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In-home care. If checked, describe the exemptions. Must only provide care in the child's home, and meet the standards found in 392 NAC 5- 002. Background checks are required for all in-home care providers. Providers must be 19 years of age; agree to provide continual supervision of children; agree to discuss with the parent on hours of care and how to care for the child (napping/toileting schedules, disciplinary practices, meal/snack schedule, how to care for ill child, etc); agree to get written instructions and approval prior to dispensing any medication, and agree to not smoke in the presence of children or anywhere in the home. The assigned Resource Developer meets with the provider and parent to ensure these occur prior to care, and will meet with the provider annually to monitor and review a check list for the provider and parent to complete. The Resource Developer will also determine if the provider demonstrates the physical, mental, and emotional capacity to provide care for children, and requests medical documentation if reasonable cause questions the provider's ability. Child and Family Services- will alert resource development and Child Care Subsidy if a complaint occurs, and Resource Developer will complete follow up monitoring and investigating with the Protection and Safety Investigator.

5.2 Health and Safety Standards and Requirements for CCDF Providers

5.2.1 Standards on ratios, group sizes, and qualifications for CCDF providers.

Lead Agencies are required to establish child care standards for providers receiving CCDF funds, appropriate to the type of child care setting involved, that address appropriate ratios between the number of children and number of providers in terms of the age of the children, group size limits for specific age populations, and the required qualifications for providers (658E(c)(2)(H); 98.41(d); 98.16(m)). For ease of responding, this section is organized by CCDF categories of care, licensing status, and age categories. Respondents should map their Lead Agency categories of care to the CCDF categories. Effective Date: 09/16/2019

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