Childtime Learning Center - Eastern

This Statement of Deficiencies was generated as a result ofthe on-site State licensure survey conducted at your facility on 11/10/2025. Thefacility is licensed for 155 Children as a center. The census at the time ofsurvey was 50 children and 10 children files were reviewed and 15 staff fileswere reviewed. *Please submit the renewal application and upload all the required documents. If deficiencies are cited, an approved plan of correction must be returned within 10 days after receipt of this statement of deficiencies. LABORATORY DIRECTOR'S OR PROVIDER/SUPPLIER Name: Title: Date: REPRESENTATIV Based on observation and record review, staff Ashley A. was providing care and is not in NABS, please make sure you add staff into NABS within 24 hours of their first day. NAC 250 1. Except as otherwise provided in this NAC 250 1. Toilets will be part of the routine during 11/10/202 subsection, subsection 3 and NRS closing. 5 432A.078 in each facility there must be: 2. 11/10/25 (a) At least 35 square feet of indoor space 3. The closing checklist will now be required for each child, exclusive of bathrooms, to be turned in daily, and verification of halls, kitchen, stairs, storage spaces, completion will take place during a closing multipurpose rooms and gymnasiums that walkthrough. are not regularly used. 4. Ashlee Naehu, Director (b) At least 37 1/2 square feet of outdoor play space for ea... Based on observation all the toilets in the center needed to be scrubbed, please scrub the toilets and 477 B. WING _______________________ 11/10/2025 CHILDTIME LEARNING CENTER - EASTERN 7980 S. EASTERN AVE, HENDE The carpet on the wall in room #2 is torn, please fix and upload pictures in the plan of correction. The gate in room #5 by the stairs is not secure, please make sure that the gate is secure. NAC 306 1. Every caregiver in a child care facility NAC 306 1. Nevada Registry certificate was printed 11/11/202 must: and added to the licensing training binder. 5 (a) Be at least 16 years of age; 2. 11/11/25 (b) Be able to summon help in an 3. Reminders will be added to the center emergency; calendar to ensure we keep track of dates. (c) Be emotionally and physically qualified 4. Ashlee Naehu, Director Staff Priscila R. needs NV registry, please upload certificate in the plan of correction. NAC 323 1. Except as otherwise provided in NAC NAC 323 1. All training will be redone and added to 11/28/202 432A.521 and NRS 432A.177, within 120 the training binder. 5 days after commencing his or her 2. 11/28/25 employment or position in a child care 3. Director was unaware of the rule 477 B. WING _______________________ 11/10/2025 CHILDTIME LEARNING CENTER - EASTERN 7980 S. EASTERN AVE, HENDERSON, NEVADA ,89123 facility, each person who is employed in a regarding training needed to be redone child care facility, other than a person after 2-3 years. All new employees will be employed in a facility that provides care for required to redo training if their training is ill children, and each director ... Based on document review, staff Sara E. needs the following initial classes: Prevention of shaken baby syndrome and abusive head trauma, Sudden Infant Death Syndrome, Two hours of training in child development or guidance, safety of buildings and other physical premises, emergency preparedness, and medication. Based on children files review child #2, #5 and #9 need updated health statements, please refer to identification list to obtain names and upload the records in the plan of correction. NRS 230 NRS 230 1. Immunizations were audited by the 11/28/202 Certificate of immunization prerequisite to Health Department, and uploaded 5 admission to child care facility; conditional immunizations were collected by the admission; report to Health Division. Except missing children and uploaded to the POC. as otherwise provided in NRS 432A.235 for 2. 11/28/25 accommodation facilities: 3. An immunization binde Based on children files review child #2, #3,#4#5#7,and #8 need updated vaccination records, please refer to identification list to obtain names and upload the records in the plan of correction. NAC 385 1. The staff of each facility shall: NAC 385 1. Bottles were labeled as soon as the 11/10/202 (a) Provide appropriate and adequate licensing surveyor left. 5 seating for the children at the facility during 2. 11/10/25 snacks and meals; 3. Retraining on proper bottle storage was (b) If a high chair is used, ensure that the done with all staff, and continued audits of chair: bottles will be done Based on observation two bottles had no labels in the infant room, please make sure that all bottles have labels. 477 B. WING _______________________ 11/10/2025 CHILDTIME LEARNING CENTER - EASTERN 7980 S. EASTER Please upload all the assessments of the reviewed children files in the plan of correction, refer to the identification list to obtain names. 477 B. WING _______________________ 11/10/2025 CHILDTIME LEARNING CEN Based on observation the floor and carpet in room #8 needed to be swept and vacuumed.

This Statement of Deficiencies was generated as a result of theon-site State licensure inspection conducted at your facility on 04/03/2025. Pleaserespond to each deficiency and attach documents as requested for the deficiencyit pertains to. Sign and submit your Plan of Correction within 10 business days ofreceipt. Inspection consensus, the facility is licensed for 144 children asa center. The census at the time of survey was 40 children. 2 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 477 B. WING _______________________ 04/03/2025 CHILDTIME LEARNING CENTER - EASTERN 7980 S. EASTERN AVE, HENDERSON, NEVADA ,89123... Basedon the investigation, staff statedthat diaper changes occur every 2 hours or as needed. The diaper changes are tracked by an app anda white board that is hanging on the wall. At the time of the inspection the app was current and accurate. The whiteboard had not been updated. NAC 520 1. A licensee of a child care facility shall NAC 520 1. Discussion with staff on procedures when 04/10/202 have a staff which is sufficient in number to a child has an potty accident, and specific 5 provide physical care, supervision and steps to take to ensure parents are notified individual attention to each child and allow that their child was changed. time for interaction between the staff and 2. 4/10/25 the children to promote the children ' s 3. Conformation will need to be sent to social competence,... Basedon the investigation, the staff member does not work for the facility anymore and was terminated on 03/31/2025.The director contacted the parent and informed the parent that the child hadurinated. The parent informed Ms. Naehuthat the child had extra clothing in her cubby inside of her backpack. The director stated that the extra clothing wasat the facility for the child and the staff member just failed to use theclothing.

This Statement of Deficiencieswas generated as a result of the on-site State licensure survey conducted atyour facility on 01/31/2025. The facility is licensed for 155 children as aCenter. The census at the time of the survey was 34 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: ASHLEE NAEHU Title: Director Date: 02/18/2025 REPRESENTATIVE'S SIGNATURE 477 B. WING _______________________ 01/31/2025 CHILDTIME LEARNING CENTER - EASTERN 7980 S. EASTERN AVE, HENDERSON, NEVADA ,89123 children. 0 children'sfiles and 0 staff files were reviewed. NAC 304 1. The director of a child care facility is NAC 304 1. Immediate entry of new hires will be 02/18/202 respon... • Based on the evidence provided, this allegation is substantiated.The director failed to update NABS. NAC 306 1. Every caregiver in a child care facility NAC 306 1. Sabrina C. Will complete additional 02/21/202 must: training on supervision. 5 (a) Be at least 16 years of age; 2. Training will be completed on 2/21/25 (b) Be able to summon help in an 3. Continued training on supervision will be emergency; done with all staff. (c) Be emotionally and physically qualified 4. Director, Ashlee Naehu to carry out a program which places emphasis on the development of children; and (d) Except as other Based on the evidence provided, this allegationis substantiated. Staff,Sabrina Calderon, did not provide proper care to the children on theplayground. Several children had runnynoses. Ms. Calderon was reminded twiceby the Surveyor and a co-worker to clean the children’s noses. Ms. 477 B. WING _______________________ 01/31/2025 CHILDTIME LEARNING CENTER - EASTERN 7980 S. EASTERN AVE, HENDERSON, NEVADA ,89123 Calderon was present on at least twooccasions when children were bitten in her care. Ms. Calderon failed to keep the children safein her care. NAC 520 1. A licensee of a child care facility shall NAC 520 1. Meeting will be held, 02/18/202 have a staff which is sufficient in number to classroom/playground supervision will be 5 provide physical care, supervision and discussed. individual ... 477 B. WING _______________________ 01/31/2025 CHILDTIME LEARNING CENTER - EASTERN 7980 S. EASTERN AVE, HENDERSON, NEVADA ,89123 ID (EAC

