Acelero Learning Clark County - Reach Out Center

This Statement ofDeficiencies was generated as a result of the on-site State licensure inspection conducted at your facility on02/24/2026. Please respond to each deficiencyand attach documents as requested for the deficiency it pertains to. Sign and submit your Plan of Correctionwithin 10 business days of receipt. Inspection consensus, the facility islicensed for 97children as a [center. The census at the time ofsurvey was 41 children. [#] If deficiencies are cited, an approved plan of correction must be returned within 10 days after receipt of this statement of deficiencies. LABORATORY DIREC 432A.178.2 (a) Parents not Notified of Right to ViewComplaints Based onobservation and record review on 02.24.26, parent was not informed of rightto view complaints made against facility. Ensure parents sign NRS 178notification form and it is kept in the child's file. Facility failed to havesigned copy of form notifying parents of right to request complaint informationfor the following children as referenced on the identifier sheet: Child # 8 Child # 14 STATEMEN quickly. 4. Identify the person responsible 432A.360 Limitation ondisclosure of (MUST ADDRESS) FAILURE TO information pertaining to child. ADDRESS ALL AREAS MAY RESULT IN AN UNACCEPTABLE PLAN OF Based on interview and record CORRECTION review,the facility failed to have signed The advocates are responsible for Permission to Release Information form these documents. At Reach Out, onfile for the following children as the advocates are Juan Ojeda and referenced on the identifier sheet: Wanda Wilson. If, for some reason, they are unable to fulfill Child #14 the responsibility, their supervisors (

The facility is licensed for 96 children as a Center. The census at the time of investigation was 38 children. 0 children's files and 0 staff files were reviewed. If deficiencies are cited, an approved plan of correction must be returned within 10 days after receipt of this statement of deficiencies. LABORATORY DIRECTOR'S OR PROVIDER/SUPPLIER Name: Title: Date: REPRESENTATIVE'S SIGNATURE

This Statement of Deficiencies was generated as a result of the on-siteState licensure survey conducted at your facility on 09/29/2025. The facility is licensed for 96 children as a Center. Thecensus at the time of survey was 33 children. 0 children's files and 0staff files were reviewed. Child files and all staff files will be reviewed at the Annual inspection. Reminder: The wooden planter has 1 screw protruding and need to be If deficiencies are cited, an approved plan of correction must be returned within 10 days after receipt of this statement of deficiencies. LABORATORY DIRECTOR'S OR PRO Based on is out, we will make sure the person in observation, the facility had no record charge is informed that a drill needs to be that a natural disaster was held at least done. once every three months. The last 4. I, Cora Chadwick, (center director) am disaster drill was logged was for responsible for this requirement. 04/29/2025. Ensure a natural disaster drill is held at least once every three months. Upload the natural disaster drill log to show compliance with the quarterly requirements. Answer 4 POC questions.

This Statement of Deficiencies was generated as a result of the on-site State Annual Inspection conducted at your facility on 2/14/2025. The facility is licensed for 96 children as a Center. The census at the time of survey was 43 children. 15 children's files today and 41 staff files were reviewed pm 1/30/2025. Reminders: -The eye was will expire on 3/2025. -Please make sure that parents of If deficiencies are cited, an approved plan of correction must be returned within 10 days after receipt of this statement of deficiencies. LABORATORY DIRECTOR'S OR PROVIDER/SUPPLIER Name: CORA CHADWICK Ti 250.2(a)(2). Based on future occurrence of the deficient observation, classroom #1 has an odor that practice (MUST ADDRESS) resembles sewage, which was particularly In the future, we will troubleshoot the issue noticeable in Bathroom #1 and needs to at the first recognition of a smell so that it be addressed. can be resolved quickly. 4. Identify the person responsible Please upload the work order request (MUST ADDRESS) FAILURE TO and the completed work order. ADDRESS ALL AREAS MAY RESULT IN AN UNACCEPTABLE PLAN OF Answer 4 POC questions. CORRECTION Cora Chadwick, Center Director, is responsib Based on (MUST ADDRESS) FAILURE TO observations, the following hazards were ADDRESS ALL AREAS MAY RESULT IN noted: AN UNACCEPTABLE PLAN OF CORRECTION Classroom #2: Two large bulletin boards Teachers are responsible for properly are peeling and pose a potential safety storing the broom/dustpan, as well as hazard for the children. Please dispose of, covering the bulletin board. CD is repair, or replace them. responsible for monitoring the staff and classroom to ensure these procedures are being followed. Classroom #1:The broom and dustpan in Bathroom #2 were stored next to the door, making them deficient practice (MUST ADDRESS) Based on record review and interview, the Advocates will review forms facility did not ensure that all health thoroughly and ensure that they statements were properly completed by a medical professional before acceptance. are fully complete prior to The health statement for Child #7 on the uploading. identifier list was signed and stamped by a 4. Identify the person responsible medical professional, but the document was (MUST ADDRESS) FAILURE TO incomplete. Please ensure that the health ADDRESS ALL AREAS MAY RESULT statement is fully completed. IN AN UNACCEPT Based on observation, interview and review of records, the facility did not assess each child within three months after enrollment in the facility or repeat assessment every six months. Please upload assessments for the following children listed on the identifier list. 1060 B. W

