Creative Kids-Harris

This Statement of Deficiencies was generated as a result of the on-site State licensure inspection conducted at your facility on 01/28/2026. 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 67 children as a center. The census at the time of survey was 28 children. 10 children's files and 6 staff files were reviewed. If deficiencies are cited, an approved plan of correction must be returned within 10 days after rece 432A.302.2(d) Recognizing and Eliminating Hazards Based on observation, the facilityfailed to recognize and eliminate the following hazards for the safety ofchildren as evidenced by the following. In Rooms 3 and 4, repair the locks on the drawers. In Room 3, repair the hinges on the dramatic play stove. In Room 4, repair the areas of the walls that are peeling. Please upload photo documentation verifying that all corrections have been completed. Answer the 4 POC questions NAC 306 1. Every caregiver in a child care facility NAC 306 1. Put their Registry Certificates in the book. 02/02/202 must 432A.306 Nevada Registry Based on interview and record review,the facility failed to ensure that within 90 days of hire each employee had acompleted application or renewal of Nevada Registry membership. Current NevadaRegistry membership not present for staff noted below as listed on the staffidentifier sheet. Please submit copy of current Nevada Registry certificate oremail from Nevada Registry showing proof of applying for staff listed. Leah F. and Jasmin G. NAC 323 1. Except as otherwise provided in NAC NAC 323 1. Licensing Book was not complete with 02/12/202 432A.521 and NRS 432A.177, within 120 some staff initial and continuing trainings. 6 days after commencing his or her Penny. S all completed. Jasmin G. employment or position in a child care Complete - She started in October so ini... 432A.323 Initial Training Based on interview and record review,the facility failed to ensure that within 120 days of hire each employeecompleted the required hours of training in childcare. Training not on file forstaff as noted below: Signs and Symptoms of Illness with Blood Borne Pathogens 2hrs. -Jasmin G. Medication Administration and Allergies 2 hrs.-Jasmin G. Annual Trainings-Penny S., Leah F., Jasmin G., and Jasmine H Answer the 4 POC questions NAC 340 1. Procedures for admission must provide NAC 340 1. Child 1 emergency medical form had 02/02/202 the caregiver with sufficient informati 432A.340 Emergency consent Based on interview and record review,the facility failed to ensure that each child had a written authorizationsigned by a parent with allows emergency and medical care. Please upload acompleted copy signed by parent for children noted below: Child 1 Answer the 4 POC Questions 432A.230 Immunizations Based on interview and record review,child(ren) as noted below failed to have current immunization records on fileat time of inspection. Please submit a copy of the current immunization recordfor child(ren) noted below: Child 5 Child 6 Child 7 Answer the 4 POC questions 432A.430.3 DidNot Assess Each Child within Three Months Based onobservation, interview and record review, the facility failed to assess eachchild within three months of enrollment and every six months thereafter.Children as noted below did not have a current assessment on file duringinspection. Child 2 Child 4 Child 6 Answer the 4 POC questions

This Statement of Deficiencies was generated as a result of the on-site State Semi-Annual Inspection conducted at your facility on 08/19/2025. The facility is licensed for 67 children as a Center. The census at the time of survey was 12 children. 0 children's files and 0staff files were reviewed. Child files and all Staff files will be reviewed during the Annual Inspection. Reminder: Please ensure Classroom #3 has access to a step stool to enable If deficiencies are cited, an approved plan of correction must be returned within 10 days after receipt of this statement of deficiencies. LABORATOR Based on observation, the following hazards were noted: Climber 2 Playground: The tarp that provides shading is in disrepair and needs to be replaced. Additionally, the playground lacks sufficient shaded area of 5 square feet multiplied by the total number of children in the outdoor area. Additional shade is required. Please upload pictures of corrections. AND PLAN Based on observation, the following indoor hazards were noted: Classroom #2: -The cover on the water fountain pipe is not securely fastened and needs to be properly secured. Please upload pictures of corrections. - The blue stool is severely stained and requires thorough cleaning or replacement. Please upload pictures of corrections. Classroom #3: -The bathroom had a strong urine odor, which may indicate inadequate sanitation and could pose a health hazard. Immediate cleaning and odor mitigation are required. -The carpets appeared heavily stained and contained a significant amount of debris, Based on observation and interview, the facility failed to destroy or return to the child ' s parent prescribed medication that was no longer being administered or had expired. Dispose of prescribed medication upon discontinuance of use or expiration. Answer 4 POC questions. NAC 412 1. Each facility must have written NAC 412 1. All staff retrained on handwashing policy 08/28/202 procedures concerning the washing of and procedure. 5 hands. 2. 8/27/2025 2. The staff of a facility shall follow the 3. Administration will spot check this procedures of the facility concerning the procedure on an on Based on observation, the facility did not instruct children to wash their hands after returning from outdoor play. Specifically, Classroom #2 was observed transitioning from the playground back into the classroom without handwashing. Please ensure that children are consistently instructed and supervised to wash their hands upon reentry from outdoor activities, in accordance with health and safety guidelines. Answer 4 POC questions.

This Statement of Deficiencies was generated as a result of the on-site State licensure survey conducted at your facility on 2/12/2025. The facility is licensed for 67 children as a Center. 8 staff files were reviewed. Recommendations: Penny S. and Amber J. should update all initial trainings, as initial trainings are over 5 years old. The initial training hours can 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: PENNY SKELLY Title: Director Date: 02/20/2 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. Please upload proof of written orientation for the following staff: Janene W. Chrissie R. Breanna P. Zanisha H Autumn F. Answer 4 POC questions.

