Baby University Dba:henderson Bilingual School

This Statement of Deficiencies was generated as a result of the on-site State licensure survey conducted at your facility on 04/22/2026. 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. The facility is licensed for 160 Children as a Center. The 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: WENDI Title: Director Date: 05/11/20 Based on review of staff files, there were staff (Wendi and Mi) who were missing their Memo of Eligibility. Please upload the requested forms for the staff listed below to the Plan of Correction by 05/08/2026. Ensure that you answer all 4 questions in the POC box under "remarks." NAC 4. The play area of each facility must: NAC 1- gap has been patched 05/10/202 250.4 (a) Be fenced or enclosed in a manner that 250.4 2- 5/8/2026 6 prevents the unsupervised departure of 3- monthly inspection of play area children from the area; 4- Yi - Admin (b) Have an adequate drainage system; (c) Be free of ha Based on observation of the playground during walk through inspection, it was observed that there were safety hazards on the playgrounds. Please see below for items observed to be out of compliance. Upload photos of corrections and repairs by 04/08/2026. Ensure that you answer all 4 questions in the POC box under the remarks section. The sod/grass area near the red stairs play structure had a large dip in the surface and had areas missing sod, with dirt exposed. Based on inspection walk through, hazards were observedin some of the classrooms. The classrooms listed below were observed to be out of compliance. Upload photos of corrections and repairs to the Plan of Correction by 05/08/2026. Ensure that you answer all 4 questions in the POC box under "remarks." Room 2 - There was an unlocked cabinet under the changing table that contained bubble wrap and plastic trash bags with clothing in them. Room 3 - There was an unlocked utility closet with wires and electrical equipment, and a laundry closet unlocked with a ladder, water heater, mop, broom. Room 5 Based on staff file review, there were staff with missing or expired NV Registry certificates. Staff listed below are missing their NV Registry. Please upload proof of NV Registry to the Plan of Correction by 05/08/2026. Ensure that you answer all 4 questions in the POC box under "remarks." Annie, Minfei, Wendi NAC 323 1. Except as otherwise provided in NAC NAC 323 1- uploaded requested training documents 05/11/202 432A.521 and NRS 432A.177, within 120 (Yuying- N/A as she is an owner; Liting- N/A 6 days after commencing his or her because we don't have infant at our center) employment or position in a child care 2- 5/11/2026 facility, each person who is employed in a 3- Semi-annual review of staff training child care facility, other than a person documents and better organization of the em... Based on file review conducted during inspection, it was observed that staff were missing Initial trainings. Staff and trainings missing are listed below. Ensure that staff complete trainings and upload certificates into the Plan of Correction by 05/08/2026. Ensure that you answer all four questions in the POC box under “remarks” and fill in the AND PLAN OF CORREC Based on filereview conducted, it was observed that children were missingimmunizations or religious exemption forms for all required immunizations.Please refer to child identifier list for name of child. Please request that child’s parent schedule an appointmentfor these shots and return an updated record for your file. Uploadimmunizations form or exemption form to the Plan of Correction by 05/08/2026. Ensure that you answer all fourquestions in the POC box under“remarks” and fill in the “date POC submitted” box. Child #3 - Needs DTap, Polio , MMR Child #4 - Needs DTap, MMR Child #6 - Needs D Based on file review conducted during on-site inspection, it was observed that there were children missing their up-to- date Assessment in their file. Please refer to child identifier list for names. Upload copies of the assessments to the Plan of Correction by 05/08/2026. Ensure that you answer all four questions in the POC box under “remarks” and fill in the “date POC submitted” box. Child #1, #2, #3, #4, #5, #6, #7, #8, #9, #10, #11, #12, #14, #15

The facility is licensed for 160 children as a Center. The census at the time of inspection was 36 children. 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: WENDI MAI Title: Director Date: 12/19/2025 REPRESENTATIVE'S SIGNATURE A A volunteer on site was not in the NABS roster, and presented no verification of being fingerprinted. Ensure that the volunteer is printed and added into NABS, if they wish to continue volunteering at the facility. *Surveyor verified that the volunteer exited the facility on 11/25/25.

