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OMB Control No: 0970-0114
Expiration date: 03/31/2027
THE PAPERWORK REDUCTION ACT OF 1995 (Pub. L. 104–13)
The purpose of this information collection is the application for CCDF funds and provides ACF and the
public with a description of, and assurance about, the States’ and Territories’ child care programs. Public
reporting burden for this collection of information is estimated to average 150 hours per response,
including the time for reviewing instructions, gathering, and maintaining the data needed, and completing
the form. This is a mandatory collection of information (Pub. L. 113–186), and 42 U.S.C. 9858.
An agency may not conduct or sponsor, and a person is not required to respond to, a collection of
information subject to the requirements of the Paperwork Reduction Act of 1995, unless it displays a
currently valid OMB control number. The OMB # is 0970-0114 and the expiration date is 03/31/2027. If
you have any comments on this collection of information, please contact ACF’s Office of Child Care.
Child Care and Development Fund (CCDF) Plan
for
State/Territory Nevada
FFY 2025 – 2027
Version: Initial Plan
Plan Status: Work in Progress as of 2024-07-02 05:39:09 GMT
This Plan describes the Child Care and Development Fund program to be administered by the State or
Territory for the period from 10/01/2024 to 9/30/2027, as provided for in the applicable statutes and
regulations. The Lead Agency has the flexibility to modify this program at any time, including amending
the options selected or described.
For purposes of simplicity and clarity, the specific provisions of applicable laws printed herein are
sometimes paraphrases of, or excerpts and incomplete quotations from, the full text. The Lead Agency
acknowledges its responsibility to adhere to the applicable laws regardless of these modifications.
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Table of Contents
Overview .......................................................................................................................................................4
1 CCDF Program Administration ...............................................................................................................6
1.1 CCDF Leadership .............................................................................................................................6
1.2 CCDF Policy Decision Authority ......................................................................................................7
1.3 Consultation in the Development of the CCDF Plan .....................................................................10
2 Child and Family Eligibility and Enrollment and Continuity of Care .....................................................12
2.1 Reducing Barriers to Family Enrollment and Redetermination ....................................................12
2.2 Eligible Children and Families .......................................................................................................14
2.3 Prioritizing Services for Vulnerable Children and Families ...........................................................23
2.4 Lead Agency Outreach to Families Experiencing Homelessness, Families with Limited English
Proficiency, and Persons with Disabilities ....................................................................................25
2.5 Promoting Continuity of Care .......................................................................................................26
3 Child Care Affordability ........................................................................................................................31
3.1 Family Co-payments .....................................................................................................................31
3.2 Calculation of Co-Payment ...........................................................................................................33
3.3 Waiving Family Co-payment .........................................................................................................34
4 Parental Choice, Equal Access, Payment Rates, and Payment Practices .............................................35
4.1 Access to Full Range of Provider Options .....................................................................................35
4.2 Assess Market Rates and Analyze the Cost of Child Care .............................................................36
4.3 Adequate Payment Rates .............................................................................................................40
4.4 Payment Practices to Providers ....................................................................................................44
4.5 Supply Building .............................................................................................................................46
5 Health and Safety of Child Care Settings ..............................................................................................49
5.1 Licensing Requirements ...............................................................................................................50
5.2 Ratios, Group Size, and Qualifications for CCDF Providers ..........................................................51
5.3 Health and Safety Standards for CCDF Providers .........................................................................54
5.4 Pre-Service or Orientation Training on Health and Safety Standards ..........................................65
5.5 Monitoring and Enforcement of Licensing and Health and Safety Requirements .......................67
5.6 Ongoing Health and Safety Training .............................................................................................72
5.7 Comprehensive Background Checks ............................................................................................73
5.8 Exemptions for Relative Providers ...............................................................................................84
6 Support for a Skilled, Qualified, and Compensated Child Care Workforce ..........................................84
6.1 Supporting the Child Care Workforce ..........................................................................................84
6.2 Professional Development Framework ........................................................................................86
6.3 Ongoing Training and Professional Development ........................................................................88
6.4 Early Learning and Developmental Guidelines .............................................................................89
7 Quality Improvement Activities ...........................................................................................................90
7.1 Quality Activities Needs Assessment ............................................................................................91
7.2 Use of Quality Set-Aside Funds ....................................................................................................91
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8 Lead Agency Coordination and Partnerships to Support Service Delivery ...........................................93
8.1 Coordination with Partners to Expand Accessibility and Continuity of Care ................................93
8.2 Optional Use of Combined Funds, CCDF Matching, and Maintenance-of-Effort Funds ...............95
8.3 Coordination with Child Care Resource and Referral Systems .....................................................97
8.4 Public-Private Partnerships ..........................................................................................................98
8.5 Disaster Preparedness and Response Plan ...................................................................................99
9 Family Outreach and Consumer Education ........................................................................................100
9.1 Parental Complaint Process .......................................................................................................100
9.2 Consumer Education Website ....................................................................................................101
9.3 Increasing Engagement and Access to Information ...................................................................106
9.4 Providing Information on Developmental Screenings ................................................................108
10 Program Integrity and Accountability ................................................................................................109
10.1 Effective Internal Controls ..........................................................................................................109
10.2 Fraud Investigation, Payment Recovery, and Sanctions ............................................................112
Appendix 1: Lead Agency Implementation Plan .......................................................................................117
Appendix 1: Form ...............................................................................................................................118
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Overview
Introduction
The Child Care and Development Block Grant Act (CCDBG) (42 U.S.C. 9857
et seq.
), together with
section 418 of the Social Security Act (42 U.S.C. 618), authorize the Child Care and Development
Fund (CCDF), the primary federal funding source devoted to supporting families with low
incomes afford child care and increasing the quality of child care for all children. The CCDF
program is administered by the Office of Child Care (OCC) within the Administration for Children
and Families (ACF) at the U.S. Department of Health and Human Services and provides resources
to State, Territory, and Tribal governments via their designated CCDF Lead Agency.
CCDF plays a vital role in supporting family well-being and child development; facilitating
parental employment, training, and education; improving the economic well-being of
participating families; and promoting safe high-quality care and learning environments for
children when out of their parents’ care.
As required by CCDBG, this CCDF Plan serves as the State/Territory Lead Agency’s application for
a three-year cycle of CCDF funds and is the primary mechanism OCC uses to determine Lead
Agency compliance with the requirements of the statute and regulations. CCDF Lead Agencies
must comply with the rules set forth in CCDBG and corresponding ACF-issued rules and
regulations. The CCDF Plan is a fundamental part of OCC’s oversight of CCDF and is designed to
align with and complement other oversight mechanisms including administrative and financial
data reporting, the monitoring process, error rate reporting, audits, and the annual Quality
Progress Report.
Organization of Plan
In their CCDF Plans, State/Territory Lead Agencies must describe how they implement the CCDF
program. The Plan is organized into the following sections:
1. CCDF Program Administration
2. Child and Family Eligibility and Enrollment and Continuity of Care
3. Child Care Affordability
4. Parental Choice, Equal Access, Payment Rates, and Payment Practices
5. Health and Safety of Child Care Settings
6. Support for a Skilled, Qualified, and Compensated Child Care Workforce
7. Quality Improvement Activities
8. Lead Agency Coordination and Partnerships to Support Service Delivery
9. Family Outreach and Consumer Education
10. Program Integrity and Accountability
Completing the Plan
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This revised Plan aims to capture the most accurate and up-to-date information about how a
State/Territory is implementing its CCDF program in compliance with the requirements of CCDF.
In responding to plan questions, Lead Agencies should provide concise and specific summaries
and/or bullet points as appropriate to the question. Do not insert tables or charts, add
attachments, or copy manuals into the Plan. A State/Territory’s CCDF Plan is intended to stand on
its own with sufficient information to describe how the Lead Agency is implementing its CCDF
program without need for added attachments, tables, charts, or State manuals.
OCC recognizes that Lead Agencies use different mechanisms to establish CCDF policies, such as
State statute, regulations, administrative rules, policy manuals, or policy issuances. Lead Agencies
must submit their CCDF Plan no later than July 1, 2024.
Review and Amendment Process
OCC will review submitted CCDF Plans for completeness and compliance with federal policies.
Each Lead Agency will receive a letter approximately 90 days after the Plan is due that includes all
Plan non-compliances to be addressed. OCC recognizes that Lead Agencies continue to modify
and adapt their programs to address evolving needs and priorities. Lead Agencies must submit
amendments to their Plans as they make substantial policy and program changes during the
three-year plan cycle, including when addressing non-compliances.
Appendix 1: Implementation Plan
As part of the Plan review process, if OCC identifies any CCDF requirements that are not fully
implemented, OCC will communicate a preliminary notice of non-compliance for those
requirements via an emailed letter. OCC has created a standardized template for Lead Agencies
to submit as their 60-day response to that preliminary notice. This template is found at Appendix
1: Lead Agency Implementation Plan. This required response via the Appendix will help create a
shared understanding between OCC and the Lead Agency on which elements of a requirement
are unmet, how they are unmet, and the Lead Agency’s steps and associated timelines needed to
fully implement those unmet elements.
CCDF Plan Submission
CCDF Lead Agencies will submit their Plans electronically through the Child Care Automated
Reporting System (CARS). CARS will include all language and questions included in the final CCDF
Plan template approved by the Office of Management and Budget (OMB). Note that the format
of the questions in CARS could be modified from the Word version of the document to ensure
compliance with Section 508 policies regarding accessibility to electronic and information
technology for individuals with disabilities.
1 CCDF Program Administration
Strong organizational structures, operational capacity, and partnerships position States and
Territories to administer CCDF efficiently, effectively, and collaboratively.
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This section identifies the CCDF Lead Agency, CCDF Lead Agency leadership, and the entities and
individuals who will participate in the implementation of the program. It also identifies the
partners who were consulted to develop the Plan.
1.1 CCDF Leadership
The governor of a State or Territory must designate an agency (which may be an appropriate
collaborative agency) or establish a joint interagency office to represent the State or Territory as
the Lead Agency. The Lead Agency agrees to administer the program in accordance with
applicable federal laws and regulations and the provisions of this Plan, including the assurances
and certifications.
1.1.1 Designated Lead Agency
Identify the Lead Agency or joint interagency office designated by the State or Territory. OCC will
send official grant correspondence, such as grant awards, grant adjustments, Plan approvals, and
disallowance notifications, to the designated contact identified here.
a. Lead Agency or Joint Interagency Office Information:
i. Name of Lead Agency: Nevada Division of Welfare and Supportive Services
ii. Street Address: 1470 E College Pkwy
iii. City: Carson City
iv. State
:
Nevada
v. ZIP Code: 89706
vi. Web Address for Lead Agency: https://dwss.nv.gov/
b. Lead Agency or Joint Interagency Official contact information:
i. Lead Agency Official First Name: Karissa
ii. Lead Agency Official Last Name: Loper Machado
iii. Title: Agency Manager, Child Care and Development Program
iv. Phone Number: (775) 461-6151
v. Email Address: [email protected]
1.1.2 CCDF Administrator
Identify the CCDF Administrator designated by the Lead Agency, the day-to-day contact, or the
person with responsibility for administering the State’s or Territory’s CCDF program. The OCC will
send programmatic communications, such as program announcements, program instructions, and
data collection instructions, to the designated contact identified here. If there is more than one
designated contact with equal or shared responsibility for administering the CCDF program,
identify the Co-Administrator or the person with administrative responsibilities and include their
contact information.
a. CCDF Administrator contact information:
i. CCDF Administrator First Name: Karissa
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ii. CCDF Administrator Last Name: Loper Machado
iii. Title of the CCDF Administrator: Agency Manager
iv. Phone Number: (775) 461-1615
v. Email Address: [email protected]
b. CCDF Co-Administrator contact information (if applicable):
i. CCDF Co-Administrator First Name: Cynthia
ii. CCDF Co-Administrator Last Name: Magana
iii. Title of the CCDF Co-Administrator: Social Services Chief II, Child Care and
Development Program
iv. Phone Number: (775) 684-0791
v. Email Address: [email protected]
vi. Description of the Role of the Co-Administrator: Assist in outreach, needs
assessments, strategic plan development, and policy
development/implementation.
1.2 CCDF Policy Decision Authority
The Lead Agency has broad authority to administer (i.e., establish rules) and operate (i.e.,
implement activities) the CCDF program through other governmental, non-governmental, or
public or private local agencies as long as the Lead Agency retains overall responsibility for the
administration of the program. Administrative and implementation responsibilities undertaken by
agencies other than the Lead Agency must be governed by written agreements that specify the
mutual roles and responsibilities of the Lead Agency and other agencies in meeting the program
requirements.
1.2.1 Entity establishing CCDF program rules
Which of the following CCDF program rules and policies are administered (i.e., set or established)
at the State or Territory level or local level? Identify whether CCDF program rules and policies are
established by the State or Territory (even if operated locally) or whether the CCDF policies or
rules are established by local entities, such as counties or workforce boards.
Check one of the following:
a. [x] All program rules and policies are set or established by the State or Territory. (If
checked, skip to question 1.2.2.)
b. [ ] Some or all program rules and policies are set or established by local entities or
agencies. If checked, indicate which entities establish the following policies. Check all that
apply:
i. Eligibility rules and policies (e.g., income limits) are set by the:
[ ] State or Territory.
[ ] Local entity (e.g., counties, workforce boards, early learning coalitions).
[ ] Other. Identify the entity and describe the policies the entity can set:
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ii. Sliding-fee scale is set by the:
[ ] State or Territory.
[ ] Local entity (e.g., counties, workforce boards, early learning coalitions).
[ ] Other. Identify the entity and describe the policies the entity can set:
iii. Payment rates and payment policies are set by the:
[ ] State or Territory.
[ ] Local entity (e.g., counties, workforce boards, early learning coalitions).
[ ] Other. Identify the entity and describe the policies the entity can set:
iv. Licensing standards and processes are set by the:
[ ] State or Territory.
[ ] Local entity (e.g., counties, workforce boards, early learning coalitions).
[ ] Other. Identify the entity and describe the policies the entity can set:
v. Standards and monitoring processes for license-exempt providers are set by the:
[ ] State or Territory.
[ ] Local entity (e.g., counties, workforce boards, early learning coalitions).
[ ] Other. Identify the entity and describe the policies the entity can set:
vi. Quality improvement activities, including QIS, are set by the:
[ ] State or Territory.
[ ] Local entity (e.g., counties, workforce boards, early learning coalitions).
[ ] Other. Identify the entity and describe the policies the entity can set:
vii.
Other. List and describe any other program rules and policies that are set at a level
other than the State or Territory level:
1.2.2 Entities implementing CCDF services
The Lead Agency has broad authority to operate (i.e., implement activities) through other
agencies, as long as it retains overall responsibility for CCDF. Complete the table below to identify
which entity(ies) implements or performs CCDF services.
Check the box(es) to indicate which entity(ies) implement or perform CCDF services.
CCDF Activity
CCDF Lead
Agency
TANF
Agency
Local
Government
Agencies
CCR&R
Other
Who conducts eligibility
determinations?
[ ]
[ ]
[ ]
[x]
[ ] Describe:
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CCDF Activity
CCDF Lead
Agency
TANF
Agency
Local
Government
Agencies
CCR&R
Other
Who assists parents in locating child
care (consumer education)?
[x]
[ ]
[ ]
[x]
[ ] Describe:
Who issues payments?
[ ]
[ ]
[ ]
[x]
[ ] Describe:
Who monitors licensed providers?
[x]
[ ]
[ ]
[ ]
[ ] Describe:
Who monitors license-exempt
providers?
[x]
[ ]
[ ]
[x]
[ ] Describe:
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CCDF Activity
CCDF Lead
Agency
TANF
Agency
Local
Government
Agencies
CCR&R
Other
Who operates the quality
improvement activities?
[x]
[ ]
[ ]
[x]
[x] Describe:
The Nevada
Department
of Education
(NDE) Office
of Early
Learning and
Development
(OELD)
operates the
state's
Quality
Rating and
Improvement
System
(QRIS), Silver
State Stars,
and conducts
other quality
improvement
activities
focused on
preparing,
recruiting,
and retaining
a qualified
early
childhood
educator
workforce.
1.2.3 Information systems availability
For any activities performed by agencies other than the Lead Agency as reported above in 1.2.1
and 1.2.2, identify the processes the Lead Agency uses to oversee and monitor CCDF
administration and implementation activities to retain overall responsibility for the CCDF program.
Check and describe how the Lead Agency includes in its written agreements the required
elements. Note: The contents of the written agreement may vary based on the role the agency is
asked to assume or type of project but must include, at a minimum, the elements below.
a. Tasks to be performed.
[x] Yes. If yes, describe: All subawards include a detailed Scope of Work and reporting
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requirements which are a condition of being a subrecipient.
[ ] No. If no, describe:
b. Schedule for completing tasks.
[x] Yes. If yes, describe: Subawards and other communication outline the schedule for completing
assigned work, reimbursement schedules and procedures, regular reporting, and documentation
submission requirements.
[ ] No. If no, describe:
c. Budget which itemizes categorical expenditures in accordance with CCDF requirements.
[x] Yes. If yes, describe: All subawards include a detailed budget narrative which itemizes
categorical expenditures. The Lead Agency tracks categorical expenditures made by subrecipients
in accordance and to ensure compliance with CCDF requirements.
[ ] No. If no, describe:
d. Indicators or measures to assess performance of those agencies.
[x] Yes. If yes, describe: All subaward Scopes of Work include evaluation measures used to assess
performance. The Lead Agency requires all contractors, vendors, and subrecipients to adhere to
the program policies reflected in the Nevada Child Care Policy Manual and oversight is
accomplished through a variety of auditing processes including Quality Control reviews. Quarterly
reports from agencies are evaluated to ensure program compliance and evidence-based measures
are used to assess performance.
[ ] No. If no, describe:
e.
In addition to the written agreements identified above, describe any other monitoring and
auditing processes used to oversee CCDF administration. The Division of Welfare and Supportive
Services (DWSS) uses Quality Control (QC) reviews, requires internal audit by subrecipient
supervisory personnel, and
collects and monitors monthly and quarterly reporting to assess programmatic activities and
outcomes. QC reviews examine program records for accurate eligibility determinations for families
receiving a child care scholarship and proper payment to providers, and ensure program
expenditures comply with agency, state and federal requirements.
1.2.4 Certification of shareable information systems.
Does the Lead Agency certify that to the extent practicable and appropriate, any code or
software for child care information systems or information technology for which a Lead
Agency or other agency expends CCDF funds to develop is made available to other public
agencies? This includes public agencies in other States for their use in administering child
care or related programs.
[x] Yes.
[ ] No. If no, describe:
1.2.5 Confidential and personally identifiable information
Certification of policies to protect confidential and personally identifiable information
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Does the Lead Agency certify that it has policies in place related to the use and disclosure
of confidential and personally identifiable information about children and families
receiving CCDF assistance and child care providers receiving CCDF funds?
[x] Yes.
[ ] No. If no, describe:
1.3 Consultation in the Development of the CCDF Plan
The Lead Agency is responsible for developing the CCDF Plan, and consultation with and
meaningful input and feedback from a wide range of representatives is critical for CCDF programs
to continually adapt to the changing needs of families, child care programs, and the workforce.
Consultation involves meeting with or otherwise obtaining input from an appropriate agency in
the development of the State or Territory CCDF Plan. As part of the Plan development process,
Lead Agencies must consult with the following:
(1)
Appropriate representatives of general-purpose local government. General purpose local
governments are defined by the U.S. Census at
https://www2.census.gov/govs/cog/g12_org.pdf.
(2)
The State Advisory Council (SAC) on Early Childhood Education and Care (pursuant to
642B(b)(I)(A)(i) of the Head Start Act) or similar coordinating body pursuant to
98.14(a)(1)(vii).
(3)
Tribe(s) or Tribal organization(s) within the State. This consultation should be done in a
timely manner and at the option of the Tribe(s) or Tribal organization(s).
1.3.1 Consultation efforts in CCDF Plan development
Describe the Lead Agency’s consultation efforts in the development of the CCDF Plan, including
how and how often the consultation occurred.
a.
Describe how the Lead Agency consulted with appropriate representatives of general-
purpose local government: The Division of Welfare and Supportive Services (DWSS) Child
Care and Development Program (CCDP) staff and subrecipients have been working on the
current State Plan through workgroups, a variety of committees and councils, and direct
contact with stakeholders statewide for input and feedback. The information received
from stakeholders was used in drafting the plan. Stakeholders include parents, licensed,
unlicensed, and license-exempt providers, professionals with county government and
state government, tribal government staff, and a variety of for profit and non-profit
organizations, including the Child Care Resource and Referral Agencies.
a.
Describe how the Lead Agency consulted with the State Advisory Council or similar
coordinating body: The CCDF Administrator is an official, Governor-appointed member of
the Nevada Early Childhood Advisory Council (ECAC). The ECAC meets quarterly.
Information about State Plan development is shared during partner updates. Information
has also been shared in ECAC Subcommittee meetings.
b.
Describe, if applicable, how the Lead Agency consulted with Indian Tribes(s) or Tribal
organizations(s) within the State: DWSS/CCDP provided an invitation to the State Plan
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public hearing to allow a formal platform for consultation with Tribal governments,
including Tribal leadership.
c.
Identify other entities, agencies, or organizations consulted on the development of the
CCDF Plan (e.g., representatives from the child care workforce, or statewide afterschool
networks) and describe those consultation efforts: The Child Care Resource and Referral
(CCR&R) agencies were consulted in plan development as well as the NDE-OELD by sharing
the draft document and requesting information in specific sections where these entities
are the subject-matter experts.
1.3.2 Public hearing process
Lead Agencies must hold at least one public hearing in the State or Territory, with sufficient
Statewide or Territory-wide distribution of notice prior to such a hearing to enable the public to
comment on the provision of child care services under the CCDF Plan.
Describe the Statewide or Territory-wide public hearing process held to provide the public with an
opportunity to comment on the provision of child care services under this Plan.
i. Date of the public hearing: 6/21/2024
Reminder: Must be no earlier than January 1, 2024. If more than one public
hearing was held, enter one date (e.g., the date of the first hearing, the most
recent hearing date, or any hearing date that demonstrates this requirement).
ii.
Date of notice of public hearing: 5/20/2024
iii. Was the notice of public hearing posted publicly at least 20 calendar days prior to
the date of the public hearing?
[x] Yes.
[ ] No. If no, describe:
iv.
Describe how the public was notified about the public hearing, including outreach
in other languages, information on interpretation services being available, etc.
Include specific website links if used to provide noticeThe notice for public hearing
was published on the following websites: Division of Welfare and Supportive
Services, Early Childhood Advisory Council, and Nevadachildcare.org. The
notification for public hearing was posted on the following links:
https://dwss.gov/home/features/public-information/;
http://nvecac.com/community-events-calendar;
https://nevadachildcare.org/meetings-public-notices/. Public hearing Notice &
Agenda was also mailed and e-mailed on May 20, 2024 to be posted in the
following locations: Child Care Service Centers (Reno, Las Vegas), Division of Public
and Behavioral health (Carson City), Division of Welfare and Supportive Services
district offices (Las Vegas, Carson City, Elko, Reno, Fallon), Carson City Library
(Carson City), Churchill County Library (Fallon), Clark County District Library (Las
Vegas), Douglas County Library (Minden), Elko County Library (Elko), Esmeralda
County Library (Goldfield), Eureka Branch Library (Eureka), Henderson District
Public Library (Henderson), Humboldt County Library (Winnemucca), Lander
County Library (Battle Mountain), Lincoln County Library (Pioche), Lyon County
Library (Yerington), Mineral County Library (Hawthorne), Pahrump Library District
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(Pahrump), Pershing County Library (Lovelock), Storey County Library (Virginia
City), Tonopah Public Library (Tonopah), and Washoe County Library (Reno).
v.
Describe how the approach to the public hearing was inclusive of all geographic
regions of the State or Territory: The public hearing was made available by video
via Microsoft Teams, audio by a call-in phone number, and with physical locations
in both Carson City, and Las Vegas.
vi.
Describe how the content of the Plan was made available to the public in advance
of the public hearing (e.g., the Plan was made available in other languages, in
multiple formats, etc.): The State Plan draft was made available on the same three
(3) websites that the hearing notice was published on: DWSS website:
dwss.nv.gov, ECAC website, and Nevadachildcare.org website
https://www.nevadachildcare.org/meetings-public-notices/.
vii.
Describe how the information provided by the public was taken into consideration
regarding the provision of child care services under this Plan: The CCDP hosted a
public hearing on June 21, 2024 both virtually and in-person in the Northern and
Southern region of the state. Public comment was accepted through means of in-
person, telephone, the Teams chat, and via the [email protected] email address.
Public comment was taken into consideration for language regarding the Nevada
Afterschool Network referenced in the State Plan.
1.3.3 Public availability of final Plan, amendments, and waivers
Lead Agencies must make the submitted and approved final Plan, any approved Plan
amendments, and any approved requests for temporary waivers publicly available on a website.
a.
Provide the website link to where the Plan, any Plan amendments, and waivers (if
applicable) are available. Note: A Plan amendment is required if the website address
where the Plan is posted changes. https://dwss.nv.gov/Care/Childcare/
b.
Describe any other strategies that the Lead Agency uses to make submitted and approved
CCDF Plan and approved Plan amendments available to the public. Check all that apply
and describe the strategies below, including any relevant website links as examples.
i. [x] Working with advisory committees. Describe: The CCDF Administrator is a
Governor-appointed, voting member on the statewide ECAC. Local ECACs provide
information to stakeholders and the state’s ECAC through participation in
quarterly meetings.
ii. [x] Working with child care resource and referral agencies. Describe: CCR&R
agencies are made aware of all programmatic changes, included when
determining if amendments are necessary, and are consulted when the State Plan
is developed and implemented.
iii. [ ] Providing translation in other languages. Describe:
iv. [x] Sharing through social media (e.g., Facebook, Instagram, email). Describe: The
State Plan is not disseminated through email; however, a link to the draft plan was
emailed to the child care listservs, the Tribes, the ECAC, and the Child and Adult
Care Food Program (CACFP) for feedback, collaboration on planning, and
coordination.
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v. [x] Providing notification to key constituents (e.g., parent and family groups,
provider groups, advocacy groups, foundations, and businesses). Describe:
Changes to the State Plan follow the State’s Public Hearing process including
public notification of meetings: https://dwss.nv.gov/Home/Features/Public-
Information/.
vi. [x] Working with Statewide afterschool networks or similar coordinating entities
for out-of-school time. Describe: DWSS/CCDP works closely with Nevada’s Out of
School Time (OST) providers to coordinate efforts to allow parents to work and
adapt to the need for different types of services including before and after school
programming and emergency child care for a wider range of ages. DWSS/CCDP
also works closely with the Nevada Afterschool Network:
https://www.nevadaafterschool.org/.
vii. [x] Direct communication with the child care workforce. Describe: DWSS/CCDP
uses a listserv to communicate programmatic information and to share resources
with all child care providers receiving CCDF. The DWSS Child Care Licensing
Program also uses a listserv to communicate regulatory information and to share
resources with all licensed child care facilities. DWSS/ CCDP partners with NDE-
OELD, The Nevada Registry, the Nevada Association for the Education of Young
Children, The Children’s Cabinet, and Las Vegas Urban League to provide
information about the State Plan to the child care workforce. DWSS/CCDP sends a
representative to the Child Care Provider Advisory Committee meetings held
quarterly.
viii. [ ] Other. Describe:
2 Child and Family Eligibility and Enrollment and Continuity of Care
Stable and reliable child care arrangements facilitate job stability for parents and healthy
development of children. CCDF eligibility and enrollment policies can contribute to these goals.
Policies and procedures that create barriers to families accessing CCDF, like inaccessible subsidy
applications and onerous reporting requirements, interrupt a parent’s ability to work and may
deter eligible families from participating in CCDF.
To address these concerns, Lead Agencies must provide children with a minimum of 12 months
between eligibility determinations, limit reporting requirements during the 12-month period, and
ensure eligibility determination and redetermination processes do not interrupt a parent’s work
or school.
In this section, Lead Agencies will identify how they define eligible children and families and how
the Lead Agency’s eligibility and enrollment policies support access for eligible children and
families.
2.1 Reducing Barriers to Family Enrollment and Redetermination
Lead Agency enrollment and redetermination policies may not unduly disrupt parents’
employment, education, or job training activities to comply with the Lead Agency’s or designated
local entity’s requirements. Lead Agencies have broad flexibility to design and implement the
eligibility practices that reduce barriers to enrollment and redetermination.
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Examples include developing strategies to inform families and their providers of an upcoming
redetermination and the information that will be required of the family, pre-populating subsidy
renewal forms, having parents confirm that the information is accurate, and/or asking only for the
information necessary to make an eligibility redetermination. In addition, Lead Agencies can offer
a variety of family-friendly methods for submitting documentation for eligibility redetermination
that considers the range of needs for families in accessing support (e.g., use of languages other
than English, access to transportation, accommodation of parents working non-traditional hours).
2.1.1 Eligibility practices to reduce barriers to enrollment
a. Does the Lead Agency implement any of the following eligibility practices to reduce
barriers at the time of initial eligibility determination? Check all that apply and describe
those elements checked.
i. [x] Establishing presumptive eligibility while eligibility is being determined.
Describe the policy, including the populations benefiting from the policy, and
identify how long the period of presumptive eligibility is: DWSS/CCDP allows a 90-
day presumptive eligibility determination for priority populations while
verifications are being collected. The populations benefiting from this allowance
include households experiencing homelessness and CPS/Foster families.
Presumptive eligibility for these populations removes barriers to accessing
services timely.
ii. [x] Leveraging eligibility from other public assistance programs. Describe: New
Employees of Nevada (NEON) households (i.e., Temporary Assistance for Needy
Families (TANF) recipients) are not required to do a full eligibility certification to
be eligible. They only need their ID, application, and a NEON referral to approve
them for child care services.
iii. [x] Coordinating determinations for children in the same household (while still
ensuring each child receives 12 months of eligibility). Describe: All children
requiring care at the time of application receive certificates with the same start
and end dates, so families only must certify eligibility once per year. When mid-
certification changes occur, the end date for the change will be the same date as
the original certification end date to keep the 12-month eligibility period
consistent for the family.
iv. [x] Self-assessment screening tools for families. Describe: Families with children
five (5) years of age and younger can visit https://www.first5nevada.org/ to
access a self-assessment eligibility screening tool that will inform them of their
eligibility for a variety of benefits/services, including child care scholarships.
v. [ ] Extended office hours (evenings and/or weekends).
vi. [x] Consultation available via phone.
vii. [x] Other. Describe the Lead Agency policies to process applications efficiently and
make timely eligibility determinations: DWSS/CCDP requires eligibility decisions to
be made within 30 days of receipt of the application to ensure timely processing.
DWSS/CCDP requires CCR&R staff to utilize state system records to verify
eligibility factors which have already been reviewed by another public benefit
program (such as TANF or SNAP) before asking for additional information from
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families to expedite processing and eliminate burdens on families to produce
verifications for multiple programs.
viii. [ ] None.
b. Does the Lead Agency use an online subsidy application?
[x] Yes.
[ ] No. If no, describe why an online application is impracticable.
c. Does the Lead Agency use different policies for families receiving TANF assistance?
[x] Yes. If yes, describe the policies: TANF families do not have to provide verification of
eligibility to receive care. CCR&R staff only need a DWSS referral, photo ID, and an initial
application to approve the case. For renewals, only an updated referral is needed if they
are still receiving TANF.
[ ] No.
2.1.2 Preventing disruption of eligibility activities
a. Identify, where applicable, the Lead Agency’s procedures and policies to ensure that
parents do not have their employment, education, or job training unduly disrupted to
comply with the State’s/Territory’s or designated local entity’s requirements for the
redetermination of eligibility. Check all that apply.
i. [x] Advance notice to parents of pending redetermination.
ii. [x] Advance notice to providers of pending redetermination.
iii. [x] Pre-populated subsidy renewal form.
iv. [ ] Online documentation submission.
v. [x] Cross-program redeterminations.
vi. [ ] Extended office hours (evenings and/or weekends).
vii. [x] Consultation available via phone.
viii. [x] Leveraging eligibility from other public assistance programs.
ix. [x] Other. Describe: Clients can submit documents by email or fax; in person
certification is not required for eligibility.
b. Does the Lead Agency use different policies for families receiving TANF assistance?
[x] Yes. If yes, describe the policies: TANF families do not have to provide full verification
of eligibility to receive care. CCR&R staff only need a DWSS referral, photo ID, and an
initial application to approve the case. For renewals, only an updated referral is needed if
they are still receiving TANF.
[ ] No.
2.2 Eligible Children and Families
At eligibility determination or redetermination, children must (1) be younger than age 13; (2)
reside with a family whose income does not exceed 85 percent of the State's median income (SMI)
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for a family of the same size and whose family assets do not exceed $1,000,000; and (3)(a) reside
with a parent or parents who are working or attending a job training or educational program
(which can include job search) or (b) receive, or need to receive, protective services as defined by
the Lead Agency.
2.2.1 Eligibility criteria: age of children served
Lead Agencies may provide child care assistance for children less than 13 years of age, including
continuing to provide assistance to children if they turn 13 during the eligibility period. In addition,
Lead Agencies can choose to serve children up to age 19 if those children are unable to care for
themselves.
a. Does your Lead Agency serve the full federally allowable age range of children through
age 12?
[x] Yes.
[ ] No. If no, describe the age range of children served and the reason why you made that
decision to serve less than the full range of allowable children.
Note:
Do not include children incapable of self-care or under court supervision, who are
reported below in 2.2.1b and 2.2.1c.
b. Does the Lead Agency extend eligibility for CCDF-funded child care to children ages 13 and
older but below age 19 who are physically and/or mentally incapable of self-care?
[ ] No.
[x] Yes.
i. If yes, the upper age is (may not equal or exceed age 19): 18.00
ii.
If yes, provide the Lead Agency definition of physical and/or mental incapacity: A
special need is defined as a physical or mental condition, which severely limits the
child’s ability to care for himself/herself, or an emotional condition that places the
child or others at risk
c.
Does the Lead Agency extend eligibility for CCDF-funded child care to children ages 13 and
older but below age 19 who are under court supervision?
[ ] No.
[x] Yes. If yes, and the upper age is (may not equal or exceed age 19): 18.00
d. How does the Lead Agency define the following eligibility terms?
i. “residing with”: living with (in same residence as)
ii. “in loco parentis”: A person other than the natural or adoptive parent, who is
serving as legal guardian for a child; serving in a parent/guardian capacity.
2.2.2 Eligibility criteria: reason for care
Lead Agencies have broad flexibility on the work, training, and educational activities required to
qualify for child care assistance. Lead Agencies do not have to set a minimum number of hours for
families to qualify for work, training, or educational activities, and there is no requirement to limit
authorized child care services strictly based on the work, training, or educational schedule/hours
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of the parent(s). For example, the Lead Agency can include travel or study time in calculating the
amount of needed services.
How does the Lead Agency define the following terms for the purposes of determining CCDF
eligibility?
a. Identify which of the following activities are included in your definition of “working” by
checking the boxes below:
i. [x] An activity for which a wage or salary is paid.
ii. [x] Being self-employed.
iii. [x] During a time of emergency or disaster, partnering in essential services.
iv. [x] Participating in unpaid activities like student teaching, internships, or
practicums.
v. [x] Time for meals or breaks.
vi. [x] Time for travel.
vii. [x] Seeking employment or job search.
viii. [ ] Other. Describe:
b. Identify which of the following activities are included in your definition of “attending job
training” by checking the boxes below:
i. [x] Vocational/technical job skills training.
ii. [x] Apprenticeship or internship program or other on-the-job training.
iii. [x] English as a Second Language training.
iv. [x] Adult Basic Education preparation.
v. [x] Participation in employment service activities.
vi. [x] Time for meals and breaks.
vii. [x] Time for travel.
viii. [x] Hours required for associated activities such as study groups, lab experiences.
ix. [x] Time for outside class study or completion of homework.
x. [ ] Other. Describe:
c. Identify which of the following diplomas, certificates, degrees, or activities are included in
your definition of “attending an educational program” by checking the boxes below:
i. [x] Adult High School Diploma or GED.
ii. [x] Certificate programs (12-18 credit hours).
iii. [x] One-year diploma (36 credit hours).
iv. [x] Two-year degree.
v. [x] Four-year degree.
vi. [x] Travel to and from classrooms, labs, or study groups.
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vii. [x] Study time.
viii. [x] Hours required for associated activities such as study groups, lab experiences.
ix. [x] Time for outside class study or completion of homework.
x. [x] Applicable meal and break times.
xi. [ ] Other. Describe:
d. Does the Lead Agency impose a Lead Agency-defined minimum number of hours of
activity for eligibility?
[ ] No.
[x] Yes.
If yes, describe any Lead Agency-imposed minimum requirement for the
following:
[ ] Work. Describe:
[x] Job training. Describe: 20 hours or more per week, study time 2 hours per day
on same day as activity, 1-hr for travel each way for commute to/from training
program.
[x] Education. Describe: 6 or more credit hours per semester, study time 2 hours
per day on same day as activity, 1-hr for travel each way for commute to/from
education program.
[ ] Combination of allowable activities. Describe:
[ ] Other. Describe:
e. Does the Lead Agency allow parents to qualify for CCDF assistance based on education
and training without additional work requirements?
[x] Yes.
[ ] No. If no, describe the additional work requirements:
f. Does the Lead Agency extend eligibility to specific populations of children otherwise not
eligible by including them in its definition of “children who receive or need to receive
protective services?”
Note: A Lead Agency may elect to provide CCDF-funded child care to children in foster
care when foster care parents are
not
working or are
not
in education/training activities,
but this provision should be included in the Lead Agency’s protective services definition.
[ ] No. If no, skip to question 2.2.3.
[x] Yes. If yes, answer the questions below:
Provide the Lead Agency’s definition of “protective services” by checking below
the sub-populations of children that are included:
[x] Children in foster care.
[x] Children in kinship care.
[x] Children who are in families under court supervision.
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[x] Children who are in families receiving supports or otherwise engaged with a
child welfare agency.
[x] Children participating in a Lead Agency’s Early Head Start - Child Care
Partnerships program.
[x] Children whose family members are deemed essential workers under a
governor-declared state of emergency.
[x] Children experiencing homelessness.
[x] Children whose family has been affected by a natural disaster.
[ ] Other. Describe:
g. Does the Lead Agency waive the income eligibility requirements for cases in which
children receive, or need to receive, protective services on a case-by-case basis?
[ ] No.
[x] Yes.
h. Does the Lead Agency waive the eligible activity (e.g., work, job training, education, etc.)
requirements for cases in which children receive, or need to receive, protective services
on a case-by-case basis?
[ ] No.
[x] Yes.
i. Does the Lead Agency use CCDF funds to provide respite care to custodial parents of
children in protective services?
[x] No.
[ ] Yes.
2.2.3 Eligibility criteria: deciding entity on family income limits
How are income eligibility limits established?
[x] There is a statewide limit with no local variation.
[ ] There is a statewide limit with local variation. Provide the number of income eligibility
tables and describe who sets the limits:
[ ] Eligibility limits are established locally only. Provide the number of income eligibility
tables and describe who sets the limits:
[ ] Other. Describe:
2.2.4 Initial eligibility: income limits
a. Complete the appropriate table to describe family income limits.
i. Complete the table below to provide the statewide maximum income eligibility
percent and dollar limit or threshold:
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Family Size
Maximum Initial Eligibility
Limit (or Threshold) %
Maximum Initial Eligibility Limit
(or Threshold) $
1
85.00
3290.14
2
85.00
4302.49
3
85.00
5314.84
4
85.00
6327.19
5
85.00
7339.54
ii.
Does the Lead Agency certify that they use other funds if the income eligibility
limit percent exceeds 85% SMI?
[x] Not applicable. The Lead Agency does not allow income eligibility limits above
85% SMI.
[ ] Yes, the Lead Agency certifies that they use other funds (non-CCDF funds) for
families with income that exceeds 85% SMI.
[ ] No. The Lead Agency establishes income eligibility limits above SMI and
includes CCDF funds to pay for families with income that exceeds 85% SMI. If
checked, describe:
b. Complete the table below if the Lead Agency has local variation in the maximum income
eligibility limit. Complete the table for the region/locality with the highest eligibility limit,
region/locality with the lowest eligibility limit, and the region/locality that is most
populous:
i. Region/locality with the highest eligibility limit:
Family Size
Maximum Initial Eligibility
Limit (or Threshold) %
Maximum Initial Eligibility Limit
(or Threshold) $
1
2
3
4
5
ii. Region/locality with the lowest eligibility limit:
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Family Size
Maximum Initial Eligibility
Limit (or Threshold) %
Maximum Initial Eligibility Limit
(or Threshold) $
1
2
3
4
5
iii. Region/locality that is most populous:
Family Size
Maximum Initial Eligibility
Limit (or Threshold) %
Maximum Initial Eligibility Limit
(or Threshold) $
1
2
3
4
5
iv. Does the Lead Agency certify that they use other funds if the income eligibility
limit percent exceeds 85% SMI?
[ ] Not applicable. The Lead Agency does not allow income eligibility limits above
85% SMI.
[ ] Yes, the Lead Agency certifies that they use other funds (not CCDF funds) for
families with income that exceeds 85% SMI.
[ ] No. The Lead Agency establishes income eligibility limits above 85% SMI and
includes CCDF funds to pay for families with income that exceeds 85% SMI. If
checked, describe:
c. How does the Lead Agency define “income” for the purposes of eligibility at the point of
initial determination? Check all that apply:
i. [x] Gross wages or salary.
ii. [x] Disability or unemployment compensation.
iii. [x] Workers’ compensation.
iv. [x] Spousal support, child support.
v. [x] Survivor and retirement benefits.
vi. [x] Rent for room within the family’s residence.
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vii. [x] Pensions or annuities.
viii. [x] Inheritance.
ix. [ ] Public assistance.
x. [x] Other. Describe: Foster payments, kinship care payments, military allowances
(BAS, BAQ), some cash contributions, lump sum more than $5000, in-kind income,
bonuses, tips, dividends, gambling winnings, Indian General Assistance (IGA),
Royalties.
d. What is the effective date for these income eligibility limits? October 1, 2023
e. Income limits must be established and reported in terms of current SMI based on the
most recent data published by the Bureau of the Census, even if the federal poverty level
is used in implementing the program.
What federal data does the Lead Agency use when reporting the income eligibility limits?
[x] LIHEAP. If checked, provide the publication year of the LIHEAP guideline estimates
used by the Lead Agency: 2023
[ ] Other. Describe:
f. Provide the direct URL/website link, if available, for the income eligibility limits.
https://dwss.nv.gov/uploadedFiles/dwssnvgov/content/Care/CC%20PT%2007-
23%20Annual%20Income%20Ceiling%20Increase%20(Public%20Distribution).pdf
2.2.5 Income eligibility: irregular fluctuations in earnings
Lead Agencies must take into account irregular fluctuations in earnings in initial eligibility
determination and redetermination processes. The Lead Agency must ensure that temporary
increases in income, including temporary increases that can result in a monthly income exceeding
85 percent of SMI from seasonal employment or other temporary work schedules, do not affect
eligibility or family co-payments.
Check the processes that the Lead Agency uses to take into account irregular fluctuations in
earnings.
i. [x] Average the family’s earnings over a period of time (e.g., 12 months).
Identify the period of time Up to 12 months
ii. [x] Request earning statements that are most representative of the family’s
monthly income.
iii. [x] Deduct temporary or irregular increases in wages from the family’s standard
income level.
iv. [x]
Other.
Describe the other ways the Lead Agency takes into account irregular
fluctuations in earnings: Anticipate income using the best available information. If
income is ongoing, but the amounts fluctuate, DWSS/CCDP anticipates total
household income by averaging income from past pay periods.
2.2.6 Family asset limit
a. When calculating income eligibility, does the Lead Agency ensure each eligible family does
not have assets that exceed $1,000,000?
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[x] Yes.
[ ] No. If no, describe:
b. Does the Lead Agency waive the asset limit on a case-by-case basis for families defined as
receiving, or in need of, protective services?
[x] No.
[ ] Yes. If yes, describe the policy or procedure:
2.2.7 Additional eligibility criteria
Aside from the eligibility conditions or rules which have been described in 2.2.1 – 2.2.6, is any
additional eligibility criteria applied during:
a. [x] Eligibility determination? If checked, describe: ID, SSN, Citizenship, Relationship,
Special Needs, Household Composition, Homeless Status, Residency
b. [x] Eligibility redetermination? If checked, describe: Homeless status, Residency, Special
Needs (if not permanent condition)
2.2.8 Documentation of eligibility determination
Lead Agencies must document and verify that children receiving CCDF funds meet eligibility
criteria at the time of eligibility determination and redetermination.
Check the information that the Lead Agency documents and verifies at initial determination and
redetermination and describe what information is required and how often.
Required at
Initial
Determination
Required at
Redetermination
Description
[x]
[ ]
Applicant identity. Describe how you verify: Driver’s license,
state ID, Passport, Military ID, Work/School ID, Hospital or
Public health record, baptismal record, adoption record,
child welfare record, consular ID card, printout from DWSS
database verifying eligibility for public assistance, other
document providing identifying data such as physical
description, photograph, or signature.
[x]
[ ]
Applicant’s relationship to the child. Describe how you
verify: Birth certificate, legal court documents, adoption
record, hospital birth records, Vital statistics document,
baptismal record, government/military record, school
records, immigration and naturalization records, child
support paternity records, juvenile court records, BIA or
Tribal records, marriage license, divorce/custody records,
court records, letter from CPS or social worker record,
DWSS database record, other.
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Required at
Initial
Determination
Required at
Redetermination
Description
[x]
[ ]
Child’s information for determining eligibility (e.g., identity,
age, citizen/immigration status). Describe how you verify:
Birth certificate, hospital or public health record, baptismal
record, U.S. passport, military ID, Indian census papers,
Naturalization papers, DWSS database record, Consular
report of birth or �certification of birth� issued by the U.S.
Department of State, I-551, I-94, USCIS documents.
[x]
[x]
Work. Describe how you verify: Paystubs, letter from
employer on company letterhead indicating days and hours
of employment, effective/hire date and signed/dated by
employer. Employment Verification Form, Form 2186-WA.
[x]
[x]
Job training or educational program. Describe how you
verify: Official class schedule, other documentation from
school that indicates the start and end date of the course.
[x]
[x]
Family income. Describe how you verify: Paystubs, letter
from employer on company letterhead indicating days and
hours of employment, effective/hire date and signed/dated
by employer. Employment Verification Form, Form 2186-
WA.
[x]
[x]
Household composition. Describe how you verify: Copy of
lease listing all household members, statement from non-
relative landlord listing all household members, DWSS data
base records, custody court records, temporary custody
notarized letter, DFS placement letter (CPS/Foster).
[x]
[x]
Applicant residence. Describe how you verify: Current
Utility bill, current state photo ID, Current paystub, or
Employment Verification Form, DWSS database.
[x]
[x]
Other. Describe how you verify: Special needs status for
child, if applicable, especially if care needed over age 13.
Require IEP or statement by physician indicating child
definition of �special need�. Only required at initial
application if permanent condition or at each renewal if
condition may improve and child may no longer meet the
�special need� definition.
2.2.9 Exception to TANF work requirements
Lead Agencies must ensure that families with young children participating in TANF will be
informed of their right not to be sanctioned under the TANF work requirement if the custodial
parent has a demonstrated inability to obtain child care for a child under age six, in accordance
with Section 407(e)(2) of the Social Security Act.
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a.
Identify the TANF agency that established these criteria or definitions: Division of Welfare
and Supportive Services
b.
Provide the following definitions established by the TANF agency:
i. “Appropriate child care”: Child care chosen by the parent offering
developmentally appropriate practices which meet the needs of the parent and
child.
ii. “Reasonable distance”: Parent should not have to travel more than 60 minutes to
drop off or pick up their child.
iii. “Unsuitability of informal child care”: Informal child care is unsuitable if it is not
being provided legally and/or does not meet basic health and safety standards as
outlined in the state plan.
iv. “Affordable child care arrangements”: Affordable child care is care that does not
exceed 7% of the parent’s gross income.
c.
How are parents who receive TANF benefits informed about the exception to the
individual penalties associated with the TANF work requirements?
i. [x] In writing
ii. [ ] Verbally
iii. [ ] Other. Describe:
2.3 Prioritizing Services for Vulnerable Children and Families
Lead Agencies must give priority for child care assistance to children with special needs, families
with very low incomes (considering family size), and children experiencing homelessness. A Lead
Agency has the flexibility to prioritize other populations of children.
Note: Statute defines children with disabilities, and CCDF rule gives flexibility to Lead Agencies to
include vulnerable populations in their definition of children with special needs.
CCDF defines “child experiencing homelessness” as a child who is homeless, as defined in Section
725 of Subtitle VII-B of the McKinney-Vento Act (42 U.S.C. 11434a).
2.3.1 Lead Agency definition of priority groups
Describe how the Lead Agency defines:
d.
“Children with special needs.” A special need is defined as a physical or mental condition
which severely limits the child’s ability to care for himself/herself, or an emotional
condition that places the child or others at risk.
e.
“Families with very low incomes.” The household’s income is less than or equal to 130%
of FPL.
2.3.2 Prioritization of child care services
Identify how the Lead Agency will prioritize child care services for the following children and
families.
a. Complete the table below to indicate how the identified populations are prioritized.
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Population Prioritized
Prioritize for
enrollment
in child care
services
Serve
without
placing on
waiting list
Waive co-
payments as
described in
3.3.1
Pay higher
rate for
access to
higher
quality care
Use grants
or contracts
to reserve
spots
Other
Children with
special needs
[x]
[ ]
[x]
[ ]
[ ]
[ ] Describe:
Families with very
low incomes
[x]
[ ]
[x]
[ ]
[ ]
[ ] Describe:
Children
experiencing
homelessness, as
defined by CCDF
[x]
[x]
[x]
[ ]
[ ]
[ ] Describe:
(Optional) Families
receiving TANF,
those attempting
to transition off
TANF, and those at
risk of becoming
dependent on
TANF
[x]
[x]
[x]
[ ]
[ ]
[ ] Describe:
a. Does the Lead Agency define any other priority groups?
[ ] No.
[x] Yes. If yes, identify the populations prioritized and describe how the Lead
Agency prioritizes services: CPS and Foster children are also priority populations,
including those participating in a �Voluntary� or �Reunification Plan� with the
local CPS agency. CPS and Foster children are prioritized for enrollment, are not
placed on a waiting list when active, and their copayments are waived. Children
receiving wraparound services in collaboration with Early Head Start/Head Start
are also priority populations - prioritized for enrollment and their copayments are
waived. Parents who are attending an approved substance use disorder (SUD)
treatment or recovery program through the Nevada Division of Public and
Behavioral Health are also a priority population - prioritized for enrollment and
their copayments are waived.
2.3.3 Enrollment and grace period for children experiencing homelessness
Lead Agencies must allow (after an initial eligibility determination) children experiencing
homelessness to receive CCDF services while required eligibility documentation is obtained.
Lead Agencies must establish a grace period that allows children experiencing homelessness and
children in foster care to receive CCDF assistance while providing their families with a reasonable
time to take any necessary actions to comply with State, Territory, or local immunization and
other health and safety requirements. The length of such a grace period must be established in
consultation with the State, Territorial, or Tribal public health agency.
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Note: Any payment for such a child during the grace period may not be considered an error or
improper payment.
a. Describe the strategies to allow CCDF enrollment of children experiencing homelessness
while required eligibility documentation is obtained: Households experiencing
homelessness are allowed up to 90 days to provide verifications.
b. Describe the grace period for each population below and how it allows them to receive
CCDF assistance while providing their families with a reasonable time to take any
necessary actions to comply with immunization and other health and safety requirements.
i. Provide the policy for a grace period for:
Children experiencing homelessness: Households experiencing
homelessness are allowed up to 90 days to provide verifications, including
immunization records or to come into compliance with immunization
requirements.
Children who are in foster care: Households who have children in foster
care are allowed up to 90 days to provide verifications, including
immunization records or to come into compliance with immunization
requirements.
ii. Does the Lead Agency certify that the length of the grace period was established
in consultation with the State, Territorial, or Tribal public health agency?
[x] Yes.
[ ] No. If no, describe:
c. Describe how the Lead Agency coordinates with licensing agencies and other relevant
State, Territorial, Tribal, and local agencies to provide referrals and support to help
families with children receiving services during a grace period comply with immunization
and other health and safety requirements: Child Care Licensing surveyors can work with
child care providers to access Nevada WebIZ to help a family access and print a child’s
official immunization record. CCR&R staff provide referrals to local public health agency
clinics where families can receive low to no-cost immunizations for their children.
2.4 Lead Agency Outreach to Families Experiencing Homelessness, Families with Limited
English Proficiency, and Persons with Disabilities
The Lead Agency must conduct outreach and provide services to families with limited English
proficiency, families experiencing homelessness, and persons with disabilities.
2.4.1 Families with limited English proficiency and persons with disabilities: outreach and services
a. Check the strategies the Lead Agency or partners utilize to conduct outreach and provide
services to eligible families with limited English proficiency. Check all that apply.
i. [x] Application in languages other than English (application and related
documents, brochures, provider notices).
ii. [x] Informational materials in languages other than English.
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iii. [ ] Website in languages other than English.
iv. [x] Lead Agency accepts applications at local community-based locations.
v. [x] Bilingual caseworkers or translators available.
vi. [x] Bilingual outreach workers.
vii. [x] Partnerships with community-based organizations.
viii. [x] Collaboration with Head Start, Early Head Start, or Migrant and Seasonal Head
Start.
ix. [x] Home visiting programs.
x. [ ] Other.
Describe:
b. Check the strategies the Lead Agency or partners utilize to conduct outreach and provide
services to eligible families with a person(s) with a disability. Check all that apply.
i. [ ] Applications and public informational materials available in braille and other
communication formats for access by individuals with disabilities.
ii. [x] Websites that are accessible (e.g., Section 508 of the Rehabilitation Act).
iii. [ ] Caseworkers with specialized training/experience in working with individuals
with disabilities.
iv. [x] Ensuring accessibility of environments and activities for all children.
v. [x] Partnerships with State and local programs and associations focused on
disability- related topics and issues.
vi. [ ]
Partnerships with parent associations, support groups, and parent-to-parent
support
groups, including the Individuals with Disabilities Education Act (IDEA)
federally funded Parent Training and Information Centers.
vii. [x] Partnerships with State and local IDEA Part B, Section 619 and Part C providers
and agencies.
viii. [x] Availability and/or access to specialized services (e.g., mental health,
behavioral specialists, therapists) to address the needs of all children.
ix. [x] Other.
Describe:
The Nevada Early Childhood-Community Health Worker
program connects families with a person(s) with disability to local medical and
community resources.
2.4.2 Families experiencing homelessness: Outreach and technical assistance efforts
a.
Check, where applicable, the procedures used to conduct outreach for children
experiencing homelessness and their families.
i. [x] Lead Agency accepts applications at local community-based locations.
ii. [x] Partnerships with community-based organizations.
iii. [x] Partnering with homeless service providers, McKinney-Vento liaisons, and
others who work with families experiencing homelessness to provide referrals to
child care.
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iv. [ ] Other. Describe:
b. The Lead Agency must provide training and technical assistance (TA) to providers and
appropriate Lead Agency (or designated entity) staff on identifying and serving children
and families experiencing homelessness.
i. Describe the Lead Agency’s training and TA efforts for providers in identifying and
serving children and their families experiencing homelessness. DWSS/CCDP
provides training and technical assistance to providers by offering special
considerations, accepting applications at local community-based locations, and by
partnering with community-based organizations. Referrals to providers are made
through homeless service providers such as McKinney-Vento liaisons. DWSS/CCDP
has a 90-day exemption to allow families experiencing homelessness time to
collect documentation that is not readily available at the time of application to
remove this barrier to establishing eligibility. DWSS/CCDP can waive components
of program eligibility (such as work activity) on a case-by-case basis for families
experiencing hardships.
ii.
Describe the Lead Agency’s training and TA efforts for Lead Agency (or designated
entity) staff in identifying and serving children and their families experiencing
homelessness. DWSS/CCDP provides annual and as-requested training to CCR&R
staff who conduct eligibility activities on identifying and serving families
experiencing homelessness, including the requirement to allow these families a
90-day exemption to providing verification documentation if it is not readily
available. DWSS/CCDP also trains CCR&R staff how to help a family experiencing
homelessness request a special consideration.
2.5 Promoting Continuity of Care
Lead Agencies must consider children’s development and promote continuity of care when
authorizing child care services and must establish a minimum 12-month period for each child,
both at the initial eligibility determination and redetermination.
2.5.1 Children’s development
Describe how the Lead Agency’s eligibility, enrollment, reporting, and redetermination policies
promote continuity of care in order to support children’s development. Families receive 12-month
eligibility certification to promote continuity of care and to limit the family’s need to report and
verify eligibility factors. DWSS/CCDP limits the types of changes that will impact certification
negatively (except for leaving the state or at the point when their income exceeds 85% SMI) to
ensure families maintain 12 months of eligibility between recertification. DWSS/CCDP provides
$40 annual/registration fees to help families access licensed child care for their children. CCR&R
partners assist families in locating appropriate child care options that meet the needs of each child
and provide families with the information needed to make informed choices on care for their
children.
2.5.2 Minimum 12-month eligibility
Lead Agencies must establish a minimum 12-month eligibility period for each child, both at the
initial eligibility determination and at redetermination to support continuity in child care
assistance and reduce barriers to families retaining eligibility. This requirement is:
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• Regardless of changes in income, Lead Agencies may not terminate CCDF assistance during the minimum
12-month period if a family has an increase in income that exceeds the Lead Agency’s income eligibility
threshold but not the federal threshold of 85 percent of SMI; and
• Regardless of temporary changes in participation in work, training, or educational activities.
a. Does the Lead Agency certify that their policies or procedures provide a minimum 12-
month eligibility period for each child at initial eligibility determination?
[x] Yes.
[ ] No. If no, describe:
b. Does the Lead Agency certify that its definition of “temporary change” includes each of
the minimum required elements?
1. Any time-limited absence from work for an employed parent due to
such reasons as the need to care for a family member or an illness.
2. Any interruption in work for a seasonal worker who is not working between
regular industry work seasons.
3. Any student holiday or break for a parent participating in a
training or educational program.
4. Any reduction in work, training, or education hours, as long as the
parent is still working or attending a training or educational program.
5. Any cessation of work or attendance at a training or educational
program not listed above. In these cases only, Lead Agencies may
establish a period of 3 months or longer.
6. Any change in age, including a child turning 13 years old during the
minimum 12-month eligibility period.
7. Any changes in residency within the State or Territory.
[x] Yes.
[ ] No. If no, describe:
c. Are the policies different for redetermination?
[x] No.
[ ] Yes. If yes, provide the additional/varying policies for redetermination:
2.5.3 Job search and continued assistance
a. Does the Lead Agency consider seeking employment (engaging in a job search) as an
eligible activity at initial eligibility determination and/or at the minimum 12-month
eligibility redetermination? (Note: If yes, Lead Agencies must provide a minimum of 3
months of job search.) Check all that apply:
i. [ ] Yes. The Lead Agency does consider seeking employment (engaging in a job
search) as an eligible activity at initial eligibility determination. If yes, describe:
ii. [ ] Yes. The Lead Agency does consider seeking employment (engaging in a job
search) as an eligible activity at redetermination. If yes, describe:
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iii. [x] No. The Lead Agency does not consider seeking employment (engaging in a job
search) as an eligible activity at initial eligibility determination or redetermination.
b. Does the Lead Agency continue assistance during the minimum 12-month eligibility period
when a parent has a non-temporary loss or cessation of eligible activity?
[ ] Yes. The Lead Agency continues assistance.
[x] No, the Lead Agency discontinues assistance.
i.
If no, describe the Lead Agency’s policies for discontinuing assistance due to a
parent’s non-temporary change: The report of loss of eligible purpose of care
triggers a change in eligibility; families then have 90 days to gain another purpose
of care activity. If a new activity is started, the certificate is updated with the new
activity information (no adverse actions to funding, unless new income exceeds
85% SMI). If no new activity is started, the case is terminated following a 10-day
notice of adverse action to the family.
ii.
If no, describe what specific actions/changes trigger the job-search period after
each such loss or cessation: The report of loss of eligible purpose of care triggers a
change in eligibility; families then have 90 days to gain another purpose of care
activity. If a new activity is started, the certificate is updated with the new activity
information (no adverse actions to funding, unless new income exceeds 85% SMI).
If no new activity is started, the case is terminated following a 10-day notice of
adverse action to the family.
iii. If no, how long is the job-search period where a family can continue assistance
(must be at least 3 months)? 90 days
c. The Lead Agency may discontinue assistance prior to the next minimum 12-month
redetermination in the limited circumstances listed below. Check and provide the policy
for all circumstances in which the Lead Agency chooses to discontinue assistance prior to
the next minimum 12-month redetermination:
i. [ ] Not applicable.
ii. [x] Excessive unexplained absences despite multiple attempts by the Lead Agency
or designated entity to contact the family and provider, including the prior
notification of a possible discontinuation of assistance.
Provide the Lead Agency’s policy defining the number of unexplained
absences identified as excessive: Excessive absence is defined as absence
from care for a period of 30 calendar days during the certification period.
Child Care staff must document attempts to contact the parent to inform
them of possible discontinuation of services due to excessive absences via
1. Phone call; 2. Written Correspondence and 3. Email (if available). All
attempts at contact must be noted in the Nevada Child Care System. If no
response is received from the parent/household, services are
discontinued with a 10-day advance notice of adverse action to the family.
If the parent responds within 10 calendar days and provides a valid
explanation for the absence, assistance will continue through the
certification period.
iii.
[x] A change in residency outside of the State or Territory.
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Provide the Lead Agency’s policy for a change in residency outside the
State or Territory: Applicants and eligible household members must be
living in Nevada to be eligible to receive a child care scholarship.
iv. [x] Substantiated fraud or intentional program violations that invalidate prior
determinations of eligibility.
Provide the Lead Agency’s definition of fraud/intentional program
violations that lead to discontinued assistance: An intentional program
violation is an action by the accused for the purpose of establishing or
maintaining program eligibility, or increasing or preventing a reduction in
the benefits amount when they: Made a false or misleading oral or
written statement, or misrepresent, conceal or withhold information;
Committed any act that violates NRS 422A.700 or intentionally violated
any rule or regulation established by DWSS; Made an attempt to obtain,
increase or continue child care benefits for themselves or others to which
they would otherwise not be entitled; Received child care benefits to
which they would otherwise not be entitled; Failed to comply with
reporting requirements as set forth in manual sections 100 and 500;
Submitted a false document to DWSS/ CCDP or its designated entities;
Altered a Child Care Certificate to receive benefits to which they would
not otherwise be entitled to.
2.5.4 Reporting changes during the minimum 12-month eligibility period
Lead Agencies may only require families to report changes that impact a family’s eligibility,
including only if the family’s income exceeds 85 percent of the SMI, taking into account irregular
fluctuations in income, or there is a non-temporary change in the parent’s work, training, or
education status, during the 12-month eligibility period. Lead Agencies may also require families
to report that enable the lead agency to contact the family or pay providers, such as a new
telephone number or address.
Note: The response below should exclude reporting requirements for a graduated phase-out,
which are described in question 2.5.5.
Does the Lead Agency limit what families must report during the 12-month eligibility period to the
changes described above?