This Statement of Deficiencies was generated as a result of the on-site State Annual Inspection conducted at your facility on 1/22/2025. The facility is licensed for 67 children as a Center. The census at the time of survey was 33 children. 10 children's files and 0 staff files were reviewed. Reminders: Surveyors were unable to review staff files because the facility did not have the List of Trainings (LOT) If deficiencies are cited, an approved plan of correction must be returned within 10 days after receipt of this statement of deficiencies. LABORATORY DIRECTOR'S OR PROVIDER/SUPPLIER Name: Based on observation, the facility failed to ensure their Child Care license was posted in a public area. Ensure the child care license is conspicuously posted in a public place within the facility at all times. Upload picture of corrections. Answer 4 POC questions. NAC 250 1. Except as otherwise provided in this NAC 250 1. Bin and umbrella disposed of during 02/10/202 subsection, subsection 3 and NRS licensing visit. Trash can removed and 5 432A.078 in each facility there must be: replacement received. Wall painted same (a) At least 35 square feet of indoor space day of visit. for each child, exclusive of bathrooms, 2. 2/10/25 halls, kitchen, stairs, storage spaces, 3. Playgrounds inspected daily. multipurpose rooms and gymnasiums that 4. Janene Woerner. are not regularly used. (b) At lea... Based on observation, the facility was found to have hazards as listed below. Right side playground: There was a significant amount of water on the slide while children in classroom 4 using the playground. Middle playground: The trash can is broken/cracked and needs to be removed from the playground. Left side playground: Umbrella on the children's picnic table is broken and needs to be removed from the playground. Upload picture of the picnic table with the umbrella removed. Trash/debris was observed throughout the playground and needs to be removed. Upload pictures of corrections. Far left Based on record review, the facility failed to maintain a daily sign-in sheet that included the times of arrival and departure for children in the following classrooms: Classroom 3: 11 children were signed in and 13 children were in the classroom. 2 children were not signed in. To ensure times are consistently recorded, please provide instruction to staff and parents and monitor the daily sign-in sheets. Answer 4 POC questions. NAC 302 1. A licensee of a child care facility shall not NAC 302 1. staff retrained on cleaning procedures 02/10/202 knowingly appoint a person as director of and prop Based on observation, the following hazards were noted: Classroom 2: A mop was placed in the classroom next to the child sink. The surveyor observed the director remove the mop and store it in a location that is inaccessible to children. Ensure all cleaning supplies are properly stored and inaccessible to children at all times. Classroom 3: There was urine left of the toilet seat. Rust was observed on what appeared to be a white pipe on the wall in back of the commode and needs to be removed. Upload picture of correction. Blue paint station is broken-appears to have bolts missing, and needs t Based on record review, the facility did not have a health statement signed by a registered nurse or physician within 30 days after admission. Please upload proof of health statement for Child #6 listed on the identifier list. Answer 4 POC questions. NRS 230 NRS 230 1. Children's parents were given health 02/17/202 Certificate of immunization prerequisite to statements or notification of immunization 5 admission to child care facility; conditional due as appropriate. Child 9 is not attending admission; report to Health Division. Except and will not return until shots are as otherwise provided Based on record review, the facility failed to ensure children up to date with immunizations. Please upload updated immunizations for the following children listed on the identifier list: Child # 3- missing 4 year old shots Child # 4-missing 4 year old shots Child #7- missing 4 year old shots Child # 9- missing 4 year old shots Child # 10- missing immunization records. Answer 4 POC questions. Based on observation, the facility failed ensure changing table surface met all sanitation requirements. Underneath the changing table pad was observed to have debris/crumbs that needs to be cleaned off. Upload pictures of corrections. Answer 4 POC questions NAC 415 1. Equipment and any material other than a NAC 415 1. Floors and shelves cleaned. 02/15/202 toy that is used for play in a facility must be 2. 2/15/25 5 Based on observation, all classroom floors and wooden shelves where toys are stored were found to require a deep cleaning. It is recommended that a professional cleaning company be hired to clean all the classroom floors and wooden shelves. Upload picture proof AND invoice. The cabinets were observed to be chipped in various areas and need to be resurfaced. Upload pictures of corrections in all classrooms. Answer 4 POC questions. NAC 520 1. A licensee of a child care facility shall NAC 520 1. Teacher was trained on supervision. 01/22/202 have a staff which is sufficient in number to 2. 1/22/25 5 provide physical care, supervision and 3. Reminder to staff that supervision must individual attention to each child and allow always circulate the playground and prevent time for interaction betwe... Based on observation, the facility did not ensure proper supervision was maintained. The surveyor saw children from Classroom #4 on the playground pouring water on the slide and then sliding down the wet surface, which is a potential hazard to the children. Ensure proper supervision is maintained at all times. Answer 4 POC questions.