The facility is licensed for 160 children as a Center. The census at the time of inspection was 45 children. 15 child's files and 12 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

The facility is licensed for 160 children as a Center. The census at the time of inspection was 40 children. 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 04/10/2024. The facility is licensed for 160 children as a center. The census at the time of survey was 51 children. 15 children's files and 13 staff files were reviewed. Reminders: Please submit renewal application and upload required yearly documents 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: WENDI MAI Title: Director Date: 05/01/2024 REPRESENTATIVE'S SIGNATURE 2938 B. WING _______________________ 04/10/2024 BABY UNIVERSITY DBA:HENDERSON BILINGUAL SCHOOL 1901 N GREEN VALLEY PKWY., HENDERSON, NEVADA ,89074 All missing annua... Based on inspection and record review, staff were not entered to NABS within 24 hours of hire and staff missing Eligibility Memo. Please add staff listed on the identifier list to your NABS roster. Please upload proof that staff have been added to the facility's NABS roster. 29 Based on observation and interview, the facility had no record that a natural disaster was held at least once every three months. The last disaster drill was logged was for 12/18/2023. Based on observation and interview, the facility had no record that a fire drill was held at least once each month. The last fire drill logged was 01/12/2024. NAC 306 1. Every caregiver in a child care facility NAC 306 1. Upload renewed NV Registry certificate 04/18/202 must: 2. 04/18/2024 4 (a) Be at least 16 years of age; 3. Promptly store NV Registry certificate (b) Be able to summon help in an once they are Based on interview and record review, the facility failed to ensure that within 120days of hire each employee had a completed application or renewal of Nevada Registry membership. Current Nevada Registry membership was not present for staff noted on the identifier list. 2938 B. Based on inspection and record review facility failed to ensure all staff had a negative TB. Please upload current Negative TB for staff listed on the identifier list. 2938 B. WING _______________________ 04/10/2024 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. NRS 230 NRS 230 1. Child #7 has graduated and no longer 04/26/202 Certificate of immunization prerequisite to enrolled in our school; child #10 has been 4 admission to child care facility; conditional told to stay home until an updated shot admission; report to Health Division. Except record has been provided (mom is 9 months as otherwise provided in NRS 4 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 upload updated immunizations for children listed on the identifier list.

ThisStatement of Deficiencies was generated as a result of the on-site Statelicensure survey conducted at your facility on 10/5/23. Thefacility is licensed for #160 Children as a center. The census at the time ofsurvey was #40 children and # children files were reviewed and # 13 staff files werereviewed. NAC 306 1. Every caregiver in a child care facility NAC 306 1) download and upload renewed NV 10/10/202 must: Registry 3 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 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 NevadaRegistry membership. Current Nevada Registry membership not present for staff noted below as listed on the staff identifier sheet. Yuying F. Isabella H. Zhao, Y Answer 4 poc questions and upload NV Registry. NAC 310 1. Every member of the staff of a facility, NAC 310 1) upload latest TB test result 10/10/202 including a volunteer, and each resident of 2) 10/10/2023 3 the facility shall present to the director of 3) semi-annual review of 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: Claudia B Answer 4 poc questions and upload proof of negative TB results. NAC 323 1. Except as otherwise provided in NAC NAC 323 1. Have staff update the required 10/20/202 432A.521 and NRS 432A.177, within 120 certificates and upload them. 3 days after commencing his or her 2. 10/20/2023 employment or position in a child care 3. Bi-annual review of staff document to facility, each person who is employed in a ensure completeness. child care facility, other than a person 4. Wendi Mai, Director employed in a facility that provides care ... 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: Xu, M - CPR Mi D - CPR Answer 4 poc questions and upload CPR/First Aid certificates. NRS 230 NRS 230 1. upload signed vaccination waiver for 10/23/202 Certificate of immunization prerequisite to child #13 and #23. Child #5 is currently not 3 admission to child care facility; conditional enrolled in our school (they are out of the admission; report to Health Division. Except country). as Based on record review: Certificateof immunization prerequisite to admission to child care facility; Child(ren) asnoted below failed to have current immunization records on file at time ofinspection. Child 5,13,23 Answer 4 poc questions and upload updated immunizations. NAC 425 1. The director or a designated member of NAC 425 1. Created new daily log for children under 10/16/202 the staff of a nursery for infants and 2. 3 toddlers or other facility that enrolls infants 2. 10/16/2023 and toddlers shall discuss policies 3. Routine review of daily log to make sure concerning the health of an infant or toddler teachers are marking down the correct with the parents before enrollment of the information child. Every parent must be given a 4. Wendi Mai, Director or Yi Zhao, Admin. description of ... Based on inspection and interview the facility was not completing Daily logs for children under 2 years of age. Answer 4 poc questions and upload a copy of a completed daily log.

