Creative Kids-Alta

This Statement of Deficiencies was generated as a result of the on-site State licensure inspection conducted at your facility on 3/3/2026. 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 209 children as a center . The census at the time of survey was 84 children. 20 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 of this statement of deficiencies. LABORATORY DIRECTOR'S OR PROVIDER/SUPPLIER Name: TRACY MAURO Title: Director Date: 03/20/2026 REPRESENTATIVE'S SIGNATURE 2192 B. WING _______________________ 03/... Based on observation, the facility failed to recognize and eliminate the following hazards for the safety of children as evidenced by the following. 1. Room 2: Chipped paint on wall near playground door. 2. Room 8: Chipped paint on corner near restroom 3. Room 1: tape hanging from low sitting display board, possible choking hazard Please submit photo evidence of corrections made. NAC 306 1. Every caregiver in a child care facility NAC 306 Director was able to help staff complete the 03/06/202 must: NV registry application- 6 (a) Be at least 16 years of age; Director explained to staff that th 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 Based on record review the facility failed to ensure that children had signed transportation permission forms on file. Please ensure that all children have signed forms on file. The following children are missing signed transportation forms: Page 1 Child #2, Page 2 Child #1 NRS 230 NRS 230 Parents of children needing updated 03/20/202 Certificate of immunization prerequisite to vaccinations were notified and given 2 6 admission to child care facility; conditional weeks to become current. admission; report to Health Division. Except Child #4 has appt. 4/1/26 Child #5 is only 2 years and up to 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: Page 1: Child #6 and #12: missing 1 yr. old shots (1 round of DTP, Hep A, Varicella, MMR and Pneumococcal) Child #4 and #5: missing 4 yr. old shots (1 round of DTP, Polio, MMR, and Varicella). Each record should show 5 rounds of DTP, 4 rounds of Polio, and 2 rounds of MMR and Varicella). Page 2: Child #5: missing 4 yr. old shots (1 round of DTP, Polio, MMR, and Varicella). Based on observation, the facility failed to ensure that a toy or any other piece of equipment that is capable of being cleaned and disinfected was properly maintained as evidenced by the following: Room 1: blue couch needs to be wiped down, walls and cabinet doors needs cleaning

This Statement of Deficiencies was generated as a result of the on-site State licensure inspection conducted at your facility on 10/15/2025. 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. The facility is licensed for 209 children as a Center. The census at the time of survey was 73 children. No children's files and no staff files were reviewed. Based on observation and interview, the facility was found to have hazards as listed below In the Pirate Ship playground, the flooring on the clumbing struture on the steps and on the bridge was observed to be cracking, peeling and lifting and is a tripping hazard. The plastic surface material needs to be repaired and children should not be allowed on that area of the play structure as children's shoes can get caught on the lilfting plastic and trip and fall while up on the climbing structure. Answer the 4 POC questions an provide a short term plan of corrections and a safe alternative and te Based on observation, the facility failed to recognize and eliminate the following hazards for the safety of children as evidenced by the following: Rm #1 (Toddlers) 1. The storage closet was unlocked and children could open the door and access the hazards in the closet. Upload a picture of the latched storage closet. (please label the pictures/videos with room numbers for identification) 2. The drawer with gloves and ziplock bags was accessible to children as the lock was broken. Teacher relocated hazards but lock needs to be fixwed. Please upload a video as evidence of repair and correction Based on observation All staff and management and interview, furniture for children was not durable/safe as evidenced by the following: · In room #11, the blue couch is torn and exposed inner material. Please remove the furniture in disrepair away from children's access. Upload a picture as ivedence of correction. Answer the 4 POC questions. NAC 412 1. Each facility must have written NAC 412 Both teachers were met with by the Director 10/23/202 procedures concerning the washing of and retrained on Proper Diaper changing 5 hands. procedures. 2. The staff of a facility shall follow the Manageme 1. Based on observation, room #3 teacher did not follow proper diaper changing procedures. The teacher was observed to have used the same gloves after changing a diaper to put on a clean diaper and the child's clothes. Please retrain teachers on proper diaper changing procedures and upload cetificates of completion as evidence of completed training. 2. Based on observation, teacher in room #1 failed to wash her own hands and the child's hands after a diaper change. Please retrain teachers on proper diaper changing procedures and the imporatance of hand washing for both child and adult after e

The facility is licensed for 209 children as a Center. The census at the time of investigation was 79 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: Title: Date: REPRESENTATIVE'S SIGNATURE

The facility is licensed for 209 children as a Center. The census at the time of investigation was 80 children. 0 children's files and 0 staff files were reviewed. NAC 1. Except as otherwise provided in NAC NAC 1. Upon doing an assessment, Director was 04/10/202 5205 432A.290 and 432A.546, a licensee of a 5205 able to move a child to put classroom in 5 child care center, child care institution, ratio. accommodation facility, facility for special 2. This was completed on 4/10/25 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: TRACY MAURO Title: Director Date: 05/14/2025 REPRESENTATIVE'S SIGNATURE 2192 B. WING _______________________ 04/10/2025 CREATIVE ... Room 11 was outside in playground area working on group project. The group of children are all 4 to 5 year old's and the ratio was 14:1. Please list corrective action plan to avoid this in the future.

