Chabad - Torah Tots Preschool

INTRODUCTORY REMARKS –No Deficiencies ThisStatement of Deficiencies was generated as a result of the on-site Statelicensure inspection conducted at your facility on 2.12.26. There were no regulatory deficienciesidentified at the time of the survey. The facility islicensed for 300 children as a CENTER. The census at the time ofsurvey was 117 children. 0 children's files and 0 staff files werereviewed. 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:

This Statement of Deficiencies was generated as a result of the on-site State licensure survey conducted at your facility on 9/03/2025. The facility is licensed for 300 Children as a center. The census at the time of survey was 128 children and 25 children files were reviewed and 23 staff files were reviewed. Two staff were observed using their phones, please ensure that staff are engage with the children at all times. 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/SUP Based on observation and document review, several classrooms did not have a completed sign in sheet for the day. Please make sure all classrooms use a signing sheet daily. Staff was part of any signing logs. NAC NAC 1. All fire extinguishers ahve been replaced 09/18/202 280.6 6. To maintain his or her license, the 280.6 and the new tags have been updated. 5 licensee must ensure that his or her facility 2. It was corrected on 9/10/2025. meets all standards for fire safety which are 3. Facilites Director is now setting an annual established by the State Fire Marshal. reminder. 4. POC - Debra La Based on observation the fire extinguisher needs to be served, tag is dated 5/24/2024. 1108 B. WING _______________________ 09/03/2025 CHABAD - TORAH TOTS PRESCHOOL 1312 VISTA DR, LAS VEGAS, NEVADA ,89102 (X4) S Based on observation a staff's vape was on top of the cots in the classroom at children's reach. Most storage rooms in the classrooms were open, please keep storage rooms locked. NAC 1. Except as otherwise provided in NRS NAC 1. Keep the training sheet with HR folder 09/18/202 320.1 432A.177 , within the first 2 weeks after 320.1 and not kept with Staff. 5 commencing employment, newly employed 2. Date of implementation - September 5, members of the staff of a facility must be 2025 given a written and oral orientation program 3. Copies will be made for future staff and be trained in the polici Based on staff binder review, Samantha B. needs orientation, please upload the document in the plan of correction. 1108 B. WING _______________________ 09/03/2025 CHABAD - TORAH TOTS PRESCHOOL 1312 VISTA DR, LAS Based on staff binder review Samantha B, needs negative TB test results, please upload the records in the plan of correction. NAC 323 1. Except as otherwise provided in NAC NAC 323 1. All staff receive a 30 day reminder when 09/18/202 432A.521 and NRS 432A.177, within 120 a document is expiring. Alejandra has been 5 days after commencing his or her instructed to complete her recertification employment or position in a child care before Friday, Septemebr 19, 2025. facility, each person who is employed in a 2. Corrective action has already been child care facility, other than a person established. If recertification is not in place employed in a facility that provides care for by 9/19.2025, staff memeber will not be ill children, and each director of a child care permitted to return to work.... Based on staff binder review Alejandra S. needs CPR certification please upload the certificate in the plan of correction. 1108 B. WING _______________________ 09/03/2025 CHABAD - TORAH TOTS PRESCHOOL 1312 VISTA Based on staff binder review, Kayley H. needs a total of 8 hours, please upload the certificates in the plan of correction. NRS 230 NRS 230 1. All children are logged into our 09/18/202 Certificate of immunization prerequisite to registration system including the 5 admission to child care facility; conditional immunization part that tracks when children admission; report to Health Division. Except are out of compliance with their shots. We as otherwise provided in NRS 432A.235 for run monthly reports on th efirst of the month accommodation facilities: and contact those parents who need to 1. Based on child files review, child #4 and #5 need updated vaccination records, please refer to the identification list to obtain names and upload the records in the plan of correction. NAC 1. Except as otherwise provided in NAC NAC 1. We have staffing for our ratios. 09/18/202 5205 432A.290 and 432A.546, a licensee of a 5205 2. The staff in question has been talked to 5 child care center, child care institution, and she knows the proper procedures when accommodation facility, facility for special leaving the room. events, nursery for infants and toddlers or 3. Staff will continue to be reminde about special needs facility shall, between the keeping ratios. hours of 6:30 a.m. and 9:00 p.m., abide by 4. POC - Debra Lazer the following staffing levels in each classroom: Age of Child Required ... Based on observation the toddler 3 room was out of ratio with 10:1 (ages 2 year old) an additional caregiver was required to support ratios.

This Statement of Deficiencies was generated as a result ofthe on-site State licensure survey conducted at your facility on 2/24/2025. Thefacility is licensed for 300 Children as a center. The census at the time ofsurvey was 117 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: DEBRA LAZER Title: Preschool Director Date: 03/05/2025 REPRESENTATIVE'S SIGNATURE FORM APPROVE Based on observation be completed: March 4, 2025. the two staff in pre-k 1 room are alone. not in NABS and had no proof of fingerprints. 3. Changes that will be made or Add fingerprints documents for Cheriman R. measures that will be taken to prevent and Jazmin J. to NABS and upload the future occurrence of the deficient NABS roster into the plan of correction. practice Consent and Release are uploaded on or before new or returning employee starts employment. 4. Identify the person responsible: Debra Lazer NRS NRS 1. The specific actions that will be 03/04/202 175.3 Investigation by Division; Based on observation and record review, the following staff was int he center providing care and not in * I don't know who Sandra and NABS. Mushkie M. is. I called to Erika Obtain eligibility memorandums for: yesterday (3/) to explain. Sandra Muskie M. Cheriman R. Jazmin J. Sheryl L. Based on observation a tricycle was cover on bird droppings please clean and maintain it free of bird droppings. 1108 B. WING _______________________ 02/24/2025 CHABAD - TORAH TOTS PRESCHOOL 1312 VISTA DR, LAS VE The center was unable to show proof of insurance please upload the documents in the plan of correction. 1108 B. WING _______________________ 02/24/2025 CHABAD - TORAH TOTS PRESCHOOL 1312 VISTA DR, LAS VEGAS, NEVA Center was unable to show proof of carpet cleaning, please have a log available and upload it in the plan of correction. NAC 1. Except as otherwise provided in NAC NAC 1. The specific actions that will be 03/04/202 5205 432A.290 and 432A.546, a licensee of a 5205 taken to correct the deficiency and 5 child care center, child care institution, verification of completion, i.e. accommodation facility, facility for special documents, photographs, etc.: Staff events, nursery for infants and toddlers or 1108 B. WING _______________________ 02/24/2025 CHABAD - TORAH TOTS PRESCHOOL 1312 VISTA DR, LAS VEGAS, NEVADA ,89102 special needs facility shall, between the will call for a floater or POC when a hours of 6:30 a.m. and 9:00 p.m., abide by staff member leaves the room. the following staffing lev... Based on observation room pre-k 2 was out of ratio with 16:2, an additional caregiver was required to support ratios.

