Nebraska ChildcareLicensing Requirements
Stay compliant with Nebraska DHHS Children's Services Licensing (Title 391 NAC 3) regulations. Bloomily helps Nebraska childcare centers manage staff ratios, certifications, and emergency drills — all in one platform.
Nebraska Pre-Inspection Checklist
Based on DHHS Children's Services Licensing (Title 391 NAC 3) requirements • 50 items • Generated from bloomily.app
Center Name: _________________________________ Date: _____________
Licensing
Current DHHS license posted conspicuously
Ref: 391 NAC 3-003
Certificate of occupancy available
Ref: 391 NAC 3-003
Fire inspection report current
Ref: 391 NAC 3-003
Health inspection certificate posted
Ref: 391 NAC 3-003
Liability insurance documentation current
Ref: 391 NAC 3-003
Parent handbook available and current
Ref: 391 NAC 3-005
Child records complete and accessible
Ref: 391 NAC 3-005
Daily attendance records maintained
Ref: 391 NAC 3-005
Incident/accident reports documented
Ref: 391 NAC 3-005
DHHS complaint procedures posted
Ref: 391 NAC 3-003
Health & Safety
First aid kit stocked and accessible
Ref: 391 NAC 3-007
Emergency phone numbers posted
Ref: 391 NAC 3-007
Poison control number posted
Ref: 391 NAC 3-007
Medications stored properly and locked
Ref: 391 NAC 3-005
Medication authorization forms complete
Ref: 391 NAC 3-005
Immunization records current (NESIIS verified)
Ref: NRS 79-221
Hand washing procedures posted
Ref: 391 NAC 3-005
Diapering/toileting area sanitary
Ref: 391 NAC 3-005
Safe sleep practices followed (infants)
Ref: 391 NAC 3-005
Cribs meet CPSC safety standards
Ref: 391 NAC 3-005
Cleaning supplies stored locked away from children
Ref: 391 NAC 3-007
Hazardous materials inaccessible to children
Ref: 391 NAC 3-007
Outlet covers installed throughout facility
Ref: 391 NAC 3-007
Water temperature safe (120°F or below)
Ref: 391 NAC 3-007
Food handling and storage meets standards
Ref: 391 NAC 3-005
Staff
Nebraska State Patrol background checks current
Ref: 391 NAC 3-004
Child Abuse/Neglect Central Registry checks complete
Ref: 391 NAC 3-004
National fingerprint checks current
Ref: 391 NAC 3-004
Director qualifications documented
Ref: 391 NAC 3-004
Lead teacher qualifications documented
Ref: 391 NAC 3-004
Pediatric CPR certifications current
Ref: 391 NAC 3-004
First aid certifications current
Ref: 391 NAC 3-004
Mandatory reporter training completed
Ref: NRS 28-711
Annual in-service training documented (12 hours minimum)
Ref: 391 NAC 3-004
Orientation training completed (new staff)
Ref: 391 NAC 3-004
Safe sleep training documented (infant caregivers)
Ref: 391 NAC 3-005
Staff personnel files complete
Ref: 391 NAC 3-004
Staff-to-child ratios maintained at all times
Ref: 391 NAC 3-006
Emergency
Fire drill records current (monthly)
Ref: 391 NAC 3-007
Tornado drill records current (monthly Apr-Sep)
Ref: 391 NAC 3-007
Lockdown drill records current (semi-annual)
Ref: 391 NAC 3-007
Full evacuation drill completed (annual)
Ref: 391 NAC 3-007
Emergency evacuation plan posted
Ref: 391 NAC 3-007
Fire extinguishers inspected and accessible
Ref: 391 NAC 3-007
Smoke detectors functional
Ref: 391 NAC 3-007
Emergency contact information for all children accessible
Ref: 391 NAC 3-005
Operations
Indoor space meets 35 sq ft per child requirement
Ref: 391 NAC 3-006
Outdoor play area safe and enclosed
Ref: 391 NAC 3-006
Children supervised at all times
Ref: 391 NAC 3-006
Step Up to Quality rating posted (if participating)
Ref: Step Up to Quality
This checklist is provided for reference only. Always verify requirements with your state licensing agency.