This Statement of Deficiencies was generated as a result of an Ad Hoc State licensure inspection conducted on 03/31/2025. Director brought staff binder to Child Care Licensing office for surveyor to review staff files and trainings. Please respond to each deficiency and attach documents as requested for the deficiency it pertains to. Sign and submit your Plan of Correction within 3 business days of receipt. The facility is licensed for 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: TRACY MAURO Title: Director Date: 04/04/2025 REPRESENTATIVE'S SIGNATURE 2192 B. WING _______________________ 03/31/2025 CREATIVE KIDS-ALTA 10650 ALTA DRIVE, LAS VEGAS, NEVA... 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 listed. -Abigail I. Please answer the 4 POC questions. NAC 310 1. Every member of the staff of a facility, NAC 310 Abigail is no longer employed with our 04/01/202 including a volunteer 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 notwork around children until current TB test verification is received: -Abigail I. Please answer the 4 POC questions. NAC 320 1. Except as otherwise provided in NRS NAC 320 Abigail is no longer employed with our 04/01/202 432A.177 , within the first 2 weeks after company as of 3/14/25, therefore her 5 commencing employment, newly employed information was removed from the staff members of the staff of a facility must be binder and taken off of the LOT. given a written and oral orientation program Director terminated Abigail in NABS on and be trained in the pol... Based on interview and/or record review, new employees were not 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. 2192 B. WING _______________________ 03/31/2025 CREATIVE KIDS-ALTA 10650 ALTA DRIVE, LAS VEGAS, NEVADA ,89144 Please submit copy of orientation. -Abigail I. Please answer the 4 POC questions. NAC 323 1. Except as otherwise provided in NAC NAC 323 Abigail is no longer employed with our 04/01/202 432A.521 and NRS 432A.177, within 120 company as of 3/14/25, therefore her 5 days after commencing his or her information was removed from the staff employment or position in a child care binder and taken off of the LOT. facility, each person who is employed in a Director termi... 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 2192 B. WING _______________________ 03/31/2025

This Statement of Deficiencies was generated as a result of the on-site State licensure inspection conducted at your facility on 03/19/2025. 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. The facility is licensed for 209 children as a Center. The census at the time of survey was 54 children. 17 children's files and 0 staff files were reviewed. Based on inspection and record review, staff member pending eligibility was left unsupervised without completed backgrounds per NRS 432A.170.6 Staff member A. Blackman in room #1 was left alone without supervision during the inspection walkthrough on 03.19.2025 Please answer the 4 POC questions. 2192 B. WING _______________________ 03/19/2025 CREATIVE KIDS-ALTA 10650 ALTA DRIVE, LAS VEGAS, NEVADA ,89144 NAC 220 1. Except as otherwise provided in NAC NAC 220 All documents have been uploaded for 03/24/202 432A.437, a licensee of a facility may apply review 5 for reissuance of a license by submitting an Items were uploaded on 3/24/25 application for reissuance which must be Director will upload all documentation at received by the Division, or postmarked if time of paying and submitting renew... Based on interview and record review the facility failed to submit an application for renewal no later than 45 days before the expiration of the license. At the time of the inspection on 03/19/202, facility submitted an incomplete application for renewal on 03/18/2025. Please ensure that the application is submitted prior to the license expiration. Please answer the 4 POC questions. Based on inspection on 03/19/2025, it was observed that evacuation plans/maps were not posted in the following classrooms: Classroom #2, #4, and #5. Please upload pictures as proof of correction and label each picture with the classroom number for clearer identification of the corrections. Please answer the 4 POC questions. NAC 302 1. A licensee of a child care facility shall not NAC 302 Teachers were talked to and retrained on 03/24/202 knowingly appoint a person as director of the expectations and safety of having 5 the facility or appoint or permit the teacher closets locked at all times. Items E- All items fixed on Monday 4/7/25 Item F- Table removed on 3/19/25 Based on observation, the facility failed Item G- Chipping and peeling paint touched to recognize and eliminate the following up on 4/5/25 hazards for the safety of children as Item H- clogged sink was fixed on 3/25/25 Item I - Fixed on 4/7/25 evidenced by the following. Provide 2192 B. WING _______________________ 03/19/2025 CREATIVE KIDS-ALTA 10650 ALTA DRIVE, LAS VEGAS, NEVADA ,89144 pictures as proof of correction Classroom #1: a. the pull-out drawers, accessible to children need to have locks as they can be pinching hazards. b. stairs to the changing table left out and accessible to children - CORRECTED ON SITE c. Cabinet below the changing table left unlocked. Wipes and other items accessible to children. Clas... Based on record review, the director failed to maintain organized separate records that include documents related to staff training, files and backgrounds investigation, child files and records and facility records. Please ensure that all documentation required for staff, children and the facility are kept current and organized. At the time of the inspection on 03/19/2025, the Listing of trainings was not ready for the surveyor to review. Director will have to bring staff binder to CCL office for an ad hoc inspection at a later date. Please answer the 4 POC questions. NRS 178 Child care facil Based on observation and record review on, parent was not informed of right to view complaints made against facility. Ensure parents sign NRS 178 notification form and it is kept in the child's file. Facility failed to have signed copy of form notifying parents of right to Based on record review and interview, the facility did not have a health statement signed by a registered nurse or physician within 30 days after admission for children listed. Please submit copy of the health statement signed by a physician or registered nurse for the children noted below: -child #9 -child #12 Please answer the 4 POC questions. NRS 230 NRS 230 Child 1 has an appointment on 4/14 for 4 04/02/202 Certificate of immunization prerequisite to year old shots. Parents have been advised 5 admission to child care facility; conditional that child may not attend school without admission 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: missing hep B, streptococcus pneumonias, polio, Hib, -child #8: missing DPT, varicella, streptococcus pneumonias, polio, MMR, Hib -child #14: missing DPT, varicella, polio, MMR -child #15: missing DPT, varicella, polio, MMR Please answer the 4 POC questions. NAC 430 1. Each facility, including, without limitation, NAC 430 Child assessments are done electronically Based on observation, interview and record review, the facility failed to assess each child within three months of enrollment andevery six months thereafter. Children as noted below did not have a current assessment on file during inspection. child #1,2, 3,5, 6, 8, 10, 12, 15 Based on record review, the last carpet and floor cleaning was done on November 16, 2024. Please ensure that carpets are cleanedevery three month. Please upload proof of correction. Please answer the 4 POC questions. 2192 B. WING _______________________ 03/19/2025 NAME OF PROV