This Statement of Deficiencies was generated as a result of the on-site State licensure survey conducted at your facility on 9/20/2024. There were no regulatory deficiencies identified at the time of the survey. The facility is licensed for 96 children as a Center. The census at the time of survey was 36 children. 0 children's files and 0 staff files were reviewed. If deficiencies are cited, an approved plan of correction must be returned within 10 days after receipt of this statement of deficiencies. LABORATORY DIRECTOR'S OR PROVIDER/SUPPLIER Name: Title: Date: REPRESENTATIVE'S SIGNATURE STA

The facility is licensed for 96 children as a Center. The census at the time of investigation was 35 children. 10 children's files and 0 staff files were reviewed. Employee files will be reviewed on 02/28/24 at Cheyenne corporate office. Continue to upload documents into Renewal application. If deficiencies are cited, an approved plan of correction must be returned within 10 days after receipt of this statement of deficiencies. LABORATORY DIRECTOR'S OR PROVIDER/SUPPLIER Name: Title: Date: REPRESENTATIVE'S SIGNATURE

The facility is licensed for 96 children as a Center. The census at the time of investigation was 27 children. 20 children's files and 34 staff files were reviewed. NRS 178 Child care facility required to maintain NRS 178 Eileen Eady, Center Director spoke with 10/11/202 certain information; reporting of information Jesus Ortiz and Wanda Wilson, family 3 to parents and guardians; notice of right to advocates. Jesus and Wanda already had information. the document for Child #19, it had been 1. A child care facility shall maintain a copy overlooked when uploading. If deficiencies are cited, an a Based on record review, Child #19 did not have NRS178 form in child file. Upload signed NRS 178 form then place in child file. 1060 B. WING _______________________ 10/10/2023 ACELERO LEARNING CLARK COUNTY - REACH Based on record review, Child #6,7 and 13 need assessments completed. Upload completed assessment then place in child file.

ThisStatement of Deficiencies was generated as a result of the on-site Statelicensure survey conducted at your facility on 03/01/2023. Thefacility is licensed for 96 children as a center. The census at thetime of survey was 37 children. 15 children's files and 0 staff files werereviewed. Reminders: 1. Please upload documents to renewal application If deficiencies are cited, an approved plan of correction must be returned within 10 days after receipt of this statement of deficiencies. LABORATORY DIRECTOR'S OR PROVIDER/SUPPLIER Name: HEANG (MONICA) Title: Center Director Date: 03/08/2023 REPRES Based on interview and record review, the facility failed to ensure that each child had a written authorization signed 1060 B. WING _______________________ 03/01/2023 ACELERO LEARNING CLARK COUNTY - REACH OUT CE Based on observation and record review, facility failed to have signed copy of form notifying parents of right to request complaint information. Please uploaded signed NRS178 for children listed on the identifier list. Child # 13 1060 B. WING _______________________ 03/01/2023 Based on interview and record review, the facility failed to have signed Permission to Release Information form on file for children. Please upload Permission to Release forms signed by parent/guardian for children listed on the identifier list. Child # 6 Child # 14 NRS 230 NRS 230 The Center Director will follow-up to remind 03/07/202 Certificate of immunization prerequisite to with Family Services and Health 3 admission to child care facility; conditional Coordinator to have all updated admission; report to Health Division. Except immunizations record be uploaded in a as otherwise provided Based on record review and interview, the facility admitted children who were not up to date with immunizations or for whom no record was present or needed an updated. Please uploaded updated immunizations for children listed on the identifier list. Child # 15 NAC 430 1. Each facility, including, without limitation, NAC 430 The teacher will upload and attach 03/06/202 a family home and a group home, shall assessment summary to SHINE when 3 have an early care and education program. completed and the Center Director will 2. Each facility described in subsection 1 monitor and follow-up to remind Based on observation, interview and review of records, the facility did not assess each child within three months after enrollment in the facility or repeat assessment every six months. Please upload assessments for children listed on the identifier list. Child # 1 1060 B. WING