This Statement of Deficiencies was generated as a result of the on-site State licensure survey conducted at your facility on 11/07/2024. The facility is licensed for 155 Children as a center. The census at the time of survey was 44 children and 8 staff, 15 children files were reviewed and 12 staff files were reviewed. Reminders: • Please complete the Listing of Training form and upload it to the If deficiencies are cited, an approved plan of correction must be returned within 10 days after receipt of this statement of deficiencies. LABORATORY DIRECTOR'S OR PROVIDER/SUPPLIER Name: STEPHANIE AL Based on file review, Shelby M. does not have an Eligibility memo on file. Please upload a copy of her Eligibility Memo to the Plan of Corrections by 11/22/2024. Please email Surveyor once this is completed. NAC 302 1. A licensee of a child care facility shall not NAC 302 Work order submitted on 11/7/24 - once 11/07/202 knowingly appoint a person as director of work is completed photos will be uploaded 4 the facility or appoint or permit the to POC appointment of a person as an employee or Director volunteer at the facility if the person has been convicted of child abuse or neglect or any oth Based on inspection walk through done on 11/07/2024, it was observed that there were hazards found within some of the classrooms and on the playground. Please refer to detailed list below. Infant Room: Cribs and plastic screening near kitchen area need to be cleaned. Please upload photos to the Plan of Correction by11/22/2024. Email Surveyor when correction is completed. Toilets: All children toilets need to be cleaned. Please clean toilets and upload photos to the Plan of Correction by 11/22/2024. Email Surveyor when correction is completed. Playground (Middle with play structure): The back Based on staff file review on 11/07/2024, therewere staff who were not signed up with the NV Registry. Staff Shelby M. and Kayla C. are missing their NV Registry. Please upload proof of NV Registry to thePlan of Correction by 11/22/2024. NAC 1. Except as otherwise provided in NRS NAC Orientation checklists for Mia H. and 11/11/202 320.1 432A.177 , within the first 2 weeks after 320.1 Clarissa H. attached 4 commencing employment, newly employed Director members of the staff of a facility must be given a written and oral orientation program and be trained in the policies, procedures and program Based on staff binder review on 11/07/2024, the following Orientation Checklists are missing: Clarissa H. and Mia M. Please upload the Orientation Checklists for the above staff into the Plan of Correction by 11/22/2024 and email Surveyor when this is complete. NAC 323 1. Except as otherwise provided in NAC NAC 323 Training certificates for Shelby M attached - 11/15/202 432A.521 and NRS 432A.177, within 120 SOI/BBP; Building and Premises Safety and 4 days after commencing his or her Wellness training. Kayla C. terminated from employment or position in a child care CT on 11-14-24 facility, each person who is employed in a Director child care facility, other than a person employed in a facility that provides care for ill children, and each director of a child care facility shall complete: (a... Based on file review on 11/07/2024, the staff listed below are missing some Initial trainings. Please have staff complete trainings and upload certificates into the Plan of Correction by11/22/2024. Shelby M. - Signs of Illness and Bloodborne Pathogens, Building and Physical Premises Safety, Wellness Courses (2 hours) Kayla C. - Administration of Medication NAC 376 Except as otherwise provided in NAC NAC 376 All expired medication returned to parents 11/08/202 432A.585: or discarded on 11-08-24 4 1. Each prescribed medication must: Director (a) Be kept in the original container which STATE FOR Based on observation during facility visit on 11/07/2024,it was observed some of the children’s medications were expired. Please sendhome any expired medications with the child’s parent.

This Statement of Deficiencies was generated as a result of the on- site State licensure survey conducted at your facility on 7/16/2024. 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 155 children as a 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: JENELLE JONES Title: Direc The contractor tennis teacher was alone in the room with children, contractors must be supervised by a staff at all times. 477 B. WING _______________________ 07/16/2024 CHILDTIME LEARNING CENTER - EASTERN 7980 S Based on record review, staff Amy is not in NABS there was no documentation on site to verify that staff has been fingerprinted. Staff started employment over a week ago from the inspection. NAC 310 1. Every member of the staff of a facility, NAC 310 I will make sure to include all 07/25/202 including a volunteer, and each resident of documentation of TB tests as I receive them 4 the facility shall present to the director of and make sure they are in the licensing the facility, to be placed in the person’s file, binder. I have included all documents to written evidence that the person is free Staff Jessica A. and Mia need negative TB test results. NAC 323 1. Except as otherwise provided in NAC NAC 323 I will make sure I input all needed 07/25/202 432A.521 and NRS 432A.177, within 120 documents when I receive them into the 4 days after commencing his or her licensing binder. I will make sure to get all employment or position in a child care required documents within their first days of facility, each person who is employed in a hire/renewal. I have attached the required child care facility, other than a person document as completed. I am responsible employed in a facility that provides care for for this deficiency ill children, and each director of a child care facility shall complete: (a) Any training required by the facility in which the director serves or in which the person ... Staff Julie H. needs CPR certification. 477 B. WING _______________________ 07/16/2024 CHILDTIME LEARNING CENTER - EASTERN 7980 S. EASTERN AVE, HENDERSON, NEVADA ,89123 Based on children record review, child #2 needs emergency medical form to be completed, please refer to the identification list to obtain name and upload the document into the plan of correction. NRS 230 NRS 230 I will make sure I obtain all shot records 07/25/202 Certificate of immunization prerequisite to upon enrollment. I will also continuously 4 admission to child care facility; conditional check Web IZ to obtain any new shot/shot admission; report to Health Division. Except records. I have uploaded the documents to show this is completed and on file. I am Based on children record review, child #6 and child #8 need updated vaccination records, please refer to the identification list to obtain names and upload the documents into the plan of correction. 477 B. WING _______________________ 07/16/2024 Carpet in room #2 needs to be cleaned. NAC 1. Except as otherwise provided in NAC NAC I will make sure that I maintain ratios and 07/25/202 5205 432A.290 and 432A.546, a licensee of a 5205 have an adequate number of staff within the 4 child care center, child care institution, building. I will make sure I have 2 teachers 477 B. WING _______________________ 07/16/2024 CHILDTIME LEARNING CENTER - EASTERN 7980 S. EASTERN AVE, HENDERSON, NEVADA ,89123 accommodation facility, facility for special in infants if there are more than 4 children events, nursery for infants and toddlers or under 9 months and 2 teachers in twos if special needs facility shall, between the there are more than 9. I am responsible for hours of 6:30 a.m. and 9:00 p.m., abide by this. the following staffing levels in each ... Infant room was out of ratio with 5:1, and 2's room was out of ratio with 11:1, an additional caregiver was needed in both rooms to support ratios.

ThisStatement of Deficiencies was generated as a result of the on-site Statelicensure inspection conducted at your facility on 4/11/24. Thefacility is licensed for #155 Children as a center. The census at the time ofsurvey was #0 children and #0 children files were reviewed and # 0staff files werereviewed. NAC 200 Based on investigation staff member without a clearance memo was alone with children. Jessica A.G. Answer 4 poc questions NAC 1. Except as otherwise provided in NAC NAC 1. I will make sure to watch ratios and make 04/11/202 5205 432A.290 and 432A.546, a licensee of a 5205 sure there is the right number of staffing in 4 child care center, child care institution, each classroom. accommodation facility, facility for special 2. I corrected that action on 4/11 when the events, nursery for infants and toddlers or licensing analyst was here, since then I special needs facility shall, between the have been maintaining the ratio of 1-4. hours of 6:30 a.m. and 9:00 p.m., abide by 3. I do a count every hour to make sure the the following staffing levels in each teachers are not going out of ratio, if... Based on 477 B. WING _______________________ 04/11/2024 CHILDTIME LEARNING CENTER - EASTERN 7980 S. EASTERN AVE, HENDERSON, NEVADA ,89123

This Statement of Deficiencies was generated as a result of the on-site State licensure survey conducted at your facility on 11/13/2023. 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 155 children as a center. The census at the time of survey was 51 children. 25 children's files and 17 staff files were reviewed. If deficiencies are cited, an approved plan of correction must be returned within 10 days after receip Basedon observation and interview on 11/13/2023, the facility was found to 477 B. WING _______________________ 11/13/2023 CHILDTIME LEARNING CENTER - EASTERN 7980 S. EASTERN AVE, HENDERSON, NEVADA ,89123 (X4) SUM access. Also, would like to note that all of these drills are now logged digitally on Basedon observation and interview, the Learning Care Group Site. facility had no record that a drill 3. Log will be conducted and stored fornatural disasters was held at least properly in meantime, in Licensing binder. New management team has been coached once every three months; nor did and updated on the conduction of drills and thefacility have any record that a fire the proper documentation updating and drill was held at least once each storage. month.Please conduct a fire and 4. Julee Hendricks, Academy Based on observation, the facility failed to recognize and eliminate the following hazards for the safety of children as evidenced by the following. • classroom doors and walls observed with chipped paint • outlet covers missing in some classrooms • brooms not properly stored, please be sure that brooms are stored bristle side up. NAC 306 1. Every caregiver in a child care facility NAC 306 1. Keeping track of the correct dates and 12/05/202 must: documents needed for renewal of NV. 3 (a) Be at least 16 years of age; Registry. (b) Be able to summon help in an 2. 12.5.23 emergency; 3. Proper tr 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 477 B. WING _______________________ 11/13/2023 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. Please submitcopy of orientation for Staff #4 and #5. NAC 310 1. Every member of the staff of a facility, NAC 310 1. Will make accessible, staff members 12/04/202 including a volunteer, and each resident of licensing information and updates to 3 the facility shall present to the director of maintain and avoid lapse in coverages, the facility, to be placed in the person’s fi Basedon a review of staff files, staff members, volunteers, and/or residents of thefacility did not have written evidence that they were free from communicabletuberculosis issued within the preceding 24 months. Staff listed below may notreturn until current TB test verification is received: Staff #3, 5, and 9. NAC 323 1. Except as otherwise provided in NAC NAC 323 1. Will ensure and coach new staff 12/15/202 432A.521 and NRS 432A.177, within 120 members on the process of the 120 day 3 days after commencing his or her training guidelines. employment or position in a child care 2. They have been given a hard date of facility, each person who is employed in a 12.10.23 to complete classes and apply child care facility, other than a person with NV. Registry. employed in a facility that provides... Based on interview and record review, the facility failed to ensure thatwithin 120 days of hire each employee completed the required hours of trainingin childcare. Training not on file for staff as noted below: Staff #3 and 6 : all initial trainings excluding Child Abuse. Staff #8: Child Abuse training not on file Staff #9: CPR-First Aid training expired AND PLAN O 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 completed copy signed by parent for childrennoted below: Child #5, 14, and 20. NRS 230 NRS 230 1. Keep proper records for children. Also, 12/10/202 following a recent audit from SNHD 3 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, 6, 11, 12,: missing4 yr. old shots (1 round of DTP, Polio, MMR, and Varicella) Child # 4: missing 1 round of DTP Child # 5: missing 1 round of DTP Child #7: missing 1 round of DTP, Hep A and MMR Child # 9: missing1 yr. old shots (1 round of DTP, Hep A, Varicella, MMR and Pneumococcal) Child #13, 14, 15, and 16, : missing1 yr. old shots (1 round of DTP, Hep A, Var assessments page for an example. Based on observation, interview and record review, thefacility failed to assess each child within three months of enrollment andevery six months thereafter. Children as noted below did not have a currentassessment on file during inspection. Child 1- 25. NAC 414 1. A carpeted floor or rug on a floor that is NAC 414 1. Could not locate previous Director's 11/13/202 too large to wash in a washing machine carpet cleaning log required by Childcare 3 must be vacuumed not less than one time Licensing. I have obtained our records and each day or more often if necessar 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. Please submit copy of current carpet cleaning log. NAC 416 1. Each member of the staff of a facility that NAC 416 1. Checked mats and nap mats in classes 12/04/202 is necessary to meet the applicable and removed all torn ones. Ordered new 3 requirement for the ratio of caregivers to ones and searched facility for some in children set forth in Basedon observation and interview the facility failed to ensure that sleeping deviceswere kept in good condition. Napping mats were observed to be in disrepair. Pleasereplace with mats that are in good condition.

