Aprende Academy Pre-K at Doral Pebble

This Statement of Deficiencies was generated as a result of the on-site State licensure inspection conducted at your facility on 02.23.2026. Please respond to each deficiency and attach documents as requested for the deficiency it pertains to. Sign and submit your Plan of Correction within 10 business days of receipt. Inspection consensus, the facility is licensed for 17 children as a center. The census at the time of survey was 16 children. No children's files and no staff files were reviewed. Based on observation, the facility failed to recognize 3255 B. WING _______________________ 02/23/2026 APRENDE ACADEMY PRE-K AT DORAL PEBBLE 6435 W. PEBBLE RD, LAS VEGAS, NEVADA ,89139 Based on record review and interview on 02.23.2026, the facility failed to destroy or return to the child' s parent prescribed medication that was no longer being administered or had expired. Dispose of prescribed medication upon discontinuance of use or expiration. 1 Epi pen expired on 11.30.2025. Per director, mom mentioned that the child no longer needed the Epi pen as the child's egg allergy had resolved itself. Please ensure that the facility has updated medical records that indicate that the child no longer requires the use of an Epi pen. It was also observed that another child's Epi pe

The facility is licensed for 15 children as a Center. The census at the time of inspection was 9 children. 9 child's file and 3 staff files were reviewed. Reminders: - Ensure that adults scissors are stored out of reach and inaccessible to children. Adult scissors were observed behind teacher's desk in reach. It should be noted that this hazard was corrected on site. Annual Hours: Please submit to Surveyor by 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 Based on observation, the following hazards were observed on playground: - The 5 yellow bikes were observed to have black rubber coming off of the handlebars and / or wheels. The bikes will need to be repaired, replaced, or discarded. Upload pictures to provide proof of corrections. Based on file review, the last fire drill was completed on 5.13.2025. No fire drill was completed for the month of June 2025. Complete a fire drill, update fire drill log, and upload a copy of updated fire drill log to provide proof of this correction. NAC 306 1. Every caregiver in a child care facility NAC 306 1. In order to correct this action Shannon's 07/14/202 must: NV registry was printed and filed. 5 (a) Be at least 16 years of age; 2. The date this action was completed was (b) Be able to summon help in an on 07/14. emergency; 3. In order to prevent future occurrences the (c) Be emotio Based on file review, staff Shannon K. Nevada Registry certificate expired 6.1.2025. Upload updated Nevada Registry to provide proof of this correction. 3255 B. WING _______________________ 07/09/2025 APRENDE AC Based on file review, Child #1, Child #4, and Child #7 are missing up to date immunization records. Upload updated immunization records for the children listed above. Based on file review, Child #1, child #2, Child #3, Child #4, Child #5, Child #6, Child #7, Child #8, and Child #9 are missing Health Statements. Have parents complete Health Statements with children's physicians. Ensure all Health Statements are sign by physician and uploaded to provide proof of these corrections. NAC 376 Except as otherwise provided in NAC NAC 376 1. In order to correct this deficiency the 07/09/202 432A.585: Based on observation, there were three medications onsite with no Medication Authorization form / log completed and signed by a parent. Please note that a medication authorization form needs to be completed and on file, although medication may have not been administered yet. Have parents complete Medication Authorization Forms and upload to provide proof of these corrections . Based on observation, one medication on site expired in February 2025. The expired medication will need to be returned to parent or destroyed. Upload pictures to provide proof of this correction. NAC 430 1. Each facilit Based on file review, Child #1, Child #2, Child #3, Child #5, and Child #6 are missing up to date assessments. Complete updated assessments and uploads to provide proof of these corrections. Please note that assessments are to be completed within 30 of enrollment and every 6 months following. NAC 414 1. A carpeted floor or rug on a floor that is NAC 414 1. In order to correct this deficiency I logged 07/09/202 too large to wash in a washing machine the date the carpets and tiles were cleaned. 5 must be vacuumed not less than one time 2. This action was completed on 07/09. each day or more oft Based on file review, the facility's carpet was last cleaned in January 2025. Please note that carpets are to be cleaned once every 3 months. The facility carpets appeared to be clean and in good condition. Please complete an updated cleaning, log, and upload 3255 B. WING ____

