Csn Ece Lab Program - Cheyenne

This Statement of Deficiencies was generated as a result of the on-site State licensure inspection conducted at your facility on 06.04.2026. There were no regulatory deficiencies identified at the time of the survey. The facility is licensed for 136 children as a Center. The census at the time of survey was 36 children. 0 children's files and 0 staff files were reviewed during this Semi 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: Ti

This Statement of Deficiencies was generated as a result of the on-site State licensure survey conducted at your facility on 11/17/2025. The facility is licensed for 136 Children as a Center. The census at the time of the survey was 55 children and 18 staff. 15 children’s files were reviewed, and 0 staff files were reviewed. This inspection was an Ad-Hoc inspection. NAC 4. The play area of each facility must: NAC Plan of Correction Completed 11/25/202 250.4 (a) Be fenced or enclosed in a manner that 250.4 1. Portable playground-blue covers of the 5 prevents the unsupervised departure of raili Based on observation of the playground during walk through inspection, it was observed that there were safety hazards on the playgrounds. Please see below for items observed to be out of compliance. Upload photos of corrections and repairs by 12/04/2025. Ensure that you answer all 4 questions in the POC box under the remarks section. Portable playground area - There were soft blue covers on the railing leading down to the playground that were falling off and disintegrating. Please remove or replace the covers and upload a photo of the correction. Lanora Gallo. Staff in classrooms. Based on inspection walk through, hazards were observed in some of the classrooms. The classrooms listed below were observed to be out of compliance. Upload photos of corrections and repairs to the Plan of Correction by 12/04/2025. Ensure that you answer all 4 questions in the POC box under "remarks." Evergreen Room - There was an unlocked closet with baby wipes, broom, dustpan and sunscreen stored in it. Please ensure that closets with hazards are locked at all times when children are present or remove hazards to an area that is not accessible to children. Based on file review conducted on 11/17/2025, it was observed that child #2 and child #9 are missing their completed Emergency Medical form. Please request that child’s parent read and sign this form and upload into the Plan of Correction by 12/04/2025.Ensure that you answer all 4 questions in the POC box. Based on file review conducted during on-site inspection, it was observed that Child #5 and Child #7 were missing their Assessments in their file. Please refer to child identifier list for names. Upload copies of the assessments to the Plan of Correction by 12/04/2025.Ensure that you answer all four questions in the POC box under “remarks” and fill in the “date POC submitted” box.

This Statement of Deficiencies was generated as a result of the on-site State licensure survey conducted at your facility on 11/10/2025. The facility is licensed for 136 Children as a Center. The census at the time of the survey was 0 children and 3 staff. 0 children’s files were reviewed, and 30 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: SAMANTHA HOUR Title: Senior Specialist Date: 11/24/2025 REPRESENTATIVE'S SIGNATURE STA 028 B. WING _______________________ 11/10/2025 CSN ECE LAB PROGRAM - CHEYENNE 3200 E. CHEYENNE AVE, NORTH LAS VEGAS, NEVADA ,89030 ID ( Based on file review during on-site inspection, it was observed that the state business license was not available for review. Please Upload a copy of current state business license to the Plan of Correction by 12/02/2025. A copy of current license must be available for review at facility site. Ensure that you answer all four questions in the POC box. NAC 304 1. The director of a child care facility is NAC 304 11/18/202 responsible for screening, scheduling and Plan of Correction 5 supervising the staff of the facility and for the conduct of each member of the staff at 1. Assistant Director the facility. Responsibilities: 2. The director shall: Assistant Director, Lanora Gallo, (a) Provide a program for child care for the who serves as the person in charge facility which meets the requireme... Based on inspection file review, it was observed that the file binder for 4 staff was not provided to licensing for review. Please ensure that person in charge of licensing matters at the facility has access and is aware of all documents that may be reviewed at an inspection. Please answer all 4 questions in the POC box, under "Remarks" by 12/02/2025. NAC 306 1. Every caregiver in a child care facility NAC 306 11/17/202 must: Plan of Correction completed: 5 (a) Be at least 16 years of age; 1.Nevada Registry Certificates for Staff: (b) Be able to summon help in an Adriana Rada, Stephany Reza-S Based on staff file review, there were staff who were missing or had expired NV Registry certificates. Staff listed below are missing current their NV Registry. Please upload proof of NV Registry to the Plan of Correction by 12/02/2025. Ensure that you answer all 4 questions in the POC box under "remarks." Marie D., Tamisha D., Adriana R., Stephany R., Angelina R., Katelyn V. Based on staff file review, there were staff or volunteers with missing or expired negative TB test results. Please have staff retested and upload negative TB test results into the Plan of Correction by 12/02/2025 for the staff listed below. Staff are not to return to work with children until proof of negative TB test is provided to licensing. Ensure that you answer all 4 questions in the POC box under "remarks." Person in charge was also notified that proof of TB tests need to be emailed to Surveyor by Friday 11/14/2025. Tamisha D., Mitchell H., Greg P., Marie D., Gloria E. NAC 323 1. Except as otherwise provided in NAC NAC 323 Plan of Correction completed: 11/21/202 432A.521 and NRS 432A.177, within 120 1. Missing documents which consists of 5 days after commencing his or her require tra... Based on file review conducted during inspection, it was observed that staff were missing Initial trainings. Staff and trainings missing are listed below. Ensure that staff complete trainings and upload certificates into the Plan of Correction by 12/02/2025. Ensure that you answer all four questions in the POC box under “remarks” and fill in the “date POC submitted” box. Latisha D. - Missing 2 hours of Human Growth and Development or Positive Guidance Gloria E. - Missing 2 hours of Human Growth and Development or Positive Guidance Samantha H. - Missing Human Growth and Development or PositiveGuidance (3 hours) Norma P. - Missing Child Abuse and Neglect Mitchell H. - Missing 1 hour of Human Growth and Development or Positive Guidance Thasia J. - Missing Health and Wellness Courses (2 hours)... Based on observation upon Surveyor’s arrival at thefacility, it was observed that the days facility is closed were not provided to licensing but were listed on the door. Surveyor’s conducted theinspection during this staff development day and were unable to complete the inspectiondue to the facility not having children in attendance on this day nor being able to review child files. Surveyor will need to return to the facility for an ad-hoc inspection on another day to observe the children, classrooms and child files. Please ensure that licensing is always made aware of any days that the facil Based oninspection walk through, it was observed that the eyewash in the First Aid kitwas expired in 2019. Please discard any expired eyewash and replace with a new eyewashbottle. Please upload photos of new eyewash to the Plan of Corrections by 12/02/2025.Ensure that you answer all 4 questions in the POC box.

