The Child Care and Development Block Grant Act of 2014 (CCDBG Act) added new requirements for States that receive funding from the Child Care and Development Fund (CCDF) to conduct comprehensive criminal background checks on staff members and prospective staff members of child care providers every 5 years. As part of our oversight activities, we conducted a series of audits that assessed States’ criminal background check requirements and reviewed their plans and actions to implement the criminal background check requirements established under the CCDBG Act. We conducted this audit of Nevada’s Department of Health and Human Services (State agency) as part of a second phase of our oversight activities to assess whether States’ monitoring ensured provider compliance with CCDF requirements related to criminal background checks. (author abstract)