan for nursing service that provides nursing services
			 24 hours per day. The nursing services must be provided or supervised by a
			 registered nurse in compliance with state law, including, without limitation,
			 chapter 632 of NRS and chapter 632 of NAC.
2. The nursing service shall have a
			 sufficient number of registered nurses, licensed practical nurses and other
			 personnel to provide nursing care to all clients as needed.
3. The facility shall ensure that the nursing
			 staff develops and keeps current a plan for nursing care for each
			 client.
4. The administrator shall
			 appoint a chief administrative nurse to direct the nursing service. The chief
			 administrative nurse must:
(a) Be a
			 registered nurse;
(b) Be
			 knowledgeable, skilled and competent in clinical practice and the management of
			 nurses;
(c) Be authorized by state
			 law to provide alcohol and drug counseling; and
(d) Comply with the provisions of chapter 632
			 of NRS and chapter 632 of NAC and follow professional standards established for
			 organized nursing services.
Nevada Administrative Code › Chapter 449 - Medical and Other Related Facilities › FACILITIES FOR MODIFIED MEDICAL DETOXIFICATION › Section 449.15345 - Health services

Current through June 11,
			 2024
1. Each facility
			 shall provide health services which ensure that each client receives treatment,
			 prescribed medication, adequate diets and other health services consistent with
			 the program administered by the facility.
2. There must be policies and procedures
			 designed to ensure the early detection of complications or conditions
			 considered to be common among alcohol and drug abusers. The policies and
			 procedures must be developed with assistance from and approved by the medical
			 director of the facility.
3. Before
			 a client is admitted to a facility, a general medical and drug history of the
			 client must be taken by a physician or designated member of the nursing staff
			 of the facility. The history must include, without limitation:
(a) Drugs used in the past;
(b) Drugs used recently;
(c) Drugs of preference;
(d) Frequently used drugs;
(e) Drugs used in combination;
(f) Dosages used;
(g) Date of first usage;
(h) Incidents of overdose, withdrawal or
			 adverse drugs reactions; and
(i)
			 Previous history of treatment.
Nevada Administrative Code › Chapter 449 - Medical and Other Related Facilities › FACILITIES FOR MODIFIED MEDICAL DETOXIFICATION › Section 449.15347 - Pharmaceutical services

Current through June 11,
			 2024
1. Each facility
			 shall have a pharmacy directed by a registered pharmacist or a drug room
			 supervised by no less than a currently licensed professional nurse. The
			 pharmacy or drug room must be administered in accordance with all applicable
			 state and federal laws. The facility shall have a full-time, part-time or
			 consulting pharmacist who is responsible for developing, supervising and
			 coordinating all of the activities of the pharmacy service.
2. Each facility shall have and implement
			 policies and procedures that minimize errors in the administration of drugs.
			 The medical director of the facility and the pharmacist who is responsible for
			 the pharmacy service shall approve the policies and procedures.
3. Drugs and biologicals must be controlled
			 and distributed in accordance with applicable standards of practice and state
			 and federal laws.
4. When a
			 pharmacist is not available at the facility, drugs and biologicals may be
			 removed from the pharmacy or drug area only by a member of the staff who is
			 authorized to remove such substances by the policies and procedures of the
			 facility, which must be established in accordance with state and federal
			 laws.
5. Errors in administering a
			 drug, adverse reactions by a client to a drug and incompatibilities between a
			 drug and a client must be immediately reported to the attending physician of
			 the client.
6. Abuses and losses of
			 controlled substances must be reported to the pharmacist who is responsible for
			 the pharmacy service, the administrator and the chief administrative nurse of
			 the facility, in accordance with all applicable state and federal
			 laws.
7. Information relating to
			 drug interactions and information on drug therapy, side effects, toxicology,
			 dosage indications for use and routes of administration must be available to
			 the professional members of the staff of the facility.
Added to NAC by Bd. of
				Health by R129-99, 11-29-99, eff. 1-1-2000
NRS
				  449.0302
Nevada Administrative Code › Chapter 449 - Medical and Other Related Facilities › FACILITIES FOR MODIFIED MEDICAL DETOXIFICATION › Section 449.15349 - Medication and biologicals