This Statement of Deficiencies was generated as a result of the on-site State licensure survey conducted at your facility on 07/27/23. 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 155 children as a center. The census at the time of survey was 52 children. 25 children's files and 16 staff files were reviewed. If deficiencies are cited, an approved plan of correction must be returned within 10 days after receipt Based on record review the facility failed to ensure that all staff were added to the facility’s NABS Roster at time of inspection. All staff new/transfers need to be added to facility NABS Roster within 24 hours of hire/transfer. The following staff were not added to NABS within 24 hours of hire: Staff #3, #6. #7, and #8. Please submit a plan that ensures all staff are added within the required timeframe. NAC 4. The play area of each facility must: NAC 1. All repairs have been submitted to our 08/23/202 250.4 (a) Be fenced or enclosed in a manner that 250.4 parent company to be completed in Based on observation and interview, the facility was found to have hazards as listed below. Early Preschool RM 4-Walls need maintenance and chipped paint on door. Preschool 2 RM 3-Chipped paint on door. Toddler RM 2- (1)Chipped paint on doors, (2)walls need to be cleaned, (3)siding on hand washing sink needs to be repaired as well as the sides with pictures, (4)white shelf with road signs need to be repaired or replaced, edge of shelf observed to have cracked ST Based on observation, the facility failed to recognize and eliminate the following hazards for the safety of children as evidenced by the following. Early Preschool RM 4-Walls need maintenance and chipped paint on door. 477 B. WING _______________________ 07/27/2023 NAME OF PROV 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 below: Staff #4 and #5 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: Please submit copy of negative TB reading for Staff #3, #5, #6, and #8. NAC 323 1. Except as otherwise provided in NAC NAC 323 1. Staff training is completed. Please see 08/21/202 432A.521 and NRS 432A.177, within 120 attached certificate for #1 and termination 3 days after commencing his or her verification for #5.. employment or position in a child care 2. Uploaded certs 8.21.23 facility, each person who is employed in a 3. All staff will complete required trainings child care facility, other than... 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: Child Abuse and Neglect training, Medication Administration with food borne allergies/illnesses. Staff # 5: CPR/First Aid 4hrs. Signs and Symptoms of Illness with Blood Borne Pathogens 2 hrs. Recognizing/Reporting Child Abuse/Neglect 2 hrs. SIDS 2 hrs. Prevention of Shaken Baby Syndrome and Abusive Head Trauma 1 hr. Human Growth and Development or Positive Guidance 3 hrs. M Based on interview and record review, the facility failed to ensure that each child had a written authorization signed by a parent with allows emergency and medical care. Please submit copy of form signed by parent for child listed below: Child # 18 NRS 178 Child care facility required to maintain NRS 178 1. child is withdrawn- verification uploaded 08/21/202 certain information; reporting of information 2. uploaded 8.18.23 3 to parents and guardians; notice of right to 3. All paperwork will be completed by all information. enrolled families to ensure all forms are Based on observation and record 477 B. WING _______________________ 07/27/2023 CHILDTIME LEARNING CENTER - EASTERN 7980 S. EASTERN AVE, HENDERSON, NEVADA ,89123 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: Child#1- Hep A, Varicella, MMR, HIB 477 B. WING _______ 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. Please submit copy of current assessment for Child #1, # 2, # 6, # 7, # 8, # 9, # 11, # 12, # 13, #17, #18, #19, #20. NAC 414 1. A carpeted floor or rug on a floor that is NAC 414 1. All room walls will be maintained to 08/21/202 too large to wash in a washing machine ensure cleanliness. 3 must be vacuumed not less than one time 2. Moving forward as of Based on observation the facility failed to ensure that all nonporous surfaces were properly maintained. During the inspection, classroom walls were observed to be soiled in all classrooms. Please ensure that all classroom walls are properly maintained. NAC 520 1. A licensee of a child care facility shall NAC 520 1. All staff retrained on proper supervision 08/21/202 have a staff which is sufficient in number to of classroom. Document attached 3 provide physical care, supervision and 2. POC uploaded 8.21.23 477 B. WING _______________________ 07/27/2023 CHILDTIME LEARNING CENTER - EASTERN 7980 S. EASTERN AVE, HENDERSON, NEVADA ,89123 individual attention to each child and allow 3. Proper supervision training will be time for interaction between the staff and presented to all staff. the chi... Based on observation the facility failed to ensure that staff maintained a proximate to the child that allows them to be capable of intervening if assistance or direction is needed by the child and to observe, oversee and guide the child. Children in PreK RM. 7 were observed climbing under the easel.

This Statement of Deficiencies was generated as a result of the on-site State licensure survey conducted at your facility on 12/14/2022. The facility is licensed for 155 Children as a center. The census at the time of survey was 34 children and 25 children files were reviewed and 13 staff files were reviewed. *Reminders* Provide an update on Alicia M. background documents by 12/31/2022. Please remove Kharla T. from NABS. Upload new fire certificate into renewal application checklist. If deficiencies are cited, an approved plan of correction must be returned within 10 days after receipt of this statement of deficiencies. LABORATORY DIRECTOR'S OR PROVIDER/SUPPLIER Name: STEPHANIE MAY Title: Director Date: 01/01/2023 REPRESENTATIVE'S SIGNATURE 477 B. WING _______________________ 12/14/2022 CH... Based on observation an outlet cover in early preschool room is broken, please replace an upload a picture into the plan of correction. NAC 306 1. Every caregiver in a child care facility NAC 306 1. Both employees have submitted to NV 12/30/202 must: Registry. 1 has a confirmation email and 1 2 (a) Be at least 16 years of age; has their certificate. Photos uploaded. (b) Be able to summon help in an 2. Proof uploaded 12/30/22 emergency; 3. All employees will have a valid regsitry (c) Be emotionally and physically qualified certificate in the required amount of time to carry out a program which Based on staff binder review, Melissa G. and Alicia M. needs NV registry, please upload certificates or email confirmation into the plan of correction. NAC 310 1. Every member of the staff of a facility, NAC 310 1. Employee received TB test and has valid 12/17/202 including a volunteer, and each resident of negative results 2 the facility shall present to the director of 2. 12/17/22 the facility, to be placed in the person’s file, 3. All employees will have current negative written evidence that the person is free from TB tests on file. communicable tuberculosis. The evidence 4. Stephanie May Based on staff record review, staff Paulina V. needs negative Tb test results. Please upload document into plan of correction, staff cannot be in the Center until results are obtained. 477 B. WING _______________________ 12/14/2022 Based on children's file review one child needs emergency medical form, please refer to the children's identification form to obtain name and upload the document into the plan of correction. 477 B. WING _______________________ 12/14/2022 Based on children's file review one child needs permission to release form, please refer to the children's identification form to obtain name and upload the document into the plan of correction. NAC.370 1. Evidence of each child ' s health must be NAC.370 1. Child has current health statement. See 12/30/202 presented to the director of a facility, other attached photo. 2 than an accommodation facility or a facility 2. 12/30/22 that provides care for ill children, within 30 3. All children will have current and valid days after the child ' s initial admission. The health statements on file. ev Based on children's file review one child needs health statement, please refer to the children's identification form to obtain name and upload the document into the plan of correction. NRS 230 NRS 230 1. All children have current vaccination 12/30/202 Certificate of immunization prerequisite to records. All records uploaded in documents 2 admission to child care facility; conditional section. 2.12/30/22 Based on children's file review a total of 14 need vaccination records, please refer to the children's identification form to obtain names and upload the records into the plan of correction. 477 B. WING _______________________ 12/14/2022 Based on children's file review two children need assessments, please refer to the children's identification form to obtain name and upload the documents into the plan of correction.

