Charlene Rath

Annual inspection results with no deficiencies. Facility is licensed for 6 children and there were 4 children during 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 the on-site State licensure survey conducted at your facility on 9/25/2025. The facility islicensed for 6 Children as a family childcare. The census at the time of survey was 5 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 2/18/2025. The facility is licensed for 6 Children as a family child care. The census at the time of survey was 6 children and 6 children files were reviewed and 2 staff files were reviewed. Please submit and complete the renewal license application. If deficiencies are cited, an approved plan of correction must be returned within 10 days after receipt of this statement of deficiencies. LABORATORY DIRECTOR'S OR PROVIDER/SUPPLIER Name: Title: Date: REPRESENTATIVE'S SIGNA Based on children's files review, two children need updated vaccination records, please upload the records in 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 10/22/2024. The facility is licensed for 6 Children as a Family Care. The census at the time of survey was 5 children and 1 staff. If deficiencies are cited, an approved plan of correction must be returned within 10 days after receipt of this statement of deficiencies. LABORATORY DIRECTOR'S OR PROVIDER/SUPPLIER Name: Title: Date: REPRESENTATIVE'S SIGNATURE

ThisStatement of Deficiencies was generated as a result of the on-site Statelicensure survey conducted at your facility on 2/24/2024. 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 6 children as a Family Care. Thecensus at the time of survey was 3 children. 6 children's files and 1 staff files were reviewed. If deficiencies are cited, an approved plan of correction must be returned within 10 days after receipt of th 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: 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 11/02/2023. 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 6 children as a family care. Thecensus at the time of survey was 6 children. 6 children's files and 1 staff files were reviewed. If deficiencies are cited, an approved plan of correction must be returned within 10 days after receipt of t 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, 2, and 3: missing4 yr. old shots (1 round of DTP, Polio, MMR, and Varicella)

This Statement of Deficiencies was generated as a result of the on-site State licensure survey conducted at your facility on 3/2/23. The facility is licensed for #6 Children as a family care. The census at the time of survey was # 6 children and #6 children files were reviewed and #2 staff files were reviewed. Reminder to upload all needed items to renewal checklist including health permit, health inspection and fire along with other documents. If deficiencies are cited, an approved plan of correction must be returned within 10 days after receipt of this statement of deficiencies. LABORATORY Based on record review the provider did not provide evidence of current NV Registry for the following: Charlene R. Answer 4 poc questions from email and upload new certificate to documents. NRS 230 NRS 230 Reminder documents had been sent out to 03/15/202 Certificate of immunization prerequisite to parents when their preschooler turned 4. 3 admission to child care facility; conditional An immunization schedule was sent home admission; report to Health Division. Except as well. as otherwise provided in NRS 432A.235 for accommodation facilities: I will be more vigilant in communicating with 1. Based on record review the provider did not provide evidence of updated immunizations for the following children: Child 1 & 3 1054 B. WING _______________________ 03/02/2023 CHARLENE RATH 10748 SPRUCEDALE AVE, LA

ThisStatement of Deficiencies was generated as a result of the on-site Statelicensure survey conducted at your facility on 9/29/22. Thefacility is licensed for #6 Children as a family care. The census at the time ofsurvey was #6 children and #6 children files were reviewed and # 2 staff files werereviewed. NRS 230 NRS 230 1. I will check the age of the students 10/18/202 Certificate of immunization prerequisite to attending and remind them to update during 2 admission to child care facility; conditional the year. I always ask for an updated shot record before the first day of school but If de Based on record review the facility did not provide evidence of updated immunizations for the following children: Child 3 & 5 Obtain updated immunizations and upload to plan of correction. Please see child identification list located in documents.

The facility is licensed for 6 children as a Family Care. The census at the time of inspection was 5 children. 3 children's files and 1 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: CHARLENE RATH Title: Owner Date: 03/08/2022 REPRESENTATIVE'S SIGNATURE The extinguisher tag expired on 3/2/22, have the extinguisher serviced/retagged, and then upload the current extinguisher tag in the Plan of correction (POC) by 3/17/2022.