[x] Yes.
[ ] No. If no, describe:
2.5.5 Policies and procedures for graduated phase-out of assistance at redetermination
Lead Agencies that establish initial family income eligibility below 85 percent of SMI must provide
a graduated phase-out of assistance for families whose income has increased above the Lead
Agency’s initial income threshold at the time of redetermination but remains below the federal
threshold of 85 percent of SMI.
Lead Agencies that provide a graduated phase-out must implement a two-tiered eligibility
threshold, with the second tier of eligibility (used at the time of eligibility redetermination) to be
set at:
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(i) 85 percent of SMI for a family of the same size; or,
(ii) An amount lower than 85 percent of SMI for a family of the same size but above the Lead
Agency’s initial eligibility threshold that:
(A)
Takes into account the typical household budget of a family with a low income
(B)
Provides justification that the second eligibility threshold is:
(1)
Sufficient to accommodate increases in family income over time that are
typical for workers with low incomes and that promote and support family
economic stability
(2)
Reasonably allows a family to continue accessing child care services
without unnecessary disruption
At redetermination, a child must be considered eligible if their parents are participating in an
eligible activity even if their income exceeds the Lead Agency’s initial eligibility income limit as
long as their income does not exceed the second tier of eligibility. Note that once determined
eligible, the child must be considered eligible for a full minimum 12-month eligibility period, even
if the parents’ income exceeds the second tier of eligibility during the eligibility period, as long as
it does not exceed 85 percent of SMI.
A child eligible for services via the graduated phase-out of assistance is considered eligible under
the same conditions as other eligible children with the exception of the co-payment restrictions,
which do not apply to a graduated phase-out. To help families transition from child care
assistance, Lead Agencies may gradually adjust co-payment amounts in proportion to a family’s
income growth for families whose children are determined eligible under a graduated phase-out.
Lead Agencies may require additional reporting on changes in family income but must still ensure
that any additional reporting requirements do not constitute an undue burden on families.
Check and describe the option that best identifies the Lead Agency’s policies and procedures
regarding the graduated phase-out of assistance.
a. [x] Not applicable. The Lead Agency sets its initial eligibility threshold at 85 percent of SMI
and therefore is not required to provide a graduated phase-out period. (If checked, skip to
question 3.1.1.)
b. [ ] The Lead Agency sets the second tier of eligibility at 85 percent of SMI. If checked,
describe the policies and procedures:
i. [ ] Lead Agency adjusts the family’s co-pay during the graduated phase-out
period. If checked, describe how the Lead Agency gradually adjusts co-payment
for families under a graduated phase-out period in proportion to a family’s
income growth. Include information on the percentage or amount of change
made in the co-payment during graduated phase-out:
ii. [ ] Lead Agency requires additional reporting requirements during the graduated
phase-out period. If checked, describe:
c. [ ] The Lead Agency sets the second tier of eligibility at an amount lower than 85 percent
of SMI for a family of the same size but above the Lead Agency’s initial eligibility
threshold. If checked, provide the following information:
i. Provide the income level ($/month) and the percent of SMI for the second tier of
eligibility for a family of three:
ii. Describe how the second eligibility threshold takes into account the typical
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household budget of a low-income family:
iii. Describe how the second eligibility threshold is sufficient to accommodate
increases in family income over time that are typical for low-income workers and
that promote and support family economic stability:
iv. Describe how the second eligibility threshold reasonably allows a family to
continue accessing child care services without unnecessary disruption:
v. [ ] Lead Agency adjusts the family’s co-pay during the graduated phase-out
period. If checked, describe how the Lead Agency gradually adjusts co-payment
for families under a graduated phase-out period in proportion to a family’s
income growth. Include information on the percentage or amount of change
made in the co-payment during graduated phase-out:
vi. [ ] Lead Agency requires additional reporting requirements during the graduated
phase-out period. If checked, describe:
3 Child Care Affordability
CCDF subsidies make child care more affordable for eligible families, providing access to a greater
range of child care options that allow parents to work, go to school, or enroll in training and they
allow parents to access higher quality care options that better support children’s development.
CCDF requires some families participating in CCDF to pay an affordable co-payment set by the
Lead Agency to cover a part of their care. But co-payments can be a significant and destabilizing
financial strain on family budgets and a barrier to parent employment, and the CCDBG Act
requires that the co-payment amount not be a barrier to families participating in CCDF. Lead
Agencies may not set parent co-payments above 7% of family income regardless of gradual phase-
out policies and regardless of the number of children receiving assistance. Lead Agencies are
encouraged to set co-payments much lower than 7% to make child care more affordable for more
families and have broad flexibility to waive co-payments for to many participants. Lead Agencies
must ensure that the total payment to a child care provider is not reduced because of family’s
lowered or waived co-payment.
In this section, Lead Agencies will identify how they determine an eligible family’s co-payment, the
policies in place to waive or ensure co-payments are affordable for families, and how the Lead
Agency improves access for children and families in economically and/or socially marginalized
communities.
3.1 Family Co-payments
Lead Agencies must establish and periodically revise a sliding-fee scale for families receiving CCDF
services that varies based on income and the size of the family to determine each family’s
contribution (i.e., co-payment) and does not create a barrier to receiving CCDF assistance. In
addition to income and the size of the family, the Lead Agency may use other factors as
appropriate when determining family contributions/co-payments. Lead Agencies may not use
price of care or amount of subsidy payment in determining co-payments. Lead Agencies must
ensure that the total payment to a child care provider is not reduced because of family’s lowered
or waived co-payment.
3.1.1 Family co-payment
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Lead Agencies may not charge any family more than 7% of a family’s gross income, regardless of
the number of children participating in CCDF.
a. What is the maximum percent of a family’s gross income any family could be charged as a
co-payment? 7%
b. Does the Lead Agency certify that their sliding fee scales are always based on income and
family size (regardless of how many different scales they may use)?
[x] Yes.
[ ] No. If no, describe:
3.1.2 Sliding fee scale
Provide the CCDF co-payments for eligible families in the table(s) below according to family size
for one child in care.
a.
Is the sliding fee scale set statewide?
[x] Yes.
[ ] No. If no, describe how the sliding fee scale is set:
b.
Complete the table below. If the sliding fee scale is not set statewide, complete the table
for the most populous locality:
--
A
B
C
D
E
F
Family
Size
Lowest
monthly
income at
initial
eligibility
where the
family is
first
charged a
co-pay
(greater
than $0).
What is the
monthly
co-payment
for a family
of this size
based on
the income
level in (A)?
What
percentage
of income is
the co-
payment in
(B)?
Highest
monthly
income at
initial
eligibility
where a
family is
charged a
co-pay
before a
family is no
longer
eligible.
What is the
monthly co-
payment
for a family
of this size
based on
the income
level in (D)?
What
percentage
of income is
this co-
payment in
(E)?
1
1476.00
14.76
1.00
3290.14
230.31
7.00
2
1977.00
19.77
1.00
4302.49
301.17
7.00
3
2479.00
24.79
1.00
5314.84
372.04
7.00
4
2980.00
29.80
1.00
6327.19
442.90
7.00
5
3481.00
34.81
1.00
7339.54
513.77
7.00
c.
What is the effective date of the sliding-fee scale(s)? July 1, 2022
d. Provide the link(s) to the sliding-fee scale(s):
https://dwss.nv.gov/uploadedFiles/dwssnvgov/content/Care/CC%20PT%2007-
23%20Annual%20Income%20Ceiling%20Increase%20(Public%20Distribution).pdf
e.
Does the Lead Agency allow providers to charge families additional amounts above the
required co-payment in instances where the provider’s price exceeds the subsidy
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payment?
[ ] No.
[x] Yes.
If yes:
i. Provide the rationale for the Lead Agency’s policy to allow providers to charge
families additional amounts above the required co-payment, including a
demonstration of how the policy does not provide a barrier and promotes
affordability and access for families: The child care scholarship program operates
using a parent-choice model. Parents can choose any participating provider to
care for their child, including license-exempt providers. Providers are not required
to participate and serve children receiving a child care scholarship. Due to
significantly limited child care capacity in Nevada, the Lead Agency allows all
participating child care providers to determine their own prices, which may be
greater than the max daily rate paid by the state, to encourage more providers to
participate. Providers may not charge families using a child care scholarship a
price greater than what they charge private-pay families. By supporting family
choice of provider in an open way, the Lead Agency increases access to providers
statewide.
ii. Provide data (including data on the size and frequency of such amounts) on the
extent to which CCDF providers charge additional amounts to families: In addition
to the price of tuition, providers also charge a variety of fees including a one-time
initial registration fee, annual fees, materials and supplies, meals, field trips, and
late payments. DWSS/CCDP is paying child care providers a rate between the 55th
and 93rd percentiles depending on the age of child served. This indicates that
especially for the lowest percentile group, infant/toddler center, the state rate
does not cover the price of care.
3.2 Calculation of Co-Payment
Lead agencies must calculate a family’s contribution (or co-payment), taking into account income
and family size, and Lead Agencies may choose to consider other factors in their calculation.
3.2.1 Family co-payment calculation
a.
How is the family’s contribution calculated, and to whom is it applied? Check if the fee is a
dollar amount or if the fee is a percent of income below, and then check all that apply
under the selection, as appropriate.
i. [ ] The fee is a dollar amount and (check all that apply):
[ ] The fee is per child, with the same fee for each child.
[ ] The fee is per child and is discounted for two or more children.
[ ] The fee is per child up to a maximum per family.
[ ]No additional fee is charged after a certain number of children.
[ ] The fee is per family.
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[ ] The contribution schedule varies because it is set locally/regionally (as
indicated in 1.2.1). Describe:
[ ]Other. Describe:
ii. [x] The fee is a percent of income and (check all that apply):
[ ]The fee is per child, with the same percentage applied for each child.
[ ]The fee is per child, and a discounted percentage is applied for two or
more children.
[ ]The fee is per child up to a maximum per family.
[ ]No additional percentage is charged after a certain number of children.
[x] The fee is per family.
[ ]The contribution schedule varies because it is set locally/regionally (as
indicated in 1.2.1). Describe:
[ ] Other. Describe:
b.
Does the Lead Agency use other factors in addition to income and family size to determine
each family’s co-payment? (Lead Agencies may not use price of care or amount of subsidy
payment in determining co-payments).
[x] No.
[ ] Yes.
If yes, check and describe those additional factors below:
i. [ ] Number of hours the child is in care. Describe:
ii. [ ]Quality of care (as defined by the Lead Agency). Describe:
iii. [ ] Other. Describe:
c.
Describe any other policies the Lead Agency uses in the calculation of family co-payment
to ensure it does not create a barrier to access. Check all that apply:
i. [ ] Base co-payments on only a portion of the family’s income. For instance, only
consider the family income over the federal poverty level.
ii. [ ] Base co-payments on the number of children in the family and reduce a
portion of the co-payments as the number of children being served increases.
iii. [ ]Other. Describe:
3.3 Waiving Family Co-payment
3.3.1 Waiving family co-payment
The Lead Agency may waive family contributions/co-payments for many families to lower their
costs and maximize affordability for families. Lead Agencies have broad flexibility in determining
for which families they will waive co-payments.
Does the Lead Agency waive family contributions/co-payments?
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[ ] No, the Lead Agency does not waive any family contributions/co-payments. (Skip to
question 4.1.1.)
[x] Yes. If yes, identify and describe which family contributions/co-payments waived.
i. [x]Families with an income at or below 100% of the Federal Poverty Level for
families of the same size.
ii. [ ]Families with an income above 100% but at or below 150% of the Federal
Poverty Level for families of the same size.
iii. [x]Families experiencing homelessness.
iv. [x]Families with children with disabilities.
v. [x]Families enrolled in Head Start or Early Head Start.
vi. [x]Children in foster care or kinship care, or otherwise receiving or needing to
receive protective services. Describe the policy: DWSS/CCDP has elected to waive
co-payments for families experiencing Foster Care or Child Protective Services
(CPS) involvement. Income received by the traditional household is not countable
and not required to be verified.
vii. [x]Families meeting other criteria established by the Lead Agency. Describe the
policy: Families are waived from a co-payment if only using Out of School
Recreation (OSR) or Out of School Time (OST) programs, those participating in a
substance use disorder treatment or recovery program through the Nevada
Division of Public and Behavioral Health (DBPH), and those who are approved for
special consideration on a case-by-case basis by the CCDF Administrator (DWSS
Agency Manager).
4 Parental Choice, Equal Access, Payment Rates, and Payment Practices
Core purposes of CCDF are to provide participating parents choice in their child care arrangements
and provide their children with equal access to child care compared to those children not
participating in CCDF. CCDF requirements approach equal access and parental choice
comprehensively to meet these foundational program goals. Providing access to a full range of
child care providers helps ensure that families can choose a child care provider that meets their
family’s needs. CCDF payment rates and practices must be sufficient to support equal access by
allowing child care providers to recruit and retain skilled staff, provide high-quality care, and
operate in a sustainable way. Supply-building strategies are also essential.
This section addresses many of the CCDF provisions related to equal access, including access to
the full range of providers, payment rates for providers, co-payments for families, payment
practices, differential payment rates, and other strategies that support parental choice and access
by helping to ensure that child care providers are available to serve children participating in
CCDF.
In responding to questions in this section, OCC recognizes that each Lead Agency identifies and
defines its own categories and types of care. OCC does not expect Lead Agencies to change their
definitions to fit the CCDF-defined categories and types of care. For these questions, provide
responses that closely match the CCDF categories of care.
4.1 Access to Full Range of Provider Options
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Lead Agencies must provide parents a choice of providers and offer assistance with child care
services through a child care certificate (or voucher) or with a child care provider that has a grant
or contract for the provision of child care services. Lead Agencies are reminded that policies and
procedures should not restrict parental access to any type or category of care or provider (e.g.,
center care, home care, in-home care, for-profit provider, non-profit provider, or faith-based
provider, etc.).
4.1.1 Parent choice
a. Identify any barriers to provider participation, including barriers related to payment rates
and practices, (including for family child care and in-home providers), based on provider
feedback, public comment, and reports to the Lead Agency: The most significant reported
barrier is the administrative time and paperwork burden it takes for a provider to
validate/verify the attendance of enrolled children who receive a child care scholarship.
Providers also report that payment timeliness has influenced their decision to continue or
not participate in service children receiving a child care scholarship.
b.
Does the Lead Agency offer child care assistance through vouchers or certificates?
[x] Yes.
[ ] No.
c. Does the Lead Agency offer child care assistance through grants or contracts?
[x] Yes.
[ ] No.
d. Describe how the parent is informed that the child care certificate allows the option to
choose from a variety of child care categories, such as private, not-for-profit, faith-based
providers; centers; family child care homes; or in-home providers: Information regarding
provider choice is offered to parents in the application, Frequently Asked Questions, and
in enrollment packets. Parents are informed of the variety of child care options available
during the intake application process. This information is also available through various
consumer education websites including: nevadachildcare.org, childcarelv.org,
first5nevada.org, and childrenscabinet.org.
e. Describe what information is included on the child care certificate: Issuance date, provider
name, provider ID, provider location; child name, child dob, child id; parent name, parent
id, parent phone number; dates of eligibility, schedule and schedule notes, case manager
name and phone number; provider rate, parent copay amount, signatures for parent (if
issued in person) and the Child Care Case Manager.
4.2 Assess Market Rates and Analyze the Cost of Child Care
To establish subsidy payment rates that ensure equal access, Lead Agencies must collect and
analyze statistically valid and reliable data and have the option to conduct either a (1) market rate
survey (MRS) reflecting variations in the price to parents of child care services by geographic area,
type of provider, and age of child, or (2) an ACF pre-approved alternative methodology, such as a
cost estimation model, which estimates the cost of care by incorporating both data and
assumptions to estimate what expected costs would be incurred by child care providers and
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parents under different scenarios. All Lead Agencies must analyze the cost of providing child care
through a narrow cost analysis or pre-approved alternative methodology.
Prior to conducting the MRS or pre-approved alternative, Lead Agencies must consult with the
State Advisory Council on Early Childhood Education and Care (designated or established pursuant
to the Head Start Act (42 U.S.C. 9837b(b)(1)(A)(i)) or similar coordinating body, local child care
program administrators, local child care resource and referral agencies, and other appropriate
entities; and organizations representing child care caregivers, teachers, and directors. Prior to
conducting the MRS or pre-approved alternative methodology, Lead Agencies must consult with
the State Advisory Council on Early Childhood Education and Care (designated or established
pursuant to the Head Start Act (42 U.S.C. 9837b(b)(1)(A)(i)) or similar coordinating body, local
child care program administrators, local child care resource and referral agencies, and other
appropriate entities; and organizations representing child care caregivers, teachers, and directors.
Note: Any Lead Agency considering using an alternative methodology instead of a market rate
survey to set payment rates, is required to submit a description of its proposed approach to OCC
for pre-approval in advance of developing and conducting the alternative methodology. Advance
approval is not required if the Lead Agency plans to implement both an MRS and an alternative
methodology to set rates at a percentile of the market rate, but a Lead Agency conducting a
limited market rate survey and using it to inform their cost model would need pre-approval for
this approach. In its request for ACF pre-approval, a Lead Agency must provide details on the
following elements of their proposed alternative methodology:
• Overall approach and rationale for using proposed methodology
• Description of stakeholder engagement
• Data collection timeframe (if applicable)
• Description of the data and assumptions included in the methodology, including how
these elements will yield valid and reliable results from the model
• Description of how the methodology will capture the universe of providers, and reflect
variations by provider type, age of children, geographic location, and quality
4.2.1 Completion of the market rate survey or ACF pre-approved alternative methodology
Did the Lead Agency conduct a statistically valid and reliable MRS or ACF pre-approved alternative
methodology to meet the CCDF requirements to assess child care prices and/or costs and
determine payment rates? Check only one based on which methodology was used to determine
your payment rates.
a.
[ ] Market rate survey.
i.
When were the data gathered (provide a date range; for instance, September –
December 2023)?
b. [x] ACF pre-approved alternative methodology.
i. [ ] The alternative methodology was completed.
ii. [x] The alternative methodology is in process.
If the alternative methodology was completed:
When were the data gathered and when was the study completed?
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Describe any major differences between the pre-approved methodology and the
final methodology used to inform payment rates. Include any major changes to
stakeholder engagement, data, assumptions or proposed scenarios.
If the alternative methodology is in progress:
Provide a status on the alternative methodology and timeline (i.e., dates when the
alternative methodology activities will be conducted, any completed steps to
date, anticipated date of completion, and expected date new rates will be in
effect using the alternative methodology). Data was gathered from February-April
2024. The study was completed on June 30, 2024, and the Lead Agency is
analyzing the cost data. New rates based on this alternative methodology are
expected to be implemented on October 1, 2024.
c.
Consultation on data collection methodology.
Describe when and how the Lead Agency engaged the following partners and how the
consultation informed the development and execution of the MRS or alternative
methodology, as appropriate.
iii.
State Advisory Council or similar coordinating body: For the current rates which
were set using a MRS, a survey was circulated to ask stakeholders to review and
provide feedback on the 2022 Market Rate Survey (MRS). The stakeholder group
surveyed consisted of 48 stakeholders which included the Nevada Early Childhood
Advisory Council (ECAC) members. The survey was conducted via Survey Monkey
and aggregate results with open-ended comments were included in the final 2022
MRS Report. For the Alternative Methodology that is in process, the ECAC was
notified about the cost model surveys going out to providers and the move to
setting payment rates using an alternative methodology during the January 2024
general meeting. A reminder about the cost model surveys for the alternative
methodology was made during the March 2024 general meeting as well.
iv.
Local child care program administrators: For the current rates which were set
using a MRS, a survey was sent to a group of 48 stakeholders which included child
care program administrators from centers, family child care, group family child
care, and out of school time programming. The stakeholder survey was conducted
via Survey Monkey and aggregate results with open-ended comments which were
included in the final 2022 MRS Report. The proposed alternative methodology
approach includes engagement with program and provider groups from across
Nevada. The Lead Agency’s consultant, Prenatal to Five Fiscal Strategies (P5FS),
conducted listening sessions with organizations that include the early care and
education workforce in their membership. Engagement with local child care
program administrators is intended to ensure that constituents have a full
understanding of and can contribute to the alternative methodology approach,
the requests related to data collection, and the anticipated benefits of the cost-
based approach to rate setting. P5FS has experience working with partners across
the state and sought input from the advisors, The Children’s Cabinet, DWSS/CCDP,
and NDE-OELD to ensure that child care/early education providers representing
the diversity of the state are engaged.
v.
Local child care resource and referral agencies: For the current rates which were
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set using a MRS, a survey was sent to a group of 48 stakeholders which included
child Care Resource & Referral (CCR&R) agencies. The stakeholder survey was
conducted via Survey Monkey and aggregate results with open-ended comments
which were included in the final 2022 MRS Report. For the proposed alternative
methodology, P5FS convened a small technical advisory work group, the Nevada
Cost of Quality Technical Workgroup, to further inform the cost model
development and alternative methodology activities. This workgroup was
convened monthly throughout the process to provide content input on the cost
survey approach and reach; the cost estimation model; on the quality variables
that frame the model; on the model’s data-gathering and analysis assumptions;
on how to ensure that providers are engaged in both the data gathering process
and in the review of model results; and, on any modifications the model may
require based on analysis of results. Workgroup advisors included representation
from CCR&R leadership from both The Children’s Cabinet and Las Vegas Urban
League.
vi.
Organizations representing child care caregivers, teachers, and directors from all
settings and serving all ages: For the current rates which were set using a MRS, a
survey was sent to a group of 48 stakeholders which consisted of 48 stakeholders
which included the following: Nevada Institute for Children’s Research and Policy
(NICRP), Quality Rating Improvement System (QRIS), Nevada Pyramid Model,
Nevada Association of Education for Young Children (NevAEYC), State Child Care
Licensing, NDE-OELD, The Nevada Registry, and the Children’s Advocacy Alliance
(CAA). The stakeholder survey was conducted via Survey Monkey and aggregate
results with open-ended comments were included in the final 2022 MRS report.
For the proposed alternative methodology, P5FS convened a small technical
advisory work group, the Nevada Cost of Quality Technical Workgroup, to further
inform the cost model development and alternative methodology activities. This
workgroup was convened monthly throughout the process to provide content
input on the cost survey approach and reach; the cost estimation model; on the
quality variables that frame the model; on the model’s data-gathering and analysis
assumptions; on how to ensure that providers are engaged in both the data
gathering process and in the review of model results; and, on any modifications
the model may require based on analysis of results. Workgroup advisors included
representation from The Nevada Registry (workforce database) and NevAEYC.
vii. Other. Describe: N/A
d.
An MRS must be statistically valid and reliable.
An MRS can use administrative data, such as child care resource and referral data, if it is
representative of the market. Please provide the following information about the market
rate survey:
i. When was the market rate survey completed?
ii. What was the time period for collecting the information (e.g., all of the prices in
the survey are collected within a three-month time period)?
iii. Describe how it represented the child care market, including what types of
providers were included in the survey:
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iv. What databases are used in the survey? Are they from multiple sources, including
licensing, resource and referral, and the subsidy program?
v. How does the survey use good data collection procedures, regardless of the
method for collection (mail, telephone, or web-based survey)?
vi. What is the percent of licensed or regulated child care centers responding to the
survey?
vii. What is the percent of licensed or regulated family child care homes responding
to the survey?
viii. Describe if the survey conducted in any languages other than English:
ix. Describe if data were analyzed in a manner to determine price of care per child:
x. Describe if data were analyzed from a sample of providers and if so, how the
sample was weighted:
e.
Price variations reflected.
The market rate survey data or ACF pre-approved alternative methodology data must
reflect variations in child care prices or cost of child care services in specific categories.
i. Describe how the market rate survey or pre-approved alternative methodology
reflected variation in geographic area (e.g., county, region, urban, rural). Include
information on whether parts of the State or Territory were not represented by
respondents and include information on how prices or costs could be linked to
local geographic areas. The list of programs for the survey and the input
sessions/interview process includes those currently receiving and who could
receive child care scholarship payments, both centers and family child care
homes, licensed and license-exempt, serving all ages of children, birth through
school-age, across all program types, and in all geographic areas of Nevada.
Between the survey and the input sessions/interviews, the expert consultant team
anticipates reaching programs serving over 60 percent of the state’s population of
children and families receiving a child care scholarship. The P5FS team will ensure
that representative survey responses are collected from all program types, from
all regions of the state, and that the responses reflect the diversity of providers
and programs, including considerations of location, ages of children served,
program funding, mix of children served, culture, and language. Engagement
response rates will be analyzed in real-time and compared to licensing data and
data on license-exempt child care providers receiving child care scholarship
payments to understand which providers and programs are represented in the
data � such as those at different quality levels or those serving infants and
toddlers � and where gaps exist. If certain geographic regions of Nevada, or
certain provider or program types are underrepresented in the responses,
additional efforts will occur to reach providers and programs in those areas. This
may include direct mailings, in-person input sessions, or enlisting additional
trusted partners with connections to the underrepresented communities. The
cost estimation model will include functionality that allows the lead agency to run
different scenarios that capture the variations in program characteristics, such as
program size, location, and ages of children served, among others. Exactly which
factors and characteristics will be included in the model, and their associated
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costs, will be based on analysis of state licensing requirements that govern all but
license-exempt child care; of quality improvement activities; of input from the
provider survey, interviews, and input sessions; and of feedback from the ECAC,
Technical Workgroup, and other key stakeholders as appropriate.
ii. Describe how the market rate survey or pre-approved alternative methodology
reflected variation in type of provider (e.g., licensed providers, license-exempt
providers, center-based providers, family child care home providers, home based
providers). Data collection under the proposed alternative methodology will
ensure participation from the full universe of Nevada’s child care providers and
programs including licensed child care center, group family child care home, and
family child care home providers; license-exempt FFN providers; and other
license-exempt providers such as out-of-school time (OST) and out-of-school
recreation (OSR). To ensure diverse participation, the online survey and
information about the opportunity to participate in input sessions/interviews was
distributed via email by The Children’s Cabinet, Las Vegas Urban League, DWSS
CCDP, Child Care Licensing, and NDE-OELD to all licensed and license-exempt
providers and shared via multiple distribution channels to reach additional
programs. Distribution included regular email announcements from multiple
stakeholders, web bulletins, and public presentations accessible to all licensed and
license-exempt child care providers across Nevada. In addition, the online survey
and input session information was shared by key partners including the local early
childhood advisory councils, The Nevada Registry, NevAEYC, Nevada ECAC, The
Children’s Cabinet, and the Las Vegas Urban League. Partners helped distribute
the survey/input session information via email as well as included it in regular
emails, presentations, newsletters, and meetings during the data collection
period. These outreach and engagement methods were analyzed for their
efficacy and representation of Nevada’s diversity and adjusted as needed to
ensure robust data collection. Survey response rates and input session
participation was analyzed in real-time and compared to licensing data and data
on license-exempt providers to understand which providers and programs are
represented in the data and where gaps exist. If certain geographic regions of the
state, or certain provider and program types were underrepresented in the
responses, additional efforts occurred to reach those areas, including direct
mailings to market the in-person input sessions or enlisting additional trusted
partners with connections to these communities. Data from the provider survey is
being analyzed to be used as the source for �current’ salary data. The ECAC and
the Nevada Cost of Quality Technical Workgroup are reviewing these data and
analyses to provide input on how these pieces are included in the final alternative
methodology model.
iii. Describe how the market rate survey or pre-approved alternative methodology
reflected age of child (e.g., infant, toddler, preschool, school-age): The list of
programs for the survey and the input sessions/interview process includes those
currently receiving and who could receive child care scholarship payments, both
centers and family child care homes, licensed and license-exempt, serving all ages
of children, birth through school-age, across all program types, and in all
geographic areas of Nevada. Between the survey and the input
sessions/interviews, the expert consultant team anticipates reaching programs
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serving over 60 percent of the state’s population of children and families receiving
a child care scholarship. The P5FS team will ensure that representative survey
responses are collected from all program types, from all regions of the state, and
that the responses reflect the diversity of providers and programs, including
considerations of location, ages of children served, program funding, mix of
children served, culture, and language. School-age care will be fully integrated
into the model. Data on costs for school-age care will be collected through the
provider survey and input sessions, cost drivers will be identified and validated,
and school-age classrooms will be integrated into the cost estimation model. The
model adjusts the estimated cost of care to account for the different schedule
school-age children require, including full-time during summers and holidays, and
part-time during the school year. Engagement response rates will be analyzed in
real-time and compared to licensing data and data on license-exempt child care
providers receiving child care scholarship payments to understand which
providers and programs are represented in the data � such as those at different
quality levels or those serving infants and toddlers � and where gaps exist. The
cost estimation model will include functionality that allows the lead agency to run
different scenarios that capture the variations in program characteristics, such as
program size, location, and ages of children served, among others. Exactly which
factors and characteristics will be included in the model, and their associated
costs, will be based on analysis of state licensing requirements that govern all but
license-exempt child care; of quality improvement activities; of input from the
provider survey, interviews, and input sessions; and of feedback from the ECAC,
Technical Workgroup, and other key stakeholders as appropriate.
iv.
Describe any other key variations examined by the market rate survey or ACF pre-
approved alternative methodology, such as quality level: Nevada’s alternative
methodology approach will analyze cost and revenue drivers. The major cost
drivers include implementation of health and safety standards to meet licensing
requirements, staffing requirements, and additional requirements related to
meeting quality standards, as currently defined. The approach will include several
stages of analysis of these cost drivers to ensure they are fully accounted for in
the cost study and cost estimation model, as detailed herein. P5FS reviewed
existing state licensing regulations and the current implementation of Nevada
Silver State Stars (Nevada's QRIS), and identify cost drivers, such as ratio and
group size, facility size, and training and professional development requirements.
The cost model will address the cost of providing higher-quality care through:
� Building in cost drivers associated with program standards under licensing
and Nevada Silver State Stars for licensed child care center, group family child care
home, and family child care home providers; license-exempt FFN providers; and
other license-exempt providers.
� Building in cost drivers associated with Nevada Silver State Stars quality
improvement activities.
� Building in cost drivers based on input from child care providers around
delivering higher quality care.
� Consultation from the ECAC and the Nevada Cost of Quality Technical
Workgroup.
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The alternative methodology approach will also include revenue drivers to
understand the impact of revenue on program operations and financial stability
and identify any potential gap between cost and available revenue. The major
revenue drivers include, but are not limited to:
� Parent tuition/fees;
� Third-party funding (e.g., subsidy, Head Start, Pre-K);
� Participation in the Child and Adult Care Food Program;
� Full collection of revenues; and
� Enrollment rates.
Cost drivers will be informed by deep engagement with child care providers
through provider input sessions and interviews that will be conducted across
Nevada. In addition, the Nevada Cost of Quality Technical Workgroup will review
cost drivers and provide input on which cost drivers to include in the model and
the values attributed to them. Finally, the methodology draws from extensive
work completed by P5FS in other states and communities over the past decade,
including on the federal Provider Cost of Quality Calculator, ensuring the Nevada
model is informed by the leading work in this field. The cost estimation model will
include multiple data sources providing maximum flexibility to run scenarios to
understand the different costs using different data sources.
4.2.2 Cost analysis
If a Lead Agency does not complete a cost-based pre-approved alternative methodology, they
must analyze the cost of providing child care services through a narrow cost analysis. A narrow
cost analysis is a study of what it costs providers to deliver child care at two or more levels of
quality: (1) a base level of quality that meets health, safety, staffing, and quality requirements, and
(2) one or more higher levels of quality as defined by the Lead Agency. The narrow cost analysis
must estimate costs by levels of quality; include relevant variation by provider type, child’s age, or
location; and analyze the gaps between estimated costs and payment rates to inform payment
rate setting. Lead agencies are not required to complete a separate narrow cost analysis if their
pre-approved alternative methodology addresses all of the components required in the narrow
cost analysis.
Describe how the Lead Agency analyzed the cost of child care through a narrow cost analysis or
pre-approved alternative methodology for the FFY 2025–2027 CCDF Plan, including:
a. How did the Lead Agency conduct a narrow cost analysis (e.g., a cost model, a cost study,
existing data or data from the Provider Cost of Quality Calculator)? For the current rates
set using the 2022 MRS, the Center for American Progress Cost of Quality Calculator was
used to compare Nevada's 75th percentile rate to the calculators base cost of care that
meets licensing standards as well as to higher quality care that invests in the early
educator workforce and improves teacher to child ratios. Pay parity in this analysis means
paying teachers the same as Kindergarten teachers. Quality ratios means decreasing the
number of children per teacher (center analysis only) to promote child safety and high-
quality caregiving.
For the alternative methodology that is in process: The alternative methodology approach
is designed to determine costs across several variables, including age of child, type of care
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setting and geographic location, and meeting state regulations and program standards,
allowing the Lead Agency to consider each of these variables from a current and potential
expense perspective using a cost estimation model tool. The alternative methodology
approach includes engagement with constituents and programs to guide decisions for the
cost study and input on how the cost model functions. While a narrow cost analysis can
estimate the current costs of operating a child care program meeting all legal
requirements, it does not capture the true cost of child care, and all of the expenses
necessary to operate a program that fully meets the needs of children, families, and the
child care workforce. Nevada's alternative methodology approach includes analysis of
both revenue and expenses, providing insight into the extent to which current revenues
can support expenses under different scenarios including those which go beyond only
current expense data. This alternative methodology model is designed to determine costs
across the following variables: level of quality, age of child, type of care setting,
geographic location and allows the Lead Agency to consider each of these variables from a
current and potential expense perspective, using a cost estimation model tool. The cost
model will include compensation levels above the current compensation levels paid to
child care providers in Nevada. Data from extant sources, such as the Bureau of Labor
Statistics, combined with primary data from provider data collection will inform model
inputs related to current compensation levels. To estimate the true cost of care, additional
compensation levels are being included based on feedback from provider engagement,
review of additional extant sources, and input from Nevada’s Early Childhood Advisory
Council (ECAC) and the Nevada Cost of Quality Technical Workgroup. A research-based
living wage or self-sufficiency calculator was utilized to identify a higher salary level, to
address the depressed wages based on the current market rate methodology, and health
insurance estimates were drawn from the Kaiser Family Foundation data on employer
contributions to health insurance. The cost estimation model will allow Nevada's child
care stakeholders to better understand the actual cost of providing child care in Nevada,
including how several revenue and expense variables and program characteristics impact
that cost (e.g., program type, program size, current quality standards, age range of
children served, and the wide variety of child populations served). By using cost
estimation models, the alternative methodology approach is more robust than a narrow
cost analysis alone; the data from the cost study is built into the cost estimation tool,
allowing the Lead Agency to understand the cost of services for different ages of children,
across program types, and at different regulatory requirements, compared to current and
proposed subsidy rates. In addition to being more than just about costs, the proposed
alternative methodology with a cost model includes the ability to compare scenarios that
include the receipt of child care scholarships and other forms of revenue. This feature of
the cost model, unlike a narrow cost study or analysis alone, will allow the Lead Agency to
run scenarios with increasing rates, increasing quality standards, and other metrics to
understand the impact of these potential policy choices on program operations, thus
providing a valuable tool that can inform decision-making for rate-setting implementation.
b. In the Lead Agency’s analysis, were there any relevant variations by geographic location,
category of provider, or age of child? For the current rates set using the 2022 MRS: Yes.
There are variations by geographical area, provider type, and age of child. Overall, the cost
of care in urban areas exceeds the cost in rural areas, centers exceed family child care,
and infant care exceeds the cost of care for older children. Generally, across all provider
types, the cost of care decreases as the age of children increases with center-based infant
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care in urban areas being the most expensive type of care.
c.
What assumptions and data did the Lead Agency use to determine the cost of care at the
base level of quality (e.g., ratios, group size, staff compensations, staff training, etc.)? For
the current rates set using the 2022 MRS: Licensing standards for ratios, group size,
training, etc., were used for the base level of quality. Base level of quality does not have
assumptions or requirements for staff compensation.
For the alternative methodology that is in process: The data collected through the cost
study will inform the cost estimation model(s). The Nevada Cost of Quality Technical
Workgroup will provide input regarding the assumptions within the cost estimation
model. The P5FS team will share results from the data collection with the Workgroup in
aggregate form and make recommendations for how this data should inform the cost
estimation model. The cost estimation model will model the cost of providing child care in
Nevada, including how several revenue and expense variables and program characteristics
impact that cost (e.g., program type, program size, current quality standards, age range of
children served, and the wide variety of child populations served). P5FS will use the
advisory workgroup’s input to make recommendations to DWSS CCDP to finalize the
parameters of the model and variations including but not limited to:
� Base rates reflecting differing program models and regulatory requirements
� Geographic Region (if data indicates geographically related cost variations)
� Program size
� Workforce compensation
� Enrollment rates and uncollected revenue rates
d. How does the Lead Agency define higher quality and what assumptions and data did the
Lead Agency use to determine cost at higher levels of quality (e.g., ratio, group size,
staffing levels, staff compensation, professional development requirements)? A Lead
Agency can use a quality improvement system or other system of quality indicators (e.g.,
accreditation, pre-Kindergarten standards, Head Start Program Performance Standards, or
State-defined quality measures). For the current rates set using the 2022 MRS: Nevada's
QRIS, "Silver State Stars", is used to define the levels of quality. This is a 5-level QRIS with
increasing requirements for group size, staffing, and professional development as star-
levels increase. Star levels are also based on assessments using the Infant-Toddler
Environment Rating Scale, Early Childhood Environment Rating Scale, and the Family Child
Care Provider Rating Scale (all 3rd Editions).
e. What is the gap between cost and price, and how did the Lead Agency consider this while
setting payment rates? Did the Lead Agency target any rate increases where gaps were
the largest or develop any long-term plans to increase rates based on this information?
For the current rates set using the 2022 MRS: The gap between higher quality center-
based care and the 75th percentile rate was $838/month for infants, $470/month for
toddlers, and $202/month for preschool. For family child care, the gap was $405/month
for infants, $442/month for toddlers, and $497 for preschoolers. Nevada intends to use a
cost-based alternative methodology to inform new rates for Federal Fiscal Year 2025
(effective October 1, 2024).
4.2.3 Publicly available report on the cost and price of child care
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The Lead Agency must prepare a detailed report containing the results of the MRS or ACF pre-
approved alternative methodology and include the Narrow Cost Analysis if an ACF pre-approved
alternative methodology was not conducted.
The Lead Agency must make this report widely available no later than 30 days after completion of
the report, including posting the results on the Lead Agency website. The Lead Agency must
describe in the detailed report how the Lead Agency took into consideration the views and
comments of the public or stakeholders prior to conducting the MRS or ACF pre-approved
alternative methodology.
a. Describe how the Lead Agency made the results of the market rate survey or ACF pre-approved
alternative methodology report widely available to the public by responding to the questions
below.
i. Provide the date the report was completed: 6/30/2022
ii.
Provide the date the report containing results was made widely available (no later
than 30 days after the completion of the report): 7/29/2022
iii. Provide a link to the website where the report is posted and describe any other
strategies the Lead Agency uses to make the detailed report widely available:
2022 Market Rate Survey:
https://www.nevadachildcare.org/static/7f5c9ce75784d311d4bd2b30038d8885/
2022-Market-Rate-Report-FINAL.pdf. Report findings were shared at the July 13,
2022 Nevada ECAC meeting. A training for child care providers on the Market Rate
results was held on March 16, 2023. Availability of report was shared via The
Children’s Cabinet’s Constant Contact Listserv in August 2022.
iv. Describe how the Lead Agency considered partner views and comments in the
detailed report. Responses should include which partners were engaged and how
partner input influenced the market rate survey or alternative methodology:
Stakeholder feedback on the market rate survey design and questions was
solicited from 20 Child Care Program Administrators, both Child Care Resource &
Referral program managers, 11 organizations representing the early childhood
workforce, and 17 members of the Nevada ECAC. Stakeholder input was also
requested on how to achieve the highest response rate possible. Stakeholder
feedback results are provided on page 18 of the 2022 Market Rate Survey Report.
4.3 Adequate Payment Rates
The Lead Agency must set CCDF subsidy payment rates in accordance with the results of the
current MRS or ACF pre-approved alternative methodology and at a level to ensure equal access
for eligible families to child care services comparable with those provided to families not receiving
CCDF assistance. Lead Agencies are also required to provide a summary of data and facts to
demonstrate how payment rates ensure equal access, which means the Lead Agency must also
consider the costs of base level care and higher quality care as part of its rate setting. Finally, the
Lead Agency must re-evaluate its payment rates at least every 3 years.
The ages and types of care listed in the base payment rate tables are meant to provide a snapshot
of the categories of rates and are not intended to be comprehensive of all categories that might
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exist or to reflect the terms used by the Lead Agency for particular ages. If rates are not statewide,
please provide all variations of payment rates when reporting base payment rates below.
Base rates are the lowest, foundational rates before any differentials are added (e.g., for higher
quality or other purposes) and must be sufficient to ensure that minimum health, safety, quality,
and staffing requirements are covered. These are the rates that will be used to determine
compliance with equal access requirements.
4.3.1 Payment rates
a. Are the payment rates that the Lead Agency is reporting in 4.3.2 set statewide by the Lead
Agency?
[x] Yes.
i. If yes, check if the Lead Agency:
[ ] Sets the same payment rates for the entire State or Territory.
[x] Sets different payment rates for different regions in the State or Territory.
[ ] No.
ii. If no, identify how many jurisdictions set their own payment rates:
b. Provide the date the current payment rates became effective (i.e., date of last payment
rate update based on most recent MRS or ACF pre-approved alternative methodology as
reported in 4.2.1). 5/1/2022
c. If the Lead Agency does not publish weekly rates, then how were the rates reported in
4.3.2 or 4.3.3 calculated (e.g., were daily rates multiplied by 5 or monthly rates divided by
4.3)? Daily rates are multiplied by 5 to establish weekly rates.
4.3.2 Base payment rates
a. Provide the base payment rates in the tables below. If the Lead Agency completed a
market rate survey (MRS), provide the percentiles based on the most recent MRS for the
identified categories. If the Lead Agency sets different payment rates for different regions
in the State or Territory (and checked 4.3.1aii), provide the rates for the most populous
region as well as the region with payment rates set at the lowest percentile. Percentiles
are not required if the Lead Agency also conducted an ACF pre-approved alternative
methodology but must be reported if the Lead Agency conducted an MRS only.
The preamble to the 2016 final rule states that a benchmark for adequate payment rates
is the 75
th
percentile of the most recent MRS. The 75
th
percentile benchmark applies to
the base rates. The 75
th
percentile is the number separating the lowest 75 percent of rates
from the highest 25 percent. Setting rates at the 75
th
percentile, while not a requirement,
would ensure that eligible families can afford three out of four child care providers. In
addition to reporting the 75
th
percentile in the tables below, the Lead Agency must also
report the 50
th
percentile and 60
th
percentile for each identified category.
If the Lead Agency conducted an ACF pre-approved alternative methodology, provide the
estimated cost of care for the identified categories, as well as the percentage of the cost
of care covered by the established payment rate. If the Lead Agency indicated it sets
different payment rates for different regions in the State or Territory in 4.3.1.a, provide
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the estimated cost of care and the percentage of the cost of care covered by the
established payment rate for the most populous region as well as the region with rates
established at the lowest percent of the cost of care.
For each identified category below, provide the percentage of providers who are
receiving the base rate without any add-ons or differential payments.
Provide the full-time weekly base payment rates in the table below. If weekly payment
rates are not published, then the Lead Agency will need to calculate its equivalent.
i. Table 1: Complete if rates are set statewide. If rates are not set statewide, provide rates for
most populous region. Percentiles are not required if the Lead Agency also conducted an ACF
pre-approved alternative methodology but must be reported if the Lead Agency conducted an
MRS only.
Care
Type
Base
payment
rate
(specify
unit, e.g.,
per day,
per week,
per
month)
% of
providers
receiving
Base rate
Full-Time
Weekly
Base
Payment
Rate
What is
the
percentile
of the
rate?
(MRS)
What is
the 50th
percentile
of the
rate?
(MRS)
What is
the 60th
percentile
of the
rate?
(MRS)
What is
the 75th
percentile
of the
rate?
(MRS)
What is the
estimated cost
of care?
(Alternative
Methodology)
What percent
of the
estimated
cost of care is
the rate?
Center
Care for
Infants (6
months)
62.50
Per
Day
100.00
312.50
73.00
260.00
290.00
327.00
Family
Child Care
for Infants
(6
months)
45.00
Per
Day
100.00
225.00
75.00
197.50
200.00
223.75
Center
Care for
Toddlers
(18
months)
57.00
Per
Day
100.00
285.00
67.00
253.16
227.60
285.29
Family
Child Care
for
Toddlers
(18
months)
45.00
Per
Day
100.00
225.00
79.00
185.00
198.00
223.75
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Care
Type
Base
payment
rate
(specify
unit, e.g.,
per day,
per week,
per
month)
% of
providers
receiving
Base rate
Full-Time
Weekly
Base
Payment
Rate
What is
the
percentile
of the
rate?
(MRS)
What is
the 50th
percentile
of the
rate?
(MRS)
What is
the 60th
percentile
of the
rate?
(MRS)
What is
the 75th
percentile
of the
rate?
(MRS)
What is the
estimated cost
of care?
(Alternative
Methodology)
What percent
of the
estimated
cost of care is
the rate?
Center
Care for
Preschool
ers (4
years)
51.50
Per
Day
100.00
257.50
68.00
224.52
242.65
271.00
Family
Child Care
for
Preschool
ers (4
years)
46.50
Per
Day
100.00
232.50
92.00
167.50
180.00
200.00
Center
Care for
School-
Age (6
years)
48.00
Per
Day
100.00
240.00
66.00
180.00
205.20
252.00
Family
Child Care
for
School-
Age (6
years)
46.00
Per
Day
100.00
230.00
100.00
140.00
144.00
150.00
ii. Table 2: Do not complete if rates are set statewide. If rates are not set statewide, provide rates for
region with payment rates set at the lowest percentile. Percentiles are not required if the Lead Agency
also conducted an ACF pre-approved alternative methodology but must be reported if the Lead
Agency conducted an MRS only.
Care Type
Base
payment
rate
(specify
unit, e.g.,
per day,
per week,
per
month)
% of
providers
receiving
Base rate
Full-Time
Weekly
Base
Payment
Rate
What is
the
percentile
of the
rate?
(MRS)
What is
the 50th
percentile
of the
rate?
(MRS)
What is
the 60th
percentile
of the
rate?
(MRS)
What is
the 75th
percentile
of the
rate?
(MRS)
What is the
estimated cost
of care?
(Alternative
Methodology)
What percent
of the
estimated
cost of care is
the rate?
Center
Care for
Infants (6
months)
Family
Child Care
for Infants
(6
months)
Center
Care for
Toddlers
(18
months)
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Care Type
Base
payment
rate
(specify
unit, e.g.,
per day,
per week,
per
month)
% of
providers
receiving
Base rate
Full-Time
Weekly
Base
Payment
Rate
What is
the
percentile
of the
rate?
(MRS)
What is
the 50th
percentile
of the
rate?
(MRS)
What is
the 60th
percentile
of the
rate?
(MRS)
What is
the 75th
percentile
of the
rate?
(MRS)
What is the
estimated cost
of care?
(Alternative
Methodology)
What percent
of the
estimated
cost of care is
the rate?
Family
Child Care
for
Toddlers
(18
months)
Center
Care for
Preschool
ers (4
years)
Family
Child Care
for
Preschool
ers (4
years)
Center
Care for
School-
Age (6
years)
Family
Child Care
for
School-
Age (6
years)
b. Does the Lead Agency certify that the percentiles reported in the table above are
calculated based on their most recent MRS or ACF pre-approved Alternative
Methodology?
[x] Yes.
[ ] No. If no, what is the year of the MRS or ACF pre-approved alternative methodology
that the Lead Agency used? What was the reason for not using the most recent MRS or
ACF pre-approved alternative methodology? Describe:
4.3.3 Tiered rates, differential rates, and add-ons
Lead Agencies may establish tiered rates, differential rates, or add-ons on top of their base rates
as a way to increase payment rates for targeted needs (e.g., a higher rate for serving children with
special needs).
a. Does the Lead Agency provide any rate add-ons above the base rate?
[x] Yes. If yes, describe the add-ons, including what they are, who is eligible to receive the
add-ons, and how often are they paid: Add-ons above the base rate are available based on
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QRIS star ratings for licensed provider types and are included in the provider's monthly
payment.
[ ] No.
b. Has the Lead Agency chosen to implement tiered reimbursement or differential rates?
[x] Yes.
[ ] No. Tiered or differential rates are not implemented.
If yes, identify below any tiered or differential rates, and, at a minimum, indicate the
process and basis used for determining the tiered rates, including if the rates were based
on the MRS or an ACF pre-approved alternative methodology. Check and describe all that
apply:
i. [ ] Differential rate for non-traditional hours. Describe:
ii. [ ] Differential rate for children with special needs, as defined by the Lead Agency.
Describe:
iii. [ ] Differential rate for infants and toddlers. Note: Do not check if the Lead Agency
has a different base rate for infants/toddlers with no separate bonus or add-on.
Describe:
iv. [ ] Differential rate for school-age programs. Note: Do not check if the Lead
Agency has a different base rate for school-age children with no separate bonus or
add-on. Describe:
v. [x] Differential rate for higher quality, as defined by the Lead Agency. Describe:
Tiered rate for higher star rating in QRIS participating licensed providers.
vi. [x] Other differential rates or tiered rates. For example, differential rates for
geographic area or for type of provider. Describe: Differentiated rates are set by
geographic area and provider type. Nevada has different rates for Clark County,
Washoe County, Carson/Douglas Counties, and rural counties, as well as different
rates by provider type and age of child.
vii. If applicable, describe any additional add-on rates that you have besides those
identified above. Nevada used contract rates for certain types of care offered
through piloted contracted slots programs in 2022-2024 using ARPA Discretionary
funds. Contracted slots were used to create spaces for child care scholarships for
children in hard to serve populations, such as infants/toddlers, children with
special needs, and those receiving care during non-traditional hours as part of
pilot projects. These projects are being formally evaluated and may be reinitiated
using CCDF as funding permits.
Does the Lead Agency reduce provider payments if the price the provider charges to
private-pay families not participating in CCDF is below the Lead Agency’s established
payment rate?
[ ] Yes. If yes, describe:
[x] No.
4.3.4 Establishing payment rates
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Describe how the Lead Agency established payment rates:
a. What was the Lead Agency’s methodology or process for setting the rates or how did the
Lead Agency use their data to set rates? Current rates were effective on May 1, 2022 and
are set at the 95th percentile of the 2018 MRS. The 2022 MRS was compared to the 95th
percentile of the 2018 rates. Moving to the 75th percentile of the 2022 rate would have
decreased the rate for over half of the provider rate types and to avoid negatively
impacting providers, the rate remains at the 95th percentile of the 2018 MRS.
b. How did the Lead Agency determine that the rates are adequate to meet health, safety,
quality, and staffing requirements under CCDF? A narrow cost analysis was conducted as a
part of the 2022 MRS. The 75th percentile rate was compared to the Cost of Quality
Calculator quality baseline amount which is set at meeting licensing requirements.
Compared to the calculator, the 2022 75th percentile was $237.95/month more than the
base rate for center-based infant care, the toddler rate was $326.34/month more, and
preschool rate was $311.97/month more. For licensed family child care, the 75th
percentile was consistently less than the calculator: $94.58/month for infants,
$132.41/month for toddlers, and $187.16/month for preschool.
c. How did the Lead Agency use the cost of care, either from the narrow cost analysis or the
ACF pre-approved alternative methodology to inform rate setting, including how using the
cost of care promotes the stabilization of child care providers? DWSS/CCDP conducted a
narrow cost analysis as part of the 2022 MRS to compare the cost of care baseline amount
to the Cost of Quality Calculator which allowed data to be identified that supports using
an alternative methodology cost model to stabilize the child care system. By utilizing a
cost of care alternative methodology beginning October 1, 2024, the Lead Agency will be
able to determine a more appropriate model that reflects the actual cost associated with
providing care for children in different age groups and in different geographic locations.
d. How did the Lead Agency account for the cost of higher quality while setting payment
rates? There are five (5) rates for each region, provider type, and age of child: a base rate
for everyone and a gradual increase in rate for each star level (2-5). There is an increase of
$1 for each star level: 2-star bonus is $10/day or $10/week/child , 3-star is $3/day/child or
$15/week/child, 4-star is $4/day/child or $20/week/child, and 5-star bonus is $5/day/child
or $25/week/child.
e.
Identify and describe any additional facts (not covered in responses to 4.3.1 – 4.3.3) that
the Lead Agency considered in determining its payment rates to ensure equal access. N/A
4.4 Payment Practices to Providers
Lead Agencies must use subsidy payment practices that reflect practices that are generally
accepted in the private pay child care market. The Lead Agency must ensure timeliness of
payment to child care providers by paying in advance or at the beginning of delivery of child care
services. Lead Agencies must also support the fixed cost of child care services based on paying by
the child’s authorized enrollment, or if impracticable, an alternative approach that will not
undermine the stability of child care programs as justified and approved through this Plan.
Lead Agencies must also (1) pay providers based on established part-time or full-time rates rather
than paying for hours of service or smaller increments of time, and (2) pay for reasonable,
mandatory registration fees that the provider charges to private-paying parents. These policies
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apply to all provider types unless the Lead Agency can demonstrate that in limited circumstances
the policies would not be considered generally-accepted payment practices.
In addition, Lead Agencies must ensure that child care providers receive payment for any services
in accordance with a payment agreement or an authorization for services, ensure that child care
providers receive prompt notice of changes to a family’s eligibility status that could impact
payment, and have timely appeal and resolution processes for any payment inaccuracies and
disputes.
4.4.1 Prospective and enrollment-based payment practices
Lead Agencies must use payment practices for all CCDF child care providers that reflect generally-
accepted payment practices of providers serving private-pay families, including paying providers in
advance or at the beginning of the delivery of child care services and paying based on a child’s
authorized enrollment or an alternative approach for which the Lead Agency must demonstrate
paying for a child’s authorized enrollment is not practicable and it will not undermine the stability
of child care programs. Lead Agencies may only use alternate approaches for subsets of provider
types if they can demonstrate that prospective payments and authorized enrollment-based
payment are not generally-accepted for a type of child care setting. Describe the Lead Agency
payment practices for all CCDF child care providers:
a. Does the Lead Agency pay all provider types prospectively (i.e., in advance of or at the
beginning of the delivery of child care services)?
[ ] Yes. If yes, describe:
[x] No, it is not a generally-accepted payment practice for each provider type. If no,
describe the provider type not paid prospectively and the data demonstrating it is not a
generally-accepted payment practice for that provider type, and describe the Lead
Agency’s payment practice that ensures timely payment for that provider type: Current
payment practices are to pay providers following services to ensure accurate payment to
providers. This is appropriate because:
1. Some children attend multiple providers requiring the Lead Agency to verify attendance
for both providers to make proper payment to the correct one for each day of care.
2. This ensures there is not an overpayment to a provider when parents transfer providers
during the reimbursement period.
3. This allows the Lead Agency to receive a timesheet signed by the parent and provider
verifying care was used during the reimbursement period.
b. Does the Lead Agency pay based on authorized enrollment for all provider types?
[ ] Yes. The Lead Agency pays all providers by authorized enrollment and payment is not
altered based on a child’s attendance or the number of absences a child has.
[x] No, it is not a generally-accepted practice for each provider type. If no, describe the
provider types not paid by authorized enrollment, including the data showing it is not a
generally-accepted payment practice for that provider type, and describe how the
payment policy accounts for fixed costs: In cases where the child is enrolled with multiple
providers, the care is paid based on actual attendance at each provider so as not to
exceed the daily state max rate (only one provider may be paid per day). When children
do not attend multiple providers, they are paid by scheduled enrollment using monthly
attendance records.
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[ ] It is impracticable. Describe provider type(s) for which it is impracticable, why it is
impracticable, and the alternative approach the Lead Agency uses to delink provider
payments from occasional absences, including evidence that the alternative approach will
not undermine the stability of child care programs, and thereby accounts for fixed costs:
4.4.2 Other payment practices
Lead Agencies must (1) pay providers based on established part-time or full-time rates rather than
paying for hours of service or smaller increments of time, and (2) pay for reasonable, mandatory
registration fees that the provider charges to private-paying parents, unless the Lead Agency
provides evidence that such practices are not generally-accepted for providers caring for children
not participating in CCDF in its State or Territory.
a.
Does the Lead Agency pay all providers on a part-time or full-time basis (rather than
paying for hours of service or smaller increments of time)?
[x] Yes.
[ ] No. If no, describe the policies or procedures that are different than paying on a part-
time or full-time basis and the Lead Agency’s rationale for not paying on a part-time or
full-time basis:
b.
Does the Lead Agency pay for reasonable mandatory registration fees that the provider
charges to private-paying parents?
[x] Yes. If yes, identify the fees the Lead Agency pays for: DWSS/CCDP will pay up to $40 in
registration or annual fees per year, per child.
[ ] No. If no, identify the data and how data were collected to show that paying for fees is
not a generally-accepted payment practice:
c. Describe how the Lead Agency ensures that providers are paid in accordance with a
written payment agreement or an authorization for services that includes, at a minimum,
information regarding provider payment policies, including rates, schedules, any fees
charged to providers, and the dispute-resolution process: Each participating provider is
required to sign a Provider Service Agreement at registration and to update their
Agreement as changes occur. Providers also receive a preservice/orientation training and
ongoing technical assistance on billing practices to ensure accurate and timely payment.
d.
Describe how the Lead Agency provides prompt notice to providers regarding any changes
to the family’s eligibility status that could impact payments, and such a notice is sent no
later than the day that the Lead Agency becomes aware that such a change will occur:
Providers receive an amended certificate or certificate termination via email whenever
eligibility changes occur for an enrolled child. Additionally, staff may call the provider to
inform them of changes that impact payments. Policy updates are shared with providers
via email and/or through webinars to help them be aware of upcoming changes and
provide an opportunity to ask questions.
e.
Describe the Lead Agency’s timely appeal and resolution process for payment inaccuracies
and disputes: Providers have 60 calendar days from the payment date to request an
adjustment if they disagree with the amount of their payment. All payment adjustment
requests must be resolved and responded to in writing by DWSS/CCDP within 30 calendar
days of the requests.
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f. Other. Describe any other payment practices established by the Lead Agency: Provider
overpayments are validated within 60 calendar days of the date the overpayment is
discovered. Collection of the overpayment is accomplished through retention of future
provider payments until the debt is retired in whole. For closed providers, a debtor file is
submitted to the DWSS Investigation & Recovery (I&R) unit for collection. Provider
underpayments are resolved in the next available reimbursement period from the date
the underpayment is validated.
4.4.3 Payment practices and parent choice
How do the Lead Agency’s payment practices facilitate provider participation in all categories of
care? DWSS/CCDP currently sets payment rates comparable to market standards to ensure
equitable access for all families to a variety of quality care. DWSS/CCDP work with the CCR&Rs to
ensure timely reimbursement to participating child care providers. Most providers are reimbursed
for enrolled children based on their scheduled attendance to ensure providers receive adequate
compensation to maintain staffing ratios needed for safe care. DWSS/CCDP recently completed a
cost model study and will begin using an alternative methodology based on paying a portion of
the cost of care to set rates as of October 1, 2024.
4.5 Supply Building
Building a supply of high-quality child care that meets the needs and preferences of parents
participating in CCDF is necessary to meet CCDF’s core purposes. Lead Agencies must support
parent choice by providing some portion of direct services via grants or contracts, including at a
minimum for children in underserved geographic areas, infants and toddlers, and children with
disabilities.
4.5.1 Child care services available through grants or contracts
Does the Lead Agency provide direct child care services through grants or contracts for child care
slots?
[x] Yes, statewide. Describe how the Lead Agency ensures that parents who enroll with a
provider who has a grant or contract have choices when selecting a provider: Parents have
the option of enrolling a child directly with the contracted provider or enrolling the child
under a certificate care provider (cannot use both types for the same child). Parents with
multiple children can choose the appropriate care setting for each child and enroll
through either certificate, contracted slot (OST/OSR), or wraparound (Head Start/Early
Head Start) care.
[ ] Yes, in some jurisdictions, but not statewide. Describe how many jurisdictions use
grants or contracts for child care slots and how the Lead Agency ensures that parents who
enroll with a provider who has a grant or contract have choices when selecting a provider:
[ ] No. If no, describe any Lead Agency plans to provide direct child care services through
grants and contracts for child care slots:
If no, skip to question 4.5.2.
i.
If yes, identify the populations of children served through grants or contracts for
child care slots (check all that apply). For each population selected, identify the
number of slots allocated through grants or contracts for direct service of children
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receiving CCDF.
[ ] Children with disabilities. Number of slots allocated through grants or
contracts:
[x] Infants and toddlers. Number of slots allocated through grants or
contracts: 310
[ ] Children in underserved geographic areas. Number of slots allocated
through grants or contracts:
[ ] Children needing non-traditional hour care. Number of slots allocated
through grants or contracts:
[x] School-age children. Number of slots allocated through grants or
contracts: 816
[ ] Children experiencing homelessness. Number of slots allocated
through grants or contracts:
[ ] Children in urban areas. Percent of CCDF children served in an average
month:
[ ] Children in rural areas. Percent of CCDF children served in an average
month:
[ ] Other populations. If checked, describe:
ii. If yes, how are rates for slots funded by grants and contracts determined by the
Lead Agency? Effective July 1, 2022, Head Start/Wraparound programs for
infants/toddlers received an increase in their daily reimbursement rate to the
95th percentile of the 2018 MRS. Head Start/Wraparound programs will receive
the base rate (1 Star Rating) regardless of their participation in Nevada's QRIS.
Effective July 1, 2023, all Out-of-School Time (OST) and Out-of-School Recreational
Providers (OSR) received an increase in their daily reimbursement rate to reflect
current market prices for OST/OSR care in Nevada.
4.5.2 Care in the child’s home (in-home care)
The Lead Agency must allow for in-home care (i.e., care provided in the child’s own home) but
may limit its use.
Will the Lead Agency limit the use of in-home care in any way?
[x] Yes.
[ ] No.
If yes, what limits will the Lead Agency set on the use of in-home care? Check all that apply.
i. [x] Restricted based on the minimum number of children in the care of the in-
home provider to meet the Fair Labor Standards Act (minimum wage)
requirements. Describe: To provide in-home care, a license-exempt provider must
care for a minimum of two (2) children and no more than four (4) children.
ii. [x] Restricted based on the in-home provider meeting a minimum age
requirement. Describe: To provide in-home care, a license-exempt provider must
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be 18 years of age or older.
iii. [ ] Restricted based on the hours of care (i.e., certain number of hours, non-
traditional work hours). Describe:
iv. [ ] Restricted to care by relatives. (A relative provider must be at least 18 years of
age based on the definition of eligible child care provider.) Describe:
v. [x] Restricted to care for children with special needs or a medical condition.
Describe: A license-exempt provider caring for a child with special needs may live
in the child's home.
vi. [ ] Restricted to in-home providers that meet additional health and safety
requirements beyond those required by CCDF. Describe:
vii. [x] Other. Describe: The provider may not be the natural parent or guardian of the
child and may not be both a provider and a child care scholarship recipient.
4.5.3 Shortages in the supply of child care
Lead Agencies must identify shortages in the supply of child care providers that meet parents’
needs and preferences.