The facility is licensed for 155 children as a Center. The census at the time of investigation was 31 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 statement of deficiencies. LABORATORY DIRECTOR'S OR PROVIDER/SUPPLIER Name: STEPHANIE MAY Title: Director Date: 10/20/2022 REPRESENTATIVE'S SIGNATURE 477 B. WING _______________________ 10/07/2022 CHILDTIME LEARNING CENTER - EASTERN 7980 S. EASTERN AVE, HENDERSON, NEVADA ,89123 NAC 520 1. A licensee of a child care facility shall NAC 520 1. Staff member was terminated upon 10/03/202 have a staff which is sufficient in number to camera reviews after receiving statements 2 provide physical care, supervision and from staf... Based on observation and interview, Early Preschool teacher did not follow Face to Name procedure leaving child in classroom unattended for 30 minutes while others were outside on playground.

The water fountain in room #7 needs to be wipe down, the large rug has a ripped corner, the walls have crayon drawings, and the cabinet's doors 477 B. WING _______________________ 07/05/2022 CHILDTIME LEARNING CEN Based on staff binder review, staff Fualili needs NV registry. NAC 1. Every member of the staff of a facility, NAC 1. Staff member has a current TB. Proof of 07/07/202 310.1 including a volunteer, and each resident of 310.1 current TB is attached. 2 the facility shall present to the director of 2. Picture uploaded 7.7.22 the facility, to be placed in the person’s file, 3. Every staff member does, and will written evidence that the person is free from continue to, have a current TB on file communicable tuberculosis. The evidence 4. Stephanie May must be in the form of a report which states tha Based on staff binder review, staff Martinez needs negative TB test results. NRS 230 NRS 230 1. All children will have an updated VAX 07/07/202 Certificate of immunization prerequisite to record in their file. All records attached here 2 admission to child care facility; conditional for children requested. admission; report to Health Division. Except 2. Records uploaded 7.7.22 as otherwise provided in NRS 432A.235 for 3. All children will have updated VAX accommodation facilities: records in their file. 1. Except as otherwise provided in 4. Stephanie May subsection 3 and unless excused becaus Based on children records review a total of seven children need updated vaccination records, please refer to the identification list and email records to ehovater@health.nv.gov NAC NAC 1. All children have updated assessments in 07/07/202 430.3 3. In addition to the written assessment plan 430.3 their files and will be completed on time. 2 which is developed pursuant to subsection 2. Proof of assessments uploaded 7.7.22 2, each facility described in subsection 1 3. All children will have current and updated shall, within 3 months after a child enrolls in assessments completed and filed within Based on children records review a total of eight children need assessments, please refer to the identification list and email records to ehovater@health.nv.gov

This Statement of Deficiencies was generated as a result of theon-site State licensure inspection conducted at your facility on 04/03/2025. Pleaserespond to each deficiency and attach documents as requested for the deficiencyit pertains to. Sign and submit your Plan of Correction within 10 business days ofreceipt. Inspection consensus, the facility is licensed for 144 children asa center. The census at the time of survey was 40 children. 2 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 477 B. WING _______________________ 04/03/2025 CHILDTIME LEARNING CENTER - EASTERN 7980 S. EASTERN AVE, HENDERSON, NEVADA ,89123... Basedon the investigation, staff statedthat diaper changes occur every 2 hours or as needed. The diaper changes are tracked by an app anda white board that is hanging on the wall. At the time of the inspection the app was current and accurate. The whiteboard had not been updated. NAC 520 1. A licensee of a child care facility shall NAC 520 1. Discussion with staff on procedures when 04/10/202 have a staff which is sufficient in number to a child has an potty accident, and specific 5 provide physical care, supervision and steps to take to ensure parents are notified individual attention to each child and allow that their child was changed. time for interaction between the staff and 2. 4/10/25 the children to promote the children ' s 3. Conformation will need to be sent to social competence,... Basedon the investigation, the staff member does not work for the facility anymore and was terminated on 03/31/2025.The director contacted the parent and informed the parent that the child hadurinated. The parent informed Ms. Naehuthat the child had extra clothing in her cubby inside of her backpack. The director stated that the extra clothing wasat the facility for the child and the staff member just failed to use theclothing.

This Statement of Deficiencieswas generated as a result of the on-site State licensure survey conducted atyour facility on 01/31/2025. The facility is licensed for 155 children as aCenter. The census at the time of the survey was 34 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: ASHLEE NAEHU Title: Director Date: 02/18/2025 REPRESENTATIVE'S SIGNATURE 477 B. WING _______________________ 01/31/2025 CHILDTIME LEARNING CENTER - EASTERN 7980 S. EASTERN AVE, HENDERSON, NEVADA ,89123 children. 0 children'sfiles and 0 staff files were reviewed. NAC 304 1. The director of a child care facility is NAC 304 1. Immediate entry of new hires will be 02/18/202 respon... • Based on the evidence provided, this allegation is substantiated.The director failed to update NABS. NAC 306 1. Every caregiver in a child care facility NAC 306 1. Sabrina C. Will complete additional 02/21/202 must: training on supervision. 5 (a) Be at least 16 years of age; 2. Training will be completed on 2/21/25 (b) Be able to summon help in an 3. Continued training on supervision will be emergency; done with all staff. (c) Be emotionally and physically qualified 4. Director, Ashlee Naehu to carry out a program which places emphasis on the development of children; and (d) Except as other Based on the evidence provided, this allegationis substantiated. Staff,Sabrina Calderon, did not provide proper care to the children on theplayground. Several children had runnynoses. Ms. Calderon was reminded twiceby the Surveyor and a co-worker to clean the children’s noses. Ms. 477 B. WING _______________________ 01/31/2025 CHILDTIME LEARNING CENTER - EASTERN 7980 S. EASTERN AVE, HENDERSON, NEVADA ,89123 Calderon was present on at least twooccasions when children were bitten in her care. Ms. Calderon failed to keep the children safein her care. NAC 520 1. A licensee of a child care facility shall NAC 520 1. Meeting will be held, 02/18/202 have a staff which is sufficient in number to classroom/playground supervision will be 5 provide physical care, supervision and discussed. individual ... 477 B. WING _______________________ 01/31/2025 CHILDTIME LEARNING CENTER - EASTERN 7980 S. EASTERN AVE, HENDERSON, NEVADA ,89123 ID (EAC

This Statement of Deficiencies was generated as a result of the on-site State licensure survey conducted at your facility on 11/07/2024. The facility is licensed for 155 Children as a center. The census at the time of survey was 44 children and 8 staff, 15 children files were reviewed and 12 staff files were reviewed. Reminders: • Please complete the Listing of Training form and upload it to the If deficiencies are cited, an approved plan of correction must be returned within 10 days after receipt of this statement of deficiencies. LABORATORY DIRECTOR'S OR PROVIDER/SUPPLIER Name: STEPHANIE AL Based on file review, Shelby M. does not have an Eligibility memo on file. Please upload a copy of her Eligibility Memo to the Plan of Corrections by 11/22/2024. Please email Surveyor once this is completed. NAC 302 1. A licensee of a child care facility shall not NAC 302 Work order submitted on 11/7/24 - once 11/07/202 knowingly appoint a person as director of work is completed photos will be uploaded 4 the facility or appoint or permit the to POC appointment of a person as an employee or Director volunteer at the facility if the person has been convicted of child abuse or neglect or any oth Based on inspection walk through done on 11/07/2024, it was observed that there were hazards found within some of the classrooms and on the playground. Please refer to detailed list below. Infant Room: Cribs and plastic screening near kitchen area need to be cleaned. Please upload photos to the Plan of Correction by11/22/2024. Email Surveyor when correction is completed. Toilets: All children toilets need to be cleaned. Please clean toilets and upload photos to the Plan of Correction by 11/22/2024. Email Surveyor when correction is completed. Playground (Middle with play structure): The back Based on staff file review on 11/07/2024, therewere staff who were not signed up with the NV Registry. Staff Shelby M. and Kayla C. are missing their NV Registry. Please upload proof of NV Registry to thePlan of Correction by 11/22/2024. NAC 1. Except as otherwise provided in NRS NAC Orientation checklists for Mia H. and 11/11/202 320.1 432A.177 , within the first 2 weeks after 320.1 Clarissa H. attached 4 commencing employment, newly employed Director members of the staff of a facility must be given a written and oral orientation program and be trained in the policies, procedures and program Based on staff binder review on 11/07/2024, the following Orientation Checklists are missing: Clarissa H. and Mia M. Please upload the Orientation Checklists for the above staff into the Plan of Correction by 11/22/2024 and email Surveyor when this is complete. NAC 323 1. Except as otherwise provided in NAC NAC 323 Training certificates for Shelby M attached - 11/15/202 432A.521 and NRS 432A.177, within 120 SOI/BBP; Building and Premises Safety and 4 days after commencing his or her Wellness training. Kayla C. terminated from employment or position in a child care CT on 11-14-24 facility, each person who is employed in a Director child care facility, other than a person employed in a facility that provides care for ill children, and each director of a child care facility shall complete: (a... Based on file review on 11/07/2024, the staff listed below are missing some Initial trainings. Please have staff complete trainings and upload certificates into the Plan of Correction by11/22/2024. Shelby M. - Signs of Illness and Bloodborne Pathogens, Building and Physical Premises Safety, Wellness Courses (2 hours) Kayla C. - Administration of Medication NAC 376 Except as otherwise provided in NAC NAC 376 All expired medication returned to parents 11/08/202 432A.585: or discarded on 11-08-24 4 1. Each prescribed medication must: Director (a) Be kept in the original container which STATE FOR Based on observation during facility visit on 11/07/2024,it was observed some of the children’s medications were expired. Please sendhome any expired medications with the child’s parent.