REMINDER Provider needs two hours of annual training prior to 3/31/21 NAC 310 1. Every member of the staff of a facility, NAC 310 1. My husband has received his tb shot. including a volunteer, and each resident of 2. The tb shot has been completed. Form the facility shall present to the director of uploaded. the facility, to be placed in the person’s file, 3. I have given myself a reminder in my written evidence that the person is free from phone to renew shot in 2 years. communicable tuberculosis. The evidence 4. I, Charlene Rath and responsible for this must be in the form of a report which Based on record review Providers Husband needs a current TB test.

This Statement of Deficiencies was generated as a result of the on-site State licensure survey conducted at your facility on 9/25/2025. The facility islicensed for 6 Children as a family childcare. The census at the time of survey was 5 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 2/18/2025. The facility is licensed for 6 Children as a family child care. The census at the time of survey was 6 children and 6 children files were reviewed and 2 staff files were reviewed. Please submit and complete the renewal license application. If deficiencies are cited, an approved plan of correction must be returned within 10 days after receipt of this statement of deficiencies. LABORATORY DIRECTOR'S OR PROVIDER/SUPPLIER Name: Title: Date: REPRESENTATIVE'S SIGNA Based on children's files review, two children need updated vaccination records, please upload the records in 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 10/22/2024. The facility is licensed for 6 Children as a Family Care. The census at the time of survey was 5 children and 1 staff. If deficiencies are cited, an approved plan of correction must be returned within 10 days after receipt of this statement of deficiencies. LABORATORY DIRECTOR'S OR PROVIDER/SUPPLIER Name: Title: Date: REPRESENTATIVE'S SIGNATURE

ThisStatement of Deficiencies was generated as a result of the on-site Statelicensure survey conducted at your facility on 2/24/2024. 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 6 children as a Family Care. Thecensus at the time of survey was 3 children. 6 children's files and 1 staff files were reviewed. If deficiencies are cited, an approved plan of correction must be returned within 10 days after receipt of th 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: 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 11/02/2023. 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 6 children as a family care. Thecensus at the time of survey was 6 children. 6 children's files and 1 staff files were reviewed. If deficiencies are cited, an approved plan of correction must be returned within 10 days after receipt of t 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, 2, and 3: missing4 yr. old shots (1 round of DTP, Polio, MMR, and Varicella)

This Statement of Deficiencies was generated as a result of the on-site State licensure survey conducted at your facility on 3/2/23. The facility is licensed for #6 Children as a family care. The census at the time of survey was # 6 children and #6 children files were reviewed and #2 staff files were reviewed. Reminder to upload all needed items to renewal checklist including health permit, health inspection and fire along with other documents. If deficiencies are cited, an approved plan of correction must be returned within 10 days after receipt of this statement of deficiencies. LABORATORY Based on record review the provider did not provide evidence of current NV Registry for the following: Charlene R. Answer 4 poc questions from email and upload new certificate to documents. NRS 230 NRS 230 Reminder documents had been sent out to 03/15/202 Certificate of immunization prerequisite to parents when their preschooler turned 4. 3 admission to child care facility; conditional An immunization schedule was sent home admission; report to Health Division. Except as well. as otherwise provided in NRS 432A.235 for accommodation facilities: I will be more vigilant in communicating with 1. Based on record review the provider did not provide evidence of updated immunizations for the following children: Child 1 & 3 1054 B. WING _______________________ 03/02/2023 CHARLENE RATH 10748 SPRUCEDALE AVE, LA

ThisStatement of Deficiencies was generated as a result of the on-site Statelicensure survey conducted at your facility on 9/29/22. Thefacility is licensed for #6 Children as a family care. The census at the time ofsurvey was #6 children and #6 children files were reviewed and # 2 staff files werereviewed. NRS 230 NRS 230 1. I will check the age of the students 10/18/202 Certificate of immunization prerequisite to attending and remind them to update during 2 admission to child care facility; conditional the year. I always ask for an updated shot record before the first day of school but If de Based on record review the facility did not provide evidence of updated immunizations for the following children: Child 3 & 5 Obtain updated immunizations and upload to plan of correction. Please see child identification list located in documents.

The facility is licensed for 6 children as a Family Care. The census at the time of inspection was 5 children. 3 children's files and 1 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: CHARLENE RATH Title: Owner Date: 03/08/2022 REPRESENTATIVE'S SIGNATURE The extinguisher tag expired on 3/2/22, have the extinguisher serviced/retagged, and then upload the current extinguisher tag in the Plan of correction (POC) by 3/17/2022.