What child care shortages has the Lead Agency identified in the State or Territory, and what is the
plan to address the child care shortages?
a. In infant and toddler programs:
i. Data sources used to identify shortages: Census, licensing capacity reports,
reporting from early childhood stakeholder groups, child care desert data, and
comparison of supply and demand data.
ii. Method of tracking progress: Monitoring child care desert data, monitoring data
regarding licensed supply of infant/toddler slots, and comparison of supply and
demand data.
iii. What is the plan to address the child care shortages using family child care homes
DWSS/CCDP has established two (2) physical and a virtual shared services hubs to
help license-exempt and small providers become licensed family and group care
homes, to provide start up grants to new providers, to provide access to lending,
and to provide technical support to help family and group care homes sustain
their businesses to help address the child care shortages in our community.
iv. What is the plan to address the child care shortages using child care centers?
DWSS/CCDP has established two (2) physical and a virtual shared services hubs to
provide technical assistance to any child care provider going through the licensure
process, including providing access to start up grants for new providers, to provide
access to lending, and to provide technical support to help Centers establish,
grow, and sustain their businesses to help address the child care shortages in our
community.
b.
In different regions of the State or Territory:
i. Data sources used to identify shortages: Comparison of supply (licensing data) and
demand (American Community Survey) data by county and zip codes, with a focus
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in zip codes with a large percentage of vulnerable families.
ii. Method of tracking progress: Monitoring child care desert data, monitoring data
regarding licensed supply of infant/toddler slots, and comparison of supply and
demand data.
iii. What is the plan to address the child care shortages using family child care
homes? DWSS/CCDP has established two (2) physical and a virtual shared services
hubs to help license-exempt and small providers become licensed family and
group care homes, to provide start up grants to new providers, to provide access
to lending, and to provide technical support to help family and group care homes
sustain their businesses to help address the child care shortages in our
community.
iv. What is the plan to address the child care shortages using child care centers?
DWSS/CCDP has established two (2) physical and a virtual shared services hubs to
provide technical assistance to any child care provider going through the licensure
process, including providing access to start up grants for new providers, to provide
access to lending, and to provide technical support to help Centers establish,
grow, and sustain their businesses to help address the child care shortages in our
community.
c. In care for special populations:
i. Data sources used to identify shortages: Census, licensing capacity reports,
reporting from early childhood stakeholder groups, child care desert data, and
demand (American Community Survey) data by county and zip codes, with a focus
in zip codes with a large percentage of vulnerable families.
ii. Method of tracking progress: Monitoring data from pilot slot programs for
children with special health care needs and ongoing analysis of supply & demand
data. Supply data is gathered from the CCR&R database to capture providers
serving special populations (e.g., non-traditional hours, children and youth with
special health care needs, infant & toddlers).
iii. What is the plan to address the child care shortages using family child care
homes? DWSS/CCDP has established two (2) physical and a virtual shared services
hubs to help license-exempt and small providers become licensed family and
group care homes, to provide start up grants to new providers, to provide access
to lending, and to provide technical support to help family and group care homes
sustain their businesses to help address the child care shortages in our
community.
iv. What is the plan to address the child care shortages using child care centers?
DWSS/CCDP has established two (2) physical and a virtual shared services hubs to
provide technical assistance to any child care provider going through the licensure
process, including providing access to start up grants for new providers, to provide
access to lending, and to provide technical support to help Centers establish,
grow, and sustain their businesses to help address the child care shortages in our
community.
4.5.4 Strategies to increase the supply of and improve quality of child care
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Lead Agencies must develop and implement strategies to increase the supply of and improve the
quality of child care services. These strategies must address child care in underserved geographic
areas; infants and toddlers; children with disabilities, as defined by the Lead Agency; and children
who receive care during non-traditional hours.
How does the Lead Agency identify any gaps in the supply and quality of child care services and
what strategies are used to address those gaps for:
a. Underserved geographic areas. Describe: Compare American Community Survey (demand)
data with Licensing Capacity reports and CCR&R data which is informed by local reporting
from stakeholder groups who live and work in underserved geographic areas. DWSS/CCDP
is working with stakeholders to develop strategies for increasing supply/quality in
underserved geographic areas, such as offering contracted slots for providers serving
children during non-traditional hours. This strategy was piloted using ARPA Discretionary
funds and is currently being evaluated with results expected in October 2024.
b. Infants and toddlers. Describe: Compare American Community Survey (demand) data with
Licensing Capacity reports and CCR&R data which is informed by local reporting from
stakeholder groups who are familiar with supply shortages for infants/toddlers
specifically. DWSS/CCDP is working with stakeholders to develop strategies for increasing
supply/quality for infant/toddler care, such as offering contracted slots for providers to
incentivize the creation of more infant/toddler slots. This strategy was piloted using ARPA
Discretionary funds and is currently being evaluated with results expected in October
2024.
c. Children with disabilities. Describe: Compare American Community Survey (demand) data
with Licensing Capacity reports and CCR&R data which is informed by local reporting from
stakeholder groups who are familiar with supply shortages for children and youth with
special health care needs (CYSHCN) specifically. DWSS/CCDP is working with stakeholders
to develop strategies for increasing supply/quality for care for CYSHCN, such as offering
contracted slots for providers to incentivize the creation of more CYSHCN slots. This
strategy was piloted using ARPA Discretionary funds and is currently being evaluated with
results expected in October 2024.
d. Children who receive care during non-traditional hours. Describe: Compare American
Community Survey (demand) data with Licensing Capacity reports and CCR&R data which
is informed by local reporting from stakeholder groups who live and work in underserved
geographic areas. DWSS/CCDP is working with stakeholders to develop strategies for
increasing supply/quality in underserved geographic areas, such as offering contracted
slots for providers serving children during non-traditional hours. This strategy was piloted
using ARPA Discretionary funds and is currently being evaluated with results expected in
October 2024.
e. Other. Specify what population is being focused on to increase supply or improve quality.
Describe: DWSS/CCDP is partnering with the Nevada Afterschool Network to analyze care
options, increase supply of, and improve the quality of care offered by OST/OSR providers.
4.5.5 Prioritization of investments in areas of concentrated poverty and unemployment
Lead Agencies must prioritize investments for increasing access to high-quality child care and
development services for children of families in areas that have significant concentrations of
poverty and unemployment and do not currently have sufficient numbers of such programs.
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Describe how the Lead Agency prioritizes increasing access to high-quality child care and
development services for children of families in areas that have significant concentrations of
poverty and unemployment and that do not have access to high-quality programs. DWSS/CCDP
identifies the number of families living under the Federal Poverty Level by zip code or county to
define high concentrations of poverty. DWSS/CCDP is targeting these populations through Head
Start Programs, one-stop shops, and QRIS implementation. Populations including TANF NEON,
wraparound, those experiencing homelessness, and families involved in CPS / Foster Care are
provided priority access to quality child care.
5 Health and Safety of Child Care Settings
Child care health and safety standards and enforcement practices are essential to protect the
health and safety of children while out of their parents’ care. CCDF provides a minimum threshold
for child care health and safety policies and practices but leaves authority to Lead Agencies to
design standards that appropriately protect children’s safety and promote nurturing environments
that support their healthy growth and development. Lead Agencies should set standards for
ratios, group size limits, and provider qualifications that help ensure that the child care
environment is conducive to safety and learning and enable caregivers to promote all domains of
children’s development.
CCDF health and safety standards help set clear expectations for CCDF providers, form the
foundation for health and safety training for child care workers, and establish the baseline for
monitoring to ensure compliance with health and safety requirements. These health and safety
requirements apply to all providers serving children receiving CCDF services – whether the
providers are licensed or license-exempt, must be appropriate to the provider setting and age of
the children served, must include specific topics and training on those topics, and are subject to
monitoring and enforcement procedures by the Lead Agency. CCDF-required annual monitoring
and enforcement actions help ensure that CCDF providers are adopting and implementing health
and safety requirements.
Through child care licensing, Lead Agencies set minimum requirements, including health and
safety requirements, that child care providers must meet to legally operate in that State or
Territory. In some cases, CCDF health and safety requirements may be integrated within the
licensing system for licensed providers and may be separate for CCDF providers who are license-
exempt.
This section addresses CCDF health and safety requirements, Lead Agency licensing
requirements and exemptions, and comprehensive background checks.
When responding to questions in this section, OCC recognizes that each Lead Agency identifies
and defines its own categories of care. OCC does not expect Lead Agencies to change their
definitions to fit the CCDF-defined categories of care. For these questions, provide responses that
best match the CCDF categories of care.
5.1 Licensing Requirements
Each Lead Agency must ensure it has in effect licensing requirements applicable to all child care
services provided within the State/Territory (not restricted to providers receiving CCDF funds).
5.1.1 Providers subject to licensing
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For each category of care listed below, identify the type of providers subject to licensing and
describe the licensing requirements.
a. Identify the center-based provider types subject to child care licensing: Per Nevada
Revised Statute (NRS) 432A.024 "Child care facility" is defined as: (a) An establishment
operated and maintained for the purpose of furnishing care on a temporary or permanent
basis, during the day or overnight, to five (5) or more children under 18 years of age, if
compensation is received for the care of any of those children; (b) An on-site child care
facility; (c) A child care institution; or (d) An outdoor youth program. Per Nevada
Administrative Code (NAC) 432A.050 "Child care center" means any facility in which the
licensee regularly provides day or night care for more than 12 children.
Are there other categories of licensed, regulated, or registered center providers
the Lead Agency does not categorize as license-exempt?
[ ] Yes. If yes, describe:
[x] No.
b. Identify the family child care providers subject to licensing: NAC 432A.100 "Family home"
means any facility in which the licensee regularly provides care without the presence of
parents, for at least five (5) and not more than six (6) children. DWSS/CCDP categorizes
these facilities as Family Child Care (FCC) programs. NAC 432A.110 "Group home" means
any facility in which the licensee regularly provides care for no less than seven (7) and no
more than 12 children. DWSS/CCDP categorizes these facilities as Group Family Child Care
(GFCC) programs.
Are there other categories of regulated or registered family child care providers
the Lead Agency does not categorize as license-exempt?
[ ] Yes. If yes, describe:
[x] No.
c. Identify the in-home providers subject to licensing: N/A
Are there other categories of regulated or registered in-home providers the Lead
Agency does not categorize as license-exempt?
[ ] Yes. If yes, describe:
[x] No.
5.1.2 CCDF-eligible providers exempt from licensing
Identify the categories of CCDF-eligible providers who are exempt from licensing requirements,
the types of exemptions, and describe how these exemptions do not endanger the health, safety,
and development of children. -Relative providers, as defined in CCDF, are addressed in subsection
5.8.
a. License-exempt center-based child care. Describe by answering the questions below.
i. Identify the categories of CCDF-eligible center-based child care providers who are
exempt from licensing requirements. NRS 432A.0277 �Out-of-school recreation
program� means a recreation program operated or sponsored by a local
government in a facility which is owned, operated or leased by the local
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government and which provides enrichment activities to children of school age:
(a) Before or after school; (b) During the summer or other seasonal breaks in the
school calendar; or (c) Between sessions for children who attend a school which
operates on a year-round calendar. The term does not include a seasonal or
temporary recreation program.
NRS 432A.0278 �Out-of-school-time program� means a program, other than an
out-of-school recreation program, that operates for 10 or more hours per week, is
offered on a continuing basis, provides supervision of children who are of the age
to attend school from kindergarten through 12th grade and provides regularly
scheduled, structured and supervised activities where learning opportunities take
place: 1. Before or after school; 2. On the weekend; 3. During the summer or
other seasonal breaks in the school calendar; or 4. Between sessions for children
who attend a school which operates on a year-round calendar.
NRS 432A.029 �Seasonal or temporary recreation program� means a recreation
program that is offered to children for a limited time or duration and may include,
without limitation: 1. A special sports event, which may include, without
limitation, a camp, clinic, demonstration or workshop which focuses on a
particular sport; 2. A therapeutic program for children with disabilities, which
may include, without limitation, social activities, outings and other inclusion
activities; 3. An athletic training program, which may include, without limitation,
a baseball or other sports league and exercise instruction; and 4. Other special
interest programs, which may include, without limitation, an arts and crafts
workshop, a theater camp and dance competition.
ii.
Describe the exemptions based on length of day, threshold on the number of
children in care, ages of children in care, or any other factors applicable to the
exemption. Before or after school; On the weekend; During the summer or other
seasonal breaks in the school calendar; or Between sessions for children who
attend a school, which operates on a year-round calendar.
iii.
Describe how the exemptions for these CCDF-eligible providers do not endanger
the health, safety, and development of children. Upon receiving a complaint, NRS
432A.700-.740 allows the Child Care Licensing (CCL) Program to investigate the
facility to ensure the following: 1. Requirements are being met concerning first aid
and emergency exit plan(s). 2. Background checks and child abuse and neglect
screenings are being done for all staff members and termination of staff is
occurring based upon receipt of certain information; staff have the opportunity to
correct information with the CCL. A civil penalty may be issued via the Attorney
General’s Office if the facility is found non-compliant with background checks.  
b. License-exempt family child care. Describe by answering the questions below.
i. Identify the categories of CCDF-eligible family child care providers who are
exempt from licensing requirements. Per NRS 432A.024, a family child care facility
may care for up to four (4) children without a license.
ii.
Describe the exemptions based on length of day, threshold on the number of
children in care, ages of children in care, or any other factors applicable to the
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exemption. License-exempt child care providers care for less than five (5) children
for a friend, family, and/or neighbor.
iii.
Describe how the exemptions for these CCDF-eligible providers do not endanger
the health, safety, and development of children. Although these CCDF-eligible
providers are not licensed, they are monitored annually by the CCR&R agencies
with which they register.
c. In-home care (care in the child’s own home by a non-relative). Describe by answering the
questions below.
i. Identify the categories of CCDF-eligible in-home care (care in the child’s own
home by a non- relative) providers who are exempt from licensing requirements.
Per NRS 432A.024, a child care facility does not include the home of a natural
parent or guardian, foster home, or maternity home.
ii.
Describe the exemptions based on length of day, threshold on the number of
children in care, ages of children in care, or any other factors applicable to the
exemption. Per NRS 432A.024, a child care facility does not include the home of a
natural parent or guardian, foster home, or maternity home.
iii.
Describe how the exemptions for these CCDF-eligible providers do not endanger
the health, safety, and development of children. Per NRS 432A.024, a child care
facility does not include the home of a natural parent or guardian, foster home, or
maternity home.
5.2 Ratios, Group Size, and Qualifications for CCDF Providers
Lead Agencies must have child care standards for providers receiving CCDF funds, appropriate to
the type of child care setting involved, that address appropriate staff:child ratios, group size limits
for specific age populations, and the required qualifications for providers. Lead Agencies should
map their categories of care to the CCDF categories. Exemptions for relative providers will be
addressed in subsection 5.8.
5.2.1 Age classifications
Describe how the Lead Agency defines the following age classifications (e.g., Infant: 0 – 18
months).
a. Infant. Describe: Birth to age 1 year (12 months)
b. Toddler. Describe: 13 months to age 3 years (up to 3rd birthday)
c. Preschool. Describe: 3 years (upon 3rd birthday) to age 6 years (up to 6th birthday)
d. School-Age. Describe: 6 years (upon 6th birthday) to age 13 years (up to 13th birthday)
5.2.2 Ratio and group size limits
Provide the ratio and group size limits for settings and age groups below.
a. Licensed CCDF center-based care:
i. Infant.
Ratio: Less than 9 months of age = 1 caregiver for every 4 children; 9
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months of age or older but less than 2 years of age = 1 caregiver for every
6 children.
Group size: Less than 9 months of age = 1 caregiver for every 4 children; 9
months of age or older but less than 2 years of age = 1 caregiver for every
6 children.
ii. Toddler.
Ratio: 2 years of age or older but less than 3 years of age = 1 caregiver for
every 9 children.
Group size: 2 years of age or older but less than 3 years of age = 1
caregiver for every 9 children would allow for a group size of 18 children.
iii. Preschool.
Ratio: 3 years of age or older but less than 4 years of age = 1 caregiver for
every 12 children; 4 years of age or older but less than 5 years of age = 1
caregiver for every 13 children.
Group size: 3 years of age or older but less than 4 years of age = 1
caregiver for every 12 children to allow a group size of 24 children; 4 years
of age or older but less than 5 years of age = 1 caregiver for every 13
children to allow a group size of 26 children.
iv. School-Age.
Ratio: 5 years of age or older = 1 caregiver for every 18 children.
Group size: 5 years of age or older = 1 caregiver for every 18 children
would allow for a group size of 36.
v. Mixed-Age Groups (if applicable).
Ratio: If a licensee of a child care facility cares for children of different age
groups as described 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.
Group size: If a licensee of a child care facility cares for children of
different age groups as described 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.
b. If different, provide the ratios and group size requirements for the license-exempt center-
based providers who receive CCDF funds under the following age groups:
i. [x] Not applicable. There are no differences in ratios and group size requirements.
ii. Infant:
iii. Toddler:
iv. Preschool:
v. School-Age:
vi. Mixed-Age Groups:
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c. Licensed CCDF family child care home providers:
i. Infant (if applicable)
Ratio: 1:4 ratio for children age 0-8 months, 1:6 ratio for children age 9-11
months.
Group size: 8 for children 0-8 months, 12 for children 9-11 months.
ii. Toddler (if applicable)
Ratio: 1:6 ratio for children 12 months � 23 months, 1:9 ratio for children
24 months � 35 months.
Group size: 8 for children 12 months � 23 months, 12 for children 24
months � 35 months.
iii. Preschool (if applicable)
Ratio: 1:12 ratio for children 35 months � 47 months, 1:13 ratio 48
months � 59 months, 1:18 ratio for children 5 years � 5 years and 11
months.
Group size: 24 for children 35 months � 47 months, 26 for children 48
months � 59 months, 36 for children 5 years � 5 years and 11 months.
iv. School-Age (if applicable)
Ratio: 1:18 ratio for children 6 years � 12 years.
Group size: 36 for children 6 years � 12 years.
v. Mixed-Age Groups
Ratio: If a licensee of a child care facility cares for children of different age
groups as described 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.
Group size: If a licensee of a child care facility cares for children of
different age groups as described 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.
d. Are any of the responses above different for license-exempt family child care homes?
[x] No.
[ ] Yes. If yes, describe how the ratio and group size requirements for license-
exempt providers vary by age of children served.
[ ] Not applicable. The Lead Agency does not have license-exempt family child
care homes.
e. Licensed in-home care (care in the child’s own home):
i. Infant (if applicable)
Ratio: 1:4 ratio
Group size: 4
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ii. Toddler (if applicable)
Ratio: 1:4 ratio
Group size: 4
iii. Preschool (if applicable)
Ratio: 1:4 ratio
Group size: 4
iv. School-Age (if applicable)
Ratio: 1:4 ratio
Group size: 4
v. Mixed-Age Groups (if applicable)
Ratio: 1:4 ratio
Group size: 4
f. Are any of the responses above different for license-exempt in-home care?
[x] No.
[ ] Yes. If yes, describe how the ratio and group size requirements for license-
exempt in-home care vary by age of children served.
5.2.3 Teacher/caregiver qualifications for licensed, regulated, or registered care
Provide the teacher/caregiver qualifications for each category of care.
a. Licensed center-based care
i.
Describe the teacher qualifications for licensed CCDF center-based care (e.g.,
degrees, credentials, etc.), including any variations based on the ages of children
in care: Per NAC 432A.306, Every caregiver in a child care facility must: (a) Be at
least 16 years of age; (b) Be able to summon help in an emergency; (c) Be
emotionally and physically qualified to carry out a program which places emphasis
on the development of children; and (d) Except as otherwise provided in
subsection 5, within 90 days after the caregiver commences employment in the
child care facility, apply with The Nevada Registry or its successor organization,
and annually renew his or her registration before the date on which it expires.
Not more than 50 percent of the caregivers in a child care center, a child care
institution, or an early care and education program may be under 18 years of age.
Qualifications also include initial and annual training hours for: CPR, First Aid,
Symptoms of Illness/Blood Borne Pathogens, SIDS and Shaken Baby
Syndrome/Abusive Head Trauma-if working with children under 1, Recognizing
and Reporting Child Abuse and Neglect, 3 hours of Child Development specific to
the age group served by the facility, Administration of Medication, Building and
Physical Premises Safety, Emergency Preparedness, Wellness, and Transportation
if the facility transports children.
ii.
Describe the director qualification for licensed CCDF center-based care, including
any variations based on the ages of children in care or the number of staff
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employed: Per NRS 432A.1773 a Director is required to have the following: A
licensee of a child care facility, or a person appointed by the licensee, who is
responsible for the daily operation, administration or management of a child care
facility must: (a) Be at least 21 years of age and: (1) Hold an associate’s degree or
a higher degree in early childhood education and have at least 1,000 hours of
verifiable experience in a child care facility; (2) Hold an associate’s degree or a
higher degree in any field other than early childhood education, have completed
at least 15 semester hours in early childhood education or related courses and
have at least 2,000 hours of verifiable experience in a child care facility; (3) Hold a
high school diploma or, if approved by the Administrator of the Division of Public
and Behavioral Health, a general educational development certificate, have
completed at least 15 semester hours in early childhood education or related
courses and have at least 3,000 hours of experience in a child care facility; (4) 
Hold a current credential as a �Child Development Associate� with an
endorsement for preschool age children or infants or toddlers, as appropriate,
which has been issued by the Council for Professional Recognition, or its successor
organization, and have at least 2,000 hours of verifiable experience in a child care
facility; or (5) Have a combination of education and experience which, in the
judgment of the Administrator of the Division Welfare and Supportive Services, is
equivalent to that required by subparagraph (1), (2), (3) or (4); (b) Have at least
1,000 verifiable hours in an administrative position or have completed a course or
other training in business administration; and (c) Within 90 days after the
licensee or person appointed by the licensee commences service as the director of
a child care facility, apply to The Nevada Registry or its successor organization,
and annually renew his or her registration before the date on which it expires.
b. Licensed family child care
Describe the provider qualifications for licensed family child care homes, including any
variations based on the ages of children in care: Per NAC 432A.306, Every caregiver in a
child care facility must: (a) Be at least 16 years of age; (b) Be able to summon help in an
emergency; (c) Be emotionally and physically qualified to carry out a program which
places emphasis on the development of children; and (d) Except as otherwise provided in
subsection 5, within 90 days after the caregiver commences employment in the child care
facility, apply with The Nevada Registry or its successor organization, and annually renew
his or her registration before the date on which it expires. Not more than 50 percent of
the caregivers in a child care center, a child care institution, or an early care and education
program may be under 18 years of age. Qualifications also include initial and annual
training hours for: CPR, First Aid, Symptoms of Illness/Blood Borne Pathogens, SIDS and
Shaken Baby Syndrome/Abusive Head Trauma-if working with children under 1,
Recognizing and Reporting Child Abuse and Neglect, 3 hours of Child Development specific
to the age group served by the facility, Administration of Medication, Building and Physical
Premises Safety, Emergency Preparedness, Wellness, and Transportation if the facility
transports children.
c. Licensed, regulated, or registered in-home care (care in the child’s own home by a non-
relative)
Describe the provider qualifications for licensed, regulated, or registered in-home care
providers (care in the child’s own home) including any variations based on the ages of
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children in care: All CCDF-eligible providers must provide proof they are 1) at least 18
years of age; 2) a U.S citizen or Lawful Permanent Resident; 3) provide a photo ID and
proof of Social Security card; 4) have a working landline telephone for emergency
situations at the location where care is being provided; 5) provide verification of home
address; 6) complete a Background Disclosure Form; 7) report any public assistance
received from any state, city, or county agency using the Notice to Report Form; 8)
complete the Employers Responsibility Form; 9) complete the Parent/Provider
Agreement; 10) complete the Provider Service Agreement; and 11) complete required
health and safety training as outlined in State Plan section 5.3.
5.2.4 Teacher/caregiver qualifications for license-exempt providers
Provide the teacher/provider qualification requirements (for instance, age, high school diploma,
specific training, etc.) for the license-exempt providers under the following categories of care:
a. License-exempt center-based child care. All CCDF-eligible providers must provide proof
they are 1) at least 18 years of age; 2) a U.S citizen or Lawful Permanent Resident; 3)
provide a photo ID and proof of Social Security card; 4) have a working landline telephone
for emergency situations at the location where care is being provided; 5) provide
verification of home address; 6) complete a Background Disclosure Form; 7) report any
public assistance received from any state, city, or county agency using the Notice to
Report Form; 8) complete the Employers Responsibility Form; 9) complete the
Parent/Provider Agreement; 10) complete the Provider Service Agreement; and 11)
complete required health and safety training as outlined in State Plan section 5.3.
b. License-exempt home-based child care. All CCDF-eligible providers must provide proof
they are 1) at least 18 years of age; 2) a U.S citizen or Lawful Permanent Resident; 3)
provide a photo ID and proof of Social Security card; 4) have a working landline telephone
for emergency situations at the location where care is being provided; 5) provide
verification of home address; 6) complete a Background Disclosure Form; 7) report any
public assistance received from any state, city, or county agency using the Notice to
Report Form; 8) complete the Employers Responsibility Form; 9) complete the
Parent/Provider Agreement; 10) complete the Provider Service Agreement; and 11)
complete required health and safety training as outlined in State Plan section 5.3.
c. License-exempt in-home care (care in the child’s own home). All CCDF-eligible providers
must provide proof they are 1) at least 18 years of age; 2) a U.S citizen or Lawful
Permanent Resident; 3) provide a photo ID and proof of Social Security card; 4) have a
working landline telephone for emergency situations at the location where care is being
provided; 5) provide verification of home address; 6) complete a Background Disclosure
Form; 7) report any public assistance received from any state, city, or county agency using
the Notice to Report Form; 8) complete the Employers Responsibility Form; 9) complete
the Parent/Provider Agreement; 10) complete the Provider Service Agreement; and 11)
complete required health and safety training as outlined in State Plan section 5.3.
5.3 Health and Safety Standards for CCDF Providers
Lead Agencies must have health and safety standards for providers serving children receiving
CCDF assistance relating to the required health and safety topics as appropriate to the provider
setting and age of the children served. This requirement is applicable to all child care programs
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receiving CCDF funds regardless of licensing status (i.e., licensed or license-exempt). The only
exception to this requirement is for relative providers, as defined by CCDF. Lead Agencies have the
option of exempting certain relatives from any or all CCDF health and safety requirements.
Exemptions for relative providers’ standards requirements will be addressed in question 5.8.1.
Describe the following health and safety standards for programs serving children receiving CCDF
assistance on the following topics (note that monitoring and enforcement will be addressed in
subsection 5.5):
5.3.1 Prevention and control of infectious diseases (including immunizations) health and safety standard
a. Provide the standards, appropriate to the provider setting and age of children, that
address the prevention and control of infectious diseases for the following CCDF-eligible
providers:
i. All CCDF-eligible licensed center care. Provide the standard: All CCDF-eligible
licensed centers must meet the standards of prevention and control of infectious
disease including: proper sanitation measures for diapering (NAC 432A.411) and
disinfection (NAC 432A.414, NAC 432A.415), hand washing (NAC 432A.412), toilet
training (NAC 432A.413), immunization requirements must be met prior to
admission to the child care facility (NRS 432A.230 and exceptions as listed in NRS
432A.235 and NRS 432A.250), bloodborne pathogen prevention and exposure
(NAC 432A.308), and infectious disease outbreak control training.
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;
(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.
2.  Each soiled cloth diaper and any soiled clothing that may be contaminated
with contagious matter must be stored in an individual plastic bag and be
returned to the parents daily. The facility is not required to rinse or dump the
contents of a diaper or the underwear of a child cared for in the facility. Each
diaper used, including, without limitation, a commercial disposable diaper, must
be able to contain urine and stool and minimize contamination. If cloth diapers
are used on children, an absorbent inner liner and a waterproof outer covering
must be provided with the diaper.
3.  The staff of a facility:
(a) Shall discourage children from coming near an area that is used for
changing diapers; and
(b) Shall not leave a child unattended in the diaper changing area.
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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 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.
4.  The disinfecting agent used pursuant to subsection 3 must consist of:
(a) One-fourth of a cup of liquid chlorine bleach added to 1 gallon of water
that is prepared fresh daily and kept in a closed container;
(b) One tablespoon of liquid chlorine bleach added to 1 quart of water that is
prepared fresh daily; or
(c) A solution that is approved by the appropriate state or local agency and is
at least as effective as the solutions described in paragraphs (a) and (b).
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
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
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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.
8.  Any toy that is broken or has a missing part must be repaired or replaced
before the toy may be used in the facility.
9.  Walkers for children that are designed to be moved across the floor must not
be used in a facility.
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 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.
(b) The children being cared for in 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 handling food;
(3) Before and after eating a meal or snack;
(4) After handling an animal;
(5) After the diaper or underwear of the child is changed;
(6) After playing in water; and
(7) After playing in a sandbox.
(c) The staff of the facility shall ensure that:
(1) Each bathroom has running water, soap and single-use or disposable
towels; and
(2) Any common basin or sink which is filled with standing water is not used
for the washing of hands.
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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 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.
NAC 432A.308  Completion by caregiver of training for recognition of signs and
symptoms of illness and administration of first aid. (NRS 432A.077)
1.  Whenever a child care facility is in operation, each caregiver on duty must
have completed training for the recognition of signs and symptoms of illness and
the administration of first aid.
2.  The training for the recognition of signs and symptoms of illness must include,
without limitation, the provision of information concerning health and the
observation and evaluation of signs and symptoms of illness and responses to
illness and emergencies and training in the prevention of exposure to bloodborne
pathogens. The training for the administration of first aid must include, without
limitation, the administration of first aid to victims of fire, serious injury or the
ingestion of poison. Both types of training must be:
(a) Provided by a licensed health care professional or a representative of a
licensed health care agency or clinic, a community college, a university, the
American National Red Cross, an adult education program in home nursing or an
institution approved by The Nevada Registry or its successor organization; and
(b) Approved by:
(1) The Nevada Registry or its successor organization, or any other agency
designated by the Director of the Department to approve the training; or
(2) If the training is not approved by The Nevada Registry or its successor
organization, and the Director of the Department has not designated another
agency to approve the training, the Division or the local licensing agency.
3.  A certificate or other evidence of compliance issued by a licensed health care
professional, a licensed health care agency or clinic, a community college, a
university, the American National Red Cross, an adult education program in home
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nursing or an approved provider of such training is adequate evidence of
compliance.
ii. All CCDF-eligible licensed family child care homes. Provide the standard: All CCDF-
eligible licensed centers must meet the standards of prevention and control of
infectious disease including: proper sanitation measures for diapering (NAC
432A.411) and disinfection (NAC 432A.414, NAC 432A.415), hand washing (NAC
432A.412), toilet training (NAC 432A.413), immunization requirements must be
met prior to admission to the child care facility (NRS 432A.230 and exceptions as
listed in NRS 432A.235 and NRS 432A.250), bloodborne pathogen prevention and
exposure (NAC 432A.308), and infectious disease outbreak control training.
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;
(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.
2.  Each soiled cloth diaper and any soiled clothing that may be contaminated
with contagious matter must be stored in an individual plastic bag and be
returned to the parents daily. The facility is not required to rinse or dump the
contents of a diaper or the underwear of a child cared for in the facility. Each
diaper used, including, without limitation, a commercial disposable diaper, must
be able to contain urine and stool and minimize contamination. If cloth diapers
are used on children, an absorbent inner liner and a waterproof outer covering
must be provided with the diaper.
3.  The staff of a facility:
(a) Shall discourage children from coming near an area that is used for
changing diapers; and
(b) Shall not leave a child unattended in the diaper changing area.
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 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.
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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.
4.  The disinfecting agent used pursuant to subsection 3 must consist of:
(a) One-fourth of a cup of liquid chlorine bleach added to 1 gallon of water
that is prepared fresh daily and kept in a closed container;
(b) One tablespoon of liquid chlorine bleach added to 1 quart of water that is
prepared fresh daily; or
(c) A solution that is approved by the appropriate state or local agency and is
at least as effective as the solutions described in paragraphs (a) and (b).
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
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.
8.  Any toy that is broken or has a missing part must be repaired or replaced
before the toy may be used in the facility.
9.  Walkers for children that are designed to be moved across the floor must not
be used in a facility.
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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 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.
(b) The children being cared for in 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 handling food;
(3) Before and after eating a meal or snack;
(4) After handling an animal;
(5) After the diaper or underwear of the child is changed;
(6) After playing in water; and
(7) After playing in a sandbox.
(c) The staff of the facility shall ensure that:
(1) Each bathroom has running water, soap and single-use or disposable
towels; and
(2) Any common basin or sink which is filled with standing water is not used
for the washing of hands.
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 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;
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(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.
NAC 432A.308  Completion by caregiver of training for recognition of signs and
symptoms of illness and administration of first aid. (NRS 432A.077)
1.  Whenever a child care facility is in operation, each caregiver on duty must
have completed training for the recognition of signs and symptoms of illness and
the administration of first aid.
2.  The training for the recognition of signs and symptoms of illness must include,
without limitation, the provision of information concerning health and the
observation and evaluation of signs and symptoms of illness and responses to
illness and emergencies and training in the prevention of exposure to bloodborne
pathogens. The training for the administration of first aid must include, without
limitation, the administration of first aid to victims of fire, serious injury or the
ingestion of poison. Both types of training must be:
(a) Provided by a licensed health care professional or a representative of a
licensed health care agency or clinic, a community college, a university, the
American National Red Cross, an adult education program in home nursing or an
institution approved by The Nevada Registry or its successor organization; and
(b) Approved by:
(1) The Nevada Registry or its successor organization, or any other agency
designated by the Director of the Department to approve the training; or
(2) If the training is not approved by The Nevada Registry or its successor
organization, and the Director of the Department has not designated another
agency to approve the training, the Division or the local licensing agency.
3.  A certificate or other evidence of compliance issued by a licensed health care
professional, a licensed health care agency or clinic, a community college, a
university, the American National Red Cross, an adult education program in home
nursing or an approved provider of such training is adequate evidence of
compliance.
iii. All CCDF-eligible licensed in-home care. Provide the standard: The state's CCL
program does not license in-home child care providers. All in-home providers
receiving child care scholarship payments must take 24 hours of health and safety
training prior to providing care or during an orientation period of 90 days. Training
includes: prevention and control of infectious diseases, prevention of Sudden
Infant Death Syndrome and safe sleeping practices, administration of medication
consistent with parental consent standards, prevention and response to
emergencies due to food and allergy reactions, physical premise safety,
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prevention of Shaken Baby Syndrome an abusive head trauma, emergency
preparedness and response planning for natural disasters and human-caused
events such as firearm/physical violence.
[ ] Not applicable.
iv. All CCDF-eligible license-exempt center care. Provide the standard: The state's CCL
program does not license in-home child care providers. All in-home providers
receiving child care scholarship payments must take 24 hours of health and safety
training prior to providing care or during an orientation period of 90 days. Training
includes: prevention and control of infectious diseases, prevention of Sudden
Infant Death Syndrome and safe sleeping practices, administration of medication
consistent with parental consent standards, prevention and response to
emergencies due to food and allergy reactions, physical premise safety,
prevention of Shaken Baby Syndrome an abusive head trauma, emergency
preparedness and response planning for natural disasters and human-caused
events such as firearm/physical violence.
v. All CCDF-eligible license-exempt family child care homes. Provide the standard:
The state's CCL program does not license in-home child care providers. All in-
home providers receiving child care scholarship payments must take 24 hours of
health and safety training prior to providing care or during an orientation period
of 90 days. Training includes: prevention and control of infectious diseases,
prevention of Sudden Infant Death Syndrome and safe sleeping practices,
administration of medication consistent with parental consent standards,
prevention and response to emergencies due to food and allergy reactions,
physical premise safety, prevention of Shaken Baby Syndrome an abusive head
trauma, emergency preparedness and response planning for natural disasters and
human-caused events such as firearm/physical violence.
vi. All CCDF-eligible license-exempt in-home care. Provide the standard: The state's
CCL program does not license in-home child care providers. All in-home providers
receiving child care scholarship payments must take 24 hours of health and safety
training prior to providing care or during an orientation period of 90 days. Training
includes: prevention and control of infectious diseases, prevention of Sudden
Infant Death Syndrome and safe sleeping practices, administration of medication
consistent with parental consent standards, prevention and response to
emergencies due to food and allergy reactions, physical premise safety,
prevention of Shaken Baby Syndrome an abusive head trauma, emergency
preparedness and response planning for natural disasters and human-caused
events such as firearm/physical violence.
vii. All CCDF-eligible out-of-school programs (afterschool programs, summer camps,
day camps, etc.). Provide the standard: The state's CCL program does not license
in-home child care providers. All in-home providers receiving child care
scholarship payments must take 24 hours of health and safety training prior to
providing care or during an orientation period of 90 days. Training includes:
prevention and control of infectious diseases, prevention of Sudden Infant Death
Syndrome and safe sleeping practices, administration of medication consistent
with parental consent standards, prevention and response to emergencies due to
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food and allergy reactions, physical premise safety, prevention of Shaken Baby
Syndrome an abusive head trauma, emergency preparedness and response
planning for natural disasters and human-caused events such as firearm/physical
violence.
b. Provide the standards, appropriate to the provider setting and age of children, that
address that children attending child care programs under CCDF are age-appropriately
immunized, according to the latest recommendation for childhood immunizations of the
respective State public health agency, for the following CCDF-eligible providers:
i. All CCDF-eligible licensed center care. Provide the standard: Certificate of
immunization prerequisite to admission to child care facility; conditional
admission; reporting.
Except as otherwise provided by law and unless excused because of religious
belief or medical condition, a child may not be admitted to any child care facility
within this State unless the parents or guardian of the child submit to the operator
of the facility a certificate stating that the child has been immunized and has
received proper boosters for that immunization or is complying with the
schedules established by regulation pursuant to NRS 439.550 for the following
diseases: (a) Diphtheria; (b) Tetanus; (c) Pertussis if the child is under 6 years of
age; (d) Poliomyelitis; (e) Rubella; (f) Rubeola; and (g) Such other diseases as the
local board of health or the State Board of Health may determine. The
immunization certificate must show that the required vaccines and boosters were
given and must bear the signature of a licensed physician or his or her designee or
a registered nurse or his or her designee, attesting that the certificate accurately
reflects the child’s record of immunization. A child whose parent or guardian has
not established a permanent residence in the county in which a child care facility
is located and whose history of immunization cannot be immediately confirmed
by a physician in this State or a local health officer, may enter the child care
facility conditionally if the parent or guardian: (a) Agrees to submit within 15 days
a certificate from a physician or local health officer that the child has received or is
receiving the required immunizations; and (b) Submits proof that the parent or
guardian has not established a permanent residence in the county in which the
facility is located. If a certificate from the physician or local health officer showing
that the child has received or is receiving the required immunizations is not
submitted to the operator of the child care facility within 15 days after the child
was conditionally admitted, the child must be excluded from the facility. Before
December 31 of each year, each child care facility shall report to the Division of
Public and Behavioral Health, on a form furnished by the Division, the exact
number of children who have: (a) Been admitted conditionally to the child care
facility; and (b) Completed the immunizations required by this section.
ii. All CCDF-eligible licensed family child care homes. Provide the standard:
Certificate of immunization prerequisite to admission to child care facility;
conditional admission; reporting.
Except as otherwise provided by law and unless excused because of religious
belief or medical condition, a child may not be admitted to any child care facility
within this State unless the parents or guardian of the child submit to the operator
of the facility a certificate stating that the child has been immunized and has
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received proper boosters for that immunization or is complying with the
schedules established by regulation pursuant to NRS 439.550 for the following
diseases: (a) Diphtheria; (b) Tetanus; (c) Pertussis if the child is under 6 years of
age; (d) Poliomyelitis; (e) Rubella; (f) Rubeola; and (g) Such other diseases as the
local board of health or the State Board of Health may determine. The
immunization certificate must show that the required vaccines and boosters were
given and must bear the signature of a licensed physician or his or her designee or
a registered nurse or his or her designee, attesting that the certificate accurately
reflects the child’s record of immunization. A child whose parent or guardian has
not established a permanent residence in the county in which a child care facility
is located and whose history of immunization cannot be immediately confirmed
by a physician in this State or a local health officer, may enter the child care
facility conditionally if the parent or guardian: (a) Agrees to submit within 15 days
a certificate from a physician or local health officer that the child has received or is
receiving the required immunizations; and (b) Submits proof that the parent or
guardian has not established a permanent residence in the county in which the
facility is located. If a certificate from the physician or local health officer showing
that the child has received or is receiving the required immunizations is not
submitted to the operator of the child care facility within 15 days after the child
was conditionally admitted, the child must be excluded from the facility. Before
December 31 of each year, each child care facility shall report to the Division of
Public and Behavioral Health, on a form furnished by the Division, the exact
number of children who have: (a) Been admitted conditionally to the child care
facility; and (b) Completed the immunizations required by this section.
iii. All CCDF-eligible licensed in-home care. Provide the standard:
[x] Not applicable.
iv. All CCDF-eligible license-exempt center care. Provide the standard: Immunization
documentation must be provided for each child that care is being provided for
during the annual on-site monitoring.
v. All CCDF-eligible license-exempt family child care homes. Provide the standard:
Immunization documentation must be provided for each child that care is being
provided for during the annual on-site monitoring.
vi. All CCDF-eligible license-exempt in-home care. Provide the standard:
Immunization documentation must be provided for each child that care is being
provided for during the annual on-site monitoring.
vii. All CCDF-eligible out-of-school programs (afterschool programs, summer camps,
day camps, etc.). Provide the standard: Immunization documentation must be
provided for each child that care is being provided for during the annual on-site
monitoring.
5.3.2 Prevention of sudden infant death syndrome and the use of safe-sleep practices health and safety
standard
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Provide the standards, appropriate to the provider setting and age of children, that address the
prevention of sudden infant death syndrome and use of safe sleeping practices for the following
CCDF-eligible providers:
i. All CCDF-eligible licensed center care. Provide the standard: Per NAC 432A.323
providers working with infants under 12 months of age must have at least: (1) 
Two hours of training concerning Sudden Infant Death Syndrome. This
requirement is listed on the on-site inspection checklist and Licensing Surveyors
will observe sleep practices during inspections.
NAC 432A.323  Initial courses of training in child care. (NRS 432A.077, 432A.177)
1.  Except as otherwise provided in NAC 432A.521 and NRS 432A.177, within 90
days after commencing his or her employment or position in a child care facility,
each person who is employed in a child care facility, other than a person
employed in a facility that provides care for ill children, and each director of a
child care facility shall complete:
(a) Any training required by the facility in which the director serves or in which
the person is employed for the purposes of obtaining certification in the
administration of cardiopulmonary resuscitation as required pursuant to NAC
432A.322;
(b) Three or more hours of training in child development or guidance and
discipline specific to the age group served by the facility in which the director
serves or in which the person is employed;
(c) Two or more hours of training in the administration of first aid;
(d) Two or more hours of training in the recognition of signs and symptoms of
illness, which must include, without limitation, training in the prevention of
exposure to bloodborne pathogens;
(e) Two or more hours of training in the recognition and reporting of child
abuse and neglect;
(f) If the person or director works with infants under 12 months of age, at
least:
(1) Two hours of training concerning Sudden Infant Death Syndrome; and
(2) One hour of training in the prevention of shaken baby syndrome and
abusive head trauma;
(g) Two or more hours of training in the administration of medication, which
must include, without limitation, training in the prevention of and response to
food and other allergies;
(h) Two or more hours of training in building and physical premises safety,
which must include, without limitation, training in the storage of biocontaminants
and other hazardous materials;
(i) Two or more hours of training in emergency preparedness and response
planning for emergencies resulting from a natural or man-made event;
(j) If the facility provides transportation, 1 or more hours of training in
precautions to be taken when transporting children for each person who will
provide such transportation; and
(k) Two or more hours of training in lifelong wellness, health and safety of
children, which must include, without limitation, training relating to childhood
obesity, nutrition and moderate or vigorous physical activity.
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2.  Except as otherwise provided in NAC 432A.521, within 12 months after
commencing employment, each person described in subsection 1 shall, in addition
to completing any training required pursuant to subsection 1 and completing any
course in the development of children required pursuant to NAC 432A.306,
complete at least the number of hours of training described in NAC 432A.326. A
person may use training completed pursuant to subsection 1 to satisfy the training
requirements set forth in NAC 432A.326.
3.  Except as otherwise provided in NAC 432A.521, within 12 months after
commencing employment as a member of the staff of a facility, each member of
the staff of a facility shall complete a course in the development of children
required pursuant to NAC 432A.306.
4.  The training concerning the administration of first aid and the recognition of
signs and symptoms of illness that is required to be completed pursuant to
subsection 1 must be provided by one of the persons, agencies or institutions
listed in NAC 432A.308 as qualified to provide such training.
5.  The training required pursuant to subsections 1, 2 and 3 must be designed to:
(a) Ensure the protection of the health and safety of each child enrolled in the
facility; and
(b) Promote the physical, moral and mental well-being of each child enrolled in
the facility.
6.  If the facility is a special needs facility, the training required pursuant to
subsections 1, 2 and 3 must also be designed to provide information on the
characteristics of handicapping conditions and appropriate programs for children
with special needs. The training must be approved by:
(a) The Nevada Registry or its successor organization, or any other agency
designated by the Director of the Department to approve such training; or
(b) If the training has not been approved by The Nevada Registry or its
successor organization, and the Director of the Department has not designated
another agency to approve such courses, the Division or the local licensing agency.
7.  Evidence that an employee has completed the training required pursuant to
subsections 1, 2 and 3 must be included in his or her personnel file and must be
kept at the facility. With regard to training concerning the administration of first
aid and the recognition of signs and symptoms of illness, the evidence listed in
NAC 432A.308 as adequate evidence of compliance is adequate evidence of
compliance for the purposes of this section.
ii. All CCDF-eligible licensed family child care homes. Provide the standard: Per NAC
432A.323 providers working with infants under 12 months of age must have at
least: (1) Two hours of training concerning Sudden Infant Death Syndrome. This
requirement is listed on the on-site inspection checklist and Licensing Surveyors
will observe sleep practices during inspections.
NAC 432A.323  Initial courses of training in child care. (NRS 432A.077, 432A.177)
1.  Except as otherwise provided in NAC 432A.521 and NRS 432A.177, within 90
days after commencing his or her employment or position in a child care facility,
each person who is employed in a child care facility, other than a person
employed in a facility that provides care for ill children, and each director of a
child care facility shall complete:
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(a) Any training required by the facility in which the director serves or in which
the person is employed for the purposes of obtaining certification in the
administration of cardiopulmonary resuscitation as required pursuant to NAC
432A.322;
(b) Three or more hours of training in child development or guidance and
discipline specific to the age group served by the facility in which the director
serves or in which the person is employed;
(c) Two or more hours of training in the administration of first aid;
(d) Two or more hours of training in the recognition of signs and symptoms of
illness, which must include, without limitation, training in the prevention of
exposure to bloodborne pathogens;
(e) Two or more hours of training in the recognition and reporting of child
abuse and neglect;
(f) If the person or director works with infants under 12 months of age, at
least:
(1) Two hours of training concerning Sudden Infant Death Syndrome; and
(2) One hour of training in the prevention of shaken baby syndrome and
abusive head trauma;
(g) Two or more hours of training in the administration of medication, which
must include, without limitation, training in the prevention of and response to
food and other allergies;
(h) Two or more hours of training in building and physical premises safety,
which must include, without limitation, training in the storage of biocontaminants
and other hazardous materials;
(i) Two or more hours of training in emergency preparedness and response
planning for emergencies resulting from a natural or man-made event;
(j) If the facility provides transportation, 1 or more hours of training in
precautions to be taken when transporting children for each person who will
provide such transportation; and
(k) Two or more hours of training in lifelong wellness, health and safety of
children, which must include, without limitation, training relating to childhood
obesity, nutrition and moderate or vigorous physical activity.
2.  Except as otherwise provided in NAC 432A.521, within 12 months after
commencing employment, each person described in subsection 1 shall, in addition
to completing any training required pursuant to subsection 1 and completing any
course in the development of children required pursuant to NAC 432A.306,
complete at least the number of hours of training described in NAC 432A.326. A
person may use training completed pursuant to subsection 1 to satisfy the training
requirements set forth in NAC 432A.326.
3.  Except as otherwise provided in NAC 432A.521, within 12 months after
commencing employment as a member of the staff of a facility, each member of
the staff of a facility shall complete a course in the development of children
required pursuant to NAC 432A.306.
4.  The training concerning the administration of first aid and the recognition of
signs and symptoms of illness that is required to be completed pursuant to
subsection 1 must be provided by one of the persons, agencies or institutions
listed in NAC 432A.308 as qualified to provide such training.
5.  The training required pursuant to subsections 1, 2 and 3 must be designed to:
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(a) Ensure the protection of the health and safety of each child enrolled in the
facility; and
(b) Promote the physical, moral and mental well-being of each child enrolled in
the facility.
6.  If the facility is a special needs facility, the training required pursuant to
subsections 1, 2 and 3 must also be designed to provide information on the
characteristics of handicapping conditions and appropriate programs for children
with special needs. The training must be approved by:
(a) The Nevada Registry or its successor organization, or any other agency
designated by the Director of the Department to approve such training; or
(b) If the training has not been approved by The Nevada Registry or its
successor organization, and the Director of the Department has not designated
another agency to approve such courses, the Division or the local licensing agency.
7.  Evidence that an employee has completed the training required pursuant to
subsections 1, 2 and 3 must be included in his or her personnel file and must be
kept at the facility. With regard to training concerning the administration of first
aid and the recognition of signs and symptoms of illness, the evidence listed in
NAC 432A.308 as adequate evidence of compliance is adequate evidence of
compliance for the purposes of this section.
iii. All CCDF-eligible licensed in-home care. Provide the standard:
[x] Not applicable.
iv. All CCDF-eligible license-exempt center care. Provide the standard: All license-
exempt providers must take 24 hours of health and safety training prior to
providing care or during an orientation period of 90 days, and annually thereafter.
Mandatory training includes prevention of Sudden Infant Death Syndrome (SIDS)
and safe sleeping practices. The Annual Health and Safety Checklist completed
during the annual home visit for license-exempt providers evaluates for SIDS risk
reduction and safe sleep practices.
v. All CCDF-eligible license-exempt family child care homes. Provide the standard: All
license-exempt providers must take 24 hours of health and safety training prior to
providing care or during an orientation period of 90 days, and annually thereafter.
Mandatory training includes prevention of Sudden Infant Death Syndrome (SIDS)
and safe sleeping practices. The Annual Health and Safety Checklist completed
during the annual home visit for license-exempt providers evaluates for SIDS risk
reduction and safe sleep practices.
vi. All CCDF-eligible license-exempt in-home care. Provide the standard: All license-
exempt providers must take 24 hours of health and safety training prior to
providing care or during an orientation period of 90 days, and annually thereafter.
Mandatory training includes prevention of Sudden Infant Death Syndrome (SIDS)
and safe sleeping practices. The Annual Health and Safety Checklist completed
during the annual home visit for license-exempt providers evaluates for SIDS risk
reduction and safe sleep practices.
vii. All CCDF-eligible out-of-school programs (afterschool programs, summer camps,
day camps, etc.). Provide the standard: All license-exempt providers must take 24
hours of health and safety training prior to providing care or during an orientation
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period of 90 days, and annually thereafter. Mandatory training includes
prevention of Sudden Infant Death Syndrome (SIDS) and safe sleeping practices.
The Annual Health and Safety Checklist completed during the annual home visit
for license-exempt providers evaluates for SIDS risk reduction and safe sleep
practices.
5.3.3 Administration of medication, consistent with standards for parental consent health and safety
standard
a. Provide the standards, appropriate to the provider setting and age of children, that
address the administration of medication for the following CCDF-eligible providers:
i. All CCDF-eligible licensed center care. Provide the standard: Per NAC 432A.323
providers are required to train in the administration of medication. Further, this
standard is listed on the on-site inspection checklist where this practice is
observed for appropriate implementation during site inspections.
NAC 432A.323  Initial courses of training in child care. (NRS 432A.077, 432A.177)
1.  Except as otherwise provided in NAC 432A.521 and NRS 432A.177, within 90
days after commencing his or her employment or position in a child care facility,
each person who is employed in a child care facility, other than a person
employed in a facility that provides care for ill children, and each director of a
child care facility shall complete:
(a) Any training required by the facility in which the director serves or in which
the person is employed for the purposes of obtaining certification in the
administration of cardiopulmonary resuscitation as required pursuant to NAC
432A.322;
(b) Three or more hours of training in child development or guidance and
discipline specific to the age group served by the facility in which the director
serves or in which the person is employed;
(c) Two or more hours of training in the administration of first aid;
(d) Two or more hours of training in the recognition of signs and symptoms of
illness, which must include, without limitation, training in the prevention of
exposure to bloodborne pathogens;
(e) Two or more hours of training in the recognition and reporting of child
abuse and neglect;
(f) If the person or director works with infants under 12 months of age, at
least:
(1) Two hours of training concerning Sudden Infant Death Syndrome; and
(2) One hour of training in the prevention of shaken baby syndrome and
abusive head trauma;
(g) Two or more hours of training in the administration of medication, which
must include, without limitation, training in the prevention of and response to
food and other allergies;
(h) Two or more hours of training in building and physical premises safety,
which must include, without limitation, training in the storage of biocontaminants
and other hazardous materials;
(i) Two or more hours of training in emergency preparedness and response
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planning for emergencies resulting from a natural or man-made event;
(j) If the facility provides transportation, 1 or more hours of training in
precautions to be taken when transporting children for each person who will
provide such transportation; and
(k) Two or more hours of training in lifelong wellness, health and safety of
children, which must include, without limitation, training relating to childhood
obesity, nutrition and moderate or vigorous physical activity.
2.  Except as otherwise provided in NAC 432A.521, within 12 months after
commencing employment, each person described in subsection 1 shall, in addition
to completing any training required pursuant to subsection 1 and completing any
course in the development of children required pursuant to NAC 432A.306,
complete at least the number of hours of training described in NAC 432A.326. A
person may use training completed pursuant to subsection 1 to satisfy the training
requirements set forth in NAC 432A.326.
3.  Except as otherwise provided in NAC 432A.521, within 12 months after
commencing employment as a member of the staff of a facility, each member of
the staff of a facility shall complete a course in the development of children
required pursuant to NAC 432A.306.
4.  The training concerning the administration of first aid and the recognition of
signs and symptoms of illness that is required to be completed pursuant to
subsection 1 must be provided by one of the persons, agencies or institutions
listed in NAC 432A.308 as qualified to provide such training.
5.  The training required pursuant to subsections 1, 2 and 3 must be designed to:
(a) Ensure the protection of the health and safety of each child enrolled in the
facility; and
(b) Promote the physical, moral and mental well-being of each child enrolled in
the facility.
6.  If the facility is a special needs facility, the training required pursuant to
subsections 1, 2 and 3 must also be designed to provide information on the
characteristics of handicapping conditions and appropriate programs for children
with special needs. The training must be approved by:
(a) The Nevada Registry or its successor organization, or any other agency
designated by the Director of the Department to approve such training; or
(b) If the training has not been approved by The Nevada Registry or its
successor organization, and the Director of the Department has not designated
another agency to approve such courses, the Division or the local licensing agency.
7.  Evidence that an employee has completed the training required pursuant to
subsections 1, 2 and 3 must be included in his or her personnel file and must be
kept at the facility. With regard to training concerning the administration of first
aid and the recognition of signs and symptoms of illness, the evidence listed in
NAC 432A.308 as adequate evidence of compliance is adequate evidence of
compliance for the purposes of this section.
ii. All CCDF-eligible licensed family child care homes. Provide the standard: Per NAC
432A.323 providers are required to train in the administration of medication.
Further, this standard is listed on the on-site inspection checklist where this
practice is observed for appropriate implementation during site inspections.
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NAC 432A.323  Initial courses of training in child care. (NRS 432A.077, 432A.177)
1.  Except as otherwise provided in NAC 432A.521 and NRS 432A.177, within 90
days after commencing his or her employment or position in a child care facility,
each person who is employed in a child care facility, other than a person
employed in a facility that provides care for ill children, and each director of a
child care facility shall complete:
(a) Any training required by the facility in which the director serves or in which
the person is employed for the purposes of obtaining certification in the
administration of cardiopulmonary resuscitation as required pursuant to NAC
432A.322;
(b) Three or more hours of training in child development or guidance and
discipline specific to the age group served by the facility in which the director
serves or in which the person is employed;
(c) Two or more hours of training in the administration of first aid;
(d) Two or more hours of training in the recognition of signs and symptoms of
illness, which must include, without limitation, training in the prevention of
exposure to bloodborne pathogens;
(e) Two or more hours of training in the recognition and reporting of child
abuse and neglect;
(f) If the person or director works with infants under 12 months of age, at
least:
(1) Two hours of training concerning Sudden Infant Death Syndrome; and
(2) One hour of training in the prevention of shaken baby syndrome and
abusive head trauma;
(g) Two or more hours of training in the administration of medication, which
must include, without limitation, training in the prevention of and response to
food and other allergies;
(h) Two or more hours of training in building and physical premises safety,
which must include, without limitation, training in the storage of biocontaminants
and other hazardous materials;
(i) Two or more hours of training in emergency preparedness and response
planning for emergencies resulting from a natural or man-made event;
(j) If the facility provides transportation, 1 or more hours of training in
precautions to be taken when transporting children for each person who will
provide such transportation; and
(k) Two or more hours of training in lifelong wellness, health and safety of
children, which must include, without limitation, training relating to childhood
obesity, nutrition and moderate or vigorous physical activity.
2.  Except as otherwise provided in NAC 432A.521, within 12 months after
commencing employment, each person described in subsection 1 shall, in addition
to completing any training required pursuant to subsection 1 and completing any
course in the development of children required pursuant to NAC 432A.306,
complete at least the number of hours of training described in NAC 432A.326. A
person may use training completed pursuant to subsection 1 to satisfy the training
requirements set forth in NAC 432A.326.
3.  Except as otherwise provided in NAC 432A.521, within 12 months after
commencing employment as a member of the staff of a facility, each member of
the staff of a facility shall complete a course in the development of children
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required pursuant to NAC 432A.306.
4.  The training concerning the administration of first aid and the recognition of
signs and symptoms of illness that is required to be completed pursuant to
subsection 1 must be provided by one of the persons, agencies or institutions
listed in NAC 432A.308 as qualified to provide such training.
5.  The training required pursuant to subsections 1, 2 and 3 must be designed to:
(a) Ensure the protection of the health and safety of each child enrolled in the
facility; and
(b) Promote the physical, moral and mental well-being of each child enrolled in
the facility.
6.  If the facility is a special needs facility, the training required pursuant to
subsections 1, 2 and 3 must also be designed to provide information on the
characteristics of handicapping conditions and appropriate programs for children
with special needs. The training must be approved by:
(a) The Nevada Registry or its successor organization, or any other agency
designated by the Director of the Department to approve such training; or
(b) If the training has not been approved by The Nevada Registry or its
successor organization, and the Director of the Department has not designated
another agency to approve such courses, the Division or the local licensing agency.
7.  Evidence that an employee has completed the training required pursuant to
subsections 1, 2 and 3 must be included in his or her personnel file and must be
kept at the facility. With regard to training concerning the administration of first
aid and the recognition of signs and symptoms of illness, the evidence listed in
NAC 432A.308 as adequate evidence of compliance is adequate evidence of
compliance for the purposes of this section.
iii. All CCDF-eligible licensed in-home care. Provide the standard:
[x] Not applicable.
iv. All CCDF-eligible license-exempt center care. Provide the standard: All license-
exempt, CCDF-eligible providers must take 24 hours of health and safety training
prior to providing care or during an orientation period of 90 days, and annually
thereafter. Mandatory training includes medication and training for
administration consistent with parental consent and proper storage of
medications. The Annual Health and Safety Checklist completed during the annual
monitor for license-exempt providers evaluates for compliance with medication
and administration standards.
v. All CCDF-eligible license-exempt family child care homes. Provide the standard: All
license-exempt, CCDF-eligible providers must take 24 hours of health and safety
training prior to providing care or during an orientation period of 90 days, and
annually thereafter. Mandatory training includes medication and training for
administration consistent with parental consent and proper storage of
medications. The Annual Health and Safety Checklist completed during the annual
monitor for license-exempt providers evaluates for compliance with medication
and administration standards.
vi. All CCDF-eligible license-exempt in-home care. Provide the standard: All license-
exempt, CCDF-eligible providers must take 24 hours of health and safety training
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prior to providing care or during an orientation period of 90 days, and annually
thereafter. Mandatory training includes medication and training for
administration consistent with parental consent and proper storage of
medications. The Annual Health and Safety Checklist completed during the annual
monitor for license-exempt providers evaluates for compliance with medication
and administration standards.
vii. All CCDF-eligible out-of-school programs (afterschool programs, summer camps,
day camps, etc.). Provide the standard: All license-exempt, CCDF-eligible providers
must take 24 hours of health and safety training prior to providing care or during
an orientation period of 90 days, and annually thereafter. Mandatory training
includes medication and training for administration consistent with parental
consent and proper storage of medications. The Annual Health and Safety
Checklist completed during the annual monitor for license-exempt providers
evaluates for compliance with medication and administration standards.
b. Provide the standards, appropriate to the provider setting and age of children, that
address obtaining permission from parents to administer medications to children for the
following CCDF-eligible providers:
i. All CCDF-eligible licensed center care. Provide the standard: All CCDF-eligible
providers are required to complete mandatory training for the administration of
medication consistent with standards for obtaining parental consent prior to
providing care or during an orientation period of 90 days. Per NAC 432A.376: 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. 2. Medications for external use must be kept in
a separate section of the locked cabinet. Medications stored in a refrigerator must
be made inaccessible to children. Nonprescription medications must be kept in a
container with a child-proof lid. 3. Except in an emergency, only one person
designated by the licensee of a facility may administer medications to children. A
person designated by the licensee of a facility pursuant to this subsection must be
trained in the administration of medication by a health care professional or the
parent of a child cared for in the facility and authorized to administer the
medication pursuant to NRS 453.375 or 454.213. 4. The licensee of a facility shall
maintain a written record containing: (a) The name of each medication
administered; (b) The name of the child to whom it was administered; and (c) 
The date and time on which it was administered on a weekly basis. The record
must be kept in the child’s file. 5. A prescribed medication must, upon
discontinuance of use, be promptly destroyed or returned to the child’s parent.
ii. All CCDF-eligible licensed family child care homes. Provide the standard: All CCDF-
eligible providers are required to complete mandatory training for the
administration of medication consistent with standards for obtaining parental
consent prior to providing care or during an orientation period of 90 days. Per
NAC 432A.376: 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. 2. Medications for external
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use must be kept in a separate section of the locked cabinet. Medications stored
in a refrigerator must be made inaccessible to children. Nonprescription
medications must be kept in a container with a child-proof lid. 3. Except in an
emergency, only one person designated by the licensee of a facility may
administer medications to children. A person designated by the licensee of a
facility pursuant to this subsection must be trained in the administration of
medication by a health care professional or the parent of a child cared for in the
facility and authorized to administer the medication pursuant to NRS 453.375 or
454.213. 4. The licensee of a facility shall maintain a written record containing: (a) 
The name of each medication administered; (b) The name of the child to whom it
was administered; and (c) The date and time on which it was administered on a
weekly basis. The record must be kept in the child’s file. 5. A prescribed
medication must, upon discontinuance of use, be promptly destroyed or returned
to the child’s parent.
iii. All CCDF-eligible licensed in-home care. Provide the standard:
[x]Not applicable.
iv. All CCDF-eligible license-exempt center care. Provide the standard: All CCDF-
eligible providers are required to complete mandatory training for the
administration of medication consistent with standards for obtaining parental
consent prior to providing care or during an orientation period of 90 days, and
annually thereafter. The Annual Health and Safety Checklist completed during the
annual monitor for license-exempt providers evaluates compliance with
medication administration training.
v. All CCDF-eligible license-exempt family child care homes. Provide the standard: All
CCDF-eligible providers are required to complete mandatory training for the
administration of medication consistent with standards for obtaining parental
consent prior to providing care or during an orientation period of 90 days, and
annually thereafter. The Annual Health and Safety Checklist completed during the
annual monitor for license-exempt providers evaluates compliance with
medication administration training.
vi. All CCDF-eligible license-exempt in-home care. Provide the standard: All CCDF-
eligible providers are required to complete mandatory training for the
administration of medication consistent with standards for obtaining parental
consent prior to providing care or during an orientation period of 90 days, and
annually thereafter. The Annual Health and Safety Checklist completed during the
annual monitor for license-exempt providers evaluates compliance with
medication administration training.
vii. All CCDF-eligible out-of-school programs (afterschool programs, summer camps,
day camps, etc.). Provide the standard: All CCDF-eligible providers are required to
complete mandatory training for the administration of medication consistent with
standards for obtaining parental consent prior to providing care or during an orientation
period of 90 days, and annually thereafter. The Annual Health and Safety Checklist
completed during the annual monitor for license-exempt providers evaluates compliance
with medication administration training.