This Statement of Deficiencies was generated as a result of the on-site State licensure survey conducted at your facility on 09/28/2022. The facility is licensed for 96 children as a center. The census at the time of survey was 34 children. 15 children's files and 16 staff files were reviewed. If deficiencies are cited, an approved plan of correction must be returned within 10 days after receipt of this statement of deficiencies. LABORATORY DIRECTOR'S OR PROVIDER/SUPPLIER Name: HEANG (MONICA) Title: Center Director Date: 10/07/2022 REPRESENTATIVE'S SIGNATURE VENTURA Based on observation and record review, facility failed to ensure that staff renewed backgrounds before it expires. Two staff on the facility NABS roster were noted to have expired fingerprints and one staff member was missing a Consent and Release. Please upload current fingerprints for staff listed on the identifier list: Staff # 1 missing Consent and Release Staff # 2 had expired backgrounds Staff # 3 had expired backgrounds Based on inspection facility failed to recognize and eliminate the following hazards: Brooms, dust pans, and toilet plungers were accessible to children. Please ensure that these items are inaccessible to children. NAC 306 1. Every caregiver in a child care facility NAC 306 1.Gather document and upload to clic 09/28/202 must: 2. Date of correction 09/28/2022 2 (a) Be at least 16 years of age; 3. Make sure to conduct frequent checks (b) Be able to summon help in an and monitoring of staff files. Also, inform emergency; HR for any missing documentation (c) Be emotionally and physically qualifie Based on interview and record review, the facility failed to ensure that within 120days of hire each employee had a 1060 B. WING _______________________ 09/28/2022 ACELERO LEARNING CLARK COUNTY - REACH OUT CENTE Based on interview and record review, the facility failed to ensure that each child had a written authorization signed by a parent which allows emergency and medical care. Please upload signed Medical Emergency Consent forms for children listed on the identifier list. Child # 12 Child # 13 Child # 14 NRS 178 Child care facility required to maintain NRS 178 1. Gather documentation from Family 09/29/202 certain information; reporting of information Services team (Wanda Wilson, Kymberly 2 to parents and guardians; notice of right to Revolorio, Jessica Garica) and upload in information. CLICS 1. Based on observation and record review, parent was not informed of right to view complaints made against facility. Ensure parents sign NRS 178 notification form and it is kept in the child's file. Please upload NRS 178 signed by parent or guardian for children listed on the identifier list. Child # 5 Child # 13 Based on record review and interview, the facility did not have a health statement signed by a registered nurse or physician within 30 days after admission. Please upload proof of health statement for children listed on the identifier list. Child # 10 NRS 230 NRS 230 1. Gather documentation from Health 09/29/202 Certificate of immunization prerequisite to Coordinator (Amanda Loyola, Kymberly 2 admission to child care facility; conditional Revolorio) and upload in CLICS admission; report to Health Division. Except 2. date corrected was on September as otherwise provided in NRS 432A.235 for 29, Based on record review and interview, the facility admitted children who were not up to date with immunizations or for whom no record was present or needed an updated. Please uploaded updated immunizations for children listed on the identifier list. Child # 5 missing 4 years old immunizations

This Statement of Deficiencies was generated as a result of the on-site State licensure survey conducted at your facility, for State license #1060, on 3/17/22. There were no regulatory deficiencies identified at the time of the survey. The facility is licensed for 96 Children as a center. The census at the time of survey was 34 children and 10 children files were reviewed and 8 staff files were reviewed. If deficiencies are cited, an approved plan of correction must be returned within 10 days after receipt of this statement of deficiencies. LABORATORY DIRECTOR'S OR PROVIDER/SUPPLIER Name: Tit

