Centro Nevada-Fallon

This Statement of Deficiencies was generated as a result of an complaint investigation for your facility on 11/18/25. The facility is licensed for 31 children as a Child Care facility. NAC 400 1. A licensee of a facility shall enhance a NAC 400 11/25/202 child ' s behavior through positive guidance, 5 redirection of the child ' s behavior and the setting of clear-cut limits on behavior. 1. Training was scheduled to discuss the 2. A member, employee or other person importanceof the Tap-Out Protocol, associated with a facility shall not, for any Positive guidance and effective reason: classroom Based on record review on 11/18/25, facility failed to enhance the behavior of children through the use of positive guidance, redirection of the child's behavior and the setting of clear cut limits on behavior. - Staff utilized inappropriate discipline with a child during nap time.

Thisstatement of deficiencies was generated as a result of an annual inspectionconducted at your facility on 11.12.25. The facility is licensed for 31 as achild care center. The census at the time of inspection was 8 children. 0staff files and 0 child files were reviewed at the time of inspection, fileswill be reviewed at the annual inspection. 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 an annual inspection conducted at your facility on 7.29.25. The facility is licensed for 31 as a child care center. The census at the time of inspection was 21 children. 10 child files and 17 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 a semi- annual inspection on 10/10/24. The facility is licensed for 31 children as a Child Care facility. The census at the time of the survey was 15. Reminders and Recommendations: -Fire drill due this month -Ensure all required documentation for child and staff is on file for the annual inspection 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 a health inspection and an annual inspection on 5/23/24. The facility is licensed for 31 children as a Child Care facility. The census at the time of the survey was . 10 children’s files were reviewed and 12 employee files were reviewed. Reminders and Recommendations: -Fire drill due this month -Staff #4 Nevada Registry expires 6/1/24 -Staff #11 needs to apply to Nevada Registry by 7/26/24 and needs CPR and First Aid 8/26/24 -Staff 312 needs to apply to Nevada Registry by 6/18/24 and needs Signs of Illness/Bloodborne Pathogens, Child

This Statement of Deficiencies was generated as a result of a semi- annual inspection on 10/30/23. The facility is licensed for 31 children as a Child Care facility. The census at the time of the survey was 13. 10 children’s files were reviewed and 12 employee files were reviewed. Reminders and Recommendations: -Update NABS by 11/1/23 as discussed -Fire and disaster drill due this month -Staff #2 Nevada Registry expires 12/17/23, t.b. test expires 11/3/23, and CPR expires 12/2/23; Staff #6 CPR expires 12/11/23; Staff #12 needs orientation by 11/13/23, needs to apply to Nevada Registry by 1/30

This Statement of Deficiencies was generated as a result of a health inspection and an annual inspection on 5/3/23. The facility is licensed for 31 children as a Child Care facility. The census at the time of the survey was .10 children’s files were reviewed and 13 employee files were reviewed. There were no regulatory deficiencies noted at the time of inspection. Reminders and Recommendations: -Fire and disaster drill due this month -Update/upload NABS, follow up on out of state requirements for Staff #7 and Staff #8, and follow up with backgrounds by 5/5/23 as discussed -Child #1 needs a he

Statement of Deficiencies was generated as a result of a semi-annual inspection on 11/15/22. The facility is licensed for 31 children as a child care center. The census at the time of survey was 7 children. 8 children’s 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: STEPHANIE FENTON Title: Director Date: 11/28/2022 REPRESENTATIVE'S SIGNATURE Division of Public and Based on observation and interview on 11/15/22 the facility failed to have license issued to the operator posted in a public place. Submit a picture of the current license posted in a conspicuous place. 3164 B. WING _______________________ 11/15/2022 Based on observation and interview on 11/15/22 the facility was found to have hazards as listed below. -Fence containing playground requires sanding/sealing. Submit a date and plan to repair before the beginning of the next session. -Loose chain, screwed onto fence. Submit a picture of the chain removed or repaired. Based on observation sheet that will include the topics and interview on 11/15/22 the facility failed covered, date and agendaof the to conduct a quarterly review of the meeting. emergency plan with the staff. Provide documentation of the review. 4. The Center Director, Stephanie Fenton, will conducta quarterly review of the emergency plan to ensure all staff are prepared torespond in the event of an emergency. NAC "3. The licensee of a facility shall hold: NAC 11/17/202 280.3 (a) A fire drill at least once every month; and 280.3 1. Drills were documented on the Fire 2 (b) A drill for natural Based on observation and interview on 11/15/22 the facility had no 3. Drills will be placed on the season record that a fire drill was held at least once calendar forthe week the drill will be every month and that a drill for natural conducted. Drillswill be documented disaster was held quarterly. Submit immediately after the drill is complete to documentation of the completed drills. ensure the FireDrill and Natural Disaster Drill Log is always up to date. 4. The Center Director, Stephanie Fenton, will workwith the office manager to ensure that monthly Fire Drills and QuarterlyDisaster drill Based on observation and interview on 11/15/22 the facility failed to recognize and eliminate the following hazards for the safety of children as evidenced by the following: -Children's toothbrushes were touching, while being stored. Submit a plan for toothbrush storage that will avoid the bristles touching. NRS 230 NRS 230 11/16/202 Certificate of immunization prerequisite to 1. Child #2 has provided an appointment 2 admission to child care facility; conditional card withthe next visit date. Child #2 is admission; report to Health Division. Except on adelayed schedule for her as otherwise pr Based on record review and interview on 11/16/22 the below children did not have a current immunization record or approved exemption on file. Obtain and file a current immunization record for the children listed. Submit record as supporting documentation. -Child #2 NAC 378 1. Upon the occurrence of any accident or NAC 378 11/16/202 injury which requires emergency 1. Any Communicable Diseases will be 2 professional medical care of a child, the reporteddirectly to the Center’s Facility director of each facility shall report the Surveyor and not the Division. occurrence to the Division or local Based on observation and interview on 11/15/22 the facility failed to report the occurrence of a communicable disease to Child Care Licensing. Ensure a system is in place to report future occurrences.