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5.3.4 Prevention of and response to emergencies due to food and allergic reactions health and safety
standard
a. Provide the standards, appropriate to the provider setting and age of children, that
address the
prevention
of emergencies due to food and allergic reactions for the following
CCDF-eligible providers:
i. All CCDF-eligible licensed center care. Provide the standard: Per NAC 432A.323,
licensed providers are required to be trained in the prevention of and response to
emergencies due to food and allergic reactions. This requirement is written out on
the on-site inspection checklist and licensing surveyors review how this standard
is maintained and implemented during inspections.
NAC 432A.323  Initial courses of training in child care. (NRS 432A.077, 432A.177)
1.  Except as otherwise provided in NAC 432A.521 and NRS 432A.177, within 90
days after commencing his or her employment or position in a child care facility,
each person who is employed in a child care facility, other than a person
employed in a facility that provides care for ill children, and each director of a
child care facility shall complete:
(a) Any training required by the facility in which the director serves or in which
the person is employed for the purposes of obtaining certification in the
administration of cardiopulmonary resuscitation as required pursuant to NAC
432A.322;
(b) Three or more hours of training in child development or guidance and
discipline specific to the age group served by the facility in which the director
serves or in which the person is employed;
(c) Two or more hours of training in the administration of first aid;
(d) Two or more hours of training in the recognition of signs and symptoms of
illness, which must include, without limitation, training in the prevention of
exposure to bloodborne pathogens;
(e) Two or more hours of training in the recognition and reporting of child
abuse and neglect;
(f) If the person or director works with infants under 12 months of age, at
least:
(1) Two hours of training concerning Sudden Infant Death Syndrome; and
(2) One hour of training in the prevention of shaken baby syndrome and
abusive head trauma;
(g) Two or more hours of training in the administration of medication, which
must include, without limitation, training in the prevention of and response to
food and other allergies;
(h) Two or more hours of training in building and physical premises safety,
which must include, without limitation, training in the storage of biocontaminants
and other hazardous materials;
(i) Two or more hours of training in emergency preparedness and response
planning for emergencies resulting from a natural or man-made event;
(j) If the facility provides transportation, 1 or more hours of training in
precautions to be taken when transporting children for each person who will
provide such transportation; and
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(k) Two or more hours of training in lifelong wellness, health and safety of
children, which must include, without limitation, training relating to childhood
obesity, nutrition and moderate or vigorous physical activity.
2.  Except as otherwise provided in NAC 432A.521, within 12 months after
commencing employment, each person described in subsection 1 shall, in addition
to completing any training required pursuant to subsection 1 and completing any
course in the development of children required pursuant to NAC 432A.306,
complete at least the number of hours of training described in NAC 432A.326. A
person may use training completed pursuant to subsection 1 to satisfy the training
requirements set forth in NAC 432A.326.
3.  Except as otherwise provided in NAC 432A.521, within 12 months after
commencing employment as a member of the staff of a facility, each member of
the staff of a facility shall complete a course in the development of children
required pursuant to NAC 432A.306.
4.  The training concerning the administration of first aid and the recognition of
signs and symptoms of illness that is required to be completed pursuant to
subsection 1 must be provided by one of the persons, agencies or institutions
listed in NAC 432A.308 as qualified to provide such training.
5.  The training required pursuant to subsections 1, 2 and 3 must be designed to:
(a) Ensure the protection of the health and safety of each child enrolled in the
facility; and
(b) Promote the physical, moral and mental well-being of each child enrolled in
the facility.
6.  If the facility is a special needs facility, the training required pursuant to
subsections 1, 2 and 3 must also be designed to provide information on the
characteristics of handicapping conditions and appropriate programs for children
with special needs. The training must be approved by:
(a) The Nevada Registry or its successor organization, or any other agency
designated by the Director of the Department to approve such training; or
(b) If the training has not been approved by The Nevada Registry or its
successor organization, and the Director of the Department has not designated
another agency to approve such courses, the Division or the local licensing agency.
7.  Evidence that an employee has completed the training required pursuant to
subsections 1, 2 and 3 must be included in his or her personnel file and must be
kept at the facility. With regard to training concerning the administration of first
aid and the recognition of signs and symptoms of illness, the evidence listed in
NAC 432A.308 as adequate evidence of compliance is adequate evidence of
compliance for the purposes of this section.
ii. All CCDF-eligible licensed family child care homes. Provide the standard: Per NAC
432A.323, licensed providers are required to be trained in the prevention of and
response to emergencies due to food and allergic reactions. This requirement is
written out on the on-site inspection checklist and licensing surveyors review how
this standard is maintained and implemented during inspections.
NAC 432A.323  Initial courses of training in child care. (NRS 432A.077, 432A.177)
1.  Except as otherwise provided in NAC 432A.521 and NRS 432A.177, within 90
days after commencing his or her employment or position in a child care facility,
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each person who is employed in a child care facility, other than a person
employed in a facility that provides care for ill children, and each director of a
child care facility shall complete:
(a) Any training required by the facility in which the director serves or in which
the person is employed for the purposes of obtaining certification in the
administration of cardiopulmonary resuscitation as required pursuant to NAC
432A.322;
(b) Three or more hours of training in child development or guidance and
discipline specific to the age group served by the facility in which the director
serves or in which the person is employed;
(c) Two or more hours of training in the administration of first aid;
(d) Two or more hours of training in the recognition of signs and symptoms of
illness, which must include, without limitation, training in the prevention of
exposure to bloodborne pathogens;
(e) Two or more hours of training in the recognition and reporting of child
abuse and neglect;
(f) If the person or director works with infants under 12 months of age, at
least:
(1) Two hours of training concerning Sudden Infant Death Syndrome; and
(2) One hour of training in the prevention of shaken baby syndrome and
abusive head trauma;
(g) Two or more hours of training in the administration of medication, which
must include, without limitation, training in the prevention of and response to
food and other allergies;
(h) Two or more hours of training in building and physical premises safety,
which must include, without limitation, training in the storage of biocontaminants
and other hazardous materials;
(i) Two or more hours of training in emergency preparedness and response
planning for emergencies resulting from a natural or man-made event;
(j) If the facility provides transportation, 1 or more hours of training in
precautions to be taken when transporting children for each person who will
provide such transportation; and
(k) Two or more hours of training in lifelong wellness, health and safety of
children, which must include, without limitation, training relating to childhood
obesity, nutrition and moderate or vigorous physical activity.
2.  Except as otherwise provided in NAC 432A.521, within 12 months after
commencing employment, each person described in subsection 1 shall, in addition
to completing any training required pursuant to subsection 1 and completing any
course in the development of children required pursuant to NAC 432A.306,
complete at least the number of hours of training described in NAC 432A.326. A
person may use training completed pursuant to subsection 1 to satisfy the training
requirements set forth in NAC 432A.326.
3.  Except as otherwise provided in NAC 432A.521, within 12 months after
commencing employment as a member of the staff of a facility, each member of
the staff of a facility shall complete a course in the development of children
required pursuant to NAC 432A.306.
4.  The training concerning the administration of first aid and the recognition of
signs and symptoms of illness that is required to be completed pursuant to
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subsection 1 must be provided by one of the persons, agencies or institutions
listed in NAC 432A.308 as qualified to provide such training.
5.  The training required pursuant to subsections 1, 2 and 3 must be designed to:
(a) Ensure the protection of the health and safety of each child enrolled in the
facility; and
(b) Promote the physical, moral and mental well-being of each child enrolled in
the facility.
6.  If the facility is a special needs facility, the training required pursuant to
subsections 1, 2 and 3 must also be designed to provide information on the
characteristics of handicapping conditions and appropriate programs for children
with special needs. The training must be approved by:
(a) The Nevada Registry or its successor organization, or any other agency
designated by the Director of the Department to approve such training; or
(b) If the training has not been approved by The Nevada Registry or its
successor organization, and the Director of the Department has not designated
another agency to approve such courses, the Division or the local licensing agency.
7.  Evidence that an employee has completed the training required pursuant to
subsections 1, 2 and 3 must be included in his or her personnel file and must be
kept at the facility. With regard to training concerning the administration of first
aid and the recognition of signs and symptoms of illness, the evidence listed in
NAC 432A.308 as adequate evidence of compliance is adequate evidence of
compliance for the purposes of this section.
iii. All CCDF-eligible licensed in-home care. Provide the standard:
[x] Not applicable.
iv. All CCDF-eligible license-exempt center care. Provide the standard: All CCDF-
eligible providers are required to complete mandatory training which includes the
prevention of and response to emergencies due to food and allergic reactions
prior to providing care or during an orientation period of 90 days and annually
thereafter. The Annual Health and Safety Checklist completed during the annual
monitor for license-exempt providers evaluates compliance with prevention of
and response to emergencies due to food and allergic reactions training.
v. All CCDF-eligible license-exempt family child care homes. Provide the standard: All
CCDF-eligible providers are required to complete mandatory training which
includes the prevention of and response to emergencies due to food and allergic
reactions prior to providing care or during an orientation period of 90 days and
annually thereafter. The Annual Health and Safety Checklist completed during the
annual monitor for license-exempt providers evaluates compliance with
prevention of and response to emergencies due to food and allergic reactions
training.
vi. All CCDF-eligible license-exempt in-home care. Provide the standard: All CCDF-
eligible providers are required to complete mandatory training which includes the
prevention of and response to emergencies due to food and allergic reactions
prior to providing care or during an orientation period of 90 days and annually
thereafter. The Annual Health and Safety Checklist completed during the annual
monitor for license-exempt providers evaluates compliance with prevention of
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and response to emergencies due to food and allergic reactions training.
vii. All CCDF-eligible out-of-school programs (afterschool programs, summer camps,
day camps, etc.). Provide the standard: All CCDF-eligible providers are required to
complete mandatory training which includes the prevention of and response to
emergencies due to food and allergic reactions prior to providing care or during an
orientation period of 90 days and annually thereafter. The Annual Health and
Safety Checklist completed during the annual monitor for license-exempt
providers evaluates compliance with prevention of and response to emergencies
due to food and allergic reactions training.
b. Provide the standards, appropriate to the provider setting and age of children, that
address the
response
to emergencies due to food and allergic reactions for the following
CCDF-eligible providers:
i. All CCDF-eligible licensed center care. Provide the standard: Per NAC 432A.323
providers are required to be trained in the prevention of and response to
emergencies due to food and allergic reactions. This requirement is written out on
the on-site inspection form that a licensing surveyor uses to monitor how this
standard is maintained and implemented. Further, how a licensed facility
responds to emergencies is required to be written out in their parent handbook.
NAC 432A.323  Initial courses of training in child care. (NRS 432A.077, 432A.177)
1.  Except as otherwise provided in NAC 432A.521 and NRS 432A.177, within 90
days after commencing his or her employment or position in a child care facility,
each person who is employed in a child care facility, other than a person
employed in a facility that provides care for ill children, and each director of a
child care facility shall complete:
(a) Any training required by the facility in which the director serves or in which
the person is employed for the purposes of obtaining certification in the
administration of cardiopulmonary resuscitation as required pursuant to NAC
432A.322;
(b) Three or more hours of training in child development or guidance and
discipline specific to the age group served by the facility in which the director
serves or in which the person is employed;
(c) Two or more hours of training in the administration of first aid;
(d) Two or more hours of training in the recognition of signs and symptoms of
illness, which must include, without limitation, training in the prevention of
exposure to bloodborne pathogens;
(e) Two or more hours of training in the recognition and reporting of child
abuse and neglect;
(f) If the person or director works with infants under 12 months of age, at
least:
(1) Two hours of training concerning Sudden Infant Death Syndrome; and
(2) One hour of training in the prevention of shaken baby syndrome and
abusive head trauma;
(g) Two or more hours of training in the administration of medication, which
must include, without limitation, training in the prevention of and response to
food and other allergies;
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(h) Two or more hours of training in building and physical premises safety,
which must include, without limitation, training in the storage of biocontaminants
and other hazardous materials;
(i) Two or more hours of training in emergency preparedness and response
planning for emergencies resulting from a natural or man-made event;
(j) If the facility provides transportation, 1 or more hours of training in
precautions to be taken when transporting children for each person who will
provide such transportation; and
(k) Two or more hours of training in lifelong wellness, health and safety of
children, which must include, without limitation, training relating to childhood
obesity, nutrition and moderate or vigorous physical activity.
2.  Except as otherwise provided in NAC 432A.521, within 12 months after
commencing employment, each person described in subsection 1 shall, in addition
to completing any training required pursuant to subsection 1 and completing any
course in the development of children required pursuant to NAC 432A.306,
complete at least the number of hours of training described in NAC 432A.326. A
person may use training completed pursuant to subsection 1 to satisfy the training
requirements set forth in NAC 432A.326.
3.  Except as otherwise provided in NAC 432A.521, within 12 months after
commencing employment as a member of the staff of a facility, each member of
the staff of a facility shall complete a course in the development of children
required pursuant to NAC 432A.306.
4.  The training concerning the administration of first aid and the recognition of
signs and symptoms of illness that is required to be completed pursuant to
subsection 1 must be provided by one of the persons, agencies or institutions
listed in NAC 432A.308 as qualified to provide such training.
5.  The training required pursuant to subsections 1, 2 and 3 must be designed to:
(a) Ensure the protection of the health and safety of each child enrolled in the
facility; and
(b) Promote the physical, moral and mental well-being of each child enrolled in
the facility.
6.  If the facility is a special needs facility, the training required pursuant to
subsections 1, 2 and 3 must also be designed to provide information on the
characteristics of handicapping conditions and appropriate programs for children
with special needs. The training must be approved by:
(a) The Nevada Registry or its successor organization, or any other agency
designated by the Director of the Department to approve such training; or
(b) If the training has not been approved by The Nevada Registry or its
successor organization, and the Director of the Department has not designated
another agency to approve such courses, the Division or the local licensing agency.
7.  Evidence that an employee has completed the training required pursuant to
subsections 1, 2 and 3 must be included in his or her personnel file and must be
kept at the facility. With regard to training concerning the administration of first
aid and the recognition of signs and symptoms of illness, the evidence listed in
NAC 432A.308 as adequate evidence of compliance is adequate evidence of
compliance for the purposes of this section.
ii. All CCDF-eligible licensed family child care homes. Provide the standard: Per NAC
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432A.323 providers are required to be trained in the prevention of and response
to emergencies due to food and allergic reactions. This requirement is written out
on the on-site inspection form that a licensing surveyor uses to monitor how this
standard is maintained and implemented. Further, how a licensed facility
responds to emergencies is required to be written out in their parent handbook.
NAC 432A.323  Initial courses of training in child care. (NRS 432A.077, 432A.177)
1.  Except as otherwise provided in NAC 432A.521 and NRS 432A.177, within 90
days after commencing his or her employment or position in a child care facility,
each person who is employed in a child care facility, other than a person
employed in a facility that provides care for ill children, and each director of a
child care facility shall complete:
(a) Any training required by the facility in which the director serves or in which
the person is employed for the purposes of obtaining certification in the
administration of cardiopulmonary resuscitation as required pursuant to NAC
432A.322;
(b) Three or more hours of training in child development or guidance and
discipline specific to the age group served by the facility in which the director
serves or in which the person is employed;
(c) Two or more hours of training in the administration of first aid;
(d) Two or more hours of training in the recognition of signs and symptoms of
illness, which must include, without limitation, training in the prevention of
exposure to bloodborne pathogens;
(e) Two or more hours of training in the recognition and reporting of child
abuse and neglect;
(f) If the person or director works with infants under 12 months of age, at
least:
(1) Two hours of training concerning Sudden Infant Death Syndrome; and
(2) One hour of training in the prevention of shaken baby syndrome and
abusive head trauma;
(g) Two or more hours of training in the administration of medication, which
must include, without limitation, training in the prevention of and response to
food and other allergies;
(h) Two or more hours of training in building and physical premises safety,
which must include, without limitation, training in the storage of biocontaminants
and other hazardous materials;
(i) Two or more hours of training in emergency preparedness and response
planning for emergencies resulting from a natural or man-made event;
(j) If the facility provides transportation, 1 or more hours of training in
precautions to be taken when transporting children for each person who will
provide such transportation; and
(k) Two or more hours of training in lifelong wellness, health and safety of
children, which must include, without limitation, training relating to childhood
obesity, nutrition and moderate or vigorous physical activity.
2.  Except as otherwise provided in NAC 432A.521, within 12 months after
commencing employment, each person described in subsection 1 shall, in addition
to completing any training required pursuant to subsection 1 and completing any
course in the development of children required pursuant to NAC 432A.306,
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complete at least the number of hours of training described in NAC 432A.326. A
person may use training completed pursuant to subsection 1 to satisfy the training
requirements set forth in NAC 432A.326.
3.  Except as otherwise provided in NAC 432A.521, within 12 months after
commencing employment as a member of the staff of a facility, each member of
the staff of a facility shall complete a course in the development of children
required pursuant to NAC 432A.306.
4.  The training concerning the administration of first aid and the recognition of
signs and symptoms of illness that is required to be completed pursuant to
subsection 1 must be provided by one of the persons, agencies or institutions
listed in NAC 432A.308 as qualified to provide such training.
5.  The training required pursuant to subsections 1, 2 and 3 must be designed to:
(a) Ensure the protection of the health and safety of each child enrolled in the
facility; and
(b) Promote the physical, moral and mental well-being of each child enrolled in
the facility.
6.  If the facility is a special needs facility, the training required pursuant to
subsections 1, 2 and 3 must also be designed to provide information on the
characteristics of handicapping conditions and appropriate programs for children
with special needs. The training must be approved by:
(a) The Nevada Registry or its successor organization, or any other agency
designated by the Director of the Department to approve such training; or
(b) If the training has not been approved by The Nevada Registry or its
successor organization, and the Director of the Department has not designated
another agency to approve such courses, the Division or the local licensing agency.
7.  Evidence that an employee has completed the training required pursuant to
subsections 1, 2 and 3 must be included in his or her personnel file and must be
kept at the facility. With regard to training concerning the administration of first
aid and the recognition of signs and symptoms of illness, the evidence listed in
NAC 432A.308 as adequate evidence of compliance is adequate evidence of
compliance for the purposes of this section.
iii. All CCDF-eligible licensed in-home care. Provide the standard::
[x] Not applicable.
iv. All CCDF-eligible license-exempt center care. Provide the standard: All CCDF-
eligible providers are required to complete mandatory training which includes the
prevention of and response to emergencies due to food and allergic reactions
prior to providing care or during an orientation period of 90 days, and annually
thereafter. The Annual Health and Safety Checklist completed during the annual
monitor for license-exempt providers evaluates compliance with prevention of
and response to emergencies due to food and allergic reactions.
v. All CCDF-eligible license-exempt family child care homes. Provide the standard: All
CCDF-eligible providers are required to complete mandatory training which
includes the prevention of and response to emergencies due to food and allergic
reactions prior to providing care or during an orientation period of 90 days, and
annually thereafter. The Annual Health and Safety Checklist completed during the
annual monitor for license-exempt providers evaluates compliance with
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prevention of and response to emergencies due to food and allergic reactions.
vi. All CCDF-eligible license-exempt in-home care. Provide the standard: All CCDF-
eligible providers are required to complete mandatory training which includes the
prevention of and response to emergencies due to food and allergic reactions
prior to providing care or during an orientation period of 90 days, and annually
thereafter. The Annual Health and Safety Checklist completed during the annual
monitor for license-exempt providers evaluates compliance with prevention of
and response to emergencies due to food and allergic reactions.
vii. All CCDF-eligible out-of-school programs (afterschool programs, summer camps,
day camps, etc.). Provide the standard: All CCDF-eligible providers are required to
complete mandatory training which includes the prevention of and response to
emergencies due to food and allergic reactions prior to providing care or during an
orientation period of 90 days, and annually thereafter. The Annual Health and
Safety Checklist completed during the annual monitor for license-exempt
providers evaluates compliance with prevention of and response to emergencies
due to food and allergic reactions.
5.3.5 Building and physical premises safety, including the identification of and protection from hazards,
bodies of water, and vehicular traffic health and safety standard
a. Provide the standards, appropriate to the provider setting and age of children, that
address the identification of and protection from building and physical premises hazards
for the following CCDF-eligible providers:
i. All CCDF-eligible licensed center care. Provide the standard: Per NAC 432A.323
providers are required to be trained in building and physical premises safety. This
requirement is written out on the on-site inspection checklist that a licensing
surveyor will use to review how this standard is maintained and implemented.
How a facility responds to emergencies of all types is required to be written out in
their parent handbook. Further, all facilities are required to obtain a health
inspection per NAC 432A.260.
NAC 432A.323  Initial courses of training in child care. (NRS 432A.077, 432A.177)
1.  Except as otherwise provided in NAC 432A.521 and NRS 432A.177, within 90
days after commencing his or her employment or position in a child care facility,
each person who is employed in a child care facility, other than a person
employed in a facility that provides care for ill children, and each director of a
child care facility shall complete:
(a) Any training required by the facility in which the director serves or in which
the person is employed for the purposes of obtaining certification in the
administration of cardiopulmonary resuscitation as required pursuant to NAC
432A.322;
(b) Three or more hours of training in child development or guidance and
discipline specific to the age group served by the facility in which the director
serves or in which the person is employed;
(c) Two or more hours of training in the administration of first aid;
(d) Two or more hours of training in the recognition of signs and symptoms of
104 | P a g e
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illness, which must include, without limitation, training in the prevention of
exposure to bloodborne pathogens;
(e) Two or more hours of training in the recognition and reporting of child
abuse and neglect;
(f) If the person or director works with infants under 12 months of age, at
least:
(1) Two hours of training concerning Sudden Infant Death Syndrome; and
(2) One hour of training in the prevention of shaken baby syndrome and
abusive head trauma;
(g) Two or more hours of training in the administration of medication, which
must include, without limitation, training in the prevention of and response to
food and other allergies;
(h) Two or more hours of training in building and physical premises safety,
which must include, without limitation, training in the storage of biocontaminants
and other hazardous materials;
(i) Two or more hours of training in emergency preparedness and response
planning for emergencies resulting from a natural or man-made event;
(j) If the facility provides transportation, 1 or more hours of training in
precautions to be taken when transporting children for each person who will
provide such transportation; and
(k) Two or more hours of training in lifelong wellness, health and safety of
children, which must include, without limitation, training relating to childhood
obesity, nutrition and moderate or vigorous physical activity.
2.  Except as otherwise provided in NAC 432A.521, within 12 months after
commencing employment, each person described in subsection 1 shall, in addition
to completing any training required pursuant to subsection 1 and completing any
course in the development of children required pursuant to NAC 432A.306,
complete at least the number of hours of training described in NAC 432A.326. A
person may use training completed pursuant to subsection 1 to satisfy the training
requirements set forth in NAC 432A.326.
3.  Except as otherwise provided in NAC 432A.521, within 12 months after
commencing employment as a member of the staff of a facility, each member of
the staff of a facility shall complete a course in the development of children
required pursuant to NAC 432A.306.
4.  The training concerning the administration of first aid and the recognition of
signs and symptoms of illness that is required to be completed pursuant to
subsection 1 must be provided by one of the persons, agencies or institutions
listed in NAC 432A.308 as qualified to provide such training.
5.  The training required pursuant to subsections 1, 2 and 3 must be designed to:
(a) Ensure the protection of the health and safety of each child enrolled in the
facility; and
(b) Promote the physical, moral and mental well-being of each child enrolled in
the facility.
6.  If the facility is a special needs facility, the training required pursuant to
subsections 1, 2 and 3 must also be designed to provide information on the
characteristics of handicapping conditions and appropriate programs for children
with special needs. The training must be approved by:
(a) The Nevada Registry or its successor organization, or any other agency
105 | P a g e
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designated by the Director of the Department to approve such training; or
(b) If the training has not been approved by The Nevada Registry or its
successor organization, and the Director of the Department has not designated
another agency to approve such courses, the Division or the local licensing agency.
7.  Evidence that an employee has completed the training required pursuant to
subsections 1, 2 and 3 must be included in his or her personnel file and must be
kept at the facility. With regard to training concerning the administration of first
aid and the recognition of signs and symptoms of illness, the evidence listed in
NAC 432A.308 as adequate evidence of compliance is adequate evidence of
compliance for the purposes of this section.
NAC 432A.260  Health standards; inspection reports. (NRS 432A.077)
1.  To maintain his or her license, the licensee must ensure that his or her facility
meets all standards for environmental health which are established by the
Division.
2.  Reports of inspections concerning the sanitation of a facility must be
maintained in a physical file at the facility and available for review at the facility by
a parent of a child who attends the facility or a parent who is considering enrolling
a child at the facility for at least 2 years after the date of the inspection.
ii. All CCDF-eligible licensed family child care homes. Provide the standard: Per NAC
432A.323 providers are required to be trained in building and physical premises
safety. This requirement is written out on the on-site inspection checklist that a
licensing surveyor will use to review how this standard is maintained and
implemented. How a facility responds to emergencies of all types is required to be
written out in their parent handbook. Further, all facilities are required to obtain a
health inspection per NAC 432A.260.
NAC 432A.323  Initial courses of training in child care. (NRS 432A.077, 432A.177)
1.  Except as otherwise provided in NAC 432A.521 and NRS 432A.177, within 90
days after commencing his or her employment or position in a child care facility,
each person who is employed in a child care facility, other than a person
employed in a facility that provides care for ill children, and each director of a
child care facility shall complete:
(a) Any training required by the facility in which the director serves or in which
the person is employed for the purposes of obtaining certification in the
administration of cardiopulmonary resuscitation as required pursuant to NAC
432A.322;
(b) Three or more hours of training in child development or guidance and
discipline specific to the age group served by the facility in which the director
serves or in which the person is employed;
(c) Two or more hours of training in the administration of first aid;
(d) Two or more hours of training in the recognition of signs and symptoms of
illness, which must include, without limitation, training in the prevention of
exposure to bloodborne pathogens;
(e) Two or more hours of training in the recognition and reporting of child
abuse and neglect;
(f) If the person or director works with infants under 12 months of age, at
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least:
(1) Two hours of training concerning Sudden Infant Death Syndrome; and
(2) One hour of training in the prevention of shaken baby syndrome and
abusive head trauma;
(g) Two or more hours of training in the administration of medication, which
must include, without limitation, training in the prevention of and response to
food and other allergies;
(h) Two or more hours of training in building and physical premises safety,
which must include, without limitation, training in the storage of biocontaminants
and other hazardous materials;
(i) Two or more hours of training in emergency preparedness and response
planning for emergencies resulting from a natural or man-made event;
(j) If the facility provides transportation, 1 or more hours of training in
precautions to be taken when transporting children for each person who will
provide such transportation; and
(k) Two or more hours of training in lifelong wellness, health and safety of
children, which must include, without limitation, training relating to childhood
obesity, nutrition and moderate or vigorous physical activity.
2.  Except as otherwise provided in NAC 432A.521, within 12 months after
commencing employment, each person described in subsection 1 shall, in addition
to completing any training required pursuant to subsection 1 and completing any
course in the development of children required pursuant to NAC 432A.306,
complete at least the number of hours of training described in NAC 432A.326. A
person may use training completed pursuant to subsection 1 to satisfy the training
requirements set forth in NAC 432A.326.
3.  Except as otherwise provided in NAC 432A.521, within 12 months after
commencing employment as a member of the staff of a facility, each member of
the staff of a facility shall complete a course in the development of children
required pursuant to NAC 432A.306.
4.  The training concerning the administration of first aid and the recognition of
signs and symptoms of illness that is required to be completed pursuant to
subsection 1 must be provided by one of the persons, agencies or institutions
listed in NAC 432A.308 as qualified to provide such training.
5.  The training required pursuant to subsections 1, 2 and 3 must be designed to:
(a) Ensure the protection of the health and safety of each child enrolled in the
facility; and
(b) Promote the physical, moral and mental well-being of each child enrolled in
the facility.
6.  If the facility is a special needs facility, the training required pursuant to
subsections 1, 2 and 3 must also be designed to provide information on the
characteristics of handicapping conditions and appropriate programs for children
with special needs. The training must be approved by:
(a) The Nevada Registry or its successor organization, or any other agency
designated by the Director of the Department to approve such training; or
(b) If the training has not been approved by The Nevada Registry or its
successor organization, and the Director of the Department has not designated
another agency to approve such courses, the Division or the local licensing agency.
7.  Evidence that an employee has completed the training required pursuant to
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subsections 1, 2 and 3 must be included in his or her personnel file and must be
kept at the facility. With regard to training concerning the administration of first
aid and the recognition of signs and symptoms of illness, the evidence listed in
NAC 432A.308 as adequate evidence of compliance is adequate evidence of
compliance for the purposes of this section.
NAC 432A.260  Health standards; inspection reports. (NRS 432A.077)
1.  To maintain his or her license, the licensee must ensure that his or her facility
meets all standards for environmental health which are established by the
Division.
2.  Reports of inspections concerning the sanitation of a facility must be
maintained in a physical file at the facility and available for review at the facility by
a parent of a child who attends the facility or a parent who is considering enrolling
a child at the facility for at least 2 years after the date of the inspection.
iii. All CCDF-eligible licensed in-home care. Provide the standard:
[x] Not applicable.
iv. All CCDF-eligible license-exempt center care. Provide the standard: All CCDF-
eligible providers are required to complete mandatory training which includes
building and physical premise safety and proper handling and storage of bio-
contaminants and hazardous materials prior to providing care or during an
orientation period of 90 days, and annually thereafter. The Annual Health and
Safety Checklist completed during the annual monitor for license-exempt
providers evaluates for compliance with building and physical premise training
including proper handling and storage of bio-contaminants and hazardous
materials.
v. All CCDF-eligible license-exempt family child care homes. Provide the standard: All
CCDF-eligible providers are required to complete mandatory training which
includes building and physical premise safety and proper handling and storage of
bio-contaminants and hazardous materials prior to providing care or during an
orientation period of 90 days, and annually thereafter. The Annual Health and
Safety Checklist completed during the annual monitor for license-exempt
providers evaluates for compliance with building and physical premise training
including proper handling and storage of bio-contaminants and hazardous
materials.
vi. All CCDF-eligible license-exempt in-home care. Provide the standard: All CCDF-
eligible providers are required to complete mandatory training which includes
building and physical premise safety and proper handling and storage of bio-
contaminants and hazardous materials prior to providing care or during an
orientation period of 90 days, and annually thereafter. The Annual Health and
Safety Checklist completed during the annual monitor for license-exempt
providers evaluates for compliance with building and physical premise training
including proper handling and storage of bio-contaminants and hazardous
materials.
vii. All CCDF-eligible out-of-school programs (afterschool programs, summer camps,
day camps, etc.). Provide the standard: All CCDF-eligible providers are required to
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complete mandatory training which includes building and physical premise safety
and proper handling and storage of bio-contaminants and hazardous materials
prior to providing care or during an orientation period of 90 days, and annually
thereafter. The Annual Health and Safety Checklist completed during the annual
monitor for license-exempt providers evaluates for compliance with building and
physical premise training including proper handling and storage of bio-
contaminants and hazardous materials.
b. Provide the standards, appropriate to the provider setting and age of children, that
address the identification of and protection from bodies of water for the following CCDF-
eligible providers:
i. All CCDF-eligible licensed center care. Provide the standard: Per NAC 432A.250,
licensed facilities are required to ensure that children have no access to bodies of
water. NAC 432A.546 provides a standard for safety if the facility offers activities
in water. The onsite inspection checklist includes checking for these requirements
which a licensing surveyor will monitor for during the onsite facility inspection to
ensure this standard is met.
NAC 432A.250  Building and grounds. (NRS 432A.077)
1.  Except as otherwise provided in this subsection, subsection 3 and NRS
432A.078, in each facility there must be:
(a) At least 35 square feet of indoor space for each child, exclusive of
bathrooms, halls, kitchen, stairs, storage spaces, multipurpose rooms and
gymnasiums that are not regularly used.
(b) At least 37 1/2 square feet of outdoor play space for each child, as
determined by the maximum number of children stated on the license for the
facility. An accommodation facility need not provide outdoor play space.
2.  Each facility shall:
(a) Ensure that each room of the facility which is used by children is:
(1) Maintained free of drafts and at a temperature that is not less than 65
degrees Fahrenheit and not more than 82 degrees Fahrenheit during the months
of October through March and at a temperature that is not less than 68 degrees
Fahrenheit and not more than 82 degrees Fahrenheit during the months of April
through September; and
(2) Heated, cooled and ventilated to maintain the temperatures required in
this paragraph and to avoid the accumulation of odors and fumes;
(b) Ensure that electrical devices or electrical apparatuses which are accessible
to children are not located near any type of water source, including, without
limitation, any sink, tub, shower area or wading pool; and
(c) Install nonflammable barriers, including, without limitation, permanent
guards or shields to cover heating units, including, without limitation, hot water
heating pipes and baseboard heaters with a surface temperature that is hotter
than 100 degrees Fahrenheit, to ensure that those heating units are inaccessible
to children.
3.  A facility that provides care for ill children must have:
(a) At least 50 square feet of indoor space for each child, as determined by the
maximum number of children stated on the license for the facility, exclusive of
bathrooms, halls, kitchen, stairs and storage spaces.
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(b) A separate ventilation system if the facility is attached to another building.
4.  The play area of each facility must:
(a) Be fenced or enclosed in a manner that prevents the unsupervised
departure of children from the area;
(b) Have an adequate drainage system;
(c) Be free of hazards, debris and trash;
(d) If it is an outdoor play area, provide, during the months of April through
September, a shade area or shade areas that are at least equal in size to the
product of 5 square feet multiplied by the total number of children in the outdoor
play area;
(e) Have appropriate, as determined by the Division, depths and perimeters of
resilient surfacing underneath and surrounding any elevated play equipment;
(f) Have adequate safety barriers around any elevated platforms;
(g) Not have any dangerous or poisonous plants or other vegetative matter
located within the boundaries of the play area or in an area that is accessible to
children from the play area;
(h) Not be in a location where any bodies of water are accessible to children;
and
(i) If it has playground equipment, have only equipment that is:
(1) In good repair;
(2) Designed and constructed to minimize injury;
(3) Compatible with the age of the children in the care of the facility;
(4) Spaced to reduce accidents; and
(5) Securely anchored.
5.  If a facility that provides care for ill children is a component of a child care
center and provides outdoor play space, the play space must:
(a) Be separate from the play space for well children;
(b) Meet the requirements of paragraph (b) of subsection 1; and
(c) Meet the requirements of subsection 4.
NAC 432A.546  Facilities which provide activities in water. (NRS 432A.077)
1.  Portable wading pools and other containers of water may be used in a facility
if:
(a) The depth of the water in the pool or container does not exceed 6 inches;
and
(b) The pool or container is emptied, cleaned and sanitized immediately after
each use.
2.  A facility which provides activities in water that has a depth greater than 6
inches, other than a swimming lesson which is taught at a public swimming pool,
shall ensure that:
(a) No child is in water with a depth that is higher than the chest of the child
while the child is standing;
(b) At least one caregiver is within arm’s reach of each child who is less than 3
years of age;
(c) The children are not allowed to wade or swim in a moving body of water,
including, without limitation, a stream, river, creek or irrigation ditch; and
(d) At least one person who is currently certified as a lifeguard or water safety
instructor by the American National Red Cross or an equivalent water safety
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program is supervising the children. A public lifeguard may satisfy the
requirement of this paragraph.
3.  A facility which offers an activity in the water as described in subsection 2
must offer the activity as an optional activity.
4.  When children cared for in a facility are engaged in an activity in the water as
described in subsection 2 and the children are:
(a) Less than 3 years of age, the ratio of caregivers to children must be one
caregiver for each child;
(b) At least 3 years of age but less than 6 years of age, the ratio of caregivers to
children must be one caregiver for every 4 children; and
(c) Except as otherwise provided in subsection 5, at least 6 years of age or
older, the ratio of caregivers to children must be one caregiver for every 6
children.
5.  When children cared for in a facility are engaged in an activity in the water as
described in subsection 2 and the children are at least 6 years of age or older, if:
(a) There are more than 6 children but less than 12 children engaged in the
activity, the ratio of caregivers to children must be two caregivers for each group
of that size;
(b) There are at least 12 children but less than 20 children engaged in the
activity, the ratio of caregivers to children must be three caregivers for each group
of that size; and
(c) There are 20 or more children engaged in the activity, the ratio of
caregivers to children must be three caregivers plus one additional caregiver for
every sixth additional child in excess of 20 children.
ii. All CCDF-eligible licensed family child care homes. Provide the standard: Per NAC
432A.250, licensed facilities are required to ensure that children have no access to
bodies of water. NAC 432A.546 provides a standard for safety if the facility offers
activities in water. The onsite inspection checklist includes checking for these
requirements which a licensing surveyor will monitor for during the onsite facility
inspection to ensure this standard is met.
NAC 432A.250  Building and grounds. (NRS 432A.077)
1.  Except as otherwise provided in this subsection, subsection 3 and NRS
432A.078, in each facility there must be:
(a) At least 35 square feet of indoor space for each child, exclusive of
bathrooms, halls, kitchen, stairs, storage spaces, multipurpose rooms and
gymnasiums that are not regularly used.
(b) At least 37 1/2 square feet of outdoor play space for each child, as
determined by the maximum number of children stated on the license for the
facility. An accommodation facility need not provide outdoor play space.
2.  Each facility shall:
(a) Ensure that each room of the facility which is used by children is:
(1) Maintained free of drafts and at a temperature that is not less than 65
degrees Fahrenheit and not more than 82 degrees Fahrenheit during the months
of October through March and at a temperature that is not less than 68 degrees
Fahrenheit and not more than 82 degrees Fahrenheit during the months of April
through September; and
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(2) Heated, cooled and ventilated to maintain the temperatures required in
this paragraph and to avoid the accumulation of odors and fumes;
(b) Ensure that electrical devices or electrical apparatuses which are accessible
to children are not located near any type of water source, including, without
limitation, any sink, tub, shower area or wading pool; and
(c) Install nonflammable barriers, including, without limitation, permanent
guards or shields to cover heating units, including, without limitation, hot water
heating pipes and baseboard heaters with a surface temperature that is hotter
than 100 degrees Fahrenheit, to ensure that those heating units are inaccessible
to children.
3.  A facility that provides care for ill children must have:
(a) At least 50 square feet of indoor space for each child, as determined by the
maximum number of children stated on the license for the facility, exclusive of
bathrooms, halls, kitchen, stairs and storage spaces.
(b) A separate ventilation system if the facility is attached to another building.
4.  The play area of each facility must:
(a) Be fenced or enclosed in a manner that prevents the unsupervised
departure of children from the area;
(b) Have an adequate drainage system;
(c) Be free of hazards, debris and trash;
(d) If it is an outdoor play area, provide, during the months of April through
September, a shade area or shade areas that are at least equal in size to the
product of 5 square feet multiplied by the total number of children in the outdoor
play area;
(e) Have appropriate, as determined by the Division, depths and perimeters of
resilient surfacing underneath and surrounding any elevated play equipment;
(f) Have adequate safety barriers around any elevated platforms;
(g) Not have any dangerous or poisonous plants or other vegetative matter
located within the boundaries of the play area or in an area that is accessible to
children from the play area;
(h) Not be in a location where any bodies of water are accessible to children;
and
(i) If it has playground equipment, have only equipment that is:
(1) In good repair;
(2) Designed and constructed to minimize injury;
(3) Compatible with the age of the children in the care of the facility;
(4) Spaced to reduce accidents; and
(5) Securely anchored.
5.  If a facility that provides care for ill children is a component of a child care
center and provides outdoor play space, the play space must:
(a) Be separate from the play space for well children;
(b) Meet the requirements of paragraph (b) of subsection 1; and
(c) Meet the requirements of subsection 4.
NAC 432A.546  Facilities which provide activities in water. (NRS 432A.077)
1.  Portable wading pools and other containers of water may be used in a facility
if:
(a) The depth of the water in the pool or container does not exceed 6 inches;
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and
(b) The pool or container is emptied, cleaned and sanitized immediately after
each use.
2.  A facility which provides activities in water that has a depth greater than 6
inches, other than a swimming lesson which is taught at a public swimming pool,
shall ensure that:
(a) No child is in water with a depth that is higher than the chest of the child
while the child is standing;
(b) At least one caregiver is within arm’s reach of each child who is less than 3
years of age;
(c) The children are not allowed to wade or swim in a moving body of water,
including, without limitation, a stream, river, creek or irrigation ditch; and
(d) At least one person who is currently certified as a lifeguard or water safety
instructor by the American National Red Cross or an equivalent water safety
program is supervising the children. A public lifeguard may satisfy the
requirement of this paragraph.
3.  A facility which offers an activity in the water as described in subsection 2
must offer the activity as an optional activity.
4.  When children cared for in a facility are engaged in an activity in the water as
described in subsection 2 and the children are:
(a) Less than 3 years of age, the ratio of caregivers to children must be one
caregiver for each child;
(b) At least 3 years of age but less than 6 years of age, the ratio of caregivers to
children must be one caregiver for every 4 children; and
(c) Except as otherwise provided in subsection 5, at least 6 years of age or
older, the ratio of caregivers to children must be one caregiver for every 6
children.
5.  When children cared for in a facility are engaged in an activity in the water as
described in subsection 2 and the children are at least 6 years of age or older, if:
(a) There are more than 6 children but less than 12 children engaged in the
activity, the ratio of caregivers to children must be two caregivers for each group
of that size;
(b) There are at least 12 children but less than 20 children engaged in the
activity, the ratio of caregivers to children must be three caregivers for each group
of that size; and
(c) There are 20 or more children engaged in the activity, the ratio of
caregivers to children must be three caregivers plus one additional caregiver for
every sixth additional child in excess of 20 children.
iii. All CCDF-eligible licensed in-home care. Provide the standard: All CCDF-eligible
providers are required to complete mandatory training which includes supervision
near bodies of water prior to providing care or during an orientation period of 90
days, and annually thereafter. The Annual Health and Safety Checklist completed
during the annual monitor for license-exempt providers evaluates for compliance
with supervision near bodies of water training.
[x] Not applicable.
iv. All CCDF-eligible license-exempt center care. Provide the standard: All CCDF-
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eligible providers are required to complete mandatory training which includes
supervision near bodies of water prior to providing care or during an orientation
period of 90 days, and annually thereafter. The Annual Health and Safety Checklist
completed during the annual monitor for license-exempt providers evaluates for
compliance with supervision near bodies of water training.
v. All CCDF-eligible license-exempt family child care homes. Provide the standard: All
CCDF-eligible providers are required to complete mandatory training which
includes supervision near bodies of water prior to providing care or during an
orientation period of 90 days, and annually thereafter. The Annual Health and
Safety Checklist completed during the annual monitor for license-exempt
providers evaluates for compliance with supervision near bodies of water training.
vi. All CCDF-eligible license-exempt in-home care. Provide the standard: All CCDF-
eligible providers are required to complete mandatory training which includes
supervision near bodies of water prior to providing care or during an orientation
period of 90 days, and annually thereafter. The Annual Health and Safety Checklist
completed during the annual monitor for license-exempt providers evaluates for
compliance with supervision near bodies of water training.
vii. All CCDF-eligible out-of-school programs (afterschool programs, summer camps,
day camps, etc.). Provide the standard: All CCDF-eligible providers are required to
complete mandatory training which includes supervision near bodies of water
prior to providing care or during an orientation period of 90 days, and annually
thereafter. The Annual Health and Safety Checklist completed during the annual
monitor for license-exempt providers evaluates for compliance with supervision
near bodies of water training.
c. Provide the standards, appropriate to the provider setting and age of children, that
address the identification of and protection from vehicular traffic hazards for the following
CCDF-eligible providers:
i. All CCDF-eligible licensed center care. Provide the standard: Per NAC 432A.250,
licensed facilities are required to ensure their playgrounds are fenced and secured
to help ensure appropriate supervision where children are not easily accessed or
able to leave with being noticed or escorted. By providing enclosed playgrounds,
children are protected from vehicular traffic hazards. An onsite facility inspection
is conducted using the inspection checklist to ensure this standard is met.
NAC 432A.250  Building and grounds. (NRS 432A.077)
1.  Except as otherwise provided in this subsection, subsection 3 and NRS
432A.078, in each facility there must be:
(a) At least 35 square feet of indoor space for each child, exclusive of
bathrooms, halls, kitchen, stairs, storage spaces, multipurpose rooms and
gymnasiums that are not regularly used.
(b) At least 37 1/2 square feet of outdoor play space for each child, as
determined by the maximum number of children stated on the license for the
facility. An accommodation facility need not provide outdoor play space.
2.  Each facility shall:
(a) Ensure that each room of the facility which is used by children is:
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(1) Maintained free of drafts and at a temperature that is not less than 65
degrees Fahrenheit and not more than 82 degrees Fahrenheit during the months
of October through March and at a temperature that is not less than 68 degrees
Fahrenheit and not more than 82 degrees Fahrenheit during the months of April
through September; and
(2) Heated, cooled and ventilated to maintain the temperatures required in
this paragraph and to avoid the accumulation of odors and fumes;
(b) Ensure that electrical devices or electrical apparatuses which are accessible
to children are not located near any type of water source, including, without
limitation, any sink, tub, shower area or wading pool; and
(c) Install nonflammable barriers, including, without limitation, permanent
guards or shields to cover heating units, including, without limitation, hot water
heating pipes and baseboard heaters with a surface temperature that is hotter
than 100 degrees Fahrenheit, to ensure that those heating units are inaccessible
to children.
3.  A facility that provides care for ill children must have:
(a) At least 50 square feet of indoor space for each child, as determined by the
maximum number of children stated on the license for the facility, exclusive of
bathrooms, halls, kitchen, stairs and storage spaces.
(b) A separate ventilation system if the facility is attached to another building.
4.  The play area of each facility must:
(a) Be fenced or enclosed in a manner that prevents the unsupervised
departure of children from the area;
(b) Have an adequate drainage system;
(c) Be free of hazards, debris and trash;
(d) If it is an outdoor play area, provide, during the months of April through
September, a shade area or shade areas that are at least equal in size to the
product of 5 square feet multiplied by the total number of children in the outdoor
play area;
(e) Have appropriate, as determined by the Division, depths and perimeters of
resilient surfacing underneath and surrounding any elevated play equipment;
(f) Have adequate safety barriers around any elevated platforms;
(g) Not have any dangerous or poisonous plants or other vegetative matter
located within the boundaries of the play area or in an area that is accessible to
children from the play area;
(h) Not be in a location where any bodies of water are accessible to children;
and
(i) If it has playground equipment, have only equipment that is:
(1) In good repair;
(2) Designed and constructed to minimize injury;
(3) Compatible with the age of the children in the care of the facility;
(4) Spaced to reduce accidents; and
(5) Securely anchored.
5.  If a facility that provides care for ill children is a component of a child care
center and provides outdoor play space, the play space must:
(a) Be separate from the play space for well children;
(b) Meet the requirements of paragraph (b) of subsection 1; and
(c) Meet the requirements of subsection 4.
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ii. All CCDF-eligible licensed family child care homes. Provide the standard: Per NAC
432A.250, licensed facilities are required to ensure their playgrounds are fenced
and secured to help ensure appropriate supervision where children are not easily
accessed or able to leave with being noticed or escorted. By providing enclosed
playgrounds, children are protected from vehicular traffic hazards. An onsite
facility inspection is conducted using the inspection checklist to ensure this
standard is met.
NAC 432A.250  Building and grounds. (NRS 432A.077)
1.  Except as otherwise provided in this subsection, subsection 3 and NRS
432A.078, in each facility there must be:
(a) At least 35 square feet of indoor space for each child, exclusive of
bathrooms, halls, kitchen, stairs, storage spaces, multipurpose rooms and
gymnasiums that are not regularly used.
(b) At least 37 1/2 square feet of outdoor play space for each child, as
determined by the maximum number of children stated on the license for the
facility. An accommodation facility need not provide outdoor play space.
2.  Each facility shall:
(a) Ensure that each room of the facility which is used by children is:
(1) Maintained free of drafts and at a temperature that is not less than 65
degrees Fahrenheit and not more than 82 degrees Fahrenheit during the months
of October through March and at a temperature that is not less than 68 degrees
Fahrenheit and not more than 82 degrees Fahrenheit during the months of April
through September; and
(2) Heated, cooled and ventilated to maintain the temperatures required in
this paragraph and to avoid the accumulation of odors and fumes;
(b) Ensure that electrical devices or electrical apparatuses which are accessible
to children are not located near any type of water source, including, without
limitation, any sink, tub, shower area or wading pool; and
(c) Install nonflammable barriers, including, without limitation, permanent
guards or shields to cover heating units, including, without limitation, hot water
heating pipes and baseboard heaters with a surface temperature that is hotter
than 100 degrees Fahrenheit, to ensure that those heating units are inaccessible
to children.
3.  A facility that provides care for ill children must have:
(a) At least 50 square feet of indoor space for each child, as determined by the
maximum number of children stated on the license for the facility, exclusive of
bathrooms, halls, kitchen, stairs and storage spaces.
(b) A separate ventilation system if the facility is attached to another building.
4.  The play area of each facility must:
(a) Be fenced or enclosed in a manner that prevents the unsupervised
departure of children from the area;
(b) Have an adequate drainage system;
(c) Be free of hazards, debris and trash;
(d) If it is an outdoor play area, provide, during the months of April through
September, a shade area or shade areas that are at least equal in size to the
product of 5 square feet multiplied by the total number of children in the outdoor
play area;
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(e) Have appropriate, as determined by the Division, depths and perimeters of
resilient surfacing underneath and surrounding any elevated play equipment;
(f) Have adequate safety barriers around any elevated platforms;
(g) Not have any dangerous or poisonous plants or other vegetative matter
located within the boundaries of the play area or in an area that is accessible to
children from the play area;
(h) Not be in a location where any bodies of water are accessible to children;
and
(i) If it has playground equipment, have only equipment that is:
(1) In good repair;
(2) Designed and constructed to minimize injury;
(3) Compatible with the age of the children in the care of the facility;
(4) Spaced to reduce accidents; and
(5) Securely anchored.
5.  If a facility that provides care for ill children is a component of a child care
center and provides outdoor play space, the play space must:
(a) Be separate from the play space for well children;
(b) Meet the requirements of paragraph (b) of subsection 1; and
(c) Meet the requirements of subsection 4.
iii. All CCDF-eligible licensed in-home care. Provide the standard:
[x] Not applicable.
iv. All CCDF-eligible license-exempt center care. Provide the standard: All CCDF-
eligible providers are required to complete mandatory training which includes
appropriate supervision and prevention of vehicular traffic hazards prior to
providing care or during an orientation period of 90 days, and annually thereafter.
The Annual Health and Safety Checklist completed during the annual monitor for
license-exempt providers evaluates for compliance with transportation
precautions and traffic safety.
v. All CCDF-eligible license-exempt family child care homes. Provide the standard: All
CCDF-eligible providers are required to complete mandatory training which
includes appropriate supervision and prevention of vehicular traffic hazards prior
to providing care or during an orientation period of 90 days, and annually
thereafter. The Annual Health and Safety Checklist completed during the annual
monitor for license-exempt providers evaluates for compliance with
transportation precautions and traffic safety.
vi. All CCDF-eligible license-exempt in-home care. Provide the standard: All CCDF-
eligible providers are required to complete mandatory training which includes
appropriate supervision and prevention of vehicular traffic hazards prior to
providing care or during an orientation period of 90 days, and annually thereafter.
The Annual Health and Safety Checklist completed during the annual monitor for
license-exempt providers evaluates for compliance with transportation
precautions and traffic safety.
vii. All CCDF-eligible out-of-school programs (afterschool programs, summer camps,
day camps, etc.). Provide the standard: All CCDF-eligible providers are required to
complete mandatory training which includes appropriate supervision and
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prevention of vehicular traffic hazards prior to providing care or during an
orientation period of 90 days, and annually thereafter. The Annual Health and
Safety Checklist completed during the annual monitor for license-exempt
providers evaluates for compliance with transportation precautions and traffic
safety.
5.3.6 Prevention of shaken baby syndrome, abusive head trauma, and maltreatment health and safety
standard
a. Provide the standards, appropriate to the provider setting and age of children, that
address the prevention of shaken baby syndrome and abusive head trauma and indicate
the age of children it applies to for the following CCDF-eligible providers:
i. All CCDF-eligible licensed center care. Provide the standard: Per NAC 432A.323,
licensed facilities are required to be trained in the prevention of shaken baby
syndrome, abusive head trauma, and child maltreatment. Further, this standard is
noted on the facility on-site inspection checklist to help ensure compliance and
appropriate implementation.
NAC 432A.323  Initial courses of training in child care. (NRS 432A.077, 432A.177)
1.  Except as otherwise provided in NAC 432A.521 and NRS 432A.177, within 90
days after commencing his or her employment or position in a child care facility,
each person who is employed in a child care facility, other than a person
employed in a facility that provides care for ill children, and each director of a
child care facility shall complete:
(a) Any training required by the facility in which the director serves or in which
the person is employed for the purposes of obtaining certification in the
administration of cardiopulmonary resuscitation as required pursuant to NAC
432A.322;
(b) Three or more hours of training in child development or guidance and
discipline specific to the age group served by the facility in which the director
serves or in which the person is employed;
(c) Two or more hours of training in the administration of first aid;
(d) Two or more hours of training in the recognition of signs and symptoms of
illness, which must include, without limitation, training in the prevention of
exposure to bloodborne pathogens;
(e) Two or more hours of training in the recognition and reporting of child
abuse and neglect;
(f) If the person or director works with infants under 12 months of age, at
least:
(1) Two hours of training concerning Sudden Infant Death Syndrome; and
(2) One hour of training in the prevention of shaken baby syndrome and
abusive head trauma;
(g) Two or more hours of training in the administration of medication, which
must include, without limitation, training in the prevention of and response to
food and other allergies;
(h) Two or more hours of training in building and physical premises safety,
which must include, without limitation, training in the storage of biocontaminants
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and other hazardous materials;
(i) Two or more hours of training in emergency preparedness and response
planning for emergencies resulting from a natural or man-made event;
(j) If the facility provides transportation, 1 or more hours of training in
precautions to be taken when transporting children for each person who will
provide such transportation; and
(k) Two or more hours of training in lifelong wellness, health and safety of
children, which must include, without limitation, training relating to childhood
obesity, nutrition and moderate or vigorous physical activity.
2.  Except as otherwise provided in NAC 432A.521, within 12 months after
commencing employment, each person described in subsection 1 shall, in addition
to completing any training required pursuant to subsection 1 and completing any
course in the development of children required pursuant to NAC 432A.306,
complete at least the number of hours of training described in NAC 432A.326. A
person may use training completed pursuant to subsection 1 to satisfy the training
requirements set forth in NAC 432A.326.
3.  Except as otherwise provided in NAC 432A.521, within 12 months after
commencing employment as a member of the staff of a facility, each member of
the staff of a facility shall complete a course in the development of children
required pursuant to NAC 432A.306.
4.  The training concerning the administration of first aid and the recognition of
signs and symptoms of illness that is required to be completed pursuant to
subsection 1 must be provided by one of the persons, agencies or institutions
listed in NAC 432A.308 as qualified to provide such training.
5.  The training required pursuant to subsections 1, 2 and 3 must be designed to:
(a) Ensure the protection of the health and safety of each child enrolled in the
facility; and
(b) Promote the physical, moral and mental well-being of each child enrolled in
the facility.
6.  If the facility is a special needs facility, the training required pursuant to
subsections 1, 2 and 3 must also be designed to provide information on the
characteristics of handicapping conditions and appropriate programs for children
with special needs. The training must be approved by:
(a) The Nevada Registry or its successor organization, or any other agency
designated by the Director of the Department to approve such training; or
(b) If the training has not been approved by The Nevada Registry or its
successor organization, and the Director of the Department has not designated
another agency to approve such courses, the Division or the local licensing agency.
7.  Evidence that an employee has completed the training required pursuant to
subsections 1, 2 and 3 must be included in his or her personnel file and must be
kept at the facility. With regard to training concerning the administration of first
aid and the recognition of signs and symptoms of illness, the evidence listed in
NAC 432A.308 as adequate evidence of compliance is adequate evidence of
compliance for the purposes of this section.
ii. All CCDF-eligible licensed family child care homes. Provide the standard: Per NAC
432A.323, licensed facilities are required to be trained in the prevention of shaken
baby syndrome, abusive head trauma, and child maltreatment. Further, this
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standard is noted on the facility on-site inspection checklist to help ensure
compliance and appropriate implementation.
NAC 432A.323  Initial courses of training in child care. (NRS 432A.077, 432A.177)
1.  Except as otherwise provided in NAC 432A.521 and NRS 432A.177, within 90
days after commencing his or her employment or position in a child care facility,
each person who is employed in a child care facility, other than a person
employed in a facility that provides care for ill children, and each director of a
child care facility shall complete:
(a) Any training required by the facility in which the director serves or in which
the person is employed for the purposes of obtaining certification in the
administration of cardiopulmonary resuscitation as required pursuant to NAC
432A.322;
(b) Three or more hours of training in child development or guidance and
discipline specific to the age group served by the facility in which the director
serves or in which the person is employed;
(c) Two or more hours of training in the administration of first aid;
(d) Two or more hours of training in the recognition of signs and symptoms of
illness, which must include, without limitation, training in the prevention of
exposure to bloodborne pathogens;
(e) Two or more hours of training in the recognition and reporting of child
abuse and neglect;
(f) If the person or director works with infants under 12 months of age, at
least:
(1) Two hours of training concerning Sudden Infant Death Syndrome; and
(2) One hour of training in the prevention of shaken baby syndrome and
abusive head trauma;
(g) Two or more hours of training in the administration of medication, which
must include, without limitation, training in the prevention of and response to
food and other allergies;
(h) Two or more hours of training in building and physical premises safety,
which must include, without limitation, training in the storage of biocontaminants
and other hazardous materials;
(i) Two or more hours of training in emergency preparedness and response
planning for emergencies resulting from a natural or man-made event;
(j) If the facility provides transportation, 1 or more hours of training in
precautions to be taken when transporting children for each person who will
provide such transportation; and
(k) Two or more hours of training in lifelong wellness, health and safety of
children, which must include, without limitation, training relating to childhood
obesity, nutrition and moderate or vigorous physical activity.
2.  Except as otherwise provided in NAC 432A.521, within 12 months after
commencing employment, each person described in subsection 1 shall, in addition
to completing any training required pursuant to subsection 1 and completing any
course in the development of children required pursuant to NAC 432A.306,
complete at least the number of hours of training described in NAC 432A.326. A
person may use training completed pursuant to subsection 1 to satisfy the training
requirements set forth in NAC 432A.326.
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3.  Except as otherwise provided in NAC 432A.521, within 12 months after
commencing employment as a member of the staff of a facility, each member of
the staff of a facility shall complete a course in the development of children
required pursuant to NAC 432A.306.
4.  The training concerning the administration of first aid and the recognition of
signs and symptoms of illness that is required to be completed pursuant to
subsection 1 must be provided by one of the persons, agencies or institutions
listed in NAC 432A.308 as qualified to provide such training.
5.  The training required pursuant to subsections 1, 2 and 3 must be designed to:
(a) Ensure the protection of the health and safety of each child enrolled in the
facility; and
(b) Promote the physical, moral and mental well-being of each child enrolled in
the facility.
6.  If the facility is a special needs facility, the training required pursuant to
subsections 1, 2 and 3 must also be designed to provide information on the
characteristics of handicapping conditions and appropriate programs for children
with special needs. The training must be approved by:
(a) The Nevada Registry or its successor organization, or any other agency
designated by the Director of the Department to approve such training; or
(b) If the training has not been approved by The Nevada Registry or its
successor organization, and the Director of the Department has not designated
another agency to approve such courses, the Division or the local licensing agency.
7.  Evidence that an employee has completed the training required pursuant to
subsections 1, 2 and 3 must be included in his or her personnel file and must be
kept at the facility. With regard to training concerning the administration of first
aid and the recognition of signs and symptoms of illness, the evidence listed in
NAC 432A.308 as adequate evidence of compliance is adequate evidence of
compliance for the purposes of this section.
iii. All CCDF-eligible licensed in-home care. Provide the standard:
[x] Not applicable.
iv. All CCDF-eligible license-exempt center care. Provide the standard: All CCDF-
eligible providers are required to complete mandatory training which includes
preventing and identifying Shaken Baby Syndrome and abusive head trauma prior
to providing care or during an orientation period of 90 days, and annually
thereafter, with the exception of those caring for school-aged children. The
Annual Health and Safety Checklist completed during the annual monitor for
license-exempt providers evaluates for compliance with Shaken Baby Syndrome
and abusive head trauma prevention and identification.
v. All CCDF-eligible license-exempt family child care homes. Provide the standard: All
CCDF-eligible providers are required to complete mandatory training which
includes preventing and identifying Shaken Baby Syndrome and abusive head
trauma prior to providing care or during an orientation period of 90 days, and
annually thereafter, with the exception of those caring for school-aged children.
The Annual Health and Safety Checklist completed during the annual monitor for
license-exempt providers evaluates for compliance with Shaken Baby Syndrome
and abusive head trauma prevention and identification.