This Statement of Deficiencies was generated as a result of the on- siteState licensure survey conducted at your facility on 12/5/2024. The facility islicensed for 241 Children as a center. The census at the time of survey was 47 children and 0 children files were reviewed 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: TRACY MAURO Title: Director Date: 12/10/2024 REPRESENTATIVE'S SIGNATURE Based on observation, the following hazards were observed: Playground (Trainyard Side): • Cracks are at the bottom of the building wall, causing a potential hazard due to pieces chipping off. Spaceship Playground: • The water fountain needs to be drained. Room #8: • Outlet plugs are missing and need replacement. Room #11:

This Statement of Deficiencies was generated as a result of the on-site State licensure survey conducted at your facility on 03/25/2024. 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 children as a center. The census at the time of survey was 63 children. 15 children's files and 11 staff files were reviewed. Reminders: Remaining annual training hours need to be completed and submitted to surveyor no If deficienci Based on observation DeLeon and record review the facility failed to ensure that staff who's completed backgrounds were not received were not left alone with children. Staff member was observed in the classroom unsupervised before the Memo of Eligibility was issued for that staff. Please ensure all staff have Memo of Eligibility issued prior to being left alone with children. NAC 310 1. Every member of the staff of a facility, NAC 310 1. 1 teacher was termed and the other 03/30/202 including a volunteer, and each resident of teacher got her TB renewed. 4 the facility shall present to the dire 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: Staff #1 and #3 NAC 323 1. Except as otherwise provided in NAC NAC 323 1. we both took the class 04/11/202 432A.521 and NRS 432A.177, within 120 2. completed by 4/11/24 4 days after commencing his or her 3. We had not realized it was 5 yrs already employment or position in a child care and when we did we thought that we would facility, each person who is employed in a get them in this licensing yr (before child care facility, other than a person 4/30/24) employed in a facility that provides care for... Based on interview and record review, the facility failed to 2192 B. WING _______________________ 03/25/2024 CREATIVE KIDS-ALTA 10650 ALTA DRIVE, LAS VEGAS, NEVADA ,89144 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 upload a completed copy signed by parent for Child #4 and #6. 2192 B. WING _______________________ 0 Based on observation and record review on parents were not informed of right to view complaints made against facility. Ensure parents sign NRS 178 notification form and it is kept in the child's file. Facility failed to have signed copy of form notifying parents of right to request complaint information for the following children as referenced on the identifier sheet: Child #7 and #8. Based on interview and record review, the facility failed to have signed Permission to Release Information form on file for the following children as referenced on the identifier sheet: Child #9 NRS 230 NRS 230 1. All children have no received their 4 yr 04/05/202 Certificate of immunization prerequisite to shots 4 admission to child care facility; conditional 2. 04/05/24 admission; report to Health Division. Except 3. We will set reminders for our preschool as otherwise provided in NRS 432A.235 for children for when they turn. accommodation facilities: 4. Areal Holloway & Kelly Reynolds 1. E Based on interview and record review, child (ren) as noted below failed to have current immunization records on file at time of 2192 B. WING _______________________ 03/25/2024 CREATIVE KIDS-ALTA 10650 ALTA DRIV

This Statement of Deficiencies was generated as a result of the on-siteState licensure survey conducted at your facility on 09/14/2023. The Facility is licensed for 241 children as a center.The census at the time of survey was 77 children. 30 children's files and 13 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 Documentationof completed and current investigations were not on file at the facility forrequired persons. The following items were not observed for individuals asnoted below: NABSRoster - E. Ruano S. Ochoa J. Ramirez R. Lightfoot Ensure staff are listed in NABS within 24 hours of hire. Upload updated NABS Roster to POC. NAC 250 1. Except as otherwise provided in this NAC 250 1. Put in work order to get Maintenace to fix 09/15/202 subsection, subsection 3 and NRS 2. within 30 days 3 432A.078 in each facility there must be: 3.Will make sure we are looking at the (a) At least 35 square feet of indoor space surfaces when doing our morning for each child, exclusive of bathrooms, playground checklist halls, kitchen, stairs, storage spaces, 4. Kelly Reynolds Areal Holloway and multipurpose rooms... Basedon observation and interview, the facility was found to have hazards as listedbelow. Resilient surfacing in disrepair on playgrounds. NRS 178 Child care facility required to maintain NRS 178 1. I have had all parents resign the NRS 10/05/202 certain information; reporting of information 178 and filed in their file 3 to parents and guardians; notice of right to 2. Last one complete on 10/5/23 information. 3. We have went through all new 1. A child care facility shall maintain a copy registration packets to make sure they have of: been added (a) The license issued to the facility by the 4. Basedon observation and record review, facility failed to have signed copy of formnotifying parents of right to request complaint information for the followingchildren as referenced on the identifier sheet: Child# 1 Child #13 Child #14 Child #16 Child #17 Child #21 Child #22 Child #27 Child #28 Obtain sign form and upload a copy to the POC. NRS 230 NRS 230 1. Got last updated copy from parents 10/05/202 Certificate of immunization prerequisite to 2. 10/5/23 3 admission to child care facility; conditional 3. I have assigned my Assistant director to admission; report to Health Division. Except Certificateof immunization prerequisite to admission to child care facility; Child (ren) asnoted below failed to have current immunization records on file at time ofinspection. Child #1 Child #2 Child #4 Child #11 Child #13 Child #24 Child #28 Obtain and upload a copy of updated immunization records to the POC. NAC 430 1. Each facility, including, without limitation, NAC 430 1. We printed and filed the assessments 09/14/202 a family home and a group home, shall right away 3 have an early care and education program. 2. 9/14/23 2. Each facility described in subsection 1 3. We have put in our ca Basedon observation, interview and review of records, the facility did not assesseach child within three months after enrollment in the facility or repeatassessment every six months. Children as noted below did not have a currentassessment on file during inspection. Child#4 Child#5 Child #8 Child #10