The facility is licensed for 96 children as a Center. The census at the time of investigation was 38 children. 0 children's files and 0 staff files were reviewed. If deficiencies are cited, an approved plan of correction must be returned within 10 days after receipt of this statement of deficiencies. LABORATORY DIRECTOR'S OR PROVIDER/SUPPLIER Name: Title: Date: REPRESENTATIVE'S SIGNATURE

This Statement of Deficiencies was generated as a result of the on-siteState licensure survey conducted at your facility on 09/29/2025. The facility is licensed for 96 children as a Center. Thecensus at the time of survey was 33 children. 0 children's files and 0staff files were reviewed. Child files and all staff files will be reviewed at the Annual inspection. Reminder: The wooden planter has 1 screw protruding and need to be If deficiencies are cited, an approved plan of correction must be returned within 10 days after receipt of this statement of deficiencies. LABORATORY DIRECTOR'S OR PRO Based on is out, we will make sure the person in observation, the facility had no record charge is informed that a drill needs to be that a natural disaster was held at least done. once every three months. The last 4. I, Cora Chadwick, (center director) am disaster drill was logged was for responsible for this requirement. 04/29/2025. Ensure a natural disaster drill is held at least once every three months. Upload the natural disaster drill log to show compliance with the quarterly requirements. Answer 4 POC questions.

This Statement of Deficiencies was generated as a result of the on-site State Annual Inspection conducted at your facility on 2/14/2025. The facility is licensed for 96 children as a Center. The census at the time of survey was 43 children. 15 children's files today and 41 staff files were reviewed pm 1/30/2025. Reminders: -The eye was will expire on 3/2025. -Please make sure that parents of If deficiencies are cited, an approved plan of correction must be returned within 10 days after receipt of this statement of deficiencies. LABORATORY DIRECTOR'S OR PROVIDER/SUPPLIER Name: CORA CHADWICK Ti 250.2(a)(2). Based on future occurrence of the deficient observation, classroom #1 has an odor that practice (MUST ADDRESS) resembles sewage, which was particularly In the future, we will troubleshoot the issue noticeable in Bathroom #1 and needs to at the first recognition of a smell so that it be addressed. can be resolved quickly. 4. Identify the person responsible Please upload the work order request (MUST ADDRESS) FAILURE TO and the completed work order. ADDRESS ALL AREAS MAY RESULT IN AN UNACCEPTABLE PLAN OF Answer 4 POC questions. CORRECTION Cora Chadwick, Center Director, is responsib Based on (MUST ADDRESS) FAILURE TO observations, the following hazards were ADDRESS ALL AREAS MAY RESULT IN noted: AN UNACCEPTABLE PLAN OF CORRECTION Classroom #2: Two large bulletin boards Teachers are responsible for properly are peeling and pose a potential safety storing the broom/dustpan, as well as hazard for the children. Please dispose of, covering the bulletin board. CD is repair, or replace them. responsible for monitoring the staff and classroom to ensure these procedures are being followed. Classroom #1:The broom and dustpan in Bathroom #2 were stored next to the door, making them deficient practice (MUST ADDRESS) Based on record review and interview, the Advocates will review forms facility did not ensure that all health thoroughly and ensure that they statements were properly completed by a medical professional before acceptance. are fully complete prior to The health statement for Child #7 on the uploading. identifier list was signed and stamped by a 4. Identify the person responsible medical professional, but the document was (MUST ADDRESS) FAILURE TO incomplete. Please ensure that the health ADDRESS ALL AREAS MAY RESULT statement is fully completed. IN AN UNACCEPT Based on observation, interview and review of records, the facility did not assess each child within three months after enrollment in the facility or repeat assessment every six months. Please upload assessments for the following children listed on the identifier list. 1060 B. W

This Statement of Deficiencies was generated as a result of the on-site State licensure survey conducted at your facility on 9/20/2024. There were no regulatory deficiencies identified at the time of the survey. The facility is licensed for 96 children as a Center. The census at the time of survey was 36 children. 0 children's files and 0 staff files were reviewed. If deficiencies are cited, an approved plan of correction must be returned within 10 days after receipt of this statement of deficiencies. LABORATORY DIRECTOR'S OR PROVIDER/SUPPLIER Name: Title: Date: REPRESENTATIVE'S SIGNATURE STA

