Outdoor Youth Programs

• Purpose of program: Report of provider.
• Governing body of program: Requirement; identity; powers and duties.
• Maintenance of file regarding program.
• Maintenance of accounts, books and records; provision of information.
• Proof of solvency of program.
• Plan to ensure quality of program; records of use of plan.
• Guidelines and procedures for administration of program.
• Appointment of field administrator.
• Staff: Employment; internal policies to ensure qualifications.
• Employees: Personnel policies and procedures; job descriptions.
• Employees: Training.
• Employees: Personnel files.
• Volunteers and student interns: Plan for use; personnel files.
• Policy of requirements for eligibility into program.
• Policy and procedure for admission into program; notice of admission or refusal to admit client.
• Plan for transfer and discharge of client; policy for unplanned discharge of client.
• Agreement among provider, client, and parent or guardian.
• Maintenance of record regarding client.
• Evaluation of clients.
• Assignment and duties of psychologist or clinical social worker; contents of plan of treatment.
• Preparation and review of plan for treatment; dissemination of monthly reports on progress.
• Management of behavior: Policy and procedure; annual training; restrictions.
• Policy for rights of clients: Preparation; dissemination.
• Policy regarding transportation of client from his home to location of base camp.
• Contents of written procedures regarding transportation of clients.
• Contact between field staff and base camp.
• Compliance with requirements and policies regarding sanitation and use of land; instruction regarding reduction of impact on land.
• Contents of plan for preventing diseases and coping with emergencies; approval of plan regarding infectious and communicable diseases.
• Documenting and reporting of incidents affecting health or safety of client.
• Report of grievance by client.
• Revocation of license for violation of statute or regulation.

NAC 432A.630 Purpose of program: Report of provider.

1. A provider shall prepare a written report of the purpose of his outdoor youth program. The report must contain a statement describing:

(a) The philosophy of the program;

(b)The long-term and short-terra goals of the program;

(c) The services provided by the program;

(d) The population to be served by the program;

(e) The criteria for accepting clients into the program;

(f) The fees to be charged for the program; and

(g) The manner in which clients participate in activities related to the solicitation of money, publicity and research.

2. The provider shall submit a copy of the report to the bureau and make the report available to the public upon request.

NAC 432A.635 Governing body of program: Requirement; identity; powers and duties.

1. Each outdoor youth program must have a governing body that has authority over the policies and activities of the program.

2. The governing body must be:

(a) The board of directors, if the provider is a nonprofit organization;

(b) The board of directors, if the provider is an organization that operates for a profit; or

(c) The owner, if the provider is a natural person.

3. The governing body shall:

(a) Establish the policy of the outdoor youth program;

(b) Ensure compliance with the policy of the outdoor youth program;

(c) Ensure compliance with the requirements of federal, state and local statutes, regulations and ordinances;

(d) Notify the bureau within 30 days after a change in the administration of the program or the purpose of the program;

(e) Ensure that the program is adequately funded and financially sound;

(f)Maintain a list of the members of the governing body, including the name, address and term of each member; and

(g) Prepare a chart of the program's organization and a summary that identifies and describes all units of operation within the program. The chart and summary must define the, lines of authority and the responsibility of each member of the staff.

4. If the governing body is composed of more than one person, the governing body shall:

NAC 432A.640 Maintenance of file regarding program.

A provider shall maintain a file containing:

1. A chart and summary of the program's organization prepared pursuant to NAC 432A.635;

2. The bylaws of the governing body;

3. The minutes of the meetings of the governing body prepared pursuant to NAC 432A.635;

4. The records of enrollment and sponsorship of the clients;

5. Each lease, contract and service agreement to which the provider is a party;

6. The insurance policies of the provider;

7. The annual budgets and audit reports; and

8. If applicable, documentation of the ownership and incorporation of the program.

A provider shall:

1. At all times, maintain records of enrollment for all clients at the base camp;

2. For at least 3 years, maintain complete and accurate accounts, books and records in a manner that is accessible and standardized; and

3. Provide information that is accurate and factual to the parents of the clients, the community and the media.

NAC 432A.650 Proof of solvency of program.

