Creative Kids-Pebble

This Statement of Deficiencies was generated as a result of the on-site State licensure survey to measure the infant classroom was conducted at your facility on 4/3/2026. There were no regulatory deficiencies identified at the time of the survey. The infant classroom, ages 6 weeks to 12 months, was measured for a capacity of 18. The facility is licensed for 201 children as a Center. The census at the time of survey was 50 children. 0 children's files and 0 staff files were reviewed. The following must be complete before the Amendment can be approved: -Cover wall valve -1 outlet needs safety c This Statement of Deficiencies was generated as a result of the on-site State licensure survey to measure the infant classroom was conducted at your facility on 4/3/2026. There were no regulatory deficiencies identified at the time of the survey. The infant classroom, ages 6 weeks to 12 months, was measured for a capacity of 18. The facility is licensed for 201 children as a Center. The census at the time of survey was 50 children. 0 children's files and 0 staff files were reviewed. The following must be complete before the Amendment can be approved: PRINTED: 6/6/2026 Division o

INTRODUCTORY REMARKS -Deficiencies This Statement of Deficiencies was generated as a result of the on-site State licensure inspection conducted at your facility on 1.21.26. 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 201 children as a center. The census at the time of survey was 86 children. 14 children's files and 23 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: DORIS HERRERA Title: Director Date: 02/24/2026 REPRESENTATIVE'S SIGNATURE 2191 B. WING ______________... 432A.200.4: Staff not added to NABS w/in 24 hrs.; Fingerprinting not completed w/in 24 hr. of hire Based on record review the facility failed to ensure that all staff were added to the facility’s NABS Roster at time of inspection. All staff new/transfers need to be added to facility NABS Roster within 24 hours of hire/transfer. Please add the staff below Mirianne A. Bre F. Saraya G. Please be sure to answer the four questions listed in the Statement of Deficiencies (SOD) letter for each cited deficiency. Copy and paste the questions into your Plan of Correction (POC) and provide a response for each one. NAC 323 1. Except as otherwise provided in NAC NAC 323 1. Listing of training was updated to reflect 02/09/202 432A.521 and NRS 432A.177, within 120 all staff initial training courses compl... 432A.323 Initial Training Based on interview and record review, the facility failed to ensure that within 120 days 2191 B. WING _______________________ 01/21/2026 CREATIVE KIDS-PEBBLE 4855 W. PEBBLE RD., LAS VEGA Child #3, #4, #7, #9 and #11 from page 2 NAC NAC 1. Developmental assessments were 02/09/202 430.3 3. In addition to the written assessment plan 430.3 completed for the children with copies 6 which is developed pursuant to subsection stored in the classroom. Copies of the 2, each facility described in subsection 1 assessments were made and placed in the shall, within 3 months after a child enrolls in children's files. the facility, assess the child by use of, 2. Completed 2/9/26. without limitation, portfolios, observations, 3. To prevent future reoccurrence, checklists, rating scales and scr 432A.430.3 Did Not Assess Each Child within Three Months Based on observation, interview and record review, the facility failed to assess each child within three months of enrollment and every six months thereafter. Children as noted below did not have a current assessment on file during inspection. On child identifier page 1 - Child #1, 2, 5, 6, 9, 10, 11, 12, 13, and 14. On child identifier page 2 - Child #4, 5

The facility is licensed for 201 children as a Center. The census at the time of investigation was 83 children. 0 children's files and 0 staff files werereviewed. NAC 400 1. A licensee of a facility shall enhance a NAC 400 1. The action that took place to correct the 10/13/202 child ' s behavior through positive guidance, deficiency was to place the teacher on 5 redirection of the child ' s behavior and the administration leave to investigate the setting of clear-cut limits on behavior. situation and collect information in regards If deficiencies are cited, an approved plan of correction must 2191 B. WING _______________________ 10/06/2025 CREATIVE KIDS-PEBBLE 4855 W. PEBBLE RD., LAS VEGAS, NEVADA ,89139

ThisStatement of Deficiencies was generated as a result of the on-site Statelicensure survey conducted at your facility on 8/08/2025. The facility islicensed for 201 Children as a center, the census was 89. Staff and children files will be reviewed during the annual inspection. If deficiencies are cited, an approved plan of correction must be returned within 10 days after receipt of this statement of deficiencies. LABORATORY DIRECTOR'S OR PROVIDER/SUPPLIER Name: ROSALY LIZARDO Title: Director Date: 08/25/2025 REPRESENTATIVE'S SIGNATURE Based on observation there is paint chipped in room #8, please paint and upload pictures in the plan of correction.

This Statement of Deficiencies was generated as a result of the on-site State licensure survey conducted at your facility on 1/09/2025. The facility is licensed for 201 Children as a center. The census at the time of survey was 98 children and 20 children files were reviewed and 23 staff files were reviewed. *Reminder* Please return the expired medication. Submit renewal license application and upload all the required documents. 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 PR Based on staff binder review the following need Nevada registry membership, please upload certificates in the plan for correction for: Taylor A. M'Lisa J. Sydney W. NRS 230 NRS 230 1. All families were informed of required 01/31/202 Certificate of immunization prerequisite to immunizations and to submit to center 5 admission to child care facility; conditional immediately. admission; report to Health Division. Except The families of Child #1, #2, #6, #11, #12, as otherwise provided in NRS 432A.235 for #13, #15, and #19 were all informed by their accommodation facilities: physician that shots Based on child's files review the following children need update vaccination records, please refer to the identification list to obtain names and upload the records for: Child #1, #2, #6, #9, #11, #12, #13,#14,#15,, #19. NAC NAC Child's start date is 12/2/24 and inspection 01/09/202 430.3 3. In addition to the written assessment plan 430.3 was conducted on 1/9/25. Child was within 5 which is developed pursuant to subsection their 90 days. 2, each facility described in subsection 1 shall, within 3 months after a child enrolls in the facility, assess the child by use of, without limitation, por Based on child's file review, child #16 needs assessment, please refer to the identification list to obtain name and upload the record in the plan of correction.

