Cornerstone Christian Tykes Preschool

This Statement of Deficiencies was generated as a result of the on-site State licensure inspection conducted at your facility on 02.24.2026. There were no regulatory deficiencies identified at the time of the survey. The facility is licensed for 220 children as a Center. The census at the time of survey was 116 children. No children's files and no staff files were reviewed. Reminder: Please submit an amendment for changes in hours of operations. Per director, facility's current hours of operation are 6:30a - 5:30p. License states hours of operation are from 6:30a-6:00p. If deficiencies are ci

The facility is licensed for 220 children as a Center. The census at the time of inspection was 31 children. 15 child's file and 30 staff files were reviewed. Annual Hours Still Needed: - Carolyn chandler: needs 7 annual hours. - Katherine Choto: Needs 18 annual hours. - Wendy Cooper: Needs 3 annal hours. - Karen Corona-Cruz: Needs 3 annual hours. - Alex Dixon: Needs 9 annual hours. - Jahnya Hudson: Needs 4 annual hours. - Rachel Machado: Needs 7 annual hours. If deficiencies are cited, an approved plan of correction must be returned within 10 days after receipt of this statement of deficienc Based on file review, The school nurse, Sonja Fonseca has no completed fingerprints and is not listed on the facility's NABS Roster. The School nurse is responsible for providing care the preschool and academy. Due to Nurse, Sonja having the ability to provide one on one care for children on site, she will need to complete fingerprints. Nurse Sonja will need to completed a Consent of Release Form and fingerprints. Please ensure that once these are completed her NABS application is completed and gets entered onto the facility's NABS Roster. 1230 B. WING _______________________ 07/16/2025 CORNERSTONE CHRISTIAN TYKES PRESCHOOL 5825 W. ELDORA AVE, LAS VEGAS, NEVADA ,89146 Please note that any staff onsite that have the ability to be with children alone will need to complete fingerprints. NAC 2... Based on file review, The facility failed to submit a complete renewal application and fee 45 days prior to license expiration of 8/31/2025. NAC 4. The play area of each facility must: NAC 07/23/202 250.4 (a) Be fenced or enclosed in a manner that 250.4 5 prevents the unsupervised departure of Green cushion seat and pillow cases children from the area; washed and placed back on. Several round (b) Have an adequate drainage system; cushions replaced. photos attached (c) Be free of hazards, debris and trash; (d) If it is an outdoor play area, provide, during the months of April through September Based on observation, the following hazards were observed during the facility walkthrough: - Toddler Playground: The green cushion seat and pillows were observed with stains. Cushion covers will need to be cleaned. Lastly there were two circle cushion pillows near the back gate of playground observed with stains as well. Cushion covers will need to be cleaned. upload pictures of these corrections to provide proof of these corrections. - Preschool Playground: The green gazebo seat cushions and pillow were observed with stains and will need to be clean. Upload pictures to provide proof of this Based on file review, the facility's Liability Insurance expired 5/15/2025 and the new insurance was issued on 7.16.2025 with an expiration date of 5.15.2026. Ensure the facility's Liability insurance is renewed timely. NAC 302 1. A licensee of a child care facility shall not NAC 302 111- Seat covers cleaned, will be cleaned 07/18/202 knowingly appoint a person as director of regularly 5 the facility or appoint or permit the 113- sign designating back bathroom as appointment of a person as an employee or storage area, toilet covered to prevent. volunteer at the facility if the person has item