Nevada Administrative Code

NAC 449.025 “Alcohol or other substance use disorder treatment” defined. (NRS 449.0302) “Alcohol or other substance use disorder treatment” means a program concerned with substance use disorder treatment directed towards achieving the mental and physical restoration of persons wi…

NAC 449.030 “Case management services” defined. (NRS 449.0302) “Case management services” means a multistep process by which clients may receive assistance in accessing services, including, without limitation, services concerning health, mental health, education, vocation, employ…

NAC 449.031 “Client” defined. (NRS 449.0302) “Client” means a resident or patient of a facility. [Bd. of Health, Alcohol and Drug Abuse Treatment Facilities Art. 1 § 1.8, eff. 3-27-76]—(NAC A by R077-01, 10-18-2001)

NAC 449.034 “Detoxification” defined. (NRS 449.0302) “Detoxification” means the process of eliminating the toxic effects of alcohol and drugs from the body. [Bd. of Health, Alcohol and Drug Abuse Treatment Facilities Art. 1 § 1.1.3, eff. 3-27-76; A 3-30-77]—(NAC A by R077-01, 10-…

NAC 449.043 “Facility” defined. (NRS 449.0302) “Facility” means a facility for the treatment of alcohol or other substance use disorders as defined in NRS 449.00455. [Bd. of Health, Alcohol and Drug Abuse Treatment Facilities Art. 1 § 1.1, eff. 3-27-76; A 3-30-77]—(NAC A by R077-…

NAC 449.044 “Facility for modified medical detoxification” defined. (NRS 449.0302) “Facility for modified medical detoxification” has the meaning ascribed to it in NRS 449.00385. (Added to NAC by Bd. of Health by R077-01, eff. 10-18-2001)

NAC 449.046 “Governing body” defined. (NRS 449.0302) “Governing body” means a body that has the ultimate authority for the administration of the overall program at a facility pursuant to NAC 449.085. (Added to NAC by Bd. of Health by R077-01, eff. 10-18-2001)

NAC 449.060 “Medically managed intensive detoxification program” defined. (NRS 449.0302) “Medically managed intensive detoxification program” means a program which provides 24-hour medical monitoring of treatment and detoxification services in a licensed hospital pursuant to NAC …

NAC 449.064 “Overall program” defined. (NRS 449.0302) “Overall program” means all aspects of alcohol or other substance use disorder treatment, including general fiscal management, fund-raising projects and the general long-term goals of a facility which are defined in writing. […

NAC 449.068 “Qualified social worker” defined. (NRS 449.0302) “Qualified social worker” means a person who is licensed by the Board of Examiners for Social Workers to practice as a social worker. [Bd. of Health, Alcohol and Drug Abuse Treatment Facilities Art. 1 § 1.11, eff. 3-27…

NAC 449.069 “Residential program” defined. (NRS 449.0302) “Residential program” means a treatment program for alcohol or other substance use disorders which takes place in a 24-hour residential setting and which encompasses organized services staffed by designated treatment perso…

NAC 449.072 “Social model detoxification program” defined. (NRS 449.0302) “Social model detoxification program” means a treatment program that concentrates on providing psychosocial services and nonmedical detoxification. (Added to NAC by Bd. of Health by R077-01, eff. 10-18-2001…

NAC 449.079 Denial, revocation or suspension of license if facility not certified by Division; appeal. (NRS 449.0302) 1. If a facility is not certified by the Division pursuant to paragraph (d) of subsection 1 of NRS 458.025, the Division shall deny an application for a license o…

NAC 449.081 New construction or remodeling: Submission and approval of building plans; prerequisites to approval of licensing. (NRS 449.0302) 1. Building plans for new construction or remodeling must be submitted to the entity designated to review such plans by the Division pursu…

NAC 449.085 Governing body; bylaws. (NRS 449.0302) 1. Every facility must have a governing body which has the ultimate authority for the administration of the overall program. 2. The governing body shall adopt written bylaws and policies that define the powers and duties of the g…

NAC 449.088 Policies and procedures. (NRS 449.0302) 1. A facility must have written policies and procedures available to members of the staff, clients and the public which govern the operation of the facility and services provided by the facility. 2. The policies must: (a) Ensure…

NAC 449.091 Transfer of client to another facility. (NRS 449.0302) 1. Except in the case of an emergency, the transfer of a client to another facility must not be effected until the client, attending physician, if any, and responsible agency are notified in advance. 2. If a clien…

NAC 449.094 Money of clients. (NRS 449.0302) 1. If a facility handles a client’s money, 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. A client’s money must be …