This Statement of Deficiencies was generated as a result ofthe on-site State licensure survey conducted at your facility on 9/04/2024. Thefacility is licensed for 150 Children as a center. The census at the time ofsurvey was 125 children and 25 children files were reviewed. All staff must be added into NABS within 24 hours of their first day, no staff can be in the center without fingerprints and TB test. 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: Ti Staff present in the rooms and with no fingerprints, the following staff need to be fingerprinted and consent and release forms must be uploaded int NABS for: Nechema D., Angelina A., Teitlebaum C., Mari R. and Cohen I. 1108 B. WING _______________________ 09/04/2024 NAME OF PR Based on observation the center was using the additional rooms that are not approved by childcare licensing. NAC 310 1. Every member of the staff of a facility, NAC 310 1. All adults working or volunteering in our including a volunteer, and each resident of center will have a negative TB screening the facility shall present to the director of prior to the start of working with our the facility, to be placed in the person’s file, children. written evidence that the person is free from 2. This is in effect immediately. communicable tuberculosis. The evidence 3. This is in practice and will be r Staff needs negative TB test results, staff cannot be at the center until results are obtained: Nechema D., Angelina A., Teitlebaum C., Mari R. and Cohen I. 1108 B. WING _______________________ 09/04/2024 CHABAD Based on children's record review all children are missing admission paperwork please refer to the identification list to obtain names and upload the documents into the plan of correction. NRS 178 Child care facility required to maintain NRS 178 1. Printing of the Admission paperwork certain information; reporting of information including NRS 178 is being down today. to parents and guardians; notice of right to 2. The uploading of these forms to this information. system will be Friday, September 12. 2024. 1. A child care facility shall maintain a copy 3. Next school year the paperwork will be Based on children's record review all children are missing NRS 178 form please refer to the identification list to obtain names and upload the documents into the plan of correction. 1108 B. WING _______________________ 09/04/2024 Based on children's record review all children are missing permission to release form please refer to the identification list to obtain names and upload the documents into the plan of correction. NRS 230 NRS 230 1. All children will have up to date Certificate of immunization prerequisite to immunizations or exemption forms at the admission to child care facility; conditional start of the school year. admission; report to Health Division. Except 2. This will rectified by Friday, September as otherwise provided in NRS 432A.235 for 12, 2024. accommodation facilities: 3. Administration will impl Based on children's record review child #5, #9, #10, #11, #22 and #23 need vaccination records, please refer to the identification list to obtain names. NAC 412 1. Each facility must have written NAC 412 1. All staff are trained on handwashing and procedures concerning the washing of diapering procedures during orientation. hands. POC will do spot checks in rooms every 2. The staff of a facility shall follow the day. procedures of the facility concerning the 2. This implementation is effective washing of hands and shall instruct, monitor immediately. and assist the children being cared for at Based on observation children had their diaper change and staff did not wash the children's hands after.

This Statement of Deficiencies was generated as a result ofthe on-site State licensure survey conducted at your facility on 7/28/2024. Thefacility is licensed for 150 Children as a center. The census at the time ofsurvey was 0 children and and 24 staff fileswere reviewed. Please email the following training certificates by 8/31/2024, classes must be completed after 7/29/2024 (inspection date) or you can provide the 24 hours total. 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 Based on staff binder 4. Debra Lazer is in charge of the review, Ava T. needs to be re-fingerprinted completion of this task. prior to starting classes, please upload the new consent and release form into NABS. NAC 306 1. Every caregiver in a child care facility NAC 306 1. Staff Member will present missing course must: and complete Nevada Registry before AND PLAN OF Based on staff binder review, Abigail S. needs Nevada registry membership, please upload certificate or email confirmation into the plan of correction. NAC 323 1. Except as otherwise provided in NAC NAC 323 1. Prior to this staff returning t work, staff 432A.521 and NRS 432A.177, within 120 must present a valid CPR document. days after commencing his or her 2. This will be completed by October 28, employment or position in a child care 2024 when the staff person comes back facility, each person who is employed in a from Maternity leave. child care facility, other than a person 3. No change at this time to procedure. employed in a facility that provides care for 4. Debra Lazer is in charge of getting this ill children, and each director of a child care task. facility shall complete: (a) Any... Based on staff binder review, staff Chaya S. needs CPR certification, please upload certificate into the plan of correction.

This Statement of Deficiencies was generated as a result of the on-site State licensure survey conducted at your facility on 2.26.24. 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 150 children as a center. The census at the time of survey was 9 children. 20 children's files and 25 staff files were reviewed. If deficiencies are cited, an approved plan of correction must be returned within 10 days after receipt of Based on record review and interview, documentation of completed and current investigations was not on file at the facility for required persons. The following items were not observed for individuals as noted below. Staff #5: Memo of Eligibility not on file, staff has been pending for more than 90 days. Please contact backgrounds regarding the issuance of the memo of eligibility. Please upload a copy to the POC once received. Staff #12: Memo of Eligibility not on file. OOS information submitted for Florida, missing child abuse report and response regarding criminal history request. Please upl 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# 7, 11 Based on a review of staff files, staff members, volunteers, and/or residents of the facility did not have written evidence that they were free from communicable tuberculosis issued within the preceding 24 months. Staff listed below may not return until current TB test verification is received: Staff #1 3, and 8 NAC 323 1. Except as otherwise provided in NAC NAC 323 POC Response: 03/15/202 432A.521 and NRS 432A.177, within 120 1. Each staff has completed their 4 days after commencing his or her Wellness Certificate for the year. employment or position in a child care 2. It has been completed for all but #7 facility, each person who is employed in a who has been separated from child care facility, other than a person employment. employed in a facility that provides care for 3. Expiry of Wel... 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 #1, 7, 9 and 11: 2 hrs. wellness training Staff #3 and 4: CPR-First Aid NRS 230 NRS 230 POC Response: 03/15/202 Certificate of immunization prerequisite to 4 admission to child care facility; conditional 1. All outstanding children's admission; report to Health Division. Except immunizations have been uploaded as otherwise provided in NRS 432A.235 for as identified. accommodati Based on interview and record review, child (ren) as noted below failed to have current immunization records on file at time of inspection. Please submit a copy of the current immunization record for child(ren) noted below: 1108 B. WING _______________________ 02/26/2024 NAME O Based on observation, interview and record review, the facility failed to assess each child within three months of enrollment and every six months thereafter. Children as noted below did not have a current assessment on file during inspection. Children #1 - 20: Please submit copy of current assessment

