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County agency is the Southern Nevada Health Disctrict. They are authorized to exist per NRS 439.
They adopt their own regs per NRS 446.940(2)
Their own regs they made are here
Anyone defined as "food handler" needs to do an "approved food handlers training course". No protocol for having course approved/reviewed by SNHD. So far that's been a decision the SNHD director has made himself. We have a course but SNHD flat our refuses to review or approve it. They approved it for one school and that's it.
Sec 2-103.11 does permit a nationally accredit course to work but that takes 2 years and $500,000. Not an option!