A provider shall not conduct an outdoor youth program unless it maintains at least $100,000 in an account that is established for the purpose of proving the solvency of the program.

1. A provider shall prepare a plan to ensure the quality of the program. The plan must describe the methods and standards used by the provider to ensure that his services are of a high quality.

2. The provider shall maintain records of his use of the plan.

3. The provider shall make the plan and the records of its use available for review at the base camp.

NAC 432A.655 Plan to ensure quality of program; records of use of plan.

1. A provider shall prepare a plan to ensure the quality of the program. The plan must describe the methods and standards used by the provider to ensure that his services are of a high quality.

2. The provider shall maintain records of his use of the plan.

3. The provider shall make the plan and the records of its use available for review at the base camp.

The provider shall appoint a field administrator who meets the qualifications set forth in NRS 432A.380.

NAC 432A.670 Staff: Employment; internal policies to ensure qualifications.

1. The provider shall employ a sufficient number of trained and qualified staff to:

(a) Meet the specific needs of the clients at a ratio of staff to clients which is not less than that required by NRS 432A.480.

(b) Perform supervisory, administrative, fiscal, clerical and culinary duties.

(c) Maintain the facilities and property of the program.

(d) Communicate with clients whose primary language is not English.

(e) Comprise a treatment team which is able to perform the duties set forth in NRS 432A.450.

2. The provider shall adopt such internal policies as are necessary to ensure that each member of the staff is certified, licensed or otherwise qualifies to hold his assigned position.

NAC 432A.675 Employees: Personnel policies and procedures; job descriptions.

1. The field administrator shall adopt written personnel policies and procedures which cover:

(a) The manner in which grievances by employees will be addressed.

(b) The lines of authority.

(c) The required orientation and ongoing training of employees.

(d) The manner and schedule for evaluating the performance of the individual employees.

(e) Rules of conduct for employees.

2. The provider shall create and maintain a written job description for each position, which includes a specific statement of duties and responsibilities and the minimum level of education, training and work experience required.

NAC 432A.680 Employees: Training.

In addition to the training required pursuant to NRS 432A.410, the field administrator shall ensure that each employee of the program is trained in:

1. The philosophy, objectives and services provided by the program.

2. The statutory responsibilities of employees of such programs.

3. The legal rights of the disabled.

4. Current teaching methods.

NAC 432A.685 Employees: Personnel files.

1. The provider shall establish and maintain a personnel file for each employee. Each individual file must include:

(a) The person's application for employment, including a record of his previous employment and related references.

(b) Evidence of his applicable credentials and certifications.

(c) An initial medical evaluation, including the results of a tuberculin test.

(d) A current record of all related training successfully completed by the employee, including training in such areas as the administration of first aid and cardiopulmonary resuscitation.

(e) A copy of each evaluation of his work performance.

(f)A copy of his registration as an alien, if applicable.

(g) A copy of the results of the investigation of his background and personal history which is conducted pursuant to NRS 432A.170.

(h) A copy of the rules of conduct for employees which has been signed by the employee indicating that he has received and understands the rules.

2. The field administrator shall allow each employee reasonable access to his respective personnel file and shall allow the employee to insert written statements in the file. The provider shall retain the personnel file of an employee for at least 1 year after the termination of his employment.

NAC 432A.690 Volunteers and student interns: Plan for use; personnel files.

1. The field administrator of a program which uses volunteers or student interns shall adopt a written plan for using such assistance. The plan must address such issues as:

(a) The necessary direct supervision of the volunteer or intern by a paid member of the staff.

(b) The manner and extent of required orientation and training of the volunteer or intern regarding the philosophy of the program, the needs of the clients and the methods of meeting those needs.

2. The field administrator shall maintain a personnel file on each volunteer or intern. The file must include all of the information required for employees pursuant to NAC 432A.685.