ThisStatement of Deficiencies was generated as a result of the on-site Statelicensure survey conducted at your facility on 10/31/2023. Please respond to each deficiency and attachdocuments as requested for the deficiency it pertains to. Sign and submit your Plan of Correctionwithin 10 business days of receipt. Inspectionconsensus, the facility is licensed for 150 children as a center. Thecensus at the time of survey was 125 children. 25 children's files and 25 staff files were reviewed. If deficiencies are cited, an approved plan of correction must be returned within 10 days after receipt of 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. Please submit copy ofcurrent Nevada Registry certificate or email from Nevada Registry showing proofof applying. Staff1, 6, 11, 13, 14, 17, and 18. NAC 323 1. Except as otherwise provided in NAC NAC 323 1. All staff will be required to provide their 11/17/202 432A.521 and NRS 432A.177, within 120 proof of completion to me to upload for 3 days after commencing his or her Licensing. employment or position in a child care 2. I am requiring that all staff have their facility, each person who is employed in a init... 1108 B. WING _______________________ 10/31/2023 CHABAD - TORAH TOTS PRESCHOOL 1312 VISTA DR, LAS VEGAS, NEVADA ,89102 ID (EACH DEFICIE Based on record review the facility failed to havedocumentation of completed annual training, the following staff need to complete their annual training hours: Staff #1: 16 hours including 2 hours of wellness Staff #3: 20 hours including 2 hours of wellness Staff #4: 24 hours including 2 hours of wellness Staff #5: 4 hours Staff #6: 20 hours including 2 hours of wellness Staff #7: 24 hours including 2 hours of wellness Staff #8: 24 hours including 2 hours of wellness Staff #9: 22 hours including 2 hours of wellness Staff #11: 22 hours including 2 hours of wellness Staff #13: 24 hours includin Basedon interview and record review, the facility failed to ensure that each childhad a written authorization signed by a parent with allows emergency andmedical care. Please upload a copy of the signed form for Child #1. 1108 B. WING _______________________ 10/31/2023 NAME OF 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. Please submit copy of the health statement signed by aphysician or registered nurse for the children noted below: Child#1 NRS 230 NRS 230 1. Going forward, all children's' 11/29/202 Certificate of immunization prerequisite to immunization records will be 3 admission to child care facility; conditional scrutinized and complete (up to admission; report to Health Division. Except date) before a child can be enrolled. as othe Basedon interview and record review, child(ren) as noted below failed to havecurrent immunization records on file at time of inspection. Please submit acopy of the current immunization record for child(ren) noted below: Child #1, 9 and 10: missing1 yr. old shots (1 round of DTP, Hep A, Varicella, MMR and Pneumococcal) Child #2 ,3, 4, 5, 6, 7, and 8: missing4 yr. old shots (1 round of DTP, Polio, MMR, and Varicella)

ThisStatement of Deficiencies was generated as a result of the on-site Statelicensure survey conducted at your facility on 9/19/2023. Please respond to each deficiency and attachdocuments as requested for the deficiency it pertains to. Sign and submit your Plan of Correctionwithin 10 business days of receipt. Inspectionconsensus, the facility is licensed for 150 children as a center. Thecensus at the time of survey was 99 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 Basedon observation and record review the facility failed to ensure that staff who'scompleted backgrounds were not received were not left alone with children. Staff observed in the classroom unsupervised before the Memo ofEligibility was issued. Please ensure all staff have Memo ofEligibility issued prior to being left alone with children. NAC NAC 11/02/202 200.3 3. Documentation of completed and current 200.3 1. A. All new/potential staff, 3 investigations must be kept on file at the before starting work, will have facility for all persons required to be had the basic requirements investigat Screening. This will be recorded Basedon record review and interview, on each staff’s Orientation documentation of completed and checklist which will be present in currentinvestigations was not on file at each employee’s folder. This the facility for required persons. will be maintained by the Thefollowing items were not observed Preschool Director, Debra for individuals as noted below. Please Lazer. upload proof of fingerprinting (Consent STATEMENT OF DEFICIENC Basedon record review the facility failed to ensure that all staff were added to thefacility’s NABS Roster at time of inspection. All staff new/transfers need tobe added to facility NABS Roster within 24 hours of hire/transfer. Please add the staff below: Staff 1, 2, 3, 4, 5, and 6. recorded and attached. Basedon observation and interview, the facility had no record that a drill fornatural disasters was held at least once every three months; nor did thefacility have any record that a fire drill was held at least once each month.Please conduct a fire and disaster drill and submit a copy of the current drilllog for both. Basedon observation, the facility failed to recognize and eliminate the followinghazards for the safety of children as evidenced by the following: Staff purse stored in a manner that is accessible to children Bench cushion torn, foam exposed Brooms not properly stored

The facility is licensed for 150 children as a Center. The census at the time of investigation was 89 children. 25 children's files and 29 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: DINA HARLIG Title: Director Date: 03/13/2023 REPRESENTATIVE'S SIGNATURE Based on record review and interview, NABS roster inaccurate. Maria C-C and Merov G need to be termed and Aviva S needs to be added to NABS roster. Balia P is "Eligible-Expired" in NABS and needs to be corrected. Upload current NABS roster. NAC 5. The director of the facility shall maintain a NAC As of 03/07/23 all classrooms have rosters 03/13/202 280.5 daily sign-in sheet that includes: 280.5 and sign in sheets in the room. Attendance 3 (a) The first and last names of staff and is kept both in the classroom and in the children; and office. Yocheved Shapiro is responsible for (b) The times o Based on record review and interview, Sign In for all classrooms kept at Front Office and no longer in classrooms but unacceptable as Sign in must be in all classrooms in case need to evacuate. NAC 306 1. Every caregiver in a child care facility NAC 306 Yocheved Shapiro is working on submitting 03/13/202 must: Esther R's Nevada Registry. As soon as it's 3 (a) Be at least 16 years of age; complete I will send it. (b) Be able to summon help in an emergency; STATE Based on record review, Esther R needs proof of NV Registry. Upload NV Registry email 1108 B. WING _______________________ 02/28/2023 CHABAD - TORAH TOTS PRESCHOOL 1312 VISTA DR, LAS VEGAS, NEVADA ,89102 (X4) SU Based on record review, Holly C, Neechama Y, Aviva S, Ilene A, Stephanie A, Adrianna J, Nicole T, Christine V, Dilia V and Christine V needs negative TB test. Upload TB results then place in employee file. NAC 323 1. Except as otherwise provided in NAC NAC 323 Please find Esther R's initial trainings 03/13/202 432A.521 and NRS 432A.177, within 120 attached. They had not been filed correctly. 3 days after commencing his or her As of 3/8/23 Yocheved Shapiro is employment or position in a child care responsible to make sure all initial trainings facility, each person who is employed in a are filed correctly. They are now in her child care facility, other than a person employee file. employed in a facility that provides care for ill children, and each director of a child care facility shall co... Based on record review, Esther R needs all Initial trainings. Upload certificates then place in employee file. 1108 B. WING _______________________ 02/28/2023 CHABAD - TORAH TOTS PRESCHOOL 1312 VISTA DR, LAS VEG Based on record review, Admission and Emergency Medical forms were not accessible for all 25 children. Upload Admission and Consent for Medical form for Children #1-25. NRS 178 Child care facility required to maintain NRS 178 Pesha Rodman is responsible for making 03/13/202 certain information; reporting of information sure all child files are up to date and filed 3 to parents and guardians; notice of right to properly. As of 03/13/23, all of the information. permissions are signed and filed properly in 1. A child care facility shall maintain a copy the children's files. Please find them of: Based on record review, NRS178 form was not accessible for children. Upload signed NRS178 form for Children #1-25 then place in child file. 1108 B. WING _______________________ 02/28/2023 CHABAD - TORAH TOTS PRE Based on record review, Permission to Release form was not accessible on computer. Upload Child #1-25 Permission to Release form. NRS 230 NRS 230 Pesha Rodman is responsible for making 03/13/202 Certificate of immunization prerequisite to sure all child files are up to date and filed 3 admission to child care facility; conditional properly. As of 03/13/23, all of the admission; report to Health Division. Except immunizations are updated and filed as otherwise provided in NRS 432A.235 for properly in the children's files. Please find accommodation facilities: them attached here. Child #21 has Based on record review, Child #9,10,11,13,16,21,23 and 25 need updated immunizations. Upload current shot record, Doctor's note if delayed or scheduled Doctor's appointment. 1108 B. WING _______________________ 02/28/2023 Based on observation, Teacher used same gloves, same liner and did not disinfect changing table in between children.

