Nevada Administrative Code

NAC 449.3979 Provision of written disclosure statement to client upon acceptance for services by agency. (NRS 449.0302) 1. When a person is accepted as a client by an agency, the agency shall: (a) Provide a written disclosure statement to the client; (b) Require the client or a r…

NAC 449.398 Rights of clients: Duties of administrator; provision of written description to clients. (NRS 449.0302) 1. The administrator of an agency shall ensure that a client is not prohibited from speaking to any person who advocates for the rights of the clients of the agency…

NAC 449.3981 Initial screening of client and development or acceptance of service plan; requirements before providing personal care to client. (NRS 449.0302) 1. The administrator of an agency or the administrator’s designee shall conduct an initial screening to evaluate each pros…

NAC 449.3982 Supervisory home visits or telephone calls required to ensure quality of care provided; documentation of evaluation. (NRS 449.0302) 1. The administrator of an agency or the administrator’s designee shall conduct supervisory home visits or telephone calls to the home …

NAC 449.4061 Definitions. (NRS 439.200, 449.0302, 449.0304) As used in NAC 449.4061 to 449.4089, inclusive, unless the context otherwise requires: 1. “Division” means the Division of Public and Behavioral Health of the Department of Health and Human Services. 2. “Facility” means …

NAC 449.4063 Design, construction, equipment and maintenance of facility: General requirements; prerequisites to approval for licensure. (NRS 449.0302) 1. A facility must be designed, constructed, equipped and maintained in a manner that protects the health and safety of the clie…

NAC 449.4065 Consultation with representative of Division; notice of nonconformity. (NRS 449.0302) 1. A representative of the Division will be available upon request for consultation to assure compliance with applicable regulations. 2. If a licensed facility does not conform to a…

NAC 449.4067 Operation in combination with other medical facility or facility for the dependent. (NRS 449.0302) A facility must not be operated in combination with any other medical facility or facility for the dependent unless it is licensed as a separate and distinct unit. (Add…

NAC 449.4069 Insurance. (NRS 449.0302) 1. A facility must maintain a contract of insurance for protection against liability to third persons in amounts appropriate for the protection of clients, employees, volunteers and visitors to the facility. 2. A certificate of insurance mus…

NAC 449.407 Advertising and promotional materials. (NRS 449.0302) Advertising and promotional materials for the facility must be accurate and represent the accommodations, programs or other services actually offered by the facility. (Added to NAC by Bd. of Health, eff. 6-23-86)

NAC 449.4071 Policies and procedures; accounting. (NRS 449.0302) 1. Every facility must have a written policy concerning: (a) Admission, discharge and care of clients; (b) Employees of the facility; and (c) Fiscal and administrative procedures for the facility, Ê which must be ev…

NAC 449.4072 Director and employees: Qualifications and duties; physical and mental health; personnel files. (NRS 449.0302) 1. Each facility must have the number and kind of employees required by the physical characteristics of the facility, the number of clients and the services…

NAC 449.40723 Supervision of clients; volunteers. (NRS 449.0302) 1. A client must be supervised by an employee of the facility at all times during the operating hours of the facility. The employee shall report a change in any physical, mental, emotional or social function of the …

NAC 449.40725 Orientation and training of employees and volunteers. (NRS 449.0302) All employees and volunteers at the facility: 1. Shall participate in a program of general orientation to inform them of the programs, policies and services of the facility; 2. Must receive a copy …

NAC 449.4073 Files concerning employees. (NRS 449.0302) A separate file must be maintained and kept current on each employee. The file must include the following: 1. The employee’s: (a) Name, address and telephone number; (b) Social security number; (c) Date of birth; (d) Date of…

NAC 449.4074 Requirements of facility; health and sanitation; medications; exits. (NRS 449.0302) 1. The facility must: (a) Provide proper access for each client to all activities and services; (b) Have furniture and equipment appropriate for use by the clients; (c) Have free loca…

NAC 449.4075 Preparations for fires and other emergencies; reporting of fire or disaster. (NRS 449.0302) 1. Each facility must have a plan in case of a fire or other emergency. The plan must be: (a) Understood by all employees; (b) Posted in a conspicuous place; and (c) Reviewed …

NAC 449.4076 First aid. (NRS 449.0302) A first-aid kit must be available at the facility. (Added to NAC by Bd. of Health, eff. 6-23-86)

NAC 449.4077 Policy for admissions; retention of signed copy. (NRS 449.0302) 1. A facility’s written policy on admissions must include: (a) A statement of nondiscrimination regarding admission to the facility and treatment after admission; and (b) The requirements for eligibility…

NAC 449.4078 Requirements for admission; designation of physician. (NRS 449.0302) 1. Each client shall, before being admitted to the facility, provide the facility with: (a) The results of a physical examination conducted by a physician, physician assistant or advanced practice r…

NAC 449.4079 Required services. (NRS 449.0302) The facility must: 1. Provide each client with such assistance as necessary for the activities of daily living; 2. Provide activities for a client which are suited to his or her interests and capacities; 3. Observe the health of the …

NAC 449.408 Housekeeping and maintenance. (NRS 449.0302) Each facility must have adequate and regular services for housekeeping and the maintenance of the facility. (Added to NAC by Bd. of Health, eff. 6-23-86)

NAC 449.4081 Administration of medication; notification of accidents, injuries or illnesses; treatment with dignity; use of restraints or sedatives. (NRS 439.200, 449.0302, 449.0304) 1. Except as otherwise authorized by NAC 449.40815, if the facility accepts a client who cannot a…

NAC 449.40815 Performance of certain tasks by employee. (NRS 439.200, 449.0302, 449.0304) 1. An employee of a facility may perform a task described in NRS 449.0304 if the employee: (a) Before performing the task, annually thereafter and when any device used for performing the tas…