ThisStatement of Deficiencies was generated as a result of the on-site Statelicensure survey conducted at your facility on 5/18/23. Thefacility is licensed for #160 Children as a center. The census at the time ofsurvey was #0 children and #0 children files were reviewed and #12 staff files werereviewed. Please upload state issued List of training to renewal checklist. 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: WENDI MAI Title: Director Date: 07/07/20 Based on record review the facility failed to provide evidence of NV Registry for the following staff: Lesley, Y. answer 4 poc questions. Upload certificate NAC 323 1. Except as otherwise provided in NAC NAC 323 1. Locate and file all required certificates 05/22/202 432A.521 and NRS 432A.177, within 120 (with the help of Nevada Registry). 3 days after commencing his or her 2. 5/22/2023 employment or position in a child care 3. Annual review of teachers' trainings to facility, each person who is employed in a make sure everything is complete and child care facility, other than a person updated. employed in a facility that provides care for 4. Director, Wendi Mai ill children, and each director of a child care facility shall complete: (a) Any training required by the facility in which the di... Based on record review the facilty failed to provide evidence of initial trainings for the following staff: Yuying F. - Sids, Shaken baby Isabella, H. - Shaken Baby, Transportation Annie, H - Shaken Baby, Adminsittration of meds, Building and physical, emergency Answer 4 poc questions and upload certificates.

ThisStatement of Deficiencies was generated as a result of the on-site Statelicensure survey conducted at your facility on 5/11/23. Thefacility is licensed for # 160 Children as a center. The census at the time ofsurvey was # 39 children and #25 children files were reviewed and #0 staff files werereviewed. Binder/LOT was not available for review. Complete renewal checklist items. 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: WENDI MAI Title: Director Date: 06/13/2023 REPRESENTATIVE'S SIGNATURE 2938 B. WING _______________________ 05/11/2023 BABY UNIVERSITY DBA:HENDERSON BILINGUAL SCHOOL 1901 N GREEN VALLEY PKWY., HENDERSON, NEVADA ,89074 NAC 250 1. E... Based on inspection the playground had the following hazards: Exposed nails on border of turf. Answer 4 poc questions and upload pictures of correction. NAC 304 1. The director of a child care facility is NAC 304 1. To scheduled binder review with 06/14/202 responsible for screening, scheduling and surveyor. 3 supervising the staff of the facility and for 2. 6/14 at noon. the conduct of each member of the staff at 3. Quarterly review to make sure the the facility. training binders are up to date. 2. The director shall: 4. Wendi Mai, Director (a) Provide a program for child care for the facility which meets the requirements of this chapter. (b) Be physically present in the facility for a sufficient amount of time to ensure compliance with the provisions of this chapter and chapter 432A of N... Based on inspection the director failed to have list of training completed for staff binder review: 2938 B. WING _______________________ 05/11/2023 BABY UNIVERSITY DBA:HENDERSON BILINGUAL SCHOOL 1901 N GREEN VALL Based on record review the facility failed to provide evidence of health statements for the following children: Child 4,5,13 & 24 answer 4 poc questions and upload statements. NRS 230 NRS 230 1. Aquire missing immunization records 06/13/202 Certificate of immunization prerequisite to from each child. (Child #8 & #24 are 3 admission to child care facility; conditional currently not enrolled in our program) admission; report to Health Division. Except 2. The action will be completed on or before as otherwise provided in NRS 432A.235 for June 13. accommodation facilities: 3. Review children's im Based on record review the facility failed to provide evidence of current immunizations for the following children: Child 7,8,9,16,18,19,24. Answer 4 poc questions and upload current immunizations.

