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Child Care Subsidy 392 NAC Chapter 4: Provider Enrollment 392 NAC Chapter 4-001 GENERAL STANDARDS Guidance: Social Security Number or Federal Identification Number must be up to date and valid.

Guidance: The Department defines an environment that promotes the safety and well-being of the children in care to include the following: • Have a sufficient number of safe, age-appropriate play materials available for the child care child(ren)’s use; • Have first aid supplies available, but inaccessible to children. Supplies are to include a fever thermometer, soap, band aids, gauze, tape, and scissors; • Provide and use clean and comfortable napping and sleeping arrangements for the children in care; • Ensure children will always be supervised; • Arrange with another approved person, age 19 or older, to substitute for the caregiver in an emergency; • Notify parents/guardians of child(ren) in care when care will be provided by a substitute caregiver; • Have an operable telephone available for use within the home; • During the hours of operation, the home must be open to announced and unannounced visits by parents of all children for whom care is being provided. Parents must always have access to their children at all times their children are in care; and • Discuss with the parent/guardian hours of care, care for ill children (if provided), disciplinary practices, meals, snacks, napping schedules, and toilet training practices (if applicable) before care is provided.

Guidance: The Department may request Form CFS-59 to be completed by a Physician in order to verify the provider has the physical, mental, and emotional capacity to provide care for children.

Guidance: If the Department becomes aware that a provider is unable to provide care for themselves then the Department has the discretion to close or deny the provider agreement due to the provider not demonstrating the physical, mental, and emotional capacity to provide care for children.

392 NAC Chapter 4-002. PROVIDER ENROLLMENT STANDARDS Guidance: Providers must submit claims electronically unless otherwise noted by the Department. Submitted claims will be paid within five (5) business days.

Guidance: A provider should notify their Resource Development Worker if the child(ren) does not attend child care for more than three (3) consecutive days when the child’s absence is not reported to the provider.

Guidance: Smoking includes vaping or the use of E-Cigarettes.

Guidance: Inspection of the facility may involve a full walk-through of the building where care is provided to allow program administration to monitor for health and safety requirements. Refusal to allow a full walk-through inspection may result in denial of the provider enrollment.

392 NAC Chapter 4-002.01 PROVIDER AGE QUALIFICATIONS Guidance: This is specific to those enrolled with DHHS as a Subsidy provider.