This Statement of Deficiencies was generated as a result of the on-site State licensure survey conducted at your facility on 8/13/2024. The facility is licensed for 210 Children as a center. The census at the time of survey was 101 children and 25 children files were reviewed and 29 staff files were reviewed. **Surveyor to complete a follow up inspection to measure and determine how much shade is required in the playgrounds. 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 PROVID Based on document review, staff got re-fingerprinted on 7/26/2024, consent and release form was not uploaded until 8/13/2024, consent and release forms must be uploaded immediately after fingerprints are obtained. 2191 B. WING _______________________ 08/13/2024 Based on observation the east playground has some turf missing becoming a tripping hazard, the south playground has some seam exposed. Please correct and upload pictures. 2191 B. WING _______________________ 08/13/2024 Based on observation, in room 4 and room 8 the drawer was unlocked with scissors inside. In room 8 an outlet cover is broken, in room 2 the cleaning spray are hanging children can access to them. NAC 306 1. Every caregiver in a child care facility NAC 306 1. Nevada Registry requirements have been 08/28/202 must: obtained and filed in staff notebook 4 (a) Be at least 16 years of age; 2. 8/28/24 (b) Be able to summon help in an 3. Director will notate expiration dates on a emergency; calendar and notify employee 30 days prior (c) Be emotionally and physically qualified to expiration date. to ca Based on document review the following staff need NV registry membership: Lizardo and Armond. Please upload certificates or email confirmation into the plan of correction. NAC 1. Except as otherwise provided in NRS NAC 1. Director filed written orientation and filed 08/15/202 320.1 432A.177 , within the first 2 weeks after 320.1 it in staff notebook 4 commencing employment, newly employed 2. 8/24/2024 Based on document review, the following staff need orientation checklists: Arthur and Gervich please upload checklists into the plan of correction. NAC 310 1. Every member of the staff of a facility, NAC 310 1. Aaliyah de Armond received TB results 08/28/202 including a volunteer, and each resident of on 8/18/24. Lauren Diago received TB 4 the facility shall present to the director of results on 8/28/24. Jenaiya Ross and the facility, to be placed in the person’s file, Cassandra Moran have been separated as written evidence that the person is free from of 8/28/24 communicable tuberculosis. Th Based on document review the following staff need negative TB test results and cannot be in the center until results are obtained: Ross, Armond. Diago and Moran. Please upload results into the plan of correction. 2191 B. WING _______________________ 08/13/2024 CREATIVE KIDS-PEBBLE 4855 W. PEBBLE RD., LAS VEGAS, NEVADA ,89139 NAC 323 1. Except as otherwise provided in NAC NAC 323 1. Director printed and filed CPR cards in 08/14/202 432A.521 and NRS 432A.177, within 120 staff notebook. 4 days after commencing his or her 2. 8/24/2024 employment or position in a child care 3. Director will immediately file certificates facility, each person who is employed in a upon completion/receipt child care facility, other than a person 4. Rosaly Lizardo employed in a facility that provides care for ill c... Based on document review the following staff need CPR/first aid certification: Melts, Diago and Banks. Please upload records into the plan of correction. NRS 178 Child care facility required to maintain NRS 178 1. Provided parents with Complaint Review 08/21/202 certain information; reporting of information and had them sign. 4 to parents and guardians; notice of right to 2. 8/21/24 information. 3. A checklist of required documents will be 1. A child care facility shall maintain a copy kept for each child file to ensure all PRINTED Based on children's files review, child #6, #9, #13 and #21 2191 B. WING _______________________ 08/13/2024 CREATIVE KIDS-PEBBLE 4855 W. PEBBLE RD., LAS VEGAS, NEVADA ,89139 Based on children's files review, child #6, #9, #13 and #21 needs permission to release form, please refer to identification list to obtain name and upload the records into the plan of correction. NRS 230 NRS 230 1. Immunization records were printed from 08/15/202 Certificate of immunization prerequisite to WebIZ and placed in child's file 4 admission to child care facility; conditional 2. 8/15/24 admission; report to Health Division. Except 3. A checklist of required documents will be as otherwise provided in NRS 432A.235 for kept for each child's file to ensure all accommodation facilities: Based on children's files review, child #3 needs vaccination 2191 B. WING _______________________ 08/13/2024 CREATIVE KIDS-PEBBLE 4855 W. PEBBLE RD., LAS VEGAS, NEVADA ,89139 Based on observation in room 7 most children's water bottles were not labeled. NAC NAC 1. The bookcase and 2 tables have been 08/15/202 390.6 6. Furniture must be durable, safe and 390.6 removed from the classroom 4 intended for use by children or appropriately 2. 8/15/2024 adapted for use by children. 3. A member of management will ensure daily inspections of the classrooms are completed to monitor for any hazards or broken items in the classroom. Based on 4. Rosaly Lizardo observation, in room 5 the red bookcase is peeling off. Room 7 and 8- table is peeling off. Please replace or fix and upload pictures into the plan of correction. 2191 B. WING _______________________ 08/13/2024 Based on children's files review, child #8, #16, and #19 needs assessments, please refer to identification list to obtain name and upload the records into the plan of correction.