The facility is licensed for 150 children as a Center. The census at the time of investigation was 124 children. 25 children's files and 21 staff files were reviewed. Reminder: Continue to upload all items 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: YOCHEVED Title: Assistant Director Date: 09/21/2022 REPRESENTATIVE'S SIGNATURE SHAPIRO Based on record review, NABS roster was inaccurate. Add 2 employees: Esther R and Destiney M. Shoshana K is Eligible/Expired in NABS and need to upload stamped 08/11/22 Consent and Release to show In Process. Upload updated NABS roster into POC. Eligibility Memos issued but Holly C needs Out of state from CA and Baila P needs Out of state from NY-Upload Background paperwork, emails or any proof Chana H and Chaya S have Consent and Release forms and Work Cards uploaded: email Backgrounds to receive Eligibility Memos, upload Eligibility Memos into POC then place in employee file NAC 306 1. Ever Based on record review, Meghan W needs proof of NV Registry. Upload NV Registry email confirmation or copy of certificate then 1108 B. WING _______________________ 09/09/2022 CHABAD - TORAH TOTS PRESCHOOL 1312 VISTA DR, LAS VEGAS, NEVADA ,89102 place in employee file. NAC 322 1. Each person who is employed in a child NAC 322 Brenda is scheduled to go for her CPR and 09/21/202 care facility shall: First Aid course next week. As soon as it's 2 (a) Except as otherwise provided in completed I will send it to you. Yocheved subsection 2 and Based on record review, Brenda G needs proof of CPR. Upload CPR card then place in employee file. NAC 340 1. Procedures for admission must provide NAC 340 All updated child records are attached here. 09/21/202 the caregiver with sufficient information and Pesha Rodman is responsible for making 2 instruction from the parents to enable the sure that all student files are current and up caregiver to prepare a record and to make to date. decisions or act on behalf of the child. 2. Before the admission of a child to a facility, the parent shall give the following information to the caregiver: (a) Based on record review, Child #21 needs Admissions form and Consent for Medical Care. Upload Admissions and signed Consent for Medical then place in child file. NRS 178 Child care facility required to maintain NRS 178 All updated child records are attached here. 09/21/202 certain information; reporting of information Pesha Rodman is responsible for making 2 to parents and guardians; notice of right to sure that all student files are current and up information. to date. 1. A child care facility shall maintain a copy of: (a) The license issued to the facility by the Health Division or an agency Based on record review, Child #21 did not have NRS 178 form signed by parent. Upload signed NRS 178 then place in child file. 1108 B. WING _______________________ 09/09/2022 CHABAD - TORAH TOTS PRESCHOOL 1312 VIS Based on record review, Child #21 did not have Permission to Release form signed by parent. Upload signed NRS178 form then place in child file. NAC.370 1. Evidence of each child ' s health must be NAC.370 All updated child records are attached here. 09/21/202 presented to the director of a facility, other Pesha Rodman is responsible for making 2 than an accommodation facility or a facility sure that all student files are current and up that provides care for ill children, within 30 to date. days after the child ' s initial admission. The evidence must include a written statement from a licens Based on record review, Child #1,5,21 and 24 need Health Statements signed by Doctor. Upload Health Statements then place in child file. NRS 230 NRS 230 All updated child records are attached here. 09/21/202 Certificate of immunization prerequisite to Pesha Rodman is responsible for making 2 admission to child care facility; conditional sure that all student files are current and up admission; report to Health Division. Except to date. as otherwise provided in NRS 432A.235 for accommodation facilities: 1. Except as otherwise provided in Based on record review, Child #12,20,21 and 22 need updated immunizations. Upload current shot record then place in child file.