NAC 432A.690 Volunteers and student interns: Plan for use; personnel files.

1. The field administrator of a program which uses volunteers or student interns shall adopt a written plan for using such assistance. The plan must address such issues as:

(a) The necessary direct supervision of the volunteer or intern by a paid member of the staff.

(b) The manner and extent of required orientation and training of the volunteer or intern regarding the philosophy of the program, the needs of the clients and the methods of meeting those needs.

2. The field administrator shall maintain a personnel file on each volunteer or intern. The file must include all of the information required for employees pursuant to NAC 432A.685.

NAC 432A.700 Policy and procedure for admission into program; notice of admission or refusal to admit client.

1. A provider shall have a written policy and procedure for admission into his program, which must include:

(a) An explanation of the requirements which must be met before a client is placed in his program;

(b)An explanation of the evaluation of the client that is required by NRS 432A.450 and NAC 432A.720; and

(c) An explanation of the requirements for admission at the request of a client.

2. When a client is admitted into a program, the provider shall notify the parent or guardian of the client's admission.

3. When admission into a program is refused to a client, the provider shall provide a signed written statement of the reason for the refusal to the parent or guardian of the client.

NAC 432A.705 Plan for transfer and discharge of client; policy for unplanned discharge of client.

1. With the participation of the client, a provider shall prepare a plan for the transfer and discharge of the client. The plan must:

(a) Specify the resources available to the client upon his discharge;

(b) State the reason for the transfer or discharge;

(c) Summarize the services that were provided to the client by the program;

(d) Evaluate the achievement of the goals and objectives of the client;

and

(e) Contain the signature and title of the person who prepared the summary.

2. The plan for the transfer and discharge of a client must be explained to the client in a language or manner that he understands.

3. The provider shall prepare a written policy for discharging clients when the discharge has not been planned.

NAC 432A.710 Agreement among provider, client, and parent or guardian.

1. A written agreement must be prepared by the client, his parent or guardian and the provider. The agreement must contain:

(a) The rules of the program;

(b) The expectations of the client and his family;

(c) The services to be provided and cost of the services;

(d) The provider's authority to give any necessary medication, first aid and medical treatment to the client;

(e) Arrangements for absences, visits, vacation, mail, gifts and telephone calls; and copy of the plan for treatment of the client prepared pursuant to NAC 432A.725.

2. The agreement prepared pursuant to subsection 1 must be signed by all parties and kept in the client's file. A copy of the agreement must be made available to any interested person.

NAC 432A.715 Maintenance of record regarding client.

A provider shall maintain a written record for each client, which must include:

1. Information relating to vital statistics, including, if applicable, the Medicaid number of the client;

2. Biographical information concerning the client;

3. The personal history of the client, including:

   (a) His development socially, emotionally and physically;

   (b) His legal status;

   (c) The name, address and telephone number of appropriate persons to be contacted in emergencies;

   (d) A photograph of the client at the time of admission; and

   (e) Other information that relates to the client's background and is pertinent to the program;

4. Health records of the client obtained pursuant to NRS 432A.440 and:

   (a) A history of immunization;

   (b) A list of medications prescribed to the client;

   (c) Records of physical, dental and visual examinations of the client, if relevant to his participation in the program; and

   (d) A complete record of any treatment provided for specific illnesses or medical emergencies;

5. A consent form signed by a parent or guardian authorizing the client to participate in the program, unless the program was ordered by a court;

6. A copy of the written agreement entered into pursuant to NAC 432A.710;

7. A copy of the plan for treatment of the client prepared pursuant to NAC 432A.725;

8. A summary of visits and contacts by the client's family; and

9. A summary of the client's attendance, including the reason for any absences.

NAC 432A.720 Evaluation of clients.

1. In emergency situations which necessitate the immediate placement of a client in a program, an evaluation conducted pursuant to NRS 432A.450 must be completed within 30 days.

2. When evaluating a client, the members of the staff shall consider the client's age, cultural background and dominant language or mode of communication.