The facility is licensed for 201 children as a Center. The census at the time of inspection was 103 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 inspection conducted at your facility on 1/17/24. Thefacility is licensed for #201 Children as a center. The census at the time ofsurvey was #128 children and #25 children files were reviewed and #26 staff files werereviewed. NAC 340 1. Procedures for admission must provide NAC 340 1. Parent was asked to sign emergency 01/23/202 the caregiver with sufficient information and contact sheet immediately upon return to 4 instruction from the parents to enable the school caregiver to prepare a record and to make 2 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 # 6 Answer 4 poc questions and upload documentation. NAC 385 1. The staff of each facility shall: NAC 385 1. Any water bottles missing a name has 01/19/202 (a) Provide appropriate and adequate been labeled with a permanent marker. 4 Based on inspection not all children's cups and bottles were labeled with name: Also teachers in all classrooms are using hand washing sink to refill children's water cups. Answer 4 poc questions NAC 416 1. Each member of the staff of a facility that NAC 416 1. cots have been purchased to replace 02/05/202 is necessary to meet the applicable torn/broken cots 4 requirement for the ratio of caregivers to 2. 2/5/24 children set forth in Based on inspection several cots were observed to be torn or 2191 B. WING _______________________ 01/17/2024 CREATIVE KIDS-PEBBLE 4855 W. PEBBLE RD., LAS VEGAS, NEVADA ,89139

ThisStatement of Deficiencies was generated as a result of the on-site Statelicensure survey conducted at your facility on 8/29/23. Thefacility is licensed for # 201 Children as a center. The census at the time ofsurvey was #101 children and #30 children files were reviewed and #25 staff files werereviewed. NAC 306 1. Every caregiver in a child care facility NAC 306 08/30/202 must: 3 If deficiencies are cited, an approved plan of correction must be returned within 10 days after receipt of this statement of deficiencies. LABORATORY DIRECTOR'S OR PROVIDER/SUPPLIER Name: ROSALY LIZARDO Title: Di Basedon interview and record review, the facility failed to ensure that within 90days of hire each employee had a completed application or renewal of NevadaRegistry membership. Current Nevada Registry membership not present for staffnoted below as listed on the staff identifier sheet. Christina M. Jodi F. Diquisha G. Answer 4 poc questions and upload documentation. NAC 310 1. Every member of the staff of a facility, NAC 310 08/30/202 including a volunteer, and each resident of 1. The missing TB test result was completed 3 the facility shall present to the director of timely but was not filed Basedon interview and record review, the facility did not have written evidence thatall staff were free from communicable tuberculosis issued within the preceding24 months. Staff listed on identifier supplement noted below require current TBtest verification: Carrie P. Answer 4 poc questions and upload documentation. NAC 320 1. Except as otherwise provided in NRS NAC 320 08/31/202 432A.177 , within the first 2 weeks after 1. The missing orientation was completed 3 commencing employment, newly employed timely but was not filed in the correct place. members of the staff of a facility must be The orientation was immediately filed in the staff notebook. given a written and oral orientation program and be trained in the policies, procedures 2. Corrective action was completed on and programs of ... 2191 B. WING _______________________ 08/29/2023 CREATIVE KIDS-PEBBLE 4855 W. PEBBLE RD., LAS VEGAS, NEVADA ,89139 Basedon record review and interview, 2191 B. WING _______________________ 08/29/2023 CREATIVE KIDS-PEBBLE 4855 W. PEBBLE RD., LAS VEGAS, NEVADA ,89139

This Statement of Deficiencies was generated as a result ofthe on-site State licensure survey conducted at your facility on 6/16/2023. Thefacility is licensed for 98 Children as a center. The census at the time ofsurvey was 71 children. 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 201 children as a Center. The census at the time of inspection was 105 children. 30 children's files and 26 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

INTRODUCTORY REMARKS -Deficiencies This Statement of Deficiencies was generated as a result of the on-site State licensure inspection conducted at your facility on 1.21.26. 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 201 children as a center. The census at the time of survey was 86 children. 14 children's files and 23 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: DORIS HERRERA Title: Director Date: 02/24/2026 REPRESENTATIVE'S SIGNATURE 2191 B. WING ______________... 432A.200.4: Staff not added to NABS w/in 24 hrs.; Fingerprinting not completed w/in 24 hr. of hire Based on record review the facility failed to ensure that all staff were added to the facility’s NABS Roster at time of inspection. All staff new/transfers need to be added to facility NABS Roster within 24 hours of hire/transfer. Please add the staff below Mirianne A. Bre F. Saraya G. Please be sure to answer the four questions listed in the Statement of Deficiencies (SOD) letter for each cited deficiency. Copy and paste the questions into your Plan of Correction (POC) and provide a response for each one. NAC 323 1. Except as otherwise provided in NAC NAC 323 1. Listing of training was updated to reflect 02/09/202 432A.521 and NRS 432A.177, within 120 all staff initial training courses compl... 432A.323 Initial Training Based on interview and record review, the facility failed to ensure that within 120 days 2191 B. WING _______________________ 01/21/2026 CREATIVE KIDS-PEBBLE 4855 W. PEBBLE RD., LAS VEGA Child #3, #4, #7, #9 and #11 from page 2 NAC NAC 1. Developmental assessments were 02/09/202 430.3 3. In addition to the written assessment plan 430.3 completed for the children with copies 6 which is developed pursuant to subsection stored in the classroom. Copies of the 2, each facility described in subsection 1 assessments were made and placed in the shall, within 3 months after a child enrolls in children's files. the facility, assess the child by use of, 2. Completed 2/9/26. without limitation, portfolios, observations, 3. To prevent future reoccurrence, checklists, rating scales and scr 432A.430.3 Did Not Assess Each Child within Three Months Based on observation, interview and record review, the facility failed to assess each child within three months of enrollment and every six months thereafter. Children as noted below did not have a current assessment on file during inspection. On child identifier page 1 - Child #1, 2, 5, 6, 9, 10, 11, 12, 13, and 14. On child identifier page 2 - Child #4, 5