This Statement of Deficiencies was generated as a result of the on-site State licensure survey conducted at your facility on 5/21/2024. Please respond to each deficiency and attach documents as requested for the deficiency it pertains to. Sign and submit your Plan of Correction within 10 business days of receipt. Inspection consensus, the facility is licensed for 15 children as a center. The census at the time of survey was 15 children. 10 children's files and 6 staff files were reviewed. Reminder: All remaining annual training hours must be If deficiencies are cited, an approved plan of corr Based on interview and record review, the facility failed to ensure that within 90 days of hire each employee had a completed application or renewal of Nevada Registry membership. Current Nevada Registry membership not present for staff noted below as listed on the staff identifier sheet. Please submit copy of current Nevada Registry certificate or email from Nevada Registry showing proof of applying for staff listed. Staff #3 and #5 NAC 322 1. Each person who is employed in a child NAC 322 I, Amy Ciarolla have received the udated 06/12/202 care facility shall: CPR certification for employee number 1. In 4 (a) Except as otherwise provided in the future i will conduct routine checks to subsection 2 and Based on record review and interview that facility failed to ensure staff maintained current CPR/First Aid certification. Please submit copy of current CPR/First certification for staff noted below. Staff #1, #5, and #6. NAC 323 1. Except as otherwise provided in NAC NAC 323 I, Amy Ciarolla, have corrected the violation 06/12/202 432A.521 and NRS 432A.177, within 120 for staff member number 6. She has been 4 days after commencing his or her removed from NABS and is no longer employment or position in a child care employed. In the future I will ensure all staff facility, each person who is employed in a completes their trainings within the 120 child care facility, other than a person days. employed in a facility that provides care for ill children, and each director of a child care facility... Based on interview and record review, the facility failed to ensure that within 120 days of hire each employee completed the required hours of training in childcare. Training not on file for staff as noted below: Staff #6

ThisStatement of Deficiencies was generated as a result of the on-site Statelicensure inspection conducted at your facility on 2/5/24. Thefacility is licensed for #15 Children as a center. The census at the time ofsurvey was #11 children and #10 children files were reviewed and #6 staff files werereviewed. NAC 306 1. Every caregiver in a child care facility NAC 306 I, Amy Ciarolla am responsible to ensuring 02/12/202 must: each of my employees have their current 4 (a) Be at least 16 years of age; Nevada Registry membership. The (b) Be able to summon help in an substitute teacher's Registry ha Basedon interview and record review, the facility failed to ensure that within 90days of hire each employee had a completed application or renewal of NevadaRegistry membership. Current Nevada Registry membership not present for staffnoted below as listed on the staff identifier sheet. Sandi C. Answer 4 poc questions and upload proof of NV Registry. NAC 323 1. Except as otherwise provided in NAC NAC 323 I, Amy Ciarolla, am responsible to ensuring 02/05/202 432A.521 and NRS 432A.177, within 120 each of my employees has their current 4 days after commencing his or her CPR certification. The employee did renew, employment or position in a child care however I did not obtain a copy of her new facility, each person who is employed in a one. I will add it to the employee calendar to child care fa... Basedon interview and record review, the facility failed to ensure that within 90days of hire each employee completed therequired hours of training in child care. Training not on file for staff asnoted below: Sandie C. - CPR/First Aid Answer 4 poc questions and upload CPR/First aid card.