Current through June 11,
			 2024
1. Except as
			 otherwise provided in subsection 2, an order for medication or biologicals for
			 a client must be in writing and signed by the practitioner, or other
			 appropriate professional person authorized by state or federal law to order the
			 medication or biological, who is responsible for the care of the
			 patient.
2. When a telephone or
			 verbal order is used to order medications or biologicals, the order must be:
(a) Accepted only by a person who is
			 authorized by the policies and procedures of the facility, which must be
			 consistent with state law, to accept such an order; and
(b) Signed or initialed by the prescribing
			 practitioner in accordance with the policies and procedures of the
			 facility.
Nevada Administrative Code › Chapter 449 - Medical and Other Related Facilities › FACILITIES FOR MODIFIED MEDICAL DETOXIFICATION › Section 449.15351 - Dietary services

Current through June 11,
			 2024
1. Facilities shall
			 serve at least three meals or their equivalent daily, at regular times, with
			 not more than 14 hours between a substantial evening meal and breakfast. A
			 second serving must be provided for those clients who desire one.
2. Menus must be planned and followed to meet
			 the nutritional needs of the clients in accordance with the recommended dietary
			 allowances recommended by the Food and Nutrition Board of the Institute of
			 Medicine of the National Academies.
3. Therapeutic menus must be planned by a
			 licensed dietitian or must be reviewed and approved by the attending physician
			 of the client or a staff physician.
4. Menus must be in writing, planned in
			 advance, dated and posted, and kept on file at the facility for at least 90
			 days. Any substitution must be noted on the written menu so that the menu on
			 file reflects what was actually served.
5. Adequate facilities and equipment for the
			 preparation, serving, refrigeration and storage of food in a sanitary manner
			 must be provided.
6. A facility
			 with more than 10 clients shall:
(a) Comply
			 with all applicable provisions of chapter 446 of NRS and the regulations
			 adopted pursuant thereto;
(b)
			 Obtain the necessary permits from the Division;
(c) Maintain a report of each inspection
			 concerning the sanitation of the facility for at least 1 year after the date of
			 the inspection; and
(d) Maintain a
			 report of each corrective action taken to address a deficiency noted in a
			 report described in paragraph (c) for at least 1 year after the date of the
			 corrective action.
Nevada Administrative Code › Chapter 449 - Medical and Other Related Facilities › FACILITIES FOR MODIFIED MEDICAL DETOXIFICATION › Section 449.15353 - Records of clients

Current through June 11,
			 2024
1. Each facility
			 shall maintain an organized system for the records of clients.
2. The records of a client must be available
			 to professional members of the staff of the facility who are directly involved
			 with the client.
3. The records of
			 clients must be available to representatives of the Division.
4. The records of clients must include,
			 without limitation:
(a) Identification
			 information;
(b) Past medical and
			 social history;
(c) Copies of
			 initial and periodic examinations;
(d) Evaluations and progress notes;
			 and
(e) Assessments and goals of
			 the plan of treatment of each client.
Nevada Administrative Code › Chapter 449 - Medical and Other Related Facilities › FACILITIES FOR MODIFIED MEDICAL DETOXIFICATION › Section 449.15355 - Safety and sanitation; temperature

Current through June 11,
			 2024
1. The premises and
			 equipment of each facility must be maintained in a safe, functional and
			 sanitary condition. Each facility shall have the necessary cleaning and
			 maintenance equipment with sufficient storage areas and appropriate procedures
			 to maintain a clean and orderly establishment. Janitorial supplies, including,
			 without limitation, aerosols, must be stored in areas separate from clean
			 linen, food and other supplies. The storage of dirty linen must be separate
			 from the storage of clean linen, food and other supplies.
2. Items for personal use, including, without
			 limitation, combs, toothbrushes, towels and bar soap, must not be shared by
			 clients.
3. Restrooms or lavatories
			 for the staff of a facility must be provided with soap dispensers and
			 individual, disposable towels.
4.
			 Each facility shall ensure that the environment of the facility is free of
			 hazards that may cause accidents.
5. Each facility shall maintain an effective
			 program to control pests and rodents in order to ensure that the facility is
			 free from pests and rodents.
6.
			 Each facility shall provide safe and comfortable levels of temperature in the
			 facility. The temperature of the facility must be maintained at a level that is
			 not less than 71 degrees Fahrenheit and not more than 81 degrees
			 Fahrenheit.
Added to NAC by Bd. of
				Health by R129-99, 11-29-99, eff. 1-1-2000; A by R069-04,
				8-4-2004
NRS
				  449.0302
Nevada Administrative Code › Chapter 449 - Medical and Other Related Facilities › FACILITIES FOR MODIFIED MEDICAL DETOXIFICATION › Section 449.15357 - Laundry requirements