The facility is licensed for 201 children as a Center. The census at the time of investigation was 83 children. 0 children's files and 0 staff files werereviewed. NAC 400 1. A licensee of a facility shall enhance a NAC 400 1. The action that took place to correct the 10/13/202 child ' s behavior through positive guidance, deficiency was to place the teacher on 5 redirection of the child ' s behavior and the administration leave to investigate the setting of clear-cut limits on behavior. situation and collect information in regards If deficiencies are cited, an approved plan of correction must 2191 B. WING _______________________ 10/06/2025 CREATIVE KIDS-PEBBLE 4855 W. PEBBLE RD., LAS VEGAS, NEVADA ,89139

ThisStatement of Deficiencies was generated as a result of the on-site Statelicensure survey conducted at your facility on 8/08/2025. The facility islicensed for 201 Children as a center, the census was 89. Staff and children files will be reviewed during the annual inspection. If deficiencies are cited, an approved plan of correction must be returned within 10 days after receipt of this statement of deficiencies. LABORATORY DIRECTOR'S OR PROVIDER/SUPPLIER Name: ROSALY LIZARDO Title: Director Date: 08/25/2025 REPRESENTATIVE'S SIGNATURE Based on observation there is paint chipped in room #8, please paint and upload pictures in the plan of correction.

This Statement of Deficiencies was generated as a result of the on-site State licensure survey conducted at your facility on 1/09/2025. The facility is licensed for 201 Children as a center. The census at the time of survey was 98 children and 20 children files were reviewed and 23 staff files were reviewed. *Reminder* Please return the expired medication. Submit renewal license application and upload all the required documents. 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 PR Based on staff binder review the following need Nevada registry membership, please upload certificates in the plan for correction for: Taylor A. M'Lisa J. Sydney W. NRS 230 NRS 230 1. All families were informed of required 01/31/202 Certificate of immunization prerequisite to immunizations and to submit to center 5 admission to child care facility; conditional immediately. admission; report to Health Division. Except The families of Child #1, #2, #6, #11, #12, as otherwise provided in NRS 432A.235 for #13, #15, and #19 were all informed by their accommodation facilities: physician that shots Based on child's files review the following children need update vaccination records, please refer to the identification list to obtain names and upload the records for: Child #1, #2, #6, #9, #11, #12, #13,#14,#15,, #19. NAC NAC Child's start date is 12/2/24 and inspection 01/09/202 430.3 3. In addition to the written assessment plan 430.3 was conducted on 1/9/25. Child was within 5 which is developed pursuant to subsection their 90 days. 2, each facility described in subsection 1 shall, within 3 months after a child enrolls in the facility, assess the child by use of, without limitation, por Based on child's file review, child #16 needs assessment, please refer to the identification list to obtain name and upload the record in the plan of correction.

The facility is licensed for 201 children as a Center. The census at the time of inspection was 103 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