ThisStatement of Deficiencies was generated as a result of the on-site Statelicensure survey conducted at your facility on 9/5/23. Thefacility is licensed for #15 Children as a center. The census at the time ofsurvey was #14 children and #10 children files were reviewed and #3 staff files werereviewed. NAC 310 1. Every member of the staff of a facility, NAC 310 1. Nikki Orellano completed and turned in 09/15/202 including a volunteer, and each resident of her negative TB test. 3 the facility shall present to the director of 2. Nikki turned it in on September 15, 2023. the facility, to be plac Basedon interview and record review, the facility did not have written evidence thatall staff were free from communicable tuberculosis issued within the preceding24 months. Staff listed on identifier supplement noted below require current TBtest verification: Leslie O. - Answer 4 poc questions and upload negative TB verification. NRS 230 NRS 230 1. Student files have been updated and 09/15/202 Certificate of immunization prerequisite to added to their files and to the POC. 3 admission to child care facility; conditional 2. Completed on September 15, 2023. admission; report to Health Division. ImmunizationsNot Current Basedon record review and interview, the facility admitted children who were not upto date with immunizations or for whom no record was present. Children, as listed on the supplement,without a current immunization record may not be present at the facility untilthe record is on file. Child # 1,7,8,9,10 - See child identifiation list located in documents. Answer 4 poc questions and upload documentation of current immunizations.

The facility is licensed for 15 children as a Center. The census at the time of investigation was 12 children. 10 children's files and 5 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: SHANNON KILLEEN Title: Director Date: 03/27/2023 REPRESENTATIVE'S SIGNATURE Based on record review and interview, NABS roster is inaccurate and items missing. Delete Alexss P and Valerie R from NABS roster then upload current NABS roster into POC. Upload Tatiana A's 3rd page stamped Consent and Release form along with 1st and 2nd form for this location into NABS then email Backgrounds to issue Eligibility and change to "Eligible" NAC 306 1. Every caregiver in a child care facility NAC 306 1.Sandie Coates' current NV Registry is 03/03/202 must: attached and has been printed and filed in 3 (a) Be at least 16 years of age; employee handbook. (b) Be able to summon help i Based on record review, Sandie C needs current NV Registry. Upload NV Registry email confirmation or copy of certificate then place in employee file. NAC 323 1. Except as otherwise provided in NAC NAC 323 1. Sandie Coates was missing Signs of 03/03/202 432A.521 and NRS 432A.177, within 120 Illness with Bloodborne Pathogens, two 3 days after commencing his or her more hours of Human Growth and employment or position in a child care Development/Positive Guidance and facility, each person who is employed in a Emergency Preparedness. All classes have child care facility, other than a person been completed, printed and filed in employed in a facility that provides care for employee handbook. Please see ill children, and each director of a child care attachment for certificates. 3255 B. WING ___... Based on record review, Sandie C needs Signs of Illness with Bloodborne Pathogens, 2 more hours Human Growth and Development/Positive Guidance and Emergency Preparedness. Upload then place in employee file. NRS 230 NRS 230 1. Based on records review, Child #3, 5 and 03/03/202 Certificate of immunization prerequisite to 7 needed 4 year old shots, 5th DTAP, 4th 3 admission to child care facility; conditional Polio, 2nd MMR and 2nd Varicella. Upon admission; report to Health Division. Except reviewing the number list with children's as otherwise provided in NRS 432A.235 for names, we discovered Based on record review, Child #3, 5 and 7 need 4 year old shots 5th DTAP, 4th Polio, 2nd MMR and 2nd Varicella, Doctor's note if delayed or appointment date when scheduled then place current shot record in child file.

The facility is licensed for 15 children as a Center. The census at the time of investigation was 12 children. 10 children's files and 5 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

ThisStatement of Deficiencies was generated as a result of the on-site Statelicensure survey conducted at your facility on 03/30/2022. The facility islicensed for 15 children as a center. The census at the time ofsurvey was 11 children. 10 children's files and 6 staff files were reviewed Reminders: When a staff member renews backgrounds a new application must be added in the NABS system. 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: RHIANNON JOEL Title: Basedon record review and interview, the facility admitted children who were not upto date with immunizations or for whom no record was present. Children, as listed on the identifier listwere noted to have missing immunizations.

This Statement of Deficiencies was generated as a result of the onsite Child Care Licensing inspection conducted in your facility on 03/29/2022. At time of deficiencies not regulatory deficiencies were noted. 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 onsite Child Care Licensing initial inspection conducted in your facility on 09/2/21. Facility was approved for a capacity of 15 children. State Fire and SNHD approved for operation. 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