The facility is licensed for 96 children as a Center. The census at the time of investigation was 35 children. 10 children's files and 0 staff files were reviewed. Employee files will be reviewed on 02/28/24 at Cheyenne corporate office. Continue to upload documents into Renewal application. If deficiencies are cited, an approved plan of correction must be returned within 10 days after receipt of this statement of deficiencies. LABORATORY DIRECTOR'S OR PROVIDER/SUPPLIER Name: Title: Date: REPRESENTATIVE'S SIGNATURE

The facility is licensed for 96 children as a Center. The census at the time of investigation was 27 children. 20 children's files and 34 staff files were reviewed. NRS 178 Child care facility required to maintain NRS 178 Eileen Eady, Center Director spoke with 10/11/202 certain information; reporting of information Jesus Ortiz and Wanda Wilson, family 3 to parents and guardians; notice of right to advocates. Jesus and Wanda already had information. the document for Child #19, it had been 1. A child care facility shall maintain a copy overlooked when uploading. If deficiencies are cited, an a Based on record review, Child #19 did not have NRS178 form in child file. Upload signed NRS 178 form then place in child file. 1060 B. WING _______________________ 10/10/2023 ACELERO LEARNING CLARK COUNTY - REACH Based on record review, Child #6,7 and 13 need assessments completed. Upload completed assessment then place in child file.

ThisStatement of Deficiencies was generated as a result of the on-site Statelicensure survey conducted at your facility on 03/01/2023. Thefacility is licensed for 96 children as a center. The census at thetime of survey was 37 children. 15 children's files and 0 staff files werereviewed. Reminders: 1. Please upload documents to renewal application If deficiencies are cited, an approved plan of correction must be returned within 10 days after receipt of this statement of deficiencies. LABORATORY DIRECTOR'S OR PROVIDER/SUPPLIER Name: HEANG (MONICA) Title: Center Director Date: 03/08/2023 REPRES Based on interview and record review, the facility failed to ensure that each child had a written authorization signed 1060 B. WING _______________________ 03/01/2023 ACELERO LEARNING CLARK COUNTY - REACH OUT CE Based on observation and record review, facility failed to have signed copy of form notifying parents of right to request complaint information. Please uploaded signed NRS178 for children listed on the identifier list. Child # 13 1060 B. WING _______________________ 03/01/2023 Based on interview and record review, the facility failed to have signed Permission to Release Information form on file for children. Please upload Permission to Release forms signed by parent/guardian for children listed on the identifier list. Child # 6 Child # 14 NRS 230 NRS 230 The Center Director will follow-up to remind 03/07/202 Certificate of immunization prerequisite to with Family Services and Health 3 admission to child care facility; conditional Coordinator to have all updated admission; report to Health Division. Except immunizations record be uploaded in a as otherwise provided Based on record review and interview, the facility admitted children who were not up to date with immunizations or for whom no record was present or needed an updated. Please uploaded updated immunizations for children listed on the identifier list. Child # 15 NAC 430 1. Each facility, including, without limitation, NAC 430 The teacher will upload and attach 03/06/202 a family home and a group home, shall assessment summary to SHINE when 3 have an early care and education program. completed and the Center Director will 2. Each facility described in subsection 1 monitor and follow-up to remind Based on observation, interview and review of records, the facility did not assess each child within three months after enrollment in the facility or repeat assessment every six months. Please upload assessments for children listed on the identifier list. Child # 1 1060 B. WING