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vi. All CCDF-eligible license-exempt in-home care. Provide the standard: All CCDF-
eligible providers are required to complete mandatory training which includes
preventing and identifying Shaken Baby Syndrome and abusive head trauma prior
to providing care or during an orientation period of 90 days, and annually
thereafter, with the exception of those caring for school-aged children. The
Annual Health and Safety Checklist completed during the annual monitor for
license-exempt providers evaluates for compliance with Shaken Baby Syndrome
and abusive head trauma prevention and identification.
vii. All CCDF-eligible out-of-school programs (afterschool programs, summer camps,
day camps, etc.). Provide the standard: All CCDF-eligible providers are required to
complete mandatory training which includes preventing and identifying Shaken
Baby Syndrome and abusive head trauma prior to providing care or during an
orientation period of 90 days, and annually thereafter, with the exception of those
caring for school-aged children. The Annual Health and Safety Checklist completed
during the annual monitor for license-exempt providers evaluates for compliance
with Shaken Baby Syndrome and abusive head trauma prevention and
identification.
b. Provide the standards, appropriate to the provider setting and age of children, that
address the prevention of child maltreatment and indicate the age of children it applies to
for the following CCDF-eligible providers:
i. All CCDF-eligible licensed center care. Provide the standard: Per NAC 432A.323,
licensed facilities are required to be trained in the prevention of shaken baby
syndrome, abusive head trauma, and child maltreatment. Further, this standard is
noted on the facility on-site inspection checklist to help ensure compliance and
appropriate implementation. Additionally, NAC 432A.400 establishes what is
considered inappropriate discipline and constitutes maltreatment of a child.
NAC 432A.323  Initial courses of training in child care. (NRS 432A.077, 432A.177)
1.  Except as otherwise provided in NAC 432A.521 and NRS 432A.177, within 90
days after commencing his or her employment or position in a child care facility,
each person who is employed in a child care facility, other than a person
employed in a facility that provides care for ill children, and each director of a
child care facility shall complete:
(a) Any training required by the facility in which the director serves or in which
the person is employed for the purposes of obtaining certification in the
administration of cardiopulmonary resuscitation as required pursuant to NAC
432A.322;
(b) Three or more hours of training in child development or guidance and
discipline specific to the age group served by the facility in which the director
serves or in which the person is employed;
(c) Two or more hours of training in the administration of first aid;
(d) Two or more hours of training in the recognition of signs and symptoms of
illness, which must include, without limitation, training in the prevention of
exposure to bloodborne pathogens;
(e) Two or more hours of training in the recognition and reporting of child
abuse and neglect;
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(f) If the person or director works with infants under 12 months of age, at
least:
(1) Two hours of training concerning Sudden Infant Death Syndrome; and
(2) One hour of training in the prevention of shaken baby syndrome and
abusive head trauma;
(g) Two or more hours of training in the administration of medication, which
must include, without limitation, training in the prevention of and response to
food and other allergies;
(h) Two or more hours of training in building and physical premises safety,
which must include, without limitation, training in the storage of biocontaminants
and other hazardous materials;
(i) Two or more hours of training in emergency preparedness and response
planning for emergencies resulting from a natural or man-made event;
(j) If the facility provides transportation, 1 or more hours of training in
precautions to be taken when transporting children for each person who will
provide such transportation; and
(k) Two or more hours of training in lifelong wellness, health and safety of
children, which must include, without limitation, training relating to childhood
obesity, nutrition and moderate or vigorous physical activity.
2.  Except as otherwise provided in NAC 432A.521, within 12 months after
commencing employment, each person described in subsection 1 shall, in addition
to completing any training required pursuant to subsection 1 and completing any
course in the development of children required pursuant to NAC 432A.306,
complete at least the number of hours of training described in NAC 432A.326. A
person may use training completed pursuant to subsection 1 to satisfy the training
requirements set forth in NAC 432A.326.
3.  Except as otherwise provided in NAC 432A.521, within 12 months after
commencing employment as a member of the staff of a facility, each member of
the staff of a facility shall complete a course in the development of children
required pursuant to NAC 432A.306.
4.  The training concerning the administration of first aid and the recognition of
signs and symptoms of illness that is required to be completed pursuant to
subsection 1 must be provided by one of the persons, agencies or institutions
listed in NAC 432A.308 as qualified to provide such training.
5.  The training required pursuant to subsections 1, 2 and 3 must be designed to:
(a) Ensure the protection of the health and safety of each child enrolled in the
facility; and
(b) Promote the physical, moral and mental well-being of each child enrolled in
the facility.
6.  If the facility is a special needs facility, the training required pursuant to
subsections 1, 2 and 3 must also be designed to provide information on the
characteristics of handicapping conditions and appropriate programs for children
with special needs. The training must be approved by:
(a) The Nevada Registry or its successor organization, or any other agency
designated by the Director of the Department to approve such training; or
(b) If the training has not been approved by The Nevada Registry or its
successor organization, and the Director of the Department has not designated
another agency to approve such courses, the Division or the local licensing agency.
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7.  Evidence that an employee has completed the training required pursuant to
subsections 1, 2 and 3 must be included in his or her personnel file and must be
kept at the facility. With regard to training concerning the administration of first
aid and the recognition of signs and symptoms of illness, the evidence listed in
NAC 432A.308 as adequate evidence of compliance is adequate evidence of
compliance for the purposes of this section.
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 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.
3.  Disciplinary measures used in a facility must be consistent with supportive,
positive action, and may include:
(a) Holding a child’s arm to prevent hitting;
(b) Bodily picking up the child and removing him or her from the group, and:
(1) Sitting with the child until he or she is ready to play without hitting; or
(2) Isolating the child under observation for no more than 10 minutes;
(c) Informing the child in a simple, positive manner what conduct is expected
while the child is in the facility;
(d) Praising and recognizing a child who behaves in the expected manner; and
(e) Directing a child who is in a situation that is creating problems to a new
activity.
ii. All CCDF-eligible licensed family child care homes. Provide the standard: Per NAC
432A.323, licensed facilities are required to be trained in the prevention of shaken
baby syndrome, abusive head trauma, and child maltreatment. Further, this
standard is noted on the facility on-site inspection checklist to help ensure
compliance and appropriate implementation. Additionally, NAC 432A.400
establishes what is considered inappropriate discipline and constitutes
maltreatment of a child.
NAC 432A.323  Initial courses of training in child care. (NRS 432A.077, 432A.177)
1.  Except as otherwise provided in NAC 432A.521 and NRS 432A.177, within 90
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days after commencing his or her employment or position in a child care facility,
each person who is employed in a child care facility, other than a person
employed in a facility that provides care for ill children, and each director of a
child care facility shall complete:
(a) Any training required by the facility in which the director serves or in which
the person is employed for the purposes of obtaining certification in the
administration of cardiopulmonary resuscitation as required pursuant to NAC
432A.322;
(b) Three or more hours of training in child development or guidance and
discipline specific to the age group served by the facility in which the director
serves or in which the person is employed;
(c) Two or more hours of training in the administration of first aid;
(d) Two or more hours of training in the recognition of signs and symptoms of
illness, which must include, without limitation, training in the prevention of
exposure to bloodborne pathogens;
(e) Two or more hours of training in the recognition and reporting of child
abuse and neglect;
(f) If the person or director works with infants under 12 months of age, at
least:
(1) Two hours of training concerning Sudden Infant Death Syndrome; and
(2) One hour of training in the prevention of shaken baby syndrome and
abusive head trauma;
(g) Two or more hours of training in the administration of medication, which
must include, without limitation, training in the prevention of and response to
food and other allergies;
(h) Two or more hours of training in building and physical premises safety,
which must include, without limitation, training in the storage of biocontaminants
and other hazardous materials;
(i) Two or more hours of training in emergency preparedness and response
planning for emergencies resulting from a natural or man-made event;
(j) If the facility provides transportation, 1 or more hours of training in
precautions to be taken when transporting children for each person who will
provide such transportation; and
(k) Two or more hours of training in lifelong wellness, health and safety of
children, which must include, without limitation, training relating to childhood
obesity, nutrition and moderate or vigorous physical activity.
2.  Except as otherwise provided in NAC 432A.521, within 12 months after
commencing employment, each person described in subsection 1 shall, in addition
to completing any training required pursuant to subsection 1 and completing any
course in the development of children required pursuant to NAC 432A.306,
complete at least the number of hours of training described in NAC 432A.326. A
person may use training completed pursuant to subsection 1 to satisfy the training
requirements set forth in NAC 432A.326.
3.  Except as otherwise provided in NAC 432A.521, within 12 months after
commencing employment as a member of the staff of a facility, each member of
the staff of a facility shall complete a course in the development of children
required pursuant to NAC 432A.306.
4.  The training concerning the administration of first aid and the recognition of
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signs and symptoms of illness that is required to be completed pursuant to
subsection 1 must be provided by one of the persons, agencies or institutions
listed in NAC 432A.308 as qualified to provide such training.
5.  The training required pursuant to subsections 1, 2 and 3 must be designed to:
(a) Ensure the protection of the health and safety of each child enrolled in the
facility; and
(b) Promote the physical, moral and mental well-being of each child enrolled in
the facility.
6.  If the facility is a special needs facility, the training required pursuant to
subsections 1, 2 and 3 must also be designed to provide information on the
characteristics of handicapping conditions and appropriate programs for children
with special needs. The training must be approved by:
(a) The Nevada Registry or its successor organization, or any other agency
designated by the Director of the Department to approve such training; or
(b) If the training has not been approved by The Nevada Registry or its
successor organization, and the Director of the Department has not designated
another agency to approve such courses, the Division or the local licensing agency.
7.  Evidence that an employee has completed the training required pursuant to
subsections 1, 2 and 3 must be included in his or her personnel file and must be
kept at the facility. With regard to training concerning the administration of first
aid and the recognition of signs and symptoms of illness, the evidence listed in
NAC 432A.308 as adequate evidence of compliance is adequate evidence of
compliance for the purposes of this section.
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 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.
3.  Disciplinary measures used in a facility must be consistent with supportive,
positive action, and may include:
(a) Holding a child’s arm to prevent hitting;
(b) Bodily picking up the child and removing him or her from the group, and:
(1) Sitting with the child until he or she is ready to play without hitting; or
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(2) Isolating the child under observation for no more than 10 minutes;
(c) Informing the child in a simple, positive manner what conduct is expected
while the child is in the facility;
(d) Praising and recognizing a child who behaves in the expected manner; and
(e) Directing a child who is in a situation that is creating problems to a new
activity.
iii. All CCDF-eligible licensed in-home care. Provide the standard:
[x] Not applicable.
iv. All CCDF-eligible license-exempt center care. Provide the standard: All CCDF-
eligible providers are required to complete mandatory training which includes
preventing maltreatment of a child, inappropriate discipline, appropriate positive
guidance, and redirection of child’s behavior prior to providing care or during an
orientation period of 90 days, and annually thereafter. The Annual Health and
Safety Checklist completed during the annual monitor for license-exempt
providers evaluates compliance with child maltreatment prevention training.
v. All CCDF-eligible license-exempt family child care homes. Provide the standard: All
CCDF-eligible providers are required to complete mandatory training which
includes preventing maltreatment of a child, inappropriate discipline, appropriate
positive guidance, and redirection of child’s behavior prior to providing care or
during an orientation period of 90 days, and annually thereafter. The Annual
Health and Safety Checklist completed during the annual monitor for license-
exempt providers evaluates compliance with child maltreatment prevention
training.
vi. All CCDF-eligible license-exempt in-home care. Provide the standard: All CCDF-
eligible providers are required to complete mandatory training which includes
preventing maltreatment of a child, inappropriate discipline, appropriate positive
guidance, and redirection of child’s behavior prior to providing care or during an
orientation period of 90 days, and annually thereafter. The Annual Health and
Safety Checklist completed during the annual monitor for license-exempt
providers evaluates compliance with child maltreatment prevention training.
vii. All CCDF-eligible out-of-school programs (afterschool programs, summer camps,
day camps, etc.). Provide the standard: All CCDF-eligible providers are required to
complete mandatory training which includes preventing maltreatment of a child,
inappropriate discipline, appropriate positive guidance, and redirection of child’s
behavior prior to providing care or during an orientation period of 90 days, and
annually thereafter. The Annual Health and Safety Checklist completed during the
annual monitor for license-exempt providers evaluates compliance with child
maltreatment prevention training.
5.3.7 Emergency preparedness and response planning standard
Identify by checking below that the emergency preparedness and response planning due to
natural disasters and human-caused events standard includes procedures in the following areas:
i. [x] Evacuation
ii. [x] Relocation
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iii. [x] Shelter-in-place
iv. [x] Lock down
v. Staff emergency preparedness
[x] Training
[x] Practice drills
vi. Volunteer emergency preparedness
[x] Training
[x] Practice drills
vii. [x] Communication with families
viii. [x] Reunification with families
ix. [x] Continuity of operations
x. Accommodation of
[x] Infants
[x] Toddlers
[x] Children with disabilities
[x] Children with chronic medical conditions
xi. If any of the above are not checked, describe: N/A
5.3.8 Handling and storage of hazardous materials and the appropriate disposal of biocontaminants
health and safety standard
a. Provide the standards, appropriate to the provider setting and age of children, that
address the handling and storage of hazardous materials for the following CCDF-eligible
providers:
i. All CCDF-eligible licensed center care. Provide the standard: Per NAC 432A.323,
licensed facility staff are required to be trained in the handling, storage, and
disposal of bio-contaminants and hazardous materials. All facilities are annually
inspected by the state or a local Health Department (NAC 432A.260) and the CCL
Program (the standards is listed on the on-site inspection checklist and monitored
for annually and biannually) to ensure compliance and appropriate
implementation.
NAC 432A.323  Initial courses of training in child care. (NRS 432A.077, 432A.177)
1.  Except as otherwise provided in NAC 432A.521 and NRS 432A.177, within 90
days after commencing his or her employment or position in a child care facility,
each person who is employed in a child care facility, other than a person
employed in a facility that provides care for ill children, and each director of a
child care facility shall complete:
(a) Any training required by the facility in which the director serves or in which
the person is employed for the purposes of obtaining certification in the
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administration of cardiopulmonary resuscitation as required pursuant to NAC
432A.322;
(b) Three or more hours of training in child development or guidance and
discipline specific to the age group served by the facility in which the director
serves or in which the person is employed;
(c) Two or more hours of training in the administration of first aid;
(d) Two or more hours of training in the recognition of signs and symptoms of
illness, which must include, without limitation, training in the prevention of
exposure to bloodborne pathogens;
(e) Two or more hours of training in the recognition and reporting of child
abuse and neglect;
(f) If the person or director works with infants under 12 months of age, at
least:
(1) Two hours of training concerning Sudden Infant Death Syndrome; and
(2) One hour of training in the prevention of shaken baby syndrome and
abusive head trauma;
(g) Two or more hours of training in the administration of medication, which
must include, without limitation, training in the prevention of and response to
food and other allergies;
(h) Two or more hours of training in building and physical premises safety,
which must include, without limitation, training in the storage of biocontaminants
and other hazardous materials;
(i) Two or more hours of training in emergency preparedness and response
planning for emergencies resulting from a natural or man-made event;
(j) If the facility provides transportation, 1 or more hours of training in
precautions to be taken when transporting children for each person who will
provide such transportation; and
(k) Two or more hours of training in lifelong wellness, health and safety of
children, which must include, without limitation, training relating to childhood
obesity, nutrition and moderate or vigorous physical activity.
2.  Except as otherwise provided in NAC 432A.521, within 12 months after
commencing employment, each person described in subsection 1 shall, in addition
to completing any training required pursuant to subsection 1 and completing any
course in the development of children required pursuant to NAC 432A.306,
complete at least the number of hours of training described in NAC 432A.326. A
person may use training completed pursuant to subsection 1 to satisfy the training
requirements set forth in NAC 432A.326.
3.  Except as otherwise provided in NAC 432A.521, within 12 months after
commencing employment as a member of the staff of a facility, each member of
the staff of a facility shall complete a course in the development of children
required pursuant to NAC 432A.306.
4.  The training concerning the administration of first aid and the recognition of
signs and symptoms of illness that is required to be completed pursuant to
subsection 1 must be provided by one of the persons, agencies or institutions
listed in NAC 432A.308 as qualified to provide such training.
5.  The training required pursuant to subsections 1, 2 and 3 must be designed to:
(a) Ensure the protection of the health and safety of each child enrolled in the
facility; and
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(b) Promote the physical, moral and mental well-being of each child enrolled in
the facility.
6.  If the facility is a special needs facility, the training required pursuant to
subsections 1, 2 and 3 must also be designed to provide information on the
characteristics of handicapping conditions and appropriate programs for children
with special needs. The training must be approved by:
(a) The Nevada Registry or its successor organization, or any other agency
designated by the Director of the Department to approve such training; or
(b) If the training has not been approved by The Nevada Registry or its
successor organization, and the Director of the Department has not designated
another agency to approve such courses, the Division or the local licensing agency.
7.  Evidence that an employee has completed the training required pursuant to
subsections 1, 2 and 3 must be included in his or her personnel file and must be
kept at the facility. With regard to training concerning the administration of first
aid and the recognition of signs and symptoms of illness, the evidence listed in
NAC 432A.308 as adequate evidence of compliance is adequate evidence of
compliance for the purposes of this section.
NAC 432A.260  Health standards; inspection reports. (NRS 432A.077)
1.  To maintain his or her license, the licensee must ensure that his or her facility
meets all standards for environmental health which are established by the
Division.
2.  Reports of inspections concerning the sanitation of a facility must be
maintained in a physical file at the facility and available for review at the facility by
a parent of a child who attends the facility or a parent who is considering enrolling
a child at the facility for at least 2 years after the date of the inspection.
ii. All CCDF-eligible licensed family child care homes. Provide the standard: Per NAC
432A.323, licensed facility staff are required to be trained in the handling, storage,
and disposal of bio-contaminants and hazardous materials. All facilities are
annually inspected by the state or a local Health Department (NAC 432A.260) and
the CCL Program (the standards is listed on the on-site inspection checklist and
monitored for annually and biannually) to ensure compliance and appropriate
implementation.
NAC 432A.323  Initial courses of training in child care. (NRS 432A.077, 432A.177)
1.  Except as otherwise provided in NAC 432A.521 and NRS 432A.177, within 90
days after commencing his or her employment or position in a child care facility,
each person who is employed in a child care facility, other than a person
employed in a facility that provides care for ill children, and each director of a
child care facility shall complete:
(a) Any training required by the facility in which the director serves or in which
the person is employed for the purposes of obtaining certification in the
administration of cardiopulmonary resuscitation as required pursuant to NAC
432A.322;
(b) Three or more hours of training in child development or guidance and
discipline specific to the age group served by the facility in which the director
serves or in which the person is employed;
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(c) Two or more hours of training in the administration of first aid;
(d) Two or more hours of training in the recognition of signs and symptoms of
illness, which must include, without limitation, training in the prevention of
exposure to bloodborne pathogens;
(e) Two or more hours of training in the recognition and reporting of child
abuse and neglect;
(f) If the person or director works with infants under 12 months of age, at
least:
(1) Two hours of training concerning Sudden Infant Death Syndrome; and
(2) One hour of training in the prevention of shaken baby syndrome and
abusive head trauma;
(g) Two or more hours of training in the administration of medication, which
must include, without limitation, training in the prevention of and response to
food and other allergies;
(h) Two or more hours of training in building and physical premises safety,
which must include, without limitation, training in the storage of biocontaminants
and other hazardous materials;
(i) Two or more hours of training in emergency preparedness and response
planning for emergencies resulting from a natural or man-made event;
(j) If the facility provides transportation, 1 or more hours of training in
precautions to be taken when transporting children for each person who will
provide such transportation; and
(k) Two or more hours of training in lifelong wellness, health and safety of
children, which must include, without limitation, training relating to childhood
obesity, nutrition and moderate or vigorous physical activity.
2.  Except as otherwise provided in NAC 432A.521, within 12 months after
commencing employment, each person described in subsection 1 shall, in addition
to completing any training required pursuant to subsection 1 and completing any
course in the development of children required pursuant to NAC 432A.306,
complete at least the number of hours of training described in NAC 432A.326. A
person may use training completed pursuant to subsection 1 to satisfy the training
requirements set forth in NAC 432A.326.
3.  Except as otherwise provided in NAC 432A.521, within 12 months after
commencing employment as a member of the staff of a facility, each member of
the staff of a facility shall complete a course in the development of children
required pursuant to NAC 432A.306.
4.  The training concerning the administration of first aid and the recognition of
signs and symptoms of illness that is required to be completed pursuant to
subsection 1 must be provided by one of the persons, agencies or institutions
listed in NAC 432A.308 as qualified to provide such training.
5.  The training required pursuant to subsections 1, 2 and 3 must be designed to:
(a) Ensure the protection of the health and safety of each child enrolled in the
facility; and
(b) Promote the physical, moral and mental well-being of each child enrolled in
the facility.
6.  If the facility is a special needs facility, the training required pursuant to
subsections 1, 2 and 3 must also be designed to provide information on the
characteristics of handicapping conditions and appropriate programs for children
131 | P a g e
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with special needs. The training must be approved by:
(a) The Nevada Registry or its successor organization, or any other agency
designated by the Director of the Department to approve such training; or
(b) If the training has not been approved by The Nevada Registry or its
successor organization, and the Director of the Department has not designated
another agency to approve such courses, the Division or the local licensing agency.
7.  Evidence that an employee has completed the training required pursuant to
subsections 1, 2 and 3 must be included in his or her personnel file and must be
kept at the facility. With regard to training concerning the administration of first
aid and the recognition of signs and symptoms of illness, the evidence listed in
NAC 432A.308 as adequate evidence of compliance is adequate evidence of
compliance for the purposes of this section.
NAC 432A.260  Health standards; inspection reports. (NRS 432A.077)
1.  To maintain his or her license, the licensee must ensure that his or her facility
meets all standards for environmental health which are established by the
Division.
2.  Reports of inspections concerning the sanitation of a facility must be
maintained in a physical file at the facility and available for review at the facility by
a parent of a child who attends the facility or a parent who is considering enrolling
a child at the facility for at least 2 years after the date of the inspection.
iii. All CCDF-eligible licensed in-home care. Provide the standard:
[x] Not applicable.
iv. All CCDF-eligible license-exempt center care. Provide the standard: All CCDF-
eligible providers are required to complete mandatory training which includes
handling and storage of bio-contaminants and/or hazardous materials prior to
providing care or during an orientation period of 90 days, and annually thereafter.
The Annual Health and Safety Checklist completed during the annual monitor for
license-exempt providers evaluates compliance with handling and storage of
hazardous materials training.
v. All CCDF-eligible license-exempt family child care homes. Provide the standard: All
CCDF-eligible providers are required to complete mandatory training which
includes handling and storage of bio-contaminants and/or hazardous materials
prior to providing care or during an orientation period of 90 days, and annually
thereafter. The Annual Health and Safety Checklist completed during the annual
monitor for license-exempt providers evaluates compliance with handling and
storage of hazardous materials training.
vi. All CCDF-eligible license-exempt in-home care. Provide the standard: All CCDF-
eligible providers are required to complete mandatory training which includes
handling and storage of bio-contaminants and/or hazardous materials prior to
providing care or during an orientation period of 90 days, and annually thereafter.
The Annual Health and Safety Checklist completed during the annual monitor for
license-exempt providers evaluates compliance with handling and storage of
hazardous materials training.
vii. All CCDF-eligible out-of-school programs (afterschool programs, summer camps,
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day camps, etc.). Provide the standard: All CCDF-eligible providers are required to
complete mandatory training which includes handling and storage of bio-
contaminants and/or hazardous materials prior to providing care or during an
orientation period of 90 days, and annually thereafter. The Annual Health and
Safety Checklist completed during the annual monitor for license-exempt
providers evaluates compliance with handling and storage of hazardous materials
training.
b. Provide the standards, appropriate to the provider setting and age of children, that
address the disposal of bio contaminants for the following CCDF-eligible providers:
i. All CCDF-eligible licensed center care. Provide the standard: Per NAC 432A.323,
licensed facility staff are required to be trained in the handling, storage, and
disposal of bio-contaminants and hazardous materials. All facilities are annually
inspected by the state or a local Health Department (NAC 432A.260) and the CCL
Program (the standards is listed on the on-site inspection checklist and monitored
for annually and biannually) to ensure compliance and appropriate
implementation.
NAC 432A.323  Initial courses of training in child care. (NRS 432A.077, 432A.177)
1.  Except as otherwise provided in NAC 432A.521 and NRS 432A.177, within 90
days after commencing his or her employment or position in a child care facility,
each person who is employed in a child care facility, other than a person
employed in a facility that provides care for ill children, and each director of a
child care facility shall complete:
(a) Any training required by the facility in which the director serves or in which
the person is employed for the purposes of obtaining certification in the
administration of cardiopulmonary resuscitation as required pursuant to NAC
432A.322;
(b) Three or more hours of training in child development or guidance and
discipline specific to the age group served by the facility in which the director
serves or in which the person is employed;
(c) Two or more hours of training in the administration of first aid;
(d) Two or more hours of training in the recognition of signs and symptoms of
illness, which must include, without limitation, training in the prevention of
exposure to bloodborne pathogens;
(e) Two or more hours of training in the recognition and reporting of child
abuse and neglect;
(f) If the person or director works with infants under 12 months of age, at
least:
(1) Two hours of training concerning Sudden Infant Death Syndrome; and
(2) One hour of training in the prevention of shaken baby syndrome and
abusive head trauma;
(g) Two or more hours of training in the administration of medication, which
must include, without limitation, training in the prevention of and response to
food and other allergies;
(h) Two or more hours of training in building and physical premises safety,
which must include, without limitation, training in the storage of biocontaminants
and other hazardous materials;
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(i) Two or more hours of training in emergency preparedness and response
planning for emergencies resulting from a natural or man-made event;
(j) If the facility provides transportation, 1 or more hours of training in
precautions to be taken when transporting children for each person who will
provide such transportation; and
(k) Two or more hours of training in lifelong wellness, health and safety of
children, which must include, without limitation, training relating to childhood
obesity, nutrition and moderate or vigorous physical activity.
2.  Except as otherwise provided in NAC 432A.521, within 12 months after
commencing employment, each person described in subsection 1 shall, in addition
to completing any training required pursuant to subsection 1 and completing any
course in the development of children required pursuant to NAC 432A.306,
complete at least the number of hours of training described in NAC 432A.326. A
person may use training completed pursuant to subsection 1 to satisfy the training
requirements set forth in NAC 432A.326.
3.  Except as otherwise provided in NAC 432A.521, within 12 months after
commencing employment as a member of the staff of a facility, each member of
the staff of a facility shall complete a course in the development of children
required pursuant to NAC 432A.306.
4.  The training concerning the administration of first aid and the recognition of
signs and symptoms of illness that is required to be completed pursuant to
subsection 1 must be provided by one of the persons, agencies or institutions
listed in NAC 432A.308 as qualified to provide such training.
5.  The training required pursuant to subsections 1, 2 and 3 must be designed to:
(a) Ensure the protection of the health and safety of each child enrolled in the
facility; and
(b) Promote the physical, moral and mental well-being of each child enrolled in
the facility.
6.  If the facility is a special needs facility, the training required pursuant to
subsections 1, 2 and 3 must also be designed to provide information on the
characteristics of handicapping conditions and appropriate programs for children
with special needs. The training must be approved by:
(a) The Nevada Registry or its successor organization, or any other agency
designated by the Director of the Department to approve such training; or
(b) If the training has not been approved by The Nevada Registry or its
successor organization, and the Director of the Department has not designated
another agency to approve such courses, the Division or the local licensing agency.
7.  Evidence that an employee has completed the training required pursuant to
subsections 1, 2 and 3 must be included in his or her personnel file and must be
kept at the facility. With regard to training concerning the administration of first
aid and the recognition of signs and symptoms of illness, the evidence listed in
NAC 432A.308 as adequate evidence of compliance is adequate evidence of
compliance for the purposes of this section.
NAC 432A.260  Health standards; inspection reports. (NRS 432A.077)
1.  To maintain his or her license, the licensee must ensure that his or her facility
meets all standards for environmental health which are established by the
Division.
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2.  Reports of inspections concerning the sanitation of a facility must be
maintained in a physical file at the facility and available for review at the facility by
a parent of a child who attends the facility or a parent who is considering enrolling
a child at the facility for at least 2 years after the date of the inspection.
ii. All CCDF-eligible licensed family child care homes. Provide the standard: Per NAC
432A.323, licensed facility staff are required to be trained in the handling, storage,
and disposal of bio-contaminants and hazardous materials. All facilities are
annually inspected by the state or a local Health Department (NAC 432A.260) and
the CCL Program (the standards is listed on the on-site inspection checklist and
monitored for annually and biannually) to ensure compliance and appropriate
implementation.
NAC 432A.323  Initial courses of training in child care. (NRS 432A.077, 432A.177)
1.  Except as otherwise provided in NAC 432A.521 and NRS 432A.177, within 90
days after commencing his or her employment or position in a child care facility,
each person who is employed in a child care facility, other than a person
employed in a facility that provides care for ill children, and each director of a
child care facility shall complete:
(a) Any training required by the facility in which the director serves or in which
the person is employed for the purposes of obtaining certification in the
administration of cardiopulmonary resuscitation as required pursuant to NAC
432A.322;
(b) Three or more hours of training in child development or guidance and
discipline specific to the age group served by the facility in which the director
serves or in which the person is employed;
(c) Two or more hours of training in the administration of first aid;
(d) Two or more hours of training in the recognition of signs and symptoms of
illness, which must include, without limitation, training in the prevention of
exposure to bloodborne pathogens;
(e) Two or more hours of training in the recognition and reporting of child
abuse and neglect;
(f) If the person or director works with infants under 12 months of age, at
least:
(1) Two hours of training concerning Sudden Infant Death Syndrome; and
(2) One hour of training in the prevention of shaken baby syndrome and
abusive head trauma;
(g) Two or more hours of training in the administration of medication, which
must include, without limitation, training in the prevention of and response to
food and other allergies;
(h) Two or more hours of training in building and physical premises safety,
which must include, without limitation, training in the storage of biocontaminants
and other hazardous materials;
(i) Two or more hours of training in emergency preparedness and response
planning for emergencies resulting from a natural or man-made event;
(j) If the facility provides transportation, 1 or more hours of training in
precautions to be taken when transporting children for each person who will
provide such transportation; and
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(k) Two or more hours of training in lifelong wellness, health and safety of
children, which must include, without limitation, training relating to childhood
obesity, nutrition and moderate or vigorous physical activity.
2.  Except as otherwise provided in NAC 432A.521, within 12 months after
commencing employment, each person described in subsection 1 shall, in addition
to completing any training required pursuant to subsection 1 and completing any
course in the development of children required pursuant to NAC 432A.306,
complete at least the number of hours of training described in NAC 432A.326. A
person may use training completed pursuant to subsection 1 to satisfy the training
requirements set forth in NAC 432A.326.
3.  Except as otherwise provided in NAC 432A.521, within 12 months after
commencing employment as a member of the staff of a facility, each member of
the staff of a facility shall complete a course in the development of children
required pursuant to NAC 432A.306.
4.  The training concerning the administration of first aid and the recognition of
signs and symptoms of illness that is required to be completed pursuant to
subsection 1 must be provided by one of the persons, agencies or institutions
listed in NAC 432A.308 as qualified to provide such training.
5.  The training required pursuant to subsections 1, 2 and 3 must be designed to:
(a) Ensure the protection of the health and safety of each child enrolled in the
facility; and
(b) Promote the physical, moral and mental well-being of each child enrolled in
the facility.
6.  If the facility is a special needs facility, the training required pursuant to
subsections 1, 2 and 3 must also be designed to provide information on the
characteristics of handicapping conditions and appropriate programs for children
with special needs. The training must be approved by:
(a) The Nevada Registry or its successor organization, or any other agency
designated by the Director of the Department to approve such training; or
(b) If the training has not been approved by The Nevada Registry or its
successor organization, and the Director of the Department has not designated
another agency to approve such courses, the Division or the local licensing agency.
7.  Evidence that an employee has completed the training required pursuant to
subsections 1, 2 and 3 must be included in his or her personnel file and must be
kept at the facility. With regard to training concerning the administration of first
aid and the recognition of signs and symptoms of illness, the evidence listed in
NAC 432A.308 as adequate evidence of compliance is adequate evidence of
compliance for the purposes of this section.
NAC 432A.260  Health standards; inspection reports. (NRS 432A.077)
1.  To maintain his or her license, the licensee must ensure that his or her facility
meets all standards for environmental health which are established by the
Division.
2.  Reports of inspections concerning the sanitation of a facility must be
maintained in a physical file at the facility and available for review at the facility by
a parent of a child who attends the facility or a parent who is considering enrolling
a child at the facility for at least 2 years after the date of the inspection.
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iii. All CCDF-eligible licensed in-home care. Provide the standard: All CCDF-eligible
providers are required to complete mandatory training which includes proper
disposal of bio-contaminants prior to providing care or during an orientation
period of 90 days, and annually thereafter. The Annual Health and Safety Checklist
completed during the annual monitor for license-exempt providers evaluates
compliance with disposal of bio contaminants training.
[x] Not applicable.
iv. All CCDF-eligible license-exempt center care. Provide the standard: All CCDF-
eligible providers are required to complete mandatory training which includes
proper disposal of bio-contaminants prior to providing care or during an
orientation period of 90 days, and annually thereafter. The Annual Health and
Safety Checklist completed during the annual monitor for license-exempt
providers evaluates compliance with disposal of bio contaminants training.
v. All CCDF-eligible license-exempt family child care homes. Provide the standard: All
CCDF-eligible providers are required to complete mandatory training which
includes proper disposal of bio-contaminants prior to providing care or during an
orientation period of 90 days, and annually thereafter. The Annual Health and
Safety Checklist completed during the annual monitor for license-exempt
providers evaluates compliance with disposal of bio contaminants training.
vi. All CCDF-eligible license-exempt in-home care. Provide the standard: All CCDF-
eligible providers are required to complete mandatory training which includes
proper disposal of bio-contaminants prior to providing care or during an
orientation period of 90 days, and annually thereafter. The Annual Health and
Safety Checklist completed during the annual monitor for license-exempt
providers evaluates compliance with disposal of bio contaminants training.
vii. All CCDF-eligible out-of-school programs (afterschool programs, summer camps,
day camps, etc.). Provide the standard: All CCDF-eligible providers are required to
complete mandatory training which includes proper disposal of bio-contaminants
prior to providing care or during an orientation period of 90 days, and annually
thereafter. The Annual Health and Safety Checklist completed during the annual
monitor for license-exempt providers evaluates compliance with disposal of bio
contaminants training.
5.3.9 Precautions in transporting children health and safety standard
Provide the standards, appropriate to the provider setting and age of children, that address
precautions in transporting children for the following CCDF-eligible providers:
i. All CCDF-eligible licensed center care. Provide the standard: Per NAC 432A.323
caregivers are required to be trained in how to safely transport children. Further,
NAC 432A.290 very clearly lists out standards of how transportation is to be
handled by licensed facilities. These standards are checked during
annual/biannual inspections using the inspection checklist.
NAC 432A.323  Initial courses of training in child care. (NRS 432A.077, 432A.177)
1.  Except as otherwise provided in NAC 432A.521 and NRS 432A.177, within 90
days after commencing his or her employment or position in a child care facility,
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each person who is employed in a child care facility, other than a person
employed in a facility that provides care for ill children, and each director of a
child care facility shall complete:
(a) Any training required by the facility in which the director serves or in which
the person is employed for the purposes of obtaining certification in the
administration of cardiopulmonary resuscitation as required pursuant to NAC
432A.322;
(b) Three or more hours of training in child development or guidance and
discipline specific to the age group served by the facility in which the director
serves or in which the person is employed;
(c) Two or more hours of training in the administration of first aid;
(d) Two or more hours of training in the recognition of signs and symptoms of
illness, which must include, without limitation, training in the prevention of
exposure to bloodborne pathogens;
(e) Two or more hours of training in the recognition and reporting of child
abuse and neglect;
(f) If the person or director works with infants under 12 months of age, at
least:
(1) Two hours of training concerning Sudden Infant Death Syndrome; and
(2) One hour of training in the prevention of shaken baby syndrome and
abusive head trauma;
(g) Two or more hours of training in the administration of medication, which
must include, without limitation, training in the prevention of and response to
food and other allergies;
(h) Two or more hours of training in building and physical premises safety,
which must include, without limitation, training in the storage of biocontaminants
and other hazardous materials;
(i) Two or more hours of training in emergency preparedness and response
planning for emergencies resulting from a natural or man-made event;
(j) If the facility provides transportation, 1 or more hours of training in
precautions to be taken when transporting children for each person who will
provide such transportation; and
(k) Two or more hours of training in lifelong wellness, health and safety of
children, which must include, without limitation, training relating to childhood
obesity, nutrition and moderate or vigorous physical activity.
2.  Except as otherwise provided in NAC 432A.521, within 12 months after
commencing employment, each person described in subsection 1 shall, in addition
to completing any training required pursuant to subsection 1 and completing any
course in the development of children required pursuant to NAC 432A.306,
complete at least the number of hours of training described in NAC 432A.326. A
person may use training completed pursuant to subsection 1 to satisfy the training
requirements set forth in NAC 432A.326.
3.  Except as otherwise provided in NAC 432A.521, within 12 months after
commencing employment as a member of the staff of a facility, each member of
the staff of a facility shall complete a course in the development of children
required pursuant to NAC 432A.306.
4.  The training concerning the administration of first aid and the recognition of
signs and symptoms of illness that is required to be completed pursuant to
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subsection 1 must be provided by one of the persons, agencies or institutions
listed in NAC 432A.308 as qualified to provide such training.
5.  The training required pursuant to subsections 1, 2 and 3 must be designed to:
(a) Ensure the protection of the health and safety of each child enrolled in the
facility; and
(b) Promote the physical, moral and mental well-being of each child enrolled in
the facility.
6.  If the facility is a special needs facility, the training required pursuant to
subsections 1, 2 and 3 must also be designed to provide information on the
characteristics of handicapping conditions and appropriate programs for children
with special needs. The training must be approved by:
(a) The Nevada Registry or its successor organization, or any other agency
designated by the Director of the Department to approve such training; or
(b) If the training has not been approved by The Nevada Registry or its
successor organization, and the Director of the Department has not designated
another agency to approve such courses, the Division or the local licensing agency.
7.  Evidence that an employee has completed the training required pursuant to
subsections 1, 2 and 3 must be included in his or her personnel file and must be
kept at the facility. With regard to training concerning the administration of first
aid and the recognition of signs and symptoms of illness, the evidence listed in
NAC 432A.308 as adequate evidence of compliance is adequate evidence of
compliance for the purposes of this section.
NAC 432A.290  Telephones; insurance for protection against liability to third
persons; transportation. (NRS 432A.077)
1.  Each licensee of a facility shall have a working telephone listed in a local
telephone directory. A current list of emergency telephone numbers, including
health agencies, fire and police departments and ambulance services must be
posted adjacent to the telephone.
2.  Each licensee of a facility shall have a policy of insurance for protection
against liability to third persons. A certificate of insurance must be furnished by
the licensee of a facility to the Division as evidence that the policy is in force. Each
policy must contain a provision which requires the insurer to notify the Division
before cancellation or nonrenewal of the policy. The licensee shall notify the
Division if there is a lapse in the insurance coverage required by this subsection.
The policy of insurance must be maintained at the facility. Any government,
governmental agency or political subdivision of a government which operates a
child care facility and is self-insured is not required to furnish a certificate of
insurance to the Division.
3.  If transportation is provided by the licensee of a facility, all children must be
protected by adequate supervision by the staff, safety precautions and adequate
insurance which covers liability for health or injury, medical expenses and
damages caused by uninsured motorists. The licensee of a facility shall require
that each child is instructed in the conduct required for safe transportation. A
driver of a vehicle used by the licensee of a facility shall:
(a) Possess an appropriate driver’s license and adequate insurance;
(b) Not leave an unattended child in the vehicle at any time;
(c) Ensure that a parent, or a person designated in writing by the parent, is
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present to take charge of a child upon delivery of the child to his or her home or
the facility;
(d) Ensure that each child boards or departs the vehicle on the side of the
vehicle adjacent to a curb and that the child is safely conducted across any street
encountered immediately before boarding or after departing; and
(e) Ensure that the doors and windows of the vehicle are secure before
proceeding.
4.  Except as otherwise provided in this section, when transporting children, the
licensee of a facility shall ensure that the ratio of caregivers to children in the
vehicle satisfies the applicable requirement for the ratio of caregivers to children
set forth in NAC 432A.5205. When transporting children who are 2 years of age or
older, a licensee of a special needs facility shall ensure that the ratio of caregivers
to children in the vehicle satisfies the applicable requirement for the ratio of
caregivers to children set forth in NAC 432A.5205.
5.  If, during the time school is in operation, the licensee of a facility provides
transportation for children of school age to and from a public or private school,
the ratio of staff to children in the vehicle must be not less than one member of
the staff for every 15 children.
6.  The licensee of a facility shall maintain a log for transportation provided by
the licensee of the facility. The log must be maintained at the facility for at least 4
months after the transportation is provided. The log must include:
(a) The name of each child who was transported;
(b) The date the transportation was provided by the licensee of the facility;
(c) The time of departure of the vehicle and the time the vehicle arrived at its
destination;
(d) The signature of the driver of the vehicle;
(e) The name of each adult who was transported in the vehicle, including,
without limitation, the driver of the vehicle; and
(f) The signed verification required by subsection 7.
7.  Upon arrival at the destination, one member of the staff of the facility shall
mark each child off the log as the child departs the vehicle, conduct a physical
inspection and visually and physically sweep the vehicle to ensure a child is not
left behind in the vehicle, and include in the log signed verification that each child
who was transported in the vehicle is accounted for and that the visual and
physical sweeps were conducted.
ii. All CCDF-eligible licensed family child care homes. Provide the standard: Per NAC
432A.323 caregivers are required to be trained in how to safely transport children.
Further, NAC 432A.290 very clearly lists out standards of how transportation is to
be handled by licensed facilities. These standards are checked during
annual/biannual inspections using the inspection checklist.
NAC 432A.323  Initial courses of training in child care. (NRS 432A.077, 432A.177)
1.  Except as otherwise provided in NAC 432A.521 and NRS 432A.177, within 90
days after commencing his or her employment or position in a child care facility,
each person who is employed in a child care facility, other than a person
employed in a facility that provides care for ill children, and each director of a
child care facility shall complete:
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(a) Any training required by the facility in which the director serves or in which
the person is employed for the purposes of obtaining certification in the
administration of cardiopulmonary resuscitation as required pursuant to NAC
432A.322;
(b) Three or more hours of training in child development or guidance and
discipline specific to the age group served by the facility in which the director
serves or in which the person is employed;
(c) Two or more hours of training in the administration of first aid;
(d) Two or more hours of training in the recognition of signs and symptoms of
illness, which must include, without limitation, training in the prevention of
exposure to bloodborne pathogens;
(e) Two or more hours of training in the recognition and reporting of child
abuse and neglect;
(f) If the person or director works with infants under 12 months of age, at
least:
(1) Two hours of training concerning Sudden Infant Death Syndrome; and
(2) One hour of training in the prevention of shaken baby syndrome and
abusive head trauma;
(g) Two or more hours of training in the administration of medication, which
must include, without limitation, training in the prevention of and response to
food and other allergies;
(h) Two or more hours of training in building and physical premises safety,
which must include, without limitation, training in the storage of biocontaminants
and other hazardous materials;
(i) Two or more hours of training in emergency preparedness and response
planning for emergencies resulting from a natural or man-made event;
(j) If the facility provides transportation, 1 or more hours of training in
precautions to be taken when transporting children for each person who will
provide such transportation; and
(k) Two or more hours of training in lifelong wellness, health and safety of
children, which must include, without limitation, training relating to childhood
obesity, nutrition and moderate or vigorous physical activity.
2.  Except as otherwise provided in NAC 432A.521, within 12 months after
commencing employment, each person described in subsection 1 shall, in addition
to completing any training required pursuant to subsection 1 and completing any
course in the development of children required pursuant to NAC 432A.306,
complete at least the number of hours of training described in NAC 432A.326. A
person may use training completed pursuant to subsection 1 to satisfy the training
requirements set forth in NAC 432A.326.
3.  Except as otherwise provided in NAC 432A.521, within 12 months after
commencing employment as a member of the staff of a facility, each member of
the staff of a facility shall complete a course in the development of children
required pursuant to NAC 432A.306.
4.  The training concerning the administration of first aid and the recognition of
signs and symptoms of illness that is required to be completed pursuant to
subsection 1 must be provided by one of the persons, agencies or institutions
listed in NAC 432A.308 as qualified to provide such training.
5.  The training required pursuant to subsections 1, 2 and 3 must be designed to:
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(a) Ensure the protection of the health and safety of each child enrolled in the
facility; and
(b) Promote the physical, moral and mental well-being of each child enrolled in
the facility.
6.  If the facility is a special needs facility, the training required pursuant to
subsections 1, 2 and 3 must also be designed to provide information on the
characteristics of handicapping conditions and appropriate programs for children
with special needs. The training must be approved by:
(a) The Nevada Registry or its successor organization, or any other agency
designated by the Director of the Department to approve such training; or
(b) If the training has not been approved by The Nevada Registry or its
successor organization, and the Director of the Department has not designated
another agency to approve such courses, the Division or the local licensing agency.
7.  Evidence that an employee has completed the training required pursuant to
subsections 1, 2 and 3 must be included in his or her personnel file and must be
kept at the facility. With regard to training concerning the administration of first
aid and the recognition of signs and symptoms of illness, the evidence listed in
NAC 432A.308 as adequate evidence of compliance is adequate evidence of
compliance for the purposes of this section.
NAC 432A.290  Telephones; insurance for protection against liability to third
persons; transportation. (NRS 432A.077)
1.  Each licensee of a facility shall have a working telephone listed in a local
telephone directory. A current list of emergency telephone numbers, including
health agencies, fire and police departments and ambulance services must be
posted adjacent to the telephone.
2.  Each licensee of a facility shall have a policy of insurance for protection
against liability to third persons. A certificate of insurance must be furnished by
the licensee of a facility to the Division as evidence that the policy is in force. Each
policy must contain a provision which requires the insurer to notify the Division
before cancellation or nonrenewal of the policy. The licensee shall notify the
Division if there is a lapse in the insurance coverage required by this subsection.
The policy of insurance must be maintained at the facility. Any government,
governmental agency or political subdivision of a government which operates a
child care facility and is self-insured is not required to furnish a certificate of
insurance to the Division.
3.  If transportation is provided by the licensee of a facility, all children must be
protected by adequate supervision by the staff, safety precautions and adequate
insurance which covers liability for health or injury, medical expenses and
damages caused by uninsured motorists. The licensee of a facility shall require
that each child is instructed in the conduct required for safe transportation. A
driver of a vehicle used by the licensee of a facility shall:
(a) Possess an appropriate driver’s license and adequate insurance;
(b) Not leave an unattended child in the vehicle at any time;
(c) Ensure that a parent, or a person designated in writing by the parent, is
present to take charge of a child upon delivery of the child to his or her home or
the facility;
(d) Ensure that each child boards or departs the vehicle on the side of the
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vehicle adjacent to a curb and that the child is safely conducted across any street
encountered immediately before boarding or after departing; and
(e) Ensure that the doors and windows of the vehicle are secure before
proceeding.
4.  Except as otherwise provided in this section, when transporting children, the
licensee of a facility shall ensure that the ratio of caregivers to children in the
vehicle satisfies the applicable requirement for the ratio of caregivers to children
set forth in NAC 432A.5205. When transporting children who are 2 years of age or
older, a licensee of a special needs facility shall ensure that the ratio of caregivers
to children in the vehicle satisfies the applicable requirement for the ratio of
caregivers to children set forth in NAC 432A.5205.
5.  If, during the time school is in operation, the licensee of a facility provides
transportation for children of school age to and from a public or private school,
the ratio of staff to children in the vehicle must be not less than one member of
the staff for every 15 children.
6.  The licensee of a facility shall maintain a log for transportation provided by
the licensee of the facility. The log must be maintained at the facility for at least 4
months after the transportation is provided. The log must include:
(a) The name of each child who was transported;
(b) The date the transportation was provided by the licensee of the facility;
(c) The time of departure of the vehicle and the time the vehicle arrived at its
destination;
(d) The signature of the driver of the vehicle;
(e) The name of each adult who was transported in the vehicle, including,
without limitation, the driver of the vehicle; and
(f) The signed verification required by subsection 7.
7.  Upon arrival at the destination, one member of the staff of the facility shall
mark each child off the log as the child departs the vehicle, conduct a physical
inspection and visually and physically sweep the vehicle to ensure a child is not
left behind in the vehicle, and include in the log signed verification that each child
who was transported in the vehicle is accounted for and that the visual and
physical sweeps were conducted.
iii. All CCDF-eligible licensed in-home care. Provide the standard:
[x] Not applicable.
iv. All CCDF-eligible license-exempt center care. Provide the standard: All CCDF-
eligible providers are required to complete mandatory training which includes
precautions in transporting children (for applicable staff) prior to providing care or
during an orientation period of 90 days, and annually thereafter. The Annual
Health and Safety Checklist completed during the annual monitor for license-
exempt providers evaluates compliance with transporting children.
v. All CCDF-eligible license-exempt family child care homes. Provide the standard: All
CCDF-eligible providers are required to complete mandatory training which
includes precautions in transporting children (for applicable staff) prior to
providing care or during an orientation period of 90 days, and annually thereafter.
The Annual Health and Safety Checklist completed during the annual monitor for
license-exempt providers evaluates compliance with transporting children.
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vi. All CCDF-eligible license-exempt in-home care. Provide the standard: All CCDF-
eligible providers are required to complete mandatory training which includes
precautions in transporting children (for applicable staff) prior to providing care or
during an orientation period of 90 days, and annually thereafter. The Annual
Health and Safety Checklist completed during the annual monitor for license-
exempt providers evaluates compliance with transporting children.
vii. All CCDF-eligible out-of-school programs (afterschool programs, summer camps,
day camps, etc.). Provide the standard: All CCDF-eligible providers are required to
complete mandatory training which includes precautions in transporting children
(for applicable staff) prior to providing care or during an orientation period of 90
days, and annually thereafter. The Annual Health and Safety Checklist completed
during the annual monitor for license-exempt providers evaluates compliance
with transporting children.
5.3.10 Pediatric first aid and pediatric cardiopulmonary resuscitation (CPR) health and safety standard
a. Provide the standards, appropriate to the provider setting and age of children, that
address pediatric first aid for all staff for the following CCDF-eligible providers:
i. All CCDF-eligible licensed center care. Provide the standard: Per NAC 432A.323,
licensed facility staff are required to be trained in pediatric first aid and pediatric
CPR. Providers are required to maintain an updated certification card as proof that
a current first aid/CPR training has been taken and it is to be kept on file at the
facility for review. Biannual inspections using an inspection checklist are
conducted to ensure compliance and appropriate implementation.
NAC 432A.323  Initial courses of training in child care. (NRS 432A.077, 432A.177)
1.  Except as otherwise provided in NAC 432A.521 and NRS 432A.177, within 90
days after commencing his or her employment or position in a child care facility,
each person who is employed in a child care facility, other than a person
employed in a facility that provides care for ill children, and each director of a
child care facility shall complete:
(a) Any training required by the facility in which the director serves or in which
the person is employed for the purposes of obtaining certification in the
administration of cardiopulmonary resuscitation as required pursuant to NAC
432A.322;
(b) Three or more hours of training in child development or guidance and
discipline specific to the age group served by the facility in which the director
serves or in which the person is employed;
(c) Two or more hours of training in the administration of first aid;
(d) Two or more hours of training in the recognition of signs and symptoms of
illness, which must include, without limitation, training in the prevention of
exposure to bloodborne pathogens;
(e) Two or more hours of training in the recognition and reporting of child
abuse and neglect;
(f) If the person or director works with infants under 12 months of age, at
least:
(1) Two hours of training concerning Sudden Infant Death Syndrome; and
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(2) One hour of training in the prevention of shaken baby syndrome and
abusive head trauma;
(g) Two or more hours of training in the administration of medication, which
must include, without limitation, training in the prevention of and response to
food and other allergies;
(h) Two or more hours of training in building and physical premises safety,
which must include, without limitation, training in the storage of biocontaminants
and other hazardous materials;
(i) Two or more hours of training in emergency preparedness and response
planning for emergencies resulting from a natural or man-made event;
(j) If the facility provides transportation, 1 or more hours of training in
precautions to be taken when transporting children for each person who will
provide such transportation; and
(k) Two or more hours of training in lifelong wellness, health and safety of
children, which must include, without limitation, training relating to childhood
obesity, nutrition and moderate or vigorous physical activity.
2.  Except as otherwise provided in NAC 432A.521, within 12 months after
commencing employment, each person described in subsection 1 shall, in addition
to completing any training required pursuant to subsection 1 and completing any
course in the development of children required pursuant to NAC 432A.306,
complete at least the number of hours of training described in NAC 432A.326. A
person may use training completed pursuant to subsection 1 to satisfy the training
requirements set forth in NAC 432A.326.
3.  Except as otherwise provided in NAC 432A.521, within 12 months after
commencing employment as a member of the staff of a facility, each member of
the staff of a facility shall complete a course in the development of children
required pursuant to NAC 432A.306.
4.  The training concerning the administration of first aid and the recognition of
signs and symptoms of illness that is required to be completed pursuant to
subsection 1 must be provided by one of the persons, agencies or institutions
listed in NAC 432A.308 as qualified to provide such training.
5.  The training required pursuant to subsections 1, 2 and 3 must be designed to:
(a) Ensure the protection of the health and safety of each child enrolled in the
facility; and
(b) Promote the physical, moral and mental well-being of each child enrolled in
the facility.
6.  If the facility is a special needs facility, the training required pursuant to
subsections 1, 2 and 3 must also be designed to provide information on the
characteristics of handicapping conditions and appropriate programs for children
with special needs. The training must be approved by:
(a) The Nevada Registry or its successor organization, or any other agency
designated by the Director of the Department to approve such training; or
(b) If the training has not been approved by The Nevada Registry or its
successor organization, and the Director of the Department has not designated
another agency to approve such courses, the Division or the local licensing agency.
7.  Evidence that an employee has completed the training required pursuant to
subsections 1, 2 and 3 must be included in his or her personnel file and must be
kept at the facility. With regard to training concerning the administration of first
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aid and the recognition of signs and symptoms of illness, the evidence listed in
NAC 432A.308 as adequate evidence of compliance is adequate evidence of
compliance for the purposes of this section.
ii. All CCDF-eligible licensed family child care homes. Provide the standard: Per NAC
432A.323, licensed facility staff are required to be trained in pediatric first aid and
pediatric CPR. Providers are required to maintain an updated certification card as
proof that a current first aid/CPR training has been taken and it is to be kept on
file at the facility for review. Biannual inspections using an inspection checklist are
conducted to ensure compliance and appropriate implementation.
NAC 432A.323  Initial courses of training in child care. (NRS 432A.077, 432A.177)
1.  Except as otherwise provided in NAC 432A.521 and NRS 432A.177, within 90
days after commencing his or her employment or position in a child care facility,
each person who is employed in a child care facility, other than a person
employed in a facility that provides care for ill children, and each director of a
child care facility shall complete:
(a) Any training required by the facility in which the director serves or in which
the person is employed for the purposes of obtaining certification in the
administration of cardiopulmonary resuscitation as required pursuant to NAC
432A.322;
(b) Three or more hours of training in child development or guidance and
discipline specific to the age group served by the facility in which the director
serves or in which the person is employed;
(c) Two or more hours of training in the administration of first aid;
(d) Two or more hours of training in the recognition of signs and symptoms of
illness, which must include, without limitation, training in the prevention of
exposure to bloodborne pathogens;
(e) Two or more hours of training in the recognition and reporting of child
abuse and neglect;
(f) If the person or director works with infants under 12 months of age, at
least:
(1) Two hours of training concerning Sudden Infant Death Syndrome; and
(2) One hour of training in the prevention of shaken baby syndrome and
abusive head trauma;
(g) Two or more hours of training in the administration of medication, which
must include, without limitation, training in the prevention of and response to
food and other allergies;
(h) Two or more hours of training in building and physical premises safety,
which must include, without limitation, training in the storage of biocontaminants
and other hazardous materials;
(i) Two or more hours of training in emergency preparedness and response
planning for emergencies resulting from a natural or man-made event;
(j) If the facility provides transportation, 1 or more hours of training in
precautions to be taken when transporting children for each person who will
provide such transportation; and
(k) Two or more hours of training in lifelong wellness, health and safety of
children, which must include, without limitation, training relating to childhood
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obesity, nutrition and moderate or vigorous physical activity.
2.  Except as otherwise provided in NAC 432A.521, within 12 months after
commencing employment, each person described in subsection 1 shall, in addition
to completing any training required pursuant to subsection 1 and completing any
course in the development of children required pursuant to NAC 432A.306,
complete at least the number of hours of training described in NAC 432A.326. A
person may use training completed pursuant to subsection 1 to satisfy the training
requirements set forth in NAC 432A.326.
3.  Except as otherwise provided in NAC 432A.521, within 12 months after
commencing employment as a member of the staff of a facility, each member of
the staff of a facility shall complete a course in the development of children
required pursuant to NAC 432A.306.
4.  The training concerning the administration of first aid and the recognition of
signs and symptoms of illness that is required to be completed pursuant to
subsection 1 must be provided by one of the persons, agencies or institutions
listed in NAC 432A.308 as qualified to provide such training.
5.  The training required pursuant to subsections 1, 2 and 3 must be designed to:
(a) Ensure the protection of the health and safety of each child enrolled in the
facility; and
(b) Promote the physical, moral and mental well-being of each child enrolled in
the facility.
6.  If the facility is a special needs facility, the training required pursuant to
subsections 1, 2 and 3 must also be designed to provide information on the
characteristics of handicapping conditions and appropriate programs for children
with special needs. The training must be approved by:
(a) The Nevada Registry or its successor organization, or any other agency
designated by the Director of the Department to approve such training; or
(b) If the training has not been approved by The Nevada Registry or its
successor organization, and the Director of the Department has not designated
another agency to approve such courses, the Division or the local licensing agency.
7.  Evidence that an employee has completed the training required pursuant to
subsections 1, 2 and 3 must be included in his or her personnel file and must be
kept at the facility. With regard to training concerning the administration of first
aid and the recognition of signs and symptoms of illness, the evidence listed in
NAC 432A.308 as adequate evidence of compliance is adequate evidence of
compliance for the purposes of this section.
iii. All CCDF-eligible licensed in-home care. Provide the standard:
[x] Not applicable.
iv. All CCDF-eligible license-exempt center care. Provide the standard: All CCDF-
eligible providers are required to complete mandatory training which includes
pediatric CPR/first aid for all staff prior to providing care or during an orientation
period of 90 days, and annually thereafter. The Annual Health and Safety Checklist
completed during the annual monitor for license-exempt providers evaluates
compliance with pediatric CPR/first aid training.
v. All CCDF-eligible license-exempt family child care homes. Provide the standard: All
CCDF-eligible providers are required to complete mandatory training which
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includes pediatric CPR/first aid for all staff prior to providing care or during an
orientation period of 90 days, and annually thereafter. The Annual Health and
Safety Checklist completed during the annual monitor for license-exempt
providers evaluates compliance with pediatric CPR/first aid training.
vi. All CCDF-eligible license-exempt in-home care. Provide the standard: All CCDF-
eligible providers are required to complete mandatory training which includes
pediatric CPR/first aid for all staff prior to providing care or during an orientation
period of 90 days, and annually thereafter. The Annual Health and Safety Checklist
completed during the annual monitor for license-exempt providers evaluates
compliance with pediatric CPR/first aid training.
vii. All CCDF-eligible out-of-school programs (afterschool programs, summer camps,
day camps, etc.). Provide the standard: All CCDF-eligible providers are required to
complete mandatory training which includes pediatric CPR/first aid for all staff
prior to providing care or during an orientation period of 90 days, and annually
thereafter. The Annual Health and Safety Checklist completed during the annual
monitor for license-exempt providers evaluates compliance with pediatric
CPR/first aid training.
b. Provide the standards, appropriate to the provider setting and age of children, that
address pediatric cardiopulmonary resuscitation for all staff for the following CCDF-eligible
providers:
i. All CCDF-eligible licensed center care. Provide the standard: Per NAC 432A.323,
licensed facility staff are required to be trained in pediatric first aid and pediatric
CPR. Providers are required to maintain an updated certification card as proof that
a current first aid/CPR training has been taken and it is to be kept on file at the
facility for review. Biannual inspections using an inspection checklist are
conducted to ensure compliance and appropriate implementation.
NAC 432A.323  Initial courses of training in child care. (NRS 432A.077, 432A.177)
1.  Except as otherwise provided in NAC 432A.521 and NRS 432A.177, within 90
days after commencing his or her employment or position in a child care facility,
each person who is employed in a child care facility, other than a person
employed in a facility that provides care for ill children, and each director of a
child care facility shall complete:
(a) Any training required by the facility in which the director serves or in which
the person is employed for the purposes of obtaining certification in the
administration of cardiopulmonary resuscitation as required pursuant to NAC
432A.322;
(b) Three or more hours of training in child development or guidance and
discipline specific to the age group served by the facility in which the director
serves or in which the person is employed;
(c) Two or more hours of training in the administration of first aid;
(d) Two or more hours of training in the recognition of signs and symptoms of
illness, which must include, without limitation, training in the prevention of
exposure to bloodborne pathogens;
(e) Two or more hours of training in the recognition and reporting of child
abuse and neglect;
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(f) If the person or director works with infants under 12 months of age, at
least:
(1) Two hours of training concerning Sudden Infant Death Syndrome; and
(2) One hour of training in the prevention of shaken baby syndrome and
abusive head trauma;
(g) Two or more hours of training in the administration of medication, which
must include, without limitation, training in the prevention of and response to
food and other allergies;
(h) Two or more hours of training in building and physical premises safety,
which must include, without limitation, training in the storage of biocontaminants
and other hazardous materials;
(i) Two or more hours of training in emergency preparedness and response
planning for emergencies resulting from a natural or man-made event;
(j) If the facility provides transportation, 1 or more hours of training in
precautions to be taken when transporting children for each person who will
provide such transportation; and
(k) Two or more hours of training in lifelong wellness, health and safety of
children, which must include, without limitation, training relating to childhood
obesity, nutrition and moderate or vigorous physical activity.
2.  Except as otherwise provided in NAC 432A.521, within 12 months after
commencing employment, each person described in subsection 1 shall, in addition
to completing any training required pursuant to subsection 1 and completing any
course in the development of children required pursuant to NAC 432A.306,
complete at least the number of hours of training described in NAC 432A.326. A
person may use training completed pursuant to subsection 1 to satisfy the training
requirements set forth in NAC 432A.326.
3.  Except as otherwise provided in NAC 432A.521, within 12 months after
commencing employment as a member of the staff of a facility, each member of
the staff of a facility shall complete a course in the development of children
required pursuant to NAC 432A.306.
4.  The training concerning the administration of first aid and the recognition of
signs and symptoms of illness that is required to be completed pursuant to
subsection 1 must be provided by one of the persons, agencies or institutions
listed in NAC 432A.308 as qualified to provide such training.
5.  The training required pursuant to subsections 1, 2 and 3 must be designed to:
(a) Ensure the protection of the health and safety of each child enrolled in the
facility; and
(b) Promote the physical, moral and mental well-being of each child enrolled in
the facility.
6.  If the facility is a special needs facility, the training required pursuant to
subsections 1, 2 and 3 must also be designed to provide information on the
characteristics of handicapping conditions and appropriate programs for children
with special needs. The training must be approved by:
(a) The Nevada Registry or its successor organization, or any other agency
designated by the Director of the Department to approve such training; or
(b) If the training has not been approved by The Nevada Registry or its
successor organization, and the Director of the Department has not designated
another agency to approve such courses, the Division or the local licensing agency.