Based on file review, the following hazards were observed during the facility walkthrough: -Room11: The two foldable seats in the reading area were observed with stains. Seat covers will need to be washed. Upload pictures to provide proof of this correction. - Room 113: The water table filled with toys (no water) was observed in the classroom bathroom. The water table will need to be removed from the restroom, water table and toys will need to be sanitized, and placed back in classroom for use or removed from classroom. - Room 103: In the classroom restroom, a rack of bins filled with clothin Based on file review, 1230 B. WING _______________________ 07/16/2025 CORNERSTONE CHRISTIAN TYKES PRESCHOOL 5825 W. ELDORA AVE, LAS VEGAS, NEVADA ,89146 Based on file review, the following staff are missing CPR/First Aid certification: - Jahnya Hudson: current CPR certification is not accepted. Staff will need to retake an approved CPR Certification course. Upload staff's updated CRP Certification to provide proof of this correction. NAC 320 1. Except as otherwise provided in NRS NAC 320 The sheet was misplaced, Mrs McKenzie 07/18/202 432A.177 , within the first 2 weeks after was trained. In the future we will double 5 commencing employment, newly employed check that documents are uploaded. members of the staff of a facility must be given a written and oral orientation program and be trained in the policies, procedures and programs of the facility by the director or a designee trained by the director. The orientation must address, at a min... Based on file review, Staff, Christie Mckenzie is missing a completed orientation checklist. Upload 1230 B. WING _______________________ 07/16/2025 CORNERSTONE CHRISTIAN TYKES PRESCHOOL 5825 W. ELDORA AVE, LAS VEGAS, NEVADA ,89146 completed orientation checklist to provide proof of this correction. NAC 323 1. Except as otherwise provided in NAC NAC 323 I attached Hudson's Positive Guidance 07/28/202 432A.521 and NRS 432A.177, within 120 training certificate that were completed on 5 days after commencing his or her 7/28/25. Going forward, I will closely employment or position in a child care monitor the timely completion of annual facility, each person who is employed in a trainings. child care facility, other than a person employed in a facility that provides care for ill children, and eac... Based on file review, staff, Jahnya Hudson is missing 2 training hours of Human Growth and Development or Positive Guidance. Upload Human Growth and Development or Positive Guidance training certificates to provide proof of these corrections. 1230 B. WING _____________________ Based on file review, Child #6 is missing a completed Health Statement. Have parents complete health statement with child's Physician and upload to provide proof of this correction. Based on file review, Child #11 is missing up to date immunizations. Upload up to date immunization record fir child #11 to provide proof of this correction. NAC 414 1. A carpeted floor or rug on a floor that is NAC 414 Corrected on 7/29/25 and 7/31/25 07/29/202 too large to wash in a washing machine 5 must be vacuumed not less than one time All classroom's area rugs were taken each day or more often if necessary Based on observation the following classrooms carpets were observed stained and are in need of being cleaning, removed , or replacement: - Room 102: 1 colorful carpet in classroom was observed with stains. - Room 111: 2 carpets in classroom (blue and green leaf carpet) were observed with stains. - Room 110: 2 carpets in classroom were observed with stains. - Room 103: 1 grey carpet in classroom was observed with stains. Upload pictures to provide proof of these corrections. It should be noted that the facility has ordered new carpets for classrooms but do not have a known delivery date. STATE

