Licensing Checklist for Community Based Living Arrangement Services (CBLA FACILITY/ CBLA SERVICES)

Licensure Application Information

The link below will take you to the system where you can create an account to apply for a new facility or a Change of Ownership (CHOW).

If you already have an existing license and you are just making a change to your license, you can use this system to apply for any of the following:

and more...

For all initial/CHOW licensure applications the following items are required to be uploaded to your application:

Resume for the Administrator
- Must list and match the administrator's name provided in your application.
Copy of Nevada State Business license from the secretary of state office with your NV ID number
- Only the Copy of the license will be accepted. No receipts or screenshots from SilverFlume.
- Must list your registered name with the secretary of state listed in your application.
- Must list your NV business ID with the secretary of state listed in your application.
Bill of Sale (CHOW only)
- Should include information about the buyer and seller, the date of the sale, a description of the transaction, the price, and signatures from both parties.
Letter of Governing Body stating the effective date of change and specifying what is changing (CHOW only)

All licensed facilities must have a physical location in the State of Nevada.
Must list your facility name, facility physical address, proof that you are allowed to run the facility from the location, and must be fully executed.

Articles of Organization (for LLCs only)
- Must list your LLC name, the names of the officers, and the Nevada Business ID number.
Operating Agreement (for LLCs only)
- Must list your LLC name and by fully executed.
Articles of incorporation (for corporations only)
- Must list your corporation's name, the names of the officers, and the Nevada Business ID number.
Governing Body Bylaws (for corporations only)
- Must list your corporation's name and be fully executed.
Partnership Agreement (if applicable only)

Copy of (Local - City or County) Business License, Conditional Use Verification Form, Zoning Approval Letter, or Special Use Permit from the local, city or county Jurisdiction.
- Payment receipts do not meet this requirement and will not be accepted.
- The local license must list your Doing Business As (DBA) facility name and physical location of the facility.
Background Check Requirements
- Each owner that owns 10% or more is required to do a background check.
- Use this link to see more information on background checks requirements.
Must provide each member of the direct support staff certificate for administration of Medication Management Approved Training.
- Use the link to see the list of Medication Management Approved Training by the division.
Provide a current copy of the Community Based Living Arrangement Services mandatory 16-hour training.
- Must use the link to complete the training.
Copy of Government Issued Identification

Name, title and principal business address of each officer and member of the governing body

Must provide copies of policies and procedures relating to the provision of services
- Visitation Policy - NAC 449.852.
- Hiring Policy - NAC 449.826.
- Infection Control Plan and Policy - R048-22 Sec. 5.
- Emergency Preparedness Plan - R048-22 Sec.5.
- Antidiscrimination Policy - NRS 449.101
- Policies - Prohibit staff presence at exams without permission, provide visual barriers for resident privacy, allow resident to refuse to be examined. - NRS 449.102
- Policy - Resident addressed by preferred pronoun and resident files reflect preferred pronoun, name, gender identity, and expression. - R016-20 Sec. 19(1-2)
Copy of current successful completion of CPR course from American Red Cross or American Heart Association (SERVICE ONLY).

Copy of current Standard First Aid Certification from American Red Cross or American Heart Assocation (SERVICE ONLY).