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7.  Evidence that an employee has completed the training required pursuant to
subsections 1, 2 and 3 must be included in his or her personnel file and must be
kept at the facility. With regard to training concerning the administration of first
aid and the recognition of signs and symptoms of illness, the evidence listed in
NAC 432A.308 as adequate evidence of compliance is adequate evidence of
compliance for the purposes of this section.
ii. All CCDF-eligible licensed family child care homes. Provide the standard: Per NAC
432A.323, licensed facility staff are required to be trained in pediatric first aid and
pediatric CPR. Providers are required to maintain an updated certification card as
proof that a current first aid/CPR training has been taken and it is to be kept on
file at the facility for review. Biannual inspections using an inspection checklist are
conducted to ensure compliance and appropriate implementation.
NAC 432A.323  Initial courses of training in child care. (NRS 432A.077, 432A.177)
1.  Except as otherwise provided in NAC 432A.521 and NRS 432A.177, within 90
days after commencing his or her employment or position in a child care facility,
each person who is employed in a child care facility, other than a person
employed in a facility that provides care for ill children, and each director of a
child care facility shall complete:
(a) Any training required by the facility in which the director serves or in which
the person is employed for the purposes of obtaining certification in the
administration of cardiopulmonary resuscitation as required pursuant to NAC
432A.322;
(b) Three or more hours of training in child development or guidance and
discipline specific to the age group served by the facility in which the director
serves or in which the person is employed;
(c) Two or more hours of training in the administration of first aid;
(d) Two or more hours of training in the recognition of signs and symptoms of
illness, which must include, without limitation, training in the prevention of
exposure to bloodborne pathogens;
(e) Two or more hours of training in the recognition and reporting of child
abuse and neglect;
(f) If the person or director works with infants under 12 months of age, at
least:
(1) Two hours of training concerning Sudden Infant Death Syndrome; and
(2) One hour of training in the prevention of shaken baby syndrome and
abusive head trauma;
(g) Two or more hours of training in the administration of medication, which
must include, without limitation, training in the prevention of and response to
food and other allergies;
(h) Two or more hours of training in building and physical premises safety,
which must include, without limitation, training in the storage of biocontaminants
and other hazardous materials;
(i) Two or more hours of training in emergency preparedness and response
planning for emergencies resulting from a natural or man-made event;
(j) If the facility provides transportation, 1 or more hours of training in
precautions to be taken when transporting children for each person who will
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provide such transportation; and
(k) Two or more hours of training in lifelong wellness, health and safety of
children, which must include, without limitation, training relating to childhood
obesity, nutrition and moderate or vigorous physical activity.
2.  Except as otherwise provided in NAC 432A.521, within 12 months after
commencing employment, each person described in subsection 1 shall, in addition
to completing any training required pursuant to subsection 1 and completing any
course in the development of children required pursuant to NAC 432A.306,
complete at least the number of hours of training described in NAC 432A.326. A
person may use training completed pursuant to subsection 1 to satisfy the training
requirements set forth in NAC 432A.326.
3.  Except as otherwise provided in NAC 432A.521, within 12 months after
commencing employment as a member of the staff of a facility, each member of
the staff of a facility shall complete a course in the development of children
required pursuant to NAC 432A.306.
4.  The training concerning the administration of first aid and the recognition of
signs and symptoms of illness that is required to be completed pursuant to
subsection 1 must be provided by one of the persons, agencies or institutions
listed in NAC 432A.308 as qualified to provide such training.
5.  The training required pursuant to subsections 1, 2 and 3 must be designed to:
(a) Ensure the protection of the health and safety of each child enrolled in the
facility; and
(b) Promote the physical, moral and mental well-being of each child enrolled in
the facility.
6.  If the facility is a special needs facility, the training required pursuant to
subsections 1, 2 and 3 must also be designed to provide information on the
characteristics of handicapping conditions and appropriate programs for children
with special needs. The training must be approved by:
(a) The Nevada Registry or its successor organization, or any other agency
designated by the Director of the Department to approve such training; or
(b) If the training has not been approved by The Nevada Registry or its
successor organization, and the Director of the Department has not designated
another agency to approve such courses, the Division or the local licensing agency.
7.  Evidence that an employee has completed the training required pursuant to
subsections 1, 2 and 3 must be included in his or her personnel file and must be
kept at the facility. With regard to training concerning the administration of first
aid and the recognition of signs and symptoms of illness, the evidence listed in
NAC 432A.308 as adequate evidence of compliance is adequate evidence of
compliance for the purposes of this section.
iii. All CCDF-eligible licensed in-home care. Provide the standard:
[x] Not applicable.
iv. All CCDF-eligible license-exempt center care. Provide the standard: All CCDF-
eligible providers are required to complete mandatory training which includes
pediatric CPR/first aid for all staff prior to providing care or during an orientation
period of 90 days, and annually thereafter. The Annual Health and Safety Checklist
completed during the annual monitor for license-exempt providers evaluates
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compliance with pediatric CPR/first aid training.
v. All CCDF-eligible license-exempt family child care homes. Provide the standard: All
CCDF-eligible providers are required to complete mandatory training which
includes pediatric CPR/first aid for all staff prior to providing care or during an
orientation period of 90 days, and annually thereafter. The Annual Health and
Safety Checklist completed during the annual monitor for license-exempt
providers evaluates compliance with pediatric CPR/first aid training.
vi. All CCDF-eligible license-exempt in-home care. Provide the standard: All CCDF-
eligible providers are required to complete mandatory training which includes
pediatric CPR/first aid for all staff prior to providing care or during an orientation
period of 90 days, and annually thereafter. The Annual Health and Safety Checklist
completed during the annual monitor for license-exempt providers evaluates
compliance with pediatric CPR/first aid training.
vii. All CCDF-eligible out-of-school programs (afterschool programs, summer camps,
day camps, etc.). Provide the standard: All CCDF-eligible providers are required to
complete mandatory training which includes pediatric CPR/first aid for all staff
prior to providing care or during an orientation period of 90 days, and annually
thereafter. The Annual Health and Safety Checklist completed during the annual
monitor for license-exempt providers evaluates compliance with pediatric
CPR/first aid training.
5.3.11 Identification and reporting of child abuse and neglect health and safety standard
a. Provide the standards, appropriate to the provider setting and age of children, that
address the identification of child abuse and neglect for the following CCDF-eligible
providers:
i. All CCDF-eligible licensed center care. Provide the standard: Per NAC 432A.323,
licensed facility staff are required to be trained in recognizing and reporting child
abuse and neglect. This standard is discussed during Licensing facilitated trainings
about being a mandated reporter and what the expectations are for licensed
facility staff. Each staff member is required to have proof of taking the recognizing
and reporting child abuse class on file for review. Biannual inspections using an
inspection checklist are conducted to ensure compliance and implementation.
NAC 432A.323  Initial courses of training in child care. (NRS 432A.077, 432A.177)
1.  Except as otherwise provided in NAC 432A.521 and NRS 432A.177, within 90
days after commencing his or her employment or position in a child care facility,
each person who is employed in a child care facility, other than a person
employed in a facility that provides care for ill children, and each director of a
child care facility shall complete:
(a) Any training required by the facility in which the director serves or in which
the person is employed for the purposes of obtaining certification in the
administration of cardiopulmonary resuscitation as required pursuant to NAC
432A.322;
(b) Three or more hours of training in child development or guidance and
discipline specific to the age group served by the facility in which the director
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serves or in which the person is employed;
(c) Two or more hours of training in the administration of first aid;
(d) Two or more hours of training in the recognition of signs and symptoms of
illness, which must include, without limitation, training in the prevention of
exposure to bloodborne pathogens;
(e) Two or more hours of training in the recognition and reporting of child
abuse and neglect;
(f) If the person or director works with infants under 12 months of age, at
least:
(1) Two hours of training concerning Sudden Infant Death Syndrome; and
(2) One hour of training in the prevention of shaken baby syndrome and
abusive head trauma;
(g) Two or more hours of training in the administration of medication, which
must include, without limitation, training in the prevention of and response to
food and other allergies;
(h) Two or more hours of training in building and physical premises safety,
which must include, without limitation, training in the storage of biocontaminants
and other hazardous materials;
(i) Two or more hours of training in emergency preparedness and response
planning for emergencies resulting from a natural or man-made event;
(j) If the facility provides transportation, 1 or more hours of training in
precautions to be taken when transporting children for each person who will
provide such transportation; and
(k) Two or more hours of training in lifelong wellness, health and safety of
children, which must include, without limitation, training relating to childhood
obesity, nutrition and moderate or vigorous physical activity.
2.  Except as otherwise provided in NAC 432A.521, within 12 months after
commencing employment, each person described in subsection 1 shall, in addition
to completing any training required pursuant to subsection 1 and completing any
course in the development of children required pursuant to NAC 432A.306,
complete at least the number of hours of training described in NAC 432A.326. A
person may use training completed pursuant to subsection 1 to satisfy the training
requirements set forth in NAC 432A.326.
3.  Except as otherwise provided in NAC 432A.521, within 12 months after
commencing employment as a member of the staff of a facility, each member of
the staff of a facility shall complete a course in the development of children
required pursuant to NAC 432A.306.
4.  The training concerning the administration of first aid and the recognition of
signs and symptoms of illness that is required to be completed pursuant to
subsection 1 must be provided by one of the persons, agencies or institutions
listed in NAC 432A.308 as qualified to provide such training.
5.  The training required pursuant to subsections 1, 2 and 3 must be designed to:
(a) Ensure the protection of the health and safety of each child enrolled in the
facility; and
(b) Promote the physical, moral and mental well-being of each child enrolled in
the facility.
6.  If the facility is a special needs facility, the training required pursuant to
subsections 1, 2 and 3 must also be designed to provide information on the
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characteristics of handicapping conditions and appropriate programs for children
with special needs. The training must be approved by:
(a) The Nevada Registry or its successor organization, or any other agency
designated by the Director of the Department to approve such training; or
(b) If the training has not been approved by The Nevada Registry or its
successor organization, and the Director of the Department has not designated
another agency to approve such courses, the Division or the local licensing agency.
7.  Evidence that an employee has completed the training required pursuant to
subsections 1, 2 and 3 must be included in his or her personnel file and must be
kept at the facility. With regard to training concerning the administration of first
aid and the recognition of signs and symptoms of illness, the evidence listed in
NAC 432A.308 as adequate evidence of compliance is adequate evidence of
compliance for the purposes of this section.
ii. All CCDF-eligible licensed family child care homes. Provide the standard: Per NAC
432A.323, licensed facility staff are required to be trained in recognizing and
reporting child abuse and neglect. This standard is discussed during Licensing
facilitated trainings about being a mandated reporter and what the expectations
are for licensed facility staff. Each staff member is required to have proof of taking
the recognizing and reporting child abuse class on file for review. Biannual
inspections using an inspection checklist are conducted to ensure compliance and
implementation.
NAC 432A.323  Initial courses of training in child care. (NRS 432A.077, 432A.177)
1.  Except as otherwise provided in NAC 432A.521 and NRS 432A.177, within 90
days after commencing his or her employment or position in a child care facility,
each person who is employed in a child care facility, other than a person
employed in a facility that provides care for ill children, and each director of a
child care facility shall complete:
(a) Any training required by the facility in which the director serves or in which
the person is employed for the purposes of obtaining certification in the
administration of cardiopulmonary resuscitation as required pursuant to NAC
432A.322;
(b) Three or more hours of training in child development or guidance and
discipline specific to the age group served by the facility in which the director
serves or in which the person is employed;
(c) Two or more hours of training in the administration of first aid;
(d) Two or more hours of training in the recognition of signs and symptoms of
illness, which must include, without limitation, training in the prevention of
exposure to bloodborne pathogens;
(e) Two or more hours of training in the recognition and reporting of child
abuse and neglect;
(f) If the person or director works with infants under 12 months of age, at
least:
(1) Two hours of training concerning Sudden Infant Death Syndrome; and
(2) One hour of training in the prevention of shaken baby syndrome and
abusive head trauma;
(g) Two or more hours of training in the administration of medication, which
154 | P a g e
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must include, without limitation, training in the prevention of and response to
food and other allergies;
(h) Two or more hours of training in building and physical premises safety,
which must include, without limitation, training in the storage of biocontaminants
and other hazardous materials;
(i) Two or more hours of training in emergency preparedness and response
planning for emergencies resulting from a natural or man-made event;
(j) If the facility provides transportation, 1 or more hours of training in
precautions to be taken when transporting children for each person who will
provide such transportation; and
(k) Two or more hours of training in lifelong wellness, health and safety of
children, which must include, without limitation, training relating to childhood
obesity, nutrition and moderate or vigorous physical activity.
2.  Except as otherwise provided in NAC 432A.521, within 12 months after
commencing employment, each person described in subsection 1 shall, in addition
to completing any training required pursuant to subsection 1 and completing any
course in the development of children required pursuant to NAC 432A.306,
complete at least the number of hours of training described in NAC 432A.326. A
person may use training completed pursuant to subsection 1 to satisfy the training
requirements set forth in NAC 432A.326.
3.  Except as otherwise provided in NAC 432A.521, within 12 months after
commencing employment as a member of the staff of a facility, each member of
the staff of a facility shall complete a course in the development of children
required pursuant to NAC 432A.306.
4.  The training concerning the administration of first aid and the recognition of
signs and symptoms of illness that is required to be completed pursuant to
subsection 1 must be provided by one of the persons, agencies or institutions
listed in NAC 432A.308 as qualified to provide such training.
5.  The training required pursuant to subsections 1, 2 and 3 must be designed to:
(a) Ensure the protection of the health and safety of each child enrolled in the
facility; and
(b) Promote the physical, moral and mental well-being of each child enrolled in
the facility.
6.  If the facility is a special needs facility, the training required pursuant to
subsections 1, 2 and 3 must also be designed to provide information on the
characteristics of handicapping conditions and appropriate programs for children
with special needs. The training must be approved by:
(a) The Nevada Registry or its successor organization, or any other agency
designated by the Director of the Department to approve such training; or
(b) If the training has not been approved by The Nevada Registry or its
successor organization, and the Director of the Department has not designated
another agency to approve such courses, the Division or the local licensing agency.
7.  Evidence that an employee has completed the training required pursuant to
subsections 1, 2 and 3 must be included in his or her personnel file and must be
kept at the facility. With regard to training concerning the administration of first
aid and the recognition of signs and symptoms of illness, the evidence listed in
NAC 432A.308 as adequate evidence of compliance is adequate evidence of
compliance for the purposes of this section.
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iii. All CCDF-eligible licensed in-home care. Provide the standard:
[x] Not applicable.
iv. All CCDF-eligible license-exempt center care. Provide the standard: All CCDF-
eligible providers are required to complete mandatory training which includes
identification of and reporting suspected child abuse, neglect, and exploitation
prior to providing care or during an orientation period of 90 days, and annually
thereafter. The Annual Health and Safety Checklist completed during the annual
monitor for license-exempt providers evaluates compliance with identification of
child abuse and neglect training.
v. All CCDF-eligible license-exempt family child care homes. Provide the standard: All
CCDF-eligible providers are required to complete mandatory training which
includes identification of and reporting suspected child abuse, neglect, and
exploitation prior to providing care or during an orientation period of 90 days, and
annually thereafter. The Annual Health and Safety Checklist completed during the
annual monitor for license-exempt providers evaluates compliance with
identification of child abuse and neglect training.
vi. All CCDF-eligible license-exempt in-home care. Provide the standard: All CCDF-
eligible providers are required to complete mandatory training which includes
identification of and reporting suspected child abuse, neglect, and exploitation
prior to providing care or during an orientation period of 90 days, and annually
thereafter. The Annual Health and Safety Checklist completed during the annual
monitor for license-exempt providers evaluates compliance with identification of
child abuse and neglect training.
vii. All CCDF-eligible out-of-school programs (afterschool programs, summer camps,
day camps, etc.). Provide the standard: All CCDF-eligible providers are required to
complete mandatory training which includes identification of and reporting
suspected child abuse, neglect, and exploitation prior to providing care or during
an orientation period of 90 days, and annually thereafter. The Annual Health and
Safety Checklist completed during the annual monitor for license-exempt
providers evaluates compliance with identification of child abuse and neglect
training.
b. Provide your standards, appropriate to the provider setting and age of children, that
address the reporting of child abuse and neglect for the following CCDF-eligible providers:
i. All CCDF-eligible licensed center care. Provide the standard: Per NAC 432A.323,
licensed facility staff are required to be trained in recognizing and reporting child
abuse and neglect. This standard is discussed during Licensing facilitated trainings
about being a mandated reporter and what the expectations are for licensed
facility staff. Each staff member is required to have proof of taking the recognizing
and reporting child abuse class on file for review. Biannual inspections using an
inspection checklist are conducted to ensure compliance and implementation.
NAC 432A.323  Initial courses of training in child care. (NRS 432A.077, 432A.177)
1.  Except as otherwise provided in NAC 432A.521 and NRS 432A.177, within 90
days after commencing his or her employment or position in a child care facility,
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each person who is employed in a child care facility, other than a person
employed in a facility that provides care for ill children, and each director of a
child care facility shall complete:
(a) Any training required by the facility in which the director serves or in which
the person is employed for the purposes of obtaining certification in the
administration of cardiopulmonary resuscitation as required pursuant to NAC
432A.322;
(b) Three or more hours of training in child development or guidance and
discipline specific to the age group served by the facility in which the director
serves or in which the person is employed;
(c) Two or more hours of training in the administration of first aid;
(d) Two or more hours of training in the recognition of signs and symptoms of
illness, which must include, without limitation, training in the prevention of
exposure to bloodborne pathogens;
(e) Two or more hours of training in the recognition and reporting of child
abuse and neglect;
(f) If the person or director works with infants under 12 months of age, at
least:
(1) Two hours of training concerning Sudden Infant Death Syndrome; and
(2) One hour of training in the prevention of shaken baby syndrome and
abusive head trauma;
(g) Two or more hours of training in the administration of medication, which
must include, without limitation, training in the prevention of and response to
food and other allergies;
(h) Two or more hours of training in building and physical premises safety,
which must include, without limitation, training in the storage of biocontaminants
and other hazardous materials;
(i) Two or more hours of training in emergency preparedness and response
planning for emergencies resulting from a natural or man-made event;
(j) If the facility provides transportation, 1 or more hours of training in
precautions to be taken when transporting children for each person who will
provide such transportation; and
(k) Two or more hours of training in lifelong wellness, health and safety of
children, which must include, without limitation, training relating to childhood
obesity, nutrition and moderate or vigorous physical activity.
2.  Except as otherwise provided in NAC 432A.521, within 12 months after
commencing employment, each person described in subsection 1 shall, in addition
to completing any training required pursuant to subsection 1 and completing any
course in the development of children required pursuant to NAC 432A.306,
complete at least the number of hours of training described in NAC 432A.326. A
person may use training completed pursuant to subsection 1 to satisfy the training
requirements set forth in NAC 432A.326.
3.  Except as otherwise provided in NAC 432A.521, within 12 months after
commencing employment as a member of the staff of a facility, each member of
the staff of a facility shall complete a course in the development of children
required pursuant to NAC 432A.306.
4.  The training concerning the administration of first aid and the recognition of
signs and symptoms of illness that is required to be completed pursuant to
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subsection 1 must be provided by one of the persons, agencies or institutions
listed in NAC 432A.308 as qualified to provide such training.
5.  The training required pursuant to subsections 1, 2 and 3 must be designed to:
(a) Ensure the protection of the health and safety of each child enrolled in the
facility; and
(b) Promote the physical, moral and mental well-being of each child enrolled in
the facility.
6.  If the facility is a special needs facility, the training required pursuant to
subsections 1, 2 and 3 must also be designed to provide information on the
characteristics of handicapping conditions and appropriate programs for children
with special needs. The training must be approved by:
(a) The Nevada Registry or its successor organization, or any other agency
designated by the Director of the Department to approve such training; or
(b) If the training has not been approved by The Nevada Registry or its
successor organization, and the Director of the Department has not designated
another agency to approve such courses, the Division or the local licensing agency.
7.  Evidence that an employee has completed the training required pursuant to
subsections 1, 2 and 3 must be included in his or her personnel file and must be
kept at the facility. With regard to training concerning the administration of first
aid and the recognition of signs and symptoms of illness, the evidence listed in
NAC 432A.308 as adequate evidence of compliance is adequate evidence of
compliance for the purposes of this section.
ii. All CCDF-eligible licensed family child care homes. Provide the standard: Per NAC
432A.323, licensed facility staff are required to be trained in recognizing and
reporting child abuse and neglect. This standard is discussed during Licensing
facilitated trainings about being a mandated reporter and what the expectations
are for licensed facility staff. Each staff member is required to have proof of taking
the recognizing and reporting child abuse class on file for review. Biannual
inspections using an inspection checklist are conducted to ensure compliance and
implementation.
NAC 432A.323  Initial courses of training in child care. (NRS 432A.077, 432A.177)
1.  Except as otherwise provided in NAC 432A.521 and NRS 432A.177, within 90
days after commencing his or her employment or position in a child care facility,
each person who is employed in a child care facility, other than a person
employed in a facility that provides care for ill children, and each director of a
child care facility shall complete:
(a) Any training required by the facility in which the director serves or in which
the person is employed for the purposes of obtaining certification in the
administration of cardiopulmonary resuscitation as required pursuant to NAC
432A.322;
(b) Three or more hours of training in child development or guidance and
discipline specific to the age group served by the facility in which the director
serves or in which the person is employed;
(c) Two or more hours of training in the administration of first aid;
(d) Two or more hours of training in the recognition of signs and symptoms of
illness, which must include, without limitation, training in the prevention of
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exposure to bloodborne pathogens;
(e) Two or more hours of training in the recognition and reporting of child
abuse and neglect;
(f) If the person or director works with infants under 12 months of age, at
least:
(1) Two hours of training concerning Sudden Infant Death Syndrome; and
(2) One hour of training in the prevention of shaken baby syndrome and
abusive head trauma;
(g) Two or more hours of training in the administration of medication, which
must include, without limitation, training in the prevention of and response to
food and other allergies;
(h) Two or more hours of training in building and physical premises safety,
which must include, without limitation, training in the storage of biocontaminants
and other hazardous materials;
(i) Two or more hours of training in emergency preparedness and response
planning for emergencies resulting from a natural or man-made event;
(j) If the facility provides transportation, 1 or more hours of training in
precautions to be taken when transporting children for each person who will
provide such transportation; and
(k) Two or more hours of training in lifelong wellness, health and safety of
children, which must include, without limitation, training relating to childhood
obesity, nutrition and moderate or vigorous physical activity.
2.  Except as otherwise provided in NAC 432A.521, within 12 months after
commencing employment, each person described in subsection 1 shall, in addition
to completing any training required pursuant to subsection 1 and completing any
course in the development of children required pursuant to NAC 432A.306,
complete at least the number of hours of training described in NAC 432A.326. A
person may use training completed pursuant to subsection 1 to satisfy the training
requirements set forth in NAC 432A.326.
3.  Except as otherwise provided in NAC 432A.521, within 12 months after
commencing employment as a member of the staff of a facility, each member of
the staff of a facility shall complete a course in the development of children
required pursuant to NAC 432A.306.
4.  The training concerning the administration of first aid and the recognition of
signs and symptoms of illness that is required to be completed pursuant to
subsection 1 must be provided by one of the persons, agencies or institutions
listed in NAC 432A.308 as qualified to provide such training.
5.  The training required pursuant to subsections 1, 2 and 3 must be designed to:
(a) Ensure the protection of the health and safety of each child enrolled in the
facility; and
(b) Promote the physical, moral and mental well-being of each child enrolled in
the facility.
6.  If the facility is a special needs facility, the training required pursuant to
subsections 1, 2 and 3 must also be designed to provide information on the
characteristics of handicapping conditions and appropriate programs for children
with special needs. The training must be approved by:
(a) The Nevada Registry or its successor organization, or any other agency
designated by the Director of the Department to approve such training; or
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(b) If the training has not been approved by The Nevada Registry or its
successor organization, and the Director of the Department has not designated
another agency to approve such courses, the Division or the local licensing agency.
7.  Evidence that an employee has completed the training required pursuant to
subsections 1, 2 and 3 must be included in his or her personnel file and must be
kept at the facility. With regard to training concerning the administration of first
aid and the recognition of signs and symptoms of illness, the evidence listed in
NAC 432A.308 as adequate evidence of compliance is adequate evidence of
compliance for the purposes of this section.
iii. All CCDF-eligible licensed in-home care. Provide the standard:
[x] Not applicable.
iv. All CCDF-eligible license-exempt center care. Provide the standard: All CCDF-
eligible providers are required to complete mandatory training which includes
identification of and reporting suspected child abuse, neglect, and exploitation
prior to providing care or during an orientation period of 90 days, and annually
thereafter. The Annual Health and Safety Checklist completed during the annual
monitor for license-exempt providers evaluates compliance with reporting child
abuse, neglect, and exploitation training.
v. All CCDF-eligible license-exempt family child care homes. Provide the standard: All
CCDF-eligible providers are required to complete mandatory training which
includes identification of and reporting suspected child abuse, neglect, and
exploitation prior to providing care or during an orientation period of 90 days, and
annually thereafter. The Annual Health and Safety Checklist completed during the
annual monitor for license-exempt providers evaluates compliance with reporting
child abuse, neglect, and exploitation training.
vi. All CCDF-eligible license-exempt in-home care. Provide the standard: All CCDF-
eligible providers are required to complete mandatory training which includes
identification of and reporting suspected child abuse, neglect, and exploitation
prior to providing care or during an orientation period of 90 days, and annually
thereafter. The Annual Health and Safety Checklist completed during the annual
monitor for license-exempt providers evaluates compliance with reporting child
abuse, neglect, and exploitation training.
vii. All CCDF-eligible out-of-school programs (afterschool programs, summer camps,
day camps, etc.). Provide the standard: All CCDF-eligible providers are required to
complete mandatory training which includes identification of and reporting
suspected child abuse, neglect, and exploitation prior to providing care or during
an orientation period of 90 days, and annually thereafter. The Annual Health and
Safety Checklist completed during the annual monitor for license-exempt
providers evaluates compliance with reporting child abuse, neglect, and
exploitation training.
c. Confirm if child care providers must comply with the Lead Agency’s procedures for
reporting child abuse and neglect as required by the Child Abuse Prevention and
Treatment Act (42 U.S.C. 5106a(b)(2)(B)(i):
[x] Yes, confirmed.
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[ ] No. If no, describe:
5.3.12 Additional optional standards
In addition to the required health and safety standards, does the Lead Agency require providers to
comply with the following optional standards?
[ ] Yes.
[x] No. If no, skip to Section 5.4
If yes, describe the standard(s).
i. Nutrition. Describe:
ii. Access to physical activity. Describe:
iii. Caring for children with special needs. Describe:
iv. Any other areas determined necessary to promote child development or to
protect children’s health and safety. Describe:
5.4 Pre-Service or Orientation Training on Health and Safety Standards
Lead Agencies must have requirements for all caregivers, teachers, and directors at CCDF
providers to complete pre-service or orientation training (within 3 months of starting) on all CCDF
health and safety standards and child development. The training must be appropriate to the
setting and the age of children served. This training must address the required health and safety
standards and the content area of child development. Lead Agencies have flexibility in
determining the minimum number of training hours to require, and are encouraged to consult
with Caring for our Children Basics for best practices.
Exemptions for relative providers’ training requirements are addressed in question 5.8.1.
5.4.1 Health and safety pre-service/orientation training requirements
Lead Agencies must certify staff have pre-service or orientation training on each standard that is
appropriate to different settings and age groups. Lead Agencies may require pre-service or
orientation to be completed before staff can care for children unsupervised. In the table below,
check the boxes for which you have training requirements.
--
Is this standard
addressed in the
pre-service or
orientation
training?
Is the pre-service
or orientation
training on this
standard
appropriate to
different settings
and age groups?
Does the Lead Agency require staff
to complete the training before
caring for children unsupervised?
a. Prevention and control
of infectious diseases
(including
[x]
[ ]
[ ]
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immunizations)
b. SIDS prevention and use
of safe sleep practices
[x]
[ ]
[ ]
c. Administration of
medication
[x]
[ ]
[ ]
d. Prevention and
response to food and
allergic reactions
[x]
[ ]
[ ]
e. Building and physical
premises safety,
including identification
of and protection from
hazards, bodies of
water, and vehicular
traffic
[x]
[ ]
[ ]
f. Prevention of shaken
baby syndrome, abusive
head trauma and child
maltreatment
[x]
[ ]
[ ]
g. Emergency
preparedness and
response planning and
procedures
[x]
[ ]
[ ]
h. Handling and storage of
hazardous materials and
disposal of
biocontaminants
[x]
[ ]
[ ]
i. Appropriate Precautions
in transporting children,
if applicable
[x]
[ ]
[ ]
j. Pediatric first aid and
pediatric CPR (age-
appropriate)
[x]
[ ]
[ ]
k. Child abuse and neglect
recognition and
reporting
[x]
[ ]
[ ]
l. Child development
including major domains
of cognitive, social,
emotional, physical
development and
approaches to learning.
[x]
[ ]
[ ]
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m.
If the Lead Agency does not certify implementation of all the health and safety pre-
service/orientation training requirements for staff in programs serving children receiving
CCDF assistance, please describe: N/A
n. Are there any provider categories to whom the above pre-service or orientation training
requirements do not apply?
[x] No
[ ] Yes. If yes, describe:
5.5 Monitoring and Enforcement of Licensing and Health and Safety Requirements
5.5.1 Inspections for licensed CCDF providers
Licensing inspectors must perform at least one annual, unannounced inspection of each licensed
CCDF provider for compliance with all child care licensing standards, including an inspection for
compliance with health and safety and fire standards. Lead Agencies must conduct at least one
pre-licensure inspection for compliance with health, safety, and fire standards of each child care
provider and facility in the State/Territory.
a. Licensed CCDF center-based providers
i. Does your pre-licensure inspection for licensed center-based providers assess
compliance with health standards, safety standards, and fire standards?
[x] Yes.
[ ] No. If no, describe:
ii. Identify the frequency of annual unannounced inspections for licensed center-
based providers addressing compliance with health, safety, and fire standards:
[ ] Annually.
[x] More than once a year. If more than once a year, describe: Facilities are
subject to a minimum of two (2) unannounced visits per year; a semi-annual and
annual visit within a facility’s licensing year.
[ ] Other. If other, describe:
iii. Does the Lead Agency implement a differential monitoring approach when
monitoring licensed center-based providers?
[ ] Yes. If yes, describe how the differential monitoring approach is representative
of the full complement of health and safety requirements.
[x] No. If no, describe: Facilities are subject to a minimum of two (2) unannounced
visits per year; a semi-annual and annual visit within a facility’s licensing year.
iv. Identify which department or agency is responsible for completing the inspections
for licensed center-based providers. DWSS Child Care Licensing Program
b. Licensed CCDF family child care providers
i. Does your pre-licensure inspection for licensed family child care homes assess
compliance with health standards, safety standards, and fire standards?
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[x] Yes.
[ ] No. If no, describe:
ii. Identify the frequency of annual unannounced inspections for licensed family
child care homes addressing compliance with health, safety, and fire standards:
[ ] Annually.
[x] More than once a year. If more than once a year, describe: Facilities are
subject to a minimum of two (2) unannounced visits per year; a semi-annual and
annual visit within a facility’s licensing year.
[ ] Other. If other, describe:
iii. Does the Lead Agency implement a differential monitoring approach when
monitoring licensed family child care providers?
[ ] Yes. If yes, describe how the differential monitoring approach is representative
of the full complement of health and safety requirements.
[x] No. If no, describe: Facilities are subject to a minimum of two (2) unannounced
visits per year; a semi-annual and annual visit within a facility’s licensing year.
iv. Identify which department or agency is responsible for completing the inspections
for licensed family child care providers. DWSS Child Care Licensing Program
c. Licensed in-home CCDF child care providers
i. Does your Lead Agency license CCDF in-home child care (care in the child’s own
home) providers?
[x] No.
[ ] Yes. If yes, does your pre-licensure inspection for licensed in-home providers
assess compliance with health, safety, and fire standards?
[ ] Yes.
[ ] No. If no, describe:
ii. Identify the frequency of annual unannounced inspections for licensed in-home
child care providers for compliance with health, safety, and fire standards
completed:
[ ] Annually.
[ ] More than once a year. If more than once a year, describe:
[x] Other. If other, describe: N/A
iii. Does the Lead Agency implement a differential monitoring approach when
monitoring licensed in-home child care providers?
[ ] Yes. If yes, describe how the differential monitoring approach is representative
of the full complement of health and safety requirements.
[x] No.
iv. Identify which department or agency is responsible for completing the inspections
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for licensed in-home providers. N/A
5.5.2 Inspections for license-exempt providers
Licensing inspectors must perform at least one annual monitoring visit of each license-exempt
CCDF provider for compliance with health, safety, and fire standards. Inspections for relative
providers will be addressed in subsection 5.8.
Describe the policies and practices for the annual monitoring of:
a. License-exempt CCDF center-based child care providers
i. Identify the frequency of inspections for compliance with health, safety, and fire
standards for license-exempt center-based providers:
[x] Annually.
[ ] More than once a year. If more than once a year, describe:
[ ] Other. If other, describe:
ii. Does the Lead Agency implement a differential monitoring approach when
monitoring license-exempt center-based providers?
[x] Yes. If yes, describe how the differential monitoring approach is representative
of the full complement of health and safety requirements. Monitoring is
announced and is conducted annually by the CCR&Rs for license-exempt provider
types.
[ ] No.
iii. Identify which department or agency is responsible for completing the inspections
for license-exempt center-based CCDF providers. Child Care Resource and Referral
agencies: The Children's Cabinet for Northern/North Rural Nevada and Las Vegas
Urban League for Southern/South Rural Nevada.
b. License-exempt CCDF family child care providers
i. Identify the frequency of the inspections of license-exempt family child care
providers to determine compliance with health, safety, and fire standards:
[x] Annually.
[ ] More than once a year. If more than once a year, describe:
[ ] Other. If other, describe:
ii. Does the Lead Agency implement a differential monitoring approach when
monitoring license-exempt family child care providers?
[x] Yes. If yes, describe how the differential monitoring approach is representative
of the full complement of health and safety requirements. Monitoring is
announced and is conducted annually by the CCR&Rs for license-exempt provider
types.
[ ] No.
iii. Identify which department or agency is responsible for completing the inspections
for license-exempt family child care providers. Child Care Resource and Referral
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agencies: The Children's Cabinet for Northern/North Rural Nevada and Las Vegas
Urban League for Southern/South Rural Nevada.
5.5.3 Inspections for CCDF license-exempt in-home child care providers
Lead Agencies may develop alternate monitoring requirements for care provided in the child’s
home that are appropriate to the setting. This flexibility cannot be used to bypass the monitoring
requirement altogether.
a. Describe the requirements for the annual monitoring of CCDF license-exempt in-home
child care (care in the child’s own home) providers, including if monitoring is announced
or unannounced, occurs more frequently than once per year, and if differential
monitoring procedures are used. Monitoring is announced and is conducted annually by
the CCR&Rs for license-exempt provider types.
b. List the entity(ies) in your State/Territory responsible for conducting inspections of
license-exempt CCDF in-home child care (care in the child’s own home) providers: Child
Care Resource and Referral agencies: The Children's Cabinet for Northern/North Rural
Nevada and Las Vegas Urban League for Southern/South Rural Nevada.
5.5.4 Posting monitoring and inspection reports
Lead Agencies must post monitoring and inspection reports on their consumer education website
for each licensed and CCDF child care provider, except in cases where the provider is related to all
the children in their care. These reports must include the results of required annual monitoring
visits and visits due to major substantiated complaints about a provider’s failure to comply with
health and safety requirements and child care policies. A full report covers everything in the
monitoring visit, including areas of compliance and non-compliance. If the Lead Agency does not
produce any reports that include areas of compliance, the website must include information about
all areas covered by a monitoring visit.
The reports must be in plain language or provide a plain language summary Lead Agency and be
timely to ensure that the results of the reports are available and easily understood by parents
when they are deciding on a child care provider. Lead Agencies must post at least 3 years of
monitoring and inspection reports.
a. Does the Lead Agency post:
i. [x] Pre-licensing inspection reports for licensed programs.
ii. [x] Full monitoring and inspection reports that include areas of compliance and
non-compliance for all non-relative providers eligible to provide CCDF services.
iii. [x] Monitoring and inspection reports that include areas of non-compliance only,
with information about all areas covered by a monitoring visit posted separately
on the website (e.g., a blank checklist used by monitors) for all non-relative
providers eligible to provide CCDF services. If checked, provide a direct
URL/website link to the website where a blank checklist is posted:
https://nvdpbh.aithent.com/
iv. [ ] Other. Describe:
b. Check if the monitoring and inspection reports and any related plain language summaries
include:
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i. [x] Date of inspection.
ii. [x] Health and safety violations, including those violations that resulted in
fatalities or serious injuries occurring at the provider. Describe how these health
and safety violations are prominently displayed: This information is listed out on
the Statement of Deficiencies that state what was non-compliant and how it has
been addressed. All this information is available for public consumption.
iii. [x] Corrective action plans taken by the Lead Agency and/or child care provider.
Describe: This information is listed out on the Statement of Deficiencies that state
what was non-compliant and how it has been addressed. All this information is
available for public consumption.
iv. [x] A minimum of 3 years of results, where available.
v. If any of the components above are not selected, please explain:
c. Lead Agencies must post monitoring and inspection reports and/or any related summaries
in a timely manner.
i. Provide the direct URL/website link to where the reports are posted:
https://nvdpbh.aithent.com/
ii. Identify the Lead Agency’s established timeline for posting monitoring reports and
describe how it is timely: All reports are posted within 30 days of the facilities
submitted and acceptable plan of correction. Licensing surveyors are required to
ensure this is completed and compliance is overseen by supervisors and managers
within DWSS/CCL.
d. Does the Lead Agency certify that the monitoring and inspection reports or the summaries
are in plain language that is understandable to parents and other consumers?
[x] Yes.
[ ] No. If no, describe:
e. Does the Lead Agency certify that there is a process for correcting inaccuracies in the
monitoring and inspection reports?
[x] Yes.
[ ] No. If no, describe:
f. Does the Lead Agency maintain monitoring and inspection reports on the consumer
education website?
[x] Yes.
[ ] No. If no, describe:
5.5.5 Qualifications and training of licensing inspectors
Lead Agencies must ensure that individuals who are hired as licensing inspectors (or qualified
monitors designated by the Lead Agency) are qualified to inspect child care providers and facilities
and have received health and safety training appropriate to the provider setting and age of the
children served.
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Describe how the Lead Agency ensures that licensing inspectors (or qualified monitors designated
by the Lead Agency) are qualified and have received training on health and safety requirements
that are appropriate to the age of the children in care and the type of provider setting. State
licensed inspectors are hired based on experience and qualifications as specified within the
Division of Human Resources job classification. The procedure to evaluate inspector qualifications
can be found within the State of Nevada, Department of Administration, Division of Human
Resource Management states: "Bachelor's degree from an accredited college or university in early
childhood development, education, social work, or closely related field and one year of
professional experience providing developmental or educational services to children in an early
childhood program which must have included program administration responsibilities; OR
Bachelor's degree from an accredited college or university in early childhood development,
education, social work, or closely related field and one year of professional experience evaluating
child development or early childhood education programs; OR an equivalent combination of
education and experience; OR one year of experience as a Child Care Facilities Surveyor Trainee in
Nevada State service."
5.5.6 Ratio of licensing inspectors
Lead Agencies must ensure the ratio of licensing inspectors to child care providers and facilities in
the State/Territory are maintained at a level sufficient to enable the Lead Agency to conduct
effective inspections of child care providers and facilities on a timely basis in accordance with
federal, State, and local laws.
Provide the ratio of licensing inspectors to child care providers (i.e., number of inspectors per
number of child care providers) and facilities in the State/Territory and include how the ratio is
sufficient to conduct effective inspections on a timely basis. The inspector to provider ratio is 1:80.
This ratio is sufficient to keep inspections timely for monitoring.
5.6 Ongoing Health and Safety Training
Lead Agencies must have ongoing training requirements for all caregivers, teachers, and directors
of eligible CCDF providers for health and safety standards but have discretion on frequency and
training content (e.g., pediatric CPR refresher every year and recertification every 2 years). Lead
Agencies have discretion on which health and safety standards are subject to ongoing training.
Lead Agencies may exempt relative providers from these requirements.
5.6.1 Required ongoing training of health and safety standards
Describe any required ongoing training of health and safety standards for caregivers, teachers,
and directors of the following CCDF eligible provider types.
a. Licensed child care centers: Child Care Licensing upon an annual inspection will review
licensed facility staff training and will require trainings that are 3 years or older to be
retaken. Further, in the Nevada Administrative Code it is required that CPR is taken every
2 years and recognizing and reporting child abuse is retaken every 5 years as a standard.
b. License-exempt child care centers: All CCDF-eligible providers are required to complete
mandatory training identified in State Plan section 5.4.1 during an orientation period of 90
days, and annually thereafter. The Annual Health and Safety Checklist completed by The
Children’s Cabinet or Urban League during the annual monitor for license-exempt
providers evaluates compliance with required initial and ongoing training.
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c. Licensed family child care homes: Child Care Licensing upon an annual inspection will
review licensed facility staff training and will require trainings that are 3 years or older to
be retaken. Further, in the Nevada Administrative Code it is required that CPR is taken
every 2 years and recognizing and reporting child abuse is retaken every 5 years as a
standard.
d. License-exempt family child care homes: All CCDF-eligible providers are required to
complete mandatory training identified in State Plan section 5.4.1 during an orientation
period of 90 days, and annually thereafter. The Annual Health and Safety Checklist
completed by The Children’s Cabinet or Urban League during the annual monitor for
license-exempt providers evaluates compliance with required initial and ongoing training.
e. Regulated or registered in-home child care: N/A
f. Non-regulated or registered in-home child care: All CCDF-eligible providers are required to
complete mandatory training identified in State Plan section 5.4.1 during an orientation
period of 90 days, and annually thereafter. The Annual Health and Safety Checklist
completed by The Children’s Cabinet or Urban League during the annual monitor for
license-exempt providers evaluates compliance with required initial and ongoing training.
5.7 Comprehensive Background Checks
Lead Agencies must conduct comprehensive background checks for all child care staff members
(including prospective staff members) of all child care providers that are (1) licensed, regulated, or
registered under State/Territory law, regardless of whether they receive CCDF funds; or (2) all
other child care providers eligible to deliver CCDF services (e.g., license-exempt CCDF eligible child
care providers). Family child care home providers must also submit background check requests for
all household members age 18 or older.
A comprehensive background check must include: three in-state checks, two national checks, and
three interstate checks if the individual resided in another State or Territory in the preceding 5
years. The background check components must be completed at least once every five years.
All child care staff members must receive a qualifying result from either the FBI criminal
background check or an in-state fingerprint criminal history check before working (under
supervision) with or near children. Lead Agencies must apply a CCDF-specific list of disqualifying
crimes for child care providers serving families participating in CCDF.
These background check requirements do not apply to individuals who are related to all children
for whom child care services are provided. Exemptions for relative providers will be addressed in
subsection 5.8.
5.7.1 In-state criminal history check with fingerprints
a. Does the Lead Agency conduct in-state criminal history background checks with
fingerprints for all child care staff members (including prospective staff members) of
licensed, regulated, or registered child care providers, regardless of CCDF participation?
[x] Yes.
[ ] No. If no, describe any categories of licensed, regulated, or registered child
care providers for whom you do not conduct in-state criminal background checks with
fingerprints.
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b. Does the Lead Agency conduct in-state criminal history background checks with
fingerprints for all child care staff members (including prospective staff members) of all
other child care providers eligible for CCDF participation (i.e., license-exempt providers)
other than relative providers?
[x] Yes.
[ ] No. If no, describe any categories of child care providers eligible for CCDF participation
for whom you do not conduct in-state criminal background checks with fingerprints.
c. Does the Lead Agency conduct the in-state criminal background check with fingerprints
for all individuals age 18 or older who reside in a family child care home?
[x] Yes.
[ ] No. If no, describe individuals age 18 or older who reside in a family child care home
who do not receive an in-state criminal background check with fingerprints.
5.7.2 National Federal Bureau of Investigation (FBI) criminal history check with fingerprints
a. Does the Lead Agency conduct FBI criminal history background checks with fingerprints
for all child care staff members (including prospective staff members) of licensed,
regulated, or registered child care providers, regardless of CCDF participation?
[x] Yes.
[ ] No. If no, describe any categories of licensed, regulated, or registered child
care providers for whom you do not conduct FBI criminal background checks with
fingerprints.
b. Does the Lead Agency conduct FBI criminal history background checks with fingerprints
for all child care staff members (including prospective staff members) of all other child
care providers eligible for CCDF participation (i.e., license-exempt providers)?
[x] Yes.
[ ] No. If no, describe any categories of child care providers eligible for CCDF participation
for whom you do not conduct FBI criminal background checks.
c. Does the Lead Agency conduct the FBI criminal background check with fingerprints for all
individuals age 18 or older who reside in a family child care home?
[x] Yes.
[ ] No. If no, describe individuals age 18 or older who reside in a family child care home
who do not receive an FBI criminal background check with fingerprints.
5.7.3 National Crime Information Center (NCIC) National Sex Offender Registry (NSOR) name-based
check
The majority of NCIC NSOR records are fingerprint records and are automatically included in the
FBI fingerprint criminal background check. But a small percentage of NCIC NSOR records are only
name-based records and must be accessed through the required name-based search of the NCIC
NSOR.
a. Does the Lead Agency conduct NCIC NSOR name-based background checks for all child
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care staff members (including prospective staff members) of licensed, regulated, or
registered child care providers, regardless of CCDF participation?
[x] Yes.
[ ] No. If no, describe any categories of licensed, regulated, or registered child
care providers for whom you do not conduct NCIC NSOR name-based background checks.
b. Does the Lead Agency conduct NCIC NSOR name-based background checks for all child
care staff members (including prospective staff members) of all other child care providers
eligible for CCDF participation (i.e., license-exempt providers)?
[x] Yes.
[ ] No. If no, describe any categories of child care providers eligible for CCDF participation
for whom you do not conduct NCIC NSOR name-based background checks.
c. Does the Lead Agency conduct the NCIC NSOR name-based background check for all
individuals age 18 or older who reside in a family child care home?
[x] Yes.
[ ] No. If no, describe individuals age 18 or older who reside in a family child care home
who do not receive a NCIC NSOR name-based background check.
5.7.4 In-state sex offender registry (SOR) check
a. Does the Lead Agency conduct in-state SOR checks for all child care staff members
(including prospective staff members) of licensed, regulated, or registered child care
providers, regardless of CCDF participation?
[x] Yes.
[ ] No. If no, describe any categories of licensed, regulated, or registered child
care providers for whom you do not conduct in-state SOR background checks.
b. Does the Lead Agency conduct in-state SOR background checks for all child care staff
members (including prospective staff members) of all other child care providers eligible
for CCDF participation (i.e., license-exempt providers)?
[x] Yes.
[ ] No. If no, describe any categories of child care providers eligible for CCDF participation
for whom you do not conduct in-state SOR background checks.
c. Does the Lead Agency conduct the in-state SOR background check for all individuals age
18 or older who reside in a family child care home?
[x] Yes.
[ ] No. If no, describe individuals age 18 or older who reside in a family child care home
who do not receive an in-state SOR background check.
5.7.5 In-state child abuse and neglect (CAN) registry check
a. Does the Lead Agency conduct CAN registry checks for all child care staff members
(including prospective staff members) of licensed, regulated, or registered child care
providers, regardless of CCDF participation?
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[x] Yes.
[ ] No. If no, describe any categories of licensed, regulated, or registered child
care providers for whom you do not conduct CAN registry checks.
b. Does the Lead Agency conduct CAN registry checks for all child care staff members
(including prospective staff members) of all other child care providers eligible for CCDF
participation (i.e., license-exempt providers)?
[x] Yes.
[ ] No. If no, describe any categories of child care providers eligible for CCDF participation
for whom you do not conduct CAN registry checks.
c. Does the Lead Agency conduct the CAN registry check for all individuals age 18 or older
who reside in a family child care home?
[x] Yes.
[ ] No. If no, describe individuals age 18 or older who reside in a family child care home
who do not receive a CAN registry check.
5.7.6 Interstate criminal history check
These questions refer to requirements for a Lead Agency to conduct an interstate check for a child
care staff member (including prospective child care staff members) who currently lives in their
State or Territory but has lived in another State, Territory, or Tribal land within the previous 5
years.
a. Does the Lead Agency conduct interstate criminal history background checks for any staff
member (or prospective staff member) who resided in other state(s) in the past 5 years of
licensed, regulated, or registered child care providers, regardless of CCDF participation?
[x] Yes.
[ ] No. If no, describe any categories of licensed, regulated, or registered child
care providers for whom you do not conduct interstate criminal history background
checks.
b. Does the Lead Agency conduct interstate criminal history background checks for any staff
member (or prospective staff member) who resided in other state(s) in the past 5 years
eligible for CCDF participation (i.e., license-exempt providers)?
[x] Yes.
[ ] No. If no, describe any categories of child care providers eligible for CCDF participation
for whom you do not conduct interstate criminal history background checks.
c. Does the Lead Agency conduct interstate criminal history background checks for all
individuals age 18 or older who reside in a family child care home and resided in other
state(s) in the past 5 years.
[x] Yes.
[ ] No. If no, describe why individuals age 18 or older that resided in other state(s) in the
past 5 years who reside in a family child care home that do not receive an interstate
criminal history background check.
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5.7.7 Interstate Sex Offender Registry (SOR) check
These questions refer to requirements for a Lead Agency to conduct an interstate check for a child
care staff member (including prospective child care staff members) who currently lives in their
State or Territory but has lived in another State, Territory, or Tribal land within the previous 5
years.
a. Does the Lead Agency conduct interstate SOR checks for any staff member (or prospective
staff member) who resided in other state(s) in the past 5 years of licensed, regulated, or
registered child care providers, regardless of CCDF participation?
[x] Yes.
[ ] No. If no, describe any categories of licensed, regulated, or registered child
care providers for whom you do not conduct interstate SOR checks.
b. Does the Lead Agency conduct interstate SOR checks for any staff member (or prospective
staff member) who resided in other state(s) in the past 5 years eligible for CCDF
participation (i.e., license-exempt providers)?
[x] Yes.
[ ] No. If no, describe any categories of child care providers eligible for CCDF participation
for whom you do not conduct interstate SOR checks.
c. Does the Lead Agency conduct the interstate SOR checks for all individuals age 18 or older
who resided in other state(s) in the past 5 years who reside in a family child care home?
[x] Yes.
[ ] No. If no, describe individuals age 18 or older that resided in other state(s) in the past 5
years who reside in a family child care home that do not receive an interstate SOR check.
5.7.8 Interstate child abuse and neglect (CAN) registry check
These questions refer to requirements for a Lead Agency to conduct an interstate check for a child
care staff member (including prospective child care staff members) who currently lives in their
State or Territory but has lived in another State, Territory, or Tribal land within the previous 5
years.
a. Does the Lead Agency conduct interstate CAN registry checks for any staff member (or
prospective staff member) that resided in other state(s) in the past 5 years of licensed,
regulated, or registered child care providers, regardless of CCDF participation?
[x] Yes.
[ ] No. If no, describe any categories of licensed, regulated, or registered child
care providers for whom you do not conduct interstate CAN registry checks.
b. Does the Lead Agency conduct interstate CAN registry checks for any staff member (or
prospective staff member) who resided in other state(s) in the past 5 years eligible for
CCDF participation (i.e., license-exempt providers)?
[x] Yes.
[ ] No. If no, describe any categories of child care providers eligible for CCDF participation
for whom you do not conduct interstate CAN registry checks.
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c. Does the Lead Agency conduct the interstate CAN registry checks for all individuals age 18
or older who resided in other state(s) in the past 5 years who reside in a family child care
home?
[x] Yes.
[ ] No. If no, describe individuals age 18 or older that resided in other state(s) in the past 5
years who reside in a family child care home that do not receive interstate CAN registry
checks.
5.7.9 Disqualifications for child care employment
The Lead Agency must prohibit employment of individuals with child care providers receiving
CCDF subsidy payment if they meet any of the following disqualifying criteria:
• Refused to consent to a background check.
• Knowingly made materially false statements in connection with the background check.
• Are registered, or are required to be registered, on the State/Territory sex offender
registry or repository or the National Sex Offender Registry.
• Have been convicted of a felony consisting of murder, child abuse or neglect, crimes
against children (including child pornography), spousal abuse, crimes involving rape or
sexual assault, kidnapping, arson, physical assault, or battery.
• Have a violent misdemeanor committed as an adult against a child, including the following
crimes: child abuse, child endangerment, sexual assault, or any misdemeanor involving
child pornography.
• Convicted of a felony consisting of a drug-related offense committed during the preceding
5 years.
a. Does the Lead Agency disqualify the employment of child care staff members (including
prospective staff members) by child care providers receiving CCDF subsidy payment for
CCDF-identified disqualifying criteria?
[x] Yes.
[ ] No. If no, describe the disqualifying criteria:
b. Does the Lead Agency use the same criteria for licensed, regulated, and registered child
care providers regardless of CCDF participation?
[x] Yes.
[ ] No. If no, describe any disqualifying criteria used for licensed, regulated, and registered
child care providers:
c. How does the Lead Agency use results from the in-state child abuse and neglect registry
check?
[ ] Does not use them to disqualify employment.
[x] Uses them to disqualify employment. If checked, describe: If the applicant has a
substantiated child abuse finding then it becomes part of the criminal history report as a
disqualifying factor.
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d. How does the Lead Agency use results from the interstate child abuse and neglect registry
check?
[ ] Does not use them to disqualify employment.
[x] Uses them to disqualify employment. If checked, describe: If the applicant has a
substantiated child abuse finding then it becomes part of the criminal history report as a
disqualifying factor.
5.7.10 Privacy
Lead Agencies must ensure the privacy of a prospective staff member by notifying child care
providers of the individual’s eligibility or ineligibility for child care employment based on the
results of the comprehensive background check without revealing any documentation of criminal
history or disqualifying crimes or other related information regarding the individual.
Does the Lead Agency certify they ensure the privacy of child care staff members (including
prospective child care staff member) when providing the results of the comprehensive
background check?
[x] Yes.
[ ] No. If no, describe the current process of notification:
5.7.11 Appeals processes for background checks
Lead Agencies must provide for a process that allows child care provider staff members (and
prospective staff members) to appeal the results of a background check to challenge the accuracy
or completeness of the information contained in the individual’s background check report.
Does the appeals process:
i. Provide the affected individual with information related to each disqualifying
crime in a report, along with information/notice on the opportunity to appeal.
[x] Yes.
[ ] No. Describe:
ii. Provide the affected individual with clear instructions about how to complete the
appeals process for each background check component if they wish to challenge
the accuracy or completeness of the information contained in such individual’s
background report.
[x] Yes.
[ ] No. Describe:
iii. Ensure the Lead Agency attempts to verify the accuracy of the information
challenged by the individual, including making an effort to locate any missing
disposition information related to the disqualifying crime.
[x] Yes.
[ ] No. Describe:
iv. Get completed in a timely manner.
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[x] Yes.
[ ] No. Describe:
v. Ensure the affected individual receives written notice of the decision. In the case
of a negative determination, the decision must indicate (1) the Lead Agency’s
efforts to verify the accuracy of information challenged by the individual, (2) any
additional appeals rights available to the individual, and (3) information on how
the individual can correct the federal or State records at issue in the case.
[x] Yes.
[ ] No. Describe:
vi. Facilitate coordination between the Lead Agency and other agencies in charge of
background check information and results (such as the Child Welfare office and
the State Identification Bureau), to ensure the appeals process is conducted in
accordance with the Act.
[x] Yes.
[ ] No. Describe:
5.7.12 Provisional hiring of prospective staff members
Lead Agencies must at least complete and receive a qualifying result for either the FBI criminal
background check or a fingerprint-based in-state criminal background check where the individual
resides before prospective staff members may provide services or be in the vicinity of children.
Until all the background check components have been completed, the prospective staff member
must be supervised at all times by someone who has already received a qualifying result on a
background check within the past five years.
Check all background checks for which the Lead Agency requires a qualifying result before a
prospective child care staff member begins work with children.
a. FBI criminal background check.
[x] Yes.
[ ] No. If no, describe:
b. In-state criminal background check with fingerprints.
[x] Yes.
[ ] No. If no, describe:
c. In-state Sex Offender Registry.
[x] Yes.
[ ] No. If no, describe:
d. In-state child abuse and neglect registry.
[x] Yes.
[ ] No. If no, describe:
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e. Name-based national Sex Offender Registry (NCIC NSOR).
[x] Yes.
[ ] No. If no, describe:
f. Interstate criminal background check, as applicable.
[x] Yes.
[ ] No. If no, describe:
g. Interstate Sex Offender Registry check, as applicable.
[x] Yes.
[ ] No. If no, describe:
h. Interstate child abuse and neglect registry check, as applicable.
[x] Yes.
[ ] No. If no, describe:
i. Does the Lead Agency require provisional hires to be supervised by a staff member who
received a qualifying result on the comprehensive background check while awaiting
results from the provisional hire’s full comprehensive background check?
[x] Yes.
[ ] No. If no, describe:
5.7.13 Completing the criminal background check within a 45-day timeframe
The Lead Agency must carry out a request from a child care provider for a criminal background
check as expeditiously as possible, and no more than 45 days after the date on which the provider
submitted the request
a. Does the Lead Agency ensure background checks are completed within 45 days (after the
date on which the provider submits the request)?
[x] Yes.
[ ] No. If no, describe the timeline for completion for categories of providers, including
which background check components take more than 45 days.
b. Does the Lead Agency ensure child care staff receive a comprehensive background check
when they work in your State but reside in a different State?
[x] Yes.
[ ] No. If no, describe the current policy:
5.7.14 Responses to interstate background check requests
Lead Agencies must respond as expeditiously as possible to requests for interstate background
checks from other States/Territories/Tribes in order to meet the 45-day timeframe.
a. Does your State participate in the National Crime Prevention and Privacy Compact or
National Fingerprint File programs?
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[x] Yes.
[ ] No.
b. Describe how the State/Territory responds to interstate criminal history, Sex Offender
Registry, and Child Abuse and Neglect Registry background check requests from another
state. Individual applicants must request their own background check information (for the
past five years) by completing a request form that is sent to the appropriate criminal
history agency in their previous state(s) of residence. Name-based checks are completed.
Providers are informed that staff must conduct their own interstate background checks. A
consent and release form must be completed and signed to attest to whether a staff
person has resided in another state within the past five years. Child Care Licensing makes
the eligibility determination. States would not disseminate Criminal History or CANS
information directly to Nevada's Child Care Licensing Program, so Nevada began using the
applicant to get the information. It is a bit of an honor system as we try to navigate the
obstacles many State Laws have in place that prevent us from receiving this information
directly. Right now, as we review the documentation submitted, we look for the
information to be presented on official letter head and it usually accompanies contact
information where we can call and verify enough information to confirm that the
documents received are legitimate. Once states are able to figure out a way to share the
information without breaking their own State Laws the process will naturally become
more secure. The individual employee of a licensed family, group, or center, or an
unlicensed family, friend, and neighbor provider must request this information on their
own merit, and if a result is provided, they will receive the result from the state or agency.
The criminal history check information is then delivered to the Nevada Division of Welfare
and Supportive Services Child Care Licensing Program which makes the eligibility
determination. DWSS/CCL or the applicable law enforcement or criminal repository
agency in the state for which the result is returned handles the appeals.
c. Does your State/Territory have a law or policy that prevents a response to CCDF interstate
background check requests from other States/Territories/Tribes?
[x] Yes. If yes, describe the current policy. Individual applicants must request their own
background check information (for the past five years) by completing a request form that
is sent to the appropriate criminal history agency in their previous state(s) of residence.
Name-based checks are completed. Providers are informed that staff must conduct their
own interstate background checks. A consent and release form must be completed and
signed to attest to whether a staff person has resided in another state within the past five
years. Child Care Licensing makes the eligibility determination. States would not
disseminate Criminal History or CANS information directly to Nevada's Child Care Licensing
Program, so Nevada began using the applicant to get the information. It is a bit of an
honor system as we try to navigate the obstacles many State Laws have in place that
prevent us from receiving this information directly. Right now, as we review the
documentation submitted, we look for the information to be presented on official letter
head and it usually accompanies contact information where we can call and verify enough
information to confirm that the documents received are legitimate. Once states are able
to figure out a way to share the information without breaking their own State Laws the
process will naturally become more secure. The individual employee of a licensed family,
group, or center, or an unlicensed family, friend, and neighbor provider must request this
information on their own merit, and if a result is provided, they will receive the result
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from the state or agency. The criminal history check information is then delivered to the
Nevada Division of Welfare and Supportive Services Child Care Licensing Program which
makes the eligibility determination. DWSS/CCL or the applicable law enforcement or
criminal repository agency in the state for which the result is returned handles the
appeals.
[ ] No.
5.7.15 Consumer education website links to interstate background check processes
Lead Agencies must include on their consumer education website and the website of local Lead
Agencies if the CCDF program is county-run, the policies and procedures related to comprehensive
background checks. This includes the process by which a child care provider or other State or
Territory may submit a background check request.
a. Provide the direct URL/website link that contains instructions on how child care providers
and other States and Territories should initiate background check requests for prospective
and current child care staff members: https://dwss.nv.gov/Care/CCL/Licensing-
Info/Forms/forms-ccl/#FormSection
Check to certify that the required elements are included on the Lead Agency’s consumer
and provider education website for each interstate background check component.
b. Interstate criminal background check:
i. [x] Agency name
ii. [x] Address
iii. [x] Phone number
iv. [x] Email
v. [x] Website
vi. [x] Instructions
vii. [x] Forms
viii. [x] Fees
ix. [x] Is the State a National Fingerprint File (NFF) State?
x. [x] Is the State a National Crime Prevention and Privacy Compact State?
xi. If not all boxes above are checked, describe:
c. Interstate sex offender registry (SOR) check:
i. [x] Agency name
ii. [x] Address
iii. [x] Phone number
iv. [x] Email
v. [x] Website
vi. [x] Instructions
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vii. [x] Forms
viii. [x] Fees
ix. If not all boxes above are checked, describe:
d. Interstate child abuse and neglect (CAN) registry check:
i. [x] Agency name
ii. [x] Is the CAN check conducted through a county administered registry or
centralized registry?
iii. [x] Address
iv. [x] Phone number
v. [x] Email
vi. [x] Website
vii. [x] Instructions
viii. [x] Forms
ix. [x] Fees
x. If not all boxes above are checked, describe:
5.7.16 Background check fees
The Lead Agency must ensure that fees charged for completing the background checks do not
exceed the actual cost of processing and administration.
Does the Lead Agency certify that background check fees do not exceed the actual cost of
processing and administering the background checks?
[x] Yes.
[ ] No. If no, describe what is currently in place and what elements still need to be
implemented:
5.7.17 Renewal of the comprehensive background check
Does the Lead Agency conduct the background check at least every 5 years for all components?
[x] Yes.
[ ] No. If no, what is the frequency for renewing each component?
5.8 Exemptions for Relative Providers
Lead Agencies may exempt relatives (defined in CCDF regulations as grandparents, great-
grandparents, siblings if living in a separate residence, aunts, and uncles) from certain health and
safety requirements. This exception applies only if the individual cares only for relative children.