© 2026 Bloomily • bloomily.app/childcare-licensing/ne
Pre-Inspection Checklist
50 items based on Nebraska DHHS Children's Services Licensing (Title 391 NAC 3) requirements
Current DHHS license posted conspicuously
Ref: 391 NAC 3-003
Certificate of occupancy available
Ref: 391 NAC 3-003
Fire inspection report current
Ref: 391 NAC 3-003
Health inspection certificate posted
Ref: 391 NAC 3-003
Liability insurance documentation current
Ref: 391 NAC 3-003
Parent handbook available and current
Ref: 391 NAC 3-005
Child records complete and accessible
Ref: 391 NAC 3-005
Daily attendance records maintained
Ref: 391 NAC 3-005
Incident/accident reports documented
Ref: 391 NAC 3-005
DHHS complaint procedures posted
Ref: 391 NAC 3-003
First aid kit stocked and accessible
Ref: 391 NAC 3-007
Emergency phone numbers posted
Ref: 391 NAC 3-007
Poison control number posted
Ref: 391 NAC 3-007
Medications stored properly and locked
Ref: 391 NAC 3-005
Medication authorization forms complete
Ref: 391 NAC 3-005
Immunization records current (NESIIS verified)
Ref: NRS 79-221
Hand washing procedures posted
Ref: 391 NAC 3-005
Diapering/toileting area sanitary
Ref: 391 NAC 3-005
Safe sleep practices followed (infants)
Ref: 391 NAC 3-005
Cribs meet CPSC safety standards
Ref: 391 NAC 3-005
Cleaning supplies stored locked away from children
Ref: 391 NAC 3-007
Hazardous materials inaccessible to children
Ref: 391 NAC 3-007
Outlet covers installed throughout facility
Ref: 391 NAC 3-007
Water temperature safe (120°F or below)
Ref: 391 NAC 3-007
Food handling and storage meets standards
Ref: 391 NAC 3-005
Nebraska State Patrol background checks current
Ref: 391 NAC 3-004
Child Abuse/Neglect Central Registry checks complete
Ref: 391 NAC 3-004
National fingerprint checks current
Ref: 391 NAC 3-004
Director qualifications documented
Ref: 391 NAC 3-004
Lead teacher qualifications documented
Ref: 391 NAC 3-004
Pediatric CPR certifications current
Ref: 391 NAC 3-004
First aid certifications current
Ref: 391 NAC 3-004
Mandatory reporter training completed
Ref: NRS 28-711
Annual in-service training documented (12 hours minimum)
Ref: 391 NAC 3-004
Orientation training completed (new staff)
Ref: 391 NAC 3-004
Safe sleep training documented (infant caregivers)
Ref: 391 NAC 3-005
Staff personnel files complete
Ref: 391 NAC 3-004
Staff-to-child ratios maintained at all times
Ref: 391 NAC 3-006
Fire drill records current (monthly)
Ref: 391 NAC 3-007
Tornado drill records current (monthly Apr-Sep)
Ref: 391 NAC 3-007
Lockdown drill records current (semi-annual)
Ref: 391 NAC 3-007
Full evacuation drill completed (annual)
Ref: 391 NAC 3-007
Emergency evacuation plan posted
Ref: 391 NAC 3-007
Fire extinguishers inspected and accessible
Ref: 391 NAC 3-007
Smoke detectors functional
Ref: 391 NAC 3-007
Emergency contact information for all children accessible
Ref: 391 NAC 3-005
Indoor space meets 35 sq ft per child requirement
Ref: 391 NAC 3-006
Outdoor play area safe and enclosed
Ref: 391 NAC 3-006
Children supervised at all times
Ref: 391 NAC 3-006
Step Up to Quality rating posted (if participating)
Ref: Step Up to Quality
Nebraska compliance and operations resources
Nearby State Requirements
Requirements vary by state. Click to view specific licensing requirements.
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