This Statement of Deficiencies was generated as a result of the on-siteState licensure survey conducted at your facility on 11/30/2022. The Facility is licensed for 160 children as a center.The census at the time of survey was 47 children. 25 children's files and 11 staff files were reviewed. NAC 200 Documentation of completed and current investigations were not on file at the facility for required persons. The following items were not observed for individuals as noted below: Sheriff Card/Proof of Fingerprinting- Q. Yu NABS Roster - I. Hekel 2938 B. WING ___________________ Provider may not care for a greater number of children than the number set forth on the license issued to the licensee. Ensure license is posted publicly. 2938 B. WING _______________________ 11/30/2022 BABY UNI Based on interview and record review, the facility failed to maintain a daily sign-in sheet that included the times of arrival and departure for staff and/or children. To ensure times are consistently recorded, please provide instruction to staff and parents and monitor the daily sign-in sheets. Ensure staff are signing in on sign in sheets NAC 310 1. Every member of the staff of a facility, NAC 310 1. Performed and obtained clean chest 11/30/202 including a volunteer, and each resident of scan for TB. 2 the facility shall present to the director of 2. 11/30/2022 the facility, to be placed in Based on interview and record review, the facility did not have writtenevidence that all staff were free from communicable tuberculosis issued withinthe preceding 24 months. A. Hsia NAC 360 1. The licensee of a facility shall not NAC 360 1. Have parents signed the missing form. 12/11/202 disclose to any person who is not a member 2. 12/11/2022 2 of the staff of the facility or a member of the 3. Bi-annual review of student files to make licensing staff of the Health Division sure everything is in compliance. information pertaining to any child, unless: 4. Wendi Mai (director) or Yi Zhao (admi Based on interview and record review, the facility failed to have signed Permission to Release Information form on file for the following children as referenced on the identifier sheet: Child#6 (not signed) NRS 230 NRS 230 1. Notify parents to provide updated shot 12/23/202 Certificate of immunization prerequisite to records. Child #13 and #18 will provide 2 admission to child care facility; conditional theirs next week as they are on vacation. All admission; report to Health Division. Except others have been uploaded. as otherwise provided in NRS 432A.235 for 2. 12/23/2022 accommodation faci Certificate of immunization prerequisite to admission to child care facility; Child (ren) as noted below failed to have current immunization records on file at time of inspection. Child #8 Child #9 Child #10 Child #13 Child #18 Child #19 Child #20 Child #24 NAC 430 1. Each facility, including, without limitation, NAC 430 1. uploaded missing assessments. 10/31/202 a family home and a group home, shall 2. 10/31/2022 2 have an early care and education program. 3. we conduct monthly assessment for all 2. Each facility described in subsection 1 our students. shall develop a written assessment plan 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. Children as noted below did not have a current assessment on file during inspection. Child#6 Child#7

This Statement of Deficiencies was generated as a result of the on-siteState licensure survey conducted at your facility on 05/16/2022. The Facility is licensed for 160 children as a center.The census at the time of survey was 45 children. 25 children's files and 9staff 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: WENDI MAI Title: Director Date: 06/06/2022 REPRESENTATIVE'S SIGNATURE Documentationof completed and current investigations were not on file at the facility forrequired persons. The following items were not observed for individuals asnoted below: NABSRoster - A. Hsai NAC 306 1. Every caregiver in a child care facility NAC 306 1. Annie Hsai will no longer be employed at 06/06/202 must: our school as of 6/1/2022. 2 (a) Be at least 16 years of age; 2. 06/06/2022. (b) Be able to summon help in an 3. Quarterly review of staff information to emergency; make sure everything is up-to-date. (c) Be emotionally and physically qualified 4. Wendi Mai or Minli Wang to carry o Based on interview and record review, the facility failed to ensure thatwithin 90 days of hire each employee had a completed application or renewal ofNevada Registry membership. A. Hsia NAC 1. Except as otherwise provided in NRS NAC 1. Verification with employee on completed 05/31/202 320.1 432A.177 , within the first 2 weeks after 320.1 required documentation. 2 commencing employment, newly employed 2. 5/31/2022. members of the staff of a facility must be 3. Quarterly review of staff information to given a written and oral orientation program make sure everything is up-to-date. Basedon interview and/or record review, new employees were not given a written andoral orientation and training in the policies, procedures, and programs of thefacility within the first 2 weeks after commencing employment. C. Barberi NAC 323 1. Except as otherwise provided in NAC NAC 323 1. Verification with employee on completion 05/31/202 432A.521 and NRS 432A.177, within 120 of required trainings. 2 days after commencing his or her 2. 5/31/2022. employment or position in a child care 3. Quarterly review of staff information to facility, each person who is employed in a make sure everything is up-to-date. child care facility, other than a person 4. Wendi Mai or Minli Wang employed in a facility that provides care for ill children, and each director of a child care facility shall complete... Basedon interview and record review, the facility failed to ensure that within 120days of hire each employee completed the required hours of training in childcare. Training not on file for staff as noted below: CPR/FirstAid- C. Barberi NAC 340 1. Procedures for admission must provide NAC 340 1. Verification with parents on completion of 05/31/202 the caregiver with sufficient information and enrollment paperworks. 2 instruction from the parents to enable the 2. 5/31/2022. caregiver to prepare a record and to make 3. Quarterly review of student information to decisions or act on behalf of the Based on record review, facility failed to ensure that child #23 had the following information in their file: -Permission to release information -Emergency medical consent -NRS 178 to review complaints 2938 B. WING _______________________ 05/16/2022 Basedon record review and interview, the facility did not have a health statementsigned by a registered nurse or physician within 30 days after admission forchildren listed. Child #21 NRS 230 NRS 230 1. All updated shot records have been 06/06/202 Certificate of immunization prerequisite to uploaded except Child #4, as they are not 2 admission to child care facility; conditional currently enrolled in our school. admission; report to Health Division. Except 2. 6/6/2022. as otherwise provided in NRS 432A.235 for 3. Quarterly review of student information to accommodation facilities: make sure e Certificate of immunization prerequisite to admission to child carefacility; Child(ren) as noted below failed to have current immunization recordson file at time of inspection. Child #2 Child #3 Child #4 Child #6 Child #11 Child #12 Child #21 Child #22 Child #23