This Statement of Deficiencies was generated as a result of the on-site State licensure survey conducted at your facility on 8/13/2024. The facility is licensed for 210 Children as a center. The census at the time of survey was 101 children and 25 children files were reviewed and 29 staff files were reviewed. **Surveyor to complete a follow up inspection to measure and determine how much shade is required in the playgrounds. 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 PROVID Based on document review, staff got re-fingerprinted on 7/26/2024, consent and release form was not uploaded until 8/13/2024, consent and release forms must be uploaded immediately after fingerprints are obtained. 2191 B. WING _______________________ 08/13/2024 Based on observation the east playground has some turf missing becoming a tripping hazard, the south playground has some seam exposed. Please correct and upload pictures. 2191 B. WING _______________________ 08/13/2024 Based on observation, in room 4 and room 8 the drawer was unlocked with scissors inside. In room 8 an outlet cover is broken, in room 2 the cleaning spray are hanging children can access to them. NAC 306 1. Every caregiver in a child care facility NAC 306 1. Nevada Registry requirements have been 08/28/202 must: obtained and filed in staff notebook 4 (a) Be at least 16 years of age; 2. 8/28/24 (b) Be able to summon help in an 3. Director will notate expiration dates on a emergency; calendar and notify employee 30 days prior (c) Be emotionally and physically qualified to expiration date. to ca Based on document review the following staff need NV registry membership: Lizardo and Armond. Please upload certificates or email confirmation into the plan of correction. NAC 1. Except as otherwise provided in NRS NAC 1. Director filed written orientation and filed 08/15/202 320.1 432A.177 , within the first 2 weeks after 320.1 it in staff notebook 4 commencing employment, newly employed 2. 8/24/2024 Based on document review, the following staff need orientation checklists: Arthur and Gervich please upload checklists into the plan of correction. NAC 310 1. Every member of the staff of a facility, NAC 310 1. Aaliyah de Armond received TB results 08/28/202 including a volunteer, and each resident of on 8/18/24. Lauren Diago received TB 4 the facility shall present to the director of results on 8/28/24. Jenaiya Ross and the facility, to be placed in the person’s file, Cassandra Moran have been separated as written evidence that the person is free from of 8/28/24 communicable tuberculosis. Th Based on document review the following staff need negative TB test results and cannot be in the center until results are obtained: Ross, Armond. Diago and Moran. Please upload results into the plan of correction. 2191 B. WING _______________________ 08/13/2024 CREATIVE KIDS-PEBBLE 4855 W. PEBBLE RD., LAS VEGAS, NEVADA ,89139 NAC 323 1. Except as otherwise provided in NAC NAC 323 1. Director printed and filed CPR cards in 08/14/202 432A.521 and NRS 432A.177, within 120 staff notebook. 4 days after commencing his or her 2. 8/24/2024 employment or position in a child care 3. Director will immediately file certificates facility, each person who is employed in a upon completion/receipt child care facility, other than a person 4. Rosaly Lizardo employed in a facility that provides care for ill c... Based on document review the following staff need CPR/first aid certification: Melts, Diago and Banks. Please upload records into the plan of correction. NRS 178 Child care facility required to maintain NRS 178 1. Provided parents with Complaint Review 08/21/202 certain information; reporting of information and had them sign. 4 to parents and guardians; notice of right to 2. 8/21/24 information. 3. A checklist of required documents will be 1. A child care facility shall maintain a copy kept for each child file to ensure all PRINTED Based on children's files review, child #6, #9, #13 and #21 2191 B. WING _______________________ 08/13/2024 CREATIVE KIDS-PEBBLE 4855 W. PEBBLE RD., LAS VEGAS, NEVADA ,89139 Based on children's files review, child #6, #9, #13 and #21 needs permission to release form, please refer to identification list to obtain name and upload the records into the plan of correction. NRS 230 NRS 230 1. Immunization records were printed from 08/15/202 Certificate of immunization prerequisite to WebIZ and placed in child's file 4 admission to child care facility; conditional 2. 8/15/24 admission; report to Health Division. Except 3. A checklist of required documents will be as otherwise provided in NRS 432A.235 for kept for each child's file to ensure all accommodation facilities: Based on children's files review, child #3 needs vaccination 2191 B. WING _______________________ 08/13/2024 CREATIVE KIDS-PEBBLE 4855 W. PEBBLE RD., LAS VEGAS, NEVADA ,89139 Based on observation in room 7 most children's water bottles were not labeled. NAC NAC 1. The bookcase and 2 tables have been 08/15/202 390.6 6. Furniture must be durable, safe and 390.6 removed from the classroom 4 intended for use by children or appropriately 2. 8/15/2024 adapted for use by children. 3. A member of management will ensure daily inspections of the classrooms are completed to monitor for any hazards or broken items in the classroom. Based on 4. Rosaly Lizardo observation, in room 5 the red bookcase is peeling off. Room 7 and 8- table is peeling off. Please replace or fix and upload pictures into the plan of correction. 2191 B. WING _______________________ 08/13/2024 Based on children's files review, child #8, #16, and #19 needs assessments, please refer to identification list to obtain name and upload the records into the plan of correction.

ThisStatement of Deficiencies was generated as a result of the on-site Statelicensure inspection conducted at your facility on 1/17/24. Thefacility is licensed for #201 Children as a center. The census at the time ofsurvey was #128 children and #25 children files were reviewed and #26 staff files werereviewed. NAC 340 1. Procedures for admission must provide NAC 340 1. Parent was asked to sign emergency 01/23/202 the caregiver with sufficient information and contact sheet immediately upon return to 4 instruction from the parents to enable the school caregiver to prepare a record and to make 2 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 # 6 Answer 4 poc questions and upload documentation. NAC 385 1. The staff of each facility shall: NAC 385 1. Any water bottles missing a name has 01/19/202 (a) Provide appropriate and adequate been labeled with a permanent marker. 4 Based on inspection not all children's cups and bottles were labeled with name: Also teachers in all classrooms are using hand washing sink to refill children's water cups. Answer 4 poc questions NAC 416 1. Each member of the staff of a facility that NAC 416 1. cots have been purchased to replace 02/05/202 is necessary to meet the applicable torn/broken cots 4 requirement for the ratio of caregivers to 2. 2/5/24 children set forth in Based on inspection several cots were observed to be torn or 2191 B. WING _______________________ 01/17/2024 CREATIVE KIDS-PEBBLE 4855 W. PEBBLE RD., LAS VEGAS, NEVADA ,89139

This Statement of Deficiencies was generated as a result ofthe on-site State licensure survey conducted at your facility on 6/16/2023. Thefacility is licensed for 98 Children as a center. The census at the time ofsurvey was 71 children. If deficiencies are cited, an approved plan of correction must be returned within 10 days after receipt of this statement of deficiencies. LABORATORY DIRECTOR'S OR PROVIDER/SUPPLIER Name: Title: Date: REPRESENTATIVE'S SIGNATURE

