Colorful Little Fingers

· Thisstatement of deficiencies was generated as a result of an annual inspectionconducted at your facility on 1.21.26. The facility is licensed for 12 as Group Care . The census at the time of inspection was 5 children. 0staff files and 0 child files were reviewed at the time of inspection, fileswill be reviewed at the annual inspection. If deficiencies are cited, an approved plan of correction must be returned within 10 days after receipt of this statement of deficiencies. LABORATORY DIRECTOR'S OR PROVIDER/SUPPLIER Name: Title: Date: REPRESENTATIVE'S SIGNATURE

This statement of deficiencies was generated as a result of an annual inspection conducted at your facility on 7.28.25. The facility is licensed for 12 as a child care center. The census at the time of inspection was 6 children. 3 staff files and 6 child files were reviewed at the time of inspection. Licensing Reminder: Ensure the following staff have submitted their annual training hours by 8.31.25 to ensure compliance and timely review: Staff #1 needs 24 hours including 2 hours in Child Wellness; Staff # 3 needs 24 hours including 2 hours in Child Wellness. If deficiencies are cited, an app

This statement of deficiencies was generated as a result of a semi annual inspection conducted at your facility on 1.16.25. The facility is licensed for 12 children as a group care. The census at the time of visit was 12 children. 0 staff files and 0 child files were reviewed at the time of visit and will be reviewed at the annual inspection. -Discussed having infant on site including approved sleeping device, bottles, and daily log. Provider states she understood. If deficiencies are cited, an approved plan of correction must be returned within 10 days after receipt of this statement of defi

This Statement of Deficiencies was generated as a result of an annual inspection on 7/22/24. The facility is licensed for 12 children as a Group Care facility. The census at the time of the survey was 12. 10 children’s files were reviewed and 4 employee and pet files were reviewed. Reminders and Recommendations: -Staff #1 CPR expires 8/9/24 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: LIZBETH JAUREGUI Title: Owner Date: 08/07/2024 REPRESENTATIVE'S SIGN Based on interview and record review on 7/22/24 facility failed to ensure within 90days after each caregiver commences his employment in the child care facility; they have applied with the Nevada Registry or its successor organization, and/or annually renewed his registration before the date on which it expires. Provide verification the staff members as noted have submitted initial or renewal application. -Staff #1 Based on interview and record review on 7/22/24, staff listed on the supplement did not have written evidence of a Mantoux tuberculin skin test or an examination by a provider authorized to diagnose active tuberculosis at least once every 24months. A report stating the staff is free from TB must be secured for any person whose test/examination is more than two years old. -Staff #3 NRS 230 NRS 230 1. The actions to correct the deficiencies is 08/01/202 Certificate of immunization prerequisite to updating all vaccinations per family child 4 admission to child care facility; conditional Lizbeth Based on interview and record review on 7/22/24 the below listed child did not have a current immunization record or exemption on file at the facility. Obtain and file a current immunization record for the child listed. Owner is recommended to sign up for WebIZ training in order to have access to the most up-to date immunization records on-line. Discard old immunization records upon obtaining most current. -Child #4 needs 5th DTaP, 2nd MMR, 3rd Hep B, and 2nd Varicella -Child #6 needs 2nd Hep A -Child #10 needs 2nd Hep A

This Statement of Deficiencies was generated as a result of a semi- annual inspection on 1/30/24. The facility is licensed for 12 children as a Group Care facility. The census at the time of the survey was 11. 10 children’s files were reviewed and 4 employee files were reviewed. Reminders and recommendations: -Update NABS by 1/30/24 as discussed -Fire drill due this month -Discard old immunization records from child files 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/ Based on observation and interview on 1/30/24 facility failed to have appropriate depths and perimeters of resilient surface underneath and surrounding elevated play equipment. -Resilient surface is not sufficient under and around elevated playground equipment. Astroturf does not meet the resilient surface requirements. Based on interview and record review on 1/30/24 facility failed to ensure within 90days after each caregiver commences his employment in the child care facility; they have applied with the Nevada Registry or its successor organization, and/or annually renewed his registration before the date on which it expires. Provide verification the staff members as noted have submitted initial or renewal application. -Staff #1 NAC 340 1. Procedures for admission must provide NAC 340 1. The specific actions that will be take to the caregiver with sufficient information and correct the deficiency is by rev Based on record review and interview on 1/30/24, the facility did not ensure that information provided by the parent before admission included a written authorization signed by a parent which allows emergency and medical care.S ecure missing authorization for the children listed below. -Child #1 -Child #3 -Child #4 Based on record review and interview on 1/30/24, the facility did not have a health statement signed by a registered nurse or physician within 30 days after admission for children listed. Secure a health statement for any child listed. -Child #1 -Child #3 NRS 230 NRS 230 Child number # 1 is not in attendance Certificate of immunization prerequisite to anymore. admission to child care facility; conditional admission; report to Health Division. Except 1. All photos and images would be updated as otherwise provided in NRS 432A.235 for to plan of correction. Lizbeth jauregui accommodation facilit Based on interview and record review on 1/30/24 the below listed child did not have a current immunization record or exemption on file at the facility. Obtain and file a current immunization record for the child listed. Discard old immunization records upon obtaining most current. -Child #1 needs 4th DTaP and 2nd Hep A NAC NAC 1. Assessments where assessed per child 430.3 3. In addition to the written assessment plan 430.3 and each assessment was taken with a which is developed pursuant to subsection picture and submitted into the plan of 2, each facility described in subsection 1 correction. 4. the person responsible in this plan of correction, Lizbeth jauregui is responsible. Based on interview and record review on 1/30/24, the facility did not assess each child within three months after enrollment in the facility or repeat assessment biannually. Develop and submit a written assessment plan. No children reviewed had a current assessment on file. -Child #1 -Child #2