This Statement of Deficiencies was generated as a result of the on-site State licensure survey conducted at your facility on 03/24/2022. The facility is licensed for 150 children as a center. The census at the time of survey was 78 children. 25 children's files and 26 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: DINA HARLIG Title: Director Date: 04/06/2022 REPRESENTATIVE'S SIGNATURE Based on inspection the facility was noted to have a security guard that carried a weapon without the necessary trainings. NAC 250 1. Except as otherwise provided in this NAC 250 The cabinet in Nursery B was fixed on 04/06/202 subsection, subsection 3 and NRS 4/1/22. All cabinets were fixed by 4/1/22. All 2 432A.078 in each facility there must be: staff were retrained to contain personal and (a) At least 35 square feet of indoor space hazardous materials in locked cabinets and for each child, exclusive of bathrooms, out of reach of the children. Yocheved halls, kitchen, stairs, storage spaces, Shapiro will continue making sure all multipurpose rooms and gymnasiums that cabinets and locks are functioning correctly are not regularly used. and staff is trained properly. (b) At least 37 1/2 sq... Basedon observation and interview, the facility was found to have the following building hazards as listed below: Broken cabinet door under sink in the Nursery Room B NAC 5. The director of the facility shall maintain a NAC Staff in the classrooms that didn't have 04/06/202 280.5 daily sign-in sheet that includes: 280.5 proper sign in sheets were retrained on 2 (a) The first and last names of staff and 3/30/22 by Yocheved Shapiro. Yocheved children; and will continue supervising proper filling out of (b) The times of arrival and departure for sign in sheets and training of staff in this staff Basedon interview and record review, the facility failed to maintain a daily sign-insheet that included the times of arrival and departure for staff and/orchildren. To ensure times are consistently recorded, please provide instructionto staff and parents and monitor the daily sign-in sheets. Based on your semi inspection facility failed to recognize and eliminate the following safety hazards: 1. Staffs personal belonging (purses) were accessible to children. 2. Cabinets doors were noted to be unlocked and cleaning supplies were accessible. NAC 306 1. Every caregiver in a child care facility NAC 306 Leah Schanowitz has submitted her 04/06/202 must: application to Nevada Registry on 4/6/22. 2 (a) Be at least 16 years of age; We are awating response from them, and (b) Be able to summon help in an will forward it to you as soon as we receive emergency; it from them. (c) Be emotionall Basedon interview and record review, the facility failed to ensure that within 1108 B. WING _______________________ 03/24/2022 CHABAD - TORAH TOTS PRESCHOOL 1312 VISTA DR, LAS VEGAS, NEVADA ,89102 Basedon inspection and record review facility failed to ensure all staff had anegative TB. Staff listed on the identifier list were noted to have a missingNegative TB. NAC 320 1. Except as otherwise provided in NRS NAC 320 All Orientations were given in a timely 04/06/202 432A.177 , within the first 2 weeks after manner, some were not on record properly. 2 commencing employment, newly employed Yocehved Shapiro is responsible for members of the staff of a facility must be insuring that they are all filed properly. This given a written and oral orientation program was corrected on 3/30/22 1108 B. WING _______________________ 03/24/2022 CHABAD - TORAH TOTS PRESCHOOL 1312 VISTA DR, LAS VEGAS, NEVADA ,89102 and be trained in the policies, procedures and programs of the facility by the director ... 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. Staff listed on the identifier list werenoted to have missing orientation. NAC 323 1. Except as otherwise provided in NAC NAC 323 All employees completed initial training 04/06/202 432A.521 and NRS 432A.177, within 120 requirements by 4/5/22. Yocheved Shapiro 2 days after commencing his or her is responsible for insuring this. Please find employment or position in a child care all training documentation attached for facility, each person who is employed in a Ciara Espinoza child care facility, other than a person employed in a facility that provides care for ill children... 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.Staff noted on the identifier list were noted to have missing initialtrainings. NRS 230 NRS 230 All immunizations have been brought up to 04/06/202 Certificate of immunization prerequisite to date and emailed to Silvia Cisneros by 2 admission to child care facility; conditional 3/24/22. Pesha Rodman is responsible for admission; report to Health Division. Except maintaining children's immunizations as otherwise provided in NRS 432A. 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. NAC 414 1. A carpeted floor or rug on a floor that is NAC 414 All floors and carpets are cleaned bi- 04/06/202 too large to wash in a washing machine monthly. Yocheved Shapiro is responsible 2 must be vacuumed not less than one time for keeping the log. Please find the log each day or more often if necessary and attached. It was rectified by 3/25/22 cleaned not less t Basedon observation, interview and record review, verification that carpetedfloors/rugs too large for washing were not cleaned once every three months wasnot available at time of inspection. NAC 1. Except as otherwise provided in NAC NAC Yocheved Shapiro is responsible for 04/06/202 5205 432A.290 and 432A.546, a licensee of a 5205 maintaing ratios. She has retrained staff 2 child care center, child care institution, and implemented a new procedure for accommodation facility, facility for special breaks and when a staff member needs to events, nursery for infants and toddlers or step out of the classroom. Floating staff special needs facility shall, between the members have been given radios, and will hours of 6:30 a.m. and 9:00 p.m., abide by be called into classrooms when someone the foll... Basedon observation, the facility failed to provide an adequate number of staff forthe number of children in care. Toddler 1-A had 13 12 month and 2 year old children with 2 staff. To be in ratio 1 more staff was needed.

This Statement of Deficiencies was generated as a result of the on-site State licensure survey conducted at your facility on 9/03/2025. The facility is licensed for 300 Children as a center. The census at the time of survey was 128 children and 25 children files were reviewed and 23 staff files were reviewed. Two staff were observed using their phones, please ensure that staff are engage with the children at all times. 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/SUP Based on observation and document review, several classrooms did not have a completed sign in sheet for the day. Please make sure all classrooms use a signing sheet daily. Staff was part of any signing logs. NAC NAC 1. All fire extinguishers ahve been replaced 09/18/202 280.6 6. To maintain his or her license, the 280.6 and the new tags have been updated. 5 licensee must ensure that his or her facility 2. It was corrected on 9/10/2025. meets all standards for fire safety which are 3. Facilites Director is now setting an annual established by the State Fire Marshal. reminder. 4. POC - Debra La Based on observation the fire extinguisher needs to be served, tag is dated 5/24/2024. 1108 B. WING _______________________ 09/03/2025 CHABAD - TORAH TOTS PRESCHOOL 1312 VISTA DR, LAS VEGAS, NEVADA ,89102 (X4) S Based on observation a staff's vape was on top of the cots in the classroom at children's reach. Most storage rooms in the classrooms were open, please keep storage rooms locked. NAC 1. Except as otherwise provided in NRS NAC 1. Keep the training sheet with HR folder 09/18/202 320.1 432A.177 , within the first 2 weeks after 320.1 and not kept with Staff. 5 commencing employment, newly employed 2. Date of implementation - September 5, members of the staff of a facility must be 2025 given a written and oral orientation program 3. Copies will be made for future staff and be trained in the polici Based on staff binder review, Samantha B. needs orientation, please upload the document in the plan of correction. 1108 B. WING _______________________ 09/03/2025 CHABAD - TORAH TOTS PRESCHOOL 1312 VISTA DR, LAS Based on staff binder review Samantha B, needs negative TB test results, please upload the records in the plan of correction. NAC 323 1. Except as otherwise provided in NAC NAC 323 1. All staff receive a 30 day reminder when 09/18/202 432A.521 and NRS 432A.177, within 120 a document is expiring. Alejandra has been 5 days after commencing his or her instructed to complete her recertification employment or position in a child care before Friday, Septemebr 19, 2025. facility, each person who is employed in a 2. Corrective action has already been child care facility, other than a person established. If recertification is not in place employed in a facility that provides care for by 9/19.2025, staff memeber will not be ill children, and each director of a child care permitted to return to work.... Based on staff binder review Alejandra S. needs CPR certification please upload the certificate in the plan of correction. 1108 B. WING _______________________ 09/03/2025 CHABAD - TORAH TOTS PRESCHOOL 1312 VISTA Based on staff binder review, Kayley H. needs a total of 8 hours, please upload the certificates in the plan of correction. NRS 230 NRS 230 1. All children are logged into our 09/18/202 Certificate of immunization prerequisite to registration system including the 5 admission to child care facility; conditional immunization part that tracks when children admission; report to Health Division. Except are out of compliance with their shots. We as otherwise provided in NRS 432A.235 for run monthly reports on th efirst of the month accommodation facilities: and contact those parents who need to 1. Based on child files review, child #4 and #5 need updated vaccination records, please refer to the identification list to obtain names and upload the records in the plan of correction. NAC 1. Except as otherwise provided in NAC NAC 1. We have staffing for our ratios. 09/18/202 5205 432A.290 and 432A.546, a licensee of a 5205 2. The staff in question has been talked to 5 child care center, child care institution, and she knows the proper procedures when accommodation facility, facility for special leaving the room. events, nursery for infants and toddlers or 3. Staff will continue to be reminde about special needs facility shall, between the keeping ratios. hours of 6:30 a.m. and 9:00 p.m., abide by 4. POC - Debra Lazer the following staffing levels in each classroom: Age of Child Required ... Based on observation the toddler 3 room was out of ratio with 10:1 (ages 2 year old) an additional caregiver was required to support ratios.