NAC 432A.725 Assignment and duties of psychologist or clinical social worker; contents of plan of treatment.

1. The field administrator shall assign to each client a psychologist or clinical social worker who is licensed to practice in this state. The psychologist or clinical social worker shall develop, use and review a plan of treatment, which must include:

(a) The findings of the evaluation performed pursuant to NRS 432A.450 and NAC 432A.720;

(b) A statement of the long-term and short-term goals and objectives of the client, which must include:

(1) Goals and objectives established as a result of the evaluation performed pursuant to NRS 432A.450 and NAC 432A.720;

(2) Goals and objectives determined by the client's behavior, skills and attitude or the circumstances;

(3) Evidence that the concerns voiced by the client were considered in establishing his goals and objectives; and

(4) Evidence that the client's family participated in establishing his goals and objectives, unless it is determined that the participation of the family will not benefit the client;

(c) A description of the daily activities to be performed by the client;

(d) A description of the services and treatment to be provided to the client or arranged for the client;

(e) A schedule for the client to meet his goals and objectives;

(f) A description of the methods which will be used for evaluation; and

(g)A plan for the care of the client after he is released from the program.

2. The description of the treatment provided to the client or arranged for the client must include:

(a) The identity of the person who will be providing the treatment;

(b) The date and duration of the treatment;

(c) A description of the treatment;

(d) The signature and title of the person preparing the description;

(e) A monthly report of the client's progress or lack of progress in reaching his goals and objectives; and

(f) Documentation of each review of the record of a client, which must include:

(1) The signature of the person reviewing the record;

(2) The title of the person reviewing the record;

(3) The date of the review; and

(4) The reason for the review.

NAC 432A.730 Preparation and review of plan for treatment; dissemination of monthly reports on progress.

1. A psychologist or clinical social worker shall prepare a plan for the treatment of a client within 10 days after the client is admitted to the program.

2. The psychologist or clinical social worker shall review each plan at least once each month and make his monthly reports on the progress of a client available to:

(a) The bureau;

(b) The client;

(c) The parent or guardian of the client; and

(d) Any person who works directly with a client, as appropriate.

NAC 432A.735 Management of behavior: Policy and procedure; annual training; restrictions.

1. A provider shall prepare a written policy and procedure for the management of behavior, which must include:

(a) A description of the behavior of a client that is appropriate and inappropriate; and

(b)Acceptable responses by the members of the staff to behavior by the client that is inappropriate.

2. The policy and procedure prepared pursuant to subsection 1 must be provided to each member of the staff. The staff must receive annual training relating to the management of behavior, which has been approved by the bureau.

3. A member of the staff shall not use or permit the use of physical restraint or methods that are humiliating or frightening to control the actions of a client.

4. A member of the staff may use passive restraint only as a temporary means of physical containment to protect the client, another person or property. Passive restraint may not be used as a form of punishment.

5. A member of the staff may not use a method to incapacitate the client physically, unless the method has been identified and approved by the bureau.

NAC 432A.740 Policy for rights of clients: Preparation; dissemination.

1. A provider shall prepare a written policy for the rights of its clients, which must include:

(a) A statement concerning the confidentiality of the information obtained by the provider and of the records that are current and closed;

(b) The reasons for terminating the participation of a client involuntarily and the criteria for admitting a client into the program after he has been discharged;

(c) A description of the potential harm to or acts of violence by a client or another;

(d) A list of the responsibilities of a client, including the performance of manual tasks and compliance with the rules of conduct established by the program;

(e) The fee for the services and other costs associated with the program;

(f) The procedure for filing a grievance or complaint;

(g) The client's right to be free from discrimination;

(h) The client's right to be treated with dignity;

(i) Except as otherwise provided in NRS 432A.540, the client's right to communicate with his family, attorney, physician, clergyman or other persons, unless it is determined that communication with a particular person will not benefit the client;

(j) A list of the persons, if any, whose rights to visit the client have been restricted by a court;

(k) Except as otherwise provided in NRS 432A.540, the client's right to send and receive mail in accordance with applicable requirements regarding security, health and safety;

(l) The client's right to use the telephone at the expense of the client; and

(m) A statement of the rights of clients who smoke, if any, and of clients who do not smoke.