This Statement of Deficiencies was generated as a result of the onsite Child Care licensing inspection conducted in your facility on 08/21/2019 NAC NAC 1. A copy of Kiera Edwards's clearance 08/21/201 200.3 3. Documentation of completed and current 200.3 letter has been made and placed in her file. 9 investigations must be kept on file at the A copy of Victoria Mancha's permanent facility for all persons required to be sheriff's card has been placed in her investigated, for the period of their presence file. (please see attached) at the facility. 2. Action was completed on 8/21/19 3. The due Based on observation and record review, facility failed to ensure that the backgrounds Clearance Memo was kept on file for staff listed on the identifier list. NAC 304 1. The director of a child care facility is NAC 304 1. The completed orientation checklist has 08/30/201 responsible for screening, scheduling and been placed in the staff members' file. 9 supervising the staff of the facility and for (please see attached) the conduct of each member of the staff at 2. Action was completed on 8/21/19. the facility. 3. New Employee Orientation Checklists will 2. The director shall: be filed immediately upon completion. (a) Provide a program for child care for the 4. Rosaly Lizardo is responsible. facility which meets the requirements of this chapter. (b) Be physically present in the facility f... Based on inspection the director failed to ensure that staffs expired trainings and/or TB test were competed in a timely manner NAC 306 1. Every caregiver in a child care facility NAC 306 1. A copy of the confirmation email from the 08/30/201 must: NV Registry for Alexis F., Danisha Mc., and 9 (a) Be at least 16 years of age; Seneca G. have been made and placed in (b) Be able to summon help in an the staff members' file. (please see emergency; attached) Courtney R. has been (c) Be emotionally and physically qualified terminated. to carry out a program which places 2. Action was completed on 8 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. Staff listed on the identifier list were observed to have missing/expired NV Registry. NAC 310 1. Every member of the staff of a facility, NAC 310 1. A copy of the TB results have been made 08/21/201 including a volunteer, and each resident of and placed in the staff members' file. 9 the facility shall present to the director of (please see attached) the facility, to be placed in the person’s file, 2. Action was co Based on interview and record review, the facility did not have written evidence that all staff were free from communicable tuberculosis issued within the preceding 24 months. Staff listed on identifier list did not have a current negative TB on file NAC 323 1. Except as otherwise provided in NAC NAC 323 1. Courtney Raymond has been terminated. 08/30/201 432A.521 and NRS 432A.177, within 120 9 days after commencing his or her Wellness classes have been completed by employment or position in a child care Danisha Mc. and Seneca G. facility, each person who is employed in a Prevention of Shaken Baby Syndrome has child care facility, other than a person been completed by Seneca G. (please see employed in a facility that provides care for attached) ill children, and each director of a child car... Based on interview and record review, the facility failed to ensure that within 120 days of hire each employee completed the initial required hours of training in child care. Staff listed on the identifier list were missing initial trainings. 2191 B. WING ______________________ 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 see identifier list 2191 B. WING _______________________ 08/21/2019 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 on the identifier list NAC 1. Except as otherwise provided in NAC NAC 1. A third teacher has been scheduled to be 08/21/201 5205 432A.290 and 432A.546, a licensee of a 5205 in Rm 8 9 child care center, child care institution, 2. Action was completed on 8/21/19 accommodation facility, facility for special 3. A third teacher will be placed in Rm 8 to events, nursery for infants and toddlers or ensure appropriate ratios are met. special needs facility shall, between the 4. Rosaly Lizardo is responsible. hours of 6:30 a.m. and 9:00 p.m., abide by the following staffing levels in each classroom: Age of Child Required Staf... Based on inspection the facility was observed to be out of ratio in room 8. To be in ratio one more staff was needed.

INTRODUCTORY REMARKS -Deficiencies This Statement of Deficiencies was generated as a result of the on-site State licensure inspection conducted at your facility on 1.21.26. 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 201 children as a center. The census at the time of survey was 86 children. 14 children's files and 23 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: DORIS HERRERA Title: Director Date: 02/24/2026 REPRESENTATIVE'S SIGNATURE 2191 B. WING ______________... 432A.200.4: Staff not added to NABS w/in 24 hrs.; Fingerprinting not completed w/in 24 hr. of hire Based on record review the facility failed to ensure that all staff were added to the facility’s NABS Roster at time of inspection. All staff new/transfers need to be added to facility NABS Roster within 24 hours of hire/transfer. Please add the staff below Mirianne A. Bre F. Saraya G. Please be sure to answer the four questions listed in the Statement of Deficiencies (SOD) letter for each cited deficiency. Copy and paste the questions into your Plan of Correction (POC) and provide a response for each one. NAC 323 1. Except as otherwise provided in NAC NAC 323 1. Listing of training was updated to reflect 02/09/202 432A.521 and NRS 432A.177, within 120 all staff initial training courses compl... 432A.323 Initial Training Based on interview and record review, the facility failed to ensure that within 120 days 2191 B. WING _______________________ 01/21/2026 CREATIVE KIDS-PEBBLE 4855 W. PEBBLE RD., LAS VEGA Child #3, #4, #7, #9 and #11 from page 2 NAC NAC 1. Developmental assessments were 02/09/202 430.3 3. In addition to the written assessment plan 430.3 completed for the children with copies 6 which is developed pursuant to subsection stored in the classroom. Copies of the 2, each facility described in subsection 1 assessments were made and placed in the shall, within 3 months after a child enrolls in children's files. the facility, assess the child by use of, 2. Completed 2/9/26. without limitation, portfolios, observations, 3. To prevent future reoccurrence, checklists, rating scales and scr 432A.430.3 Did Not Assess Each Child within Three Months Based on observation, interview and record review, the facility failed to assess each child within three months of enrollment and every six months thereafter. Children as noted below did not have a current assessment on file during inspection. On child identifier page 1 - Child #1, 2, 5, 6, 9, 10, 11, 12, 13, and 14. On child identifier page 2 - Child #4, 5

ThisStatement of Deficiencies was generated as a result of the on-site Statelicensure survey conducted at your facility on 8/08/2025. The facility islicensed for 201 Children as a center, the census was 89. Staff and children files will be reviewed during the annual inspection. If deficiencies are cited, an approved plan of correction must be returned within 10 days after receipt of this statement of deficiencies. LABORATORY DIRECTOR'S OR PROVIDER/SUPPLIER Name: ROSALY LIZARDO Title: Director Date: 08/25/2025 REPRESENTATIVE'S SIGNATURE Based on observation there is paint chipped in room #8, please paint and upload pictures in the plan of correction.