This Statement of Deficiencies was generated as a result of the on-site State licensure survey conducted at your facility on 04/06/2023. The Facility is licensed for 241 children as a center. The census at the time of survey was 79 children. 30 children's files and 12 staff files were reviewed. Reminder: Complete renewal checklist and ensure child files are maintained in an organized fashion. 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: KELLY REYNOLDS Based on interview and record review, the facility failed to ensure thatwithin 90 days of hire each employee had a completed application or renewal ofNevada Registry membership. E. Deleon K. Wagstaff A. Holloway M. Cannon Obtain and upload a copy of the above NV Registry Certificates to the POC. NAC 310 1. Every member of the staff of a facility, NAC 310 1. I had to send barb to get her TB test 04/14/202 including a volunteer, and each resident of before she could return to my school 3 the facility shall present to the director of 2. 4/14/23 the facility, to be placed in the person’s file, 3. Based on interview and record review, the facility did not have writtenevidence that all staff were free from communicable tuberculosis issued withinthe preceding 24 months. B. Pacheco Obtain and upload a copy of the above TB test to the POC. NAC 340 1. Procedures for admission must provide NAC 340 1. Gave the parent a new paper to fill out. 04/21/202 the caregiver with sufficient information and 2. 4/21/23 3 instruction from the parents to enable the 3. I have retrained the front desk staff to caregiver to prepare a record and to make look for ALL signatures at registration decisions or act Based on interview and record review, the facilityfailed to ensure that each child had a written authorization signed by a parentwhich allows emergency and medical care. Child #30 Obtain and upload a copy of the form to the POC. NRS 230 NRS 230 1. Went on WebIZ for new shot records and 04/24/202 Certificate of immunization prerequisite to then compared to Health Dept standard. 3 admission to child care facility; conditional Asked parents to go to the Dr. if we were admission; report to Health Division. Except not sure. as otherwise provided in NRS 432A.235 for 2. Completed all children by 4/2 Certificateof immunization prerequisite to admission to child care facility; Child (ren) asnoted below failed to have current immunization records on file at time ofinspection. Child #3 Child #11 Child #13 2192 B. WING _______________________ 04/06/2023 Basedon observation, interview and review of records, the facility did not assesseach child within three months after enrollment in the facility or repeatassessment every six months. Children as noted below did not have a currentassessment on file during inspection. Child#9 Child#22 Ensure assessments are completed and upload a copy to the POC. NAC 1. Except as otherwise provided in NAC NAC 1. Had 2 staff members no show while we 04/06/202 5205 432A.290 and 432A.546, a licensee of a 5205 are short staffed. Borrowed 3 teachers from 3 child care center, child care institution, other Creative Kids that came before visit accommodation facility, facility for special ended. events, nursery for infants and toddlers or 2. 4/6/23 special needs facility shall, between the 3. We have been trying to h... At time of inspection, the facility was found to be out of ratio as evidenced by: Playground 3) 24 children aged 2-3 yrs to 2 staff members; 1 additional staff member 2192 B. WING _______________________ 04/06/2023

This Statement of Deficiencies was generated as a result of the on-site State licensure survey conducted at your facility on 10/24/2022. The facility is licensed for 241 children as a center. The census at the time of survey was 68 children. 25 children's files and 14 staff files were reviewed. NAC 306 1. Every caregiver in a child care facility NAC 306 1. Areal went and got her new CPR card at 11/04/202 must: 1st available (It was not expired until 2 (a) Be at least 16 years of age; 10/27/2022) If deficiencies are cited, an approved plan of correction must be returned within 10 days after re Based on interview and record review, the facility failed to ensure that within 120 days of hire each employee had a completed application or renewal of Nevada Registry membership. Please upload current Nevada Registry membership for staff listed on the identifier list. 2192 B. 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 340 1. Procedures for admission must provide NAC 340 1.Went through all files and had parents 11/01/202 the caregiver with sufficient information and sign the medical information sheet in our 2 instruction from the parents to enable the enrollment packet. caregiver to prepare a record and to make 2. 11/1/22 decisions or act on behalf of the child. 3. Have trained all office staff to check for 2. Before the admission of a ch Based on interview and record review, the facility failed to ensure that each child had a written authorization signed by a parent which allows emergency and medical care. Please upload signed Medical Emergency Consent forms for children listed on the identifier list. NRS 178 Child care facility required to maintain NRS 178 1. Had parent sign the NRS178 and added 11/01/202 certain information; reporting of information to the childs file 2 to parents and guardians; notice of right to 2. 11/1/22 information. 3. Have trained office staff to make sure all 1. A child care facility shall maintain a Based on observation and record review, facility failed to have signed copy of form notifying parents of right to request complaint information. Please uploaded signed NRS 178 for children listed on the identifier list. NRS 230 NRS 230 1. Asked for all current records or they 11/01/202 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 uploaded updated immunizations for children listed on the identifier list. NAC 430 1. Each facility, including, without limitation, NAC 430 1. Printed all assessments and put in the 11/01/202 a family home and a group home, shall children's files 2 have an early care and education program. 2. 11/01/22 2. Each facility described in subsection 1 3. We will print every assessment. (They shall develop a written assessment pl Based on observation, interview and review of records, the facility did not assess each child within three months after enrollment in the facility or repeat assessment every six months. Please upload assessments for children listed on the identifier list. 2192 B. WING ________

This Statement of Deficiencies was generated as a result of the on-site State licensure inspection conducted at your facility on 10/15/2025. 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. The facility is licensed for 209 children as a Center. The census at the time of survey was 73 children. No children's files and no staff files were reviewed. Based on observation and interview, the facility was found to have hazards as listed below In the Pirate Ship playground, the flooring on the clumbing struture on the steps and on the bridge was observed to be cracking, peeling and lifting and is a tripping hazard. The plastic surface material needs to be repaired and children should not be allowed on that area of the play structure as children's shoes can get caught on the lilfting plastic and trip and fall while up on the climbing structure. Answer the 4 POC questions an provide a short term plan of corrections and a safe alternative and te Based on observation, the facility failed to recognize and eliminate the following hazards for the safety of children as evidenced by the following: Rm #1 (Toddlers) 1. The storage closet was unlocked and children could open the door and access the hazards in the closet. Upload a picture of the latched storage closet. (please label the pictures/videos with room numbers for identification) 2. The drawer with gloves and ziplock bags was accessible to children as the lock was broken. Teacher relocated hazards but lock needs to be fixwed. Please upload a video as evidence of repair and correction Based on observation All staff and management and interview, furniture for children was not durable/safe as evidenced by the following: · In room #11, the blue couch is torn and exposed inner material. Please remove the furniture in disrepair away from children's access. Upload a picture as ivedence of correction. Answer the 4 POC questions. NAC 412 1. Each facility must have written NAC 412 Both teachers were met with by the Director 10/23/202 procedures concerning the washing of and retrained on Proper Diaper changing 5 hands. procedures. 2. The staff of a facility shall follow the Manageme 1. Based on observation, room #3 teacher did not follow proper diaper changing procedures. The teacher was observed to have used the same gloves after changing a diaper to put on a clean diaper and the child's clothes. Please retrain teachers on proper diaper changing procedures and upload cetificates of completion as evidence of completed training. 2. Based on observation, teacher in room #1 failed to wash her own hands and the child's hands after a diaper change. Please retrain teachers on proper diaper changing procedures and the imporatance of hand washing for both child and adult after e