This Statement of Deficiencies was generated as a result of a health inspection and an annual inspection on 7/17/23. The facility is licensed for 12 children as a Group Care facility. The census at the time of the survey was 10. 10 children’s files were reviewed and 5 employee files were reviewed. Reminders and Recommendations: -Update NABS by 7/21/23 as discussed -Ensure initial start date is consistently completed on enrollment paperwork -Document quarterly emergency plan If deficiencies are cited, an approved plan of correction must be returned within 10 days after receipt of this statemen Based on observation and interview on 7/17/23, facility failed to recognize and eliminate the following hazards for the safety of children as evidenced by the following: -Chemicals stored under bathroom sink accessible to children. Please install child proof locks on cabinets or move chemicals to ensure they are inaccessible to children. Based on interview and record review on 7/17/23, staff listed on the supplement did not have written evidence of a Mantoux tuberculin skin test or an examination by a provider authorized to diagnose active tuberculosis at least once every 24months. A report stating the staff is free from TB must be secured for any person whose test/examination is more than two years old. -Staff #2 statements in hand on their first date and updated. Based on record review and interview 4. The person responsible in this plan of on 7/17/23, the facility did not have a corrective action is Lizbeth Jauregui health statement signed by a registered nurse or physician within 30 days after admission for children listed. Secure a health statement for any child listed. -Child #2 -Child #3 NRS 230 NRS 230 1.The actions taken to correct the deficiency 08/02/202 Certificate of immunization prerequisite to and verifications is updating the current 3 admission to child care facility; conditional vacci Based on interview and record review on 7/17/23 the below listed child did not have a current immunization record or exemption on file at the facility. Obtain and file a current immunization record for the child listed. Discard old immunization records upon obtaining most current. -Child #2 needs 5th DTaP, 2nd MMR, 3rd Hep B, and 2nd Varicella -Child #3 no immunization record on file -Child #4 needs 5th DTaP, 2nd MMR, and 2nd Varicella -Child #5 needs 2nd MMR and 2nd Varicella

This statement of deficiencies was generated based on a semi annual inspection at your facility on 1.26.23. The facility is licensed for 12 children as a group care facility. The census at the time of inspection was 12 children and 2 staff. 10 children's files and 3 staff files were reviewed. If deficiencies are cited, an approved plan of correction must be returned within 10 days after receipt of this statement of deficiencies. LABORATORY DIRECTOR'S OR PROVIDER/SUPPLIER Name: Title: Date: REPRESENTATIVE'S SIGNATURE Based on observation and interview on 1.26.23, facility was found to have the following hazards for the safety of children as evidenced by the following: -Broken tile on window sill in playroom presents sharp edge. Repair/replace and upload photograph as proof of correction. NAC 323 1. Except as otherwise provided in NAC NAC 323 1. Owner Lizbeth Jauregui will have staff 432A.521 and NRS 432A.177, within 120 complete all initial trainings requirements days after commencing his or her and have staff submit nevada registry employment or position in a child care application facility, each person who is employed in a 2. Staff given until 2.28.23 to complete child care facility, other than a person trainings employed in a facility that provides care for 3. owner will ensure any new hires in the ... Based on record review on 1.26.23, facility failed to ensure that within 120 days of hire, each staff completes the required initial training. Staff as listed below need to secure child care training: Staff #2: CPR/1st Aid, Signs of Illness, Child Abuse and Neglect, 3 hours Child Development or Positive guidance, Administration of Medication, Building Premises Safety, Emergency Preparedness, 2 hours Child Wellness NAC 306 1. Every caregiver in a child care facility NAC 306 1. Owner lizbeth Jauregui will have staff must: complete initial training requirements and (a) Be at least 16 years of ag Based on record review on 1.26.23, facility failed to ensure within 90 days of employment, staff have applied with Nevada Registry. Provide verification that staff #2 has submitted their initial application. 3396 B. WING _______________________ 01/26/2023 Based on record review on 1.26.23, evidence of each child's health was not present in file within 30 days after child's intial admission. Evidence must include a written statement from a licensed physician or registered nurse attesting to the status of the child's health and stating all known conditions are under treatment. -Child #4 -Child #5 -Child #6 -Child #8 -Child #9 -Child #10 NRS 230 NRS 230 1. Owner will update each child’s Certificate of immunization prerequisite to immunization records in a daily basis admission to child care facility; conditional 2. the owner has until February 10 Based on record review on 1.26.23, a current certificate of immunization or approved exemption was not on file at the facility. Obtain and file current records for the following children and discard old records. -Child #4 -Child #8: DPT, Polio, MMR, Varicella -Child #10: DPT, Poliio, MMR, Varicella NAC NAC 1. Owner will have all assessments 430.3 3. In addition to the written assessment plan 430.3 completed per child to ensure they meet the which is developed pursuant to subsection child development criteria 2, each facility described in subsection 1 2. owner has until February 10th to shall, Based on record review on 1.26.23, facility failed to ensure assessments were completed within 3 months of enrollment. Please ensure assessments are completed for all children present, with the exception of school age children, at least twice a year and within 3 months of enrollment. -Child #1 -Child #3 -Child #4 -Child #5 -Child #6 -Child #7 -Child #8 -Child #9 -Child #10

This Statement of Deficiencies was generated as a result of the on-site initial State licensure survey conducted at your facility for State license #3396 on 7.5.22. This State Licensure survey was conducted by the authority of NRS 432A.180, Inspection by Health Division, State Fire Marshal, and State Health Officer. All licensing requirements have been met as of 9.9.22 The findings and conclusions of any investigation by the Health Division shall not be construed as prohibiting any criminal or civil investigations, actions or other claims for relief that may be available to any party under ap