Community Services Agency Carson City Early Head Start

This statement of deficiencies was generated as a result of an annual inspection conducted at your facility on 12.17.25. The facility is licensed for 54 as a child care center. The census at the time of inspection were 17 children. 10 child files and 17 staff files were reviewed.? General reminders to submit your renewal application/documents/trainings prior to 1.31.26. Please submit your renewal application prior to 12.31.25 to avoid a late fee. If deficiencies are cited, an approved plan of correction must be returned within 10 days after receipt of this statement of deficiencies. LABORATOR

Thisstatement of deficiencies was generated as a result of a Semi- annual inspectionconducted at your facility on 6.16.25. The facility is licensed for 54 as achild care center. The census at the time of inspection was 12 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

An annual survey was conducted by Child Care Licensing at your facility on 12.12.2024. The facility is licensed for 54 children as a Child Care Center. The census at the time of the survey was 21. 10 children's files were reviewed, and staff 17 files were reviewed. There were no regulatory deficiencies identified. However, please review your inspection as reminders and recommendations are noted. Licensing Reminders: Please upload all renewal application documents and submit annual training hours as listed below by 12.23.24 for timely review and submission of application. Staff #5 needs; 8hrs

This Statement of Deficiencies was generated as a result of a semi- annual inspection on 6.25.24. The facility is licensed for 36 children as a Child Care facility. The census at the time of the survey was 24. 10 children’s files were reviewed, and 20 employee files were reviewed. Reminders and recommendations: 1.) Update/uploads: NABS by 6.28.24 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: BRIANNA R HARRIS Title: Director Date: 07/16/2024 REPRESENTATI Based on observation and interview on 6.25.24 the facility failed to have appropriate depths and perimeters of resilient surfacing underneath and surrounding any elevated play equipment. 1.) Alternate resilient surfacing required under slide. Grass is not an appropriate resilient surface for elevated play structures. Based on interview 4. Brianna will be responsible. and record review on 6.25.24, facility failed to maintain a daily sign in sheet that included the times of arrival and departure for staff and children as well as first and last names of staff and children. Sign-in sheets were inaccurate for staff and did not include Staff last names. NAC 306 1. Every caregiver in a child care facility NAC 306 1. Brianna will add updated NV Registry 07/16/202 must: certificates to licensing binder. Certificates 4 (a) Be at least 16 years of age; will be uploaded. (b) Be able to summon help in an 2. 7/16/24 is Based on interview and record review on 6.25.24. Facility failed to ensure within 90 days after each caregiver commences his employment in the childcare facility; they have applied with the Nevada Registry or its success or 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: #3 Staff: #6 Staff: 15 Staff: 19 STATEMENT OF DEF Based on observation and interview on 6.25.24 the facility failed to provide evidence of each child ' s health within 30 days after the child ' s initial admission. The evidence must include a written statement from a licensed physician or registered nurse attesting to the status of the child ' s health and stating that all known special conditions are under treatment and the child is capable of adjusting to the programs of the facility. Child #3

This statement of deficiencies was generated based on a complaint investigation at your facility on 6.6.24. The facility is licensed for 54 children as a child care center. There were no regulatory deficiencies noted at the time of inspection. If deficiencies are cited, an approved plan of correction must be returned within 10 days after receipt of this statement of deficiencies. LABORATORY DIRECTOR'S OR PROVIDER/SUPPLIER Name: Title: Date: REPRESENTATIVE'S SIGNATURE

Statement of Deficiencies was generated as a result of an annual inspection on12/11/23. The facility is licensed for 46 children as a child care center. The census at the time of survey was 30 children. 10 children’s 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: BRIANNA R HARRIS Title: Director Date: 12/19/2023 REPRESENTATIVE'S SIGNATURE Division of Public and Be Based on observation and interview on 12/11/23 the facility was found to have hazards as listed below. -Peeling paint observed- sand/seal as necessary. Submit a picture

