Child Development Center

This statement of deficiencies was generated as a result of a semi annual inspection conducted at your facility on 1.07.26. The facility is licensed for 100 as a child care center. The census at the time of inspection were 83 children. 0 staff files and 0 child files were reviewed at the time of inspection, files will 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 8.20.25. The facility is licensed for 100 as a child care center. The census at the time of inspection was 50 children. 42 staff files and 15 child files were reviewed at the time of inspection. The following staff require hours by 9/31/25 Staff # 12: Needs 4 training hours Staff #32: Needs 4 training hours Staff #39: Needs 4 trainings hours If deficiencies are cited, an approved plan of correction must be returned within 10 days after receipt of this statement of deficiencies. LABOR

This statement of deficiencies was generated as a result of an annual inspection conducted at your facility on 2.27.25. The facility is licensed for 100 as a child care center. The census at the time of inspection was 79 children. 0staff files and 0 child files were reviewed at the time of inspection, files will be reviewed at the annual inspection. No regulatory deficiencies at this time. 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: REPRE

This Statement of Deficiencies was generated as a result of an on-site complaint investigation at your facility on 12/9/24. The facility is licensed for 100 children as a Child Care facility. The census at the time of the survey was 72. There were no regulatory deficiencies noted at the time of 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 on 8/2/24. The facility is licensed for 100 children as a Child Care facility. The census at the time of the survey was 47. 20 children’s files were reviewed and 47 employee files were reviewed. Reminders and Recommendations: -Staff #5 needs Child Abuse by 10/18/24; Staff #32 needs to apply to Nevada Registry by 10/1/24 and needs all required initial trainings by 11/1/24; Staff #36 needs to apply to Nevada Registry by 9/5/24 and needs all required initial trainings by 10/5/24; Staff #41 needs to apply to Nevada R

This Statement of Deficiencies was generated as the result of a semi-annual inspection on 02/13/2024. The facility is licensed for 100 children as a child care center. The census at the time of the survey was 76 children. 20 child files and 40 staff files were reviewed. Reminders and Recommendations: -Prior to children playing outdoors, ensure play toys and drinking fountains are emptied of standing water from melting snow/rain. -Staff #5: Nevada Registry expires 04/02/2024. Please renew prior to expiration. -Staff #6: Nevada Registry expires 04/06/2024. Please renew prior to expiration. CPR expires 04/02/2024. Please 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/S... Based on observation and interview on02/13/2024, the facility was found to have hazards as evidenced by an opening between the ground and the fence, large enough to cause injury to a child. Repair the opening and submit picture upon completion. NRS 230 NRS 230 02/13/202 Certificate of immunization prerequisite to NRS230 4 admission to child care facility; conditional admission; report to Health Division. Except 1. 1.All children had as otherwise provided in NRS 432A.235 for accommodation facilities: current/accurate Based on interview and record review on 02/13/2024, the below listed children did not have a current immunization record or exemption on file at the facility. Obtain and file a current immunization record for the child listed. Discard old immunization records upon obtaining most current. Child #14: needs 1st MMR and 1st Varicella. Child #15 needs 3rd Hep B. NAC 376 Except as otherwise provided in NAC NAC 376 02/13/202 432A.585: 1. 1. All medication was 4 1. Each prescribed medication must: labeled with child’s firstname (a) Be kept in the original container which must have a child-proof lid; Based on observation and interview on 02/13/2024,the facility failed to ensure that an over the counter medication was plainly labeled for the child for whom it was intended as evidenced by incomplete labeling of over the counter medications found in the locked medicine box. Ensure that medication is labeled as required. Provide staff training and submit proof of staff attendance. 255 B. WING _______________________ 02/13/2024 CHILD DEVELOPMENT CENTER 2201 W. COLLEGE PKWY, CARSON CITY, NEVADA ,89703 NAC NAC 02/13/202 380.7 7. Meals may be brought from home to a 380.7 2. 2. Corrected on day of inspection, 2/13/2024. Allstaff Based on observation and interview on trained by 2/22/2024 02/13/2024, the facility failed to ensure each child’s container is labeled with the child’s first and last name. Ensure that items 3. 3. For the future, both first brought from home are labeled. Ensure and last names willbe used. water bottles are labeled. Submit a picture of labeled containers and water bottles. 4. 4. All staff