The facility is licensed for 209 children as a Center. The census at the time of investigation was 79 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: Title: Date: REPRESENTATIVE'S SIGNATURE

This Statement of Deficiencies was generated as a result of an Ad Hoc State licensure inspection conducted on 03/31/2025. Director brought staff binder to Child Care Licensing office for surveyor to review staff files and trainings. Please respond to each deficiency and attach documents as requested for the deficiency it pertains to. Sign and submit your Plan of Correction within 3 business days of receipt. The facility is licensed for 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: TRACY MAURO Title: Director Date: 04/04/2025 REPRESENTATIVE'S SIGNATURE 2192 B. WING _______________________ 03/31/2025 CREATIVE KIDS-ALTA 10650 ALTA DRIVE, LAS VEGAS, NEVA... 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 listed. -Abigail I. Please answer the 4 POC questions. NAC 310 1. Every member of the staff of a facility, NAC 310 Abigail is no longer employed with our 04/01/202 including a volunteer 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 notwork around children until current TB test verification is received: -Abigail I. Please answer the 4 POC questions. NAC 320 1. Except as otherwise provided in NRS NAC 320 Abigail is no longer employed with our 04/01/202 432A.177 , within the first 2 weeks after company as of 3/14/25, therefore her 5 commencing employment, newly employed information was removed from the staff members of the staff of a facility must be binder and taken off of the LOT. given a written and oral orientation program Director terminated Abigail in NABS on and be trained in the pol... Based on interview and/or record review, new employees were not 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. 2192 B. WING _______________________ 03/31/2025 CREATIVE KIDS-ALTA 10650 ALTA DRIVE, LAS VEGAS, NEVADA ,89144 Please submit copy of orientation. -Abigail I. Please answer the 4 POC questions. NAC 323 1. Except as otherwise provided in NAC NAC 323 Abigail is no longer employed with our 04/01/202 432A.521 and NRS 432A.177, within 120 company as of 3/14/25, therefore her 5 days after commencing his or her information was removed from the staff employment or position in a child care binder and taken off of the LOT. facility, each person who is employed in a Director termi... 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 2192 B. WING _______________________ 03/31/2025

The facility is licensed for 209 children as a Center. The census at the time of investigation was 80 children. 0 children's files and 0 staff files were reviewed. NAC 1. Except as otherwise provided in NAC NAC 1. Upon doing an assessment, Director was 04/10/202 5205 432A.290 and 432A.546, a licensee of a 5205 able to move a child to put classroom in 5 child care center, child care institution, ratio. accommodation facility, facility for special 2. This was completed on 4/10/25 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: TRACY MAURO Title: Director Date: 05/14/2025 REPRESENTATIVE'S SIGNATURE 2192 B. WING _______________________ 04/10/2025 CREATIVE ... Room 11 was outside in playground area working on group project. The group of children are all 4 to 5 year old's and the ratio was 14:1. Please list corrective action plan to avoid this in the future.