This Statement of Deficiencies was generated as a result of a semi-annual inspection on 6/27/23. The facility is licensed for 36 children as a child care center. The census at the time of survey was 18 children. 10 children’s files and 19 staff files were reviewed. Reminders and recommendations: -Clear storage from hand washing sinks. -Ensure curriculum is being followed and/or updated as necessary -Work with Carson City Health to ascertain proper sink usage for brushing the children's teeth. -Back playground not being used currently; submit a plan to begin using the playground. If deficienci Based on observation and interview on 6/27/23 the play area of the facility was found to have hazards, debris and trash as listed below: -Broken fence wire. Submit a picture of the repair. -Children's clothes were observed on the ground. Ensure clothes are laundered or sent home as necessary. -Debris and trash were observed. Ensure play yard is cleaned regularly. Submit a picture of the playground cleaned. Based on record correctly. review and interview on 6/27/23 the facility 2. Will be completed 7/17/23. failed to maintain a daily sign-in sheet that 3. Director will provide training as needed included the times of arrival and departure for new staff and check daily to ensure for staff and children. sheets are being filled out correctly. -Sign-in sheets were incorrect for staff. 4. Director is responsible. Submit staff training regarding signing in and out for breaks as necessary. Division of Public an Based on observation and interview on 6/27/23 the facility failed to recognize and eliminate the following hazards for the safety of children as evidenced by the following: -Class F observed to have a wire in reach of the children, hanging by the diapering table. -Refrigerator in the infant room was observed to be unsanitary- orange crusted debris on the outside surface. Submit a picture of the outside surface clean. NAC 306 1. Every caregiver in a child care facility NAC 306 1. Director will ensure all staff that are not must: current or do not have a Nevada Registry (a) Be at least 16 years Based on record review and interview on 6/27/23 the facility failed to ensure within 90 days after each caregiver commences their employment in the child care facility; they have applied with the Nevada Registry or its successor organization, and/or annually renewed their registration before the date on which it expires. Submit current certification for the below listed staff: -Staff #5 -Staff #11 -Staff #18 Based on record review and interview on 6/27/23 the facility failed to ensure all caregivers had a negative TB test on file. Submit a negative TB test for the below listed staff: -Staff #10 -Staff #11 -Staff #12 -Staff #16 NAC 320 1. Except as otherwise provided in NRS NAC 320 1. Director will provide oral and written 432A.177 , within the first 2 weeks after orientation that staff will sign. Will upload commencing employment, newly employed copies of signed orientation checklist to members of the staff of a facility must be verify. given a written and oral orientation program 2. This will be completed by 7/7/23. and be trained in the policies, procedures 3. Director will ensure each staff member and programs of the facility by the director receives and signs off on orientation within or a... Based on record review and interview on 6/27/23 the facility failed to ensure each staff member was given a written and oral orientation by the director of the facility. Submit a completed orientation for the below listed staff: -Staff #11 -Staff #18 -Staff #19 NAC 323 1. Except as otherwise provided in NAC NAC 323 1. Director will obtain a current copy of 432A.521 and NRS 432A.177, within 120 staff's CPR certification, upload it to days after commencing his or her documents, and place in licensing binder. employment or position in a child care 2. This will be completed by 7/7/23. facility, each person who is employed in a 3. Director will check licensing binder each child care facility, other than a person week to make sure all documents are up to employed in a facility that provides care... Based on record review and interview on 6/27/23 the facility failed to ensure each staff member obtained required training within 120 days of hire. Submit CPR/First Aid certification for the 2852 B. WING _______________________ 06/27/2023 Based on record review and interview on 6/27/23 the below listed children did not have a current immunization record on file. Submit an up to date immunization record: -Child #3 needs 3rd DTAP, HIB, PCV -Child #9 needs 4th DTAP NAC NAC 1. Water will be placed in area that is freely 380.10 10. Drinking water must be freely available 380.10 available to children. Water will be to all children at all times. replenished as needed. Will upload a copy of training agenda to address deficiency to documents to verify. 2. This will be corrected by 7/17/23. Based on observation 3. Director will provide training to ensure and interview on 6/27/23 the facility failed to staff know where to place water and that it ensure children had drinking water freely is replenished as needed. available at all times. Water was observed 4. Director is responsible. to be stored out of the reach of children. Water jugs were not replenished when empty. Submit staff training regarding ensuring children's waters are freely available. NAC 385 1. The staff of each facility shall: NAC 385 1. Tables will be cleaned before and after (a) Provide appropriate and adequate me Base don observation and interview on 6/27/23 the facility failed to ensure table was washed and disinfected before and after each use that is used during snack or meal. -Table in classroom F was observed to have food and drink on it, as staff did not wash/disinfect it after use. Submit staff training to ensure tables are cleaned as necessary. NAC NAC 1. All toothbrushes will be stored properly 390.7 7. A licensee of a facility shall provide space 390.7 on their own shelf and labeled with each for the storage of the children ' s clothing child's name. Director will provide training to and the Based on observation ensure they are stored properly and and interview on 6/27/23 the facility failed to labeled. Director will train all new staff ensure children's tooth brushes were stored regarding proper storage and labeling of properly. Toothbrushes are to be stored in toothbrushes. separate containers and labeled with the 4. Director is responsible. name of the child to which it belongs. Based on record review and interview on 6/27/23 the facility failed to ensure that diaper changes were conducted every 2 hours and documented in a daily report for parents. -Classroom B, Classroom F and Ones/Twos room. Submit staff training regarding diaper changes and documentation.