This Statement of Deficiencies was generated as the result of an annual inspection on 8/2/23. The facility is licensed for 100 children as a Child Care facility. The census at the time of the survey was 62. 20 child files and 41 staff files were reviewed. There were no regulatory deficiencies noted at the time of the inspection. Reminders and Recommendations: -Update/upload NABS by 8/8/23 as discussed -Rake resilient surface to evenly distribute -Seal wooden swing and posts to prevent splinter hazards -Staff #34 needs to apply to Nevada Registry by 10/24/23 and needs CPR, First Aid, Signs of

This Statement of Deficiencies was generated as a result of a semi- annual inspection on 2/3/23. The facility is licensed for 115 children as a Child Care facility. The census at the time of the survey was 52. 25 children’s files were reviewed and 41 employee files were reviewed. Reminders and Recommendations: -Staff #7 Nevada Registry expires 3/15/23; Staff #10 t.b. test expires 3/3/23 -Child #25 needs an assessment by 4/30/23 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: ANNA LISA ACOSTA- Title: Director Date: 02/07/2023 REPRESENTATIVE'S SIGNATURE ROGERS 255 B. WING _______________________ 02/03/2023 CHILD DEVELOPMENT CENTER 2201 W. COLLEGE PKWY, C... Based on observation and interview on 255 B. WING _______________________ 02/03/2023 CHILD DEVELOPMENT CENTER 2201 W. COLLEGE PKWY, CARSON CITY, NEVADA ,89703

This Statement of Deficiencies was generated as a result of an annual inspection on 8/16/22. The facility is licensed for 115 children as a Child Care facility. The census at the time of the survey was 62. 25 children’s files were reviewed and 38 employee files were reviewed. Reminders and Recommendations: -Update/upload NABS as discussed by 8/22/22 -Ensure curriculum is dated as discussed -Rake resilient surface to evenly distribute -Seal playground covering and swing to prevent potential splinter hazard -Staff #3 clearance memo expires 9/16/22; Staff #5 Nevada Registry expires 9/26/22; Staf

Statement of Deficiencies was generated as a result of a complaint investigation that began on 4/22/22 conducted at your facility. The facility is licensed for 115 children as a child care facility. 14 teachers and the director were interviewed. 1 child file reviewed and 0 staff files. NAC 350 1. Every licensee of a facility shall adopt a NAC 350 1. Director reviewed the policyfor 08/29/202 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: ANNA LISA ACOSTA- Title: Director Date: 08/29/2022 REPRESENTATIVE'S SIGNATURE ROGERS 255 B. WING _______________________ 04/22/2022 CHILD DEVELOPMENT CENTER 2201 W. COLLEGE PKWY, CARSON CITY, NEVADA ,89703 written stat... Based on interview and record review on 4/22/22, 5/4/22 and 7/8/22 the facility failed to follow policies and procedures regarding admissions and enrollment as outlined in the facility statement/enrollment paperwork provided to parents. -Director and staff advised that children are released to individuals, who are not listed as an emergency contact on the admission paperwork, upon verbal confirmation from the parent. This conflicts with the policy written on the enrollment paperwork which states that children will not be released to individuals other than emergency contacts, without written a

This statement of deficiencies was generated as a result of a semi annual survey conducted at your facility on 2.8.22. The facility is licensed for 115 children. There were census at the time of survey was 82 children. 7 children's files and 39 staff files were reviewed. There were no regulatory deficiencies noted at the time of 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 8.20.25. The facility is licensed for 100 as a child care center. The census at the time of inspection was 50 children. 42 staff files and 15 child files were reviewed at the time of inspection. The following staff require hours by 9/31/25 Staff # 12: Needs 4 training hours Staff #32: Needs 4 training hours Staff #39: Needs 4 trainings hours If deficiencies are cited, an approved plan of correction must be returned within 10 days after receipt of this statement of deficiencies. LABOR

This statement of deficiencies was generated as a result of an annual inspection conducted at your facility on 2.27.25. The facility is licensed for 100 as a child care center. The census at the time of inspection was 79 children. 0staff files and 0 child files were reviewed at the time of inspection, files will be reviewed at the annual inspection. No regulatory deficiencies at this time. 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: REPRE