This Statement of Deficiencies was generated as a result ofthe on-site State licensure survey conducted at your facility on 2/24/2025. Thefacility is licensed for 300 Children as a center. The census at the time ofsurvey was 117 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: DEBRA LAZER Title: Preschool Director Date: 03/05/2025 REPRESENTATIVE'S SIGNATURE FORM APPROVE Based on observation be completed: March 4, 2025. the two staff in pre-k 1 room are alone. not in NABS and had no proof of fingerprints. 3. Changes that will be made or Add fingerprints documents for Cheriman R. measures that will be taken to prevent and Jazmin J. to NABS and upload the future occurrence of the deficient NABS roster into the plan of correction. practice Consent and Release are uploaded on or before new or returning employee starts employment. 4. Identify the person responsible: Debra Lazer NRS NRS 1. The specific actions that will be 03/04/202 175.3 Investigation by Division; Based on observation and record review, the following staff was int he center providing care and not in * I don't know who Sandra and NABS. Mushkie M. is. I called to Erika Obtain eligibility memorandums for: yesterday (3/) to explain. Sandra Muskie M. Cheriman R. Jazmin J. Sheryl L. Based on observation a tricycle was cover on bird droppings please clean and maintain it free of bird droppings. 1108 B. WING _______________________ 02/24/2025 CHABAD - TORAH TOTS PRESCHOOL 1312 VISTA DR, LAS VE The center was unable to show proof of insurance please upload the documents in the plan of correction. 1108 B. WING _______________________ 02/24/2025 CHABAD - TORAH TOTS PRESCHOOL 1312 VISTA DR, LAS VEGAS, NEVA Center was unable to show proof of carpet cleaning, please have a log available and upload it in the plan of correction. NAC 1. Except as otherwise provided in NAC NAC 1. The specific actions that will be 03/04/202 5205 432A.290 and 432A.546, a licensee of a 5205 taken to correct the deficiency and 5 child care center, child care institution, verification of completion, i.e. accommodation facility, facility for special documents, photographs, etc.: Staff events, nursery for infants and toddlers or 1108 B. WING _______________________ 02/24/2025 CHABAD - TORAH TOTS PRESCHOOL 1312 VISTA DR, LAS VEGAS, NEVADA ,89102 special needs facility shall, between the will call for a floater or POC when a hours of 6:30 a.m. and 9:00 p.m., abide by staff member leaves the room. the following staffing lev... Based on observation room pre-k 2 was out of ratio with 16:2, an additional caregiver was required to support ratios.

This Statement of Deficiencies was generated as a result ofthe on-site State licensure survey conducted at your facility on 9/04/2024. Thefacility is licensed for 150 Children as a center. The census at the time ofsurvey was 125 children and 25 children files were reviewed. All staff must be added into NABS within 24 hours of their first day, no staff can be in the center without fingerprints and TB test. 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: Ti Staff present in the rooms and with no fingerprints, the following staff need to be fingerprinted and consent and release forms must be uploaded int NABS for: Nechema D., Angelina A., Teitlebaum C., Mari R. and Cohen I. 1108 B. WING _______________________ 09/04/2024 NAME OF PR Based on observation the center was using the additional rooms that are not approved by childcare licensing. NAC 310 1. Every member of the staff of a facility, NAC 310 1. All adults working or volunteering in our including a volunteer, and each resident of center will have a negative TB screening the facility shall present to the director of prior to the start of working with our the facility, to be placed in the person’s file, children. written evidence that the person is free from 2. This is in effect immediately. communicable tuberculosis. The evidence 3. This is in practice and will be r Staff needs negative TB test results, staff cannot be at the center until results are obtained: Nechema D., Angelina A., Teitlebaum C., Mari R. and Cohen I. 1108 B. WING _______________________ 09/04/2024 CHABAD Based on children's record review all children are missing admission paperwork please refer to the identification list to obtain names and upload the documents into the plan of correction. NRS 178 Child care facility required to maintain NRS 178 1. Printing of the Admission paperwork certain information; reporting of information including NRS 178 is being down today. to parents and guardians; notice of right to 2. The uploading of these forms to this information. system will be Friday, September 12. 2024. 1. A child care facility shall maintain a copy 3. Next school year the paperwork will be Based on children's record review all children are missing NRS 178 form please refer to the identification list to obtain names and upload the documents into the plan of correction. 1108 B. WING _______________________ 09/04/2024 Based on children's record review all children are missing permission to release form please refer to the identification list to obtain names and upload the documents into the plan of correction. NRS 230 NRS 230 1. All children will have up to date Certificate of immunization prerequisite to immunizations or exemption forms at the admission to child care facility; conditional start of the school year. admission; report to Health Division. Except 2. This will rectified by Friday, September as otherwise provided in NRS 432A.235 for 12, 2024. accommodation facilities: 3. Administration will impl Based on children's record review child #5, #9, #10, #11, #22 and #23 need vaccination records, please refer to the identification list to obtain names. NAC 412 1. Each facility must have written NAC 412 1. All staff are trained on handwashing and procedures concerning the washing of diapering procedures during orientation. hands. POC will do spot checks in rooms every 2. The staff of a facility shall follow the day. procedures of the facility concerning the 2. This implementation is effective washing of hands and shall instruct, monitor immediately. and assist the children being cared for at Based on observation children had their diaper change and staff did not wash the children's hands after.

This Statement of Deficiencies was generated as a result ofthe on-site State licensure survey conducted at your facility on 7/28/2024. Thefacility is licensed for 150 Children as a center. The census at the time ofsurvey was 0 children and and 24 staff fileswere reviewed. Please email the following training certificates by 8/31/2024, classes must be completed after 7/29/2024 (inspection date) or you can provide the 24 hours total. 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 Based on staff binder 4. Debra Lazer is in charge of the review, Ava T. needs to be re-fingerprinted completion of this task. prior to starting classes, please upload the new consent and release form into NABS. NAC 306 1. Every caregiver in a child care facility NAC 306 1. Staff Member will present missing course must: and complete Nevada Registry before AND PLAN OF Based on staff binder review, Abigail S. needs Nevada registry membership, please upload certificate or email confirmation into the plan of correction. NAC 323 1. Except as otherwise provided in NAC NAC 323 1. Prior to this staff returning t work, staff 432A.521 and NRS 432A.177, within 120 must present a valid CPR document. days after commencing his or her 2. This will be completed by October 28, employment or position in a child care 2024 when the staff person comes back facility, each person who is employed in a from Maternity leave. child care facility, other than a person 3. No change at this time to procedure. employed in a facility that provides care for 4. Debra Lazer is in charge of getting this ill children, and each director of a child care task. facility shall complete: (a) Any... Based on staff binder review, staff Chaya S. needs CPR certification, please upload certificate into the plan of correction.

