Dle Home Child Care & Preschool

This statement of deficiencies was generated as a result of an annual inspection conducted at your facility on 3.16.26. The facility is licensed for 12 as a group child care center. The census at the time of inspection were 11 children. 11 child files and 4 staff files were reviewed.? If deficiencies are cited, an approved plan of correction must be returned within 10 days after receipt of this statement of deficiencies. LABORATORY DIRECTOR'S OR PROVIDER/SUPPLIER Name: Title: Date: REPRESENTATIVE'S SIGNATURE

This statement of deficiencies was generated as a result of an annual inspection conducted at your facility on 10.8.25. The facility is licensed for 12 as a group care center. The census at the time of inspection was 12 children. 0staff files and 0 child files were reviewed at the time of inspection, files will be reviewed at the annual inspection. If deficiencies are cited, an approved plan of correction must be returned within 10 days after receipt of this statement of deficiencies. LABORATORY DIRECTOR'S OR PROVIDER/SUPPLIER Name: Title: Date: REPRESENTATIVE'S SIGNATURE

This statement of deficiencies was generated as a result of an annual and health inspection conducted at your facility on 3.19.25. The facility is licensed for 12 as a group care center. The census at the time of inspection was 12 children. 6 child files and 5 staff files were reviewed. No regulatory deficiencies at this time. licensing reminders: Staff #1: Needs 9 hours Staff #2: Needs 7 hours Staff #5: Needs 9 hours 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/SUPP

This statement of deficiencies was generated as a result of a semi annual inspection conducted at your facility on 9.20.24. The facility is licensed for 12 children as a Group Care. The census at the time of inspection was 11 children and 3 staff. There were no regulatory deficiencies noted at the time of 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: Title: Date: REPRESENTATIVE'S SIGNATURE

This facility is licensed for 12 children as a group care. The census at the time of survey was 11 children. 10 children’s files and 6 staff files were reviewed. There were no regulatory deficiencies noted at the time of inspection. Reminders and recommendations: -All application items required in order to renew annual license. 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 based on a complaint investigation at your facility on 3.6.24. The facility is licensed for 12 children as a group care facility. The census at the time of investigation was 12 children and 3 staff. There were no regulatory deficiencies noted at the time of investigation. If deficiencies are cited, an approved plan of correction must be returned within 10 days after receipt of this statement of deficiencies. LABORATORY DIRECTOR'S OR PROVIDER/SUPPLIER Name: Title: Date: REPRESENTATIVE'S SIGNATURE

This Statement of Deficiencies was generated as a result of an on-site complaint inspection on 12/13/23 and 1/4/24. The facility is licensed for 12 children as a Group Care facility. The census at the time of the survey on 12/13/23 was 12 and on 1/4/24 was 8. NAC 520 1. A licensee of a child care facility shall NAC 520 1. I walked inside to help fix the vacuum 01/12/202 have a staff which is sufficient in number to cleaner. We were right inside the glass 4 provide physical care, supervision and french doors and could see the 2 children individual attention to each child and allow that were outside playing the entire time. time for interaction between the staff and They were never left unsupervised. In the the children to promote the children ' s future I will either bring item outside or b... Based on observation and interview on 12/13/23, facility failed to have sufficient caregivers supervising children during outdoor play. -2 children were playing outside at the time of arrival with no staff present leaving the children unsupervised 1486 B. WING __________________ Based on observation and interview on 1/4/24, facility failed to recognize and eliminate the following hazards for the safety of children as evidenced by the following: -Sheets and blankets were observed touching. Bedding cannot touch, devise method to store to ensure bedding does not touch.

is licensed for 12 children as a group care. The census at the time of survey was 0 children. 10 children’s files and 5 staff files were reviewed. There were no regulatory deficiencies noted at the time of inspection. Child and staff files that were not available at the time of semi-annual inspection 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 the result of a semi-annual inspection on 09/01/2023. The facility is licensed for 12 children as a group care. The census at the time of the survey was 12 children. No children's or staff files were reviewed and will be reviewed at an Ad-hoc inspection. Reminders and Recommendations: -Curriculum to be dated for the time in use -Recommend use of walkie-talkies or texting for communication between staff members while in separate areas of the facility. NAC 4. The play area of each facility must: NAC 1.Windows, posts and fence sanded and re 09/11/2 Based on observation and interview on 09/01/2023, the facility was found to have hazards as listed below. Ensure that the play area is free of hazards. Repair noted items and devise a schedule for routine inspection and maintenance. Peeling paint on posts, window sills, and door frames. Sand fence to remove splinter hazard. Based on interview and record review on 09/01/2023, the facility failed to maintain a daily sign-in sheet that included the first and last names of staff and children and/or times of arrival or departure. This was evidenced by the log-in sheet having only 8 children signed in instead of the 12 that were present. -Ensure all staff and children are signed in and out with applicable times. NAC 2. The director shall: NAC Owner was away at appointment ALL files 09/11/202 304.2 (a) Provide a program for child care for the 304.2 are locked to ensure privacy of my staff and 3 facility which meets the requirements of this children. chapter. 1.I (owner) will ensure a staff member can (b) Be physically present in the facility for a access the files in the event I am away at sufficient amount of time ... Based on interview on 09/01/2023, facility failed to maintain organized and separate records. Staff and child files were unavailable at the time of inspection. NAC 412 1. Each facility must have written NAC 412 1. Staff is well aware of handwashing 09/11/202 procedures concerning the washing of policy. I re-trained all members and made it 3 hands. very clear the must wash hands. 2. The staff of a facility shall follow the 2. 9/11/2023 procedures of the facility concerning the 3. More staff training. washing of hands and shall instruct, monitor 4.Staff members are well trained in proper and as Based on observation and interview on 09/01/2023, the facility failed to ensure children washed their hands prior to eating lunch. Ensure staff and children wash their hands with warm soap and water before handling food and before and after eating a meal or snack.