This Statement of Deficiencies was generated as a result of the on-site State licensure inspection conducted at your facility on 12/02/2024. Inspection consensus, the facility is licensed for 67 children as a Center. The census at the time of survey was 26 children. Zero children's files and Zero staff files were reviewed. Based on observation on 12/02/2024, the facility failed to meet all standards for environmental health as listed below: Classroom #2: -The children's sink and the floor needs cleaning and sanitizing. Classroom #3: -The children's sink and the floor needs cleaning and sanitizing. Please provide proof that the corrections have been made. Please provide pictures or invoice professional cleaning as proof of compliance. Please answer the 4 POC questions. NAC 4. The play area of each facility must: NAC 1. Plastic tubs emptied/disposed of. Work 12/16/202 250.4 (a) Be fenced or enclosed in a manner t Based on observation on 12/02/2024, the facility was found to have hazards as listed below: Middle playground: -Plastic tubs were full of debris and trash that were accessible to children. Left-side playground: -The water fountain was clogged with debris. Right-side playground: -The water fountain needs cleaning. -Purple & red ride along cars had broken steering wheels and sharp plastic edges exposed. -Metal rod was protruding from the green picnic table needs to be removed. Purple Dinosaur playground: FORM APPROVE Based on interview and record review, the facility was not able to provide Child Care Licensing with a current certificate of liability insurance. Ensure that the certificate of liability insurance Acord is placed in a location that is easily accessible to the person in charge. Upload a copy of the current certificate of liability insurance. Please answer the 4 POC questions. NAC 302 1. A licensee of a child care facility shall not NAC 302 1. Metal grate was bottom of the ball cart on 12/16/202 knowingly appoint a person as director of playground. This was reattached. Work 4 the facility or a Based on observation, the facility failed to recognize and eliminate the following hazards for the safety of children as evidenced by the following: Middle playground: -Metal grate was left out in the open and accessible to children. Please remove from playground. -Hole with metal pipe in concrete wall accessible to children. Repair is necessary. -Blue slats in fencing were loose and protruding and accessible to children. Repair is necessary -Water jug and cups were left out in the elements for an extended period of time. Ensure that water is replaced and not left out in the elements for an e Based on observation, the facility failed to destroy or return to the child's parent prescribed medication that was no longer being administered. Dispose of prescribed medication upon discontinuance of use. 2190 B. WING _______________________ 12/02/2024 Based on observation, besides ride along vehicles and some plastic blocks, the facility lacked a variety and adequate outdoor materials for the children to play with in all four (4) playgrounds. Ensure adequate outdoor equipment/toys is provided for the children. Upload receipts of purchased materials or photographs. Please answer the 4 POC questions. AND PLAN OF Based on record review, there was no carpet and cleaning log available for review. Upload a copy of the carpet log and cleaning log your facility as well as a cleaning invoice as proof of correction. Please answer the 4 POC questions.

ThisStatement of Deficiencies was generated as a result of the on-site Statelicensure inspection conducted at your facility on 1/4/24. Thefacility is licensed for #67 Children as a center. The census at the time ofsurvey was #40 children and #15 children files were reviewed and #11 staff files werereviewed. Reminder to email annual hours for staff by 2/28/24 to inspector: Reminder to apply in clics and upload needed checklist items. 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 2190 B. WING _______________________ 01/04/2024 CREATIVE KIDS-HARRIS 501 HARRIS, HENDERSON, NEVADA ,89015 Penny S., Janene W. Mia G, NA... Basedon inspection, the facility was found to have hazards as listed below. Ensurethat the play area is free of hazards, debris and trash. Dino playground was observed to have large holes in resilient surfacing by slide creating a tripping hazard. (Shade structure is needed from April until September) Answer 4 poc questions and upload documentation including pictures of completion. Basedon record review and interview, the facility did not have a health statementsigned by a registered nurse or physician within 30 days after admission forchildren listed. Child 4, 11 Answer 4 poc questions and upload signed health statement to documents. NRS 230 NRS 230 1. Children were required to complete 01/23/202 Certificate of immunization prerequisite to immunizations for continued attendance. 4 admission to child care facility; conditional 2. 01/23/20243. admission; report to Health Division. Except 3. Files will be reviewed every 2 months and as otherwise provided in NRS 432A.235 f Certificate of immunization prerequisite to admission to child carefacility; Child(ren) as noted below failed to have current immunization recordson file at time of inspection Child # 5,10,12 Answer 4 poc questions and upload an up to date immunization record to documents.

ThisStatement of Deficiencies was generated as a result of the on-site Statelicensure survey conducted at your facility on 8/10/23. Thefacility is licensed for #67 Children as a center. The census at the time ofsurvey was # 29 children and #15 children files were reviewed and #8 staff files werereviewed. 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: PENNY SKELLY Title: Director Date: 08/24/2023 REPRESENTATIVE'S SIGNATURE Based on inspection and interview the facility failed to provide evidence of fire or disaster drills conducted. Answer 4 poc questions and upload documentation to show log. 2190 B. WING _______________________ 08/10/2023 Based on record review the facility failed to provide evidence that a signed emergency medical authorization was in child file for the following children: Child #9 Answer 4 poc questions and upload signed paperwork. NRS 178 Child care facility required to maintain NRS 178 1. Files reviewed on start, and periodically 08/24/202 certain information; reporting of information for completion. 3 to parents and guardians; notice of right to 2. 08/24/2023 STATEMENT OF DE The facility failed to ensure that a signed NRS178 was on file for the following children: Child 2, 7,8,10 Answer 4 poc questions and upload signed paperwork. NRS 230 NRS 230 1. Parents told to get immunizations up to 08/24/202 Certificate of immunization prerequisite to date, or cannot attend. 3 admission to child care facility; conditional 2. 08/24/2023 admission; report to Health Division. Except 3. Immunizations will be reviewed on start as otherwise provided in NRS 432A.235 for and periodically. accommodation facilities: 4. Janene Woerner. 1. Except as otherwise provided in subsection 3 Based on record review the facility failed to provide evidence of current immunizations records for the following children: Child 10 & 14 Answer 4 poc questions and upload documentation.

The facility is licensed for 67 children as a Center. The census at the time of inspection was 32 children. 0 child'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 67 children as a Center. The census at the time of inspection was 42 children. 15 children's files and 8 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: PENNYSKELLY Title: Director Date: 03/02/2023 REPRESENTATIVE'S SIGNATURE The C of C expired on 12/9/22, obtain a current C of C from the State Fire Marshal and then upload it in the Plan of Correction (POC) once it is obtained. **Ensure that the Fire Marshal does their inspection each year prior to the C of C expiring, so that there is no lapse. NAC 306 1. Every caregiver in a child care facility NAC 306 1. 2 teachers had a current NV Registry 03/02/202 must: cert, but a copy was not in the book. 2 were 3 (a) Be at least 16 years of age; out of compliance. All are corrected except (b) Be able to summon help in an Maria M. She completed her CPR and has emergency; s The following staff do not have a current NV registry on file. Upload a confirmation email from NV Registry or career ladder cert for each staff in the Plan of Correction (POC) by 2/22/23: -Mia H. -Amber I. -Maria M. -Rachel V. NAC 323 1. Except as otherwise provided in NAC NAC 323 1. Amber CPR was complete but not on file. 02/25/202 432A.521 and NRS 432A.177, within 120 Maria has completed hers as well. 3 days after commencing his or her 2. 02/25/2023 employment or position in a child care 3. Staff will be reminded to complete on facility, each person who is employed in a time. child care facility, other than a person 4. Penny Skelly 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 facil... The following staff need initials on file. Upload initials/CPR for each staff in the Plan of Correction (POC) by 2/28/23: -Amber I. - current CPR -Maria M. - current CPR, and all initial trainings (none on file). **Ensure that all staff complete initial trainings within 120 days of hire. Child #1 - needs a signed Health statement on file. Upload the health statement in the Plan of Correction (POC) by 2/28/23. **Ensure that a Health statement is on file within 30 days of children starting at the facility.

The facility is licensed for 67 children as a Center. The census at the time of inspection was 27 children. 15 children's files and 9 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: PENNY SKELLY Title: Director Date: 10/11/2022 REPRESENTATIVE'S SIGNATURE Maria M - verification of fingerprints needs to be uploaded in the NABS roster. Upload her fingerprints or Livescan receipt in the NABS roster by 9/29/22. Complete written portion of POC by 10/6/22. NAC 310 1. Every member of the staff of a facility, NAC 310 1. TB results will be placed in the book 09/27/202 including a volunteer, and each resident of when turned in, or centrally located. 2 the facility shall present to the director of 2. 09/27/2022 all were uploaded except the facility, to be placed in the person’s file, Christina C. Her employment has been written evidence that the person i The following staff either had an expired TB slip on file, or no TB slip on file. Upload the current TB slip for each staff in the Plan of Correction (POC) by 9/29/22: -Penny S. -Christina C. -Shirlene C. -Mia G. -Maria M. -Rachel V. *Ensure that TB slips are placed in staff files once hired, and renewed every 2 years prior to expiration. Complete written portion of POC by 10/6/22. NAC 320 1. Except as otherwise provided in NRS NAC 320 1. Director was absent, and Assistant 09/27/202 432A.177 , within the first 2 weeks after Director did not know where they were kept. 2 commencing employment, newly employed NEO was completed on time as shown in members of the staff of a facility must be the attached. given a written and oral orientation program 2. items were uploaded on 09/27/2022. and be t... The following staff did not have a staff orientation on file within 2 weeks of hire. Upload the completed staff orientation forms in the Plan of Correction (POC) by 10/6/22: -Shirlene C. -Maria M. -Rachel V. Complete written portion of POC by 10/6/22. NAC 323 1. Except as otherwise provided in NAC NAC 323 1. Staff have current CPR, but it was not 09/27/202 432A.521 and NRS 432A.177, within 120 filed where assistant Director could find 2 days after commencing his or her during inspection. Condensed to be filed employment or position in a child care items to one file for ease of access and facility, each person who is employed in a locating. child care facility, other than a person 2. corrected 09/27/2022. employed in a facility that provides care for 3. Files reduced to 1 for ease of locati... The following staff have an expired CPR card on file. Upload a current CPR card in the Plan of Correction (POC) by 10/13/22 for each staff: -Christina C. -Mia G. *Ensure that CPR is renewed every 2 years, prior to expiration. Complete written portion of POC by 10/6/22. 2190 B. W The following children need a signed Health statement on file. Upload Health statements in the Plan of Correction (POC) by 10/13/22 for the following children: -Child #13 -Child #15 *Ensure that Health statements are obtained and in child files by 30 days of child enrollment. Complete written portion of POC by 10/6/22.

License capacity 67 Facility Type Center Total Number of Children 30 Number of child files reviewed 4 Number of staff files reviewed 7 *Reminders Christina C. is missing 1 hour of annual training If deficiencies are cited, an approved plan of correction must be returned within 10 days after receipt of this statement of deficiencies. LABORATORY DIRECTOR'S OR PROVIDER/SUPPLIER Name: Title: Date: REPRESENTATIVE'S SIGNATURE Based on record review a current liability insurance was not available for preview at the time of the inspection. NAC 323 1. Except as otherwise provided in NAC NAC 323 1. Staff completed missing training. 02/22/202 432A.521 and NRS 432A.177, within 120 2. Completed 02/22/2022. 2 days after commencing his or her 3. Staff are reminded to complete trainings employment or position in a child care ahead of time. facility, each person who is employed in a 4. Penny and Janene to confirm training child care facility, other than a person completion. 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 purposes of obtaini... Based on record review the following staff are missing initial training 1) Christina C. missing hands on part of CPR/FA 2) Shante M. missing Emergency Preparedness NRS 178 Child care facility required to maintain NRS 178 1. Parent will be asked to sign form. 02/08/202 certain information; reporting of information 2. Corrected on 02/08/2022. 2 to parents and guardians; notice of right to 3. Page is already in packets given to information. parents. Staff will review returned packets Division of Public an Based on record review child #2 is missing the NRS178 statement (the right to review complaints) 2190 B. WING _______________________ 01/31/2022 CREATIVE KIDS-HARRIS 501 HARRIS, HENDERSON, NEVADA ,89015 (X4) SUMM Based on record review children #3 & #4 are missing Health Statements

This Statement of Deficiencies was generated as a result of the on-site State Semi-Annual Inspection conducted at your facility on 08/19/2025. The facility is licensed for 67 children as a Center. The census at the time of survey was 12 children. 0 children's files and 0staff files were reviewed. Child files and all Staff files will be reviewed during the Annual Inspection. Reminder: Please ensure Classroom #3 has access to a step stool to enable If deficiencies are cited, an approved plan of correction must be returned within 10 days after receipt of this statement of deficiencies. LABORATOR Based on observation, the following hazards were noted: Climber 2 Playground: The tarp that provides shading is in disrepair and needs to be replaced. Additionally, the playground lacks sufficient shaded area of 5 square feet multiplied by the total number of children in the outdoor area. Additional shade is required. Please upload pictures of corrections. AND PLAN Based on observation, the following indoor hazards were noted: Classroom #2: -The cover on the water fountain pipe is not securely fastened and needs to be properly secured. Please upload pictures of corrections. - The blue stool is severely stained and requires thorough cleaning or replacement. Please upload pictures of corrections. Classroom #3: -The bathroom had a strong urine odor, which may indicate inadequate sanitation and could pose a health hazard. Immediate cleaning and odor mitigation are required. -The carpets appeared heavily stained and contained a significant amount of debris, Based on observation and interview, the facility failed to destroy or return to the child ' s parent prescribed medication that was no longer being administered or had expired. Dispose of prescribed medication upon discontinuance of use or expiration. Answer 4 POC questions. NAC 412 1. Each facility must have written NAC 412 1. All staff retrained on handwashing policy 08/28/202 procedures concerning the washing of and procedure. 5 hands. 2. 8/27/2025 2. The staff of a facility shall follow the 3. Administration will spot check this procedures of the facility concerning the procedure on an on Based on observation, the facility did not instruct children to wash their hands after returning from outdoor play. Specifically, Classroom #2 was observed transitioning from the playground back into the classroom without handwashing. Please ensure that children are consistently instructed and supervised to wash their hands upon reentry from outdoor activities, in accordance with health and safety guidelines. Answer 4 POC questions.

This Statement of Deficiencies was generated as a result of the on-site State licensure survey conducted at your facility on 2/12/2025. The facility is licensed for 67 children as a Center. 8 staff files were reviewed. Recommendations: Penny S. and Amber J. should update all initial trainings, as initial trainings are over 5 years old. The initial training hours can 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: PENNY SKELLY Title: Director Date: 02/20/2 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. Please upload proof of written orientation for the following staff: Janene W. Chrissie R. Breanna P. Zanisha H Autumn F. Answer 4 POC questions.

This Statement of Deficiencies was generated as a result of the on-site State Annual Inspection conducted at your facility on 1/22/2025. The facility is licensed for 67 children as a Center. The census at the time of survey was 33 children. 10 children's files and 0 staff files were reviewed. Reminders: Surveyors were unable to review staff files because the facility did not have the List of Trainings (LOT) If deficiencies are cited, an approved plan of correction must be returned within 10 days after receipt of this statement of deficiencies. LABORATORY DIRECTOR'S OR PROVIDER/SUPPLIER Name: Based on observation, the facility failed to ensure their Child Care license was posted in a public area. Ensure the child care license is conspicuously posted in a public place within the facility at all times. Upload picture of corrections. Answer 4 POC questions. NAC 250 1. Except as otherwise provided in this NAC 250 1. Bin and umbrella disposed of during 02/10/202 subsection, subsection 3 and NRS licensing visit. Trash can removed and 5 432A.078 in each facility there must be: replacement received. Wall painted same (a) At least 35 square feet of indoor space day of visit. for each child, exclusive of bathrooms, 2. 2/10/25 halls, kitchen, stairs, storage spaces, 3. Playgrounds inspected daily. multipurpose rooms and gymnasiums that 4. Janene Woerner. are not regularly used. (b) At lea... Based on observation, the facility was found to have hazards as listed below. Right side playground: There was a significant amount of water on the slide while children in classroom 4 using the playground. Middle playground: The trash can is broken/cracked and needs to be removed from the playground. Left side playground: Umbrella on the children's picnic table is broken and needs to be removed from the playground. Upload picture of the picnic table with the umbrella removed. Trash/debris was observed throughout the playground and needs to be removed. Upload pictures of corrections. Far left Based on record review, the facility failed to maintain a daily sign-in sheet that included the times of arrival and departure for children in the following classrooms: Classroom 3: 11 children were signed in and 13 children were in the classroom. 2 children were not signed in. To ensure times are consistently recorded, please provide instruction to staff and parents and monitor the daily sign-in sheets. Answer 4 POC questions. NAC 302 1. A licensee of a child care facility shall not NAC 302 1. staff retrained on cleaning procedures 02/10/202 knowingly appoint a person as director of and prop Based on observation, the following hazards were noted: Classroom 2: A mop was placed in the classroom next to the child sink. The surveyor observed the director remove the mop and store it in a location that is inaccessible to children. Ensure all cleaning supplies are properly stored and inaccessible to children at all times. Classroom 3: There was urine left of the toilet seat. Rust was observed on what appeared to be a white pipe on the wall in back of the commode and needs to be removed. Upload picture of correction. Blue paint station is broken-appears to have bolts missing, and needs t Based on record review, the facility did not have a health statement signed by a registered nurse or physician within 30 days after admission. Please upload proof of health statement for Child #6 listed on the identifier list. Answer 4 POC questions. NRS 230 NRS 230 1. Children's parents were given health 02/17/202 Certificate of immunization prerequisite to statements or notification of immunization 5 admission to child care facility; conditional due as appropriate. Child 9 is not attending admission; report to Health Division. Except and will not return until shots are as otherwise provided Based on record review, the facility failed to ensure children up to date with immunizations. Please upload updated immunizations for the following children listed on the identifier list: Child # 3- missing 4 year old shots Child # 4-missing 4 year old shots Child #7- missing 4 year old shots Child # 9- missing 4 year old shots Child # 10- missing immunization records. Answer 4 POC questions. Based on observation, the facility failed ensure changing table surface met all sanitation requirements. Underneath the changing table pad was observed to have debris/crumbs that needs to be cleaned off. Upload pictures of corrections. Answer 4 POC questions NAC 415 1. Equipment and any material other than a NAC 415 1. Floors and shelves cleaned. 02/15/202 toy that is used for play in a facility must be 2. 2/15/25 5 Based on observation, all classroom floors and wooden shelves where toys are stored were found to require a deep cleaning. It is recommended that a professional cleaning company be hired to clean all the classroom floors and wooden shelves. Upload picture proof AND invoice. The cabinets were observed to be chipped in various areas and need to be resurfaced. Upload pictures of corrections in all classrooms. Answer 4 POC questions. NAC 520 1. A licensee of a child care facility shall NAC 520 1. Teacher was trained on supervision. 01/22/202 have a staff which is sufficient in number to 2. 1/22/25 5 provide physical care, supervision and 3. Reminder to staff that supervision must individual attention to each child and allow always circulate the playground and prevent time for interaction betwe... Based on observation, the facility did not ensure proper supervision was maintained. The surveyor saw children from Classroom #4 on the playground pouring water on the slide and then sliding down the wet surface, which is a potential hazard to the children. Ensure proper supervision is maintained at all times. Answer 4 POC questions.

This Statement of Deficiencies was generated as a result of the on-site State licensure inspection conducted at your facility on 12/02/2024. Inspection consensus, the facility is licensed for 67 children as a Center. The census at the time of survey was 26 children. Zero children's files and Zero staff files were reviewed. Based on observation on 12/02/2024, the facility failed to meet all standards for environmental health as listed below: Classroom #2: -The children's sink and the floor needs cleaning and sanitizing. Classroom #3: -The children's sink and the floor needs cleaning and sanitizing. Please provide proof that the corrections have been made. Please provide pictures or invoice professional cleaning as proof of compliance. Please answer the 4 POC questions. NAC 4. The play area of each facility must: NAC 1. Plastic tubs emptied/disposed of. Work 12/16/202 250.4 (a) Be fenced or enclosed in a manner t Based on observation on 12/02/2024, the facility was found to have hazards as listed below: Middle playground: -Plastic tubs were full of debris and trash that were accessible to children. Left-side playground: -The water fountain was clogged with debris. Right-side playground: -The water fountain needs cleaning. -Purple & red ride along cars had broken steering wheels and sharp plastic edges exposed. -Metal rod was protruding from the green picnic table needs to be removed. Purple Dinosaur playground: FORM APPROVE Based on interview and record review, the facility was not able to provide Child Care Licensing with a current certificate of liability insurance. Ensure that the certificate of liability insurance Acord is placed in a location that is easily accessible to the person in charge. Upload a copy of the current certificate of liability insurance. Please answer the 4 POC questions. NAC 302 1. A licensee of a child care facility shall not NAC 302 1. Metal grate was bottom of the ball cart on 12/16/202 knowingly appoint a person as director of playground. This was reattached. Work 4 the facility or a Based on observation, the facility failed to recognize and eliminate the following hazards for the safety of children as evidenced by the following: Middle playground: -Metal grate was left out in the open and accessible to children. Please remove from playground. -Hole with metal pipe in concrete wall accessible to children. Repair is necessary. -Blue slats in fencing were loose and protruding and accessible to children. Repair is necessary -Water jug and cups were left out in the elements for an extended period of time. Ensure that water is replaced and not left out in the elements for an e Based on observation, the facility failed to destroy or return to the child's parent prescribed medication that was no longer being administered. Dispose of prescribed medication upon discontinuance of use. 2190 B. WING _______________________ 12/02/2024 Based on observation, besides ride along vehicles and some plastic blocks, the facility lacked a variety and adequate outdoor materials for the children to play with in all four (4) playgrounds. Ensure adequate outdoor equipment/toys is provided for the children. Upload receipts of purchased materials or photographs. Please answer the 4 POC questions. AND PLAN OF Based on record review, there was no carpet and cleaning log available for review. Upload a copy of the carpet log and cleaning log your facility as well as a cleaning invoice as proof of correction. Please answer the 4 POC questions.

ThisStatement of Deficiencies was generated as a result of the on-site Statelicensure inspection conducted at your facility on 1/4/24. Thefacility is licensed for #67 Children as a center. The census at the time ofsurvey was #40 children and #15 children files were reviewed and #11 staff files werereviewed. Reminder to email annual hours for staff by 2/28/24 to inspector: Reminder to apply in clics and upload needed checklist items. 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 2190 B. WING _______________________ 01/04/2024 CREATIVE KIDS-HARRIS 501 HARRIS, HENDERSON, NEVADA ,89015 Penny S., Janene W. Mia G, NA... Basedon inspection, the facility was found to have hazards as listed below. Ensurethat the play area is free of hazards, debris and trash. Dino playground was observed to have large holes in resilient surfacing by slide creating a tripping hazard. (Shade structure is needed from April until September) Answer 4 poc questions and upload documentation including pictures of completion. Basedon record review and interview, the facility did not have a health statementsigned by a registered nurse or physician within 30 days after admission forchildren listed. Child 4, 11 Answer 4 poc questions and upload signed health statement to documents. NRS 230 NRS 230 1. Children were required to complete 01/23/202 Certificate of immunization prerequisite to immunizations for continued attendance. 4 admission to child care facility; conditional 2. 01/23/20243. admission; report to Health Division. Except 3. Files will be reviewed every 2 months and as otherwise provided in NRS 432A.235 f Certificate of immunization prerequisite to admission to child carefacility; Child(ren) as noted below failed to have current immunization recordson file at time of inspection Child # 5,10,12 Answer 4 poc questions and upload an up to date immunization record to documents.

The facility is licensed for 67 children as a Center. The census at the time of inspection was 32 children. 0 child'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

ThisStatement of Deficiencies was generated as a result of the on-site Statelicensure survey conducted at your facility on 8/10/23. Thefacility is licensed for #67 Children as a center. The census at the time ofsurvey was # 29 children and #15 children files were reviewed and #8 staff files werereviewed. 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: PENNY SKELLY Title: Director Date: 08/24/2023 REPRESENTATIVE'S SIGNATURE Based on inspection and interview the facility failed to provide evidence of fire or disaster drills conducted. Answer 4 poc questions and upload documentation to show log. 2190 B. WING _______________________ 08/10/2023 Based on record review the facility failed to provide evidence that a signed emergency medical authorization was in child file for the following children: Child #9 Answer 4 poc questions and upload signed paperwork. NRS 178 Child care facility required to maintain NRS 178 1. Files reviewed on start, and periodically 08/24/202 certain information; reporting of information for completion. 3 to parents and guardians; notice of right to 2. 08/24/2023 STATEMENT OF DE The facility failed to ensure that a signed NRS178 was on file for the following children: Child 2, 7,8,10 Answer 4 poc questions and upload signed paperwork. NRS 230 NRS 230 1. Parents told to get immunizations up to 08/24/202 Certificate of immunization prerequisite to date, or cannot attend. 3 admission to child care facility; conditional 2. 08/24/2023 admission; report to Health Division. Except 3. Immunizations will be reviewed on start as otherwise provided in NRS 432A.235 for and periodically. accommodation facilities: 4. Janene Woerner. 1. Except as otherwise provided in subsection 3 Based on record review the facility failed to provide evidence of current immunizations records for the following children: Child 10 & 14 Answer 4 poc questions and upload documentation.

The facility is licensed for 67 children as a Center. The census at the time of inspection was 42 children. 15 children's files and 8 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: PENNYSKELLY Title: Director Date: 03/02/2023 REPRESENTATIVE'S SIGNATURE The C of C expired on 12/9/22, obtain a current C of C from the State Fire Marshal and then upload it in the Plan of Correction (POC) once it is obtained. **Ensure that the Fire Marshal does their inspection each year prior to the C of C expiring, so that there is no lapse. NAC 306 1. Every caregiver in a child care facility NAC 306 1. 2 teachers had a current NV Registry 03/02/202 must: cert, but a copy was not in the book. 2 were 3 (a) Be at least 16 years of age; out of compliance. All are corrected except (b) Be able to summon help in an Maria M. She completed her CPR and has emergency; s The following staff do not have a current NV registry on file. Upload a confirmation email from NV Registry or career ladder cert for each staff in the Plan of Correction (POC) by 2/22/23: -Mia H. -Amber I. -Maria M. -Rachel V. NAC 323 1. Except as otherwise provided in NAC NAC 323 1. Amber CPR was complete but not on file. 02/25/202 432A.521 and NRS 432A.177, within 120 Maria has completed hers as well. 3 days after commencing his or her 2. 02/25/2023 employment or position in a child care 3. Staff will be reminded to complete on facility, each person who is employed in a time. child care facility, other than a person 4. Penny Skelly 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 facil... The following staff need initials on file. Upload initials/CPR for each staff in the Plan of Correction (POC) by 2/28/23: -Amber I. - current CPR -Maria M. - current CPR, and all initial trainings (none on file). **Ensure that all staff complete initial trainings within 120 days of hire. Child #1 - needs a signed Health statement on file. Upload the health statement in the Plan of Correction (POC) by 2/28/23. **Ensure that a Health statement is on file within 30 days of children starting at the facility.