ThisStatement of Deficiencies was generated as a result of the on-site Statelicensure survey conducted at your facility on 8/29/23. Thefacility is licensed for # 201 Children as a center. The census at the time ofsurvey was #101 children and #30 children files were reviewed and #25 staff files werereviewed. NAC 306 1. Every caregiver in a child care facility NAC 306 08/30/202 must: 3 If deficiencies are cited, an approved plan of correction must be returned within 10 days after receipt of this statement of deficiencies. LABORATORY DIRECTOR'S OR PROVIDER/SUPPLIER Name: ROSALY LIZARDO Title: Di Basedon interview and record review, the facility failed to ensure that within 90days of hire each employee had a completed application or renewal of NevadaRegistry membership. Current Nevada Registry membership not present for staffnoted below as listed on the staff identifier sheet. Christina M. Jodi F. Diquisha G. Answer 4 poc questions and upload documentation. NAC 310 1. Every member of the staff of a facility, NAC 310 08/30/202 including a volunteer, and each resident of 1. The missing TB test result was completed 3 the facility shall present to the director of timely but was not filed Basedon interview and record review, the facility did not have written evidence thatall staff were free from communicable tuberculosis issued within the preceding24 months. Staff listed on identifier supplement noted below require current TBtest verification: Carrie P. Answer 4 poc questions and upload documentation. NAC 320 1. Except as otherwise provided in NRS NAC 320 08/31/202 432A.177 , within the first 2 weeks after 1. The missing orientation was completed 3 commencing employment, newly employed timely but was not filed in the correct place. members of the staff of a facility must be The orientation was immediately filed in the staff notebook. given a written and oral orientation program and be trained in the policies, procedures 2. Corrective action was completed on and programs of ... 2191 B. WING _______________________ 08/29/2023 CREATIVE KIDS-PEBBLE 4855 W. PEBBLE RD., LAS VEGAS, NEVADA ,89139 Basedon record review and interview, 2191 B. WING _______________________ 08/29/2023 CREATIVE KIDS-PEBBLE 4855 W. PEBBLE RD., LAS VEGAS, NEVADA ,89139

The facility is licensed for 201 children as a Center. The census at the time of investigation was 83 children. 0 children's files and 0 staff files werereviewed. NAC 400 1. A licensee of a facility shall enhance a NAC 400 1. The action that took place to correct the 10/13/202 child ' s behavior through positive guidance, deficiency was to place the teacher on 5 redirection of the child ' s behavior and the administration leave to investigate the setting of clear-cut limits on behavior. situation and collect information in regards If deficiencies are cited, an approved plan of correction must 2191 B. WING _______________________ 10/06/2025 CREATIVE KIDS-PEBBLE 4855 W. PEBBLE RD., LAS VEGAS, NEVADA ,89139

This Statement of Deficiencies was generated as a result of the on-site State licensure survey conducted at your facility on 1/09/2025. The facility is licensed for 201 Children as a center. The census at the time of survey was 98 children and 20 children files were reviewed and 23 staff files were reviewed. *Reminder* Please return the expired medication. Submit renewal license application and upload all the required documents. 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 PR Based on staff binder review the following need Nevada registry membership, please upload certificates in the plan for correction for: Taylor A. M'Lisa J. Sydney W. NRS 230 NRS 230 1. All families were informed of required 01/31/202 Certificate of immunization prerequisite to immunizations and to submit to center 5 admission to child care facility; conditional immediately. admission; report to Health Division. Except The families of Child #1, #2, #6, #11, #12, as otherwise provided in NRS 432A.235 for #13, #15, and #19 were all informed by their accommodation facilities: physician that shots Based on child's files review the following children need update vaccination records, please refer to the identification list to obtain names and upload the records for: Child #1, #2, #6, #9, #11, #12, #13,#14,#15,, #19. NAC NAC Child's start date is 12/2/24 and inspection 01/09/202 430.3 3. In addition to the written assessment plan 430.3 was conducted on 1/9/25. Child was within 5 which is developed pursuant to subsection their 90 days. 2, each facility described in subsection 1 shall, within 3 months after a child enrolls in the facility, assess the child by use of, without limitation, por Based on child's file review, child #16 needs assessment, please refer to the identification list to obtain name and upload the record in the plan of correction.

The facility is licensed for 201 children as a Center. The census at the time of inspection was 103 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