This Statement of Deficiencies was generated as a result of the on-site State licensure survey conducted at your facility on 2.26.24. 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 150 children as a center. The census at the time of survey was 9 children. 20 children's files and 25 staff files were reviewed. If deficiencies are cited, an approved plan of correction must be returned within 10 days after receipt of Based on record review and interview, documentation of completed and current investigations was not on file at the facility for required persons. The following items were not observed for individuals as noted below. Staff #5: Memo of Eligibility not on file, staff has been pending for more than 90 days. Please contact backgrounds regarding the issuance of the memo of eligibility. Please upload a copy to the POC once received. Staff #12: Memo of Eligibility not on file. OOS information submitted for Florida, missing child abuse report and response regarding criminal history request. Please upl 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# 7, 11 Based on a review of staff files, staff members, volunteers, and/or residents of the facility did not have written evidence that they were free from communicable tuberculosis issued within the preceding 24 months. Staff listed below may not return until current TB test verification is received: Staff #1 3, and 8 NAC 323 1. Except as otherwise provided in NAC NAC 323 POC Response: 03/15/202 432A.521 and NRS 432A.177, within 120 1. Each staff has completed their 4 days after commencing his or her Wellness Certificate for the year. employment or position in a child care 2. It has been completed for all but #7 facility, each person who is employed in a who has been separated from child care facility, other than a person employment. employed in a facility that provides care for 3. Expiry of Wel... 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 #1, 7, 9 and 11: 2 hrs. wellness training Staff #3 and 4: CPR-First Aid NRS 230 NRS 230 POC Response: 03/15/202 Certificate of immunization prerequisite to 4 admission to child care facility; conditional 1. All outstanding children's admission; report to Health Division. Except immunizations have been uploaded as otherwise provided in NRS 432A.235 for as identified. accommodati Based on interview and record review, child (ren) as noted below failed to have current immunization records on file at time of inspection. Please submit a copy of the current immunization record for child(ren) noted below: 1108 B. WING _______________________ 02/26/2024 NAME O Based on observation, interview and record review, the facility failed to assess each child within three months of enrollment and every six months thereafter. Children as noted below did not have a current assessment on file during inspection. Children #1 - 20: Please submit copy of current assessment

ThisStatement of Deficiencies was generated as a result of the on-site Statelicensure survey conducted at your facility on 10/31/2023. Please respond to each deficiency and attachdocuments as requested for the deficiency it pertains to. Sign and submit your Plan of Correctionwithin 10 business days of receipt. Inspectionconsensus, the facility is licensed for 150 children as a center. Thecensus at the time of survey was 125 children. 25 children's files and 25 staff files were reviewed. If deficiencies are cited, an approved plan of correction must be returned within 10 days after receipt of 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. Please submit copy ofcurrent Nevada Registry certificate or email from Nevada Registry showing proofof applying. Staff1, 6, 11, 13, 14, 17, and 18. NAC 323 1. Except as otherwise provided in NAC NAC 323 1. All staff will be required to provide their 11/17/202 432A.521 and NRS 432A.177, within 120 proof of completion to me to upload for 3 days after commencing his or her Licensing. employment or position in a child care 2. I am requiring that all staff have their facility, each person who is employed in a init... 1108 B. WING _______________________ 10/31/2023 CHABAD - TORAH TOTS PRESCHOOL 1312 VISTA DR, LAS VEGAS, NEVADA ,89102 ID (EACH DEFICIE Based on record review the facility failed to havedocumentation of completed annual training, the following staff need to complete their annual training hours: Staff #1: 16 hours including 2 hours of wellness Staff #3: 20 hours including 2 hours of wellness Staff #4: 24 hours including 2 hours of wellness Staff #5: 4 hours Staff #6: 20 hours including 2 hours of wellness Staff #7: 24 hours including 2 hours of wellness Staff #8: 24 hours including 2 hours of wellness Staff #9: 22 hours including 2 hours of wellness Staff #11: 22 hours including 2 hours of wellness Staff #13: 24 hours includin Basedon interview and record review, the facility failed to ensure that each childhad a written authorization signed by a parent with allows emergency andmedical care. Please upload a copy of the signed form for Child #1. 1108 B. WING _______________________ 10/31/2023 NAME OF 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. Please submit copy of the health statement signed by aphysician or registered nurse for the children noted below: Child#1 NRS 230 NRS 230 1. Going forward, all children's' 11/29/202 Certificate of immunization prerequisite to immunization records will be 3 admission to child care facility; conditional scrutinized and complete (up to admission; report to Health Division. Except date) before a child can be enrolled. as othe Basedon interview and record review, child(ren) as noted below failed to havecurrent immunization records on file at time of inspection. Please submit acopy of the current immunization record for child(ren) noted below: Child #1, 9 and 10: missing1 yr. old shots (1 round of DTP, Hep A, Varicella, MMR and Pneumococcal) Child #2 ,3, 4, 5, 6, 7, and 8: missing4 yr. old shots (1 round of DTP, Polio, MMR, and Varicella)

ThisStatement of Deficiencies was generated as a result of the on-site Statelicensure survey conducted at your facility on 9/19/2023. Please respond to each deficiency and attachdocuments as requested for the deficiency it pertains to. Sign and submit your Plan of Correctionwithin 10 business days of receipt. Inspectionconsensus, the facility is licensed for 150 children as a center. Thecensus at the time of survey was 99 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 Basedon observation and record review the facility failed to ensure that staff who'scompleted backgrounds were not received were not left alone with children. Staff observed in the classroom unsupervised before the Memo ofEligibility was issued. Please ensure all staff have Memo ofEligibility issued prior to being left alone with children. NAC NAC 11/02/202 200.3 3. Documentation of completed and current 200.3 1. A. All new/potential staff, 3 investigations must be kept on file at the before starting work, will have facility for all persons required to be had the basic requirements investigat Screening. This will be recorded Basedon record review and interview, on each staff’s Orientation documentation of completed and checklist which will be present in currentinvestigations was not on file at each employee’s folder. This the facility for required persons. will be maintained by the Thefollowing items were not observed Preschool Director, Debra for individuals as noted below. Please Lazer. upload proof of fingerprinting (Consent STATEMENT OF DEFICIENC Basedon record review the facility failed to ensure that all staff were added to thefacility’s NABS Roster at time of inspection. All staff new/transfers need tobe added to facility NABS Roster within 24 hours of hire/transfer. Please add the staff below: Staff 1, 2, 3, 4, 5, and 6. recorded and attached. Basedon observation and interview, the facility had no record that a drill fornatural disasters was held at least once every three months; nor did thefacility have any record that a fire drill was held at least once each month.Please conduct a fire and disaster drill and submit a copy of the current drilllog for both. Basedon observation, the facility failed to recognize and eliminate the followinghazards for the safety of children as evidenced by the following: Staff purse stored in a manner that is accessible to children Bench cushion torn, foam exposed Brooms not properly stored