This Statement of Deficiencieswas generated as a result of the on-site State licensure survey conducted atyour facility on 06/24/2025. The facility is licensed for 136 Children as a Center.The census at the time of the survey was 46 children and 19 staff. Files were notreviewed during this inspection visit but will be reviewed at the nextinspection. 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: SAMANTHA HOUR Title: Senior Specialist Date: 07/08/2025 REP Based on a review of Emergency Drill logs during on-site inspection on 06/24/2025, it was observed that the last Disaster Drill logged was on 10/17/2024. A disaster drill should have been logged in January 2025 and April 2025. Please ensure that Disaster drills are completed and logged every three months (quarterly). Please complete and document a Disaster Drill for June 2025 and upload an updated log in the Plan of Correction by 07/10/ 2025. Ensure that you answer all 4 questions in the Plan of Correction. NAC 302 1. A licensee of a child care facility shall not NAC 302 Evergreen Room-All ou Based on inspection walkthrough, hazards were observed in some of the classrooms. The classrooms listed below were observed to be out of compliance. Upload photos of corrections and repairs to the Plan of Correction by 07/10/2025. Ensure that you answer all 4 questions in the Plan of Correction. Evergreen Room - It was observed that there was an outlet in the middle play area without a safety plug, a bin of sunscreen by the sink, missing name labels and accessible to children, a large jug of sunscreen with a pump on a shelf, and staff water bottle and phone on a shelf. Please ensure that all thrown away. Moving forward cardboard building blocks will be stored inside Basedon observation during inspection classroom. visit, it was observed that there werematerials on the playground areas that were not sanitized properly. Please see below for details on items observed. Please clean and disinfect these items and upload photos into the Plan of Corrections by 07/10/2025. Toddler Playground - It was observed that the round wicker chair had a green mat that needed cleaning. Please clean and disinfect this item and upload photos into the Plan of Corrections by 07/10/2025. Evergreen Playgro

This Statement of Deficiencies was generated as a result of the on-site State licensure inspection conducted at your facility on December 2, 2024. Please respond to each deficiency and attach documents as requested for the deficiency it pertains to. Sign and submit your Plan of Correction within 10 business days of receipt. Inspection consensus, the facility is licensed for 136 children as a CSN- Cheyenne. The census at the time of survey was 37 children. 10 children's files and 21 staff files were reviewed. If deficiencies are cited, an approved plan of correction must be returned within 10 The paint near the base of the shed is peeling and requires a fresh coat. 028 B. WING _______________________ 12/02/2024 CSN ECE LAB PROGRAM - CHEYENNE 3200 E. CHEYENNE AVE, NORTH LAS VEGAS, NEVADA ,89030 (X4) SUM One staff member's file (Kennedy G.) is missing documentation of a TB test on file. NRS 178 Child care facility required to maintain NRS 178 NRS 432.A 178 guidelines has been 12/10/202 certain information; reporting of information updated in our ECE Lab Program Parent 4 to parents and guardians; notice of right to Handbook. On page 7 of Parent Handbook information. under topic: License (NRS 432A.178) 10 1. A child care facility shall maintain a copy Parents of the children chosen have of: acknowledged and accepted the new (a) The license issued to the facility by the additional guidelines und The child care facility is missing complaint logs for 10 children files. 028 B. WING _______________________ 12/02/2024 CSN ECE LAB PROGRAM - CHEYENNE 3200 E. CHEYENNE AVE, NORTH LAS VEGAS, NEVADA ,89030 (X4) SUMM The file for child number 9 is missing immunization record.