5.8.1 Exemptions for relative providers
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Does the Lead Agency exempt any federally defined relative providers from licensing
requirements, the CCDF health and safety standards, preservice/orientation training, ongoing
training, inspections, or background checks?
[x] No.
[ ] Yes. If yes, which type of relatives do you exempt, and from what requirements
(licensing requirements, CCDF health and safety standards, preservice/orientation
training, ongoing training, inspections, and/or background checks) do you exempt them?
6 Support for a Skilled, Qualified, and Compensated Child Care Workforce
A skilled child care workforce with adequate wages and benefits underpins a stable high-quality
child care system that is accessible and reliable for working parents and that meets their needs
and promotes equal access. Positive interactions between children and caregivers provide the
cornerstone of quality child care experiences. Responsive caregiving and rich interactions support
healthy socio-emotional, cognitive, and physical development in children. Strategies that
successfully support the child care workforce address key challenges, including low wages, poor
benefits, and difficult job conditions. Lead Agencies can help mitigate some of these challenges
through various CCDF policies, including through ongoing professional development and supports
for all provider types and embedded in the payment policies and practices covered in Section 4.
Lead Agencies must have a framework for training, professional development, and post-secondary
education. They must also incorporate health and safety training into their professional
development. Lead Agencies should also implement policies that focus on improving wages and
access to benefits for the child care workforce. When implemented as a cohesive approach, the
initiatives support the recruitment and retention of a qualified and effective child care workforce,
and improve opportunities for caregivers, teachers, and directors to advance on their progression
of training, professional development, and postsecondary education.
This section addresses
Lead Agency
efforts to support the child care workforce, the components
and implementation of the professional development framework, and early learning and
developmental guidelines.
6.1 Supporting the Child Care Workforce
Lead Agencies have broad flexibility to implement policies and practices to support the child care
workforce.
6.1.1 Strategies to improve recruitment, retention, compensation, and well-being
a. Identify any Lead Agency activities related to strengthening workforce recruitment and
retention of child care providers. Check all that apply:
i. [x] Providing program-level grants to support investments in staff compensation.
ii. [x] Providing bonuses or stipends paid directly to staff, like sign-on or retention
bonuses.
iii. [x] Connecting family child care providers and center-based child care staff to
health insurance or supporting premiums in the Marketplace.
iv. [ ] Subsidizing family child care provider and center-based child care staff
retirement benefits.
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v. [ ] Providing paid sick, personal, and parental leave for family child care providers
and center-based child care staff.
vi. [ ] Providing student loan debt relief or loan repayment for family child care
providers and center-based child care staff.
vii. [x] Providing scholarships or tuition support for center-based child care staff and
family child care providers.
viii. [ ] Other. Describe:
b.
Describe any Lead Agency ongoing efforts and future plans to assess and improve the
compensation of the child care workforce in the State or Territory, including increasing
wages, bonuses, and stipends. The Child Care Excellence Academy is a five-month paid
training program for individuals interested in becoming a child care professional. The
program is a full time program that pays $17/hours and includes early childhood training,
project hours, wraparound support, career pathway planning, and all requirements to
earn a Child Development Associate Credential. Employment matching for trainees in
licensed child care centers. The Nevada Early Care and Education Workforce Framework is
a comprehensive and unified approach to support the early childhood education
professionals and the families they serve. The framework goals are to: support a well-
prepared, qualified, diverse, equitably compensated, and thriving early childhood
workforce; ensure early childhood professionals have access to a living wage and
affordable benefits package; strengthen and enforce program standards to ensure
positive work environments; ensure leaders and stakeholders have access to timely and
accurate data about the workforce to promote informed decisions; and improve public
awareness.
c. Describe any Lead Agency ongoing efforts and future plans to expand access to benefits,
including health insurance, paid sick, personal, and parental leave, and retirement
benefits. Telehealth Services benefit program which includes telehealth, teletherapy,
vision, and dental benefits through Ally Health is an ongoing effort to expand access to
health benefits. Telehealth benefits are provided to all active providers in the NV Registry.
Ally Health provides telehealth, teletherapy, and an employee assistance program (EAP)
for providers and families. Vision and dental benefits for providers (with option to
upgrade and add family members) are also included in the benefits program, in addition
to a prescription discount card further expanding access to health insurance.
d.
Describe any Lead Agency ongoing efforts and future plans to support the mental health
and well-being of the child care workforce. Telehealth Services benefit program which
includes telehealth, teletherapy, vision, and dental benefits through Ally Health is an
ongoing effort to expand access to health benefits. Telehealth benefits are provided to all
active providers in the NV Registry and support the mental health and well-being of child
care providers and their family. Ally Health provides teletherapy, and an employee
assistance program (EAP) for providers and families. Vision and dental benefits for
providers (with option to upgrade and add family members) are also included in the
benefits program, in addition to a prescription discount card further expanding access to
health insurance and supporting mental health and well-being.
e. Describe any other strategies the Lead Agency is developing and/or implementing to
support providers’ recruitment and retention of the child care workforce. The Child Care
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Excellence Academy supports recruitment and retention strategies to help stabilize the
childcare workforce in Nevada by providing training to recruit well-qualified candidates,
increasing the capacity of the child care workforce and incentivizing child care
professionals to improve provider retention. Nevada Early Care and Education Workforce
Framework is a comprehensive and unified approach to support the early childhood
education providers and the families they serve. The framework goals are to: support a
well-prepared, qualified, diverse, equitably compensated, and thriving early childhood
workforce; ensure early childhood professionals have access to a living wage and
affordable benefits package; strengthen and enforce program standards to ensure
positive work environments; ensure leaders and stakeholders have access to timely and
accurate data about the workforce to promote informed decisions; and improve public
awareness.
6.1.2 Strategies to support provider business practices
a. Describe other strategies that the Lead Agency is developing and/or implementing to
strengthen child care providers’ business management and administrative practices. The
Nevada Strong Start Child Care Services Center (CCSC) serves as a one-stop shop for
business and professional development support with 2 physical locations and 1 virtual
platform. The CCSC physical locations bring together partner organizations from both
public and private sectors under one roof to create a coordinated and aligned ECE system.
The virtual CCSC is a shared services website administered through ECE Shared Resources
which provides both national best practices and state specific content for strengthening
child care providers’ administrative practices.
b. Check the topics addressed in the Lead Agency’s strategies for strengthening child care
providers’ administrative business practices. Check all that apply:
i. [x] Fiscal management.
ii. [x] Budgeting.
iii. [x] Recordkeeping.
iv. [x] Hiring, developing, and retaining qualified staff.
v. [x] Risk management.
vi. [x] Community relationships.
vii. [x] Marketing and public relations.
viii. [x] Parent-provider communications.
ix. [x] Use of technology in business administration.
x. [x] Compliance with employment and labor laws.
xi. [x] Other. Describe any other efforts to strengthen providers’ administrative
business: Additional resources and tools available through ECE Shared Resources
website include business basics and professionalism trainings, strategic plans,
business finances, toolkits to assist in balance of operating business and caring for
the children, business expansion, building business credit, and business model
resources.
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6.1.3 Strategies to support provider participation
Lead Agencies must facilitate participation of child care providers and staff with limited English
proficiency and disabilities in the child care subsidy system. Describe how the Lead Agency will
facilitate this participation, including engagement with providers to identify barriers and specific
strategies used to support their participation:
a. Providers and staff with limited English proficiency: Family Friend and Neighbor (FFN)
registration and training materials are available in Spanish. This includes Caring for Our
Children Basics to prepare all FFN providers for their health and safety visit. For languages
other than Spanish, Tele-language service can be used to communicate with providers.
This service is offered 24/7, 365 days and provides translation services for over 200
languages. The Resource and Referral Department also has Spanish-speaking staff
members to register FFN providers who speak Spanish.
b. Providers and staff who have disabilities: All resource and referral offices are ADA
compliant, and staff have training on the use of Relay Nevada (7-1-1) which is a free
service that provides full telephone accessibility to people who are deaf, hard of hearing,
and speech disabled. This service allows users to communicate with standard telephone
users through specially trained relay operators. The call can be made to anywhere in
Nevada 24/7, 365 days with no restrictions on the number, length, or type of calls. All
calls are strictly confidential, and no records of any conversations are maintained.
6.2 Professional Development Framework
A Lead Agency must have a professional development framework for training, professional
development, and post-secondary education for caregivers, teachers, and directors in child care
programs that serve children of all ages. The framework must include these components:
(1) professional standards and competencies, (2) career pathways, (3) advisory structures, (4)
articulation, (5) workforce information, and (6) financing. CCDF provides Lead Agencies flexibility
on the strategies, breadth, and depth of the framework. The professional development framework
must be developed in consultation with the State Advisory Council on Early Childhood Education
and Care or a similar coordinating body.
6.2.1 Updates and consultation
a. Did the Lead Agency make any updates to the professional development framework since
the FFY 2022-2024 CCDF Plan was submitted?
[ ] Yes. If yes, describe the elements of the framework that were updated and describe if
and how the State Advisory Council on Early Childhood Education and Care (if applicable)
or similar coordinating body was consulted:
[x]No.
b. Did the Lead Agency consult with other key groups in the development of their
professional development framework?
[x] Yes. If yes, identify the other key groups: The Nevada Registry, NevAEYC, The Children’s
Cabinet, Las Vegas Urban League, NDE-OELD, and the Nevada Child Care Licensing
Program.
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[ ] No.
6.2.2 Description of the professional development framework
a. Describe how the Lead Agency’s framework for training and professional development
addresses the following required elements:
i. Professional standards and competencies. For example, Lead Agencies can include
information about which roles in early childhood education are included (such
as teachers, directors, infant and toddler specialists, mental health consultants,
coaches, licensors, QIS assessors, family service workers, home visitors). The
Nevada Registry published Nevada’s Core Knowledge Areas (CKA) and Core
Competencies for Early Care and Education Professionals in 2007. The CKA are a
set of content areas that define what caregivers should know and understand in
order to provide quality experiences for children while the Core Competencies are
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Core Knowledge Areas. All community-based training approved by The Nevada
Registry is linked to specific CKA. The CKA support the framework of the Nevada
Early Care and Education Career Ladder and provide the foundation for the
professional development system. They CKA are also aligned with Nevada’s Pre-K
Standards. In 2020, the Nevada Department of Education partnered with SRI
Education to facilitate the Nevada Ready B5! Alignment Project. Though this work,
Nevada’s Core Competencies were reviewed, and it was ultimately determined
that rather than revising Nevada’s existing competencies, our state will adopt the
standards and competencies created through the National Association for the
Education of Young Children’s (NAEYC) Power to the Profession initiative.
ii. Career pathways. For example, Lead Agencies can include information about
professional development registries, career ladders, and levels. The Nevada Early
Care and Education Professional Career Ladder is tailored specifically to the field
of Early Care and Education (ECE) with 7 levels representing various combinations
of formal education, training and direct experience (up to 4000 hours). Through
the T.E.A.C.H. Early Childhood® Nevada Scholarship Program, early childhood
professionals pursue Early Childhood Education (ECE) Certificates, Associate, and
Bachelor Degrees at participating Institutes of Higher Education within Nevada.
The following pathways are available: Early Childhood Education Certificate;
Associate of Applied Science: ECE, ECE Director/Administration, Infant/Toddler,
Preschool; Associate of Arts: ECE; Bachelor of Science: ECE Administration/Non-
License, ECE Pre-K2nd Grade/License, Human Development and Family Studies.
iii. Advisory structure. For example, Lead Agencies can include information about
how the professional development advisory structure interacts with the State
Advisory Council on Early Childhood Education and Care. In addition to the
Nevada ECAC, each quality initiative has developed an advisory board or
committee that serves as a sounding board and helps to guide the development of
the various projects (i.e. TEACH, QRIS, and The Nevada Registry).
iv. Articulation. For example, Lead Agencies can include information about
articulation agreements, and collaborative agreements that support progress
in degree acquisition. Course titles and number are consistent between the
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Institutes of Higher Education. Articulation exists between ECE Associate of Arts
degree pathways at community colleges and Bachelor of Science degree pathways
at the universities T.E.A.C.H. Early Childhood® Nevada facilitates a workgroup of
ECE Higher Education professionals to discuss topics related to the ECE higher
education pathways.
v. Workforce information. For example, Lead Agencies can include information
about workforce demographics, educator well-being, retention/turnover surveys,
actual wage scales, and/or access to benefits. The Nevada Registry publishes a
biennial membership and training approval system report highlighting the
demographics of the Registry membership. This report includes general
demographics, wage information, educational attainment, career ladder
information as well as training and trainer statistics. With over 7000 active
members, this is currently the primary source of data specific to the ECE
workforce. The Nevada Registry’s data is also referenced in The Children’s
Cabinet’s biennial fact sheets that provide county-level data on the supply,
demand, quality and availability of child care in Nevada.
vi. Financing. For example, Lead Agencies can include information about strategies
including scholarships, apprenticeships, wage enhancements, etc. The T.E.A.C.H.
Early Childhood® Nevada scholarship program assists approximately 165 early
childhood educators with completing college coursework to pursue Associate and
Bachelor’s degrees in Early Childhood Education, Birth to 2nd Grade teaching
licenses through the Nevada Department of Education, and advancement on The
Nevada Registry Career Ladder. The T.E.A.C.H. Early Childhood® Nevada program
offers financial support to scholarship recipients for tuition and books; as well as
provides recipients with a bonus each year for completing education
requirements. Additionally, the scholarship provides financial support to early
childhood programs that provide paid release time for scholarship recipients to
attend class, complete assignments, and/or complete daily errands.
b. Does the Lead Agency use additional elements?
[x] Yes.
If yes, describe the element(s). Check all that apply.
i. [ ] Continuing education unit trainings and credit-bearing professional
development. Describe:
ii. [x] Engagement of training and professional development providers, including
higher education, in aligning training and educational opportunities with the Lead
Agency's framework. Describe: DWSS/CCDP has informally partnered with The
Nevada Registry and Nevada System of Higher Education (NSHE) partners at the
University and Community College levels to work on aligning training and
educational opportunities with Nevada’s Core Competencies.
iii. [ ] Other. Describe:
[ ] No.
6.2.3 Impact of the Professional Development Framework
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Describe how the framework improves the quality, diversity, stability, and retention of caregivers,
teachers, and directors and identify what data are available to assess the impact.
a. Professional standards and competencies. For example, do the professional standards and
competencies reflect the diversity of providers across role, child care setting, or age of
children served? The Nevada Registry published Nevada’s Core Knowledge Areas (CKA)
and Core Competencies for Early Care and Education Professionals in 2007. The CKA are a
set of content areas that define what caregivers should know and understand in order to
provide quality experiences for children while the Core Competencies are a set of
observable skills that reflect a caregiver’s knowledge of 242 | P a g e the Core Knowledge
Areas. All community-based training approved by The Nevada Registry is linked to specific
CKA. The CKA support the framework of the Nevada Early Care and Education Career
Ladder and provide the foundation for the professional development system. They CKA
are also aligned with Nevada’s Pre-K Standards. In 2020, the Nevada Department of
Education partnered with SRI Education to facilitate the Nevada Ready B5! Alignment
Project. Though this work, Nevada’s Core Competencies were reviewed, and it was
ultimately determined that rather than revising Nevada’s existing competencies, our state
will adopt the standards and competencies created through the National Association for
the Education of Young Children’s (NAEYC) Power to the Profession initiative.
b. Career pathways. For example, has the Lead Agency developed a wage ladder that
provides progressively higher wages as early educators gain more experience and
credentials? What types of child care settings and staff roles are addressed in career
pathways, such as licensed centers and family child care homes? The Nevada Early Care
and Education Professional Career Ladder is tailored specifically to the field of Early Care
and Education (ECE) with 7 levels representing various combinations of formal education,
training and direct experience (up to 4000 hours). Through the T.E.A.C.H. Early Childhood®
Nevada Scholarship Program, early childhood professionals pursue Early Childhood
Education (ECE) Certificates, Associate, and Bachelor degrees at participating Institutes of
Higher Education within Nevada. The following pathways are available: Early Childhood
Education Certificate; Associate of Applied Science: ECE, ECE Director/Administration,
Infant/Toddler, Preschool; Associate of Arts: ECE; Bachelor of Science: ECE
Administration/Non-License, ECE Pre-K2nd Grade/License, Human Development and
Family Studies.
c. Advisory structure. For example, has the advisory structure identified goals for child care
workforce compensation, including types of staff and target compensation levels? Does
the Lead Agency have a Preschool Development Birth-to-Five grant and is part of its scope
of work child care compensation activities? Are they represented in the advisory
structure? In addition to the State Early Childhood Advisory Council, each quality initiative
in the State of Nevada has developed an advisory board or committee that serves as a
sounding board and helps to guide the development of the various projects (i.e. TEACH,
QRIS, and The Nevada Registry).
d. Articulation. For example, how does the advisory structure include training and
professional development for providers, including higher education, to assist in aligning
training and education opportunities? Course titles and numbers are consistent between
the Institutes of Higher Education. Articulation exists between ECE Associate of Arts
degree pathways at community colleges and Bachelor of Science degree pathways at the
universities T.E.A.C.H. Early Childhood® Nevada facilitates a workgroup of ECE Higher
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Education professionals to discuss topics related to the ECE higher education pathways.
e. Workforce information. For example, does the Lead Agency have data on the existing
wages and benefits available to the child care workforce? Do any partners such as the
Quality Improvement System, child care resource and referral agencies, Bureau of Labor
Statistics, and universities and research organizations collect compensation and benefits
data? Does the Lead Agency monitor child care workforce wages and access to benefits
through ongoing data collection and evaluation? Can the data identify any disparities in
the existing compensation and benefits (by geography, role, child care setting, race,
ethnicity, gender, or age of children served)? The Nevada Registry publishes a biennial
membership and training approval system report highlighting the demographics of the
Registry membership. This report includes general demographics, wage information,
educational attainment, career ladder information as well as training and trainer statistics.
With over 7000 active members, this is currently the primary source of data specific to the
ECE workforce. The Nevada Registry’s data is also referenced in The Children’s Cabinet’s
biennial fact sheets that provide county-level data on the supply, demand, quality and
availability of child care in Nevada.
f. Financing. For example, has the Lead Agency set a minimum or living wage as a floor for
all child care staff? Do Lead Agency-provider subsidy agreements contain requirements for
staff compensation levels? Do Lead Agencies provide program-level compensation grants
to support staff base salaries and benefits? Does the Lead Agency administer bonuses or
stipends directly to workers? The T.E.A.C.H. Early Childhood® Nevada program provides
scholarship recipients with a bonus upon completing a minimum of nine credits
successfully with a C grade or better. The bonus ranges from $375 to $500, depending on
the type of scholarship the recipient receives. Additionally, child care programs provide
scholarship recipients with a $300 bonus or 2% raise upon successful complete of the
annual scholarship. Additionally, between FY22 - FY24, COVID relief funds have supported
the distribution of financial stipends to early childhood educators, in the amount of
$1,000.
6.3 Ongoing Training and Professional Development
6.3.1 Required hours of ongoing training
Provide the number of hours of ongoing training required annually for CCDF-eligible providers in
the following settings:
a. Licensed child care centers: 24 hours
b. License-exempt child care centers: 24 hours
c. Licensed family child care homes: 24 hours
d. License-exempt family child care homes: 24 hours
e. Regulated or registered in-home child care: 24 hours
f. Non-regulated or registered in-home child care: License-exempt FFN providers are
required to take a minimum of 24 hours of early education and child care training
annually. Any and all CCDF-eligible providers are required to take the 24 hours of required
training annually.
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6.3.2 Accessibility of professional development for Tribal organizations
Describe how the Lead Agency’s training and professional development are accessible to providers
supported through Indian tribes or Tribal organizations receiving CCDF funds (as applicable). All
trainings are open to any provider in Nevada. There is tribal representation on The Nevada
Registry Advisory Committee to help guide, advise and make recommendations concerning issues
related to Nevada's professional development and training approval system. T.E.A.C.H. Early
Childhood® Nevada scholarships are accessible to early childhood professionals associated with
Indian tribes and tribal organizations with state licensed or tribally regulated child care programs.
Currently, T.E.A.C.H. Early Childhood® Nevada collaborates with the Inter-Tribal Council of Nevada
and a representative from the Inter-Tribal Council participates on the T.E.A.C.H. Early Childhood®
Nevada Advisory Committee With the exception of CPR and First Aid, all of the currently required
initial health & safety trainings are available online at no cost through two online training
organizations: ProSolutions Training and the University of Nevada Reno Extension Office. These
online trainings are available to all providers in Nevada, regardless of setting.
6.3.3 Professional development appropriate for the diversity of children, families, and child care
providers
Describe how the Lead Agency’s training and professional development requirements reflect the
diversity of children, families, and child care providers participating in CCDF. To the extent
practicable, how does professional development include specialized training or credentials for
providers who care for infants or school-age children; individuals with limited English proficiency;
children who are bilingual; children with developmental delays or disabilities; and/or Native
Americans, including Indians, as the term is defined in Section 900.6 in subpart B of the Indian
Self-Determination and Education Assistance Act (including Alaska Natives) and Native Hawaiians?
DWSS/CCDP engages in partnerships to support kith and kin providers to provide professional
development opportunities and encourage providers to register to receive child care
scholarship(s) on behalf of any eligible children they serve. A focus of this program is to reach
unregistered providers with limited English proficiency and including them in trainings,
wraparound services, and pathways to serving child care scholarship recipients and/or licensure as
a Family Child Care or Group Family Child Care provider. DWSS/CCDP partners with community-
based organizations serving communities with limited English proficiency to recruit adults to
become licensed Family Child Care providers and to facilitate a pathway to serving child care
scholarship recipients. FFN registration and training materials are available in Spanish and we are
working on incorporating other languages. CCR&R staff have Spanish-speaking staff available to
register FFN providers who speak Spanish. All registration materials are available in Spanish. All
information on training requirements is available in Spanish including the CCR&R FFN training
catalog which includes trainings offered in Spanish. Caring for Our Children Basics has been
translated in Spanish and is given to providers to prepare for their health & safety visit which is
conducted by a Spanish-speaking staff. For languages other than Spanish, a Telelanguage service
can be used to communicate with providers. This service is offered 24/7/365 and provides
professional translation services for over 200 languages. All CCR&R and state offices are ADA
compliant, and staff have training on the use of Relay Nevada (7-1-1) which is a free service that
provides full telephone accessibility to people who are deaf, hard-of-hearing, deafblind and
speech disabled. This service allows relay users to communicate with standard telephone users
through specially trained relay operators. The call can be made to anywhere in Nevada 24/7/365
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with no restrictions on the number, length, or type of calls. All calls are strictly confidential, and no
records of any conversations are maintained.
6.3.4 Child developmental screening
Describe how all providers receive, through training and professional development, information
about: (1) existing resources and services the State/Territory can make available in conducting
developmental screenings and providing referrals to services when appropriate for children who
receive assistance under this part, including the coordinated use of the Early and Periodic
Screening, Diagnosis, and Treatment program (42 U.S.C. 1396 et seq.) and developmental
screening services available under section 619 and part C of the Individuals with Disabilities
Education Act (20 U.S.C. 1419, 1431 et seq.); and (2) how child care providers may utilize these
resources and services to obtain developmental screenings for children who receive assistance
and who may be at risk for cognitive or other developmental delays, which may include social,
emotional, physical, or linguistic delays: This information about the resources can include the Early
and Periodic Screening, Diagnosis, and Treatment program under the Medicaid program carried
out under title XIX of the Social Security Act and developmental screening services available under
IDEA Part B, Section 619 and Part C, in conducting those developmental screenings and in
providing referrals to services for children who receive subsidies. DWSS/CCDP provides this
information to eligible families during intake and to child care providers through training and
education. Information on developmental screenings, and other consumer education information,
is accessible for individuals with limited English proficiency and individuals with disabilities.
6.4 Early Learning and Developmental Guidelines
Lead Agencies must develop, maintain, or implement early learning and developmental guidelines
appropriate for children from birth to kindergarten entry. Early learning and developmental
guidelines should describe what children should know and be able to do at different ages and
cover the essential domains of early childhood development, which at a minimum includes
cognition, including language arts and mathematics; social, emotional, and physical development;
and approaches toward learning.
6.4.1 Early learning and developmental guidelines
a. Check the boxes below to certify the Lead Agency’s early learning and developmental
guidelines are:
i.
[x] Research-based.
ii.
[x] Developmentally appropriate.
iii.
[x] Culturally and linguistically appropriate.
iv.
[x] Aligned with kindergarten entry.
v.
[x] Appropriate for all children from birth to kindergarten entry.
vi. [x] Implemented in consultation with the educational agency and the State
Advisory Council on Early Childhood Education and Care or similar coordinating
body.
vii. If any components above are not checked, describe:
b. Check the boxes below to certify that the required domains are included in the Lead
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Agency’s early learning and developmental guidelines.
i.
[x] Cognition, including language arts and mathematics.
ii.
[ ] Social development.
iii.
[x] Emotional development.
iv.
[x] Physical development.
v.
[x] Approaches toward learning.
vi. [ ] Other optional domains. Describe any optional domains:
vii. If any components above are not checked, describe: The Social Emotional
Standards were not included in the newly revised 2023 Nevada Pre-K Standards.
They are currently being revised by the Nevada Department of Education and will
be aligned from Pre-K to 12th grade. They will be added to the Revised 2023
Nevada Pre-K Standards when they are completed. Until completion, the 2010,
Social Emotional Standards will be in effect for Early Childhood Educators and
other statewide stakeholders to support their instruction and program practices.
The current Infant and Toddler Early Learning Guidelines include Social Emotional
development and will be aligned to the Pre-K Standards when they are revised.
c. When were the Lead Agency’s early learning and developmental guidelines most recently
updated and for what reason? The 2010 Nevada Pre-K Standards were reviewed in 2022
and were deemed to be revised. In 2023, the standards were updated, and new research
and domains were added. The new Standards were organized into eight domains and
include indicators based on a child’s early learning and development. Approaches to
Learning and Technology were two new domains that were included. New research on
Developmentally Appropriate Practice, Diversity and Culture, Home Language, Equity and
Inclusion provided guidance to the revision and additional research was included to
support early childhood educators with their practice.
d.
Provide the Web link to the Lead Agency's early learning and developmental guidelines.
https://www.nevadaregistry.org/ece-resources/nevada-pre-k-standards/
6.4.2 Use of early learning and developmental guidelines
a. Describe how the Lead Agency uses its early learning and developmental guidelines. The
Nevada Early Learning Guidelines Program provides Nevada Registry approved content
standards trainings for statewide early childhood educators. Implementation of Nevada
Pre-K Content Standards and Early Guidelines provide educators, caregivers, and program
directors with a framework and the guidance for planning curriculum, instruction, and
assessment of young children. The Pre-kindergarten standards describe the knowledge
and skills that can be measured with developmentally appropriate indicators and
outcomes for children to master by the end of pre-kindergarten. Trainings and technical
support are provided to parents, families, and other community stakeholders to introduce
them to importance of the standards. These training are not Nevada Registry approved
but provide important information on how to support learning at home and school
readiness skills.
b. Check the boxes below to certify that CCDF funds are not used to develop or implement
an assessment for children that:
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i. [x] Will be the primary or sole basis to determine a child care provider ineligible to
participate in the CCDF.
ii. [x] Will be used as the primary or sole basis to provide a reward or sanction for an
individual provider.
iii. [x] Will be used as the primary or sole method for assessing program
effectiveness.
iv. [x] Will be used to deny children eligibility to participate in CCDF.
v. If any components above are not checked, describe:
7 Quality Improvement Activities
The quality of child care directly affects children’s safety and healthy development while in care
settings, and high-quality child care can be foundational across the lifespan. Lead Agencies may
use CCDF for quality improvement activities for all children in care, not just those receiving child
care subsidies. OCC will collect the most detailed Lead Agency information about quality
improvement activities in annual reports instead of this Plan.
Lead Agencies must report on CCDF child care quality improvement investments in three
ways:
1. In this Plan, Lead Agencies will describe the types of activities supported by
quality investments over the 3-year period.
2. An annual expenditure report (the ACF-696). Lead Agencies will provide data on
how much CCDF funding is spent on quality activities. This report will be used
to determine compliance with the required quality and infant and toddler
spending requirements.
3. An annual Quality Progress Report (the ACF-218). Lead Agencies will provide
a description of activities funded by quality expenditures, the measures used
to evaluate its progress in improving the quality of child care programs and
services within the State/Territory, and progress or barriers encountered on
those measures.
In this section of the Plan, Lead Agencies will describe their quality activities needs assessment
and identify the types of quality improvement activities where CCDF investments are being made
using quality set-aside funds.
7.1 Quality Activities Needs Assessment
7.1.1 Needs assessment process and findings
a. Describe the Lead Agency needs assessment process for expending CCDF funds on
activities to improve the quality of child care, including the frequency of assessment, how
a diverse range of parents and providers were consulted, and how their views are
incorporated: NDE-OELD conducted a needs assessment in 2019 through the Preschool
Development Grant Birth to 5 (PDGB5) planning grant funding and the activities identified
opportunities for improvement for the quality of child care in Nevada involves several key
steps and considerations. The primary objective of the needs assessment was to inform
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the development of a strategic plan for the allocation of PDGB5 funds in Nevada. This
involved gathering data and insights on various aspects of early childhood education and
care to identify strengths, challenges, and opportunities within the state's system.
b.
Describe the findings of the assessment, including any findings related to needs of
different populations and types of providers, and if any overarching goals for quality
improvement were identified: The assessment employed a combination of quantitative
and qualitative research methods to gather information from diverse stakeholders. This
included surveys, interviews, focus groups, and analysis of existing data sources related to
early childhood education, health, and family support services. The needs assessment
process involved active engagement with a wide range of stakeholders, including parents,
educators, child care providers, community organizations, and policymakers. This inclusive
approach ensured that the perspectives and voices of all relevant stakeholders were
considered in the assessment process. A few of the key findings included the need to
identified opportunities for enhancing the quality of early childhood programs and
strengthening the professional development opportunities for educators and child care
providers. Investing in workforce training and support emerged as a priority. Another
important aspect highlighted in the assessment was the importance of addressing the
health and well-being needs of young children, including access to healthcare services,
nutrition, and mental health support. The assessment underscored the need for strategies
to promote equity and inclusion in early childhood education, ensuring that all children,
regardless of background or circumstances, have access to high-quality services and
support. This needs assessment serves as a roadmap for guiding investments and
initiatives aimed at improving outcomes for young children and their families across the
state. The needs assessment is available at https://nvecac.com/wp-
content/uploads/2020/06/PDG_Needs_-Assessment_-Final_-ADA_6.24.20.pdf.
7.2 Use of Quality Set-Aside Funds
Lead Agencies must use a portion of their CCDF expenditures for activities designed to improve
the quality of child care services and to increase parental options for and access to high-quality
child care. They must use the quality set-aside funds on at least one of 10 activities described in
CCDF and the quality activities must be aligned with a Statewide or Territory-wide assessment of
the State's or Territory’s need to carry out such services and care.
7.2.1 Quality improvement activities
a. Describe how the Lead Agency will make its Quality Progress Report (ACF – 218) and
expenditure reports, available to the public. Provide a link if available. DWSS/CCDP is
working with the DWSS Public Information Officers to make the Quality Progress Report
available on CCDP websites to share information publicly.
b. Identify Lead Agency plans, if any, to spend CCDF funds for each of the following quality
improvement activities. If an activity is checked “yes”, describe the Lead Agency’s current
and/or future plans for this activity.
i. Supporting the training and professional development of the child care workforce,
including birth to five and school-age providers.
[ ] No plans to spend in this category of activities at this time.
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[x] Yes. If yes, describe current and future investments. The Nevada Registry in
addition to being a workforce data system for the state of Nevada, The Nevada
Registry is a recognition and professional development system helping to support
the careers of Early Care and Education (ECE) educators. As the host of Nevada’s
Early Care and Education Professional Career Ladder, The Nevada Registry
collects, validates and warehouses the professional and educational achievements
of ECE educators throughout the state and highlights those accomplishments
through Career Ladder placement. Providing a single point of access, the Registry
provides professional development planning tools, including an online
Professional Development Plan, and hosts a comprehensive website containing an
online calendar of approved training, an industry-related NEWS page, statewide
job board and community resources/information. The Nevada Registry also
operates the statewide training approval system for all informal, community-
based training (not-for-college-credit) in Nevada. Membership with The Nevada
Registry is open to all ECE professionals regardless of role or setting. This includes
anyone working with children birth through age eight and families in a variety of
settings (Center-Based, Family Child Care, Head Start, State-Funded Pre-K, Tribal
Child Care, Out-of-School, Family, Friend and Neighbor, Kith and Kin, etc.) and in a
variety of roles (Teachers, Caregivers, Child Care Providers, Family Day Care and
Group Home Providers, etc.). Becoming a member of The Nevada Registry creates
an entry point for the field by connecting ECE educators to program licensing,
professional development, quality initiatives, opportunities for growth and
professional advancement, as well as tracking and reporting their career
progression over time. In April of 2009, participation with The Nevada Registry
was adopted into State Child Care Licensing regulations. As a result, all employees
working in licensed child care facilities (if counted in ratios) are required to initially
apply to The Nevada Registry within 90 days of employment and maintain an
active membership on an annual basis. Mandatory participation was fully phased-
in as of December 31, 2012, positioning The Nevada Registry to collect and
provide a vast amount of essential, and previously unavailable, data on the Early
Childhood workforce in Nevada used to inform the work of stakeholders and
policy makers, as well as helping to direct decisions regarding future funding and
program development. Mandatory participation with The Nevada Registry
supports the professional development and growth of a larger percentage of
members within the ECE workforce in a number of different ways. To promote
quality training opportunities statewide and to increase the level of consistency
within the approval process across the state, all requests for child care training
hours must be reviewed and approved by The Nevada Registry. With the
establishment of the training approval system, all trainers and corresponding
informal training events are subject to the same approval criteria and are
processed through the same approval process within The Nevada Registry.
Because of the partnership with statewide child care licensing agencies, The
Nevada Registry has mainstreamed the process of approval by becoming the
central clearinghouse for approving trainers, receiving training requests,
approving requests, tracking approved training and making training information
available to the ECE workforce on a statewide basis. All informal, not for college
credit training must be approved by The Nevada Registry in order to be accepted
and applied toward the annual training requirements of Child Care Licensing.
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Training approval is based on the content of training and must be delivered by
individuals meeting specified educational qualifications and specialization criteria.
It is also guided by national trends for the development of training approval
systems and the best practices outlined by The National Workforce Registry
Alliance (NWRA). Approval criteria helps to support higher quality in trainings,
consistency in trainings, helps ECE educators make more informed decisions about
the training/trainers they select, connects the ECE workforce to training to meet
their professional development needs and goals and helps to increase the quality
of care and education for all young children in Nevada. As of March 31, 2024,
72,000 in-person/virtual training sessions have been approved by The Nevada
Registry equating to over 200,000 hours of Registry-approved training being
delivered to the ECE workforce in Nevada since 2004. All Nevada Registry-
approved training is linked to Nevada’s Core Knowledge Areas (CKA) and is based
on developmentally appropriate practice and theories of child development. A set
of competencies has also been developed to support the training and
development of the child care workforce by creating a set of observable skills that
reflect an educator’s knowledge and understanding of the CKA. The competencies
identify skills at the beginning, intermediate and advanced levels of
professionalism related to providing high-quality early care and education and
help to standardize the expectations for ECE educators. Competencies are based
on nationally accepted standards and best practice in the field of ECE. Nevada’s
CKAs and Core Competencies will soon be aligned with the National Association
for the Education of Young Children’s (NAEYC) professional standards and
competencies. Nevada’s online Professional Development Plan (PDP) is available
to all active Registry members within their Online Portal account and supports the
professional growth of Nevada’s ECE workforce. The PDP was designed to be a
guide designed to help ECE educators reflect upon their own practice of working
with children and families. Creating a PDP helps individual’s increase their
knowledge, skills and expertise for working with children and their families over
time by helping determine their areas of interest and strength, as well as areas
where further growth and development may be needed. The PDP helps educators
plan for future professional development and helps assess their own progress and
professional growth. All Registry-approved training open to the public is posted to
The Nevada Registry’s online training calendar. This one stop shop helps connect
the ECE workforce in Nevada to training and professional development available
to meet their ongoing professional development needs. The Nevada Registry has
created an electronic attendance tracking feature to aid in the collection of real-
time training and professional development data. This process helps to create a
more accurate snapshot of completed professional development while helping to
collect data about training access, frequency and usage on a statewide basis
including the completion of CCDBG Health & Safety training. Verified training is
automatically added to a member’s account, within five days of attendance, and
also to each member’s Professional Development Profile/Transcript as part of the
attendance tracking feature. The transcript provides an electronic and
downloadable record of all completed Registry-approved training; useful for an
individual’s own professional develop planning, but also helps streamline the
annual training verification process of Child Care Licensing. As of March 31, 2024,
over 7,200 attendance records have been submitted electronically equaling
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100,996 attendance records added to the accounts of active Registry members
(duplicated). The Council for Professional Recognition and the National
Workforce Registry Alliance recently approved The Nevada Registry’s training
transcript. This approval will aid CDA candidates in their professional development
journey. Because The Nevada Registry’s transcript meets the requirements of the
Council, the training data contained within a Nevada Registry transcript will be
accepted by PD Specialists without having to verify training data, streamlining the
application and training verification process for CDA candidates.
ii. Developing, maintaining, or implementing early learning and developmental
guidelines.
[ ] No plans to spend in this category of activities at this time.
[x] Yes. If yes, describe current and future investments. In 2023 the Nevada Pre-K
Content Standards, which were revised and adopted by the Nevada Department
State Board of Education, our focus for the upcoming CCDF Plan period is on
enhancing the Early Learning content standards and guidelines for infants and
toddlers. This initiative entails a comprehensive project encompassing the
development, refinement, and dissemination of these standards. Additionally, it
involves the implementation of robust training and technical assistance programs
tailored for educators, parents, families, and community partners. The identified
vendor will aim to reinforce the foundation of early childhood education in
Nevada, ensuring that it aligns with current best practices, research, and evolving
educational standards. This concerted effort will not only elevate the quality of
early learning experiences for our youngest learners but also empower
stakeholders across the educational ecosystem to play an active role in nurturing
their development. Furthermore, this project underscores our commitment to
fostering a collaborative and inclusive approach to early childhood education.
Through ongoing engagement and feedback mechanisms, we will solicit input
from a diverse range of stakeholders, including educators, parents, advocates, and
policymakers, to ensure that the standards and guidelines reflect the collective
expertise and aspirations of our community. In summary, the revision of Early
Learning content standards and guidelines for infants and toddlers represents a
strategic investment in the future of early childhood education in Nevada.
Through meticulous planning, stakeholder engagement, and targeted capacity-
building efforts, we are poised to deliver impactful outcomes that will benefit
generations of young learners and their families.
iii. Developing, implementing, or enhancing a quality improvement system.
[ ] No plans to spend in this category of activities at this time.
[x] Yes. If yes, describe current and future investments. Nevada's QRIS involves a
collaborative effort across various agencies to ensure a comprehensive approach.
NDE-OELD is taking the lead in overseeing and managing the programmatic and
policy aspects of QRIS. To enhance support for providers within the system, NDE-
OELD has engaged The Children's Cabinet to oversee the QRIS coaching
component. This involves providing personalized support to providers, assisting
them in navigating the system, and training Early Childhood Education (ECE) staff
on best practices. Coaches undergo rigorous training from their supervisors, the
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NDE-OELD team, and assessors to uphold the high-quality standards of QRIS and
ensure the accuracy of information provided to our providers. NDE-OELD has also
contracted with two vendors to manage the quality assessments that contribute
to the QRIS star ratings. The NDE-OELD team meticulously reviews the QRIS
requirements and documents to assign star ratings accurately for each
participating provider in Nevada. Furthermore, NDE-OELD has partnered with a
vendor to conduct an annual evaluation, identifying strengths and areas for
improvement within the system. NDE-OELD is actively involved in planning and
guiding these teams, providing training and oversight, monitoring work scope and
expenditures, and revising policies as needed to address emerging issues.
Additionally, NDE-OELD communicates with the scholarship programs to update
star ratings corresponding to reimbursement rates. Moreover, before accepting
QRIS enrollment forms, NDE-OELD verifies with CCDP that providers are properly
registered with DWSS/CCDP. Finally, NDE-OELD maintains, and updates key
technology platforms used within the system such as Easyfolio, Qstar, and ERS,
providing comprehensive training to all teams on these platforms. NDE-OELD
actively participates in national and local communities of practice to stay informed
about the latest QRIS approaches and models. By engaging in these networks,
NDE-OELD gains valuable insights and collaborates with experts to customize and
implement innovative strategies that best align with Nevada's unique early
childhood education needs. This proactive involvement ensures that Nevada's
QRIS remains at the forefront of advancements in the field, ultimately benefiting
the state's ECE providers, children, and families. Looking ahead, NDE-OELD will
collaborate with partners to redesign the QRIS system in alignment with national
approach that emphasizes continuous quality improvement rather than relying
solely on star ratings. Recognizing that star ratings have not been the primary
factor in parents' program choices, Nevada's QRIS is shifting towards a model
centered on quality goals tailored to each program's uniqueness and community
context. This new approach will highlight specific program strengths through
quality badges such as infant/toddler care, inclusive education, health and
wellness, and family engagement. Additionally, Nevada’s QRIS intends to establish
alternative pathways for providers to engage based on their goals and needs,
fostering flexibility to enhance participation and support continuous improvement
within early childhood education across Nevada. NDE-OELD has initiated the
revision of the QRIS with technical assistance from the National Center on Early
Childhood Quality Assurance (NCECQA), a collaboration approved DWSS/CCDP.
Together, the teams will collaboratively develop a comprehensive improvement
plan and subsequently launch the new QRIS upon its completion.
iv. Improving the supply and quality of child care services for infants and toddlers.
[ ] No plans to spend in this category of activities at this time.
[x] Yes. If yes, describe current and future investments. Current Project: UNR
currently implements a statewide CDA program for Infant toddler teachers (both
online and face to face) will complete 120 clock hours of professional early
childhood education in eight subject areas (focused on infant and toddlers) with a
minimum of 10 hours in each area: Planning a safe and healthy learning
environment Advancing children’s physical and intellectual development
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Supporting children’s social and emotional development Building productive
relationships with families Managing an effective program Maintaining a
commitment to professionalism Observing and recording children’s behavior
Understanding principles of child development and learning. We are in the
planning phase of the development of an Infant Toddler early Childhood Mental
Health academy designed to provide comprehensive knowledge and skills
necessary to support the early relational health of young children. The academy
aligns with Early Childhood Mental Health Competencies, preparing participants
to embark on their Endorsement Journeys. The academy will be delivered through
a combination of live webinars, pre-recorded video modules, interactive
workshops, and collaborative discussions. Participants will have access to
resources, readings, and assignments to reinforce their learning. Participants will
complete quizzes, reflections, and a final project to demonstrate their
understanding and application of the training content. Upon successful
completion of the 24-hour training program, educators will receive a certificate in
recognition of their early relational health specialization in early childhood
education. A Reflective Practice discussion space will be held for participants.
v. Establishing or expanding a statewide system of CCR&R services.
[x] No plans to spend in this category of activities at this time.
[ ] Yes. If yes, describe current and future investments.
vi. Facilitating compliance with Lead Agency child care licensing, monitoring,
inspection and health and safety standards.
[ ] No plans to spend in this category of activities at this time.
[x]Yes. If yes, describe current and future investments. The CCDBG funds all of our
Child Care Licensing activities, including all licensing staff and operating costs, all
orientations, trainings, inspections for any applicable providers, and any other
associated costs toward compliance with health and safety standards under State
Licensing. Additionally, the CCDBG funds our CCR&Rs that conduct home/site
visits for all license-exempt provider types.
vii. Evaluating and assessing the quality and effectiveness of child care services within
the State/Territory.
[ ] No plans to spend in this category of activities at this time.
[x] Yes. If yes, describe current and future investments. Nevada's evaluation and
assessment strategy for child care services involves utilizing Environment Rating
Scales (ERS) assessments to gauge quality and effectiveness across various
indicators within early childhood settings. Currently, the state employs ECERS-3
for classrooms serving 3-5-year-olds, ITERS-3 for settings catering to children aged
0-3 years, and FCCERS-3 for family childcare programs accommodating children
aged 0-12 years. These assessments cover critical areas such as space and
furnishings, learning activities, personal care routines, language and literacy, child-
staff interactions, and program structure. As part of the Quality Rating and
Improvement System (QRIS) revision, there are plans to enhance flexibility and
broaden assessment tools. This includes introducing new assessment instruments
that allow providers to evaluate specific aspects of their programs such as
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business practices, Montessori approaches, and special education services.
Despite these updates, ERS assessments will continue to serve as the cornerstone
for measuring classroom quality. It is important to note that assessment scores
will not be tied to specific QRIS star ratings after this revision, reflecting a shift
towards a more holistic approach to quality improvement within early childhood
education settings. This strategic evolution aims to provide providers with
enhanced tools and resources to further elevate program quality and support the
diverse needs of children and families across the state.
viii. Accreditation support.
[ ] No plans to spend in this category of activities at this time.
[x] Yes. If yes, describe current and future investments. Nevada's QRIS incentivizes
providers to pursue national accreditation by encouraging the 4-star level
providers to reach the 5-star level upon accreditation achievement. NDE-OELD
reimburses providers for accreditation fees to encourage participation and
renewal. Therefore, QRIS can provide data on the number of accredited programs
specifically at the 5-star level, as accreditation is tracked and recognized
exclusively within this tier of the QRIS.
ix. Supporting State/Territory or local efforts to develop high-quality program
standards relating to health, mental health, nutrition, physical activity, and
physical development.
[ ] No plans to spend in this category of activities at this time.
[x] Yes. If yes, describe current and future investments. Nevada uses the Pyramid
Model through Nevada TACSEI to set standards for social emotional practices to
support mental health programs. CCDF dollars are used to support TACSEI
activities. Nevada has nutrition standards that are taught through the Chronic
Disease Prevention grant and is leveraged with CCDF dollars. Standards used are
based on Caring for Our Children 3rd Edition and CACFP standards. Nevada has
physical activity standards that are taught through the Chronic Disease Prevention
grant and is leveraged with CCDF funding. Standards used are based on Caring for
Our Children 3rd Edition.
x. Other activities determined by the Lead Agency to improve the quality of child
care services and the measurement of outcomes related to improved provider
preparedness, child safety, child well-being, or kindergarten entry.
[x] No plans to spend in this category of activities at this time.
[ ] Yes. If yes, describe current and future investments.
8 Lead Agency Coordination and Partnerships to Support Service Delivery
Coordination and partnerships help ensure that the Lead Agency’s efforts accomplish CCDF goals
effectively, leverage other resources, and avoid duplication of effort. Such coordination and
partnerships can help families better access child care, can assist in providing consumer education
to parents, and can be used to improve child care quality and the stability of child care providers.
Such coordination can also be particularly helpful in the aftermath of disasters when the provision
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of emergency child care services and the rebuilding and restoring of child care infrastructure are
an essential part of ensuring the well-being of children and families in recovering communities.
This section identifies who the Lead Agency collaborates with to implement services, how match
and maintenance-of-effort (MOE) funds are used, coordination with child care resource and
referral (CCR&R) systems, and efforts for disaster preparedness and response plans to support
continuity of operations in response to emergencies.
8.1 Coordination with Partners to Expand Accessibility and Continuity of Care
Lead Agencies must coordinate child care services supported by CCDF with other federal,
State/Territory, and local level programs. This includes programs for the benefit of Indian
children, infants and toddlers, children with disabilities, children experiencing homelessness, and
children in foster care.
8.1.1 Coordination with required and optional partners
Describe how the Lead Agency coordinates and the results of this coordination of the provision of
child care services with the organizations and agencies to expand accessibility and continuity of
care and to assist children enrolled in early childhood programs in receiving full-day services that
meet the needs of working families.
The Lead Agency must coordinate with the following agencies:
a. State Advisory Council on Early Childhood Education and Care or similar coordinating body
(pursuant to 642B(b)(I)(A)(i) of the Head Start Act). Describe the coordination and results
of the coordination: The CCDF Administrator is an official, Governor-appointed member of
the Nevada Early Childhood Advisory Council (ECAC). The ECAC meets quarterly.
Information about DWSS/CCDP activities is shared during partner updates. DWSS/CCDP
key staff participate as voting members on various ECAC subcommittees and share
information and collaborate on special projects through those bodies.
b. Indian Tribe(s) and/or Tribal organization(s), at the option of the Tribe or Tribal
organization. Describe the coordination and results of the coordination, including which
Tribe(s) was (were) involved: DWSS/CCDP provided a draft of the State Plan to Nevada
tribes for feedback in addition to an invitation to participate in the State Plan public
hearing. DWSS/CCDP has recently created a Social Services Program Specialist position
within the program to focus on improving coordination with Tribal organizations. The
following tribes were contacted regarding State Plan development: Ely Shoshone Tribe,
Inter-Tribal Council of Nevada, Las Vegas Paiute Tribe, Moapa River Indian Reservation
Moapa Band of Paiutes, Paiute-Shoshone Tribe of the Fallon Reservation and Colony,
Pyramid Lake Paiute Tribe, Reno-Sparks Indian Colony, and the Shoshone Paiute Tribe.
[ ] Not applicable. Check here if there are no Indian Tribes and/or Tribal
organizations in the State/Territory.
c.
State/Territory agency(ies) responsible for programs for children with disabilities,
including early intervention programs authorized under the Individuals with Disabilities
Education Act. Describe the coordination and results of the coordination: DWSS/CCDP
staff sit on the Nevada Early Intervention Interagency Coordinating Council. The Council
brings policymakers, service providers, and parents together to support and assist with
the ongoing development and implementation of quality statewide early intervention
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services for young children with disabilities and their families. The members work to
ensure that the supports and services offered to families are in line with their needs and
maximize outcomes.
d.
State/Territory office/director for Head Start State collaboration. Describe the
coordination and results of the coordination: DWSS/CCDP and the Head Start State
Collaboration Office engage in frequent communication and strategic planning sessions to
synchronize initiatives. By sharing insights, data, and expertise, leverage is provided to
strengthen and maximize the impact of the programs and services. Quality improvement
efforts are aligned with the goals of enhancing child care quality and accessibility for
families across the state. The direct services provided allow for a deeper understanding of
the challenges and opportunities within the early childhood education landscape. This
enables efforts to be tailored for maximum efficacy. The partnership fosters a culture of
innovation and continuous improvement. Through regular evaluation and feedback
mechanisms, areas for enhancement are identified and interventions are implemented as
appropriate. The partnership between DWSS/CCDP and the Head Start State Collaboration
Office shows the state's commitment to excellence in early childhood education and
strives for a holistic support system.
e. State/Territory agency responsible for public health, including the agency responsible for
immunizations. Describe the coordination and results of the coordination: DWSS/CCDP
collaborates with the Division of Public and Behavioral Health (DPBH) to ensure
immunization records are updated and verified using the Nevada WebIZ immunization
information system. The results of this coordination make it easier for families to obtain
the required immunization documents needed for child care providers. Further,
DWSS/CCDP is establishing better coordination and collaboration with the DPBH Bureau of
Child, Family and Community Wellness which includes the Immunization Program
(coordination mentioned previously), Chronic Disease Prevention and Health Promotion
Program (child nutrition and food security initiatives), the Title V Maternal, Child and
Adolescent Health Program (includes the Maternal, Infant, and Early Childhood Home
Visiting Program), and the Nevada Women, Infants, and Children (WIC) Nutrition Program.
f.
State/Territory agency responsible for employment services/workforce development.
Describe the coordination and results of the coordination: The Nevada Strong Start Child
Care Services Center (CCSC) serves as a one-stop shop that connects child care providers
to public and private sectors which offer employment support and services. The goal of
the CCSC is to create systems which are aligned to meet the needs of Nevada providers
and families. All child care providers have access to workforce support to operate their
business and provide the highest quality care to the children and families they serve. The
CCSC has physical locations in both Northern and Southern Nevada in addition to a virtual
hub which provides access to Early Childhood Education resources. DWSS/CCDP oversees
the administration for the CCSC with a total of 7 staff positions statewide.
g.
State/Territory agency responsible for public education, including pre-Kindergarten.
Describe the coordination and results of the coordination: NDE-OELD is the agency
responsible for public education, including State Pre-Kindergarten; additionally, this
agency is responsible for Head Start collaboration and initiatives to improve the quality of
early childhood education. DWSS/CCDP works closely with NDE-OELD to improve the
quality of early childhood programs, increase access for families, and provide support to
child care providers. NDE-OELD initiatives include an aligned screening tool across child
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care programs, pre-k and kindergarten entry; student unique identifiers for children
receiving a child care scholarship, PDGB5 seats in child care facilities for four-year-olds
whose families are below 200% FPL, Birth to 3rd Grade (B-3) initiatives that include a pilot
project and professional learning specific to smoothing transitions both across grades
(horizontally) and within grades (vertically); and aligned educational standards across child
care and pre-k programs.
h.
State/Territory agency responsible for child care licensing. Describe the coordination and
results of the coordination: The Lead Agency is responsible for statewide child care
licensing activities. The Nevada Child Care Licensing Program was administratively moved
under DWSS from DPBH during the 82nd legislative session in 2023. On July 1, 2024, the
statewide Child Care Licensing Program absorbed licensing responsibilities in Washoe
County making DWSS/CCL the only child care licensing body statewide. This coordination
has resulted in a more streamlined licensure process and consistent application of policy
throughout the state.
i.
State/Territory agency responsible for the Child and Adult Care Food Program (CACFP) and
other relevant nutrition programs. Describe the coordination and results of the
coordination: The Nevada Department of Agriculture (NDA) is the responsible agency for
CACFP and will communicate updates on CACFP with DWSS including training and
participation by child care providers. NDA will coordinate with SNAP-Ed, DPBH, and
Children’s Cabinet on updates for number of CACFP participants in business and/or CACFP
training conducted through QRIS trainers. Additionally, NDA will share with DWSS the
participation of the number of new CACFP sponsors and providers during the plans
timeframe of FY2022-2-24.
j.
McKinney-Vento State coordinators for homeless education and other agencies providing
services for children experiencing homelessness and, to the extent practicable, local
McKinney-Vento liaisons. Describe the coordination and results of the coordination:
DWSS/CCDP has coordinated policy and processes with the Nevada McKinney-Vento
Homeless Outreach Program to facilitate and streamline the referral and application
process for families experiencing homelessness. The results of the coordination reduce
transportation barriers for families and improve access to child care services.
k.
State/Territory agency responsible for the TANF program. Describe the coordination and
results of the coordination: DWSS/CCDP and the TANF program are both under the DWSS
umbrella. Efforts are coordinated with the program chiefs and specialists to facilitate and
streamline the referral and application process for families receiving TANF and to support
training and employment efforts. The results of this collaboration include a more holistic
approach for families needing assistance, a more seamless application process, and better
coordination of services for TANF recipients seeking child care.
l.
State/Territory agency responsible for Medicaid and the State Children’s Health Insurance
Program. Describe the coordination and results of the coordination: DWSS/CCDP partners
with the Division of Health Care Financing and Policy (DHCFP or Nevada Medicaid) to
coordinate services through the Pediatrics Supporting Parents initiative as well as the
Pritzker Children’s Initiative. The results of this coordination expand access to high quality
services for young children by ensuring they are healthy and have access to care.
Additionally, families are supported through utilization of community-based early
childhood assessments, screenings, and referrals.
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m.
State/Territory agency responsible for mental health services. Describe the coordination
and results of the coordination: DWSS/CCDP coordinates with Nevada’s Division of Public
and Behavioral Health (DPBH) to facilitate mental health referrals through the Technical
Assistance Center for Social Emotional Intervention Services (TACSEI). The results of this
coordination create a sustainable statewide system that promotes social emotional
development in young children. Additionally, young children develop healthy
relationships, are ready to learn, and can navigate their social environments.
n.
Child care resource and referral agencies, child care consumer education organizations,
and providers of early childhood education training and professional development.
Describe the coordination and results of the coordination: DWSS/CCDP works closely with
our subrecipient CCR&R agencies to collectively pursue our program goals and provide
excellent consumer education and information. DWSS/CCDP also works with The Nevada
Registry to be able to efficiently connect families and providers to resources for training
and development. The results of these efforts foster a high-quality workforce, a more
effective early learning environment, and increase positive outcomes for children and
families.
o.
Statewide afterschool network or other coordinating entity for out-of-school time care (if
applicable). Describe the coordination and results of the coordination: DWSS/CCDP works
closely with Out of School (OST) providers in Nevada to coordinate efforts to allow parents
to work and to adapt to the need for different types of services including before and after
school programming and emergency child care for a wider range of ages. The result of this
coordination is expanded child care services which allow parents more provider options
and support increased work opportunities. The Nevada Afterschool Network (NAN) is the
state’s leading statewide organization for providers serving the state’s school-age youth
with high quality, accessible afterschool and summer programs. NAN’s work supports
outreach to the field and coordination across programs within different settings and
working across various funding streams, including CCDF and PDGB5. DWSS/CCDP works
closely with NAN in planning and implementation to ensure that school-age providers
voices are represented and incorporated in state child care policies referenced in this
planning document including cost studies, workforce supports, and quality systems. NAN
is also a key partner in helping DWSS/CCDP with the dissemination of resources and
materials.
p.
Agency responsible for emergency management and response. Describe the coordination
and results of the coordination: DWSS/CCDP works with the Nevada Department of
Emergency Management (DEM) to consult and coordinate efforts to streamline our
Disaster Plan and develop policy and processes related to emergency responses in
Nevada. The result of this collaboration is a higher level of continuity of care and
supportive services when emergencies occur. Additionally, due to this coordination, there
is a minimal disruption of service coordination and a timely response can be facilitated
between agencies.
q.
The following are examples of optional partners a Lead Agency might coordinate with to
provide services. Check which optional partners the Lead Agency coordinates with and
describe the coordination and results of the coordination.
i. [x] State/Territory/local agencies with Early Head Start – Child Care Partnership
grants. Describe: DWSS/CCDP coordinates services with the State Head Start
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Collaborator to extend services to full day for those Head Start and Early Head
Start programs that receive CCDF. DWSS/CCDP partners with Early Head Start by
providing wraparound so parents can work while they helping to enhance
developmental services for children. The EHS-CCP brings together the strengths of
Child Care and Early Head Start programs. Early Head Start provides
comprehensive family centered services within high-quality early learning
environments that adhere to the research-based Head Start Program Standards.
Integrating Early Head Start comprehensive services and resources into the array
of traditional child care and family child care settings creates new opportunities to
improve outcomes for infants, toddlers, and their families. Child care centers and
family child care providers respond to the needs of working families by offering
flexible and convenient full-day and full-year services. In addition, child care
providers have experience providing care that is strongly grounded in the cultural,
linguistic, and social needs of the families and their local communities.
ii. [x] State/Territory institutions for higher education, including community colleges.
Describe: DWSS/CCDP, in a partnership with SNAPET, Western Nevada College,
and Truckee Meadows Community College maintains a program to allow access to
child care scholarships for individuals participating in education and training
through the SNAPET program.
iii. [x] Other federal, State, local, and/or private agencies providing early childhood
and school-age/youth-serving developmental services. Describe: NDE-OELD
partners with Early Childhood Mental Health Services (ECMHS) which provides
intensive outpatient individual and family psychotherapy utilizing evidence-based
practices that are trauma-informed as well as targeted case management for
infants and very young children and their families. Our focus is on engaging and
honoring the role of caring adults in infant’s and very young child’s life by
providing services either in-home, in the community or in our offices as per the
unique needs of each family and child. Consultations and observations may be
provided at QRIS approved center-based or home-based day care sites, Early Head
Start/Head Start programs, or school district classrooms. ECMHS works closely
with local Head Start, Early Head Start, and Inter-Tribal Council-Nevada Head Start
agencies to provide classroom observation assessments once a year, participate
on health advisory committees, and conduct training when requested. ECMHS
engages in ongoing efforts to promote awareness of infant and early childhood
mental health needs in the community at large through partnership with many
family and child serving programs in Clark County.
iv. [x] State/Territory agency responsible for implementing the Maternal, Infant, and
Early Childhood Home Visiting (MIECHV) programs grant. Describe: DWSS/CCDP
participates in the state's Pritzker P3 Initiative which includes developing and
implementing maternal health and child home visitation programs and
collaboration with grantees. Further, DWSS/CCDP is establishing better
coordination and collaboration with the DPBH Bureau of Child, Family and
Community Wellness which includes the Title V Maternal, Child and Adolescent
Health Program (includes the Maternal, Infant, and Early Childhood Home Visiting
Program).
v. [x] Agency responsible for Early and Periodic Screening, Diagnostic, and Treatment
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Program. Describe: DWSS/CCDP partners with DPBH and Nevada Medicaid to
ensure families have access to and can receive necessary screenings to identify
and address developmental needs and that providers understand how to bill
under EPSDT policies.
vi. [x] State/Territory agency responsible for child welfare. Describe: DWSS/CCDP has
coordinated statewide services with the Division of Child and Family Services
statewide and county Child Protective Service (CPS) agencies to expand services to
meet specific needs including voluntary and reunification plans for families
involved with foster care and CPS systems.
vii. [x] Child care provider groups or associations. Describe: DWSS/CCDP sends a staff
representative to the Child Care Provider Advisory Committee to participate in
coordination of child care services and provide information. DWSS/CCDP also
partners with NevAEYC to promote quality improvement, professional
development, and share information regarding child care services.
viii. [x] Parent groups or organizations. Describe: DWSS/CCDP partners with The
Children’s Cabinet to support the Nevada Early Childhood Family Leadership
Council to ensure parents and families of young children have both leadership and
decision-making roles in the early childhood system.
ix. [ ] Title IV B 21
st
Century Community Learning Center Coordinators. Describe:
x. [ ] Other. Describe:
8.2 Optional Use of Combined Funds, CCDF Matching, and Maintenance-of-Effort Funds
Lead Agencies may combine CCDF funds with other Federal, State, and local child care and early
childhood development programs, including those in 8.1.1. These programs include preschool
programs, Tribal child care programs, and other early childhood programs, including those serving
infants and toddlers with disabilities, children experiencing homelessness, and children in foster
care.
Combining funds may include blending multiple funding streams, pooling funds, or layering funds
from multiple funding streams to expand and/or enhance services for infants, toddlers,
preschoolers, and school-age children and families to allow for the delivery of comprehensive
quality care that meets the needs of children and families. For example, Lead Agencies may use
multiple funding sources to offer grants or contracts to programs to deliver services; a Lead
Agency may allow a county/local government to use coordinated funding streams; or policies may
be in place that allow local programs to layer CCDF funds with additional funding sources to pay
for full-day, full-year child care that meets Early Head Start/Head Start Program Performance
Standards or State/Territory pre-Kindergarten requirements in addition to State/Territory child
care licensing requirements.
As a reminder, CCDF funds may be used in collaborative efforts with Head Start and Early Head
Start programs to provide comprehensive child care and development services for children who
are eligible for both programs.
8.2.1 Combining funding for CCDF services
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Does the Lead Agency combine funding for CCDF services with Title XX of the Social Services Block
Grant (SSBG), Title IV B 21
st
Century Community Learning Center Funds, State-only child care
funds, TANF direct funds for child care not transferred into CCDF, Title IV-B, IV-E funds, or other
federal or State programs?
