Nevada Health Response

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Nevada Division of Public and Behavioral Health Coronavirus (COVID-19)

447E Regulations related to SARS-CoV-2 at Public Accommodation Facilities

On August 5th of the 32nd Special Session held in 2020, the Nevada Legislature passed SB4. Governor Sisolak signed the bill into law August 11th, directing the Department of Health and Human Services to adopt regulations establishing minimum standards for cleaning and employee illness during any period the Governor declared a public health emergency related to SARS-CoV-2. The regulation went into effect August 31, 2020 and expires at the end of the emergency or on July 1, 2023, whichever is sooner. The regulations describe how facilities will adopt protocols and plans concerning the prevention and response to SARS-CoV-2 for counties whose population is 100,000 or more (currently, only Washoe and Clark Counties).

The Division of Public and Behavioral Health created a regulation to serve as guidance to ensure public and worker safety and limited the liability to the hospitality industry if they are in compliance with the regulations. The health and safety protocols were created in collaboration with community stakeholders.

The public accommodation facilities must demonstrate compliance by having a plan establishing policies and procedures, which implements protocols to limit the transmission of SARS-CoV-2, and ensures worker safety through:

  • The use of approved cleaning products;
  • Regular cleaning of high contact areas used by the public and employees;
  • Methods to encourage physical distancing and structural barriers to reduce transmission rates;
  • Ensure proper handwashing and sanitizer when handwashing is not feasible;
  • Train staff concerning the prevention and mitigation of SARS-CoV-2;
  • Monitor employee health;
  • Provide for testing; and
  • Provide paid time off for testing or sick leave for illnesses resulting from SARS-CoV-2.

The Local Health Authorities (LHAs) as applicable in SB4, Southern Nevada Health District and Washoe County Health District, are required to increase the frequency of inspections to ensure compliance with the written plans and impose fines for non-compliance.

    SB4 Additional Guidance


    Environmental Health Section

    The following includes guidance from our office in response to questions we’ve received from you over the last few days in light of the Governor’s recent order. We plan to continue to add information, and we will share it with you when it is available—as well as it when it changes. We are also working on posting the information to Nevada Health Response at for your ease of access and to help keep the information updated as more is known with this dynamic situation. Please check this page regularly for information from all state and local agencies that may assist you, your businesses, and your families to weather this emergency.

      Face Covering

      • To keep businesses open and help slow the spread, face coverings are required.
      • When interacting in-person with members of the public.
      • When in any space visited by the general public, even if no one else is present.
      • When in any space where food is prepared or packaged, for sale, or generally distributed to others.
      • When walking though common areas, such as hallways, stairways, elevators, and parking facilities.
      • In any room or enclosed area where other people (except for members of the person’s own household or residence) are present when unable to physically distance.
      • With this new directive, businesses are asked to establish a “no mask, no service” policy for your own employees’ and patrons’ safety. Post notices on doors and in front of your locations to enhance public awareness and requirements for entry and safety.
      • Please thoroughly screen those who are exempted from this face covering directive.

      How to report a work place hazard:

      Complaints can be filed with Nevada OSHA by calling (702) 486-9020 in southern Nevada and (775) 688-3700 in northern Nevada.

      Social Distancing Operational Changes

      • Businesses must limit the number of patrons allowed in their facilities, avoid allowing lines to form, and maintain 6 feet of social distancing.
      • When patrons must queue (wait), place markings on the ground 6 ft apart where they can line up while maintaining social distancing will be beneficial. Encourage online and phone orders or employ tactics to reduce in-person interaction. Consider taking phone numbers and texting customers when they may enter.
      • Having patrons wait in their cars and having food or other product delivered outside is the safest practice to limit exposure.
      • Any buffet or food stations used in charitable food distribution settings should transition to boxed meals or serve through gloved staff members or volunteers.

      Cleaning Recommendations

      • Continue to follow the regulations and best practices for cleaning and sanitizing for your business model.
      • Immediately increase sanitizing and cleaning frequency of high contact areas — such as restrooms, door handles, front counters, etc.
      • Wash and rinse surfaces of visible dirt or debris before sanitizing. Sanitizers work better on clean surfaces.
      • Consider removing decorative objects, papers, and other unneeded materials from counters to allow for thorough sanitization of unobstructed surfaces.
      • Sanitize frequent ‘touchpoints’ such as the outside of condiment containers and other items frequently handled such as doorknobs, backs of chairs, faucet handles, tabletops, and menus at least daily.

      Cleaning Products

      Employee and Customer Health & Hygiene

      • Enforce stringent hygiene practices for your staff, including frequent and thorough hand washing for at least 20 seconds at a time.
      • Exclude ill employees and encourage sick members of the public to stay home.
      • Provide customers with additional napkins or tissues to use when they cough or sneeze.
      • Ensure that bathrooms are fully stocked with soap, towels/hand dryers, and no-touch trash receptacles and provide alcohol-based hand sanitizer with at least 60% alcohol for customers to use. NOTE: alcohol-based hand rubs do NOT replace adequate handwashing when required for employees.
      • Instruct staff to keep a 6-foot distance between themselves and patrons as much as possible.
      • Continue to follow the current industry regulations and best practices for your sector.

      Exclusion and return to work for ill employees

      • In addition to the normal restriction and exclusion requirements for your sector, follow guidelines from the Centers for Disease Control & Prevention (CDC) and the Nevada Division of Public & Behavioral Health – Office of Public Health Informatics & Epidemiology (OPHIE) regarding employees with symptoms of respiratory infection or COVID-19 diagnosis.
      • Workers that are possibly sick with the symptoms matching COVID-19 should stay home. If possible, employees with family members/caregivers with symptoms matching COVID-19 should also stay home. Signs and symptoms of infection with COVID-19 include fever (100.4°F or higher with an oral thermometer), cough, and shortness of breath. Symptoms of COVID-19 may appear in as few as two days or as long as 14 days after exposure to the virus.
      • Employees, managers, and other staff suspected of illness should not return to work until they are symptom-free. Current guidance is to stay home until at least 72 hours after symptoms have gone away AND at least seven days after symptoms began.
      • Staff diagnosed with COVID-19 may return to work following the above symptom guidelines or after testing negative for the virus and quarantine lifted by their doctor/and or health authority.
      • Per CDC guidelines, employers are encouraged not to require employees to provide a doctor’s note to return to work, because doing so will burden the medical system.

      Thank you for your work to protect our communities and keep Nevada safe!