The facility is licensed for 136 children as a Center. The census at the time of inspection was 14 children. 10 child files and 19 staff files were reviewed. Reminders: -Infant's playground will need to be organized and water hose put up prior to being in use again. -Monitor soft play structure in the Mulberry playground for wear and tear. Once the play structure begins to rip and/ or have holes in 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: SAMANTHA Based on observation the following playgrounds had water hose down, unwrapped, and easily accessible to children: - Preschool - Mulberry - Infant Ensure that following water play, water hose are wrapped back up to eliminate potential hazard and risk to children. Water hose on all playgrounds will need a hook to hang or wrap water hose (Similar to the water hose on the playground that were properly wrapped).

ThisStatement of Deficiencies was generated as a result of the on-site Statelicensure inspection conducted at your facility on 12/18/23. The facility is licensed for #136 Children as a center. The census at the time ofsurvey was # 0children and # 0children files were reviewed and # 0staff files werereviewed. ADHOC - Book Review only Send 24 annual hours for staff Kaitly K( 17 hours) & Catherine O(10) by 12/31/23. If deficiencies are cited, an approved plan of correction must be returned within 10 days after receipt of this statement of deficiencies. LABORATORY DIRECTOR'S OR PROVIDER/SUPPLIER Name: SAMANTHA HOUR Title: Senior Specialist Date: 01/05/2024 REPRESENTATIVE'S SIGNATURE 028 B. WING _______________________ 12/18/2023 CSN ECE LAB PROGRAM - CHEYENNE 3200 E. CHEYENNE AVE, NORTH LAS VE... Basedon observation and record review, facility failed to ensure that thebackgrounds Clearance Memo was kept on file. Ensure Clearance Memos are kept onfile at the facility for all staff and volunteers. Kaitlyn K. Answer 4 poc questions and upload NABS Roster showing eligible or Memo 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. Kaitlyn K. Answer 4 poc questions and upload NV Registry. NAC 323 1. Except as otherwise provided in NAC NAC 323 Plan of Correction for staff-Kaitilynn Kelley. 12/30/202 432A.521 and NRS 432A.177, within 120 Kaitilynn will complete and submit in the 3 days after commencing his or her required trainings by 12/29/2023. She will employment or position in a child care complete the Signs of Illness including BBP facility, each person who is employed in a by 1/2/24. child care facility, other than a person employed... Based on interview and record review, the facility failed to ensure thatwithin 90 days of hire each employeecompleted the required hours of training in child care. Training not on filefor staff as noted below. Kaitly K. Answer 4 poc questions and upload certificates.

ThisStatement of Deficiencies was generated as a result of the on-site Statelicensure inspection conducted at your facility, for State licenseon 11/7/23. There were no regulatory deficienciesidentified at the time of the survey. Thefacility is licensed for #136 Children as a center . The census at the time ofsurvey was #21 children and # 25 children files were reviewed and #19 staff files werereviewed. Director needs to schedule an appointment with inspector by 11/14/23 to review staff files. Have list of training ready. Please apply in clics for renewal. If deficiencies are cited, an approve

Based on record review the facility failed to provide evidence of NV Registry for the following staff: Norma P. Karla C. Answer 4 poc questions and upload documentation. NAC 310 1. Every member of the staff of a facility, NAC 310 1. The deficiency has been corrected and 06/23/202 including a volunteer, and each resident of the documents are uploaded. Please note 3 the facility shall present to the director of that Sandra Lopez is on FMLA until mid- STATEMENT OF D Based on record review the facility failed to provide evidence of negative TB tests for the following staff: Julia G Robin G. Sandra L. Madison D. Answer 4 poc questions and upload negative TB tests NRS 230 NRS 230 1. The family of DA has submitted an 06/26/202 Certificate of immunization prerequisite to exemption form. JC is no longer enrolled 3 admission to child care facility; conditional with our program and his records have admission; report to Health Division. Except been removed from the active child files. as otherwise provided in NRS 432A.235 for 2. Completed 6/26/23. accommodation f Based on record review the facility failed to provide evidence of current immunizations for the following children: Child 19 & 22 Answer 4 poc questions and upload current updated immunization record.