Surveyor Joyce completed a semi-annual inspection on 9/27/17. There were 37 children present during the inspection. There was great learning going on in room 3 during the inspection. The teacher had appropriate re- direction skills and excellent teaching strategies. There were deficiencies noted throughout the inspection. NAC 260 1. To maintain his or her license, the NAC 260 1. teachers cleaned the cabinets and 09/29/201 licensee must ensure that his or her facility janitors cleaned the baseboards- pictures 7 meets all standards for environmental attached health which are established by the Facility cleanliness was a concern. In rooms 1, 2, and 3 the cabinets were very dirty with dripping dirt and paint on them. The cabinets below the sinks need to be wiped clean. The baseboards in the classrooms need to be cleaned. The wall by the water fountain in room 1 needs to be cleaned and sanitized. If deficiencies are cited, an approved plan of correction must be returned within 10 days after receipt of this statement of deficiencies. LABORATORY DIRECTOR'S OR PROVIDER/SUPPLIER Name: ERIN JOHN Title: Center Director Date: 10/09/2017 REPRESENTATIVE'S SIGNATURE 1. In room 3 the staff had a handbag on a shelf in an open cabinet within reach of a child. 2. In room 2 the chemical cabinet under the sink was open and in reach of children (Surveyor locked the cabinet). NAC 520 1. A licensee of a child care facility shall NAC 520 1. A training on supervision was conducted 09/29/201 have a staff which is sufficient in number to to the staff on 09/29/2017 7 provide physical care, supervision and 2.09/29/2017 individual attention to each child and allow 3. making sure children know the time for interaction between the staff and expectation in the classroom during the the children to promote the children ' s different times of the day and follow up from social competence, emotional well-being CD on a daily basis. and intellectual development. 4.Center Direc... The supervision in room 2 during the inspection was a concern. Children were not listening to the teacher, arguing with one another and the teacher was having a difficult time re- directing the children. This is the same room where the cleaning supplies cabinet was left unlocked.

The facility is licensed for 96 children as a Center. The census at the time of investigation was 38 children. 0 children's files and 0 staff files were reviewed. If deficiencies are cited, an approved plan of correction must be returned within 10 days after receipt of this statement of deficiencies. LABORATORY DIRECTOR'S OR PROVIDER/SUPPLIER Name: Title: Date: REPRESENTATIVE'S SIGNATURE

This Statement of Deficiencies was generated as a result of the on-site State licensure survey conducted at your facility on 09/28/2022. The facility is licensed for 96 children as a center. The census at the time of survey was 34 children. 15 children's files and 16 staff files were reviewed. If deficiencies are cited, an approved plan of correction must be returned within 10 days after receipt of this statement of deficiencies. LABORATORY DIRECTOR'S OR PROVIDER/SUPPLIER Name: HEANG (MONICA) Title: Center Director Date: 10/07/2022 REPRESENTATIVE'S SIGNATURE VENTURA Based on observation and record review, facility failed to ensure that staff renewed backgrounds before it expires. Two staff on the facility NABS roster were noted to have expired fingerprints and one staff member was missing a Consent and Release. Please upload current fingerprints for staff listed on the identifier list: Staff # 1 missing Consent and Release Staff # 2 had expired backgrounds Staff # 3 had expired backgrounds Based on inspection facility failed to recognize and eliminate the following hazards: Brooms, dust pans, and toilet plungers were accessible to children. Please ensure that these items are inaccessible to children. NAC 306 1. Every caregiver in a child care facility NAC 306 1.Gather document and upload to clic 09/28/202 must: 2. Date of correction 09/28/2022 2 (a) Be at least 16 years of age; 3. Make sure to conduct frequent checks (b) Be able to summon help in an and monitoring of staff files. Also, inform emergency; HR for any missing documentation (c) Be emotionally and physically qualifie Based on interview and record review, the facility failed to ensure that within 120days of hire each employee had a 1060 B. WING _______________________ 09/28/2022 ACELERO LEARNING CLARK COUNTY - REACH OUT CENTE Based on interview and record review, the facility failed to ensure that each child had a written authorization signed by a parent which allows emergency and medical care. Please upload signed Medical Emergency Consent forms for children listed on the identifier list. Child # 12 Child # 13 Child # 14 NRS 178 Child care facility required to maintain NRS 178 1. Gather documentation from Family 09/29/202 certain information; reporting of information Services team (Wanda Wilson, Kymberly 2 to parents and guardians; notice of right to Revolorio, Jessica Garica) and upload in information. CLICS 1. Based on observation and record review, parent was not informed of right to view complaints made against facility. Ensure parents sign NRS 178 notification form and it is kept in the child's file. Please upload NRS 178 signed by parent or guardian for children listed on the identifier list. Child # 5 Child # 13 Based on record review and interview, the facility did not have a health statement signed by a registered nurse or physician within 30 days after admission. Please upload proof of health statement for children listed on the identifier list. Child # 10 NRS 230 NRS 230 1. Gather documentation from Health 09/29/202 Certificate of immunization prerequisite to Coordinator (Amanda Loyola, Kymberly 2 admission to child care facility; conditional Revolorio) and upload in CLICS admission; report to Health Division. Except 2. date corrected was on September as otherwise provided in NRS 432A.235 for 29, Based on record review and interview, the facility admitted children who were not up to date with immunizations or for whom no record was present or needed an updated. Please uploaded updated immunizations for children listed on the identifier list. Child # 5 missing 4 years old immunizations