NAC 449.098 Preparations for disasters; reporting of fire or disaster. (NRS 449.0302) 1. Each facility shall develop a written plan for disasters which outlines procedures for members of the staff and clients to follow in case of fire or another emergency and which provides for m…

NAC 449.102 Inventory and return of client’s belongings. (NRS 449.0302) If a facility holds or stores a client’s belongings, there must be an inventory of the belongings on admission, made a part of the client’s record, and updated as needed. These belongings must be returned to …

NAC 449.105 Insurance. (NRS 449.0302) Liability insurance in a sufficient amount to protect clients, members of the staff, volunteers, and visitors, must be maintained. A certificate of insurance must be furnished to the Division. The certificate must include provision for 30 day…

NAC 449.108 General requirements for programs. (NRS 449.0302) 1. A residential program must be certified by the Division pursuant to NAC 458.108 and must comply with any applicable regulations adopted pursuant to paragraph (d) of subsection 1 of NRS 458.025. 2. At the time of adm…

NAC 449.111 Administrator: Duties. (NRS 449.0302) 1. The administrator is responsible to the governing body for the operation of the facility in accordance with established policy. 2. The administrator shall: (a) Organize the administrative functions of the program, delegate duti…

NAC 449.114 Employees: General requirements. (NRS 449.0302) 1. A facility must 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. Each member of the counseling staff …

NAC 449.117 Employees: Proof of compliance with provisions concerning tuberculosis. (NRS 449.0302) All persons employed in a facility must have documentation showing that they are in compliance with any applicable provisions of chapter 441A of NAC concerning tuberculosis. [Bd. of…

NAC 449.121 Certain facilities authorized to offer program. (NRS 449.0302) A social model detoxification program may be offered to clients in: 1. Residential programs that offer detoxification services; 2. A licensed facility for modified medical detoxification pursuant to NAC 44…

NAC 449.1214 General requirements. (NRS 449.0302) 1. A facility that offers a social model detoxification program: (a) Must have a physician, nurse practitioner, registered nurse or physician assistant conduct a physical assessment and a review of the general medical and drug his…

NAC 449.1218 Program of ongoing quality improvement. (NRS 449.0302) 1. A social model detoxification program must have a program of ongoing quality improvement designed to: (a) Monitor and evaluate, objectively and systematically, the quality and appropriateness of client care; (…

NAC 449.123 General sanitary requirements. (NRS 449.0302) 1. Each facility must meet all state and local environmental health standards. 2. A facility which provides dietary services must have food service equipment of appropriate quality and type for the type of food service pro…

NAC 449.126 Laundry requirements. (NRS 449.0302) 1. A facility must maintain: (a) A laundry with equipment which is adequate for the sanitary washing and finishing of linen and other washable goods; or (b) A written agreement with a commercial establishment to provide laundry ser…

NAC 449.129 Design, construction, equipment and maintenance. (NRS 449.0302) 1. A facility must be designed, constructed, equipped and maintained in a manner that protects the health and safety of the clients and personnel of the facility and members of the general public. 2. Each…

NAC 449.132 Accommodations for clients. (NRS 449.0302) 1. No room or space in a facility may be occupied for sleeping, living or dining which is accessible only by a ladder, by folding stairs or through a trapdoor. 2. If a basement is used for living and dining, at least one exit…

NAC 449.135 Safety from fire. (NRS 449.0302) 1. 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 le…

NAC 449.141 Health services. (NRS 449.0302) 1. Facilities must provide access to 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. Faciliti…

NAC 449.144 Medication. (NRS 449.0302) 1. In programs that permit the self-administration of medication, there must be written policies and procedures governing this activity. The policies must require that: (a) The decisions to permit self-administration be based on individual n…

NAC 449.147 Dietary services. (NRS 449.0302) 1. Facilities must 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…

NAC 449.150 Records of clients. (NRS 449.0302) 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 representative…

NAC 449.15311 Definitions. (NRS 449.0302) 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 H…

NAC 449.15313 “Administrator” defined. (NRS 449.0302) “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, 11-29-9…

NAC 449.15315 “Client” defined. (NRS 449.0302) “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)

NAC 449.15317 “Facility” defined. (NRS 449.0302) “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)

NAC 449.15319 “Overall program” defined. (NRS 449.0302) “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. …

NAC 449.15321 “Program” defined. (NRS 449.0302) “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)

NAC 449.15323 Proof of certification required; revocation of license. (NRS 449.0302) 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…

NAC 449.15325 Governing body; bylaws and policies. (NRS 449.0302) 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 …

NAC 449.15327 Policies and procedures for services and operation of facility. (NRS 449.0302) 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 th…

NAC 449.15329 Transfer of client. (NRS 449.0302) 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 s…