Current through June 11,
			 2024
1. Each facility
			 shall have the proper equipment for the sanitary washing and finishing of linen
			 and other washable goods or shall maintain a written agreement with a
			 commercial establishment to provide laundry services.
2. The laundry area of a facility must be
			 situated in an area of the facility that is separate and apart from any room
			 where food is stored, prepared or served. The laundry area must be
			 well-lighted, ventilated, adequate in size to house equipment, maintained in a
			 sanitary manner and kept in good repair.
3. Soiled linen must be collected and
			 transported to the laundry in washable or disposable containers in a sanitary
			 manner. Soiled linen must not be transported through areas of the facility used
			 for preparing or serving food.
4.
			 Clean linen to be dried, ironed, folded, transferred or distributed must be
			 handled in a sanitary manner in accordance with a written plan maintained by
			 the facility.
5. Closets for
			 storing linen and laundry supplies must be provided and must not be used for
			 any other purpose.
Added to NAC by Bd. of
				Health by R129-99, 11-29-99, eff. 1-1-2000
NRS
				  449.0302
Nevada Administrative Code › Chapter 449 - Medical and Other Related Facilities › FACILITIES FOR MODIFIED MEDICAL DETOXIFICATION › Section 449.15359 - New construction or remodeling: Submission and approval of building plans; prerequisites to approval of facility for licensure

Current through June 11, 2024
1. Except as otherwise provided in subsection
			 4, before any new construction of a facility or any remodeling of an existing
			 facility is begun:
(a) The facility must
			 submit a copy of the building plans for the new construction or remodeling to
			 the entity designated to review such plans by the Division pursuant to the
			 provisions of NAC 449.0115. The entity's review of those plans is advisory only
			 and does not constitute approval for licensure of the facility.
(b) The building plans must be approved by
			 the Division.
Nevada Administrative Code › Chapter 449 - Medical and Other Related Facilities › FACILITIES FOR MODIFIED MEDICAL DETOXIFICATION › Section 449.15361 - Design, construction, equipment and maintenance

Current
			 through June 11, 2024
1.
			 Each 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. Each facility shall comply with all
			 applicable:
(a) Federal and state
			 laws;
(b) Local ordinances,
			 including, without limitation, zoning ordinances; and
(c) Environmental, life safety, fire, health
			 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 MODIFIED MEDICAL DETOXIFICATION › Section 449.15363 - Accommodations for clients

Current through June 11,
			 2024
1. No room or space
			 of a facility may be occupied for sleeping, living or dining that is accessible
			 only by a ladder, by folding stairs or through a trapdoor.
2. If a basement of a facility is used for
			 living and dining, at least one exit must be provided directly to the outside
			 at ground level. No facility may:
(a) Be
			 situated more than one story below the ground; and
(b) Use any basement or space in a basement
			 for sleeping.
Nevada Administrative Code › Chapter 449 - Medical and Other Related Facilities › FACILITIES FOR MODIFIED MEDICAL DETOXIFICATION › Section 449.15365 - Safety from fire