2. The field administrator shall, upon admission, present and inform the client of the policy described in subsection 1 orally and in writing in a language or manner that the client understands.

3. The field administrator shall, upon provide the parent or guardian of the client with a copy of the policy described in subsection 1.

NAC 432A.745 Policy regarding transportation of client from his home to location of base camp.

The field administrator of an outdoor youth program which includes as a part of its service the escort of a client or prospective client from his respective home or other location to the program's base camp shall establish a written policy regarding the manner of transportation and treatment of the client during the escort. The primary purpose of the policy must be to ensure the safety of the client. The policy must prohibit the transportation of a client or prospective client without his consent. The policy must require the use of techniques for transportation and treatment which are the least restrictive techniques that are possible under the circumstances.

NAC 432A.750 Contents of written procedures regarding transportation of clients.

The written procedures regarding the transportation of clients which are adopted by the field administrator pursuant to NRS 432A.420 must require:

1. That the equipment in each vehicle for the administration of first aid must comply with the recommendations of the American Red Cross.

2. The staff and clients to comply with all applicable safety laws and regulations, including the mandatory use of safety belts and shoulder harnesses.

NAC 432A.750 Contents of written procedures regarding transportation of clients.

The written procedures regarding the transportation of clients which are adopted by the field administrator pursuant to NRS 432A.420 must require:

1. That the equipment in each vehicle for the administration of first aid must comply with the recommendations of the American Red Cross.

2. The staff and clients to comply with all applicable safety laws and regulations, including the mandatory use of safety belts and shoulder harnesses.

NAC 432A.760 Compliance with requirements and policies regarding sanitation and use of land; instruction regarding reduction of impact on land.

1. A field administrator shall ensure that the clients and staff of the outdoor youth program comply with all applicable laws, regulations and policies regarding sanitation, the use of the land and the desire to reduce the impact their presence has on the land.

2. The field administrator shall direct the staff of the program to provide daily instruction to the clients of the program regarding the reduction of their impact on the land while they are camping or engaging in other activities on undeveloped land.

NAC 432A.765 Contents of plan for preventing diseases and coping with emergencies; approval of plan regarding infectious and communicable diseases.

In the written general plan for preventing diseases and coping with emergencies prepared pursuant to NRS 432A.430, the field administrator shall include procedures to be followed in the base camp as well as in the field. The plan for the prevention and elimination of infectious and communicable diseases must be approved by the local health authority.

NAC 432A.770 Documenting and reporting of incidents affecting health or safety of client.

1. A provider must prepare a written policy for documenting and reporting to the bureau all deaths of clients, injuries, fights, physical confrontations, uses of passive physical restraints, suspected incidents of abuse or neglect and other situations or circumstances affecting the health or safety of a client. The documentation must include:

(a) A summary of the incident;

(b) The date and time of emergency intervention, if any;

(c) A list of any referrals made;

(d) Information obtained after the incident; and

(e) The signature of the person preparing the report.

2. The provider shall maintain a copy of the report in the respective file of each client involved in an incident described in subsection 1.

3. If an incident involves the abuse, neglect or death of a client, the provider shall:

(a) Prepare a preliminary written report within 24 hours after the incident; and

(b) Notify the bureau, the parent or guardian of the client and the appropriate law enforcement agency.

NAC 432A.775 Report of grievance by client.

A provider shall prepare a written report for each grievance made by a client, which must include:

1. The nature of the grievance; and

2. The conclusion or disposition of the grievance.

NAC 432A.780 Revocation of license for violation of statute or regulation.

The chief of the bureau shall immediately revoke any license issued to an outdoor youth program pursuant to the provisions of of NRS if he reasonably believes that any applicable statute or regulation has been violated.

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