The facility is licensed for 220 children as a Center. The census at the time of inspection was 78 children. 0 child's file and 0 staff files were reviewed. The facility did a great job with maintaining ratios and supervision. Furthermore, all classroom staff were very engaged with children during classroom activities, potty time, and transitioning from nap time. NAC 302 1. A licensee of a child care facility shall not NAC 302 1 We have gotten the lightswitch fixed by 03/11/202 knowingly appoint a person as director of our facilities team We have also checked 5 the facility or appoint or perm Based on observations, the following hazards were observed during facility walkthrough: - 14m-3yr Classroom: Dustpan down and accessible to children in classroom bathroom. Assistant Director corrected hazard on site. - Classroom 102: Cleaning supplies located in an unlocked cabinet in the classroom and classroom bathroom accessible to children. Assistant Director corrected hazard on site. - Classroom 108: The classroom’s second bathroom is out of order due to the light cover being replaced with a hole in the wall exposed. Complete repairs and upload pictures to provide proof of this correctio

This Statement of Deficiencies was generated as a result of the on-site State licensure survey conducted at your facility on 07/22/2024. The facility is licensed for 220 children as a center. The census at the time of survey was 48 children. 26 children's files and 32 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: DEBBIE KAYE Title: Preschool Director Date: 08/01/2024 REPRESENTATIVE'S SIGNATURE Based on interview and record review the facility did not have verification of a current Certificate of Compliance. Contact the State Fire Marshal ' s office and schedule an appointment for yearly inspection. Please upload updated Certificate of Compliance. NAC 310 1. Every member of the staff of a facility, NAC 310 1. Remind staff to keep up to date with 08/01/202 including a volunteer, and each resident of licensing requirements, take action when 4 the facility shall present to the director of they fall behind the facility, to be placed in the person’s file, 2. TB completed 7/22/24 written Based on inspection and record review facility failed to ensure all staff had a negative TB. Please upload current Negative TB for staff listed on the identifier list. NAC 323 1. Except as otherwise provided in NAC NAC 323 1.Remind staff to keep up to date with 08/01/202 432A.521 and NRS 432A.177, within 120 licensing requirements 4 days after commencing his or her 2. completed immediately employment or position in a child care 3. take action when they fall behind4. 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) Any training required by the facility in which the director serves or in which the person is employed for the pur... Based on interview and record review, the facility failed to ensure that within 120days of hire each employee completed the required hours of training in childcare. Please upload proof of trainings for staff listed on the identifier list. NRS 230 NRS 230 1. Partner with our school nurse to ensure 08/01/202 Certificate of immunization prerequisite to that children receive necessary and 4 admission to child care facility; conditional required vaccines as they become admission; report to Health Division. Except necessary as otherwise provided in NRS 432A.235 for accommodation facilities: 2. Revi Based on record review and interview, the facility admitted children who were not up to date with immunizations or for whom no record was present or needed an updated. Please upload updated immunizations for children listed on the identifier list.

Census info License capacity 220 Facility Type Center Total Number of Children 126 Number of child files reviewed 30 Number of staff files reviewed 29 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

REMINDERS: 1) Kelly R. needs 2 hours of wellness training, please complete and upload under additional items in the renewal application no later than 8/25/23 2) 4 year child needs 4 year old shots, Dr. appt. on 8/18/23 If deficiencies are cited, an approved plan of correction must be returned within 10 days after receipt of this statement of deficiencies. LABORATORY DIRECTOR'S OR PROVIDER/SUPPLIER Name: Title: Date: REPRESENTATIVE'S SIGNATURE

ThisStatement of Deficiencies was generated as a result of the on-site Statelicensure survey conducted at your facility on 2/16/23. Thefacility is licensed for #220 Children as a center. The census at the time ofsurvey was #139 children and #30 children files were reviewed and #31 staff files werereviewed. NRS 230 NRS 230 1. The specific actions that will be taken to 02/23/202 correct the deficiency and verification of 3 If deficiencies are cited, an approved plan of correction must be returned within 10 days after receipt of this statement of deficiencies. LABORATORY DIRECTOR'S OR PROVIDER/S Based on record review the facility failed to provide evidence of updated immunizations for the following children: Child 13,17,27 Please see child identifier list located in documents. Answer 4 poc questions and upload updated immunizations.

This Statement of Deficiencies was generated as a result of the on-site State licensure survey conducted at your facility on 8/24/22. The facility is licensed for #220 Children as a center. The census at the time of survey was #129 children and # 30 children files were reviewed and #33 staff files were reviewed. More light is needed during naptime to ensure 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: BRANDI HEARST Title: Administrator Date: 09/27/2022 Based on record and mailed to us, we are hoping for it to be review the facility could not provide done by 10/31/22 evidence of current State Business license (exemption or other). 3. Changes that will be made or measures Upload documentation of new business that will be taken to prevent future license to plan of correction. occurrence of the deficient practice In the future, we will know that exemptions expire yearly and we will be sure to update our certificates earlier in the year. 4. Identify the person responsible Brandi Hearst Based on record occurrence of the deficient practice review the facility did not provide evidence Have nurse go over child files/audit shot of updated immunizations for the following records monthly/look over children who had children: recent bdays -Nurse alerts parents when updated records Child 5,17, 21 & 30 are needed -Nurse received updated record during the upload updated immunization records to month of the child’s birthdate, records new plan of correction record and updates child file accordingly See identifier list located in documents. 4. Identify the person responsible Nurse Sonja F