The facility is licensed for 136 children as a Center. The census at the time of investigation was 25 children. 25 children's files and 19 staff files were reviewed. Reminders: Email Surveyor 24 continuous hours for the following: Dawn -5, Peyton -7, Adam -15 and Michael -17 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: MICHAEL MITCHELL Title: Director Date: 01/10/2023 REPRESENTATIVE'S SIGNATURE Based on record review, Claire R needs to renew NV Registry as it expired 09/14/22. Upload NV Registry email confirmation or copy of certificate then place in employee file. NAC 3. Every member of the staff of a facility, NAC All staff are given reminders of items that 01/10/202 310.3 including a volunteer, and each resident of 310.3 are coming due three months prior to the 3 the facility shall submit to: due date. Subsequently, they are given (a) A tuberculin test; or monthly reminders until the task is (b) An examination by a provider of health completed. In the last 30 days, we will give c Based on record review, Joyce R's TB test expired 12/03/22 and may not return until completed. Upload negative TB test then place in employee file. NAC 323 1. Except as otherwise provided in NAC NAC 323 Staff will be given monthly updates on the 01/10/202 432A.521 and NRS 432A.177, within 120 number of training hours they need to 3 days after commencing his or her complete for the year. They will also be employment or position in a child care given monthly updates of any required facility, each person who is employed in a training that will be due again. New staff will child care facility, other than a person receive bi-weekly updates to ensure employed in a facility that provides care for completion of training hours. ill children, and each director of a child care facility shall complete... Based on record review, Daisy A needs 2 hours Wellness and Shronda T needs to retake Child Abuse and Neglect. Upload then place in employee file. NRS 230 NRS 230 The administrative assistant for the center 01/10/202 Certificate of immunization prerequisite to completes bi-annual audits of 3 admission to child care facility; conditional immunizations and ensure all information is admission; report to Health Division. Except uploaded into our data system (Procare). as otherwise provided in NRS 432A.235 for Parents will be reminded of upcoming accommodation facilities: immunization due dates by Based on record review, Child #6,7,16,17,19 and 25 need updated immunizations. Upload current shot record then place in child file.

This Statement of Deficiencies was generated as a result of the on-site complaint investigation conducted at your facility on 09/06/2022. There were no regulatory deficiencies identified at the time of the survey. The Facility is licensed for 166 children as a center. The census at the time of survey was 59 children. 0 children's files and 0 staff files were reviewed. If deficiencies are cited, an approved plan of correction must be returned within 10 days after receipt of this statement of deficiencies. LABORATORY DIRECTOR'S OR PROVIDER/SUPPLIER Name: Title: Date: REPRESENTATIVE'S SIGNATURE

This Statement of Deficiencies was generated as a result of the on-site State licensure survey conducted at your facility on 11/17/2025. The facility is licensed for 136 Children as a Center. The census at the time of the survey was 55 children and 18 staff. 15 children’s files were reviewed, and 0 staff files were reviewed. This inspection was an Ad-Hoc inspection. NAC 4. The play area of each facility must: NAC Plan of Correction Completed 11/25/202 250.4 (a) Be fenced or enclosed in a manner that 250.4 1. Portable playground-blue covers of the 5 prevents the unsupervised departure of raili Based on observation of the playground during walk through inspection, it was observed that there were safety hazards on the playgrounds. Please see below for items observed to be out of compliance. Upload photos of corrections and repairs by 12/04/2025. Ensure that you answer all 4 questions in the POC box under the remarks section. Portable playground area - There were soft blue covers on the railing leading down to the playground that were falling off and disintegrating. Please remove or replace the covers and upload a photo of the correction. Lanora Gallo. Staff in classrooms. Based on inspection walk through, hazards were observed in some of the classrooms. The classrooms listed below were observed to be out of compliance. Upload photos of corrections and repairs to the Plan of Correction by 12/04/2025. Ensure that you answer all 4 questions in the POC box under "remarks." Evergreen Room - There was an unlocked closet with baby wipes, broom, dustpan and sunscreen stored in it. Please ensure that closets with hazards are locked at all times when children are present or remove hazards to an area that is not accessible to children. Based on file review conducted on 11/17/2025, it was observed that child #2 and child #9 are missing their completed Emergency Medical form. Please request that child’s parent read and sign this form and upload into the Plan of Correction by 12/04/2025.Ensure that you answer all 4 questions in the POC box. Based on file review conducted during on-site inspection, it was observed that Child #5 and Child #7 were missing their Assessments in their file. Please refer to child identifier list for names. Upload copies of the assessments to the Plan of Correction by 12/04/2025.Ensure that you answer all four questions in the POC box under “remarks” and fill in the “date POC submitted” box.

This Statement of Deficiencies was generated as a result of the on-site State licensure survey conducted at your facility on 11/10/2025. The facility is licensed for 136 Children as a Center. The census at the time of the survey was 0 children and 3 staff. 0 children’s files were reviewed, and 30 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: SAMANTHA HOUR Title: Senior Specialist Date: 11/24/2025 REPRESENTATIVE'S SIGNATURE STA 028 B. WING _______________________ 11/10/2025 CSN ECE LAB PROGRAM - CHEYENNE 3200 E. CHEYENNE AVE, NORTH LAS VEGAS, NEVADA ,89030 ID ( Based on file review during on-site inspection, it was observed that the state business license was not available for review. Please Upload a copy of current state business license to the Plan of Correction by 12/02/2025. A copy of current license must be available for review at facility site. Ensure that you answer all four questions in the POC box. NAC 304 1. The director of a child care facility is NAC 304 11/18/202 responsible for screening, scheduling and Plan of Correction 5 supervising the staff of the facility and for the conduct of each member of the staff at 1. Assistant Director the facility. Responsibilities: 2. The director shall: Assistant Director, Lanora Gallo, (a) Provide a program for child care for the who serves as the person in charge facility which meets the requireme... Based on inspection file review, it was observed that the file binder for 4 staff was not provided to licensing for review. Please ensure that person in charge of licensing matters at the facility has access and is aware of all documents that may be reviewed at an inspection. Please answer all 4 questions in the POC box, under "Remarks" by 12/02/2025. NAC 306 1. Every caregiver in a child care facility NAC 306 11/17/202 must: Plan of Correction completed: 5 (a) Be at least 16 years of age; 1.Nevada Registry Certificates for Staff: (b) Be able to summon help in an Adriana Rada, Stephany Reza-S Based on staff file review, there were staff who were missing or had expired NV Registry certificates. Staff listed below are missing current their NV Registry. Please upload proof of NV Registry to the Plan of Correction by 12/02/2025. Ensure that you answer all 4 questions in the POC box under "remarks." Marie D., Tamisha D., Adriana R., Stephany R., Angelina R., Katelyn V. Based on staff file review, there were staff or volunteers with missing or expired negative TB test results. Please have staff retested and upload negative TB test results into the Plan of Correction by 12/02/2025 for the staff listed below. Staff are not to return to work with children until proof of negative TB test is provided to licensing. Ensure that you answer all 4 questions in the POC box under "remarks." Person in charge was also notified that proof of TB tests need to be emailed to Surveyor by Friday 11/14/2025. Tamisha D., Mitchell H., Greg P., Marie D., Gloria E. NAC 323 1. Except as otherwise provided in NAC NAC 323 Plan of Correction completed: 11/21/202 432A.521 and NRS 432A.177, within 120 1. Missing documents which consists of 5 days after commencing his or her require tra... Based on file review conducted during inspection, it was observed that staff were missing Initial trainings. Staff and trainings missing are listed below. Ensure that staff complete trainings and upload certificates into the Plan of Correction by 12/02/2025. Ensure that you answer all four questions in the POC box under “remarks” and fill in the “date POC submitted” box. Latisha D. - Missing 2 hours of Human Growth and Development or Positive Guidance Gloria E. - Missing 2 hours of Human Growth and Development or Positive Guidance Samantha H. - Missing Human Growth and Development or PositiveGuidance (3 hours) Norma P. - Missing Child Abuse and Neglect Mitchell H. - Missing 1 hour of Human Growth and Development or Positive Guidance Thasia J. - Missing Health and Wellness Courses (2 hours)... Based on observation upon Surveyor’s arrival at thefacility, it was observed that the days facility is closed were not provided to licensing but were listed on the door. Surveyor’s conducted theinspection during this staff development day and were unable to complete the inspectiondue to the facility not having children in attendance on this day nor being able to review child files. Surveyor will need to return to the facility for an ad-hoc inspection on another day to observe the children, classrooms and child files. Please ensure that licensing is always made aware of any days that the facil Based oninspection walk through, it was observed that the eyewash in the First Aid kitwas expired in 2019. Please discard any expired eyewash and replace with a new eyewashbottle. Please upload photos of new eyewash to the Plan of Corrections by 12/02/2025.Ensure that you answer all 4 questions in the POC box.

This Statement of Deficiencieswas generated as a result of the on-site State licensure survey conducted atyour facility on 06/24/2025. The facility is licensed for 136 Children as a Center.The census at the time of the survey was 46 children and 19 staff. Files were notreviewed during this inspection visit but will be reviewed at the nextinspection. 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: SAMANTHA HOUR Title: Senior Specialist Date: 07/08/2025 REP Based on a review of Emergency Drill logs during on-site inspection on 06/24/2025, it was observed that the last Disaster Drill logged was on 10/17/2024. A disaster drill should have been logged in January 2025 and April 2025. Please ensure that Disaster drills are completed and logged every three months (quarterly). Please complete and document a Disaster Drill for June 2025 and upload an updated log in the Plan of Correction by 07/10/ 2025. Ensure that you answer all 4 questions in the Plan of Correction. NAC 302 1. A licensee of a child care facility shall not NAC 302 Evergreen Room-All ou Based on inspection walkthrough, hazards were observed in some of the classrooms. The classrooms listed below were observed to be out of compliance. Upload photos of corrections and repairs to the Plan of Correction by 07/10/2025. Ensure that you answer all 4 questions in the Plan of Correction. Evergreen Room - It was observed that there was an outlet in the middle play area without a safety plug, a bin of sunscreen by the sink, missing name labels and accessible to children, a large jug of sunscreen with a pump on a shelf, and staff water bottle and phone on a shelf. Please ensure that all thrown away. Moving forward cardboard building blocks will be stored inside Basedon observation during inspection classroom. visit, it was observed that there werematerials on the playground areas that were not sanitized properly. Please see below for details on items observed. Please clean and disinfect these items and upload photos into the Plan of Corrections by 07/10/2025. Toddler Playground - It was observed that the round wicker chair had a green mat that needed cleaning. Please clean and disinfect this item and upload photos into the Plan of Corrections by 07/10/2025. Evergreen Playgro