This Statement of Deficiencies was generated as a result of the on- site State licensure survey conducted at your facility on 7/16/2024. 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 155 children as a 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: JENELLE JONES Title: Direc The contractor tennis teacher was alone in the room with children, contractors must be supervised by a staff at all times. 477 B. WING _______________________ 07/16/2024 CHILDTIME LEARNING CENTER - EASTERN 7980 S Based on record review, staff Amy is not in NABS there was no documentation on site to verify that staff has been fingerprinted. Staff started employment over a week ago from the inspection. NAC 310 1. Every member of the staff of a facility, NAC 310 I will make sure to include all 07/25/202 including a volunteer, and each resident of documentation of TB tests as I receive them 4 the facility shall present to the director of and make sure they are in the licensing the facility, to be placed in the person’s file, binder. I have included all documents to written evidence that the person is free Staff Jessica A. and Mia need negative TB test results. NAC 323 1. Except as otherwise provided in NAC NAC 323 I will make sure I input all needed 07/25/202 432A.521 and NRS 432A.177, within 120 documents when I receive them into the 4 days after commencing his or her licensing binder. I will make sure to get all employment or position in a child care required documents within their first days of facility, each person who is employed in a hire/renewal. I have attached the required child care facility, other than a person document as completed. I am responsible employed in a facility that provides care for for this deficiency ill children, and each director of a child care facility shall complete: (a) Any training required by the facility in which the director serves or in which the person ... Staff Julie H. needs CPR certification. 477 B. WING _______________________ 07/16/2024 CHILDTIME LEARNING CENTER - EASTERN 7980 S. EASTERN AVE, HENDERSON, NEVADA ,89123 Based on children record review, child #2 needs emergency medical form to be completed, please refer to the identification list to obtain name and upload the document into the plan of correction. NRS 230 NRS 230 I will make sure I obtain all shot records 07/25/202 Certificate of immunization prerequisite to upon enrollment. I will also continuously 4 admission to child care facility; conditional check Web IZ to obtain any new shot/shot admission; report to Health Division. Except records. I have uploaded the documents to show this is completed and on file. I am Based on children record review, child #6 and child #8 need updated vaccination records, please refer to the identification list to obtain names and upload the documents into the plan of correction. 477 B. WING _______________________ 07/16/2024 Carpet in room #2 needs to be cleaned. NAC 1. Except as otherwise provided in NAC NAC I will make sure that I maintain ratios and 07/25/202 5205 432A.290 and 432A.546, a licensee of a 5205 have an adequate number of staff within the 4 child care center, child care institution, building. I will make sure I have 2 teachers 477 B. WING _______________________ 07/16/2024 CHILDTIME LEARNING CENTER - EASTERN 7980 S. EASTERN AVE, HENDERSON, NEVADA ,89123 accommodation facility, facility for special in infants if there are more than 4 children events, nursery for infants and toddlers or under 9 months and 2 teachers in twos if special needs facility shall, between the there are more than 9. I am responsible for hours of 6:30 a.m. and 9:00 p.m., abide by this. the following staffing levels in each ... Infant room was out of ratio with 5:1, and 2's room was out of ratio with 11:1, an additional caregiver was needed in both rooms to support ratios.

ThisStatement of Deficiencies was generated as a result of the on-site Statelicensure inspection conducted at your facility on 4/11/24. Thefacility is licensed for #155 Children as a center. The census at the time ofsurvey was #0 children and #0 children files were reviewed and # 0staff files werereviewed. NAC 200 Based on investigation staff member without a clearance memo was alone with children. Jessica A.G. Answer 4 poc questions NAC 1. Except as otherwise provided in NAC NAC 1. I will make sure to watch ratios and make 04/11/202 5205 432A.290 and 432A.546, a licensee of a 5205 sure there is the right number of staffing in 4 child care center, child care institution, each classroom. accommodation facility, facility for special 2. I corrected that action on 4/11 when the events, nursery for infants and toddlers or licensing analyst was here, since then I special needs facility shall, between the have been maintaining the ratio of 1-4. hours of 6:30 a.m. and 9:00 p.m., abide by 3. I do a count every hour to make sure the the following staffing levels in each teachers are not going out of ratio, if... Based on 477 B. WING _______________________ 04/11/2024 CHILDTIME LEARNING CENTER - EASTERN 7980 S. EASTERN AVE, HENDERSON, NEVADA ,89123

This Statement of Deficiencies was generated as a result of the on-site State licensure survey conducted at your facility on 11/13/2023. 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 155 children as a center. The census at the time of survey was 51 children. 25 children's files and 17 staff files were reviewed. If deficiencies are cited, an approved plan of correction must be returned within 10 days after receip Basedon observation and interview on 11/13/2023, the facility was found to 477 B. WING _______________________ 11/13/2023 CHILDTIME LEARNING CENTER - EASTERN 7980 S. EASTERN AVE, HENDERSON, NEVADA ,89123 (X4) SUM access. Also, would like to note that all of these drills are now logged digitally on Basedon observation and interview, the Learning Care Group Site. facility had no record that a drill 3. Log will be conducted and stored fornatural disasters was held at least properly in meantime, in Licensing binder. New management team has been coached once every three months; nor did and updated on the conduction of drills and thefacility have any record that a fire the proper documentation updating and drill was held at least once each storage. month.Please conduct a fire and 4. Julee Hendricks, Academy Based on observation, the facility failed to recognize and eliminate the following hazards for the safety of children as evidenced by the following. • classroom doors and walls observed with chipped paint • outlet covers missing in some classrooms • brooms not properly stored, please be sure that brooms are stored bristle side up. NAC 306 1. Every caregiver in a child care facility NAC 306 1. Keeping track of the correct dates and 12/05/202 must: documents needed for renewal of NV. 3 (a) Be at least 16 years of age; Registry. (b) Be able to summon help in an 2. 12.5.23 emergency; 3. Proper tr 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 477 B. WING _______________________ 11/13/2023 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. Please submitcopy of orientation for Staff #4 and #5. NAC 310 1. Every member of the staff of a facility, NAC 310 1. Will make accessible, staff members 12/04/202 including a volunteer, and each resident of licensing information and updates to 3 the facility shall present to the director of maintain and avoid lapse in coverages, the facility, to be placed in the person’s fi Basedon a review of staff files, staff members, volunteers, and/or residents of thefacility did not have written evidence that they were free from communicabletuberculosis issued within the preceding 24 months. Staff listed below may notreturn until current TB test verification is received: Staff #3, 5, and 9. NAC 323 1. Except as otherwise provided in NAC NAC 323 1. Will ensure and coach new staff 12/15/202 432A.521 and NRS 432A.177, within 120 members on the process of the 120 day 3 days after commencing his or her training guidelines. employment or position in a child care 2. They have been given a hard date of facility, each person who is employed in a 12.10.23 to complete classes and apply child care facility, other than a person with NV. Registry. employed in a facility that provides... Based on interview and record review, the facility failed to ensure thatwithin 120 days of hire each employee completed the required hours of trainingin childcare. Training not on file for staff as noted below: Staff #3 and 6 : all initial trainings excluding Child Abuse. Staff #8: Child Abuse training not on file Staff #9: CPR-First Aid training expired AND PLAN O 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 completed copy signed by parent for childrennoted below: Child #5, 14, and 20. NRS 230 NRS 230 1. Keep proper records for children. Also, 12/10/202 following a recent audit from SNHD 3 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, 6, 11, 12,: missing4 yr. old shots (1 round of DTP, Polio, MMR, and Varicella) Child # 4: missing 1 round of DTP Child # 5: missing 1 round of DTP Child #7: missing 1 round of DTP, Hep A and MMR Child # 9: missing1 yr. old shots (1 round of DTP, Hep A, Varicella, MMR and Pneumococcal) Child #13, 14, 15, and 16, : missing1 yr. old shots (1 round of DTP, Hep A, Var assessments page for an example. Based on observation, interview and record review, thefacility failed to assess each child within three months of enrollment andevery six months thereafter. Children as noted below did not have a currentassessment on file during inspection. Child 1- 25. NAC 414 1. A carpeted floor or rug on a floor that is NAC 414 1. Could not locate previous Director's 11/13/202 too large to wash in a washing machine carpet cleaning log required by Childcare 3 must be vacuumed not less than one time Licensing. I have obtained our records and each day or more often if necessar 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. Please submit copy of current carpet cleaning log. NAC 416 1. Each member of the staff of a facility that NAC 416 1. Checked mats and nap mats in classes 12/04/202 is necessary to meet the applicable and removed all torn ones. Ordered new 3 requirement for the ratio of caregivers to ones and searched facility for some in children set forth in Basedon observation and interview the facility failed to ensure that sleeping deviceswere kept in good condition. Napping mats were observed to be in disrepair. Pleasereplace with mats that are in good condition.