Current through June 11,
			 2024
1. Devices for the
			 detection of combustion other than heat detectors must be installed on the
			 ceiling of each story of a facility, in front of doors to stairways in a
			 facility, and at not more than 30 feet apart in the corridors of all floors of
			 a facility, including, without limitation, the center. Smoke detectors must
			 also be installed in the center of any lounge or recreational area of a
			 facility. The smoke detectors may be single station units with an integral
			 alarm.
2. Portable fire
			 extinguishers must be installed throughout each facility at the direction of
			 the fire authority having jurisdiction. Each portable fire extinguisher
			 available at a facility must be inspected, recharged and tagged at least once
			 each year by a person certified by the State Fire Marshal to conduct such
			 inspections.
3. A portable
			 room-heating device may be used if the device:
(a) Is located 2 feet or more from any
			 combustible material;
(b) Is
			 plugged directly into a wall socket;
(c) Turns off automatically if tipped over;
			 and
(d) Has no exposed heating
			 elements.
Nevada Administrative Code › Chapter 449 - Medical and Other Related Facilities › FACILITIES FOR MODIFIED MEDICAL DETOXIFICATION › Section 449.15367 - Preparations for disasters; reporting of fire or disaster

Current
			 through June 11, 2024
1.
			 Each facility shall develop a written plan for disasters that outlines
			 procedures for members of the staff and clients to follow in case of fire or
			 another emergency and provides for meeting the needs of clients if the facility
			 must be evacuated or is destroyed.
2. A simple floor plan showing the routes for
			 evacuating must be posted in prominent locations on each floor of the
			 facility.
3. The facility shall
			 notify the Bureau of the occurrence of a fire or disaster in the facility
			 within 24 hours after the facility becomes aware of the fire or
			 disaster.
4. Each facility shall
			 conduct a disaster drill at least annually and retain a written record of the
			 drill in the facility for not less than 12 months after the drill is
			 conducted.
5. Each facility shall
			 adopt procedures to ensure that water is available to the essential areas of
			 the facility if there is an interruption in the facility's normal supply of
			 water.
Added to NAC by Bd. of
				Health by R129-99, 11-29-99, eff. 1-1-2000; A by R069-04,
				8-4-2004
NRS
				  449.0302
Nevada Administrative Code › Chapter 449 - Medical and Other Related Facilities › FACILITIES FOR MODIFIED MEDICAL DETOXIFICATION › Section 449.15369

Current through
			 June 11, 2024
Added to NAC by Bd. of
				Health by R129-99, 11-29-99, eff. 1-1-2000; R by
				R016-20A,
				eff. 11/2/2020
NRS
				449.0302
Nevada Administrative Code › Chapter 449 - Medical and Other Related Facilities › FACILITIES FOR TREATMENT WITH NARCOTICS; MEDICATION UNITS › General Provisions › Section 449.154 - Definitions

Current through June 11, 2024
As used in NAC 449.154 to 449.15485, inclusive, unless the
				  context otherwise requires, the words and terms defined in NAC 449.15415 to
				  449.15438, inclusive, have the meanings ascribed to them in those
				  sections.
Added to NAC by Bd. of
				  Health by R229-97, eff. 4-15-98; A by R053-02,
				  7-24-2002
NRS
					 449.0302,
					 449.0303
Nevada Administrative Code › Chapter 449 - Medical and Other Related Facilities › FACILITIES FOR TREATMENT WITH NARCOTICS; MEDICATION UNITS › General Provisions › Section 449.15415 - "DEA" defined

Current through June 11,
				2024
"DEA" means the Drug Enforcement Administration of the United
				  States Department of Justice.
Added to NAC by Bd. of
				  Health by R229-97, eff. 4-15-98
NRS
					 449.0302,
					 449.0303
Nevada Administrative Code › Chapter 449 - Medical and Other Related Facilities › FACILITIES FOR TREATMENT WITH NARCOTICS; MEDICATION UNITS › General Provisions › Section 449.1542 - "Facility for treatment with narcotics" defined

Current through
				June 11, 2024
"Facility for treatment with narcotics" means any person or
				  any public or private facility that provides a narcotic treatment program
				  described in 42 C.F.R. Part 8.
Added to NAC by Bd. of
				  Health by R229-97, eff. 4-15-98; A by R053-02,
				  7-24-2002
NRS
					 449.0302,
					 449.0303
Nevada Administrative Code › Chapter 449 - Medical and Other Related Facilities › FACILITIES FOR TREATMENT WITH NARCOTICS; MEDICATION UNITS › General Provisions › Section 449.1543 - "Medical director" defined