The statement of deficiencies was generated based on an annual and health inspections conducted at your facility on 03/23/2023.This facility is licensed for 12 children as a group childcare facility. The census at the time of inspection was 11 children. Ten child files and 5 staff files were reviewed. NRS 230 NRS 230 1. Parent Notified Immunizations were not 03/29/202 Certificate of immunization prerequisite to current. Appointment Made for April 13, 3 admission to child care facility; conditional 2023. Owner will upload record upon admission; report to Health Division. Except receipt. as oth Based on record review and interview on 03/23/2023, the below listed child did not have a current immunization record on file at the facility. Obtain and file a current immunization record for the child listed. Discard old immunization records upon obtaining most current. Child #3: DPT, Polio, MMR, Varicella

Statement of Deficiencies was generated as a result of a compliant investigation on 1/9/23 conducted at your facility. The facility is licensed for 12 children as a group care. The census at the time of survey was 12 children. There were no regulatory deficiencies identified at the time of the survey. Licensing recommendations: -Ensure children's first and last names are included on the sign-in sheet. -Add information regarding front yard camera to parent handbook. If deficiencies are cited, an approved plan of correction must be returned within 10 days after receipt of this statement of defi Based on record review and interview on 1/9/23 the facility failed to prepare a daily report for infants and toddlers which documented diaper changes ever 2 hours. Infant diaper changes were documented in a daily report, while toddler diaper changes were communicated with parents verbally. Submit a plan to ensure diaper changes are documented as required.

This statement of deficiencies was generated as a result of an annual inspection conducted at your facility on 10.8.25. The facility is licensed for 12 as a group care center. The census at the time of inspection was 12 children. 0staff files and 0 child files were reviewed at the time of inspection, files will be reviewed at the annual inspection. If deficiencies are cited, an approved plan of correction must be returned within 10 days after receipt of this statement of deficiencies. LABORATORY DIRECTOR'S OR PROVIDER/SUPPLIER Name: Title: Date: REPRESENTATIVE'S SIGNATURE

This statement of deficiencies was generated as a result of an annual and health inspection conducted at your facility on 3.19.25. The facility is licensed for 12 as a group care center. The census at the time of inspection was 12 children. 6 child files and 5 staff files were reviewed. No regulatory deficiencies at this time. licensing reminders: Staff #1: Needs 9 hours Staff #2: Needs 7 hours Staff #5: Needs 9 hours 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/SUPP

This statement of deficiencies was generated as a result of a semi annual inspection conducted at your facility on 9.20.24. The facility is licensed for 12 children as a Group Care. The census at the time of inspection was 11 children and 3 staff. There were no regulatory deficiencies noted at the time of 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: Title: Date: REPRESENTATIVE'S SIGNATURE

This statement of deficiencies was generated based on a complaint investigation at your facility on 3.6.24. The facility is licensed for 12 children as a group care facility. The census at the time of investigation was 12 children and 3 staff. There were no regulatory deficiencies noted at the time of investigation. 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 facility is licensed for 12 children as a group care. The census at the time of survey was 11 children. 10 children’s files and 6 staff files were reviewed. There were no regulatory deficiencies noted at the time of inspection. Reminders and recommendations: -All application items required in order to renew annual license. If deficiencies are cited, an approved plan of correction must be returned within 10 days after receipt of this statement of deficiencies. LABORATORY DIRECTOR'S OR PROVIDER/SUPPLIER Name: Title: Date: REPRESENTATIVE'S SIGNATURE

This Statement of Deficiencies was generated as a result of an on-site complaint inspection on 12/13/23 and 1/4/24. The facility is licensed for 12 children as a Group Care facility. The census at the time of the survey on 12/13/23 was 12 and on 1/4/24 was 8. NAC 520 1. A licensee of a child care facility shall NAC 520 1. I walked inside to help fix the vacuum 01/12/202 have a staff which is sufficient in number to cleaner. We were right inside the glass 4 provide physical care, supervision and french doors and could see the 2 children individual attention to each child and allow that were outside playing the entire time. time for interaction between the staff and They were never left unsupervised. In the the children to promote the children ' s future I will either bring item outside or b... Based on observation and interview on 12/13/23, facility failed to have sufficient caregivers supervising children during outdoor play. -2 children were playing outside at the time of arrival with no staff present leaving the children unsupervised 1486 B. WING __________________ Based on observation and interview on 1/4/24, facility failed to recognize and eliminate the following hazards for the safety of children as evidenced by the following: -Sheets and blankets were observed touching. Bedding cannot touch, devise method to store to ensure bedding does not touch.