This Statement of Deficiencies was generated as a result of an on-site complaint investigation at your facility on 12/9/24. The facility is licensed for 100 children as a Child Care facility. The census at the time of the survey was 72. There were no regulatory deficiencies noted at the time of 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 on 8/2/24. The facility is licensed for 100 children as a Child Care facility. The census at the time of the survey was 47. 20 children’s files were reviewed and 47 employee files were reviewed. Reminders and Recommendations: -Staff #5 needs Child Abuse by 10/18/24; Staff #32 needs to apply to Nevada Registry by 10/1/24 and needs all required initial trainings by 11/1/24; Staff #36 needs to apply to Nevada Registry by 9/5/24 and needs all required initial trainings by 10/5/24; Staff #41 needs to apply to Nevada R

This Statement of Deficiencies was generated as the result of a semi-annual inspection on 02/13/2024. The facility is licensed for 100 children as a child care center. The census at the time of the survey was 76 children. 20 child files and 40 staff files were reviewed. Reminders and Recommendations: -Prior to children playing outdoors, ensure play toys and drinking fountains are emptied of standing water from melting snow/rain. -Staff #5: Nevada Registry expires 04/02/2024. Please renew prior to expiration. -Staff #6: Nevada Registry expires 04/06/2024. Please renew prior to expiration. CPR expires 04/02/2024. Please 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/S... Based on observation and interview on02/13/2024, the facility was found to have hazards as evidenced by an opening between the ground and the fence, large enough to cause injury to a child. Repair the opening and submit picture upon completion. NRS 230 NRS 230 02/13/202 Certificate of immunization prerequisite to NRS230 4 admission to child care facility; conditional admission; report to Health Division. Except 1. 1.All children had as otherwise provided in NRS 432A.235 for accommodation facilities: current/accurate Based on interview and record review on 02/13/2024, the below listed children did not have a current immunization record or exemption on file at the facility. Obtain and file a current immunization record for the child listed. Discard old immunization records upon obtaining most current. Child #14: needs 1st MMR and 1st Varicella. Child #15 needs 3rd Hep B. NAC 376 Except as otherwise provided in NAC NAC 376 02/13/202 432A.585: 1. 1. All medication was 4 1. Each prescribed medication must: labeled with child’s firstname (a) Be kept in the original container which must have a child-proof lid; Based on observation and interview on 02/13/2024,the facility failed to ensure that an over the counter medication was plainly labeled for the child for whom it was intended as evidenced by incomplete labeling of over the counter medications found in the locked medicine box. Ensure that medication is labeled as required. Provide staff training and submit proof of staff attendance. 255 B. WING _______________________ 02/13/2024 CHILD DEVELOPMENT CENTER 2201 W. COLLEGE PKWY, CARSON CITY, NEVADA ,89703 NAC NAC 02/13/202 380.7 7. Meals may be brought from home to a 380.7 2. 2. Corrected on day of inspection, 2/13/2024. Allstaff Based on observation and interview on trained by 2/22/2024 02/13/2024, the facility failed to ensure each child’s container is labeled with the child’s first and last name. Ensure that items 3. 3. For the future, both first brought from home are labeled. Ensure and last names willbe used. water bottles are labeled. Submit a picture of labeled containers and water bottles. 4. 4. All staff

This Statement of Deficiencies was generated as a result of a semi- annual inspection on 2/3/23. The facility is licensed for 115 children as a Child Care facility. The census at the time of the survey was 52. 25 children’s files were reviewed and 41 employee files were reviewed. Reminders and Recommendations: -Staff #7 Nevada Registry expires 3/15/23; Staff #10 t.b. test expires 3/3/23 -Child #25 needs an assessment by 4/30/23 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: ANNA LISA ACOSTA- Title: Director Date: 02/07/2023 REPRESENTATIVE'S SIGNATURE ROGERS 255 B. WING _______________________ 02/03/2023 CHILD DEVELOPMENT CENTER 2201 W. COLLEGE PKWY, C... Based on observation and interview on 255 B. WING _______________________ 02/03/2023 CHILD DEVELOPMENT CENTER 2201 W. COLLEGE PKWY, CARSON CITY, NEVADA ,89703

This Statement of Deficiencies was generated as the result of an annual inspection on 8/2/23. The facility is licensed for 100 children as a Child Care facility. The census at the time of the survey was 62. 20 child files and 41 staff files were reviewed. There were no regulatory deficiencies noted at the time of the inspection. Reminders and Recommendations: -Update/upload NABS by 8/8/23 as discussed -Rake resilient surface to evenly distribute -Seal wooden swing and posts to prevent splinter hazards -Staff #34 needs to apply to Nevada Registry by 10/24/23 and needs CPR, First Aid, Signs of