Current through June 11,
				2024
"Medical director" means a physician who is licensed to
				  practice medicine in this State and who is responsible for the administration
				  of all medical services at a facility for treatment with narcotics or a
				  medication unit and for ensuring that the facility or the medication unit
				  complies with all applicable federal, state and local laws and
				  regulations.
Added to NAC by Bd. of
				  Health by R229-97, eff. 4-15-98
NRS
					 449.0302,
					 449.0303
Nevada Administrative Code › Chapter 449 - Medical and Other Related Facilities › FACILITIES FOR TREATMENT WITH NARCOTICS; MEDICATION UNITS › General Provisions › Section 449.15435 - "Medication unit" defined

Current through June 11,
				2024
"Medication unit" means any person or any public or private
				  facility that:
1. Is established as
				part of or operates in conjunction with a facility for treatment with narcotics
				but is separated geographically from the facility for treatment with narcotics;
				and
2. Is limited to:
(a) Administering or dispensing narcotics;
				and
(b) Collecting specimens in
				accordance with chapter 652 of NRS for drug testing or analysis relating to
				treatment with narcotics.
Nevada Administrative Code › Chapter 449 - Medical and Other Related Facilities › FACILITIES FOR TREATMENT WITH NARCOTICS; MEDICATION UNITS › General Provisions › Section 449.15438 - "SAMHSA" defined

Current through June 11,
				2024
"SAMHSA" means the Substance Abuse and Mental Health Services
				  Administration of the United States Department of Health and Human
				  Services.
Added to NAC by Bd. of
				  Health by R053-02, eff. 7-24-2002
NRS
					 449.0302,
					 449.0303
Nevada Administrative Code › Chapter 449 - Medical and Other Related Facilities › FACILITIES FOR TREATMENT WITH NARCOTICS; MEDICATION UNITS › General Provisions › Section 449.1544 - Division is state authority for certain federal regulations

Current through June 11, 2024
The Division is the state authority for the purposes of 42
				  C.F.R. Part 8.
Added to NAC by Bd. of
				  Health by R229-97, eff. 4-15-98; A by R053-02,
				  7-24-2002
NRS
					 449.0302,
					 449.0303
Nevada Administrative Code › Chapter 449 - Medical and Other Related Facilities › FACILITIES FOR TREATMENT WITH NARCOTICS; MEDICATION UNITS › Licensing › Section 449.15445 - License and federal certification required to operate facility or unit

Current through June 11, 2024
1. A person or a public or private facility
				shall not operate or provide the services of a facility for treatment with
				narcotics or represent that it operates or provides the services of a facility
				for treatment with narcotics, unless the person or the public or private
				facility is:
(a) Licensed by the Division
				pursuant to NAC 449.154 to 449.15485, inclusive, to operate the facility for
				treatment with narcotics; and
(b)
				Certified by the SAMHSA pursuant to 42 C.F.R. Part 8 to operate the facility
				for treatment with narcotics.
Nevada Administrative Code › Chapter 449 - Medical and Other Related Facilities › FACILITIES FOR TREATMENT WITH NARCOTICS; MEDICATION UNITS › Licensing › Section 449.1545 - Filing requirements; recommendation for certification

Current through June 11, 2024
1. If a person or a public or private
				facility wants to operate a facility for treatment with narcotics or a
				medication unit, the person or the public or private facility must:
(a) File with the SAMHSA an application for
				certification pursuant to 42 C.F.R. Part 8;
(b) File with the Bureau an application for a
				license pursuant to NAC 449.011 and include with the application:
(1) If there is an accreditation body that
				has been approved pursuant to
				42 C.F.R. §
												8.3, proof that the applicant has applied for
				accreditation from such accreditation body; and
(2) Any other information requested by the
				Bureau; and
(c)
				Demonstrate that the proposed facility for treatment with narcotics or the
				proposed medication unit is able to comply with the requirements set forth in
				NAC 449.1548.
Nevada Administrative Code › Chapter 449 - Medical and Other Related Facilities › FACILITIES FOR TREATMENT WITH NARCOTICS; MEDICATION UNITS › Licensing › Section 449.15455 - Investigation and prelicensure survey