[ ] No. (If no, skip to question 8.2.2)
[x] Yes.
i. If yes, describe which funds you will combine. Combined funds may include, but
are not limited to:
[ ] Title XX (Social Services Block Grant, SSBG)
[ ] Title IV B 21
st
Century Community Learning Center Funds (Every Student
Succeeds Act)
[ ] State- or Territory-only child care funds
[ ] TANF direct funds for child care not transferred into CCDF
[ ] Title IV-B funds (Social Security Act)
[ ] Title IV-E funds (Social Security Act)
[x] Other. Describe: CCDF and Head Start funds are combined to support
DWSS/CCDP services. CCDF is provided through contracts to Head Start and Early
Head Start agencies to extend services to a full day for children receiving child
care scholarships through DWSS/CCDP.
ii. If yes, what does the Lead Agency use combined funds to support, such as
extending the day or year of services available (i.e., full-day, full-year
programming for working families), smoothing transitions for children, enhancing
and aligning quality of services, linking comprehensive services to children in child
care, or developing the supply of child care for vulnerable populations? CCDF and
Head Start funds are combined to support DWSS/CCDP services. CCDF is provided
through contracts to Head Start and Early Head Start agencies to extend services
to a full day for children receiving child care scholarships through DWSS/CCDP. By
combining the funding streams, DWSS/CCDP is able to enhance program services
provided to children receiving child care and increase access to a high quality child
care system.
8.2.2 Funds used to meet CCDF matching and MOE requirements
Lead Agencies may use public funds and donated funds to meet CCDF match and maintenance of
effort (matching MOE) requirements.
Note:
Lead Agencies that use State pre-Kindergarten funds to meet matching requirements must
check State pre-Kindergarten funds and public and/or private funds.
Use of private funds for match or maintenance-of-effort: Donated funds do not need to be under
the administrative control of the Lead Agency to qualify as an expenditure for federal match.
However, Lead Agencies must identify and designate in the State/Territory CCDF Plan the donated
funds given to public or private entities to implement the CCDF child care program.
[ ] Not applicable. The Lead Agency is a Territory (skip to 8.3.1).
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a. Does the Lead Agency use public funds to meet match requirements?
[x] Yes. If yes, describe which funds are used: Public funds are used to meet the CCDF
matching fund requirement. The sources of the funds are State General fund under the
Department of Health and Human Services, Department of Education, Division of Public
and Behavioral Health, and City of Reno.
[ ] No.
b. Does the Lead Agency use donated funds to meet match requirements?
[x] Yes. If yes, identify the entity(ies) designated to receive donated funds:
i. [ ] Donated directly to the state.
ii.
[x] Donated to a separate entity(ies) designated to receive donated funds. If
checked, identify the name, address, contact, and type of entities designated to
receive private donated funds: Private donated funds are used to meet the CCDF
matching funds requirement. Agencies designated to receive donated funds
include: Boys and Girls Club of Truckee Meadows, B&G Club of Southern Nevada,
B&G Club of Mason Valley, and B&G Club of Western Nevada.
[ ] No.
c. Does the Lead Agency certify that, if State expenditures for pre-Kindergarten programs
are used to meet the MOE requirements, the following is true:
• The Lead Agency did not reduce its level of effort in full-day/full-year child care services.
• The Lead Agency ensures that pre-Kindergarten programs meet the needs of working
parents.
• The estimated percentage of the MOE requirement that will be met with pre-Kindergarten
expenditures (does not to exceed 20 percent).
• If the percentage is more than 10 percent of the MOE requirement, the State will
coordinate its pre-Kindergarten and child care services to expand the availability of child
care.
Public pre-Kindergarten funds may also serve as MOE funds as long as the State can
describe how it will coordinate pre-Kindergarten and child care services to expand the
availability of child care while using public pre-Kindergarten funds as no more than 20
percent of the State's MOE or 30 percent of its matching funds in a single fiscal year.
If expenditures for pre-Kindergarten services are used to meet the MOE requirement,
does the Lead Agency certify that the State or Territory has not reduced its level of effort
in full-day/full-year child care services?
[x] Yes.
[ ] No. If no, describe:
8.3 Coordination with Child Care Resource and Referral Systems
Lead Agencies may use CCDF funds to establish or support a system or network of local or regional
child care resource and referral (CCR&R) organizations that is coordinated, to the extent
determined by the Lead Agency, by a statewide public or private non-profit, community-based or
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regionally based, lead child care resource and referral organization (such as a statewide CCR&R
network).
If Lead Agencies use CCDF funds for local CCR&R organizations, the local or regional CCR&R
organizations supported by those funds must, at the direction of the Lead Agency:
• Provide parents in the State with consumer education information concerning the full range of
child care options (including faith-based and community-based child care providers), analyzed
by provider, including child care provided during non-traditional hours and through
emergency child care centers, in their area.
• To the extent practicable, work directly with families who receive assistance to offer the
families support and assistance to make an informed decision about which child care
providers they will use to ensure that the families are enrolling their children in the most
appropriate child care setting that suits their needs and one that is of high quality (as
determined by the Lead Agency).
• Collect data and provide information on the coordination of services and supports, including
services under Part B, Section 619 and Part C of the Individuals with Disabilities Education Act.
• Collect data and provide information on the supply of and demand for child care services in
areas of the State and submit the information to the Lead Agency.
• Work to establish partnerships with public agencies and private entities, including faith- based
and community-based child care providers, to increase the supply and quality of child care
services in the State and, as appropriate, coordinate their activities with the activities of the
Lead Agency and local agencies that administer funds made available through CCDF.
8.3.1 Funding a system or network of CCR&R organization(s)
Does the Lead Agency fund a system or network of local or regional CCR&R organization(s)?
[ ] No. The Lead Agency does not fund a system or network of local or regional CCR&R
organization(s) and has no plans to establish one.
[ ] No, but the Lead Agency has plans to develop a system or network of local or regional
CCR&R organization(s).
[x] Yes. The Lead Agency funds a system or network of local or regional CCR&R
organization(s) with all the responsibilities outlined above. If yes, describe the activities
outlined above carried out by the CCR&R organization(s), as directed by the Lead Agency:
DWSS/CCDP provides funding to support The Children's Cabinet and Las Vegas Urban
League as regional CCR&R organizations. These agencies provide consumer education
information concerning the full range of child care options and work directly with families
who receive assistance to offer support and referrals to make an informed decision about
child care providers. The CCR&R agencies collect and share information for the purpose of
service coordination including services under Part B, Section 619 and Part C of the
Individuals with Disabilities Education Act. Information about supply and demand of the
child care system is communicated to the Lead Agency through quarterly reports.
Partnerships are established with public and private entities including faith- based and
community-based child care providers to increase the supply and quality of child care
services.
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8.4 Public-Private Partnerships
Lead Agencies must demonstrate how they encourage partnerships among other public agencies,
Tribal organizations, private entities, faith-based organizations, businesses, or organizations that
promote business involvement, and/or community-based organizations to leverage existing
service delivery (i.e., cooperative agreement among providers to pool resources to pay for shared
fixed costs and operation) to leverage existing child care and early education service delivery
systems and to increase the supply and quality of child care services for children younger than
age 13.
8.4.1 Lead Agency public-private partnerships
Identify and describe any public-private partnerships encouraged by the Lead Agency to leverage
public and private resources to further the goals of CCDF: DWSS/CCDP partners with the Division
of Child and Family Services which works with licensed child care facilities to provide training and
mental health consultants to support child care providers caring for children with potential social-
emotional needs. In addition, Nevada Early Intervention Services provides training and TA to
licensed child care facilities on the topic of inclusion for children with special needs. NDE-OELD
oversees the State's CCDF quality activities to align activities with the State's P-12 education goals.
Wraparound services are provided to a variety of before and after school programs to provide full
day services and access to services for school age children. DWSS/CCDP provided a draft of the
State Plan to Nevada tribes for consultation and feedback in addition to an invitation to the State
Plan public hearing. The following tribes were contacted for consultation: Ely Shoshone Tribe,
Inter-Tribal Council of NV Inc, Las Vegas Paiute Tribe, Moapa River Indian Reservation Moapa Band
of Paiutes, Paiute-Shoshone Tribe of the Fallon Reservation and Colony, Pyramid Lake Paiute
Tribe, Reno/Sparks Indian Colony, and Shoshone Paiute Tribe. CCDP partners with the Library
District to promote communication of programming and policy. DWSS/CCDP partners with Boys
and Girls Clubs statewide to support wraparound services for school age children and those with
mental health and special health needs.
8.5 Disaster Preparedness and Response Plan
Lead Agencies must establish a Statewide Child Care Disaster Plan and demonstrate how they will
address the needs of children—including the need for safe child care before, during, and after a
state of emergency declared by the Governor or a major disaster or emergency (as defined by
Section 102 of the Robert T. Stafford Disaster Relief and Emergency Assistance Act, 42 U.S.C.
5122)—through a Statewide Disaster Plan.
8.5.1 Statewide Disaster Plan updates
a. When was the Lead Agency’s Child Care Disaster Plan most recently updated and for what
reason? The Statewide Child Care Disaster Plan was updated on October 1, 2018.
DWSS/CCDP has worked with Nevada DEM to consult and coordinate efforts to streamline
our Disaster Plan and to help one another develop policy and processes related to
emergencies in Nevada.
b. Please certify compliance by checking the required elements the Lead Agency includes in
the current State Disaster Preparedness and Response Plan.
i. The plan was developed in collaboration with the following required entities:
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[x] State human services agency.
[x] State emergency management agency.
[x] State licensing agency.
[x] State health department or public health department.
[x] Local and State child care resource and referral agencies.
[x] State Advisory Council on Early Childhood Education and Care or
similar coordinating body.
ii. [x] The plan includes guidelines for the continuation of child care subsidies.
iii. [x] The plan includes guidelines for the continuation of child care services.
iv. [x] The plan includes procedures for the coordination of post-disaster recovery of
child care services.
v. The plan contains requirements for all CCDF providers (both licensed and license-
exempt) to have in place:
[x] Procedures for evacuation.
[x] Procedures for relocation.
[x] Procedures for shelter-in-place.
[x] Procedures for communication and reunification with families.
[x] Procedures for continuity of operations.
[x] Procedures for accommodations of infants and toddlers.
[x] Procedures for accommodations of children with disabilities.
[x] Procedures for accommodations of children with chronic medical
conditions.
vi. [x] The plan contains procedures for staff and volunteer emergency preparedness
training.
vii. [x] The plan contains procedures for staff and volunteer practice drills.
viii. If any of the above are not checked, describe:
ix. If available, provide the direct URL/website link to the website where the
Statewide Child Care Disaster Plan is posted:
https://www.nevadachildcare.org/provider-resources/
9 Family Outreach and Consumer Education
CCDF consumer education requirements facilitate parental choice in child care arrangements,
support parents as child care consumers who need information to make informed choices
regarding the services that best suit their family’s needs, and the delivery of resources that can
support child development and well-being. Lead Agency consumer education activities must
provide information for parents receiving CCDF assistance, the general public, and, when
appropriate, child care providers. Lead Agencies should use targeted strategies for each group to
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ensure tailored consumer education information and take steps to ensure they are effectively
reaching all individuals, including those with limited English proficiency and those with disabilities.
In this section, Lead Agencies address their consumer education practices, including details about
their child care consumer education website, and the process for collecting and maintaining a
record of parental complaints.
9.1 Parental Complaint Process
Lead Agencies must maintain a record of substantiated parental complaints against child care
providers and make information regarding such complaints available to the public on request.
Lead Agencies must also provide a detailed description of the hotline or similar reporting process
for parents to submit complaints about child care providers; the process for substantiating
complaints; the manner in which the Lead Agency maintains a record of substantiated parental
complaints; and ways that the Lead Agency makes information on such parental complaints
available to the public on request. Lead Agencies are not required to limit the complaint process
to parents.
9.1.1 Parental complaint process
a. Describe the Lead Agency’s hotline or similar reporting process through which parents can
submit complaints about child care providers, including a link if it is a Web-based process:
Clients may file a written complaint against a provider through the CCR&Rs and DWSS/CCL
at https://dwss.nv.gov/Care/CCL/Licensing-Info/complaints-ccl/.
b. Describe how the parental complaint process ensures broad access to services for families
that speak languages other than English: Spanish speaking staff assist the client with
writing their complaint.
c. Describe how the parental complaint process ensures broad access to services for persons
with disabilities: The DWSS/CCL web-based complaint process is compliant with the
Americans for Disabilities Act.
d. For complaints about providers, including CCDF providers and non-CCDF providers, does
the Lead Agency have a process and timeline for screening, substantiating, and responding
to complaints, including information about whether the process includes monitoring?
[x] Yes. If yes, describe: The provider will be sent a non-compliance form explaining the
non-compliance issue, the time period allowed to correct the issue, and possible penalty
if the issue is not corrected. The time period for correction cannot be less than 10
calendar days or greater than 30 calendar days from the date of notice. Monitoring is
performed to confirm if the issue has been corrected or not corrected.
[ ] No.
e. For substantiated parental complaints, who maintains the record for CCDF and non-CCDF
providers? DWSS/CCL maintains substantiated parental complaints for licensed facilities
and the CCR&Rs maintain records for license-exempt providers.
f. Describe how information about substantiated parental complaints is made available to
the public; this information can include the consumer education website discussed in
subsection 9.2: Information is available online at
https://dwss.nv.gov/Care/CCL/Find_Child_Care/#noback. Each complaint is assessed and
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prioritized based on a situation that may result in substantial, minimal or no harm to one
or more individuals. Based on this assessment, an investigation could begin in as little as
48 hours or when staff resources are available. Child Care Licensing staff use whatever
methods will result in the most thorough and efficient investigation. This can include
interviews, records reviews, in-person observations, phone calls and/or policy or
procedure evaluations. Investigators seek to establish whether there are violations of law
or regulations. Each allegation is substantiated (resulting in a citation) or unsubstantiated
(no citation). If a citation is issued, the facility must respond with a plan of correction, and
depending on the severity of the citation there may be fines or other sanctions.
9.2 Consumer Education Website
Lead Agencies must provide information to parents, the general public, and child care providers
through a State or Territory website, which is consumer-friendly and easily accessible for families
who speak languages other than English and persons with disabilities. The website must:
• Include information to assist families in understanding the Lead Agency’s policies and
procedures, including licensing child care providers;
• Include monitoring and inspection reports for each provider and, if available, the quality
of each provider;
• Provide the aggregate number of deaths, serious injuries, and the number of cases of
substantiated child abuse that have occurred in child care settings;
• Include contact information for local CCR&R organizations to help families access
additional information on finding child care; and
• Include information on how parents can contact the Lead Agency and other organizations
to better understand the information on the website.
9.2.1 Consumer-friendly website
Does the Lead Agency ensure that its consumer education website is consumer-friendly and easily
accessible?
i. Provide the URL for the Lead Agency’s consumer education website homepage:
nevadachildcare.org
ii. Does the Lead Agency certify that the consumer education website ensures broad
access to services for families who speak languages other than English?
[ ] Yes.
[x] No. If no, describe: Nevadachildcare.org doesn’t offer translation integration at
this time but is available in Spanish.
iii. Does the Lead Agency certify that the consumer education website ensures broad
access to services for persons with disabilities?
[x] Yes.
[ ] No. If no, describe:
9.2.2 Additional consumer education website links
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Provide the direct URL/website link for the following:
i.
Provide the direct URL/website link to how the Lead Agency licenses child care
providers: https://www.nevadachildcare.org/licensing/ and
https://dwss.nv.gov/Care/CCL/ccl-licensing-home/
ii.
Provide the direct URL/website link to the processes for conducting monitoring
and inspections of child care providers::
https://www.nevadachildcare.org/licensing/,
https://www.leg.state.nv.us/nrs/nrs-432a.html, and
https://www.leg.state.nv.us/nac/nac-432a.html
iii.
Provide the direct URL/website link to the policies and procedures related to
criminal background checks for staff members of child care providers:
https://www.nevadachildcare.org/licensing/
iv. Provide the direct URL/website link to the offenses that prevent individuals from
being employed by a child care provider:
https://www.nevadachildcare.org/licensing/ and
https://www.leg.state.nv.us/nrs/nrs-432a.html#NRS432ASec170
9.2.3 Searchable list of providers
a. The consumer education website must include a list of all licensed providers searchable by
ZIP code.
i. Does the Lead Agency certify that the consumer education website includes a list
of all licensed providers searchable by ZIP code?
[x] Yes.
[ ] No. If no, describe:
ii. Provide the direct URL/website link to the list of child care providers searchable by
ZIP code: https://www.nevadachildcare.org/parent-portal/
iii. In addition to the licensed child care providers that must be included in the
searchable list, are there additional providers included in the Lead Agency’s
searchable list of child care providers? Check all that apply:
[x] License-exempt center-based CCDF providers.
[x] License-exempt family child care CCDF providers.
[ ] License-exempt non-CCDF providers.
[ ] Relative CCDF child care providers.
[ ] Other (e.g., summer camps, public pre-Kindergarten). Describe:
b. Identify what additional (optional) information, if any, is available in the searchable results
by ZIP code. Check the box when information is provided.
Provider Information Available in Searchable Results
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--
All licensed
providers
License-
exempt
CCDF
center-
based
provide
rs
License-
exempt
CCDF
family
child
care
home
provide
rs
License-
exempt
non-
CCDF
provider
s
Relative
CCDF
providers
Contact information
[x]
[x]
[x]
[ ]
[ ]
Enrollment capacity
[x]
[x]
[x]
[ ]
[ ]
Hours, days, and months of
operation
[x]
[x]
[x]
[ ]
[ ]
Provider education and
training
[x]
[x]
[x]
[ ]
[ ]
Languages spoken by the
caregiver
[x]
[x]
[x]
[ ]
[ ]
Quality information
[x]
[x]
[x]
[ ]
[ ]
Monitoring reports
[x]
[x]
[x]
[ ]
[ ]
Willingness to accept CCDF
certificates
[x]
[x]
[x]
[ ]
[ ]
Ages of children served
[x]
[x]
[x]
[ ]
[ ]
Specialization or training for
certain populations
[x]
[x]
[x]
[ ]
[ ]
Care provided during
nontraditional hours
[x]
[x]
[x]
[ ]
[ ]
c. Identify any other information searchable on the consumer education website for the
child care provider type listed below and then, if checked, describe the searchable
information included on the website.
i. [ ] All licensed providers. Describe:
ii. [ ] License-exempt CCDF center-based providers. Describe:
iii. [ ] License-exempt CCDF family child care providers. Describe:
iv. [ ] License-exempt, non-CCDF providers. Describe:
v. [ ] Relative CCDF providers. Describe:
vi. [ ] Other. Describe:
9.2.4 Provider-specific quality information
Lead Agencies must identify specific quality information on each child care provider for whom
they have this information. Provider-specific quality information must only be posted on the
consumer education website if it is available for the individual child care provider.
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a. What specific quality information does the Lead Agency provide on the website?
i. [x] Quality improvement system.
ii. [x] National accreditation.
iii. [ ] Enhanced licensing system.
iv. [ ] Meeting Head Start/Early Head Start Program Performance Standards.
v. [x] Meeting pre-Kindergarten quality requirements.
vi. [ ] School-age standards.
vii. [x] Quality framework or quality improvement system.
viii. [ ] Other. Describe:
b. For what types of child care providers is quality information available?
i. [x] Licensed CCDF providers. Describe the quality information: QRIS Silver State
Stars Rating
ii. [ ] Licensed non-CCDF providers. Describe the quality information:
iii. [x] License-exempt center-based CCDF providers. Describe the quality
information: QRIS Silver State Stars Rating
iv. [ ] License-exempt FCC CCDF providers. Describe the quality information:
v. [x] License-exempt non-CCDF providers. Describe the quality information: QRIS
Silver State Stars Rating
vi. [ ] Relative child care providers. Describe the quality information:
vii. [ ] Other. Describe:
9.2.5 Aggregate data on serious injuries, deaths, and substantiated abuse
Lead Agencies must post aggregate data on serious injuries, deaths, and substantiated cases of
child abuse that have occurred in child care settings each year on the consumer education
website. This aggregate data must include information about any child in the care of a provider
eligible to receive CCDF, not just children receiving subsidies.
This aggregate information on serious injuries and deaths must be separated by category of care
(e.g., centers, family child care homes, and in-home care) and licensing status (i.e., licensed or
license-exempt) for all eligible CCDF child care providers in the State/Territory. The information on
instances of substantiated child abuse does not have to be organized by category of care or
licensing status. Information must also include the total number of children in care by provider
type and licensing status, so that families can better understand the data presented on serious
injuries, deaths, and substantiated cases of abuse.
a. Certify by checking below that the required elements are included in the Aggregate Data
Report on serious incident data that have occurred in child care settings each year.
i. [x] The total number of serious injuries of children in care by provider category
and licensing status.
ii. [x] The total number of deaths of children in care by provider category and
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licensing status.
iii. [x] The total number of substantiated instances of child abuse in child care
settings.
iv. [x] The total number of children in care by provider category and licensing status.
v. If any of the above elements are not included, describe:
b. Certify by providing:
i.
The designated entity to which child care providers must submit reports of any
serious injuries or deaths of children occurring in child care and describe how the
Lead Agency obtains the aggregate data from the entity: DWSS/CCL receives all
reports and subsequently aggregates the data for sharing with associated entities
and the public on https://www.nevadachildcare.org/data-reports/ and
https://dwss.nv.gov/Care/CCL/ccl-licensing-home/.
ii. The definition of “substantiated child abuse” used by the Lead Agency for this
requirement: Abuse or neglect of a child is defined as a) physical or mental injury
of nonaccidental nature; b) sexual abuse or sexual exploitation; c) negligent
treatment or maltreatments as set forth in NRS 432B, NRS 432B.140 of a child
caused or allowed by a person responsible for the welfare of the child under
circumstances which indicate that the child’s health or welfare is harmed or
threatened with harm.
iii. The definition of “serious injury” used by the Lead Agency for this requirement:
Serious injury is defined as mental or physical injury per NRS 432B.070 and
432B.090. Mental injury is defined as injury to the intellectual or psychological
capacity, or the emotional condition of a child as evidenced by an observable and
substantial impairment of the ability of the child to function within a normal range
of performance or behavior. A physical injury is defined as, without limitation, 1) a
sprain; 2) damage to cartilage; 3) a fracture of a bone, or the skull; 4) an
intracranial hemorrhage or injury to another internal organ; 5) a burn or scalding;
6) a cut, laceration, puncture, or bite; 7) permanent or temporary disfigurement
or; 8) permanent or temporary loss or impairment of a part of an organ or part of
the body.
c.
Provide the direct URL/website link to the page where the aggregate number of serious
injuries, deaths, and substantiated child abuse, and the total number of children in care by
provider category and licensing status are posted: https://www.nevadachildcare.org/data-
reports/ and https://dwss.nv.gov/Care/CCL/ccl-licensing-home/
9.2.6 Contact information on referrals to local child care resource and referral organizations
The Lead Agency consumer education website must include contact information on referrals to
local CCR&R organizations.
a.
Does the consumer education website include contact information on referrals to local
CCR&R organizations?
[x] Yes.
[ ] No.
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[ ] Not applicable. The Lead Agency does not have local CCR&R organizations.
b. Provide the direct URL/website link to this information:
https://www.nevadachildcare.org/parent-resources/
9.2.7 Lead Agency contact information for parents
The Lead Agency consumer and provider education website must include information on how
parents can contact the Lead Agency or its designee and other programs that can help the parent
understand information included on the website.
a. Does the website provide directions on how parents can contact the Lead Agency or its
designee and other programs to help them understand information included on the
website?
[x] Yes.
[ ] No.
b.
Provide the direct URL/website link to this information:
https://www.nevadachildcare.org/parent-resources/ and
https://dwss.nv.gov/Care/Childcare/
9.2.8 Posting sliding fee scale, co-payment amount, and policies for waiving co-payments
The consumer education website must include the sliding fee scale for parent co-payments,
including the co-payment amount a family may expect to pay and policies for waiving co-
payments.
a. Does the Lead Agency certify that their consumer education website includes the sliding
fee scale for parent co-payments, including the co-payment amount a family may expect
to pay and policies for waiving co-payments?
[x] Yes.
[ ] No.
b. Provide the direct URL/website link to the sliding fee scale.
https://www.nevadachildcare.org/child-care-subsidy-assistance/ and
https://dwss.nv.gov/Care/General-Documents/
9.3 Increasing Engagement and Access to Information
Lead Agencies must collect and disseminate information about the full range of child care services
to promote parental choice to parents of children eligible for CCDF, the general public, and child
care providers.
9.3.1 Information about CCDF availability and eligibility
Describe how the Lead Agency shares information with eligible parents, the general public, and
child care providers about the availability of child care services provided through CCDF and other
programs for which the family may be eligible. The description should include, at a minimum,
what is provided (e.g., written materials, the website, and direct communications) and what
approaches are used to tailor information to parents, the general public, and child care providers.
Both CCR&R agencies and DWSS/CCDP maintain separate e-mail listservs to communicate and
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share information about program changes and other child care topics with registered providers
and enrolled households receiving child care scholarship(s). The consumer education website and
DWSS/CCDP webpage offer information, including written materials and resource links, that can
be viewed by any ECE stakeholder, the general public, eligible parents, and child care providers.
9.3.2 Information about child care and other services available for parents
Does the Lead Agency certify that it provides information described in 9.3.1 for the following
required programs?
• Temporary Assistance for Needy Families (TANF) program.
• Head Start and Early Head Start programs.
• Low Income Home Energy Assistance Program (LIHEAP)
• Supplemental Nutrition Assistance Program (SNAP).
• Women, Infants, and Children Program (WIC) program.
• Child and Adult Care Food Program (CACFP).
• Medicaid and Children’s Health Insurance Program (CHIP).
• Programs carried out under IDEA Part B, Section 619 and Part C.
[x] Yes.
[ ] No. If no, describe:
9.3.3 Consumer statement for parents receiving CCDF services
Lead Agencies must provide parents receiving CCDF services with a consumer statement in hard
copy or electronically that contains general information about the CCDF program and specific
information about the child care provider they select.
Please certify if the Lead Agency provides parents receiving CCDF services a consumer statement
that contains the following 8 requirements:
1. Health and safety requirements met by the provider
2. Licensing or regulatory requirements met by the provider
3. Date the provider was last inspected
4. Any history of violations of these requirements
5. Any voluntary quality standards met by the provider
6. How CCDF subsidies are designed to promote equal access
7. How to submit a complaint through the hotline
8. How to contact a local resource and referral agency or other community-based
organization to receive assistance in finding and enrolling in quality child care
Does the Lead Agency provide to families, either in hard copy or electronically, a consumer
statement that contains the required information about the provider they have selected, including
the eight required elements above?
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[ ] Yes.
[x] No. If no, describe: Eligible households are given a list of child care providers that
includes the name of the location, address, phone number, type of care, license type,
capacity, ages served, hours of operation and the Checklist for Finding Quality Care.
9.3.4 Informing families about best practices on child development
Describe how the Lead Agency makes information available to parents, providers, and the general
public on research and best practices concerning children’s development, including physical health
and development, and information about successful parent and family engagement. At a
minimum, the description should include what information is provided; how the information is
provided; any distinct activities for sharing this information with parents, providers, the general
public; and any partners in providing this information. Parents, providers and the general public
have access to best practices regarding child development via the consumer education website:
https://www.nevadachildcare.org/child-development-screening/. This information is also
provided during license-exempt FFN registration appointments.
9.3.5 Unlimited parental access to their children
Does the Lead Agency have procedures to ensure that parents have unlimited access to their
children whenever their children are in the care of a provider who receives CCDF funds:
[x] Yes.
[ ] No. If no, describe:
9.3.6 Informing families about best practices in social and emotional health
Describe how the Lead Agency shares information with families, providers, and the general public
regarding the social-emotional and behavioral and mental health of young children, including
positive behavioral intervention and support models based on research and best practices for
those from birth to school age: Families are given the Milestone Moments booklet during intake
appointments.
9.3.7 Policies on the prevention of the suspension and expulsion of children
a. The Lead Agency must have policies to prevent the suspension and expulsion of children
from birth to age 5 in child care and other early childhood programs receiving CCDF funds.
Describe those policies and how those policies are shared with families, providers, and the
general public: The CCR&Rs provide training and TA to child care providers to promote
social-emotional development, including building positive relationships and creative
environments that can help staff in their child care center.
b. Describe what policies, if any, the Lead Agency has to prevent the suspension and
expulsion of school-age children from child or youth care settings receiving CCDF funds:
The CCR&Rs provide training and TA to child care providers to promote social-emotional
development, including building positive relationships and creative environments that can
help staff in their child care center.
9.4 Providing Information on Developmental Screenings
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Lead Agencies must provide information on developmental screenings to parents as part of the
intake process for families participating in CCDF and to child care providers through training and
education. This information must include:
• Existing resources and services that the State can make available in conducting
developmental screenings and providing referrals to services when appropriate for children
who receive child care assistance, including the coordinated use of the Early and Periodic
Screening, Diagnosis, and Treatment program under the Medicaid program carried out under
Title XIX of the Social Security Act and developmental screening services available under IDEA
Part B, Section 619 and Part C; and,
• A description of how a family or child care provider can use these resources and services to
obtain developmental screenings for children who receive subsidies and who might be at risk
of cognitive or other developmental delays, which can include social, emotional, physical, or
linguistic delays.
Information on developmental screenings, as in other consumer education information, must be
accessible for individuals with limited English proficiency and individuals with disabilities.
9.4.1 Developmental screenings
Does the Lead Agency collect and disseminate information on the following:
a. Existing resources and services available for obtaining developmental screening for
parents receiving CCDF, the general public, and child care providers.
[x] Yes.
[ ] No. If no, describe:
b. Early and Periodic Screening, Diagnosis, and Treatment program under the Medicaid
program—carried out under Title XIX of the Social Security Act (42 U.S.C. 1396 et seq.)—
and developmental screening services available under Part B, Section 619 and Part C of
the Individuals with Disabilities Education Act (20 U.S.C. 1419, 1431 et seq.).
[x] Yes.
[ ] No. If no, describe:
c. Developmental screenings to parents receiving a subsidy as part of the intake process.
[ ] Yes. If yes, include the information provided, ways it is provided, and any partners in
this work:
[x] No. If no, describe: The Brigance Assessments used to be completed during intakes but
the CCR&Rs no longer provide this assessment and instead work to provide TA to child
care providers/facilities to help ensure the assessments can be completed.
d.
How families receiving CCDF services or child care providers receiving CCDF can use the
available resources and services to obtain developmental screenings for children at risk
for cognitive or other developmental delays.
[x] Yes.
[ ] No. If no, describe:
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10 Program Integrity and Accountability
Program integrity and accountability activities are integral to the effective administration of the
CCDF program. As stewards of federal funds, Lead Agencies must ensure strong and effective
internal controls to prevent fraud and maintain continuity of services to meet the needs of
children and families. In order to operate and maintain a strong CCDF program, regular evaluation
of the program’s internal controls as well as comprehensive training for all entities involved in the
administration of the program are imperative. In this section, Lead Agencies will describe their
internal controls and how those internal controls effectively ensure integrity and accountability.
These accountability measures should address reducing fraud, waste, and abuse, including
program violations and administrative errors and should apply to all CCDF funds.
10.1 Effective Internal Controls
Lead Agencies must ensure the integrity of the use of CCDF funds through effective fiscal
management and must ensure that financial practices are in place. Lead Agencies must have
effective fiscal management practices in place for all CCDF expenditures.
10.1.1 Organizational structure to support integrity and internal controls
Describe how the Lead Agency’s organizational structure ensures the oversight and
implementation of effective internal controls that promote and support program integrity and
accountability. Describe: DWSS/CCDP is the assigned Lead Agency and authority for administration
of the CCDF. Responsibilities related to program integrity are shared between CCDP staff, DWSS
Fiscal staff, CCL, NDE-OELD, the CCR&R agencies, the DWSS Quality Assurance unit, and the DWSS
Investigations and Recovery unit to ensure eligibility, scholarship accuracy, quality, policy
implementation, and program integrity are maintained. The delegation of duties is divided among
the various teams to promote and support program integrity. CCDP staff review billing
documentation to ensure goals, outcomes, and measures are being met by subrecipients and
CCR&R agencies and has frequent communication with the DWSS Fiscal team to ensure accurate
billing. Every request for funding must have supporting documentation that is specific to the scope
of work outlined in the agreement. Funds are monitored against spending authority and any
requests for budget modification must be in writing and related to achieving the scope of work.
Requests for reimbursement are reviewed at three levels: CCR&R fiscal staff, CCDP staff, and
DWSS fiscal. Subawards and contracts are monitored and evaluated to ensure federal and fiscal
compliance, ensure requirements fall within the scope of work, and that outcomes are being met.
Monitoring of the CCR&R agencies is completed by a team of staff that includes program,
fiscal/contracts, our DWSS auditor, and a CPA certified contractor. Technical assistance is provided
by the CCDP staff to the CCR&R agencies and subcontractors which are responsible for facilitating
child care activities. Annual monitoring of the subrecipient agencies is done by CCDP’s internal
monitoring team to evaluate and determine risk level of each agency, prevent fraud, and avoid
program violations. When any training gaps are identified, the CCDP facilitates additional training
to maintain quality and integrity of the program. The DWSS Quality Assurance unit completes case
reviews to ensure appropriate scholarship eligibility determinations are being made and errors of
improper payment are addressed. The DWSS Investigations and Recovery unit facilitates
repayment agreements in the circumstance of fraud or overpayments which supports program
integrity.
Include the following elements in your description:
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1. Assignment of authority and responsibilities related to program integrity.
2. Delegation of duties.
3. Coordination of activities.
4. Communication between fiscal and program staff.
5. Segregation of duties.
6. Establishment of checks and balances to identify potential fraud risks.
7. Other activities that support program integrity.
10.1.2 Fiscal management practices
Describe how the Lead Agency ensures effective fiscal management practices for all CCDF
expenditures, including:
a.
Fiscal oversight of CCDF funds, including grants and contracts. Describe: All requests for
funding must have supporting documentation that is specific to the scope of work
outlined in the agreement. Expenditures are monitored against spending authority and
any requests for budget modification must be in writing and the modification must be
related to achieving the scope of work. The Lead Agency maintains fiscal oversight of
subgrants and contracts by monitoring all subgrants and contracts to ensure federal and
state regulations are adhered to and to ensure outcomes are met by the contractor or
subrecipient. The grants and contracts are monitored by CCDP fiscal staff, and DWSS fiscal
staff for complete and accurate billing. Provider files and timesheets are audited by staff
on a regular basis making sure all documents are current and accurate. Billing is validated
using system generated queue reports, and client files. Requests for reimbursement are
reviewed at three levels. The Children’s Cabinet and Urban League staff, CCDP, and DWSS
fiscal unit provide review of documents prior to payment authorization. This results in less
errors in requests for reimbursement and enables case managers to identify when a
provider may be fraudulently signing timesheets. Managers, Supervisors and QA staff
perform ongoing audits to ensure that all information is accurate. Ongoing reviews of
provider files and documents are completed monthly. Licensed providers must keep
licenses current and submit copies to the program. Provider billing documents are
reviewed upon receipt and during processing to ensure appropriate payment. During
initial training, scholarship eligibility staff are introduced to the Quality Assurance unit and
the role they have in maintaining program integrity. Communication occurs between the
Quality Assurance unit, Investigations and Recovery, CCDP staff, and CCR&R agencies to
identify and address errors and avoid improper payments. Internal audits are also
conducted to assist in preventing fraud and intentional program violations.
b. Tracking systems that ensure reasonable and allowable costs and allow for tracing of
funds to a level of expenditure adequate to establish that such funds have not been used
in violation of the provision of this part. Describe: The DWSS Quality Control team
completes case reviews through desk audits to ensure proper payments are issued to
providers. The Fiscal unit maintains expenditure data by categories of authority. An error
is identified as an improper payment, incorrect eligibility determination, or failure to
comply with State or Federal policy and procedures. The CCDP maintains error rate data,
expenditure data, and program violation information which is communicated at the State
level monthly among the CCDP staff, Fiscal unit, Quality Assurance unit, and Investigations
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and Recovery unit. The communication and tracking systems in place ensure costs are
reasonable, allowable, and promote appropriate expenditure of child care funds. When
overpayment or underpayment is identified, efforts are coordinated among the CCDP,
CCR&R agencies, and Investigations and Recovery unit to establish repayment agreements
and recoup improperly paid funds.
c. Processes and procedures to prepare and submit required state and federal fiscal
reporting. Describe: DWSS/CCDP has an annual single audit conducted by a certified public
accountant firm, Eide Bailly, who reviews processes and internal controls to ensure the
program is compliant with state and federal requirements. Every three years, DWSS/CCDP
is monitored by the ACF Office of Child Care for compliance with the 2014 Reauthorization
requirements. Intermittently, DWSS/CCDP is audited by the Office of Inspector General for
compliance with the CCDF Background Check regulations. Every request for funds must
have supporting documentation that is specific to the scope of work outlined in the
agreement. Funds are monitored against spending authority and any requests for budget
modification must be in writing and the modification must be related to achieving the
scope of work. The Lead Agency maintains fiscal oversight of subawards and contracts by
monitoring all subawards and contracts to ensure federal and state regulations are
adhered to and to ensure outcomes are met by the contractor or subrecipient. The grants
and contracts are monitored by CCDP fiscal staff, and DWSS fiscal staff for accurate billing.
Fiscal reporting data is compiled and maintained by the fiscal staff to submit required
state and federal reports.
d. Other. Describe: N/A
10.1.3 Effectiveness of fiscal management practices
Describe how the Lead Agency knows there are effective fiscal management practices in place for
all CCDF expenditures, including:
a. How the Lead Agency defines effective fiscal management practices. Describe:
DWSS/CCDP defines effective fiscal management practices through Control Environment,
Risk Assessment, Control Activities, Information and Communication, and Monitoring
practices as identified on the CCDF Internal Control Memo which identifies activities and
costs that are allowed or unallowed.
b. How the Lead Agency measures and tracks results of their fiscal management practices.
Describe: DWSS/CCDP measures and tracks results of fiscal management practices
through annual monitoring of the CCR&R agencies. CCDP agencies are required to
complete a Self-Assessment Questionnaire (SAQ), that must be completed prior to annual
monitoring. The SAQ tracks budget and fiscal data for each agency and ensures that
additional accounting measures are being followed at the CCR&R level and that Child Care
funds are being managed appropriately. At the State level, DWSS/CCDP staff review all
billing submissions received from CCR&R agencies for accuracy and compliance with
allowable expenditures. If any unallowable expenses are identified, meetings with the
CCR&R agency(s) occur to resolve the issue prior to payment being issued. The results of
these practices further ensure appropriate spending of CCDF dollars.
c. How the results inform implementation. Describe: DWSS/CCDP uses the results of internal
control processes including the Self-Assessment Questionnaire (SAQ), that must be
completed prior to annual monitoring tracks budget and fiscal data for each agency and
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ensures that additional accounting measures are being followed at the CCR&R level and
that Child Care funds are being managed appropriately. At the State level, DWSS/CCDP
staff review all billing submissions received from CCR&R agencies for accuracy and
compliance with allowable expenditures. Any fiscal issues that are identified at any level
of the internal control process are evaluated and communicated both internally and with
the CCR&R agency. Communication and meetings occur to evaluate management
practices and determine an appropriate solution to avoid future errors.
d. Other. Describe: N/A
10.1.4 Identifying risk
Describe the processes the Lead Agency uses to identify risk in the CCDF program including:
a. Each process used by the Lead Agency to identify risk (including entities responsible for
implementing each process). Describe: Risk assessment is evaluated using internal
controls that provide an assessment of the risks the agency faces from both external and
internal sources. These assessments are conducted on all agencies that receive CCDF
dollars. The SAQ is required during annual monitoring, in addition to an evaluation of
written procedures and controls which includes the SAQ, and any new procedures or
revisions.
b. The frequency of each risk assessment. Describe: Risk assessments are conducted annually
for every subrecipient/contract vendor, and prior to the disbursement of CCDF dollars to
any new recipient.
c. How the Lead Agency uses risk assessment results to inform program improvement.
Describe: DWSS Fiscal analyzes risk assessment data and any previous findings including,
but not limited to, tax information, business licensure, board of director information, etc.
that may be detrimental to child care program implementation and appropriate
expenditures
d. How the Lead Agency knows that the risk assessment processes utilized are effective.
Describe: Annual monitoring reports, assessments, fiscal reviews, and Quality Assurance
reviews are used to identify any issues with risk assessment processes. Training is
provided to ensure compliance and resolve any non-compliance items. Annual reports
with any findings, or citations, are addressed with Lead Agency staff, subrecipients, and
other CCDP agencies.
e. Other
.
Describe: N/A
10.1.5 Processes to train about CCDF requirements and program integrity
Describe the processes the Lead Agency uses to train staff of the Lead Agency and other agencies
engaged in the administration of CCDF, and child care providers about program requirements and
integrity.
a. Describe how the Lead Agency ensures that all staff who administer the CCDF program
(including through MOUs, grants, and contracts) are informed and trained regarding
program requirements and integrity.
i. Describe the training provided to staff members around CCDF program
requirements and program integrity: DWSS/CCDP monitors the CCR&R agencies
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and NDE-OELD annually to assess policy implementation and ensure integrity of
the program. Staff receive training on CCDP policy and regulations at all levels of
program implementation. CCDP staff stay apprised of federal regulations and
changes implemented through frequent cohorts and meetings with Office of Child
Care (OCC) and Administration for Children and Families (ACF). At the State level,
CCDP policy is reviewed frequently to ensure alignment with program integrity
and requirements. Policy changes are typically developed with input from the
CCR&Rs. Other partners and stakeholders such as Child Care Licensing may be
included as well. Changes to the Child Care Policy Manual are published and
distributed as Policy Transmittals to partners via Publications Recipient
distribution lists. A spreadsheet tracking all policy changes is maintained by the
Quality Assurance department and is shared with staff and other lead agencies
that administer the CCDF program. Policy training is provided to new CCDP staff
upon hire and throughout employment. Additional technical assistance and
training is provided to the CCR&R agencies as needs are identified through case
reviews, fiscal management, and annual monitoring. The CCR&Rs conduct initial
and ongoing training with eligibility staff and communicate policy updates as
changes are made. CCDP, CCR&R, and necessary stakeholder staff are included in
policy development.
ii. Describe how staff training is evaluated for effectiveness: DWSS/CCDP policy
training is provided to all new CCDP staff upon hire and throughout employment.
Additional technical assistance and training is provided to the CCR&R agencies as
needs are identified through case reviews, fiscal management, and annual
monitoring. The CCR&Rs conduct initial and ongoing training with eligibility staff
and communicate policy updates as changes are made. Training effectiveness is
evaluated through individual case reviews, performance feedback, Quality
Assurance reviews, onsite monitoring, and by utilizing error rate data to identify
additional training needs.
iii. Describe how the Lead Agency uses program integrity data (e.g., error rate results,
risk assessment data) to inform ongoing staff training needs: Error rate data are
collected by the Quality Assurance team, and risk assessment data collected
during annual onsite monitoring is used to identify ongoing training needs for
CCR&R staff and providers. Data collected during State-level audits provides
additional opportunities for the CCDP to assess program integrity and implement
additional education measures to ensure CCDP policy and program compliance.
b. Describe how the Lead Agency ensures all providers for children receiving CCDF funds are
informed and trained regarding CCDF program requirements and program integrity:
i. Describe the training for providers around CCDF program requirements and
program integrity: To maintain program integrity, all providers, regardless of
license status, are required to cooperate with DWSS/CCDP in securing all
information needed to determine initial or continuing eligibility. All providers that
participate in CCDF must complete a Provider Service Agreement at the time of
enrollment, and annually thereafter, which details the requirements and penalties
for non-compliance with DWSS/CCDP policies. CCR&R staff provide direct training
and educational courses to providers to support program requirement
compliance. Services offered by the CCR&R agencies include training and
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counseling, quality improvement, fiscal management and business plan
development, assisting providers in maintaining licensing requirements, and
provider education on file management.
ii. Describe how provider training is evaluated for effectiveness: CCR&R agencies
conduct annual, unscheduled visits with providers to evaluate compliance with all
health and safety requirements using a Health and Safety Checklist, and validate
appropriate enrollment, staffing, and fiscal record-keeping methods including
timesheets, enrollment, certification adherence, etc. Recommendations are made
to the provider for any findings identified, and providers have 30 days to resolve
any items in non-compliance.
iii. Describe how the Lead Agency uses program integrity data (e.g., error rate results,
risk assessment data) to inform ongoing provider training needs: Error rate data
collected by the Quality Assurance team, and risk assessment data collected
during annual onsite monitoring of both licensed, and license-exempt providers to
identify ongoing training needs. Data collected during State-level audits provides
additional opportunities for the CCDP to assess program integrity and implement
additional education measures to ensure CCDP policy and program compliance.
CCR&R agencies conduct annual, unscheduled visits with providers to evaluate
compliance with all health and safety requirements using a Health and Safety
Checklist, and to validate appropriate enrollment, staffing, and fiscal record-
keeping including timesheets, enrollment, certifications, etc. Recommendations
are made for any findings identified, and providers have 30 days to resolve any
items in non-compliance.
10.1.6
Evaluate internal control activities
Describe how the Lead Agency uses the following to regularly evaluate the effectiveness of Lead
Agency internal control activities for all CCDF expenditures.
a. Error rate review triennial report results (if applicable). Describe who this information is
shared with and how the Lead Agency uses the information to evaluate the effectiveness
of its internal controls: Every three years, DWSS/CCDP is monitored by the ACF Office of
Child Care for compliance with the 2014 Reauthorization requirements. Intermittently,
DWSS/CCDP is audited by the OIG for compliance with the CCDF Background Check
regulations. DWSS/CCDP has an annual single audit conducted by a certified public
accountant firm, Eide Bailly, who reviews processes and internal controls to ensure the
program is compliant with state and federal requirements. Error rate information is
available to the public via a request for public records submitted through
https://dhhs.nv.gov/About/PublicRecordsRequest/.
b. Audit results. Describe who this information is shared with and how the Lead Agency uses
the information to evaluate the effectiveness of its internal controls: Audit result
information is available to the public via a request for public records submitted through
https://dhhs.nv.gov/About/PublicRecordsRequest/.
c. Other. Describe who this information is shared with and how the Lead Agency uses the
information to evaluate the effectiveness of its internal controls: N/A
10.1.7 Identified weaknesses in internal controls
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Has the Lead Agency or other entity identified any weaknesses in its internal controls?
a. [ ] No. If no, describe when and how it was most recently determined that there were no
weaknesses in the Lead Agency’s internal controls.
b. [x] Yes. If yes, what were the indicators? How did you use the information to strengthen
your internal controls? The internal audit team, and external auditors at the State level
have identified opportunities to improve internal controls to improve the delivery of the
Child Care Program. Suggestions and/or corrective action plans were provided using audit
reports which identified weaknesses in internal controls. DWSS/CCDP is using this
feedback to improve processes and strengthen internal controls.
10.2 Fraud Investigation, Payment Recovery, and Sanctions
Lead Agencies must have the necessary controls to identify fraud and other program violations to
ensure program integrity. Program violations can include both intentional and unintentional client
and/or provider violations, as defined by the Lead Agency. These violations and errors, identified
through the error-rate review process and other review processes, may result in payment or
nonpayment (administrative) errors and may or may not be the result of fraud, based on the Lead
Agency definition.
10.2.1 Strategies used to identify and prevent program violations
Check the activities the Lead Agency employs to ensure program integrity, and for each checked
activity, identify what type of program violations the activity addresses, describe the activity and
the results of these activities based on the most recent analysis.
a. [ ] Share/match data from other programs (e.g., TANF program, Child and Adult Care Food
Program, Food and Nutrition Service (FNS), Medicaid) or other databases (e.g., State
Directory of New Hires, Social Security Administration, Public Assistance Reporting
Information System (PARIS)).
i. [ ] Intentional program violations. Describe the activities, the results of these
activities, and how they inform better practice:
ii. [ ] Unintentional program violations. Describe the activities, the results of these
activities, and how they inform better practice:
iii. [ ] Agency errors. Describe the activities, the results of these activities, and how
they inform better practice::
b. [ ] Run system reports that flag errors (include types).
i. [ ] Intentional program violations. Describe the activities, the results of these
activities, and how they inform better practice:
ii. [ ] Unintentional program violations. Describe the activities, the results of these
activities, and how they inform better practice:
iii. [ ] Agency errors. Describe the activities, the results of these activities, and how
they inform better practice:
c. [x] Review enrollment documents and attendance or billing records.
i. [x] Intentional program violations. Describe the activities, the results of these
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activities, and how they inform better practice: Through consistent case reviews
done by Quality Assurance, Quality Control, the CCR&Rs, and annual monitoring,
enrollment documents, attendance and billing records are reviewed for accuracy
and compliance with the approved child care scholarship certificate. Intentional
program violations can be identified through these efforts, and appropriate
referrals can be made to the Investigations & Recovery unit to recoup funds,
establish repayment plans and help avoid future errors and improve program
practices.
ii. [x] Unintentional program violations. Describe the activities, the results of these
activities, and how they inform better practice: Through consistent case reviews
done by Quality Assurance, Quality Control, the CCR&Rs, and annual monitoring,
enrollment documents, attendance and billing records are reviewed for accuracy
and compliance with the approved child care scholarship certificate. Unintentional
program violations can be identified through these efforts, and corrective action
plans that include additional training can be developed to avoid future errors
facilitate better administration practices.
iii. [ ] Agency errors. Describe the activities, the results of these activities, and how
they inform better practice:
d. [x] Conduct supervisory staff reviews or quality assurance reviews.
i. [x] Intentional program violations. Describe the activities, the results of these
activities, and how they inform better practice: DWSS/CCDP uses Quality Control
(QC) reviews, requires internal audit by subrecipient supervisory personnel, and
monthly and quarterly reporting to assess programmatic activities and outcomes.
QC reviews program records for accurate eligibility determinations for families
receiving a child care scholarship and proper payment to providers, and ensure
program expenditures comply with agency, state and federal requirements. These
activities assist to ensure that program regulations are being followed and that
eligibility is determined in accordance with State and Federal regulations.
ii. [x] Unintentional program violations. Describe the activities, the results of these
activities, and how they inform better practice: Through consistent case reviews
done by Quality Assurance, Quality Control, the CCR&Rs, and annual monitoring,
provider records are reviewed for completeness and accuracy. Unintentional
program violations can be identified through these efforts, and corrective action
plans that include additional training can be developed to avoid future errors
facilitate better administration practices.
iii. [x] Agency errors. Describe the activities, the results of these activities, and how
they inform better practice: Through consistent case reviews done by Quality
Assurance, Quality Control, the CCR&Rs, and annual monitoring, agency errors
and training needs can be identified and evaluated to facilitate better
administration practices.
e. [x] Audit provider records.
i. [x] Intentional program violations. Describe the activities, the results of these
activities, and how they inform better practice: The auditing of provider records is
done by the State Child Care Licensing for licensed providers, and by the CCR&R
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agencies for license-exempt providers annually. These monitors offer additional
opportunities to identify intentional program violations and verify discrepancies.
ii. [x] Unintentional program violations. Describe the activities, the results of these
activities, and how they inform better practice: Through consistent case reviews
done by Quality Assurance, Quality Control, the CCR&Rs, and annual monitoring,
provider records are reviewed for completeness and accuracy. Unintentional
program violations can be identified through these efforts, and corrective action
plans that include additional training can be developed to avoid future errors
facilitate better administration practices.
iii. [x] Agency errors. Describe the activities, the results of these activities, and how
they inform better practice: Through consistent case reviews done by Quality
Assurance, Quality Control, the CCR&Rs, and annual monitoring, agency errors
and training needs can be identified and evaluated to facilitate better
administration practices.
f. [x] Train staff on policy and/or audits.
i. [x] Intentional program violations. Describe the activities, the results of these
activities, and how they inform better practice: DWSS/CCDP uses Quality Control
(QC) reviews, internal audits by subrecipient supervisory personnel, and monthly
and quarterly reporting to assess programmatic activities and outcomes. QC
reviews program records for accurate eligibility determinations for families
receiving a child care scholarship and proper payment to providers, and ensures
program expenditures comply with agency, state and federal requirements. These
activities assist in ensuring that program regulations are being followed by staff,
and that eligibility is determined in accordance with State and Federal regulations.
Any training gaps that are identified as a result of these reviews are facilitated
with the CCR&R agencies and the CCDP. This ensures staff are knowledgeable of
the policies, can distinguish discrepancies that may qualify as an intentional
program violation (IPV), and the appropriate actions to take when an IPV is
identified.
ii. [x] Unintentional program violations. Describe the activities, the results of these
activities, and how they inform better practice: DWSS/CCDP uses Quality Control
(QC) reviews, internal audits by subrecipient supervisory personnel, and monthly
and quarterly reporting to assess programmatic activities and outcomes. QC
reviews program records for accurate eligibility determinations for families
receiving a child care scholarship and proper payment to providers, and ensure
program expenditures comply with agency, state and federal requirements. These
activities assist to ensure that program regulations are being followed by staff,
and that eligibility is determined in accordance with State and Federal regulations.
Any training gaps that are identified as a result of these reviews are facilitated
with the CCR&R agencies and the CCDP to ensure staff are knowledgeable and
applying policy appropriately, resulting in less unintentional program violations.
iii. [x] Agency errors. Describe the activities, the results of these activities, and how
they inform better practice: DWSS/CCDP uses Quality Control (QC) reviews,
internal audits by subrecipient supervisory personnel, and monthly and quarterly
reporting to assess programmatic activities and outcomes. QC reviews program
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records for accurate eligibility determinations for families receiving a child care
scholarship and proper payment to providers, and ensure program expenditures
comply with agency, state and federal requirements. These activities assist in
ensuring that program regulations are being followed by staff, and that eligibility
is determined in accordance with State and Federal regulations. Any training gaps
that are identified as a result of these reviews are facilitated with the CCR&R
agencies and the CCDP. This ensures staff are knowledgeable of the policies, and
prevents agency errors resulting from overpayment, underpayment, and incorrect
eligibility.
g. [ ] Other. Describe the activity(ies):
i. [ ] Intentional program violations. Describe the activities, the results of these
activities, and how they inform better practice:
ii. [ ] Unintentional program violations. Describe the activities, the results of these
activities, and how they inform better practice:
iii. [ ] Agency errors. Describe the activities, the results of these activities, and how
they inform better practice:
10.2.2 Identification and recovery of misspent funds
Lead Agencies must identify and recover misspent funds that are a result of fraud, and they have
the option to recover any misspent funds that are a result of unintentional program violations or
agency errors.
a.
Identify which agency is responsible for pursuing fraud and overpayments (e.g., State
Office of the Inspector General, State Attorney): Division of Welfare and Supportive
Services, Investigations and Recovery unit.
b. Check and describe all activities, including the results of such activity, that the Lead
Agency uses to investigate and recover improper payments due to fraud. Consider in your
response potential fraud committed by providers, clients, staff, vendors, and contractors.
Include in the description how each activity assists in the investigation and recovery of
improper payment due to fraud or intentional program violations. Activities can include,
but are not limited to, the following:
i. [ ] Require recovery after a minimum dollar amount of an improper payment and
identify the minimum dollar amount. Describe the activities and the results of
these activities based on the most recent analysis:
ii. [x] Coordinate with and refer to the other State/Territory agencies (e.g.,
State/Territory collection agency, law enforcement agency). Describe the activities
and the results of these activities based on the most recent analysis: DWSS I&R
collects debts until the debt becomes delinquent. Once the debt becomes
delinquent, the debt is sent to the State Controller’s Office for collection.
iii. [x] Recover through repayment plans. Describe the activities and the results of
these activities based on the most recent analysis: Customers are provided an
option to repay a debt in one lump sum or monthly payments over a three (3)
year period. Individually, DWSS I&R will work with a customer if more time is
needed to repay a debt.
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iv. [ ] Reduce payments in subsequent months. Describe the activities and the results
of these activities based on the most recent analysis:
v. [ ] Recover through State/Territory tax intercepts. Describe the activities and the
results of these activities based on the most recent analysis:
vi. [x] Recover through other means. Describe the activities and the results of these
activities based on the most recent analysis: DWSS I&R may pursue debt collection
through small claims court.
vii. [x] Establish a unit to investigate and collect improper payments and describe the
composition of the unit. Describe the activities and the results of these activities
based on the most recent analysis: DWSS I&R has an investigations section
comprised of a Chief Investigator, a manager overseeing investigations, four (4)
Supervisory Compliance Investigators and twenty-three (23) Compliance
Investigators who investigate cases of improperly issued benefits. DWSS I&R has a
debt section comprised of one (1) debt supervisor and eight (8) Administrative
Assistant III’s who collect debts.
viii. [ ] Other. Describe the activities and the results of these activities:
c. Does the Lead Agency investigate and recover improper payments due to unintentional
program violations?
[ ] No.
[x] Yes.
If yes, check and describe below any activities that the Lead Agency will use to investigate
and recover improper payments due to unintentional program violations. Include in the
description how each activity assists in the investigation and recovery of improper
payments due to unintentional program violations. Include a description of the results of
such activity.
i.
[ ] Require recovery after a minimum dollar amount of an improper payment and
identify the minimum dollar amount. Describe the activities and the results of
these activities based on the most recent analysis:
ii. [x] Coordinate with and refer to the other State/Territory agencies (e.g.,
State/Territory collection agency, law enforcement agency). Describe the activities
and the results of these activities based on the most recent analysis: DWSS I&R
collects debts until the debt becomes delinquent. Once the debt become
delinquent, the debt is sent to the State Controller’s Office for collection.
iii. [x] Recover through repayment plans. Describe the activities and the results of
these activities based on the most recent analysis: Customers are provided an
option to repay a debt in one lump sum or monthly payments over a three (3)
year period. Individually, DWSS I&R will work with a customer if more time is
needed to repay a debt.
iv.
[ ] Reduce payments in subsequent months. Describe the activities and the results
of these activities based on the most recent analysis:
v.
[ ] Recover through State/Territory tax intercepts. Describe the activities and the
results of these activities based on the most recent analysis:
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vi.
[x] Recover through other means. Describe the activities and the results of these
activities based on the most recent analysis: DWSS I&R may pursue debt collection
through small claims court.
vii.
[x] Establish a unit to investigate and collect improper payments and describe the
composition of the unit. Describe the activities and the results of these activities
based on the most recent analysis: DWSS I&R has an investigations section
comprised of a Chief Investigator, a manager overseeing investigations, four (4)
Supervisory Compliance Investigators and twenty-three (23) Compliance
Investigators who investigate cases of improperly issued benefits. DWSS I&R has a
debt section comprised of one (1) debt supervisor and eight (8) Administrative
Assistant III’s who collect debts.
viii.
[ ] Other. Describe the activities and the results of these activities:
d. Does the Lead Agency investigate and recover improper payments due to agency errors?
[ ] No.
[x] Yes.
If yes, check and describe all activities that the Lead Agency will use to investigate and
recover improper payments due to agency errors. Include in the description how each
activity assists in the investigation and recovery of improper payments due to
administrative errors. Include a description of the results of such activity.
i.
[ ] Require recovery after a minimum dollar amount of an improper payment and
identify the minimum dollar amount. Describe the activities and the results of
these activities based on the most recent analysis:
ii.
[x] Coordinate with and refer to the other State/Territory agencies (e.g.,
State/Territory collection agency, law enforcement agency). Describe the activities
and the results of these activities based on the most recent analysis: DWSS I&R
collects debts until the debt becomes delinquent. Once the debt become
delinquent, the debt is sent to the State Controller’s Office for collection.
iii.
[x] Recover through repayment plans. Describe the activities and the results of
these activities based on the most recent analysis: Customers are provided an
option to repay a debt in one lump sum or monthly payments over a three (3)
year period. Individually, DWSS I&R will work with a customer if more time is
needed to repay a debt.
iv.
[ ] Reduce payments in subsequent months. Describe the activities and the results
of these activities based on the most recent analysis:
v.
[ ] Recover through State/Territory tax intercepts. Describe the activities and the
results of these activities based on the most recent analysis:
vi.
[x]Recover through other means. Describe the activities and the results of these
activities based on the most recent analysis: DWSS I&R may pursue debt collection
through small claims court.
vii.
[x] Establish a unit to investigate and collect improper payments and describe the
composition of the unit. Describe the activities and the results of these activities
based on the most recent analysis: DWSS I&R has an investigations section
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comprised of a Chief Investigator, a manager overseeing investigations, four (4)
Supervisory Compliance Investigators and twenty-three (23) Compliance
Investigators who investigate cases of improperly issued benefits. DWSS I&R has a
debt section comprised of one (1) debt supervisor and eight (8) Administrative
Assistant III’s who collect debts.
viii.
[ ] Other. Describe the activities and the results of these activities:
e. What type of sanction will the Lead Agency place on clients and providers to help reduce
improper payments due to intentional program violations or fraud? Check and describe all
that apply:
i.
[x] Disqualify the client. Describe this process, including a description of the
appeal process for clients who are disqualified. Describe the activities and the
results of these activities based on the most recent analysis: When DWSS/CCDP
intends to seek disqualification, a notice is mailed to the customer. The customer
has 30 days to respond to the notice with either a request for a hearing or
accepting the disqualification and waiving their right to a hearing. If no response
is received from the customer, a hearing will be scheduled. When there is a
hearing, the hearings officer will render a decision. After the decision is rendered,
the customer or the agency has 90 days to appeal to a district court in Nevada.
ii.
[x]Disqualify the provider. Describe this process, including a description of the
appeal process for providers who are disqualified. Describe the activities and the
results of these activities based on the most recent analysis: When DWSS/CCDP
intends to seek disqualification, a notice is mailed to the child care provider. The
child care provider has 30 days to respond to the notice with either a request for a
hearing or accepting the disqualification and waiving their right to a hearing. If no
response is received from the child care provider, a hearing will be scheduled.
When there is a hearing, the hearings officer will render a decision. After the
decision is rendered, the child care provider or the agency has 90 days to appeal
to a district court in Nevada.
iii. [x] Prosecute criminally. Describe the activities and the results of these activities
based on the most recent analysis: DWSS I&R may submit a criminal prosecution
packet to the Nevada Attorney General’s Office to prosecute individuals
depending on the nature of the investigation and loss to the agency.
iv.
[ ] Other. Describe the activities and the results of these activities based on the
most recent analysis:
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Appendix 1: Lead Agency Implementation Plan
The Appendix will be available for Lead Agencies to use in CARS after the Plan approval letter is
issued.
For each non-compliance, Lead Agencies must describe the following:
• Action Steps: List the action steps needed to correct the finding (e.g., update policy manual,
legislative approval, IT system changes, etc.). For each action step list the:
o
Responsible Entity:
Indicate the entity (e.g., agency, team, etc.) responsible for
completing the action step.
o
Expected Completion Date:
List the expected completion date for the action step.
• Overall Target Date for Compliance: List date Lead Agency anticipates completing
implementation, achieving full compliance with all aspects of the findings. (Note: Compliance
will not be determined until the FFY 2025-2027 CCDF Plan is amended and approved).
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Appendix 1: Form
[Plan question with non-compliance and associated provision will pre-populate based on preliminary
notice of non-compliance]
A. Action Steps for Implementation
B. Responsible
Entity(ies)
C. Expected Completion
Date
Step 1:
Step 2 (as necessary):
[Additional steps added as necessary]
Overall Target Date for Compliance: