Creme De La Creme of Farm Road

The facility is licensed for 473 children as a Center. No census taken as self report confirmed the deficiency, site visit not required. NAC 376 Except as otherwise provided in NAC NAC 376 1. Medication is stored in individual zip lock 03/16/202 432A.585: backs with original prescribed 6 1. Each prescribed medication must: containers/bottles intact with their signed (a) Be kept in the original container which medication authorization form within the must have a child-proof lid; bags that are then locked in the medication (b) Be plainly labeled; cabinet (see uploaded picture). (c) Contain the On 11/4/25, K. Shackelford administered the wrong medication to the wrong child. Complete the Plan of Correction by 3/19/26, indicating the measures that will be taken to mitigate future occurrences of medication errors. Upload the facility medication policies/procedures in the POC by 3/19/26. *Ensure that all 4 criteria are addressed that are listed in the SOD letter provided. *Except in an emergency, only one person designated by the licensee of a facility may administer medications to children. Divi Based on record review and interview, facility failed toeffectively communicate with parents when incorrect medication was provided tochild. Due to there being concern for poison control to be called, parent wouldneed to be notified as well. Upon review of incident report documenting incident,no parent signature proving that incident was reviewed with parent. Ensure incidents are efficiently communicated and documented with parents as needed.

This Statement of Deficiencies was generated as a result of the on-site State licensure inspection conducted at your facility on 02.04.2026. 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. The facility is licensed for 473 children as a Center. The census at the time of survey was 139 children. 25 children's files and 50 staff files were reviewed. Based on observation as we are updating our emergency and interview, the facility had no record that procedure with Creme and next drill was a drill for natural disasters was held at least scheduled just not completed at time of once every three months. Last disaster visit. All fire drills & disaster drills haven drill logged was on 10.22.2025. Please pre-planned and uploaded into the upload a disaster log with a current administrative team sharable calendar disaster drill completed as evidence of 4.) Esau, Director of Operations correction. Answer the 3 POC questions. NAC 3. If transportation is provided by the NAC 1.) Fire extinguishers were inspected but 02/19/202 290.3 licensee of a facility, all children must be 290.3 inspector forgot to add tags, fire 6 protected by adequate supervis... Based on interview and record review, the facility failed to have 3838 B. WING _______________________ 02/04/2026 CREME DE LA CREME OF FARM ROAD 8420 FARM ROAD, LAS VEGAS, NEVADA ,89131 current registration for Van #4. Please upload evidence of current registration for Van #4 as evidence of correction. Based on interview and record review, the following buses had fire extinguishers that had no current record of service or tagging: Van #6: 03.22.24 tagged Van #2: 01.23.24 tagged Van #4: 03.22.24 tagged Van #8: 08.28.24 tagged Van #7: 08.28.24 tagged Van #1: out for service at time of inspection. Please upload current fire extinguisher tag. Van #5: 03.22.24 tagged Van #3: 03.22.24 tagged (*van #3 not to be used until upholstery has been repaired and evidence of corrections have been submitte... Based on record review the director failed to maintain organized separate record that include without limitation documents related to training and backgrounds investigations. Please ensure that all documentation required for staff is current and kept in the employee’s file. Provide a plan of correction how staff files will be better organized and maintained. Remove old annual training hours. Please file and organize background, orientation, TB test, and initial training certificates in the order listed in the Listing of Training (LOT). Several staff had to be sent home as TB tests were expire Based on interview and record review, the facility failed to ensure that within 90 days of hire each employee had a completed application or renewal of Nevada Registry membership. Current Nevada Registry membership not present for staff noted below. Please submit copy of current Nevada Registry certificate or email from Nevada Registry showing proof of applying for staff listed: 1. Stephanie A 2. Alicia C 3. Cameron D 4. Essau D 5. Marissa D 6. Karla F 7. Shanicia F 8. Camden G 9. Josephine G 10. Jessica G 11. Hunter K Based on a review of staff files, staff members, volunteers, and/or residents of the facility did not have written evidence that they were free from communicable tuberculosis issued within the preceding 24 months. Staff listed below may not return until current TB test verification is received: 3838 B. WING _______________________ 02/04/2026 CREME DE LA CREME OF FARM ROAD 8420 FARM ROAD, LAS VEGAS, NEVADA ,89131 1. Katherine GR 2. Charnell H 3. Reiko L. 4. Kayla M 5. Kayla O. 6. Ariah T 7. Arlyn U Please email negative TB test results to surveyor and upload to POC. Answer the 4 POC questions. NAC 320 1. Except as otherwise provided in NRS NAC 320 1.) Several steps and things to note: First, 02/06/202 432A.177 , within the first 2 weeks after site was in the middle of a two director 6 comme... 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 submit copy of orientation for the following staff: 1. Camden WG 2. Christie G 3. Charnell H 4. Eden Q 5. Anaiya S 3838 B. WING _______________________ 02/04/2026 CREME DE LA CREME OF FARM ROAD 8420 FARM ROAD, LAS VEGAS, NEVADA ,89131 6. Ganesha C 7. Sina F Answer the 4 POC questions. NAC 323 1. Except as otherwise provided in NAC NAC 323 1.) Several steps and things to note: First, 02/28/202 432A.521 and NRS 432A.177, within 120 site was in the middle of a two director 6 days after commencing his or her changes between July 2024- September employment or positi... Based on interview and record review, the facility failed to ensure that within 120 days of hire each employee completed the required hours of training in childcare. Training not on file for staff as noted below: CPR/First Aid 4 hrs. 1. Essau D 2. Camden G 3. Reiko L 4. Daniel M 5. Kieyira NF 6. Ariah T 7. Arlyn U 8. Mariah F Signs and Symptoms of Illness with Blood Borne Pathogens 2 hrs. 1. Reiko L 2. Kieyira FN 3. Kenneth S 4. Arlyn U 5. Camden G STATEMENT O Based on observation and record review, parent was not informed of right to view complaints made against facility. Ensure parents sign NRS 178 notification form and it is kept in the child's file. Facility failed to have signed copy of form notifying parents of right to request complaint information for the following children as referenced on the identifier sheet: Child #16 Upload the signed NRS 178 form and answer the 4 POC questions. STATEMENT OF DEFICIENCIE Based on interview and record review, the facility failed to have signed Permission to Release Information form on file for the following children as referenced on the identifier sheet: Child #16 Upload the signed Permission to Release Information and answer the 4 POC questions. NRS 230 NRS 230 1.) listed families have been updated with 02/19/202 Certificate of immunization prerequisite to the exception of child #2 and Child #14 6 admission to child care facility; conditional 2.) Child number #2 is not due for updated admission; report to Health Division. Except shots until March 2026 and fam Based on interview and record review, child(ren) as noted below failed to have current immunization records on file at time of inspection. Please submit a copy of the current immunization record for child(ren) noted below: Child #2: missing Streptococcus Pneumonias, HIB Child #3: missing HepA, Varicella, MMR Child #4: missing HepA, Varicella, MMR Child #13: missing HIB Child #14: missing HIB, HepA, Varicella Child #21: missing HepA, Varicella, MMR Answer the 4 POC questions.

This Statement of Deficiencies was generated as a result of the on-site State licensure inspection conducted at your facility on 01/26/2026. 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. The facility is licensed for 473 children as a Center. The census at the time of survey was 126 children. No children's files and no staff files were reviewed. Based on observation and interview, the facility was found to have hazards as listed below: >Littles Playground: 1. The water fountain (right front) is broken with a trash bag over it. The trash bag may come loose and cause a suffocating hazard. Please repair water fountain. If water fountain is not going to be in use, please consult with SNHD how to best deal with a water fountain not in use. Upload pictures or video of repaired water fountain or upload pictures of how to safely keep children from accessing unused water fountain. 2. Surveyor observed trash and debris in the right front and b Based on observation, Toddler 2B classroom did not have a posted evacuation map. Please upload a picture of a posted evacuation map as evidence of correction. Answer the 4 POC questions. NAC 302 1. A licensee of a child care facility shall not NAC 302 1.) Maintenance tickets were placed to 02/06/202 knowingly appoint a person as director of repair, re-patch, and/or replace for crown 6 the facility or appoint or permit the moldings, sink spray, wall paper repair. All appointment of a person as an employee or teachers were verbally reminded that doors volunteer at the facility if the person has Based on observation, the facility failed to recognize and eliminate the following hazards for the safety of children as evidenced by the following: (Please label the pictures with the classroom for identification purposes) 1. Infant B: 2 outlets were not child 3838 B. WING ___ Based on record review and interview, the facility failed to destroy or return to the child's parent prescribed medication that was no longer 3838 B. WING _______________________ 01/26/2026 CREME DE LA CREME OF Based on observation and interview, the staff failed to label each bottle of formula with the name of the child to whom it belonged and/or the date the formula or food was prepared by the facility of was prepared or purchased by the 3838 B. WING _______________________ 01/26/2 Based on observation Feb 17th. and interview, the vinyl blocks in room 2.) February 17th Toddler 2B were found to be in disrepair. 3.) Staff submit monthly supply orders to The outer material is peeling and in the our DQE, Aisha, as part of our normal corners of the blocks, the inner material is process but to ensure items that are no exposed. longer functional are removed, DQE and Team leads will review current room It was further observed that the foam blocks supplies before finalizing order in the STEM room were also in disrepair. 4.) Aisha Coleman, DQE Please remove and/or replace blocks Based on observation, the facility did not ensure each bathroom has , soap in a dispenser, disposable towels and/or toilet paper. Surveyor observed the following during the annual inspection: 1. Infant C - there was no soap and paper towels in the dispenser in the children's handwashing sink. 2. Toddler 1A - there was no soap and paper towels in the dispenser in the children's handwashing sink. 3. Toddler 2C - there was no hand soap in the dispenser in the children's hand washing sink. Please ensure that each sink has soap and paper towels and that each bathroom is equipped with adequate supp

The facility is licensed for 473 children as a Center. The census at the time of investigation was 131 children. 0 children's files and 0 staff files were reviewed. NAC 2. Each facility shall: NAC Air conditioning was repaired within one day 08/26/202 250.2 (a) Ensure that each room of the facility 250.2 of the emergency repair request put in on 5 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: KENNETH Title: Executive Director Date: 11/13/2025 REPRESENTA Because of the malfunctioning air conditioning, two infant rooms were combined, causing the room to become overcrowded. This created a potential hazard in the event of an emergency evacuation. An unused room or the great room could have been utilized during this short period to facilitate a safer evacuation. NAC 350 1. Every licensee of a facility shall adopt a NAC 350 1.) All supply orders (diapers, wipes, 09/15/202 written statement which: tissues, garbage bags, etc.) are placed at 5 (a) Sets forth the general services to be the first of each month for the duration of offered to the children; the month. 2.) orders are tracked and (b) Provides for the special needs of each submitted through our request/supply 3838 B. WING _______________________ 10/17/2025 CREME DE LA CREME OF FARM ROAD 8... Based on interviews, the facility needed to ensure an adequate supply of diapers in all sizes used by children. The director reported that there had been an issue with some staff hoarding supplies, which was addressed appropriately. Staff confirmed that diaper availability has been consistent in recent weeks. What is being done to avoid further lack of these supplies? NAC 1. Except as otherwise provided in NAC NAC 1.) Ratio checks are conducted in 10/17/202 5205 432A.290 and 432A.546, a licensee of a 5205 conjunction with CSR checks 30 minute 5 child care center, child care institution, intervals throughout the day and signed off accommodation facility, facility for special on on the CSR by director of education events, nursery for infants and toddlers or Aisha Coleman or director of Opera... Based on observations during the investigation visit,staffing ratios were appropriate in all classrooms. Records 3838 B. WING _______________________ 10/17/2025 CREME DE LA CREME OF FARM ROAD 8420 FARM ROAD, LAS

The facility is licensed for 473 children as a Center. The census at the time of inspection was 149 children. 0 child's file and 0 staff files were reviewed. NAC 4. The play area of each facility must: NAC 08/19/202 250.4 (a) Be fenced or enclosed in a manner that 250.4 Plan of correction: 5 prevents the unsupervised departure of children from the area; The director, Aisha Coleman placed the (b) Have an adequate drainage system; work order for the leaking water fountain on (c) Be free of hazards, debris and trash; the playground. Attached is the work order (d) If it is an outdoor play area, p are to remain inside of the building, During the daily checks, the staff will be coached in Based on observation, the following the moment and receive the help needed to hazards were observed: keep the outside areas free from potential hazards for the children. - Toddler Playground: The water After the use of the water hose, it will be fountain is leaking and will need stored correctly immediately. The director, repaired. The facility currently has a Aisha, has retrained and coached staff of work order in place for this repair. the safety reason for making sure we upload completed workorder and properly return it once it’s no longer in use. picture of fountain to provide proof of this correction. In the upcoming mandatory meeting for the staff on August 26th,Aisha will also go over the saf... Based on observation, the transportation logs are not being completed in full by staff and drivers. All staff and drivers will need to be trained in how to properly complete transportation logs. Upload documentation providing proof that all staff completed training to provide proof of this correction. NAC 302 1. A licensee of a child care facility shall not NAC 302 Plan of Correction: 07/30/202 knowingly appoint a person as director of 5 the facility or appoint or permit the The febreze, perfume, and Ibuprofen was appointment of a person as an employee or removed from Toddler 2B's drawer and classroom. Paint corrections were made to the wall and the drawer was locked. The Based on observation, the following staff was coached and retrained on the hazards were observed: importance of locking the drawers after use. Attached are pictures of the broom hanging Toddler 2B: A Febreze, perfume, and upward, new shelves, paint corrections, and Ibuprofen were observed in an unlocked drawer locked. drawer accessible to children. Surveyors relocated these items onto tall chests to be A ticket was placed to receive the correct inaccessible to children. These items will sized toilet lid in toddl Based on with the child's name and date. Each class observation, the Toddler 2A and Toddler 2B has a caddy that can carry the cups, so no classrooms were observed on the cup is left behind. playground and all children did not have water cups or water bottles available for Future Action Plan: drinking. Ensure water is available for all children when on playground and within The management team will continue to classrooms. complete walk throughs throughout the day to make sure each child has a cup while outside. The staff will also receive coaching and training in the moment and on 8/26/25 for Based on observation, Infant B classroom did not have curriculum posted. ensure curriculum is printed and posted for view within the classroom. Upload pictures to provide proof of this correction. 3838 B. WING _______________________ 07/29/2025 Based on observation, the following classroom carpets need cleaning: - Toddler 2B: Carpet observed with stains and will need cleaning. Upload pictures to provide proof of this correction. - Toddler 1B: Carpet observed with stains and will need cleaning. Upload pictures to

This Statement of Deficiencies was generated as a result of the complaint investigation conducted at your facility on 7/29/2025. Please respond to each deficiency and attach documents as requested for the deficiency it pertains to. Sign and submit your Plan of Correction within 5 business days of receipt. Inspection consensus, the facility is licensed for 473 children as a center. The census at the time of survey was 149 children. 0 children's files and 0 staff files were reviewed. If deficiencies are cited, an approved plan of correction must be returned within 10 days after receipt of this statement of deficiencies. LABORATORY DIRECTOR'S OR PROVIDER/SUPPLIER Name: AISHA COLEMAN Title: Executive Director Date: 08/06/2025 REPRESENTATIVE'S SIGNATURE 3838 B. WING _______________________ 07/2... Based on interview all staff the importance of not only signing in and record review, the facility failed to but also signing out of the roster. maintain a daily sign-in sheet that included the times of arrival and departure for staff Future Action Plan: and/or children. To ensure times are consistently recorded, please provide Aisha and Esau, the director of operations, instruction to staff and parents and monitor will check rosters throughout the day to the daily sign-in sheets. make sure that it is being completed correctly by all staff. We will coach in the During the investigation while Based on observation the staff failed to wash their hands after using the toilet, helping a child use the toilet or changing a diaper with or without gloves. 3838 B. WING _______________________ 07/29/2025 CREME DE LA CREME OF FARM ROAD 8420 FARM ROAD, LAS VEGAS, NEVADA ,89131 During the investigation staff failed to wash a child's hands after having their diaper changed, staff was also observed not washing their hands after removing their gloves after diapering the child. Please ensure that staff follow all handwashing guidelines. NAC 520 1. A licensee of a child care facility shall NAC 520 Plan of Correction: 08/06/202 have a staff which is sufficient in number to 5 provide physical care, supervision and During the next mandatory meeting on individual attention to each child and allow 8/... Based on observation the facility failed to ensure that staff maintained a proximity to the child that allows them to be capable of intervening if assistance or direction is needed by the child and to observe, oversee and guide the child. During the investigation a child in Toddler 2C was observed chewing a blue crayon, there were several small pieces observed in the child's mouth. Staff were unaware that the child was chewing on the crayon until it was brought to their attention. Preschool 2 was found to be lacking in supervision, children were observed throwing toys across the classroom. NAC 1. Except as otherwise provided in NAC NAC Plan of Correction: 07/30/202 5205 432A.290 and 432A.546, a licensee of a 5205 5 child care center, child care institution, After reviewing the rosters and ... Based on record review, the facility failed to provide an adequate number of staff members for the number of children in their care. Upon review of the sign in sheets it was found that Preschool 2, ages 3yrs. – 4yrs., was found to be out of ratio from 8:56 am to 9:00 am with a total of 14 children and 1 staff member. The room was out of ratio until the second teacher arrived at 9:39 am. Please ensure that ratios are always maintained

The self-report from the facility and the complaint received indicated that a child was left unattended in one of the classrooms during transitions. Please respond to all questions in the SOD letter, providing an explanation of how the issue was addressed and outlining the measures that have been implemented to prevent a recurrence in the future. NAC 1. Except as otherwise provided in NAC NAC 06/18/202 5205 432A.290 and 432A.546, a licensee of a 5205 Plan of Corrective Action: 5 child care center, child care institution, accommodation facility, facility for special After reviewing the CSR and staff to student events, nursery for infants and toddlers or ratio’s, thedirector, Aisha Coleman special needs facility shall, between the immediately adjusted the morning staffs hours of 6:30 a.m. an... Although investigation 3838 B. WING _______________________ 05/28/2025 CREME DE LA CREME OF FARM ROAD 8420 FARM ROAD, LAS VEGAS, NEVADA ,89131

The facilityis licensed for 473 children as a Center. The census atthe time of investigation was 197 children. 0 children'sfiles and 0 staff files were reviewed. NAC 400 1. A licensee of a facility shall enhance a NAC 400 Plan of Correction 04/04/202 child ' s behavior through positive guidance, 5 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: AISHA COLEMAN Title: Executive Director Date: 04/04/2025 REPRESENTATIVE'S SIGNATURE Based on review of video within a 20 minute time frame on 03/18/25, child was not listening and did not want to follow instructions so Teacher Mr Williams grabbed child's upper left arm twice, his right wrist once while in classroom then was observed in hallway to have yanked child's arm to pick child up off of the floor causing marks/bruising on child's arm.

This Statement of Deficiencies was generated as a result of the on-site complaint investigation conducted at your facility, for State license #3838, on 03/04/2025. There were no regulatory deficiencies identified at the time of the investigation. Inspection consensus, the facility is licensed for 473 children as a center. The census at the time of survey was 174 children. 0 children's files and 0 staff files were reviewed. If deficiencies are cited, an approved plan of correction must be returned within 10 days after receipt of this statement of deficiencies. LABORATORY DIRECTOR'S OR PROVIDER

The facility is licensed for 473 children as a Center. The census at the time of inspection was 0 children. 0 child's file and 49 our of 52 staff files were reviewed. NAC 306 1. Every caregiver in a child care facility NAC 306 03/14/202 must: 5 (a) Be at least 16 years of age; (b) Be able to summon help in an Corrective Action Plan: emergency; (c) Be emotionally and physically qualified The director, Aisha Coleman submitted to carry out a program which places If deficiencies are cited, an approved plan of correction must be returned within 10 days after receipt of this statement of deficienci Based on file review the following staff are missing Nevada Registry Certificate: - Daisy Castillo: Expired 11.2.2023 according to Nevada registry Website -Miyonna Williams: No Nevada Registry on file, staff need to submit Nevada registry application. -Stephanie Arriaza: No Nevada Registry on file, staff need to submit Nevada registry application. -Jada Bankhead Martinez: No Nevada Registry on file, staff need to submit Nevada registry application. - Madyson Becton: Expired 2.13.2024, according to Nevada Registry Website. Staff’s current employment is notated as unknown in Nevada Registry Dat Based on file, review that the following staff are missing CPR Certification: Andrea Reyes Jada Bankhead Martinez Madyson Becton Kaylee Figueroa Shanicia Fuhst Christie Gualdarama (Expired 1.10.25) Tashawn Moore 3838 B. WING _______________________ 02/26/2025 for the health and safety of other at our center and remain in compliance. New Based on file review, the following staff are employees will not be able to start without missing TB: their TB test tuned in with a negative result. Deborah Barrera Marisol Blanco 3838 B. WING _______________________ 02/26/2025 CREME DE LA CREME OF FARM ROAD 8420 FARM ROAD, LAS VEGAS, NEVADA ,89131 Andrea Reyes Samantha Duran Shanice Fuhst (Expired 8.2024) Daniel Matias Geovana Quezada-Leon Alexanderia Williams (Expired 3.2024) Please note that staff should not be working on site without an up-to-date negative TB Test. Please upload an up-to-date negative TB test for the staff listed above to provide proof of this correction. Staff that remain out of compliance should not return to work until the TB test is comp... Based on file review the following staff are missing initial training: Andra Reyes: Signs of Illness, Child Abuse & Neglect, SIDS, Shaken Baby Syndrome, Human Growth and Development or Positive Interaction (3hrs), Administration of Medication, Build and Physical Premises Safety, Emergency Preparedness, Transportation, and Wellness Course. Jada Bankhead Martinez: Signs of Illness, Child Abuse &Neglect, SIDS, Administration of Medication, and Wellness Course. Madyson Becton: Child Abuse & Neglect and Emergency Preparedness. Marissia Dominguez: Signs of Illness, Child Abuse &Neglect, SIDS, Shake Based on file review, the following staff are missing the annual training and/or annual wellness course: Andrea Reyes: Needs 24 hrs. of annual training. Jada Bankhead Martinez: Needs 2 hrs. of wellness course and10 hrs. of annual training. Madyson Becton: Needs 2 hrs. hours of annual training. Jessica Cisneros: Needs 15 hrs. of annual training. Marissa Dominguez: Needs 24hs of annual training (Once initialtraining hours are provided, these annual hours can be prorated). Samantha Duran: Needs 16 hrs. of annual training. Kaylee Figueroa: Needs 11 hours (Once initial training hoursare provided,

The facility is licensed for 473 children as a Center. The census at the time of inspection was 139 children. 30 children’s files and 0staff files were reviewed. Staff files were not reviewed during the annual inspection due to Facility’s Employee List of Training (LOT) and files not being completed and up to date. Director Coleman will need to complete LOT and staff files and drop them off to CCL office by 2/3/25,for surveyor’s review. If deficiencies are cited, an approved plan of correction must be returned within 10 days after receipt of this statement of deficiencies. LABORATORY DIRECTOR Staff Thewanda C. Has been off site over 5 months due to leave. Thewanda’s eligibility is currently expired. Due to staff being on leave, she is unable to correct her eligibility status of Closed Undetermined- incomplete. Please remove staff from the NABs Roster, and ensure she completes new fingerprints prior to returning to work. Staff Latanya M. eligibility has expired. According to director, Staff was provided with Out of State (OOS) resource link and instructions on how to move forward with obtaining OOS checks on1/16/25. Ensure Staff follow through and initiates OOS checks and uploads d Based on file her calendar for June of 2025 to make sure SNHD has received our payment before it review, the facility’s health permit expires. Corporate has also been notified of expired on 6/30/24 and currently the due dates and the site for payment. It is has an unpaid invoice online. the director job to make sure it is paid timely and current at all times. Complete payment and upload new permits to show proof of this correction. Based on file review, local inspections such as State Business and SNHD have not been completed and are currently in expired status. It should be noted that the Fa Based on observation the following hazards were observed on the playground: The tennis court has trash on the ground and along the gate. Ensure that trash is picked up and upload a picture to provide proof of this correction. NAC 3. If transportation is provided by the NAC Plan of Corrective Action: 01/30/202 290.3 licensee of a facility, all children must be 290.3 The bus registration and insurance 5 3838 B. WING _______________________ 01/15/2025 CREME DE LA CREME OF FARM ROAD 8420 FARM ROAD, LAS VEGAS, NEVADA ,89131 protected by adequate supervision by the information has been combined together to staff, safety precautions and adequate assure it matches. It has been placed in the insurance which covers liability for health or correct binders for each bus. Each page injury, medical expen... Based on file review, the facility only provided vehicle registration for the following vehicles: Vehicle #1(Plate: 387U17) Vehicle #2 (Plate:7786A0) Vehicle #6 (Plate: 7790A0). Vehicle registration for the following vehicles is still needed: Vehicle #3 (Plate: 7789A0) Vehicle #4 (Plate: 7788A0) Vehicle #5 (Plate: 7787A0) Furthermore, car insurance for all 6 vehicles is still needed. Please upload the needed vehicle registrations and care insurance for the vehicles listed above to provide proof of Div Based on file review, the facility’s transportation logs were not completed in full ensuring that staff sign off on log following transportation routes. Furthermore, the current transportation logs are not clear to follow when reviewing, especially the logs that go to multiple schools for pick-up/drop- off. It is recommended that the facility’s transportation log is updated so that multiple locations pick-up and drop-offs can be reviewed and followed. NAC 302 1. A licensee of a child care facility shall not NAC 302 Corrective Action: 01/30/202 knowingly appoint a person as director of 5 STATE A ticket order was placed for the broken cabinet knobs and were fixed on January Based on observation, the following 31st, 2025. Photo evidence was also hazards were observed: uploaded. A ticket order was also placed for the hole in the School Age room next to the Rm 101B: The broom and dustpan down student's bathrooms. The hole was fixed on accessible to children. A plunger located in January 30th, 2025, and photo evidence the boy’s restroom accessible to children. has been uploaded. A ticket order was Broom and dustpan need to be removed or placed for the children sinks and splashing hung u Based on file review, the following children are missing Emergency Medical Form: Child #4 Child #7 Child #12 Have parents complete and sign emergency medical form and upload to provide proof of this correction. NAC 350 1. Every licensee of a facility shall adopt a NAC 350 Corrective Action: 01/31/202 written statement which: 5 (a) Sets forth the general services to be The Director of Operations, Esau Diaz offered to the children; checked #7 child file and had the parents (b) Provides for the special needs of each completely fill out the permission to child; transport form needed. It has been placed (c) States the requirements for admission in child #7 file. Child #12 was disenrolled as and procedures for enrollment; of 1/7/25 and is no longer attending our (d) Sets forth fees and any plan ... 3838 B. WING _______________________ 01/15/2025 CREME DE LA CREME OF FARM ROAD 8420 FARM ROAD, LAS VEGAS, NEVADA ,89131 ID (EACH DEFI Based on file review, the following children are missing permission to release: Child #12 and Child#18 Have parents complete and sign permission to release form and upload to provide proof of this correction. 3838 B. WING _______________________ 01/15/2025 Future Action: Based on file review, the following children The Director of Operations, Esau Diaz will are missing immunizations: review each child's file that is enrolling and make sure all required documents have Child #1, Child #3, Child #4, Child #5, Child been completed. Esau and a lead staff will #6, Child #7, Child#12, Child #13, Child audit child files monthly to make sure #14, Child #16, Child #17, Child #18, Child everything is up to date and completed. The #19, Child #26,Child #27, and Child #29. review checklist sheet will be located in every child's file to follow. Upload up- to Based on observation during facility walkthrough, majority of classrooms had unlabeled water bottles. Ensure that all water bottles are labeled with children’s names. A recommendation is to implement a bottle labeling station for parents to complete this task at the time of drop-off. NAC 430 1. Each facility, including, without limitation, NAC 430 Corrective Action: 02/03/202 a family home and a group home, shall 5 have an early care and education program. The Director of Operations, Esau Diaz 2. Each facility described in subsection 1 checked #11, 13, 14, 15, 16, 17, 18, 20, 21, shall develo Based on file review the following children are missing assessments: Child #11, Child #12, Child #13, Child #14, Child #15, 16, Child#17, Child #18, Child #20, Child #21, Child #22, Child #23, Child #24, Child #25,Child #26, Child #27, Child #29, and Child #30. Complete assessments and upload assessments for all children listed above to provide proof of this correction. NAC 412 1. Each facility must have written NAC 412 Corrective Action: 01/22/202 procedures concerning the washing of 5 hands. Management held a staff meeting on 2. The staff of a facility shall follow the January 22, 2025, and Based on observation during, in Toddler 2C Room, a teacher was observed not washing her or child’s hands following a diaper change. Both staff in the room 3838 B. WING _______________________ 01/15/2025 CREME D

This Statement of Deficiencies was generated as a result of the on-site State licensure inspection conducted at your facility on 02.04.2026. 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. The facility is licensed for 473 children as a Center. The census at the time of survey was 139 children. 25 children's files and 50 staff files were reviewed. Based on observation as we are updating our emergency and interview, the facility had no record that procedure with Creme and next drill was a drill for natural disasters was held at least scheduled just not completed at time of once every three months. Last disaster visit. All fire drills & disaster drills haven drill logged was on 10.22.2025. Please pre-planned and uploaded into the upload a disaster log with a current administrative team sharable calendar disaster drill completed as evidence of 4.) Esau, Director of Operations correction. Answer the 3 POC questions. NAC 3. If transportation is provided by the NAC 1.) Fire extinguishers were inspected but 02/19/202 290.3 licensee of a facility, all children must be 290.3 inspector forgot to add tags, fire 6 protected by adequate supervis... Based on interview and record review, the facility failed to have 3838 B. WING _______________________ 02/04/2026 CREME DE LA CREME OF FARM ROAD 8420 FARM ROAD, LAS VEGAS, NEVADA ,89131 current registration for Van #4. Please upload evidence of current registration for Van #4 as evidence of correction. Based on interview and record review, the following buses had fire extinguishers that had no current record of service or tagging: Van #6: 03.22.24 tagged Van #2: 01.23.24 tagged Van #4: 03.22.24 tagged Van #8: 08.28.24 tagged Van #7: 08.28.24 tagged Van #1: out for service at time of inspection. Please upload current fire extinguisher tag. Van #5: 03.22.24 tagged Van #3: 03.22.24 tagged (*van #3 not to be used until upholstery has been repaired and evidence of corrections have been submitte... Based on record review the director failed to maintain organized separate record that include without limitation documents related to training and backgrounds investigations. Please ensure that all documentation required for staff is current and kept in the employee’s file. Provide a plan of correction how staff files will be better organized and maintained. Remove old annual training hours. Please file and organize background, orientation, TB test, and initial training certificates in the order listed in the Listing of Training (LOT). Several staff had to be sent home as TB tests were expire Based on interview and record review, the facility failed to ensure that within 90 days of hire each employee had a completed application or renewal of Nevada Registry membership. Current Nevada Registry membership not present for staff noted below. Please submit copy of current Nevada Registry certificate or email from Nevada Registry showing proof of applying for staff listed: 1. Stephanie A 2. Alicia C 3. Cameron D 4. Essau D 5. Marissa D 6. Karla F 7. Shanicia F 8. Camden G 9. Josephine G 10. Jessica G 11. Hunter K Based on a review of staff files, staff members, volunteers, and/or residents of the facility did not have written evidence that they were free from communicable tuberculosis issued within the preceding 24 months. Staff listed below may not return until current TB test verification is received: 3838 B. WING _______________________ 02/04/2026 CREME DE LA CREME OF FARM ROAD 8420 FARM ROAD, LAS VEGAS, NEVADA ,89131 1. Katherine GR 2. Charnell H 3. Reiko L. 4. Kayla M 5. Kayla O. 6. Ariah T 7. Arlyn U Please email negative TB test results to surveyor and upload to POC. Answer the 4 POC questions. NAC 320 1. Except as otherwise provided in NRS NAC 320 1.) Several steps and things to note: First, 02/06/202 432A.177 , within the first 2 weeks after site was in the middle of a two director 6 comme... 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 submit copy of orientation for the following staff: 1. Camden WG 2. Christie G 3. Charnell H 4. Eden Q 5. Anaiya S 3838 B. WING _______________________ 02/04/2026 CREME DE LA CREME OF FARM ROAD 8420 FARM ROAD, LAS VEGAS, NEVADA ,89131 6. Ganesha C 7. Sina F Answer the 4 POC questions. NAC 323 1. Except as otherwise provided in NAC NAC 323 1.) Several steps and things to note: First, 02/28/202 432A.521 and NRS 432A.177, within 120 site was in the middle of a two director 6 days after commencing his or her changes between July 2024- September employment or positi... Based on interview and record review, the facility failed to ensure that within 120 days of hire each employee completed the required hours of training in childcare. Training not on file for staff as noted below: CPR/First Aid 4 hrs. 1. Essau D 2. Camden G 3. Reiko L 4. Daniel M 5. Kieyira NF 6. Ariah T 7. Arlyn U 8. Mariah F Signs and Symptoms of Illness with Blood Borne Pathogens 2 hrs. 1. Reiko L 2. Kieyira FN 3. Kenneth S 4. Arlyn U 5. Camden G STATEMENT O Based on observation and record review, parent was not informed of right to view complaints made against facility. Ensure parents sign NRS 178 notification form and it is kept in the child's file. Facility failed to have signed copy of form notifying parents of right to request complaint information for the following children as referenced on the identifier sheet: Child #16 Upload the signed NRS 178 form and answer the 4 POC questions. STATEMENT OF DEFICIENCIE Based on interview and record review, the facility failed to have signed Permission to Release Information form on file for the following children as referenced on the identifier sheet: Child #16 Upload the signed Permission to Release Information and answer the 4 POC questions. NRS 230 NRS 230 1.) listed families have been updated with 02/19/202 Certificate of immunization prerequisite to the exception of child #2 and Child #14 6 admission to child care facility; conditional 2.) Child number #2 is not due for updated admission; report to Health Division. Except shots until March 2026 and fam Based on interview and record review, child(ren) as noted below failed to have current immunization records on file at time of inspection. Please submit a copy of the current immunization record for child(ren) noted below: Child #2: missing Streptococcus Pneumonias, HIB Child #3: missing HepA, Varicella, MMR Child #4: missing HepA, Varicella, MMR Child #13: missing HIB Child #14: missing HIB, HepA, Varicella Child #21: missing HepA, Varicella, MMR Answer the 4 POC questions.

This Statement of Deficiencies was generated as a result of the on-site State licensure inspection conducted at your facility on 01/26/2026. 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. The facility is licensed for 473 children as a Center. The census at the time of survey was 126 children. No children's files and no staff files were reviewed. Based on observation and interview, the facility was found to have hazards as listed below: >Littles Playground: 1. The water fountain (right front) is broken with a trash bag over it. The trash bag may come loose and cause a suffocating hazard. Please repair water fountain. If water fountain is not going to be in use, please consult with SNHD how to best deal with a water fountain not in use. Upload pictures or video of repaired water fountain or upload pictures of how to safely keep children from accessing unused water fountain. 2. Surveyor observed trash and debris in the right front and b Based on observation, Toddler 2B classroom did not have a posted evacuation map. Please upload a picture of a posted evacuation map as evidence of correction. Answer the 4 POC questions. NAC 302 1. A licensee of a child care facility shall not NAC 302 1.) Maintenance tickets were placed to 02/06/202 knowingly appoint a person as director of repair, re-patch, and/or replace for crown 6 the facility or appoint or permit the moldings, sink spray, wall paper repair. All appointment of a person as an employee or teachers were verbally reminded that doors volunteer at the facility if the person has Based on observation, the facility failed to recognize and eliminate the following hazards for the safety of children as evidenced by the following: (Please label the pictures with the classroom for identification purposes) 1. Infant B: 2 outlets were not child 3838 B. WING ___ Based on record review and interview, the facility failed to destroy or return to the child's parent prescribed medication that was no longer 3838 B. WING _______________________ 01/26/2026 CREME DE LA CREME OF Based on observation and interview, the staff failed to label each bottle of formula with the name of the child to whom it belonged and/or the date the formula or food was prepared by the facility of was prepared or purchased by the 3838 B. WING _______________________ 01/26/2 Based on observation Feb 17th. and interview, the vinyl blocks in room 2.) February 17th Toddler 2B were found to be in disrepair. 3.) Staff submit monthly supply orders to The outer material is peeling and in the our DQE, Aisha, as part of our normal corners of the blocks, the inner material is process but to ensure items that are no exposed. longer functional are removed, DQE and Team leads will review current room It was further observed that the foam blocks supplies before finalizing order in the STEM room were also in disrepair. 4.) Aisha Coleman, DQE Please remove and/or replace blocks Based on observation, the facility did not ensure each bathroom has , soap in a dispenser, disposable towels and/or toilet paper. Surveyor observed the following during the annual inspection: 1. Infant C - there was no soap and paper towels in the dispenser in the children's handwashing sink. 2. Toddler 1A - there was no soap and paper towels in the dispenser in the children's handwashing sink. 3. Toddler 2C - there was no hand soap in the dispenser in the children's hand washing sink. Please ensure that each sink has soap and paper towels and that each bathroom is equipped with adequate supp

The facility is licensed for 473 children as a Center. The census at the time of investigation was 131 children. 0 children's files and 0 staff files were reviewed. NAC 2. Each facility shall: NAC Air conditioning was repaired within one day 08/26/202 250.2 (a) Ensure that each room of the facility 250.2 of the emergency repair request put in on 5 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: KENNETH Title: Executive Director Date: 11/13/2025 REPRESENTA Because of the malfunctioning air conditioning, two infant rooms were combined, causing the room to become overcrowded. This created a potential hazard in the event of an emergency evacuation. An unused room or the great room could have been utilized during this short period to facilitate a safer evacuation. NAC 350 1. Every licensee of a facility shall adopt a NAC 350 1.) All supply orders (diapers, wipes, 09/15/202 written statement which: tissues, garbage bags, etc.) are placed at 5 (a) Sets forth the general services to be the first of each month for the duration of offered to the children; the month. 2.) orders are tracked and (b) Provides for the special needs of each submitted through our request/supply 3838 B. WING _______________________ 10/17/2025 CREME DE LA CREME OF FARM ROAD 8... Based on interviews, the facility needed to ensure an adequate supply of diapers in all sizes used by children. The director reported that there had been an issue with some staff hoarding supplies, which was addressed appropriately. Staff confirmed that diaper availability has been consistent in recent weeks. What is being done to avoid further lack of these supplies? NAC 1. Except as otherwise provided in NAC NAC 1.) Ratio checks are conducted in 10/17/202 5205 432A.290 and 432A.546, a licensee of a 5205 conjunction with CSR checks 30 minute 5 child care center, child care institution, intervals throughout the day and signed off accommodation facility, facility for special on on the CSR by director of education events, nursery for infants and toddlers or Aisha Coleman or director of Opera... Based on observations during the investigation visit,staffing ratios were appropriate in all classrooms. Records 3838 B. WING _______________________ 10/17/2025 CREME DE LA CREME OF FARM ROAD 8420 FARM ROAD, LAS