This Statement of Deficiencies was generated as a result of the on-site State licensure inspection conducted at your facility on December 2, 2024. Please respond to each deficiency and attach documents as requested for the deficiency it pertains to. Sign and submit your Plan of Correction within 10 business days of receipt. Inspection consensus, the facility is licensed for 136 children as a CSN- Cheyenne. The census at the time of survey was 37 children. 10 children's files and 21 staff files were reviewed. If deficiencies are cited, an approved plan of correction must be returned within 10 The paint near the base of the shed is peeling and requires a fresh coat. 028 B. WING _______________________ 12/02/2024 CSN ECE LAB PROGRAM - CHEYENNE 3200 E. CHEYENNE AVE, NORTH LAS VEGAS, NEVADA ,89030 (X4) SUM One staff member's file (Kennedy G.) is missing documentation of a TB test on file. NRS 178 Child care facility required to maintain NRS 178 NRS 432.A 178 guidelines has been 12/10/202 certain information; reporting of information updated in our ECE Lab Program Parent 4 to parents and guardians; notice of right to Handbook. On page 7 of Parent Handbook information. under topic: License (NRS 432A.178) 10 1. A child care facility shall maintain a copy Parents of the children chosen have of: acknowledged and accepted the new (a) The license issued to the facility by the additional guidelines und The child care facility is missing complaint logs for 10 children files. 028 B. WING _______________________ 12/02/2024 CSN ECE LAB PROGRAM - CHEYENNE 3200 E. CHEYENNE AVE, NORTH LAS VEGAS, NEVADA ,89030 (X4) SUMM The file for child number 9 is missing immunization record.

The facility is licensed for 136 children as a Center. The census at the time of inspection was 14 children. 10 child files and 19 staff files were reviewed. Reminders: -Infant's playground will need to be organized and water hose put up prior to being in use again. -Monitor soft play structure in the Mulberry playground for wear and tear. Once the play structure begins to rip and/ or have holes in 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: SAMANTHA Based on observation the following playgrounds had water hose down, unwrapped, and easily accessible to children: - Preschool - Mulberry - Infant Ensure that following water play, water hose are wrapped back up to eliminate potential hazard and risk to children. Water hose on all playgrounds will need a hook to hang or wrap water hose (Similar to the water hose on the playground that were properly wrapped).

ThisStatement of Deficiencies was generated as a result of the on-site Statelicensure inspection conducted at your facility, for State licenseon 11/7/23. There were no regulatory deficienciesidentified at the time of the survey. Thefacility is licensed for #136 Children as a center . The census at the time ofsurvey was #21 children and # 25 children files were reviewed and #19 staff files werereviewed. Director needs to schedule an appointment with inspector by 11/14/23 to review staff files. Have list of training ready. Please apply in clics for renewal. If deficiencies are cited, an approve

ThisStatement of Deficiencies was generated as a result of the on-site Statelicensure inspection conducted at your facility on 12/18/23. The facility is licensed for #136 Children as a center. The census at the time ofsurvey was # 0children and # 0children files were reviewed and # 0staff files werereviewed. ADHOC - Book Review only Send 24 annual hours for staff Kaitly K( 17 hours) & Catherine O(10) by 12/31/23. If deficiencies are cited, an approved plan of correction must be returned within 10 days after receipt of this statement of deficiencies. LABORATORY DIRECTOR'S OR PROVIDER/SUPPLIER Name: SAMANTHA HOUR Title: Senior Specialist Date: 01/05/2024 REPRESENTATIVE'S SIGNATURE 028 B. WING _______________________ 12/18/2023 CSN ECE LAB PROGRAM - CHEYENNE 3200 E. CHEYENNE AVE, NORTH LAS VE... Basedon observation and record review, facility failed to ensure that thebackgrounds Clearance Memo was kept on file. Ensure Clearance Memos are kept onfile at the facility for all staff and volunteers. Kaitlyn K. Answer 4 poc questions and upload NABS Roster showing eligible or Memo 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. Kaitlyn K. Answer 4 poc questions and upload NV Registry. NAC 323 1. Except as otherwise provided in NAC NAC 323 Plan of Correction for staff-Kaitilynn Kelley. 12/30/202 432A.521 and NRS 432A.177, within 120 Kaitilynn will complete and submit in the 3 days after commencing his or her required trainings by 12/29/2023. She will employment or position in a child care complete the Signs of Illness including BBP facility, each person who is employed in a by 1/2/24. child care facility, other than a person employed... Based on interview and record review, the facility failed to ensure thatwithin 90 days of hire each employeecompleted the required hours of training in child care. Training not on filefor staff as noted below. Kaitly K. Answer 4 poc questions and upload certificates.