The facility is licensed for 220 children as a Center. The census at the time of inspection was 157 children. 30 children's files and 33 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

This Statement of Deficiencies was generated as a result of the onsite Child Care Licensing inspection conducted in your facility on 03/15/2021. At time of inspection, no regulatory deficiencies were noted. 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

The facility is licensed for 220 children as a Center. The census at the time of inspection was 31 children. 15 child's file and 30 staff files were reviewed. Annual Hours Still Needed: - Carolyn chandler: needs 7 annual hours. - Katherine Choto: Needs 18 annual hours. - Wendy Cooper: Needs 3 annal hours. - Karen Corona-Cruz: Needs 3 annual hours. - Alex Dixon: Needs 9 annual hours. - Jahnya Hudson: Needs 4 annual hours. - Rachel Machado: Needs 7 annual hours. If deficiencies are cited, an approved plan of correction must be returned within 10 days after receipt of this statement of deficienc Based on file review, The school nurse, Sonja Fonseca has no completed fingerprints and is not listed on the facility's NABS Roster. The School nurse is responsible for providing care the preschool and academy. Due to Nurse, Sonja having the ability to provide one on one care for children on site, she will need to complete fingerprints. Nurse Sonja will need to completed a Consent of Release Form and fingerprints. Please ensure that once these are completed her NABS application is completed and gets entered onto the facility's NABS Roster. 1230 B. WING _______________________ 07/16/2025 CORNERSTONE CHRISTIAN TYKES PRESCHOOL 5825 W. ELDORA AVE, LAS VEGAS, NEVADA ,89146 Please note that any staff onsite that have the ability to be with children alone will need to complete fingerprints. NAC 2... Based on file review, The facility failed to submit a complete renewal application and fee 45 days prior to license expiration of 8/31/2025. NAC 4. The play area of each facility must: NAC 07/23/202 250.4 (a) Be fenced or enclosed in a manner that 250.4 5 prevents the unsupervised departure of Green cushion seat and pillow cases children from the area; washed and placed back on. Several round (b) Have an adequate drainage system; cushions replaced. photos attached (c) Be free of hazards, debris and trash; (d) If it is an outdoor play area, provide, during the months of April through September Based on observation, the following hazards were observed during the facility walkthrough: - Toddler Playground: The green cushion seat and pillows were observed with stains. Cushion covers will need to be cleaned. Lastly there were two circle cushion pillows near the back gate of playground observed with stains as well. Cushion covers will need to be cleaned. upload pictures of these corrections to provide proof of these corrections. - Preschool Playground: The green gazebo seat cushions and pillow were observed with stains and will need to be clean. Upload pictures to provide proof of this Based on file review, the facility's Liability Insurance expired 5/15/2025 and the new insurance was issued on 7.16.2025 with an expiration date of 5.15.2026. Ensure the facility's Liability insurance is renewed timely. NAC 302 1. A licensee of a child care facility shall not NAC 302 111- Seat covers cleaned, will be cleaned 07/18/202 knowingly appoint a person as director of regularly 5 the facility or appoint or permit the 113- sign designating back bathroom as appointment of a person as an employee or storage area, toilet covered to prevent. volunteer at the facility if the person has item Based on file review, the following hazards were observed during the facility walkthrough: -Room11: The two foldable seats in the reading area were observed with stains. Seat covers will need to be washed. Upload pictures to provide proof of this correction. - Room 113: The water table filled with toys (no water) was observed in the classroom bathroom. The water table will need to be removed from the restroom, water table and toys will need to be sanitized, and placed back in classroom for use or removed from classroom. - Room 103: In the classroom restroom, a rack of bins filled with clothin Based on file review, 1230 B. WING _______________________ 07/16/2025 CORNERSTONE CHRISTIAN TYKES PRESCHOOL 5825 W. ELDORA AVE, LAS VEGAS, NEVADA ,89146 Based on file review, the following staff are missing CPR/First Aid certification: - Jahnya Hudson: current CPR certification is not accepted. Staff will need to retake an approved CPR Certification course. Upload staff's updated CRP Certification to provide proof of this correction. NAC 320 1. Except as otherwise provided in NRS NAC 320 The sheet was misplaced, Mrs McKenzie 07/18/202 432A.177 , within the first 2 weeks after was trained. In the future we will double 5 commencing employment, newly employed check that documents are uploaded. members of the staff of a facility must be given a written and oral orientation program and be trained in the policies, procedures and programs of the facility by the director or a designee trained by the director. The orientation must address, at a min... Based on file review, Staff, Christie Mckenzie is missing a completed orientation checklist. Upload 1230 B. WING _______________________ 07/16/2025 CORNERSTONE CHRISTIAN TYKES PRESCHOOL 5825 W. ELDORA AVE, LAS VEGAS, NEVADA ,89146 completed orientation checklist to provide proof of this correction. NAC 323 1. Except as otherwise provided in NAC NAC 323 I attached Hudson's Positive Guidance 07/28/202 432A.521 and NRS 432A.177, within 120 training certificate that were completed on 5 days after commencing his or her 7/28/25. Going forward, I will closely employment or position in a child care monitor the timely completion of annual facility, each person who is employed in a trainings. child care facility, other than a person employed in a facility that provides care for ill children, and eac... Based on file review, staff, Jahnya Hudson is missing 2 training hours of Human Growth and Development or Positive Guidance. Upload Human Growth and Development or Positive Guidance training certificates to provide proof of these corrections. 1230 B. WING _____________________ Based on file review, Child #6 is missing a completed Health Statement. Have parents complete health statement with child's Physician and upload to provide proof of this correction. Based on file review, Child #11 is missing up to date immunizations. Upload up to date immunization record fir child #11 to provide proof of this correction. NAC 414 1. A carpeted floor or rug on a floor that is NAC 414 Corrected on 7/29/25 and 7/31/25 07/29/202 too large to wash in a washing machine 5 must be vacuumed not less than one time All classroom's area rugs were taken each day or more often if necessary Based on observation the following classrooms carpets were observed stained and are in need of being cleaning, removed , or replacement: - Room 102: 1 colorful carpet in classroom was observed with stains. - Room 111: 2 carpets in classroom (blue and green leaf carpet) were observed with stains. - Room 110: 2 carpets in classroom were observed with stains. - Room 103: 1 grey carpet in classroom was observed with stains. Upload pictures to provide proof of these corrections. It should be noted that the facility has ordered new carpets for classrooms but do not have a known delivery date. STATE