This Statement of Deficiencies was generated as a result of the on-site State licensure inspection conducted at your facility on 03/19/2025. 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. The facility is licensed for 209 children as a Center. The census at the time of survey was 54 children. 17 children's files and 0 staff files were reviewed. Based on inspection and record review, staff member pending eligibility was left unsupervised without completed backgrounds per NRS 432A.170.6 Staff member A. Blackman in room #1 was left alone without supervision during the inspection walkthrough on 03.19.2025 Please answer the 4 POC questions. 2192 B. WING _______________________ 03/19/2025 CREATIVE KIDS-ALTA 10650 ALTA DRIVE, LAS VEGAS, NEVADA ,89144 NAC 220 1. Except as otherwise provided in NAC NAC 220 All documents have been uploaded for 03/24/202 432A.437, a licensee of a facility may apply review 5 for reissuance of a license by submitting an Items were uploaded on 3/24/25 application for reissuance which must be Director will upload all documentation at received by the Division, or postmarked if time of paying and submitting renew... Based on interview and record review the facility failed to submit an application for renewal no later than 45 days before the expiration of the license. At the time of the inspection on 03/19/202, facility submitted an incomplete application for renewal on 03/18/2025. Please ensure that the application is submitted prior to the license expiration. Please answer the 4 POC questions. Based on inspection on 03/19/2025, it was observed that evacuation plans/maps were not posted in the following classrooms: Classroom #2, #4, and #5. Please upload pictures as proof of correction and label each picture with the classroom number for clearer identification of the corrections. Please answer the 4 POC questions. NAC 302 1. A licensee of a child care facility shall not NAC 302 Teachers were talked to and retrained on 03/24/202 knowingly appoint a person as director of the expectations and safety of having 5 the facility or appoint or permit the teacher closets locked at all times. Items E- All items fixed on Monday 4/7/25 Item F- Table removed on 3/19/25 Based on observation, the facility failed Item G- Chipping and peeling paint touched to recognize and eliminate the following up on 4/5/25 hazards for the safety of children as Item H- clogged sink was fixed on 3/25/25 Item I - Fixed on 4/7/25 evidenced by the following. Provide 2192 B. WING _______________________ 03/19/2025 CREATIVE KIDS-ALTA 10650 ALTA DRIVE, LAS VEGAS, NEVADA ,89144 pictures as proof of correction Classroom #1: a. the pull-out drawers, accessible to children need to have locks as they can be pinching hazards. b. stairs to the changing table left out and accessible to children - CORRECTED ON SITE c. Cabinet below the changing table left unlocked. Wipes and other items accessible to children. Clas... Based on record review, the director failed to maintain organized separate records that include documents related to staff training, files and backgrounds investigation, child files and records and facility records. Please ensure that all documentation required for staff, children and the facility are kept current and organized. At the time of the inspection on 03/19/2025, the Listing of trainings was not ready for the surveyor to review. Director will have to bring staff binder to CCL office for an ad hoc inspection at a later date. Please answer the 4 POC questions. NRS 178 Child care facil Based on observation and record review on, parent was not informed of right to view complaints made against facility. Ensure parents sign NRS 178 notification form and it is kept in the child's file. Facility failed to have signed copy of form notifying parents of right to Based on record review and interview, the facility did not have a health statement signed by a registered nurse or physician within 30 days after admission for children listed. Please submit copy of the health statement signed by a physician or registered nurse for the children noted below: -child #9 -child #12 Please answer the 4 POC questions. NRS 230 NRS 230 Child 1 has an appointment on 4/14 for 4 04/02/202 Certificate of immunization prerequisite to year old shots. Parents have been advised 5 admission to child care facility; conditional that child may not attend school without admission 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: missing hep B, streptococcus pneumonias, polio, Hib, -child #8: missing DPT, varicella, streptococcus pneumonias, polio, MMR, Hib -child #14: missing DPT, varicella, polio, MMR -child #15: missing DPT, varicella, polio, MMR Please answer the 4 POC questions. NAC 430 1. Each facility, including, without limitation, NAC 430 Child assessments are done electronically Based on observation, interview and record review, the facility failed to assess each child within three months of enrollment andevery six months thereafter. Children as noted below did not have a current assessment on file during inspection. child #1,2, 3,5, 6, 8, 10, 12, 15 Based on record review, the last carpet and floor cleaning was done on November 16, 2024. Please ensure that carpets are cleanedevery three month. Please upload proof of correction. Please answer the 4 POC questions. 2192 B. WING _______________________ 03/19/2025 NAME OF PROV

This Statement of Deficiencies was generated as a result of the on- siteState licensure survey conducted at your facility on 12/5/2024. The facility islicensed for 241 Children as a center. The census at the time of survey was 47 children and 0 children files were reviewed 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: TRACY MAURO Title: Director Date: 12/10/2024 REPRESENTATIVE'S SIGNATURE Based on observation, the following hazards were observed: Playground (Trainyard Side): • Cracks are at the bottom of the building wall, causing a potential hazard due to pieces chipping off. Spaceship Playground: • The water fountain needs to be drained. Room #8: • Outlet plugs are missing and need replacement. Room #11:

This Statement of Deficiencies was generated as a result of the on-site State licensure survey conducted at your facility on 03/25/2024. 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 children as a center. The census at the time of survey was 63 children. 15 children's files and 11 staff files were reviewed. Reminders: Remaining annual training hours need to be completed and submitted to surveyor no If deficienci Based on observation DeLeon and record review the facility failed to ensure that staff who's completed backgrounds were not received were not left alone with children. Staff member was observed in the classroom unsupervised before the Memo of Eligibility was issued for that staff. Please ensure all staff have Memo of Eligibility issued prior to being left alone with children. NAC 310 1. Every member of the staff of a facility, NAC 310 1. 1 teacher was termed and the other 03/30/202 including a volunteer, and each resident of teacher got her TB renewed. 4 the facility shall present to the dire 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: Staff #1 and #3 NAC 323 1. Except as otherwise provided in NAC NAC 323 1. we both took the class 04/11/202 432A.521 and NRS 432A.177, within 120 2. completed by 4/11/24 4 days after commencing his or her 3. We had not realized it was 5 yrs already employment or position in a child care and when we did we thought that we would facility, each person who is employed in a get them in this licensing yr (before child care facility, other than a person 4/30/24) employed in a facility that provides care for... Based on interview and record review, the facility failed to 2192 B. WING _______________________ 03/25/2024 CREATIVE KIDS-ALTA 10650 ALTA DRIVE, LAS VEGAS, NEVADA ,89144 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 upload a completed copy signed by parent for Child #4 and #6. 2192 B. WING _______________________ 0 Based on observation and record review on parents were not informed of right to view complaints made against facility. Ensure parents sign NRS 178 notification form and it is kept in the child's file. Facility failed to have signed copy of form notifying parents of right to request complaint information for the following children as referenced on the identifier sheet: Child #7 and #8. Based on interview and record review, the facility failed to have signed Permission to Release Information form on file for the following children as referenced on the identifier sheet: Child #9 NRS 230 NRS 230 1. All children have no received their 4 yr 04/05/202 Certificate of immunization prerequisite to shots 4 admission to child care facility; conditional 2. 04/05/24 admission; report to Health Division. Except 3. We will set reminders for our preschool as otherwise provided in NRS 432A.235 for children for when they turn. accommodation facilities: 4. Areal Holloway & Kelly Reynolds 1. E Based on interview and record review, child (ren) as noted below failed to have current immunization records on file at time of 2192 B. WING _______________________ 03/25/2024 CREATIVE KIDS-ALTA 10650 ALTA DRIV