Based on record review the facility failed to provide evidence of NV Registry for the following staff: Norma P. Karla C. Answer 4 poc questions and upload documentation. NAC 310 1. Every member of the staff of a facility, NAC 310 1. The deficiency has been corrected and 06/23/202 including a volunteer, and each resident of the documents are uploaded. Please note 3 the facility shall present to the director of that Sandra Lopez is on FMLA until mid- STATEMENT OF D Based on record review the facility failed to provide evidence of negative TB tests for the following staff: Julia G Robin G. Sandra L. Madison D. Answer 4 poc questions and upload negative TB tests NRS 230 NRS 230 1. The family of DA has submitted an 06/26/202 Certificate of immunization prerequisite to exemption form. JC is no longer enrolled 3 admission to child care facility; conditional with our program and his records have admission; report to Health Division. Except been removed from the active child files. as otherwise provided in NRS 432A.235 for 2. Completed 6/26/23. accommodation f Based on record review the facility failed to provide evidence of current immunizations for the following children: Child 19 & 22 Answer 4 poc questions and upload current updated immunization record.

This Statement of Deficiencies was generated as a result of the on-site complaint investigation conducted at your facility on 09/06/2022. There were no regulatory deficiencies identified at the time of the survey. The Facility is licensed for 166 children as a center. The census at the time of survey was 59 children. 0 children's files and 0 staff files were reviewed. If deficiencies are cited, an approved plan of correction must be returned within 10 days after receipt of this statement of deficiencies. LABORATORY DIRECTOR'S OR PROVIDER/SUPPLIER Name: Title: Date: REPRESENTATIVE'S SIGNATURE

This Statement of Deficiencies was generated as a result of the on-site State licensure survey conducted at your facility on 7/13/2017. NAC 306 1. Every caregiver in a child care facility NAC 306 According to my records and the training 08/16/201 must: book-All but 3 of these staff members have 7 (a) Be at least 16 years of age; a current Nevada Registry certificate #1- (b) Be able to summon help in an was recently rehired after two year emergency; separation and is waiting to hear from the (c) Be emotionally and physically qualified Registry regarding the status of her renewal to carry out a Based on interview and record review, the facility failed to ensure that within 90 days of hire each employee had a completed application or renewal of Nevada Registry membership. Current Nevada Registry membership not present for staff noted below as listed on the staff identifier sheet. Please submit copy of Nevada Registry certificate or email from Nevada Registry stating compliance. Staff 1 Staff 2 Staff 3 Staff 4 Staff 5 028 B. WING _______________________ 07/13/2017 CSN ECE LAB PROGRAM - CHEYENNE 3200 E. CHEYENNE AVE, NORTH LAS VEGAS, NEVADA ,89030 Staff 6 Staff 7 Staff 8 Staff 9 Staff 11 Staff 12 Staff 13 Staff 14 Staff 15 Staff 16 Staff 17 Staff 19 NAC 320 1. Except as otherwise provided in NRS NAC 320 1. The employee has received a 08/16/201 432A.177 , within the first 2 weeks aft... 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 completed orientation checklist signed by both employee and director for the staff listed. Staff 1 NAC 323 1. Except as otherwise provided in NAC 323 1. documentation will be provided for 08/16/201 028 B. WING _______________________ 07/13/2017 CSN ECE LAB PROGRAM - CHEYENNE 3200 E. CHEYENNE AVE, NORTH LAS VEGAS, NEVADA ,89030 subsection 4 and Based on interview and record review, the facility failed to ensure that within 90 days of hire each employee completed the required hours of training in child care. Training not on file for staff as noted below. Please submit copy of completed trainings. CPR/First Aid: Staff 5 Staff 13 Staff 14 Staff 18 Signs and Symptoms of Illness w/ Blood Borne Pathogens: Staff 3 SIDS: Staff 3

This Statement of Deficiencies was generated as a result of the on-site State licensure survey conducted at your facility on 11/17/2025. The facility is licensed for 136 Children as a Center. The census at the time of the survey was 55 children and 18 staff. 15 children’s files were reviewed, and 0 staff files were reviewed. This inspection was an Ad-Hoc inspection. NAC 4. The play area of each facility must: NAC Plan of Correction Completed 11/25/202 250.4 (a) Be fenced or enclosed in a manner that 250.4 1. Portable playground-blue covers of the 5 prevents the unsupervised departure of raili Based on observation of the playground during walk through inspection, it was observed that there were safety hazards on the playgrounds. Please see below for items observed to be out of compliance. Upload photos of corrections and repairs by 12/04/2025. Ensure that you answer all 4 questions in the POC box under the remarks section. Portable playground area - There were soft blue covers on the railing leading down to the playground that were falling off and disintegrating. Please remove or replace the covers and upload a photo of the correction. Lanora Gallo. Staff in classrooms. Based on inspection walk through, hazards were observed in some of the classrooms. The classrooms listed below were observed to be out of compliance. Upload photos of corrections and repairs to the Plan of Correction by 12/04/2025. Ensure that you answer all 4 questions in the POC box under "remarks." Evergreen Room - There was an unlocked closet with baby wipes, broom, dustpan and sunscreen stored in it. Please ensure that closets with hazards are locked at all times when children are present or remove hazards to an area that is not accessible to children. Based on file review conducted on 11/17/2025, it was observed that child #2 and child #9 are missing their completed Emergency Medical form. Please request that child’s parent read and sign this form and upload into the Plan of Correction by 12/04/2025.Ensure that you answer all 4 questions in the POC box. Based on file review conducted during on-site inspection, it was observed that Child #5 and Child #7 were missing their Assessments in their file. Please refer to child identifier list for names. Upload copies of the assessments to the Plan of Correction by 12/04/2025.Ensure that you answer all four questions in the POC box under “remarks” and fill in the “date POC submitted” box.