This Statement of Deficiencies was generated as a result of the on-siteState licensure survey conducted at your facility on 09/29/2025. The facility is licensed for 96 children as a Center. Thecensus at the time of survey was 33 children. 0 children's files and 0staff files were reviewed. Child files and all staff files will be reviewed at the Annual inspection. Reminder: The wooden planter has 1 screw protruding and need to be If deficiencies are cited, an approved plan of correction must be returned within 10 days after receipt of this statement of deficiencies. LABORATORY DIRECTOR'S OR PRO Based on is out, we will make sure the person in observation, the facility had no record charge is informed that a drill needs to be that a natural disaster was held at least done. once every three months. The last 4. I, Cora Chadwick, (center director) am disaster drill was logged was for responsible for this requirement. 04/29/2025. Ensure a natural disaster drill is held at least once every three months. Upload the natural disaster drill log to show compliance with the quarterly requirements. Answer 4 POC questions.

This Statement of Deficiencies was generated as a result of the on-site State Annual Inspection conducted at your facility on 2/14/2025. The facility is licensed for 96 children as a Center. The census at the time of survey was 43 children. 15 children's files today and 41 staff files were reviewed pm 1/30/2025. Reminders: -The eye was will expire on 3/2025. -Please make sure that parents of If deficiencies are cited, an approved plan of correction must be returned within 10 days after receipt of this statement of deficiencies. LABORATORY DIRECTOR'S OR PROVIDER/SUPPLIER Name: CORA CHADWICK Ti 250.2(a)(2). Based on future occurrence of the deficient observation, classroom #1 has an odor that practice (MUST ADDRESS) resembles sewage, which was particularly In the future, we will troubleshoot the issue noticeable in Bathroom #1 and needs to at the first recognition of a smell so that it be addressed. can be resolved quickly. 4. Identify the person responsible Please upload the work order request (MUST ADDRESS) FAILURE TO and the completed work order. ADDRESS ALL AREAS MAY RESULT IN AN UNACCEPTABLE PLAN OF Answer 4 POC questions. CORRECTION Cora Chadwick, Center Director, is responsib Based on (MUST ADDRESS) FAILURE TO observations, the following hazards were ADDRESS ALL AREAS MAY RESULT IN noted: AN UNACCEPTABLE PLAN OF CORRECTION Classroom #2: Two large bulletin boards Teachers are responsible for properly are peeling and pose a potential safety storing the broom/dustpan, as well as hazard for the children. Please dispose of, covering the bulletin board. CD is repair, or replace them. responsible for monitoring the staff and classroom to ensure these procedures are being followed. Classroom #1:The broom and dustpan in Bathroom #2 were stored next to the door, making them deficient practice (MUST ADDRESS) Based on record review and interview, the Advocates will review forms facility did not ensure that all health thoroughly and ensure that they statements were properly completed by a medical professional before acceptance. are fully complete prior to The health statement for Child #7 on the uploading. identifier list was signed and stamped by a 4. Identify the person responsible medical professional, but the document was (MUST ADDRESS) FAILURE TO incomplete. Please ensure that the health ADDRESS ALL AREAS MAY RESULT statement is fully completed. IN AN UNACCEPT Based on observation, interview and review of records, the facility did not assess each child within three months after enrollment in the facility or repeat assessment every six months. Please upload assessments for the following children listed on the identifier list. 1060 B. W

This Statement of Deficiencies was generated as a result of the on-site State licensure survey conducted at your facility on 9/20/2024. There were no regulatory deficiencies identified at the time of the survey. The facility is licensed for 96 children as a Center. The census at the time of survey was 36 children. 0 children's files and 0 staff files were reviewed. If deficiencies are cited, an approved plan of correction must be returned within 10 days after receipt of this statement of deficiencies. LABORATORY DIRECTOR'S OR PROVIDER/SUPPLIER Name: Title: Date: REPRESENTATIVE'S SIGNATURE STA