Statement of Deficiencies was generated as a result of a complaint investigation that began on 4/22/22 conducted at your facility. The facility is licensed for 115 children as a child care facility. 14 teachers and the director were interviewed. 1 child file reviewed and 0 staff files. NAC 350 1. Every licensee of a facility shall adopt a NAC 350 1. Director reviewed the policyfor 08/29/202 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: ANNA LISA ACOSTA- Title: Director Date: 08/29/2022 REPRESENTATIVE'S SIGNATURE ROGERS 255 B. WING _______________________ 04/22/2022 CHILD DEVELOPMENT CENTER 2201 W. COLLEGE PKWY, CARSON CITY, NEVADA ,89703 written stat... Based on interview and record review on 4/22/22, 5/4/22 and 7/8/22 the facility failed to follow policies and procedures regarding admissions and enrollment as outlined in the facility statement/enrollment paperwork provided to parents. -Director and staff advised that children are released to individuals, who are not listed as an emergency contact on the admission paperwork, upon verbal confirmation from the parent. This conflicts with the policy written on the enrollment paperwork which states that children will not be released to individuals other than emergency contacts, without written a

This Statement of Deficiencies was generated as a result of an annual inspection on 8/16/22. The facility is licensed for 115 children as a Child Care facility. The census at the time of the survey was 62. 25 children’s files were reviewed and 38 employee files were reviewed. Reminders and Recommendations: -Update/upload NABS as discussed by 8/22/22 -Ensure curriculum is dated as discussed -Rake resilient surface to evenly distribute -Seal playground covering and swing to prevent potential splinter hazard -Staff #3 clearance memo expires 9/16/22; Staff #5 Nevada Registry expires 9/26/22; Staf

The facility is licensed for 115 children as a Child Care facility. The census at the time of the survey was 75. 7 children’s files were reviewed and 48 employee files were reviewed. Licensing Reminders: - Staff #41:3 hours of Child Development or Positive Guidance/Discipline by 5.13.17 -Staff #42: Initial trainings due 6.20.18, Nevada Registry due 3.20.18 -Staff #44: Initial trainings due 7.8.18 (staff needs 6 hours of child development), Nevada Registry due 4.8.18 -Staff #47: Initial trainings due 7.22.18, Nevada Registry due 4.22.18 NRS 230 NRS 230 02/14/201 Certificate of immunization pre Based on interview and record review on 2.8.18, the below listed children did not have a current immunization record or approved exemption on file at the facility. Obtain and file a current immunization record for the children listed. Discard old immunization records upon obtaining most current. -Child #5

This statement of deficiencies was generated as a result of an annual inspection conducted at your facility on 8.20.25. The facility is licensed for 100 as a child care center. The census at the time of inspection was 50 children. 42 staff files and 15 child files were reviewed at the time of inspection. The following staff require hours by 9/31/25 Staff # 12: Needs 4 training hours Staff #32: Needs 4 training hours Staff #39: Needs 4 trainings hours If deficiencies are cited, an approved plan of correction must be returned within 10 days after receipt of this statement of deficiencies. LABOR

This statement of deficiencies was generated as a result of an annual inspection conducted at your facility on 2.27.25. The facility is licensed for 100 as a child care center. The census at the time of inspection was 79 children. 0staff files and 0 child files were reviewed at the time of inspection, files will be reviewed at the annual inspection. No regulatory deficiencies at this time. 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: REPRE

This Statement of Deficiencies was generated as a result of an on-site complaint investigation at your facility on 12/9/24. The facility is licensed for 100 children as a Child Care facility. The census at the time of the survey was 72. There were no regulatory deficiencies noted at the time of 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 on 8/2/24. The facility is licensed for 100 children as a Child Care facility. The census at the time of the survey was 47. 20 children’s files were reviewed and 47 employee files were reviewed. Reminders and Recommendations: -Staff #5 needs Child Abuse by 10/18/24; Staff #32 needs to apply to Nevada Registry by 10/1/24 and needs all required initial trainings by 11/1/24; Staff #36 needs to apply to Nevada Registry by 9/5/24 and needs all required initial trainings by 10/5/24; Staff #41 needs to apply to Nevada R