The facility is licensed for 220 children as a Center. The census at the time of inspection was 78 children. 0 child's file and 0 staff files were reviewed. The facility did a great job with maintaining ratios and supervision. Furthermore, all classroom staff were very engaged with children during classroom activities, potty time, and transitioning from nap time. NAC 302 1. A licensee of a child care facility shall not NAC 302 1 We have gotten the lightswitch fixed by 03/11/202 knowingly appoint a person as director of our facilities team We have also checked 5 the facility or appoint or perm Based on observations, the following hazards were observed during facility walkthrough: - 14m-3yr Classroom: Dustpan down and accessible to children in classroom bathroom. Assistant Director corrected hazard on site. - Classroom 102: Cleaning supplies located in an unlocked cabinet in the classroom and classroom bathroom accessible to children. Assistant Director corrected hazard on site. - Classroom 108: The classroom’s second bathroom is out of order due to the light cover being replaced with a hole in the wall exposed. Complete repairs and upload pictures to provide proof of this correctio

This Statement of Deficiencies was generated as a result of the on-site State licensure survey conducted at your facility on 07/22/2024. The facility is licensed for 220 children as a center. The census at the time of survey was 48 children. 26 children's files and 32 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: DEBBIE KAYE Title: Preschool Director Date: 08/01/2024 REPRESENTATIVE'S SIGNATURE Based on interview and record review the facility did not have verification of a current Certificate of Compliance. Contact the State Fire Marshal ' s office and schedule an appointment for yearly inspection. Please upload updated Certificate of Compliance. NAC 310 1. Every member of the staff of a facility, NAC 310 1. Remind staff to keep up to date with 08/01/202 including a volunteer, and each resident of licensing requirements, take action when 4 the facility shall present to the director of they fall behind the facility, to be placed in the person’s file, 2. TB completed 7/22/24 written Based on inspection and record review facility failed to ensure all staff had a negative TB. Please upload current Negative TB for staff listed on the identifier list. NAC 323 1. Except as otherwise provided in NAC NAC 323 1.Remind staff to keep up to date with 08/01/202 432A.521 and NRS 432A.177, within 120 licensing requirements 4 days after commencing his or her 2. completed immediately employment or position in a child care 3. take action when they fall behind4. 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) Any training required by the facility in which the director serves or in which the person is employed for the pur... Based on interview and record review, the facility failed to ensure that within 120days of hire each employee completed the required hours of training in childcare. Please upload proof of trainings for staff listed on the identifier list. NRS 230 NRS 230 1. Partner with our school nurse to ensure 08/01/202 Certificate of immunization prerequisite to that children receive necessary and 4 admission to child care facility; conditional required vaccines as they become admission; report to Health Division. Except necessary as otherwise provided in NRS 432A.235 for accommodation facilities: 2. Revi Based on record review and interview, the facility admitted children who were not up to date with immunizations or for whom no record was present or needed an updated. Please upload updated immunizations for children listed on the identifier list.

Census info License capacity 220 Facility Type Center Total Number of Children 126 Number of child files reviewed 30 Number of staff files reviewed 29 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

REMINDERS: 1) Kelly R. needs 2 hours of wellness training, please complete and upload under additional items in the renewal application no later than 8/25/23 2) 4 year child needs 4 year old shots, Dr. appt. on 8/18/23 If deficiencies are cited, an approved plan of correction must be returned within 10 days after receipt of this statement of deficiencies. LABORATORY DIRECTOR'S OR PROVIDER/SUPPLIER Name: Title: Date: REPRESENTATIVE'S SIGNATURE

ThisStatement of Deficiencies was generated as a result of the on-site Statelicensure survey conducted at your facility on 2/16/23. Thefacility is licensed for #220 Children as a center. The census at the time ofsurvey was #139 children and #30 children files were reviewed and #31 staff files werereviewed. NRS 230 NRS 230 1. The specific actions that will be taken to 02/23/202 correct the deficiency and verification of 3 If deficiencies are cited, an approved plan of correction must be returned within 10 days after receipt of this statement of deficiencies. LABORATORY DIRECTOR'S OR PROVIDER/S Based on record review the facility failed to provide evidence of updated immunizations for the following children: Child 13,17,27 Please see child identifier list located in documents. Answer 4 poc questions and upload updated immunizations.

This Statement of Deficiencies was generated as a result of the on-site State licensure survey conducted at your facility on 8/24/22. The facility is licensed for #220 Children as a center. The census at the time of survey was #129 children and # 30 children files were reviewed and #33 staff files were reviewed. More light is needed during naptime to ensure 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: BRANDI HEARST Title: Administrator Date: 09/27/2022 Based on record and mailed to us, we are hoping for it to be review the facility could not provide done by 10/31/22 evidence of current State Business license (exemption or other). 3. Changes that will be made or measures Upload documentation of new business that will be taken to prevent future license to plan of correction. occurrence of the deficient practice In the future, we will know that exemptions expire yearly and we will be sure to update our certificates earlier in the year. 4. Identify the person responsible Brandi Hearst Based on record occurrence of the deficient practice review the facility did not provide evidence Have nurse go over child files/audit shot of updated immunizations for the following records monthly/look over children who had children: recent bdays -Nurse alerts parents when updated records Child 5,17, 21 & 30 are needed -Nurse received updated record during the upload updated immunization records to month of the child’s birthdate, records new plan of correction record and updates child file accordingly See identifier list located in documents. 4. Identify the person responsible Nurse Sonja F

The facility is licensed for 220 children as a Center. The census at the time of inspection was 157 children. 30 children's files and 33 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