This statement of deficiencies was generated based on an annual inspection conducted at your facility on 1/10/23 and a follow up visit on 1/11/23. This facility is licensed for 36 children as a child care facility. The census at the time of visit was 24 children. 10 children's files and 17 staff files were reviewed. Licensing Reminders: All renewal application items must be submitted no later than 1.30.23 for timely review. -Staff #4 needs 2 hours of child wellness If deficiencies are cited, an approved plan of correction must be returned within 10 days after receipt of this statement of defi Based on record review on 1.10.23, carpeted floors/rugs too large for washing were not cleaned once every three months or more often if necessary. Please ensure cleaning of carpets and rugs occurs quarterly as required and document dates of cleaning. Last cleaning on log 7.1.22.

This statement of deficiencies was generated as a result of an on site Semi Annual inspection conducted on 6.17.22 at your facility. The facility is licensed for 36 children as a child care facility. The census at the time of survey was 8 staff and 13 children. 19 staff files and 20 children's files were reviewed. There were no regulatory deficiencies noted at the time of inspection. If deficiencies are cited, an approved plan of correction must be returned within 10 days after receipt of this statement of deficiencies. LABORATORY DIRECTOR'S OR PROVIDER/SUPPLIER Name: Title: Date: REPRESENTAT

This Statement of Deficiencies was generated as a result of an annual inspection on 1/13/22. The facility is licensed for 36 children as a Child Care facility. The census at the time of the survey was 15. 5 children’s files were reviewed and 15 employee files were reviewed. Reminders and Recommendations: -Complete NABS corrections as discussed by 1/28/22 -Fire drill due this month -Add outcome to illness log 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: Based on observation and interview on 11/13/22 facility failed to ensure that the current license was posted in a public place. -Current license not posted reflecting provisional status NAC 4. The play area of each facility must: NAC 02/21/202 250.4 (a) Be fenced or enclosed in a manner that 250.4 1. Temporary boards have been placed to 2 prevents the unsupervised departure of cover the areas. The table has been removed. children from the area; Temporary trash bags are covering the post. (b) Have an adequate drainage system; 2. Items were fixed on the 1/21/2022. The (c) Be free of hazards, de Based on observation and interview on 1/13/22 facility failed to ensure the play area be fenced or enclosed in a manner that prevents the unsupervised departure of children. -Large gap under fence boards near gate. Fill in area with dirt or extend fence boards to eliminate gap. Based on observation and interview on 1/13/22 facility failed to ensure play area was free of hazards, debris, and trash. -Wooden picnic table peeling and splintering -Gap under corner fence board that a child can reach through -Posts have peeling paint and are splintering fire and evacuations. Based on interview and record review 2. Re-training drill was on 1/18/2022. on 1/13/22, facility failed to review Staff signed their name and dated in emergency plan on a quarterly basis attendance. Corrected form was made during a meeting of the staff of the on 2/10/2022. facility. Review emergency plan with 3. Staff will have re-training meetings to staff as required and document review. review fire safety procedures and disaster drills. 4. Vernesia will be responsible. Divisio 3.3. Staff will use the new form only Based on interview and record review 4.4. Vernesia will be responsible. on 1/13/22, the facility failed to maintain a daily sign-in sheet that included the first and last names of staff and children and/or times of arrival or departure. Provide instruction as necessary to ensure complete information is recorded and monitor the daily sign-in sheets for both children and staff. -Sign in sheet was inaccurate for staff NAC NAC 1.An inspection was completed, and 01/24/202 280.6 6. To maintain his or her license, the 280.6 extinguishers were service 2 licensee Based on observation and interview on 10/28/21 the facility's fire extinguisher was not tagged to show a current date of inspection and maintenance. Please make the necessary contact for inspection and maintenance. -Fire extinguisher tag dated 11/12/20 NAC 306 1. Every caregiver in a child care facility NAC 306 02/10/202 must: 1 . 