This Statement of Deficiencies was generated as a result of the on-site State licensure survey conducted at your facility on 07/27/23. 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 155 children as a center. The census at the time of survey was 52 children. 25 children's files and 16 staff files were reviewed. If deficiencies are cited, an approved plan of correction must be returned within 10 days after receipt Based on record review the facility failed to ensure that all staff were added to the facility’s NABS Roster at time of inspection. All staff new/transfers need to be added to facility NABS Roster within 24 hours of hire/transfer. The following staff were not added to NABS within 24 hours of hire: Staff #3, #6. #7, and #8. Please submit a plan that ensures all staff are added within the required timeframe. NAC 4. The play area of each facility must: NAC 1. All repairs have been submitted to our 08/23/202 250.4 (a) Be fenced or enclosed in a manner that 250.4 parent company to be completed in Based on observation and interview, the facility was found to have hazards as listed below. Early Preschool RM 4-Walls need maintenance and chipped paint on door. Preschool 2 RM 3-Chipped paint on door. Toddler RM 2- (1)Chipped paint on doors, (2)walls need to be cleaned, (3)siding on hand washing sink needs to be repaired as well as the sides with pictures, (4)white shelf with road signs need to be repaired or replaced, edge of shelf observed to have cracked ST Based on observation, the facility failed to recognize and eliminate the following hazards for the safety of children as evidenced by the following. Early Preschool RM 4-Walls need maintenance and chipped paint on door. 477 B. WING _______________________ 07/27/2023 NAME OF PROV 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 below: Staff #4 and #5 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: Please submit copy of negative TB reading for Staff #3, #5, #6, and #8. NAC 323 1. Except as otherwise provided in NAC NAC 323 1. Staff training is completed. Please see 08/21/202 432A.521 and NRS 432A.177, within 120 attached certificate for #1 and termination 3 days after commencing his or her verification for #5.. employment or position in a child care 2. Uploaded certs 8.21.23 facility, each person who is employed in a 3. All staff will complete required trainings child care facility, other than... 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: Child Abuse and Neglect training, Medication Administration with food borne allergies/illnesses. Staff # 5: CPR/First Aid 4hrs. Signs and Symptoms of Illness with Blood Borne Pathogens 2 hrs. Recognizing/Reporting Child Abuse/Neglect 2 hrs. SIDS 2 hrs. Prevention of Shaken Baby Syndrome and Abusive Head Trauma 1 hr. Human Growth and Development or Positive Guidance 3 hrs. M Based on interview and record review, the facility failed to ensure that each child had a written authorization signed by a parent with allows emergency and medical care. Please submit copy of form signed by parent for child listed below: Child # 18 NRS 178 Child care facility required to maintain NRS 178 1. child is withdrawn- verification uploaded 08/21/202 certain information; reporting of information 2. uploaded 8.18.23 3 to parents and guardians; notice of right to 3. All paperwork will be completed by all information. enrolled families to ensure all forms are Based on observation and record 477 B. WING _______________________ 07/27/2023 CHILDTIME LEARNING CENTER - EASTERN 7980 S. EASTERN AVE, HENDERSON, NEVADA ,89123 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: Child#1- Hep A, Varicella, MMR, HIB 477 B. WING _______ 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. Please submit copy of current assessment for Child #1, # 2, # 6, # 7, # 8, # 9, # 11, # 12, # 13, #17, #18, #19, #20. NAC 414 1. A carpeted floor or rug on a floor that is NAC 414 1. All room walls will be maintained to 08/21/202 too large to wash in a washing machine ensure cleanliness. 3 must be vacuumed not less than one time 2. Moving forward as of Based on observation the facility failed to ensure that all nonporous surfaces were properly maintained. During the inspection, classroom walls were observed to be soiled in all classrooms. Please ensure that all classroom walls are properly maintained. NAC 520 1. A licensee of a child care facility shall NAC 520 1. All staff retrained on proper supervision 08/21/202 have a staff which is sufficient in number to of classroom. Document attached 3 provide physical care, supervision and 2. POC uploaded 8.21.23 477 B. WING _______________________ 07/27/2023 CHILDTIME LEARNING CENTER - EASTERN 7980 S. EASTERN AVE, HENDERSON, NEVADA ,89123 individual attention to each child and allow 3. Proper supervision training will be time for interaction between the staff and presented to all staff. the chi... Based on observation the facility failed to ensure that staff maintained a proximate to the child that allows them to be capable of intervening if assistance or direction is needed by the child and to observe, oversee and guide the child. Children in PreK RM. 7 were observed climbing under the easel.

This Statement of Deficiencies was generated as a result of the on-site State licensure survey conducted at your facility on 12/14/2022. The facility is licensed for 155 Children as a center. The census at the time of survey was 34 children and 25 children files were reviewed and 13 staff files were reviewed. *Reminders* Provide an update on Alicia M. background documents by 12/31/2022. Please remove Kharla T. from NABS. Upload new fire certificate into renewal application checklist. If deficiencies are cited, an approved plan of correction must be returned within 10 days after receipt of this statement of deficiencies. LABORATORY DIRECTOR'S OR PROVIDER/SUPPLIER Name: STEPHANIE MAY Title: Director Date: 01/01/2023 REPRESENTATIVE'S SIGNATURE 477 B. WING _______________________ 12/14/2022 CH... Based on observation an outlet cover in early preschool room is broken, please replace an upload a picture into the plan of correction. NAC 306 1. Every caregiver in a child care facility NAC 306 1. Both employees have submitted to NV 12/30/202 must: Registry. 1 has a confirmation email and 1 2 (a) Be at least 16 years of age; has their certificate. Photos uploaded. (b) Be able to summon help in an 2. Proof uploaded 12/30/22 emergency; 3. All employees will have a valid regsitry (c) Be emotionally and physically qualified certificate in the required amount of time to carry out a program which Based on staff binder review, Melissa G. and Alicia M. needs NV registry, please upload certificates or email confirmation into the plan of correction. NAC 310 1. Every member of the staff of a facility, NAC 310 1. Employee received TB test and has valid 12/17/202 including a volunteer, and each resident of negative results 2 the facility shall present to the director of 2. 12/17/22 the facility, to be placed in the person’s file, 3. All employees will have current negative written evidence that the person is free from TB tests on file. communicable tuberculosis. The evidence 4. Stephanie May Based on staff record review, staff Paulina V. needs negative Tb test results. Please upload document into plan of correction, staff cannot be in the Center until results are obtained. 477 B. WING _______________________ 12/14/2022 Based on children's file review one child needs emergency medical form, please refer to the children's identification form to obtain name and upload the document into the plan of correction. 477 B. WING _______________________ 12/14/2022 Based on children's file review one child needs permission to release form, please refer to the children's identification form to obtain name and upload the document into the plan of correction. NAC.370 1. Evidence of each child ' s health must be NAC.370 1. Child has current health statement. See 12/30/202 presented to the director of a facility, other attached photo. 2 than an accommodation facility or a facility 2. 12/30/22 that provides care for ill children, within 30 3. All children will have current and valid days after the child ' s initial admission. The health statements on file. ev Based on children's file review one child needs health statement, please refer to the children's identification form to obtain name and upload the document into the plan of correction. NRS 230 NRS 230 1. All children have current vaccination 12/30/202 Certificate of immunization prerequisite to records. All records uploaded in documents 2 admission to child care facility; conditional section. 2.12/30/22 Based on children's file review a total of 14 need vaccination records, please refer to the children's identification form to obtain names and upload the records into the plan of correction. 477 B. WING _______________________ 12/14/2022 Based on children's file review two children need assessments, please refer to the children's identification form to obtain name and upload the documents into the plan of correction.

The facility is licensed for 155 children as a Center. The census at the time of investigation was 31 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 statement of deficiencies. LABORATORY DIRECTOR'S OR PROVIDER/SUPPLIER Name: STEPHANIE MAY Title: Director Date: 10/20/2022 REPRESENTATIVE'S SIGNATURE 477 B. WING _______________________ 10/07/2022 CHILDTIME LEARNING CENTER - EASTERN 7980 S. EASTERN AVE, HENDERSON, NEVADA ,89123 NAC 520 1. A licensee of a child care facility shall NAC 520 1. Staff member was terminated upon 10/03/202 have a staff which is sufficient in number to camera reviews after receiving statements 2 provide physical care, supervision and from staf... Based on observation and interview, Early Preschool teacher did not follow Face to Name procedure leaving child in classroom unattended for 30 minutes while others were outside on playground.

This Statement of Deficiencies was generated as a result of theon-site State licensure inspection conducted at your facility on 04/03/2025. Pleaserespond to each deficiency and attach documents as requested for the deficiencyit pertains to. Sign and submit your Plan of Correction within 10 business days ofreceipt. Inspection consensus, the facility is licensed for 144 children asa center. The census at the time of survey was 40 children. 2 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 477 B. WING _______________________ 04/03/2025 CHILDTIME LEARNING CENTER - EASTERN 7980 S. EASTERN AVE, HENDERSON, NEVADA ,89123... Basedon the investigation, staff statedthat diaper changes occur every 2 hours or as needed. The diaper changes are tracked by an app anda white board that is hanging on the wall. At the time of the inspection the app was current and accurate. The whiteboard had not been updated. NAC 520 1. A licensee of a child care facility shall NAC 520 1. Discussion with staff on procedures when 04/10/202 have a staff which is sufficient in number to a child has an potty accident, and specific 5 provide physical care, supervision and steps to take to ensure parents are notified individual attention to each child and allow that their child was changed. time for interaction between the staff and 2. 4/10/25 the children to promote the children ' s 3. Conformation will need to be sent to social competence,... Basedon the investigation, the staff member does not work for the facility anymore and was terminated on 03/31/2025.The director contacted the parent and informed the parent that the child hadurinated. The parent informed Ms. Naehuthat the child had extra clothing in her cubby inside of her backpack. The director stated that the extra clothing wasat the facility for the child and the staff member just failed to use theclothing.