Current through June 11,
				2024
1. If an
				application for a license is filed pursuant to NAC 449.1545, the Bureau shall
				conduct pursuant to NAC 449.0112:
(a) An
				investigation; and
(b) A
				prelicensure survey.
Nevada Administrative Code › Chapter 449 - Medical and Other Related Facilities › FACILITIES FOR TREATMENT WITH NARCOTICS; MEDICATION UNITS › Licensing › Section 449.1547 - Suspension, revocation or cancellation of license; provisional license; denial of application

Current through June 11,
				2024
1. The Division may
				suspend or revoke a license issued pursuant to NAC 449.154 to 449.15485,
				inclusive, or cancel such a license and issue a provisional license based upon
				any grounds for such action set forth in NAC 449.002 to 449.99939, inclusive,
				or chapter 449 of NRS.
2. The
				Division shall deny an application for a license pursuant to NAC 449.1545 if
				the SAMHSA denies an application for certification pursuant to 42 C.F.R. Part
				8.
3. The Division shall suspend or
				revoke a license issued pursuant to NAC 449.154 to 449.15485, inclusive, if the
				facility for treatment with narcotics or the medication unit operates without
				certification from the SAMHSA pursuant to 42 C.F.R. Part 8.
Added to NAC by Bd. of
				  Health by R229-97, eff. 4-15-98; A by R053-02,
				  7-24-2002
NRS
					 449.0302,
					 449.0303
Nevada Administrative Code › Chapter 449 - Medical and Other Related Facilities › FACILITIES FOR TREATMENT WITH NARCOTICS; MEDICATION UNITS › Operation › Section 449.1548 - General operational requirements

Current through June 11,
				2024
In addition to all other requirements set forth in NAC
				  449.154 to 449.15485, inclusive, each facility for treatment with narcotics and
				  each medication unit shall:
1. Have a
				medical director who has a valid and current license to practice medicine in
				this State;
2. Employ, contract
				with or allow a person to act as an alcohol and drug abuse counselor only if
				the person is certified by the Board of Examiners for Alcohol, Drug and
				Gambling Counselors to be such a counselor;
3. Obtain and maintain with the State Board
				of Pharmacy a valid and current registration relating to the use of
				narcotics;
4. Be in full compliance
				with all applicable provisions of 42 C.F.R. Part 8, all other applicable
				federal laws and regulations and all other requirements of the SAMHSA and the
				DEA;
5. Be in full compliance with
				all applicable provisions of chapters 449 and 453 of NRS and in substantial
				compliance with all applicable provisions of NAC 449.002 to 449.99939,
				inclusive, and chapter 453 of NAC;
6. Maintain records and documentation of
				treatment pursuant to
				NRS
				453.690;
7. Provide the Division and the State Board
				of Pharmacy with access to all records and documentation relating to the
				purchase, distribution and use of narcotics;
8. Comply with the rules of confidentiality
				and privilege set forth in
				NRS
				453.720;
9. Develop and maintain a system to ensure
				that prospective and existing clients are not receiving narcotics from any
				other facility for treatment with narcotics or any other medication unit;
				and
10. Comply with all applicable
				local laws and regulations, including, but not limited to, zoning laws and
				regulations.
Added to NAC by Bd. of
				  Health by R229-97, eff. 4-15-98; A by R053-02, 7-24-2002; R098-06,
				  7-14-2006
NRS
					 449.0302,
					 449.0303
Nevada Administrative Code › Chapter 449 - Medical and Other Related Facilities › FACILITIES FOR TREATMENT WITH NARCOTICS; MEDICATION UNITS › Operation › Section 449.15485 - Continuing review of operations; investigation of complaints

Current through June 11, 2024
1. The operation of a facility for treatment
				with narcotics or a medication unit is subject to continuing review by the
				Division.
2. The Division shall
				investigate all complaints against a facility for treatment with narcotics or a
				medication unit directly or in conjunction with other federal, state or local
				governmental agencies, including, but not limited to, the SAMHSA, the DEA, the
				State Board of Pharmacy or the Division.
Added to NAC by Bd. of
				  Health by R229-97, eff. 4-15-98; A by R053-02,
				  7-24-2002
NRS
					 449.0302,
					 449.0303
Nevada Administrative Code › Chapter 449 - Medical and Other Related Facilities › PEER SUPPORT RECOVERY ORGANIZATIONS › Section 449.15488 - "Client" defined