is licensed for 12 children as a group care. The census at the time of survey was 0 children. 10 children’s files and 5 staff files were reviewed. There were no regulatory deficiencies noted at the time of inspection. Child and staff files that were not available at the time of semi-annual inspection 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 the result of a semi-annual inspection on 09/01/2023. The facility is licensed for 12 children as a group care. The census at the time of the survey was 12 children. No children's or staff files were reviewed and will be reviewed at an Ad-hoc inspection. Reminders and Recommendations: -Curriculum to be dated for the time in use -Recommend use of walkie-talkies or texting for communication between staff members while in separate areas of the facility. NAC 4. The play area of each facility must: NAC 1.Windows, posts and fence sanded and re 09/11/2 Based on observation and interview on 09/01/2023, the facility was found to have hazards as listed below. Ensure that the play area is free of hazards. Repair noted items and devise a schedule for routine inspection and maintenance. Peeling paint on posts, window sills, and door frames. Sand fence to remove splinter hazard. Based on interview and record review on 09/01/2023, the facility failed to maintain a daily sign-in sheet that included the first and last names of staff and children and/or times of arrival or departure. This was evidenced by the log-in sheet having only 8 children signed in instead of the 12 that were present. -Ensure all staff and children are signed in and out with applicable times. NAC 2. The director shall: NAC Owner was away at appointment ALL files 09/11/202 304.2 (a) Provide a program for child care for the 304.2 are locked to ensure privacy of my staff and 3 facility which meets the requirements of this children. chapter. 1.I (owner) will ensure a staff member can (b) Be physically present in the facility for a access the files in the event I am away at sufficient amount of time ... Based on interview on 09/01/2023, facility failed to maintain organized and separate records. Staff and child files were unavailable at the time of inspection. NAC 412 1. Each facility must have written NAC 412 1. Staff is well aware of handwashing 09/11/202 procedures concerning the washing of policy. I re-trained all members and made it 3 hands. very clear the must wash hands. 2. The staff of a facility shall follow the 2. 9/11/2023 procedures of the facility concerning the 3. More staff training. washing of hands and shall instruct, monitor 4.Staff members are well trained in proper and as Based on observation and interview on 09/01/2023, the facility failed to ensure children washed their hands prior to eating lunch. Ensure staff and children wash their hands with warm soap and water before handling food and before and after eating a meal or snack.

Statement of Deficiencies was generated as a result of a compliant investigation on 1/9/23 conducted at your facility. The facility is licensed for 12 children as a group care. The census at the time of survey was 12 children. There were no regulatory deficiencies identified at the time of the survey. Licensing recommendations: -Ensure children's first and last names are included on the sign-in sheet. -Add information regarding front yard camera to parent handbook. If deficiencies are cited, an approved plan of correction must be returned within 10 days after receipt of this statement of defi Based on record review and interview on 1/9/23 the facility failed to prepare a daily report for infants and toddlers which documented diaper changes ever 2 hours. Infant diaper changes were documented in a daily report, while toddler diaper changes were communicated with parents verbally. Submit a plan to ensure diaper changes are documented as required.

This Statement of Deficiencies was generated as a result of a semi- annual inspection on 9/11/18.The facility is licensed for 12 children as a Group Care facility. The census at the time of the survey was 12. 5 children’s files were reviewed and 5 employee files were reviewed. Reminders and Recommendations: -Follow up on out of state background/child abuse checks required -Staff #2 t.b. test expires 9/22/18; CPR expires 9/21/18 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 PRO Based on observation and interview on 9/11/18 facility failed to integrate age appropriate key areas of instruction during transition times. Surveyor observed television being used as a transition to nap time. Television does not meet the curriculum guidelines.

This statement of deficiencies was generated as a result of an annual inspection conducted at your facility on 10.8.25. The facility is licensed for 12 as a group care center. The census at the time of inspection was 12 children. 0staff files and 0 child files were reviewed at the time of inspection, files will be reviewed at the annual inspection. If deficiencies are cited, an approved plan of correction must be returned within 10 days after receipt of this statement of deficiencies. LABORATORY DIRECTOR'S OR PROVIDER/SUPPLIER Name: Title: Date: REPRESENTATIVE'S SIGNATURE

This statement of deficiencies was generated as a result of an annual and health inspection conducted at your facility on 3.19.25. The facility is licensed for 12 as a group care center. The census at the time of inspection was 12 children. 6 child files and 5 staff files were reviewed. No regulatory deficiencies at this time. licensing reminders: Staff #1: Needs 9 hours Staff #2: Needs 7 hours Staff #5: Needs 9 hours 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/SUPP