This Statement of Deficiencieswas generated as a result of the on-site State licensure survey conducted atyour facility on 01/31/2025. The facility is licensed for 155 children as aCenter. The census at the time of the survey was 34 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: ASHLEE NAEHU Title: Director Date: 02/18/2025 REPRESENTATIVE'S SIGNATURE 477 B. WING _______________________ 01/31/2025 CHILDTIME LEARNING CENTER - EASTERN 7980 S. EASTERN AVE, HENDERSON, NEVADA ,89123 children. 0 children'sfiles and 0 staff files were reviewed. NAC 304 1. The director of a child care facility is NAC 304 1. Immediate entry of new hires will be 02/18/202 respon... • Based on the evidence provided, this allegation is substantiated.The director failed to update NABS. NAC 306 1. Every caregiver in a child care facility NAC 306 1. Sabrina C. Will complete additional 02/21/202 must: training on supervision. 5 (a) Be at least 16 years of age; 2. Training will be completed on 2/21/25 (b) Be able to summon help in an 3. Continued training on supervision will be emergency; done with all staff. (c) Be emotionally and physically qualified 4. Director, Ashlee Naehu to carry out a program which places emphasis on the development of children; and (d) Except as other Based on the evidence provided, this allegationis substantiated. Staff,Sabrina Calderon, did not provide proper care to the children on theplayground. Several children had runnynoses. Ms. Calderon was reminded twiceby the Surveyor and a co-worker to clean the children’s noses. Ms. 477 B. WING _______________________ 01/31/2025 CHILDTIME LEARNING CENTER - EASTERN 7980 S. EASTERN AVE, HENDERSON, NEVADA ,89123 Calderon was present on at least twooccasions when children were bitten in her care. Ms. Calderon failed to keep the children safein her care. NAC 520 1. A licensee of a child care facility shall NAC 520 1. Meeting will be held, 02/18/202 have a staff which is sufficient in number to classroom/playground supervision will be 5 provide physical care, supervision and discussed. individual ... 477 B. WING _______________________ 01/31/2025 CHILDTIME LEARNING CENTER - EASTERN 7980 S. EASTERN AVE, HENDERSON, NEVADA ,89123 ID (EAC

This Statement of Deficiencies was generated as a result of the on-site State licensure survey conducted at your facility on 11/07/2024. The facility is licensed for 155 Children as a center. The census at the time of survey was 44 children and 8 staff, 15 children files were reviewed and 12 staff files were reviewed. Reminders: • Please complete the Listing of Training form and upload it to the If deficiencies are cited, an approved plan of correction must be returned within 10 days after receipt of this statement of deficiencies. LABORATORY DIRECTOR'S OR PROVIDER/SUPPLIER Name: STEPHANIE AL Based on file review, Shelby M. does not have an Eligibility memo on file. Please upload a copy of her Eligibility Memo to the Plan of Corrections by 11/22/2024. Please email Surveyor once this is completed. NAC 302 1. A licensee of a child care facility shall not NAC 302 Work order submitted on 11/7/24 - once 11/07/202 knowingly appoint a person as director of work is completed photos will be uploaded 4 the facility or appoint or permit the to POC appointment of a person as an employee or Director volunteer at the facility if the person has been convicted of child abuse or neglect or any oth Based on inspection walk through done on 11/07/2024, it was observed that there were hazards found within some of the classrooms and on the playground. Please refer to detailed list below. Infant Room: Cribs and plastic screening near kitchen area need to be cleaned. Please upload photos to the Plan of Correction by11/22/2024. Email Surveyor when correction is completed. Toilets: All children toilets need to be cleaned. Please clean toilets and upload photos to the Plan of Correction by 11/22/2024. Email Surveyor when correction is completed. Playground (Middle with play structure): The back Based on staff file review on 11/07/2024, therewere staff who were not signed up with the NV Registry. Staff Shelby M. and Kayla C. are missing their NV Registry. Please upload proof of NV Registry to thePlan of Correction by 11/22/2024. NAC 1. Except as otherwise provided in NRS NAC Orientation checklists for Mia H. and 11/11/202 320.1 432A.177 , within the first 2 weeks after 320.1 Clarissa H. attached 4 commencing employment, newly employed Director members of the staff of a facility must be given a written and oral orientation program and be trained in the policies, procedures and program Based on staff binder review on 11/07/2024, the following Orientation Checklists are missing: Clarissa H. and Mia M. Please upload the Orientation Checklists for the above staff into the Plan of Correction by 11/22/2024 and email Surveyor when this is complete. NAC 323 1. Except as otherwise provided in NAC NAC 323 Training certificates for Shelby M attached - 11/15/202 432A.521 and NRS 432A.177, within 120 SOI/BBP; Building and Premises Safety and 4 days after commencing his or her Wellness training. Kayla C. terminated from employment or position in a child care CT on 11-14-24 facility, each person who is employed in a Director child care facility, other than a person employed in a facility that provides care for ill children, and each director of a child care facility shall complete: (a... Based on file review on 11/07/2024, the staff listed below are missing some Initial trainings. Please have staff complete trainings and upload certificates into the Plan of Correction by11/22/2024. Shelby M. - Signs of Illness and Bloodborne Pathogens, Building and Physical Premises Safety, Wellness Courses (2 hours) Kayla C. - Administration of Medication NAC 376 Except as otherwise provided in NAC NAC 376 All expired medication returned to parents 11/08/202 432A.585: or discarded on 11-08-24 4 1. Each prescribed medication must: Director (a) Be kept in the original container which STATE FOR Based on observation during facility visit on 11/07/2024,it was observed some of the children’s medications were expired. Please sendhome any expired medications with the child’s parent.

This Statement of Deficiencies was generated as a result of the on- site State licensure survey conducted at your facility on 7/16/2024. 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 155 children as a 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: JENELLE JONES Title: Direc The contractor tennis teacher was alone in the room with children, contractors must be supervised by a staff at all times. 477 B. WING _______________________ 07/16/2024 CHILDTIME LEARNING CENTER - EASTERN 7980 S Based on record review, staff Amy is not in NABS there was no documentation on site to verify that staff has been fingerprinted. Staff started employment over a week ago from the inspection. NAC 310 1. Every member of the staff of a facility, NAC 310 I will make sure to include all 07/25/202 including a volunteer, and each resident of documentation of TB tests as I receive them 4 the facility shall present to the director of and make sure they are in the licensing the facility, to be placed in the person’s file, binder. I have included all documents to written evidence that the person is free Staff Jessica A. and Mia need negative TB test results. NAC 323 1. Except as otherwise provided in NAC NAC 323 I will make sure I input all needed 07/25/202 432A.521 and NRS 432A.177, within 120 documents when I receive them into the 4 days after commencing his or her licensing binder. I will make sure to get all employment or position in a child care required documents within their first days of facility, each person who is employed in a hire/renewal. I have attached the required child care facility, other than a person document as completed. I am responsible employed in a facility that provides care for for this deficiency ill children, and each director of a child care facility shall complete: (a) Any training required by the facility in which the director serves or in which the person ... Staff Julie H. needs CPR certification. 477 B. WING _______________________ 07/16/2024 CHILDTIME LEARNING CENTER - EASTERN 7980 S. EASTERN AVE, HENDERSON, NEVADA ,89123 Based on children record review, child #2 needs emergency medical form to be completed, please refer to the identification list to obtain name and upload the document into the plan of correction. NRS 230 NRS 230 I will make sure I obtain all shot records 07/25/202 Certificate of immunization prerequisite to upon enrollment. I will also continuously 4 admission to child care facility; conditional check Web IZ to obtain any new shot/shot admission; report to Health Division. Except records. I have uploaded the documents to show this is completed and on file. I am Based on children record review, child #6 and child #8 need updated vaccination records, please refer to the identification list to obtain names and upload the documents into the plan of correction. 477 B. WING _______________________ 07/16/2024 Carpet in room #2 needs to be cleaned. NAC 1. Except as otherwise provided in NAC NAC I will make sure that I maintain ratios and 07/25/202 5205 432A.290 and 432A.546, a licensee of a 5205 have an adequate number of staff within the 4 child care center, child care institution, building. I will make sure I have 2 teachers 477 B. WING _______________________ 07/16/2024 CHILDTIME LEARNING CENTER - EASTERN 7980 S. EASTERN AVE, HENDERSON, NEVADA ,89123 accommodation facility, facility for special in infants if there are more than 4 children events, nursery for infants and toddlers or under 9 months and 2 teachers in twos if special needs facility shall, between the there are more than 9. I am responsible for hours of 6:30 a.m. and 9:00 p.m., abide by this. the following staffing levels in each ... Infant room was out of ratio with 5:1, and 2's room was out of ratio with 11:1, an additional caregiver was needed in both rooms to support ratios.