1. Staff will complete trainings and 2 (a) Be at least 16 years of age; upload to renew or apply for Nevada (b) Be able to summon help in an registry. emergency; (c) Be emotionally and physically qualified 2. 2. Staff have uploaded/updated their to carry out a progr Based on interview and record review on 1/13/22 facility failed to ensure within 90 days after each caregiver 2852 B. WING _______________________ 01/13/2022 COMMUNITY SERVICES AGENCY CARSON CITY EARLY HEAD START 200 EAST WINNIE LANE SUITE 288-298, CARSON CITY, NEVADA ,89706 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 #2 -Staff #4 -Staff #6 -Staff #12 NAC 320 1. Except as otherwise provided in NRS NAC 320 1.Staff will attend trainings in two weeks 02/10/202 432A.177 , within the first 2 weeks after 2.Corrections were made on 1/14/2... Based on interview and record review on 1/13/22, staff listed below was not 2852 B. WING _______________________ 01/13/2022 COMMUNITY SERVICES AGENCY CARSON CITY EARLY HEAD START 200 EAST WINNIE LANE SUITE 288-298, CARSON CITY, NEVADA ,89706 given a written and oral orientation and training in the policies, procedures, and programs of the facility within the first 2 weeks after commencing employment. Provide orientation and training as required. -Staff #1 -Staff #2 -Staff #3 -Staff #4 -Staff #5 -Staff #6 -Staff #7 -Staff #9 -Staff #10 -Staff #11 -Staff #12 NAC 323 1. Except as otherwise provided in NAC NAC 323 1.Staff will attend trainings in two weeks 02/04/202 432A.521 and NRS 432A.177, within 120 2.Corrections were made by 2/4/22. 2 days after commencing his or her 3.Training dates will... Based on interview and record review on 1/13/22, the facility failed to ensure that within 120 days of hire each employee completed the required hours of training in child care which includes: any training required by the facility for the purposes of obtaining certification in CPR, three or more hours of training in child development , two or more hours of training in first aid, two or more hours of training in the signs and symptoms of illness, which must include, without limitation, training in the prevention of exposure to bloodbourne pathogens, two or more hours of training in the recogni Based on observation and interview on 1/13/22, the staff failed to label each bottle of formula and container of food with the name of the child to whom it belonged and the date the formula or food was prepared by the facility or was prepared or purchased by the parent. 2852 B

This Statement of Deficiencies was generated as a result of a follow up inspection on 7/26/21. The facility is licensed for 36 children as a Child Care facility. There were no regulatory deficiencies noted at the time of inspection. If deficiencies are cited, an approved plan of correction must be returned within 10 days after receipt of this statement of deficiencies. LABORATORY DIRECTOR'S OR PROVIDER/SUPPLIER Name: Title: Date: REPRESENTATIVE'S SIGNATURE

Thisstatement of deficiencies was generated as a result of a Semi- annual inspectionconducted at your facility on 6.16.25. The facility is licensed for 54 as achild care center. The census at the time of inspection was 12 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

An annual survey was conducted by Child Care Licensing at your facility on 12.12.2024. The facility is licensed for 54 children as a Child Care Center. The census at the time of the survey was 21. 10 children's files were reviewed, and staff 17 files were reviewed. There were no regulatory deficiencies identified. However, please review your inspection as reminders and recommendations are noted. Licensing Reminders: Please upload all renewal application documents and submit annual training hours as listed below by 12.23.24 for timely review and submission of application. Staff #5 needs; 8hrs