NAC 449.4082 Service of food; dietary consultants. (NRS 449.0302) 1. Adequate facilities and equipment for the preparation, service and storage of food must be provided and meet the standards of the Division. 2. The dining area must be separated from the area used to prepare food…

NAC 449.40833 Summary of client’s care; referrals. (NRS 449.0302) When a client permanently discontinues his or her use of a facility, the client must receive a: 1. Written summary of his or her care at the facility, including any recommendations for care in the future; and 2. Re…

NAC 449.40835 Records. (NRS 449.0302) 1. Each facility must have a written policy regarding the records of clients. The policy must include a description of the procedures governing the use and removal of records and the release of information contained in the records. 2. An indi…

NAC 449.4084 Contract for provision by another person. (NRS 449.0302) 1. A medical or ancillary service not directly provided by the facility may be provided by another person pursuant to a contract. 2. The contract must: (a) Be in writing; (b) Designate the service provided, the…

NAC 449.4085 Provision by facility authorized. (NRS 449.0302) A facility which otherwise meets the requirements of NAC 449.4061 to 449.4084, inclusive, may provide medical or ancillary services if the requirements of NAC 449.4086 to 449.4089, inclusive, are met. (Added to NAC by …

NAC 449.4086 Evaluation of programs and policies. (NRS 449.0302) 1. Every facility must have a written plan for the annual evaluation of its programs and policies. The plan must describe the: (a) Schedule for the annual evaluation; (b) Subjects covered by the evaluation; and (c) …

NAC 449.4087 Written assessments of clients. (NRS 449.0302) Upon admission, an initial written assessment must be made of any person admitted to the facility. Within 30 days after admission, another written assessment must be completed which must include: 1. An evaluation of the …

NAC 449.4088 Plan of care; periodic assessment. (NRS 449.0302) 1. A written plan of care must be prepared for each client that provides a balance of activities to meet the client’s needs and interests. The client, his or her next of kin or guardian or other person responsible for…

NAC 449.4089 Menus. (NRS 449.0302) Menus for meals served must be in writing, planned a week in advance, dated, posted and kept in the files for 6 months. Any substitutions must be noted on the written menu so that the menu in the file reflects what was actually served. (Added to…

NAC 449.410 Definitions. (NRS 449.0302, 449.0303) As used in NAC 449.410 to 449.4495, inclusive, unless the context otherwise requires, the words and terms defined in NAC 449.4105, 449.411 and 449.4115 have the meanings ascribed to them in those sections. (Added to NAC by Bd. of …

NAC 449.4105 “Administrator” defined. (NRS 449.0302, 449.0303) “Administrator” means the person who is appointed by a psychiatric residential treatment facility to have primary responsibility for the operations of the overall program of the facility. (Added to NAC by Bd. of Healt…

NAC 449.411 “Psychiatric residential treatment facility” defined. (NRS 449.0302, 449.0303) “Psychiatric residential treatment facility” means a facility, other than a hospital, that provides a range of psychiatric services to treat residents under the age of 21 years on an inpati…

NAC 449.4115 “Resident” defined. (NRS 449.0302, 449.0303) “Resident” means a person who resides in a psychiatric residential treatment facility and receives psychiatric services at the facility. (Added to NAC by Bd. of Health by R046-14, eff. 10-24-2014) Licensing

NAC 449.414 License required to operate facility. (NRS 449.0302, 449.0303) A person or a public or private facility shall not operate or provide the services of a psychiatric residential treatment facility or represent that the person or the public or private entity operates or p…

NAC 449.4145 Application for accreditation required; recognition as accrediting organization by Board; failure of facility to attain or maintain accreditation. (NRS 449.0302, 449.0303) 1. If a person or a public or private facility wants to operate a psychiatric residential treat…

NAC 449.416 Prelicensure investigation and site inspection. (NRS 449.0302, 449.0303) After it receives a properly completed application, accompanied by the appropriate fee, the Division shall conduct an investigation of the applicant and inspect the proposed psychiatric residenti…

NAC 449.417 Issuance of license. (NRS 449.0302, 449.0303) The Division shall issue a license to operate a psychiatric residential treatment facility to the applicant if, after investigation, the Division finds that the applicant is in substantial compliance with the provisions of…

NAC 449.419 Personnel: Written policies required; evidence of licensure or certification and tuberculosis testing required. (NRS 449.0302, 449.0303) 1. A psychiatric residential treatment facility shall have written policies concerning the qualifications, responsibilities and con…

NAC 449.420 Compliance with state, federal and local laws, regulations and ordinances; failure to comply is ground for suspension or revocation of license. (NRS 449.0302, 449.0303) 1. During the term of a license to operate a psychiatric residential treatment facility, the licens…

NAC 449.421 Suspension, revocation or cancellation of license; provisional license. (NRS 449.0302, 449.0303) The Division may suspend or revoke a license issued pursuant to NAC 449.410 to 449.4495, inclusive, or cancel such a license and issue a provisional license based upon any…

NAC 449.423 Written scope of services; policies and procedures; responsibilities and duties of administrator. (NRS 449.0302, 449.0303) 1. A psychiatric residential treatment facility must be administered in a manner that enables the psychiatric residential treatment facility to u…

NAC 449.424 Quality improvement program. (NRS 449.0302, 449.0303) 1. The administrator shall ensure that the psychiatric residential treatment facility has an effective, comprehensive quality improvement program to evaluate the provision of care to its residents. 2. The quality i…

NAC 449.426 Construction and maintenance of facility; plan for emergency preparedness; safety from fire and other disasters. (NRS 449.0302, 449.0303) 1. The buildings of a psychiatric residential treatment facility must be solidly constructed with adequate space and safeguards fo…