The facility is licensed for 150 children as a Center. The census at the time of investigation was 89 children. 25 children's files and 29 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: DINA HARLIG Title: Director Date: 03/13/2023 REPRESENTATIVE'S SIGNATURE Based on record review and interview, NABS roster inaccurate. Maria C-C and Merov G need to be termed and Aviva S needs to be added to NABS roster. Balia P is "Eligible-Expired" in NABS and needs to be corrected. Upload current NABS roster. NAC 5. The director of the facility shall maintain a NAC As of 03/07/23 all classrooms have rosters 03/13/202 280.5 daily sign-in sheet that includes: 280.5 and sign in sheets in the room. Attendance 3 (a) The first and last names of staff and is kept both in the classroom and in the children; and office. Yocheved Shapiro is responsible for (b) The times o Based on record review and interview, Sign In for all classrooms kept at Front Office and no longer in classrooms but unacceptable as Sign in must be in all classrooms in case need to evacuate. NAC 306 1. Every caregiver in a child care facility NAC 306 Yocheved Shapiro is working on submitting 03/13/202 must: Esther R's Nevada Registry. As soon as it's 3 (a) Be at least 16 years of age; complete I will send it. (b) Be able to summon help in an emergency; STATE Based on record review, Esther R needs proof of NV Registry. Upload NV Registry email 1108 B. WING _______________________ 02/28/2023 CHABAD - TORAH TOTS PRESCHOOL 1312 VISTA DR, LAS VEGAS, NEVADA ,89102 (X4) SU Based on record review, Holly C, Neechama Y, Aviva S, Ilene A, Stephanie A, Adrianna J, Nicole T, Christine V, Dilia V and Christine V needs negative TB test. Upload TB results then place in employee file. NAC 323 1. Except as otherwise provided in NAC NAC 323 Please find Esther R's initial trainings 03/13/202 432A.521 and NRS 432A.177, within 120 attached. They had not been filed correctly. 3 days after commencing his or her As of 3/8/23 Yocheved Shapiro is employment or position in a child care responsible to make sure all initial trainings facility, each person who is employed in a are filed correctly. They are now in her child care facility, other than a person employee file. employed in a facility that provides care for ill children, and each director of a child care facility shall co... Based on record review, Esther R needs all Initial trainings. Upload certificates then place in employee file. 1108 B. WING _______________________ 02/28/2023 CHABAD - TORAH TOTS PRESCHOOL 1312 VISTA DR, LAS VEG Based on record review, Admission and Emergency Medical forms were not accessible for all 25 children. Upload Admission and Consent for Medical form for Children #1-25. NRS 178 Child care facility required to maintain NRS 178 Pesha Rodman is responsible for making 03/13/202 certain information; reporting of information sure all child files are up to date and filed 3 to parents and guardians; notice of right to properly. As of 03/13/23, all of the information. permissions are signed and filed properly in 1. A child care facility shall maintain a copy the children's files. Please find them of: Based on record review, NRS178 form was not accessible for children. Upload signed NRS178 form for Children #1-25 then place in child file. 1108 B. WING _______________________ 02/28/2023 CHABAD - TORAH TOTS PRE Based on record review, Permission to Release form was not accessible on computer. Upload Child #1-25 Permission to Release form. NRS 230 NRS 230 Pesha Rodman is responsible for making 03/13/202 Certificate of immunization prerequisite to sure all child files are up to date and filed 3 admission to child care facility; conditional properly. As of 03/13/23, all of the admission; report to Health Division. Except immunizations are updated and filed as otherwise provided in NRS 432A.235 for properly in the children's files. Please find accommodation facilities: them attached here. Child #21 has Based on record review, Child #9,10,11,13,16,21,23 and 25 need updated immunizations. Upload current shot record, Doctor's note if delayed or scheduled Doctor's appointment. 1108 B. WING _______________________ 02/28/2023 Based on observation, Teacher used same gloves, same liner and did not disinfect changing table in between children.

The facility is licensed for 150 children as a Center. The census at the time of investigation was 124 children. 25 children's files and 21 staff files were reviewed. Reminder: Continue to upload all items 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: YOCHEVED Title: Assistant Director Date: 09/21/2022 REPRESENTATIVE'S SIGNATURE SHAPIRO Based on record review, NABS roster was inaccurate. Add 2 employees: Esther R and Destiney M. Shoshana K is Eligible/Expired in NABS and need to upload stamped 08/11/22 Consent and Release to show In Process. Upload updated NABS roster into POC. Eligibility Memos issued but Holly C needs Out of state from CA and Baila P needs Out of state from NY-Upload Background paperwork, emails or any proof Chana H and Chaya S have Consent and Release forms and Work Cards uploaded: email Backgrounds to receive Eligibility Memos, upload Eligibility Memos into POC then place in employee file NAC 306 1. Ever Based on record review, Meghan W needs proof of NV Registry. Upload NV Registry email confirmation or copy of certificate then 1108 B. WING _______________________ 09/09/2022 CHABAD - TORAH TOTS PRESCHOOL 1312 VISTA DR, LAS VEGAS, NEVADA ,89102 place in employee file. NAC 322 1. Each person who is employed in a child NAC 322 Brenda is scheduled to go for her CPR and 09/21/202 care facility shall: First Aid course next week. As soon as it's 2 (a) Except as otherwise provided in completed I will send it to you. Yocheved subsection 2 and Based on record review, Brenda G needs proof of CPR. Upload CPR card then place in employee file. NAC 340 1. Procedures for admission must provide NAC 340 All updated child records are attached here. 09/21/202 the caregiver with sufficient information and Pesha Rodman is responsible for making 2 instruction from the parents to enable the sure that all student files are current and up caregiver to prepare a record and to make to date. decisions or act on behalf of the child. 2. Before the admission of a child to a facility, the parent shall give the following information to the caregiver: (a) Based on record review, Child #21 needs Admissions form and Consent for Medical Care. Upload Admissions and signed Consent for Medical then place in child file. NRS 178 Child care facility required to maintain NRS 178 All updated child records are attached here. 09/21/202 certain information; reporting of information Pesha Rodman is responsible for making 2 to parents and guardians; notice of right to sure that all student files are current and up information. to date. 1. A child care facility shall maintain a copy of: (a) The license issued to the facility by the Health Division or an agency Based on record review, Child #21 did not have NRS 178 form signed by parent. Upload signed NRS 178 then place in child file. 1108 B. WING _______________________ 09/09/2022 CHABAD - TORAH TOTS PRESCHOOL 1312 VIS Based on record review, Child #21 did not have Permission to Release form signed by parent. Upload signed NRS178 form then place in child file. NAC.370 1. Evidence of each child ' s health must be NAC.370 All updated child records are attached here. 09/21/202 presented to the director of a facility, other Pesha Rodman is responsible for making 2 than an accommodation facility or a facility sure that all student files are current and up that provides care for ill children, within 30 to date. days after the child ' s initial admission. The evidence must include a written statement from a licens Based on record review, Child #1,5,21 and 24 need Health Statements signed by Doctor. Upload Health Statements then place in child file. NRS 230 NRS 230 All updated child records are attached here. 09/21/202 Certificate of immunization prerequisite to Pesha Rodman is responsible for making 2 admission to child care facility; conditional sure that all student files are current and up admission; report to Health Division. Except to date. as otherwise provided in NRS 432A.235 for accommodation facilities: 1. Except as otherwise provided in Based on record review, Child #12,20,21 and 22 need updated immunizations. Upload current shot record then place in child file.

This Statement of Deficiencies was generated as a result of the on-site State licensure survey conducted at your facility on 8/29/2016. 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