The facility is licensed for 473 children as a Center. The census at the time of inspection was 149 children. 0 child's file and 0 staff files were reviewed. NAC 4. The play area of each facility must: NAC 08/19/202 250.4 (a) Be fenced or enclosed in a manner that 250.4 Plan of correction: 5 prevents the unsupervised departure of children from the area; The director, Aisha Coleman placed the (b) Have an adequate drainage system; work order for the leaking water fountain on (c) Be free of hazards, debris and trash; the playground. Attached is the work order (d) If it is an outdoor play area, p are to remain inside of the building, During the daily checks, the staff will be coached in Based on observation, the following the moment and receive the help needed to hazards were observed: keep the outside areas free from potential hazards for the children. - Toddler Playground: The water After the use of the water hose, it will be fountain is leaking and will need stored correctly immediately. The director, repaired. The facility currently has a Aisha, has retrained and coached staff of work order in place for this repair. the safety reason for making sure we upload completed workorder and properly return it once it’s no longer in use. picture of fountain to provide proof of this correction. In the upcoming mandatory meeting for the staff on August 26th,Aisha will also go over the saf... Based on observation, the transportation logs are not being completed in full by staff and drivers. All staff and drivers will need to be trained in how to properly complete transportation logs. Upload documentation providing proof that all staff completed training to provide proof of this correction. NAC 302 1. A licensee of a child care facility shall not NAC 302 Plan of Correction: 07/30/202 knowingly appoint a person as director of 5 the facility or appoint or permit the The febreze, perfume, and Ibuprofen was appointment of a person as an employee or removed from Toddler 2B's drawer and classroom. Paint corrections were made to the wall and the drawer was locked. The Based on observation, the following staff was coached and retrained on the hazards were observed: importance of locking the drawers after use. Attached are pictures of the broom hanging Toddler 2B: A Febreze, perfume, and upward, new shelves, paint corrections, and Ibuprofen were observed in an unlocked drawer locked. drawer accessible to children. Surveyors relocated these items onto tall chests to be A ticket was placed to receive the correct inaccessible to children. These items will sized toilet lid in toddl Based on with the child's name and date. Each class observation, the Toddler 2A and Toddler 2B has a caddy that can carry the cups, so no classrooms were observed on the cup is left behind. playground and all children did not have water cups or water bottles available for Future Action Plan: drinking. Ensure water is available for all children when on playground and within The management team will continue to classrooms. complete walk throughs throughout the day to make sure each child has a cup while outside. The staff will also receive coaching and training in the moment and on 8/26/25 for Based on observation, Infant B classroom did not have curriculum posted. ensure curriculum is printed and posted for view within the classroom. Upload pictures to provide proof of this correction. 3838 B. WING _______________________ 07/29/2025 Based on observation, the following classroom carpets need cleaning: - Toddler 2B: Carpet observed with stains and will need cleaning. Upload pictures to provide proof of this correction. - Toddler 1B: Carpet observed with stains and will need cleaning. Upload pictures to

This Statement of Deficiencies was generated as a result of the complaint investigation conducted at your facility on 7/29/2025. Please respond to each deficiency and attach documents as requested for the deficiency it pertains to. Sign and submit your Plan of Correction within 5 business days of receipt. Inspection consensus, the facility is licensed for 473 children as a center. The census at the time of survey was 149 children. 0 children's files and 0 staff files were reviewed. If deficiencies are cited, an approved plan of correction must be returned within 10 days after receipt of this statement of deficiencies. LABORATORY DIRECTOR'S OR PROVIDER/SUPPLIER Name: AISHA COLEMAN Title: Executive Director Date: 08/06/2025 REPRESENTATIVE'S SIGNATURE 3838 B. WING _______________________ 07/2... Based on interview all staff the importance of not only signing in and record review, the facility failed to but also signing out of the roster. maintain a daily sign-in sheet that included the times of arrival and departure for staff Future Action Plan: and/or children. To ensure times are consistently recorded, please provide Aisha and Esau, the director of operations, instruction to staff and parents and monitor will check rosters throughout the day to the daily sign-in sheets. make sure that it is being completed correctly by all staff. We will coach in the During the investigation while Based on observation the staff failed to wash their hands after using the toilet, helping a child use the toilet or changing a diaper with or without gloves. 3838 B. WING _______________________ 07/29/2025 CREME DE LA CREME OF FARM ROAD 8420 FARM ROAD, LAS VEGAS, NEVADA ,89131 During the investigation staff failed to wash a child's hands after having their diaper changed, staff was also observed not washing their hands after removing their gloves after diapering the child. Please ensure that staff follow all handwashing guidelines. NAC 520 1. A licensee of a child care facility shall NAC 520 Plan of Correction: 08/06/202 have a staff which is sufficient in number to 5 provide physical care, supervision and During the next mandatory meeting on individual attention to each child and allow 8/... Based on observation the facility failed to ensure that staff maintained a proximity to the child that allows them to be capable of intervening if assistance or direction is needed by the child and to observe, oversee and guide the child. During the investigation a child in Toddler 2C was observed chewing a blue crayon, there were several small pieces observed in the child's mouth. Staff were unaware that the child was chewing on the crayon until it was brought to their attention. Preschool 2 was found to be lacking in supervision, children were observed throwing toys across the classroom. NAC 1. Except as otherwise provided in NAC NAC Plan of Correction: 07/30/202 5205 432A.290 and 432A.546, a licensee of a 5205 5 child care center, child care institution, After reviewing the rosters and ... Based on record review, the facility failed to provide an adequate number of staff members for the number of children in their care. Upon review of the sign in sheets it was found that Preschool 2, ages 3yrs. – 4yrs., was found to be out of ratio from 8:56 am to 9:00 am with a total of 14 children and 1 staff member. The room was out of ratio until the second teacher arrived at 9:39 am. Please ensure that ratios are always maintained