The facility is licensed for 67 children as a Center. The census at the time of inspection was 27 children. 15 children's files and 9 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: PENNY SKELLY Title: Director Date: 10/11/2022 REPRESENTATIVE'S SIGNATURE Maria M - verification of fingerprints needs to be uploaded in the NABS roster. Upload her fingerprints or Livescan receipt in the NABS roster by 9/29/22. Complete written portion of POC by 10/6/22. NAC 310 1. Every member of the staff of a facility, NAC 310 1. TB results will be placed in the book 09/27/202 including a volunteer, and each resident of when turned in, or centrally located. 2 the facility shall present to the director of 2. 09/27/2022 all were uploaded except the facility, to be placed in the person’s file, Christina C. Her employment has been written evidence that the person i The following staff either had an expired TB slip on file, or no TB slip on file. Upload the current TB slip for each staff in the Plan of Correction (POC) by 9/29/22: -Penny S. -Christina C. -Shirlene C. -Mia G. -Maria M. -Rachel V. *Ensure that TB slips are placed in staff files once hired, and renewed every 2 years prior to expiration. Complete written portion of POC by 10/6/22. NAC 320 1. Except as otherwise provided in NRS NAC 320 1. Director was absent, and Assistant 09/27/202 432A.177 , within the first 2 weeks after Director did not know where they were kept. 2 commencing employment, newly employed NEO was completed on time as shown in members of the staff of a facility must be the attached. given a written and oral orientation program 2. items were uploaded on 09/27/2022. and be t... The following staff did not have a staff orientation on file within 2 weeks of hire. Upload the completed staff orientation forms in the Plan of Correction (POC) by 10/6/22: -Shirlene C. -Maria M. -Rachel V. Complete written portion of POC by 10/6/22. NAC 323 1. Except as otherwise provided in NAC NAC 323 1. Staff have current CPR, but it was not 09/27/202 432A.521 and NRS 432A.177, within 120 filed where assistant Director could find 2 days after commencing his or her during inspection. Condensed to be filed employment or position in a child care items to one file for ease of access and facility, each person who is employed in a locating. child care facility, other than a person 2. corrected 09/27/2022. employed in a facility that provides care for 3. Files reduced to 1 for ease of locati... The following staff have an expired CPR card on file. Upload a current CPR card in the Plan of Correction (POC) by 10/13/22 for each staff: -Christina C. -Mia G. *Ensure that CPR is renewed every 2 years, prior to expiration. Complete written portion of POC by 10/6/22. 2190 B. W The following children need a signed Health statement on file. Upload Health statements in the Plan of Correction (POC) by 10/13/22 for the following children: -Child #13 -Child #15 *Ensure that Health statements are obtained and in child files by 30 days of child enrollment. Complete written portion of POC by 10/6/22.

This Statement of Deficiencies was generated as a result of a Child Care Licensing inspection conducted at your facility on 09/15/2017. NRS 230 NRS 230 1.This item was not out of compliance. 09/15/201 Certificate of immunization prerequisite to Because the 1st dose was given after age 2 7 admission to child care facility; conditional only 1 dose is required, per Southern admission; report to Health Division. Except Nevada Health District requirements, which as otherwise provided in NRS 432A.235 for the child had. accommodation facilities: 2. 9/15/17 1. Except as otherwise provided in 3. No ac Based on record 2190 B. WING _______________________ 09/15/2017 CREATIVE KIDS-HARRIS 501 HARRIS, HENDERSON, NEVADA ,89015 review and interview, the facility admitted children who were not up to date with immunizations or for whom no record was present. Children, as listed on the supplement, without a current immunization record may not be present at the facility until the record is on file. Children who were not up to date with immunizations must schedule an appointment to obtain them. # 1 missing a round of PCV13 NAC 416 1. Each member of the staff of a facility that NAC 416 1. Cots noted to have cracked corners were 09/15/201 is necessary to meet the applicable removed from the classroom and disposed 7 requirement for the ratio of caregivers to of. children set forth in Based on interview and observation, the facility failed to ensure that napping cots were in good repair. Cots were observed to be in disrepair.

This Statement of Deficiencies was generated as a result of the on-site State Semi-Annual Inspection conducted at your facility on 08/19/2025. The facility is licensed for 67 children as a Center. The census at the time of survey was 12 children. 0 children's files and 0staff files were reviewed. Child files and all Staff files will be reviewed during the Annual Inspection. Reminder: Please ensure Classroom #3 has access to a step stool to enable If deficiencies are cited, an approved plan of correction must be returned within 10 days after receipt of this statement of deficiencies. LABORATOR Based on observation, the following hazards were noted: Climber 2 Playground: The tarp that provides shading is in disrepair and needs to be replaced. Additionally, the playground lacks sufficient shaded area of 5 square feet multiplied by the total number of children in the outdoor area. Additional shade is required. Please upload pictures of corrections. AND PLAN Based on observation, the following indoor hazards were noted: Classroom #2: -The cover on the water fountain pipe is not securely fastened and needs to be properly secured. Please upload pictures of corrections. - The blue stool is severely stained and requires thorough cleaning or replacement. Please upload pictures of corrections. Classroom #3: -The bathroom had a strong urine odor, which may indicate inadequate sanitation and could pose a health hazard. Immediate cleaning and odor mitigation are required. -The carpets appeared heavily stained and contained a significant amount of debris, Based on observation and interview, the facility failed to destroy or return to the child ' s parent prescribed medication that was no longer being administered or had expired. Dispose of prescribed medication upon discontinuance of use or expiration. Answer 4 POC questions. NAC 412 1. Each facility must have written NAC 412 1. All staff retrained on handwashing policy 08/28/202 procedures concerning the washing of and procedure. 5 hands. 2. 8/27/2025 2. The staff of a facility shall follow the 3. Administration will spot check this procedures of the facility concerning the procedure on an on Based on observation, the facility did not instruct children to wash their hands after returning from outdoor play. Specifically, Classroom #2 was observed transitioning from the playground back into the classroom without handwashing. Please ensure that children are consistently instructed and supervised to wash their hands upon reentry from outdoor activities, in accordance with health and safety guidelines. Answer 4 POC questions.