This Statement of Deficiencies was generated as a result of the on-siteState licensure survey conducted at your facility on 09/14/2023. The Facility is licensed for 241 children as a center.The census at the time of survey was 77 children. 30 children's files and 13 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 Documentationof completed and current investigations were not on file at the facility forrequired persons. The following items were not observed for individuals asnoted below: NABSRoster - E. Ruano S. Ochoa J. Ramirez R. Lightfoot Ensure staff are listed in NABS within 24 hours of hire. Upload updated NABS Roster to POC. NAC 250 1. Except as otherwise provided in this NAC 250 1. Put in work order to get Maintenace to fix 09/15/202 subsection, subsection 3 and NRS 2. within 30 days 3 432A.078 in each facility there must be: 3.Will make sure we are looking at the (a) At least 35 square feet of indoor space surfaces when doing our morning for each child, exclusive of bathrooms, playground checklist halls, kitchen, stairs, storage spaces, 4. Kelly Reynolds Areal Holloway and multipurpose rooms... Basedon observation and interview, the facility was found to have hazards as listedbelow. Resilient surfacing in disrepair on playgrounds. NRS 178 Child care facility required to maintain NRS 178 1. I have had all parents resign the NRS 10/05/202 certain information; reporting of information 178 and filed in their file 3 to parents and guardians; notice of right to 2. Last one complete on 10/5/23 information. 3. We have went through all new 1. A child care facility shall maintain a copy registration packets to make sure they have of: been added (a) The license issued to the facility by the 4. Basedon observation and record review, facility failed to have signed copy of formnotifying parents of right to request complaint information for the followingchildren as referenced on the identifier sheet: Child# 1 Child #13 Child #14 Child #16 Child #17 Child #21 Child #22 Child #27 Child #28 Obtain sign form and upload a copy to the POC. NRS 230 NRS 230 1. Got last updated copy from parents 10/05/202 Certificate of immunization prerequisite to 2. 10/5/23 3 admission to child care facility; conditional 3. I have assigned my Assistant director to admission; report to Health Division. Except Certificateof immunization prerequisite to admission to child care facility; Child (ren) asnoted below failed to have current immunization records on file at time ofinspection. Child #1 Child #2 Child #4 Child #11 Child #13 Child #24 Child #28 Obtain and upload a copy of updated immunization records to the POC. NAC 430 1. Each facility, including, without limitation, NAC 430 1. We printed and filed the assessments 09/14/202 a family home and a group home, shall right away 3 have an early care and education program. 2. 9/14/23 2. Each facility described in subsection 1 3. We have put in our ca Basedon observation, interview and review of records, the facility did not assesseach child within three months after enrollment in the facility or repeatassessment every six months. Children as noted below did not have a currentassessment on file during inspection. Child#4 Child#5 Child #8 Child #10

This Statement of Deficiencies was generated as a result of the on-site State licensure survey conducted at your facility on 04/06/2023. The Facility is licensed for 241 children as a center. The census at the time of survey was 79 children. 30 children's files and 12 staff files were reviewed. Reminder: Complete renewal checklist and ensure child files are maintained in an organized fashion. 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: KELLY REYNOLDS Based on interview and record review, the facility failed to ensure thatwithin 90 days of hire each employee had a completed application or renewal ofNevada Registry membership. E. Deleon K. Wagstaff A. Holloway M. Cannon Obtain and upload a copy of the above NV Registry Certificates to the POC. NAC 310 1. Every member of the staff of a facility, NAC 310 1. I had to send barb to get her TB test 04/14/202 including a volunteer, and each resident of before she could return to my school 3 the facility shall present to the director of 2. 4/14/23 the facility, to be placed in the person’s file, 3. Based on interview and record review, the facility did not have writtenevidence that all staff were free from communicable tuberculosis issued withinthe preceding 24 months. B. Pacheco Obtain and upload a copy of the above TB test to the POC. NAC 340 1. Procedures for admission must provide NAC 340 1. Gave the parent a new paper to fill out. 04/21/202 the caregiver with sufficient information and 2. 4/21/23 3 instruction from the parents to enable the 3. I have retrained the front desk staff to caregiver to prepare a record and to make look for ALL signatures at registration decisions or act Based on interview and record review, the facilityfailed to ensure that each child had a written authorization signed by a parentwhich allows emergency and medical care. Child #30 Obtain and upload a copy of the form to the POC. NRS 230 NRS 230 1. Went on WebIZ for new shot records and 04/24/202 Certificate of immunization prerequisite to then compared to Health Dept standard. 3 admission to child care facility; conditional Asked parents to go to the Dr. if we were admission; report to Health Division. Except not sure. as otherwise provided in NRS 432A.235 for 2. Completed all children by 4/2 Certificateof immunization prerequisite to admission to child care facility; Child (ren) asnoted below failed to have current immunization records on file at time ofinspection. Child #3 Child #11 Child #13 2192 B. WING _______________________ 04/06/2023 Basedon observation, interview and review of records, the facility did not assesseach child within three months after enrollment in the facility or repeatassessment every six months. Children as noted below did not have a currentassessment on file during inspection. Child#9 Child#22 Ensure assessments are completed and upload a copy to the POC. NAC 1. Except as otherwise provided in NAC NAC 1. Had 2 staff members no show while we 04/06/202 5205 432A.290 and 432A.546, a licensee of a 5205 are short staffed. Borrowed 3 teachers from 3 child care center, child care institution, other Creative Kids that came before visit accommodation facility, facility for special ended. events, nursery for infants and toddlers or 2. 4/6/23 special needs facility shall, between the 3. We have been trying to h... At time of inspection, the facility was found to be out of ratio as evidenced by: Playground 3) 24 children aged 2-3 yrs to 2 staff members; 1 additional staff member 2192 B. WING _______________________ 04/06/2023