This Statement of Deficiencies was generated as a result of an annual inspection on 6/23/22. The facility is licensed for 31 children as a child care center. The census at the time of survey was 6 children. 10 children’s files and 17 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: STEPHANIE FENTON Title: Director Date: 07/14/2022 REPRESENTATIVE'S SIGNATURE Division Based on record review and interview on 6/23/22 the facility failed to ensure within 90 days after each caregiver commences his employment in the child care facility; they have applied with the Nevada Registry or it's successor organization, and/or annually renewed his registration before the date on which is expires. Provide verification the staff members as noted have submitted initial or renewal application. -Staff #1 -Staff #4 -Staff #5 -Staff #6 -Staff #7 -Staff #10 -Staff #11 -Staff #13 -Staff #14 NAC 323 1. Except as otherwise provided in NAC NAC 323 06/23/202 3164 B. WING _______________________ 06/23/2022 CENTRO NEVADA-FALLON 531 HUMBOLDT STREET, FALLON, NEVADA ,89406 432A.521 and NRS 432A.177, within 120 1. The staff training signs and symptoms of 2 days after commencing his or h... Based on interview and record review on 6/23/22,the facility failed to ensure that within 120 days of hire each employeecompleted the required hours of training in child care which includes: anytraining required by the facility for the purposes of obtaining certificationin CPR, three or more hours of training in child development , two or more hours of training in first aid, two or more hours of training in the signs and symptoms of illness, which must include, without limitation, training in the prevention of exposure to bloodbourne pathogens, two or more hours of training in the recognition Based on observation and interview on 6/23/22 facility failed to ensure that warm water was available in hand washing sinks. Repair as necessary. 3164 B. WING _______________________ 06/23/2022 CENTRO NEVADA-FALL Based on observation and interview on 6/23/22 staff did not use a two-step procedure for cleaning and disinfecting nonporous surfaces such as toys, cribs, tables, ect. Ensure staff first clean with soap and water and then disinfect with a disinfecting agent.

This Statement of Deficiencies was generated as a result of an on-site semi annual inspection at your facility on 10.28.21. The facility is licensed for 31 children as a Child Care facility. The census at the time of the survey was 8 children. NAC 320 1. Except as otherwise provided in NRS NAC 320 10/28/202 432A.177 , within the first 2 weeks after 1. All staff will have completed the 1 commencing employment, newly employed orientation process with the director or an members of the staff of a facility must be appointed administrator. given a written and oral orientation program and be trained in the policies, procedures 2. All staff orientation was If deficiencies are cited, an approved plan of correction must be returned within 10 days after receipt of this statement of deficiencies. LABO... Based on record review and interview on 10.28.21, facility failed to provide a written and oral orientation to new staff within 2 weeks of employment. Conduct a written/oral orientation and submit proof for the following staff: -Staff #2 -Staff #4 -Staff #7 -Staff #9 -Staff #13 Based on record administrator is appointed to the task. review and interview on 10.28.21, facility Stephanie will monitor and assist in the failed to have evidence of each child's maintenance of each child’s file to ensure it health within 30 days after the initial is up-to-date and a completed health admission. Obtain health statements for the statements is in every child's file. following children: -Child #1 -Child #2 -Child #3 -Child #4 -Child #5

This Statement of Deficiencies was generated as a result of an on-site complaint investigation at your facility on 10/11/21 and 10/28/21. The facility is licensed for children as a Child Care facility. The census at the time of the survey was 6 children on 10/11/21 and 8 children on 10/28/21. 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: STEPHANIE FENTON Title: Center Support Specialist Date: 11/29/2021 REPRESENTATIVE'S SIGNATURE addressing appropriate conduct in the center and professionalism in the Based on interview on 10/11/21, the classroom. Attached are the attendance director has not been responsible for sheets and agenda. screening, scheduling, training, and 3) Appropriate conduct and professionalism supervising the conduct of staff. The in the center and classrooms will be director needs to take the responsibility emphasized during orientation and as part for the duties of the position and ensure of our monthly in-service trainings, and all staff are properly trained to carry out unannounced classroom observa Based on observation and interview on 10/11/21, facility failed to provide materials and equipment to carry out the written plan of curriculum that provide for the safety of the children enrolled in the facility while being appropriately challenging for the children. -When I/T classroom was combined into Preschool classroom materials were inappropriate for that age group and also presented safety hazards including choking hazards. -When Preschool classroom was combined into the I/T classroom materials were inappropriate for that age group. NAC 400 1. A licensee of a facility shall enhance a N Based on interview on 10/11/21 facility failed to enhance the behavior of children through the use of positive guidance, redirection of the child's behavior and the setting of clear cut limits on behavior. Disciplinary measures used in the facility must be consistent with supportive, positive action. -Staff was found to have restrained with hand a child to prevent them from getting off of a mat as well roughly handing a child **All staff are required to take 3 hours of positive guidance as part of the plan of correction. Classes discussed with area manager as pre-approved to meet this require