This Statement of Deficiencies was generated as a result of the on-site State licensure survey conducted at your facility on 11/10/2025. The facility is licensed for 136 Children as a Center. The census at the time of the survey was 0 children and 3 staff. 0 children’s files were reviewed, and 30 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: SAMANTHA HOUR Title: Senior Specialist Date: 11/24/2025 REPRESENTATIVE'S SIGNATURE STA 028 B. WING _______________________ 11/10/2025 CSN ECE LAB PROGRAM - CHEYENNE 3200 E. CHEYENNE AVE, NORTH LAS VEGAS, NEVADA ,89030 ID ( Based on file review during on-site inspection, it was observed that the state business license was not available for review. Please Upload a copy of current state business license to the Plan of Correction by 12/02/2025. A copy of current license must be available for review at facility site. Ensure that you answer all four questions in the POC box. NAC 304 1. The director of a child care facility is NAC 304 11/18/202 responsible for screening, scheduling and Plan of Correction 5 supervising the staff of the facility and for the conduct of each member of the staff at 1. Assistant Director the facility. Responsibilities: 2. The director shall: Assistant Director, Lanora Gallo, (a) Provide a program for child care for the who serves as the person in charge facility which meets the requireme... Based on inspection file review, it was observed that the file binder for 4 staff was not provided to licensing for review. Please ensure that person in charge of licensing matters at the facility has access and is aware of all documents that may be reviewed at an inspection. Please answer all 4 questions in the POC box, under "Remarks" by 12/02/2025. NAC 306 1. Every caregiver in a child care facility NAC 306 11/17/202 must: Plan of Correction completed: 5 (a) Be at least 16 years of age; 1.Nevada Registry Certificates for Staff: (b) Be able to summon help in an Adriana Rada, Stephany Reza-S Based on staff file review, there were staff who were missing or had expired NV Registry certificates. Staff listed below are missing current their NV Registry. Please upload proof of NV Registry to the Plan of Correction by 12/02/2025. Ensure that you answer all 4 questions in the POC box under "remarks." Marie D., Tamisha D., Adriana R., Stephany R., Angelina R., Katelyn V. Based on staff file review, there were staff or volunteers with missing or expired negative TB test results. Please have staff retested and upload negative TB test results into the Plan of Correction by 12/02/2025 for the staff listed below. Staff are not to return to work with children until proof of negative TB test is provided to licensing. Ensure that you answer all 4 questions in the POC box under "remarks." Person in charge was also notified that proof of TB tests need to be emailed to Surveyor by Friday 11/14/2025. Tamisha D., Mitchell H., Greg P., Marie D., Gloria E. NAC 323 1. Except as otherwise provided in NAC NAC 323 Plan of Correction completed: 11/21/202 432A.521 and NRS 432A.177, within 120 1. Missing documents which consists of 5 days after commencing his or her require tra... Based on file review conducted during inspection, it was observed that staff were missing Initial trainings. Staff and trainings missing are listed below. Ensure that staff complete trainings and upload certificates into the Plan of Correction by 12/02/2025. Ensure that you answer all four questions in the POC box under “remarks” and fill in the “date POC submitted” box. Latisha D. - Missing 2 hours of Human Growth and Development or Positive Guidance Gloria E. - Missing 2 hours of Human Growth and Development or Positive Guidance Samantha H. - Missing Human Growth and Development or PositiveGuidance (3 hours) Norma P. - Missing Child Abuse and Neglect Mitchell H. - Missing 1 hour of Human Growth and Development or Positive Guidance Thasia J. - Missing Health and Wellness Courses (2 hours)... Based on observation upon Surveyor’s arrival at thefacility, it was observed that the days facility is closed were not provided to licensing but were listed on the door. Surveyor’s conducted theinspection during this staff development day and were unable to complete the inspectiondue to the facility not having children in attendance on this day nor being able to review child files. Surveyor will need to return to the facility for an ad-hoc inspection on another day to observe the children, classrooms and child files. Please ensure that licensing is always made aware of any days that the facil Based oninspection walk through, it was observed that the eyewash in the First Aid kitwas expired in 2019. Please discard any expired eyewash and replace with a new eyewashbottle. Please upload photos of new eyewash to the Plan of Corrections by 12/02/2025.Ensure that you answer all 4 questions in the POC box.