Current through June 11,
			 2024
As used in NAC 449.15488 to 449.154894, inclusive, unless the
				context otherwise requires, "client" means a person who receives peer support
				services.
Added to NAC
				by Bd. of Health by
				R120-16A,
				eff. 9/21/2017
NRS 439.200,
				449.0302
Nevada Administrative Code › Chapter 449 - Medical and Other Related Facilities › PEER SUPPORT RECOVERY ORGANIZATIONS › Section 449.154882 - License issued to specific person for specific location; name of administrator required to appear on license; proof of liability coverage required

Current through June 11, 2024
1. Each license issued to operate a peer
			 support recovery organization is separate and distinct and is issued to a
			 specific person, who is designated on the license, to operate the peer support
			 recovery organization at a specific location.
2. The name of the administrator of the peer
			 support recovery organization must appear on the face of the license.
3. Each peer support recovery organization
			 must retain proof that it is adequately covered against liabilities resulting
			 from claims incurred in the course of operation.
4. The proof of liability coverage required
			 by subsection 3 must be verified at the time the peer support recovery
			 organization submits its initial application to the Division for a license and
			 upon request by the Division.
Added to NAC
				by Bd. of Health by
				R120-16A,
				eff. 9/21/2017
NRS 439.200,
				449.0302
Nevada Administrative Code › Chapter 449 - Medical and Other Related Facilities › PEER SUPPORT RECOVERY ORGANIZATIONS › Section 449.154884 - Qualifications and duties of administrator; designated employee to have access to records in absence of administrator

Current through June 11,
			 2024
1. The
			 administrator of a peer support recovery organization 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 problems relating to mental illness and addiction;
(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 › PEER SUPPORT RECOVERY ORGANIZATIONS › Section 449.154886 - Policies and procedures

Current through June 11,
			 2024
A peer support recovery organization shall maintain written
				policies and procedures concerning the qualifications, responsibilities and
				conditions of employment or being retained as a volunteer for each person who
				provides peer support services and other members of the staff of the peer
				support recovery organization. The written policies and procedures must be
				reviewed and revised as needed. The written policies and procedures must be
				made available to the persons who provide peer support services and other
				members of the staff of the peer support recovery organization 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 persons who provide
			 peer support services;
2. Provide
			 descriptions of any activities that persons who provide peer support services
			 are prohibited from engaging in, including, without limitation:
(a) Loaning, borrowing or accepting gifts of
			 money or personal items from a client;
(b) Accepting or retaining money or
			 gratuities from a client, other than money needed for the purchase of groceries
			 or medication for the client; and
(c) Becoming the legal guardian of a client
			 or being named as an attorney-in-fact in a power of attorney executed by the
			 client;
Nevada Administrative Code › Chapter 449 - Medical and Other Related Facilities › PEER SUPPORT RECOVERY ORGANIZATIONS › Section 449.154888 - Qualifications of employee, volunteer or contractor

Current through
			 June 11, 2024
Each person employed, retained as a volunteer or retained
				pursuant to a contract by a peer support recovery organization to provide peer
				support services must:
1. Be at least
			 18 years of age;
2. Demonstrate the
			 ability to provide informal counseling, social support and advocacy;
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 peer support recovery organization;
5. Provide to the peer support recovery
			 organization and maintain documentation of a certificate of completion
			 evidencing the successful completion of an initial training course for persons
			 who provide peer support services which is not less than 16 hours and is
			 approved by the Division;
6.
			 Demonstrate the ability to meet the needs of the clients of the peer support
			 recovery organization; and
7.
			 Receive annually not less than 4 hours of continuing education related to
			 providing for the needs of the clients of the peer support recovery
			 organization.
Added to NAC
				by Bd. of Health by
				R120-16A,
				eff. 9/21/2017
NRS 439.200,
				449.0302