Nevada Administrative Code

NAC 432A.360 Limitation on disclosure of information pertaining to child. (NRS 432A.077) 1. The licensee of a facility shall not disclose to any person who is not a member of the staff of the facility or a member of the licensing staff of the Division information pertaining to an…

NAC 432A.370 Evidence and record of health of child. (NRS 432A.077) 1. Evidence of each child’s health must be presented to the director of a facility, other than an accommodation facility or a facility that provides care for ill children, within 30 days after the child’s initial…

NAC 432A.372 Medical care: Chart and first-aid kit; written provisions; directory. (NRS 432A.077) 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…

NAC 432A.374 Medical care: Isolation of ill or injured child; transportation of child; report. (NRS 432A.077) 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 isol…

NAC 432A.376 Medication. (NRS 432A.077) 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 pre…

NAC 432A.378 Reports of accident, injury, communicable disease or death. (NRS 432A.077) 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 loc…

NAC 432A.380 Nutrition. (NRS 432A.077) 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 ethni…

NAC 432A.382 Restriction on employment of or contracting with person to provide medical nutrition therapy or nutrition services. (NRS 432A.077) A licensee shall not employ or contract with a person to provide medical nutrition therapy or nutrition services unless the person is li…

NAC 432A.385 Snacks and meals. (NRS 432A.077) 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 b…

NAC 432A.390 Standards for programs. (NRS 432A.077) 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;…

NAC 432A.400 Discipline. (NRS 432A.077) 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 sh…

NAC 432A.410 Reports of child abuse or neglect. (NRS 432A.077) 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 chil…

NAC 432A.411 Sanitary measures for changing diapers. (NRS 432A.077) 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;…

NAC 432A.412 Written procedures for washing of hands. (NRS 432A.077) 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 a…

NAC 432A.413 Written guidelines for toilet training. (NRS 432A.077) 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 guideline…

NAC 432A.414 Sanitary measures for floors, rugs, carpets and nonporous surfaces. (NRS 432A.077) 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 th…

NAC 432A.415 Safety and sanitation of toys, equipment and other objects and material used for play. (NRS 432A.077) 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 t…

NAC 432A.416 Sleeping devices; napping. (NRS 432A.077) 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 NAC 432A.5205 for napping or sleeping children must be on the same floor in t…

NAC 432A.425 Nurseries for infants and toddlers: General requirements. (NRS 432A.077, 432A.1771) 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 hea…

NAC 432A.430 Early care and education programs. (NRS 432A.077) 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…

NAC 432A.435 Accommodation facilities. (NRS 432A.077) 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 …

NAC 432A.436 Extended care accommodation facilities. (NRS 432A.077) 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. 2. Any meals or snack…

NAC 432A.437 Facilities for special events: Licensure of applicant. (NRS 432A.077) 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 licens…

NAC 432A.438 Facilities for special events: Requirements for care of children; records; procedures for emergencies; field trips. (NRS 432A.077) 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 t…

NAC 432A.440 Institutions: General requirements. (NRS 432A.077) 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 …

NAC 432A.445 Institutions: Social workers. (NRS 432A.077) 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 institu…

NAC 432A.450 Institutions: Programs; use of isolation and restraints. (NRS 432A.077, 432A.177) 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 informat…

NAC 432A.460 Institutions: Records. (NRS 432A.077) 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 …

NAC 432A.470 Special needs facilities: Meeting required before admission of child. (NRS 432A.077) 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 de…

NAC 432A.475 Special needs facilities: Training of staff; plan of services. (NRS 432A.077) 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 se…

NAC 432A.485 Special needs facilities: Qualifications of director. (NRS 432A.077) In addition to satisfying the requirements of 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…

NAC 432A.500 Mumps. (NRS 432A.230, 439.200) 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 unles…

NAC 432A.501 Hepatitis A. (NRS 432A.230, 439.200) 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…

NAC 432A.502 Hepatitis B. (NRS 432A.230, 439.200) 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…

NAC 432A.503 Varicella. (NRS 432A.230, 439.200) 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 Sta…

NAC 432A.504 Streptococcus pneumoniae. (NRS 432A.230, 439.200) 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 c…

NAC 432A.505 Haemophilus influenzae type b. (NRS 432A.230, 439.200) 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 enrol…

NAC 432A.510 Documents to be submitted by parent who resides outside county. (NRS 432A.077, 432A.230) 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 sh…

NAC 432A.512 Submission of written statement of exemption because contrary to religious belief. (NRS 439.200, 441A.120) The written statement required pursuant to NRS 432A.240 must be submitted to the operator of a child care facility or accommodation facility in which a child wh…

NAC 432A.514 Submission of written statement of exemption because of medical condition. (NRS 439.200, 441A.120) The written statement required pursuant to NRS 432A.250 must be submitted to the operator of a child care facility or accommodation facility in which a child who has a …

NAC 432A.516 Audit of medical exemptions. (NRS 439.200, 441A.120) A local health officer may conduct an audit of medical exemptions granted pursuant to NRS 432A.250 in the jurisdiction of the local health officer if: 1. The reported immunization rate of a child care facility or a…

NAC 432A.520 General requirements; requirements for field trips. (NRS 432A.077) 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 betw…

NAC 432A.5205 Minimum staffing ratios; staff required to remain awake during duty hours at night. (NRS 432A.077) 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 e…

NAC 432A.521 Replacement of absent caregiver. (NRS 432A.077) 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 prem…

NAC 432A.534 Family homes. (NRS 432A.077) 1. Except as otherwise provided in subsection 3, there must not be more than 6 children who are less than 18 years of age residing in a family home for each caregiver in the family home. 2. Except as otherwise provided in NAC 432A.546, a …

NAC 432A.536 Group homes. (NRS 432A.077) 1. Except as otherwise provided in subsection 3 and NAC 432A.546, a licensee of a group home shall abide by the following limits on staffing levels: Age of Child Required Staff to Child Ratio Less than 1 year of age 1 caregiver for every 2…

NAC 432A.538 Family homes and group homes: Additional children outside normal school hours. (NRS 432A.077) 1. A licensee of a family home or group home may, after obtaining the written permission of the Administrator of the Division, provide care before and after normal school ho…