This Statement of Deficiencies was generated as a result of the onsite Child Care Licensing annual inspection conducted in your facility on 04/18/2019. 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: KELLY REYNOLDS Title: Director Date: 05/06/2019 REPRESENTATIVE'S SIGNATURE Based on observation and interview, the facility was found to have hazards as listed below: Chipping paint in room 3 2192 B. WING _______________________ 04/18/2019 CREATIVE KIDS-ALTA 10650 ALTA DRIVE, LAS VEGAS, Based on inspection and observation the director/facility failed to recognize and eliminate the following hazards: uncover electric outlets NRS 178 Child care facility required to maintain NRS 178 1. The parent has signed the NRS-178. I 04/19/201 certain information; reporting of information have attached the NRS-178 9 to parents and guardians; notice of right to 2. 4/19/19 information. 3. We have added the NRS-178 to the 1. A child care facility shall maintain a copy enrollment packets and will make sure if a of: child transfers from another creative kids (a) The license issued to the facili Based on observation and record review, facility failed to have signed copy of form notifying parents of right to request complaint information for the following children as referenced on the identifier sheet: Child # 4 NAC 430 1. Each facility, including, without limitation, NAC 430 1. I have attached the email from you that 04/22/201 a family home and a group home, shall says the Family-parent conference Record 9 have an early care and education program. was ok for assessments. I have all attached 2. Each facility described in subsection 1 the assessments for child 1, child 2, child 3. shal Based on observation, interview and review of records, the facility did not assess each child within three months after enrollment in the facility or repeat assessment every six months. Children as noted below did not have a current assessment on file during inspection. Child #1 Child #2 Child #3

This Statement of Deficiencies was generated as a result of the on-site State licensure inspection conducted at your facility on 10/15/2025. 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. The facility is licensed for 209 children as a Center. The census at the time of survey was 73 children. No children's files and no staff files were reviewed. Based on observation and interview, the facility was found to have hazards as listed below In the Pirate Ship playground, the flooring on the clumbing struture on the steps and on the bridge was observed to be cracking, peeling and lifting and is a tripping hazard. The plastic surface material needs to be repaired and children should not be allowed on that area of the play structure as children's shoes can get caught on the lilfting plastic and trip and fall while up on the climbing structure. Answer the 4 POC questions an provide a short term plan of corrections and a safe alternative and te Based on observation, the facility failed to recognize and eliminate the following hazards for the safety of children as evidenced by the following: Rm #1 (Toddlers) 1. The storage closet was unlocked and children could open the door and access the hazards in the closet. Upload a picture of the latched storage closet. (please label the pictures/videos with room numbers for identification) 2. The drawer with gloves and ziplock bags was accessible to children as the lock was broken. Teacher relocated hazards but lock needs to be fixwed. Please upload a video as evidence of repair and correction Based on observation All staff and management and interview, furniture for children was not durable/safe as evidenced by the following: · In room #11, the blue couch is torn and exposed inner material. Please remove the furniture in disrepair away from children's access. Upload a picture as ivedence of correction. Answer the 4 POC questions. NAC 412 1. Each facility must have written NAC 412 Both teachers were met with by the Director 10/23/202 procedures concerning the washing of and retrained on Proper Diaper changing 5 hands. procedures. 2. The staff of a facility shall follow the Manageme 1. Based on observation, room #3 teacher did not follow proper diaper changing procedures. The teacher was observed to have used the same gloves after changing a diaper to put on a clean diaper and the child's clothes. Please retrain teachers on proper diaper changing procedures and upload cetificates of completion as evidence of completed training. 2. Based on observation, teacher in room #1 failed to wash her own hands and the child's hands after a diaper change. Please retrain teachers on proper diaper changing procedures and the imporatance of hand washing for both child and adult after e

The facility is licensed for 209 children as a Center. The census at the time of investigation was 79 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: Title: Date: REPRESENTATIVE'S SIGNATURE

The facility is licensed for 209 children as a Center. The census at the time of investigation was 80 children. 0 children's files and 0 staff files were reviewed. NAC 1. Except as otherwise provided in NAC NAC 1. Upon doing an assessment, Director was 04/10/202 5205 432A.290 and 432A.546, a licensee of a 5205 able to move a child to put classroom in 5 child care center, child care institution, ratio. accommodation facility, facility for special 2. This was completed on 4/10/25 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: TRACY MAURO Title: Director Date: 05/14/2025 REPRESENTATIVE'S SIGNATURE 2192 B. WING _______________________ 04/10/2025 CREATIVE ... Room 11 was outside in playground area working on group project. The group of children are all 4 to 5 year old's and the ratio was 14:1. Please list corrective action plan to avoid this in the future.

This Statement of Deficiencies was generated as a result of an Ad Hoc State licensure inspection conducted on 03/31/2025. Director brought staff binder to Child Care Licensing office for surveyor to review staff files and trainings. Please respond to each deficiency and attach documents as requested for the deficiency it pertains to. Sign and submit your Plan of Correction within 3 business days of receipt. The facility is licensed for 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: TRACY MAURO Title: Director Date: 04/04/2025 REPRESENTATIVE'S SIGNATURE 2192 B. WING _______________________ 03/31/2025 CREATIVE KIDS-ALTA 10650 ALTA DRIVE, LAS VEGAS, NEVA... 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 listed. -Abigail I. Please answer the 4 POC questions. NAC 310 1. Every member of the staff of a facility, NAC 310 Abigail is no longer employed with our 04/01/202 including a volunteer 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 notwork around children until current TB test verification is received: -Abigail I. Please answer the 4 POC questions. NAC 320 1. Except as otherwise provided in NRS NAC 320 Abigail is no longer employed with our 04/01/202 432A.177 , within the first 2 weeks after company as of 3/14/25, therefore her 5 commencing employment, newly employed information was removed from the staff members of the staff of a facility must be binder and taken off of the LOT. given a written and oral orientation program Director terminated Abigail in NABS on and be trained in the pol... Based on interview and/or record review, new employees were not 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. 2192 B. WING _______________________ 03/31/2025 CREATIVE KIDS-ALTA 10650 ALTA DRIVE, LAS VEGAS, NEVADA ,89144 Please submit copy of orientation. -Abigail I. Please answer the 4 POC questions. NAC 323 1. Except as otherwise provided in NAC NAC 323 Abigail is no longer employed with our 04/01/202 432A.521 and NRS 432A.177, within 120 company as of 3/14/25, therefore her 5 days after commencing his or her information was removed from the staff employment or position in a child care binder and taken off of the LOT. facility, each person who is employed in a Director termi... 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 2192 B. WING _______________________ 03/31/2025