ThisStatement of Deficiencies was generated as a result of the on-site Statelicensure inspection conducted at your facility on 4/11/24. Thefacility is licensed for #155 Children as a center. The census at the time ofsurvey was #0 children and #0 children files were reviewed and # 0staff files werereviewed. NAC 200 Based on investigation staff member without a clearance memo was alone with children. Jessica A.G. Answer 4 poc questions NAC 1. Except as otherwise provided in NAC NAC 1. I will make sure to watch ratios and make 04/11/202 5205 432A.290 and 432A.546, a licensee of a 5205 sure there is the right number of staffing in 4 child care center, child care institution, each classroom. accommodation facility, facility for special 2. I corrected that action on 4/11 when the events, nursery for infants and toddlers or licensing analyst was here, since then I special needs facility shall, between the have been maintaining the ratio of 1-4. hours of 6:30 a.m. and 9:00 p.m., abide by 3. I do a count every hour to make sure the the following staffing levels in each teachers are not going out of ratio, if... Based on 477 B. WING _______________________ 04/11/2024 CHILDTIME LEARNING CENTER - EASTERN 7980 S. EASTERN AVE, HENDERSON, NEVADA ,89123

This Statement of Deficiencies was generated as a result of the on-site State licensure survey conducted at your facility on 11/13/2023. 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 155 children as a center. The census at the time of survey was 51 children. 25 children's files and 17 staff files were reviewed. If deficiencies are cited, an approved plan of correction must be returned within 10 days after receip Basedon observation and interview on 11/13/2023, the facility was found to 477 B. WING _______________________ 11/13/2023 CHILDTIME LEARNING CENTER - EASTERN 7980 S. EASTERN AVE, HENDERSON, NEVADA ,89123 (X4) SUM access. Also, would like to note that all of these drills are now logged digitally on Basedon observation and interview, the Learning Care Group Site. facility had no record that a drill 3. Log will be conducted and stored fornatural disasters was held at least properly in meantime, in Licensing binder. New management team has been coached once every three months; nor did and updated on the conduction of drills and thefacility have any record that a fire the proper documentation updating and drill was held at least once each storage. month.Please conduct a fire and 4. Julee Hendricks, Academy Based on observation, the facility failed to recognize and eliminate the following hazards for the safety of children as evidenced by the following. • classroom doors and walls observed with chipped paint • outlet covers missing in some classrooms • brooms not properly stored, please be sure that brooms are stored bristle side up. NAC 306 1. Every caregiver in a child care facility NAC 306 1. Keeping track of the correct dates and 12/05/202 must: documents needed for renewal of NV. 3 (a) Be at least 16 years of age; Registry. (b) Be able to summon help in an 2. 12.5.23 emergency; 3. Proper tr 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 477 B. WING _______________________ 11/13/2023 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. Please submitcopy of orientation for Staff #4 and #5. NAC 310 1. Every member of the staff of a facility, NAC 310 1. Will make accessible, staff members 12/04/202 including a volunteer, and each resident of licensing information and updates to 3 the facility shall present to the director of maintain and avoid lapse in coverages, the facility, to be placed in the person’s fi Basedon a review of staff files, staff members, volunteers, and/or residents of thefacility did not have written evidence that they were free from communicabletuberculosis issued within the preceding 24 months. Staff listed below may notreturn until current TB test verification is received: Staff #3, 5, and 9. NAC 323 1. Except as otherwise provided in NAC NAC 323 1. Will ensure and coach new staff 12/15/202 432A.521 and NRS 432A.177, within 120 members on the process of the 120 day 3 days after commencing his or her training guidelines. employment or position in a child care 2. They have been given a hard date of facility, each person who is employed in a 12.10.23 to complete classes and apply child care facility, other than a person with NV. Registry. employed in a facility that provides... Based on interview and record review, the facility failed to ensure thatwithin 120 days of hire each employee completed the required hours of trainingin childcare. Training not on file for staff as noted below: Staff #3 and 6 : all initial trainings excluding Child Abuse. Staff #8: Child Abuse training not on file Staff #9: CPR-First Aid training expired AND PLAN O 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 completed copy signed by parent for childrennoted below: Child #5, 14, and 20. NRS 230 NRS 230 1. Keep proper records for children. Also, 12/10/202 following a recent audit from SNHD 3 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, 6, 11, 12,: missing4 yr. old shots (1 round of DTP, Polio, MMR, and Varicella) Child # 4: missing 1 round of DTP Child # 5: missing 1 round of DTP Child #7: missing 1 round of DTP, Hep A and MMR Child # 9: missing1 yr. old shots (1 round of DTP, Hep A, Varicella, MMR and Pneumococcal) Child #13, 14, 15, and 16, : missing1 yr. old shots (1 round of DTP, Hep A, Var assessments page for an example. Based on observation, interview and record review, thefacility failed to assess each child within three months of enrollment andevery six months thereafter. Children as noted below did not have a currentassessment on file during inspection. Child 1- 25. NAC 414 1. A carpeted floor or rug on a floor that is NAC 414 1. Could not locate previous Director's 11/13/202 too large to wash in a washing machine carpet cleaning log required by Childcare 3 must be vacuumed not less than one time Licensing. I have obtained our records and each day or more often if necessar 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. Please submit copy of current carpet cleaning log. NAC 416 1. Each member of the staff of a facility that NAC 416 1. Checked mats and nap mats in classes 12/04/202 is necessary to meet the applicable and removed all torn ones. Ordered new 3 requirement for the ratio of caregivers to ones and searched facility for some in children set forth in Basedon observation and interview the facility failed to ensure that sleeping deviceswere kept in good condition. Napping mats were observed to be in disrepair. Pleasereplace with mats that are in good condition.

This Statement of Deficiencies was generated as a result of the on-site State licensure survey conducted at your facility on 07/27/23. 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 155 children as a center. The census at the time of survey was 52 children. 25 children's files and 16 staff files were reviewed. If deficiencies are cited, an approved plan of correction must be returned within 10 days after receipt Based on record review the facility failed to ensure that all staff were added to the facility’s NABS Roster at time of inspection. All staff new/transfers need to be added to facility NABS Roster within 24 hours of hire/transfer. The following staff were not added to NABS within 24 hours of hire: Staff #3, #6. #7, and #8. Please submit a plan that ensures all staff are added within the required timeframe. NAC 4. The play area of each facility must: NAC 1. All repairs have been submitted to our 08/23/202 250.4 (a) Be fenced or enclosed in a manner that 250.4 parent company to be completed in Based on observation and interview, the facility was found to have hazards as listed below. Early Preschool RM 4-Walls need maintenance and chipped paint on door. Preschool 2 RM 3-Chipped paint on door. Toddler RM 2- (1)Chipped paint on doors, (2)walls need to be cleaned, (3)siding on hand washing sink needs to be repaired as well as the sides with pictures, (4)white shelf with road signs need to be repaired or replaced, edge of shelf observed to have cracked ST Based on observation, the facility failed to recognize and eliminate the following hazards for the safety of children as evidenced by the following. Early Preschool RM 4-Walls need maintenance and chipped paint on door. 477 B. WING _______________________ 07/27/2023 NAME OF PROV 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 below: Staff #4 and #5 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: Please submit copy of negative TB reading for Staff #3, #5, #6, and #8. NAC 323 1. Except as otherwise provided in NAC NAC 323 1. Staff training is completed. Please see 08/21/202 432A.521 and NRS 432A.177, within 120 attached certificate for #1 and termination 3 days after commencing his or her verification for #5.. employment or position in a child care 2. Uploaded certs 8.21.23 facility, each person who is employed in a 3. All staff will complete required trainings child care facility, other than... 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: Child Abuse and Neglect training, Medication Administration with food borne allergies/illnesses. Staff # 5: CPR/First Aid 4hrs. Signs and Symptoms of Illness with Blood Borne Pathogens 2 hrs. Recognizing/Reporting Child Abuse/Neglect 2 hrs. SIDS 2 hrs. Prevention of Shaken Baby Syndrome and Abusive Head Trauma 1 hr. Human Growth and Development or Positive Guidance 3 hrs. M Based on interview and record review, the facility failed to ensure that each child had a written authorization signed by a parent with allows emergency and medical care. Please submit copy of form signed by parent for child listed below: Child # 18 NRS 178 Child care facility required to maintain NRS 178 1. child is withdrawn- verification uploaded 08/21/202 certain information; reporting of information 2. uploaded 8.18.23 3 to parents and guardians; notice of right to 3. All paperwork will be completed by all information. enrolled families to ensure all forms are Based on observation and record 477 B. WING _______________________ 07/27/2023 CHILDTIME LEARNING CENTER - EASTERN 7980 S. EASTERN AVE, HENDERSON, NEVADA ,89123 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: Child#1- Hep A, Varicella, MMR, HIB 477 B. WING _______ 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. Please submit copy of current assessment for Child #1, # 2, # 6, # 7, # 8, # 9, # 11, # 12, # 13, #17, #18, #19, #20. NAC 414 1. A carpeted floor or rug on a floor that is NAC 414 1. All room walls will be maintained to 08/21/202 too large to wash in a washing machine ensure cleanliness. 3 must be vacuumed not less than one time 2. Moving forward as of Based on observation the facility failed to ensure that all nonporous surfaces were properly maintained. During the inspection, classroom walls were observed to be soiled in all classrooms. Please ensure that all classroom walls are properly maintained. NAC 520 1. A licensee of a child care facility shall NAC 520 1. All staff retrained on proper supervision 08/21/202 have a staff which is sufficient in number to of classroom. Document attached 3 provide physical care, supervision and 2. POC uploaded 8.21.23 477 B. WING _______________________ 07/27/2023 CHILDTIME LEARNING CENTER - EASTERN 7980 S. EASTERN AVE, HENDERSON, NEVADA ,89123 individual attention to each child and allow 3. Proper supervision training will be time for interaction between the staff and presented to all staff. the chi... Based on observation the facility failed to ensure that staff maintained a proximate to the child that allows them to be capable of intervening if assistance or direction is needed by the child and to observe, oversee and guide the child. Children in PreK RM. 7 were observed climbing under the easel.