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Provider Path · Free forms & records guide

Nevada child care paperwork.

Nevada's former DPBH forms URL now leads to DSS. Its current directory distinguishes required renewal uploads from daily-operation samples whose layouts providers may adapt.

Agency: Nevada Division of Social Services, Child Care Licensing (CCL)
Paperwork source review: September 14, 2026

Use your print window to print on paper or save as a PDF. The organizer is a planning aid for your files.

Check the form and your provider type.

An official agency form is issued or listed by the agency; that label alone does not establish mandatory use. A required state form is identified as mandatory in the cited instructions. A required record identifies information you must maintain; its format may be flexible. An optional template is a suggested format. Official instructions / portal links explain the application or record process.

Read “Applies to” and “Format and applicability” for each item. Home, group-home, center, local licensing, food-program, and subsidy requirements can differ.

Application & renewal

01
Official instructions / portal

Open and Operate a Facility — application roadmap

Follow orientation, application, background and inspection steps.

Applies to
Licensed child care facility applicants, including family/group programs
Who completes it
Applicant
Where it goes
Online licensing system linked from the roadmap.
When to use or update
Before opening; use the roadmap's staged application deadlines.

Format and applicability: Public guidance; application and training systems require accounts.

Open official source: Open and Operate a Facility ↗https://www.dss.nv.gov/programs/child-care-licensing-ccl/open-operate/
02
Required record

Center-Group-Family Listing of Trainings

Summarize training for renewal.

Applies to
Renewing center, group and family licenses
Who completes it
License holder
Where it goes
Attach in the online renewal application's checklist section.
When to use or update
At renewal.

Format and applicability: Use the directory's current download; the direct PDF did not load during this review.

Open official source: Child Care Licensing Forms — Forms: License Renewal ↗https://www.dss.nv.gov/programs/child-care-licensing-ccl/ccl-forms/

Children’s files

05
Optional template

Child Record Form

Collect enrollment, emergency contacts, health needs and permissions.

Applies to
Licensed child care facilities
Who completes it
Parent/guardian with provider
Where it goes
Child's file available to licensing inspection.
When to use or update
At enrollment; update changed information.

Format and applicability: DSS expressly allows providers to create their own daily-operation forms; this 2014 sample is still linked.

Open official source: Child Record ↗https://www.dss.nv.gov/uploadedFiles/dwssnvgov/content/Care/CCL/Licensing-Info/Forms/ChildsRecord.pdf

Safety & daily records

06
Optional template

Accident/Incident Form

Record incident, care administered and acknowledgement.

Applies to
Licensed child care facilities
Who completes it
Provider and parent sign
Where it goes
Suggested child incident file; separate reporting duties must be checked.
When to use or update
When an accident or injury occurs; reporting deadlines not established by this short sample.

Format and applicability: One-page PDF; DSS permits locally created versions.

Open official source: Accident/Injury Report ↗https://www.dss.nv.gov/uploadedFiles/dwssnvgov/content/Care/CCL/Licensing-Info/Forms/accident-incident.pdf
07
Optional template

Fire/Disaster Drill Log

Log drills, evacuation time and participating children/adults.

Applies to
Licensed child care facilities
Who completes it
Drill leader/provider
Where it goes
Program safety records.
When to use or update
Sample identifies monthly fire drills and quarterly disaster drills.

Format and applicability: One-page sample PDF; DSS permits equivalent locally created logs.

Open official source: Record of Fire Drills / Record of Disaster Drills ↗https://www.dss.nv.gov/uploadedFiles/dwssnvgov/content/Care/CCL/Licensing-Info/Forms/3Log_Fire-Disaster-Drill.pdf

Provider & staff files

03
Required record

Listing of Employees/Residents

List personnel/residents and background-clearance expiry details.

Applies to
Renewing licensed facilities, including family/group homes
Who completes it
Owner/director/provider
Where it goes
Online renewal checklist; protect the restricted background information.
When to use or update
At renewal; maintain accurate roster information.

Format and applicability: Two-page PDF; contains sensitive identifying information.

Open official source: Listing of Employees/Residents ↗https://www.dss.nv.gov/uploadedFiles/dwssnvgov/content/Care/CCL/Licensing-Info/Forms/ListingofEmployees.pdf
04
Official agency form

Background Check Consent and Release

Authorize the background screening process.

Applies to
Child care background applicants
Who completes it
Applicant and owner/director
Where it goes
Follow CCL fingerprint instructions and upload the completed consent through NABS as directed.
When to use or update
Initial hire, facility change, rehire or a new background check.

Format and applicability: Four-page official PDF; consult jurisdiction-specific fingerprint instructions.

Open official source: CCL Background Check Consent and Release ↗https://www.dss.nv.gov/uploadedFiles/dwssnvgov/content/Care/CCL/Licensing-Info/Forms/CR%202025.pdf

What this review covers

Selected official forms and public instructions were reviewed on September 14, 2026. This is a practical starting list, not a complete certification of every record, retention period, local rule, or individual application.

  • Confirm jurisdiction-specific permits and background processing with CCL; older PDFs retain former agency details.
  • No CACFP/subsidy provider enrollment paperwork was verified in this selection.

Use the agency’s current original and revision instructions. Keep confidential child and staff records in your own secure record system.

Report a changed form or link →

Provider Path · Reusable planning companion

Nevada paperwork organizer

Use this sheet to check which items apply to your program. A listed item or a checked box does not establish that your program meets licensing requirements.

Program / provider type:

Licensing office / reviewer:

Date checked / rule or packet edition:

Form or instructionApplies?
Yes / No / Ask
Received / completedLocation / next review
1. Open and Operate a Facility — application roadmap
2. Center-Group-Family Listing of Trainings
3. Listing of Employees/Residents
4. Background Check Consent and Release
5. Child Record Form
6. Accident/Incident Form
7. Fire/Disaster Drill Log
Other local or agency document
Food-program / subsidy documents

Questions and next steps

Ask about required format, signatures, submission, update triggers, and retention. Record the agency’s answer and the person or written source that confirmed it.

Companion to the Nevada source review dated September 14, 2026. Provider Path educational planning sheet.