This Statement of Deficiencies was generated as a result of the on-site State licensure survey conducted at your facility on 8/13/2024. The facility is licensed for 210 Children as a center. The census at the time of survey was 101 children and 25 children files were reviewed and 29 staff files were reviewed. **Surveyor to complete a follow up inspection to measure and determine how much shade is required in the playgrounds. 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 PROVID Based on document review, staff got re-fingerprinted on 7/26/2024, consent and release form was not uploaded until 8/13/2024, consent and release forms must be uploaded immediately after fingerprints are obtained. 2191 B. WING _______________________ 08/13/2024 Based on observation the east playground has some turf missing becoming a tripping hazard, the south playground has some seam exposed. Please correct and upload pictures. 2191 B. WING _______________________ 08/13/2024 Based on observation, in room 4 and room 8 the drawer was unlocked with scissors inside. In room 8 an outlet cover is broken, in room 2 the cleaning spray are hanging children can access to them. NAC 306 1. Every caregiver in a child care facility NAC 306 1. Nevada Registry requirements have been 08/28/202 must: obtained and filed in staff notebook 4 (a) Be at least 16 years of age; 2. 8/28/24 (b) Be able to summon help in an 3. Director will notate expiration dates on a emergency; calendar and notify employee 30 days prior (c) Be emotionally and physically qualified to expiration date. to ca Based on document review the following staff need NV registry membership: Lizardo and Armond. Please upload certificates or email confirmation into the plan of correction. NAC 1. Except as otherwise provided in NRS NAC 1. Director filed written orientation and filed 08/15/202 320.1 432A.177 , within the first 2 weeks after 320.1 it in staff notebook 4 commencing employment, newly employed 2. 8/24/2024 Based on document review, the following staff need orientation checklists: Arthur and Gervich please upload checklists into the plan of correction. NAC 310 1. Every member of the staff of a facility, NAC 310 1. Aaliyah de Armond received TB results 08/28/202 including a volunteer, and each resident of on 8/18/24. Lauren Diago received TB 4 the facility shall present to the director of results on 8/28/24. Jenaiya Ross and the facility, to be placed in the person’s file, Cassandra Moran have been separated as written evidence that the person is free from of 8/28/24 communicable tuberculosis. Th Based on document review the following staff need negative TB test results and cannot be in the center until results are obtained: Ross, Armond. Diago and Moran. Please upload results into the plan of correction. 2191 B. WING _______________________ 08/13/2024 CREATIVE KIDS-PEBBLE 4855 W. PEBBLE RD., LAS VEGAS, NEVADA ,89139 NAC 323 1. Except as otherwise provided in NAC NAC 323 1. Director printed and filed CPR cards in 08/14/202 432A.521 and NRS 432A.177, within 120 staff notebook. 4 days after commencing his or her 2. 8/24/2024 employment or position in a child care 3. Director will immediately file certificates facility, each person who is employed in a upon completion/receipt child care facility, other than a person 4. Rosaly Lizardo employed in a facility that provides care for ill c... Based on document review the following staff need CPR/first aid certification: Melts, Diago and Banks. Please upload records into the plan of correction. NRS 178 Child care facility required to maintain NRS 178 1. Provided parents with Complaint Review 08/21/202 certain information; reporting of information and had them sign. 4 to parents and guardians; notice of right to 2. 8/21/24 information. 3. A checklist of required documents will be 1. A child care facility shall maintain a copy kept for each child file to ensure all PRINTED Based on children's files review, child #6, #9, #13 and #21 2191 B. WING _______________________ 08/13/2024 CREATIVE KIDS-PEBBLE 4855 W. PEBBLE RD., LAS VEGAS, NEVADA ,89139 Based on children's files review, child #6, #9, #13 and #21 needs permission to release form, please refer to identification list to obtain name and upload the records into the plan of correction. NRS 230 NRS 230 1. Immunization records were printed from 08/15/202 Certificate of immunization prerequisite to WebIZ and placed in child's file 4 admission to child care facility; conditional 2. 8/15/24 admission; report to Health Division. Except 3. A checklist of required documents will be as otherwise provided in NRS 432A.235 for kept for each child's file to ensure all accommodation facilities: Based on children's files review, child #3 needs vaccination 2191 B. WING _______________________ 08/13/2024 CREATIVE KIDS-PEBBLE 4855 W. PEBBLE RD., LAS VEGAS, NEVADA ,89139 Based on observation in room 7 most children's water bottles were not labeled. NAC NAC 1. The bookcase and 2 tables have been 08/15/202 390.6 6. Furniture must be durable, safe and 390.6 removed from the classroom 4 intended for use by children or appropriately 2. 8/15/2024 adapted for use by children. 3. A member of management will ensure daily inspections of the classrooms are completed to monitor for any hazards or broken items in the classroom. Based on 4. Rosaly Lizardo observation, in room 5 the red bookcase is peeling off. Room 7 and 8- table is peeling off. Please replace or fix and upload pictures into the plan of correction. 2191 B. WING _______________________ 08/13/2024 Based on children's files review, child #8, #16, and #19 needs assessments, please refer to identification list to obtain name and upload the records into the plan of correction.

ThisStatement of Deficiencies was generated as a result of the on-site Statelicensure inspection conducted at your facility on 1/17/24. Thefacility is licensed for #201 Children as a center. The census at the time ofsurvey was #128 children and #25 children files were reviewed and #26 staff files werereviewed. NAC 340 1. Procedures for admission must provide NAC 340 1. Parent was asked to sign emergency 01/23/202 the caregiver with sufficient information and contact sheet immediately upon return to 4 instruction from the parents to enable the school caregiver to prepare a record and to make 2 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 # 6 Answer 4 poc questions and upload documentation. NAC 385 1. The staff of each facility shall: NAC 385 1. Any water bottles missing a name has 01/19/202 (a) Provide appropriate and adequate been labeled with a permanent marker. 4 Based on inspection not all children's cups and bottles were labeled with name: Also teachers in all classrooms are using hand washing sink to refill children's water cups. Answer 4 poc questions NAC 416 1. Each member of the staff of a facility that NAC 416 1. cots have been purchased to replace 02/05/202 is necessary to meet the applicable torn/broken cots 4 requirement for the ratio of caregivers to 2. 2/5/24 children set forth in Based on inspection several cots were observed to be torn or 2191 B. WING _______________________ 01/17/2024 CREATIVE KIDS-PEBBLE 4855 W. PEBBLE RD., LAS VEGAS, NEVADA ,89139