NAC432a.320 was unsubstantiated in the complaint as it was addressed during the inspection on 11/29/22 and again at the inspection on 5/16/22. 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 160 children as a Center. The census at the time of inspection was 36 children. 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: WENDI MAI Title: Director Date: 12/19/2025 REPRESENTATIVE'S SIGNATURE A A volunteer on site was not in the NABS roster, and presented no verification of being fingerprinted. Ensure that the volunteer is printed and added into NABS, if they wish to continue volunteering at the facility. *Surveyor verified that the volunteer exited the facility on 11/25/25.

The facility is licensed for 160 children as a Center. The census at the time of inspection was 45 children. 15 child's files and 12 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

The facility is licensed for 160 children as a Center. The census at the time of inspection was 40 children. 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 04/10/2024. The facility is licensed for 160 children as a center. The census at the time of survey was 51 children. 15 children's files and 13 staff files were reviewed. Reminders: Please submit renewal application and upload required yearly documents 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: WENDI MAI Title: Director Date: 05/01/2024 REPRESENTATIVE'S SIGNATURE 2938 B. WING _______________________ 04/10/2024 BABY UNIVERSITY DBA:HENDERSON BILINGUAL SCHOOL 1901 N GREEN VALLEY PKWY., HENDERSON, NEVADA ,89074 All missing annua... Based on inspection and record review, staff were not entered to NABS within 24 hours of hire and staff missing Eligibility Memo. Please add staff listed on the identifier list to your NABS roster. Please upload proof that staff have been added to the facility's NABS roster. 29 Based on observation and interview, the facility had no record that a natural disaster was held at least once every three months. The last disaster drill was logged was for 12/18/2023. Based on observation and interview, the facility had no record that a fire drill was held at least once each month. The last fire drill logged was 01/12/2024. NAC 306 1. Every caregiver in a child care facility NAC 306 1. Upload renewed NV Registry certificate 04/18/202 must: 2. 04/18/2024 4 (a) Be at least 16 years of age; 3. Promptly store NV Registry certificate (b) Be able to summon help in an once they are Based on interview and record review, the facility failed to ensure that within 120days of hire each employee had a completed application or renewal of Nevada Registry membership. Current Nevada Registry membership was not present for staff noted on the identifier list. 2938 B. Based on inspection and record review facility failed to ensure all staff had a negative TB. Please upload current Negative TB for staff listed on the identifier list. 2938 B. WING _______________________ 04/10/2024 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. NRS 230 NRS 230 1. Child #7 has graduated and no longer 04/26/202 Certificate of immunization prerequisite to enrolled in our school; child #10 has been 4 admission to child care facility; conditional told to stay home until an updated shot admission; report to Health Division. Except record has been provided (mom is 9 months as otherwise provided in NRS 4 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 upload updated immunizations for children listed on the identifier list.