Eos Fitness - Centennial

ThisStatement of Deficiencies was generated as a result of the on-site Statelicensure Adhoc inspection conducted at your facility on 1.8.2026 for staff file review. There were no regulatory deficienciesidentified at the time of the survey. The facility islicensed for 68 children as an accommodation. The census at the time ofsurvey was 3 children. children's files and 5 staff files werereviewed. If deficiencies are cited, an approved plan of correction must be returned within 10 days after receipt of this statement of deficiencies. LABORATORY DIRECTOR'S OR PROVIDER/SUPPLIER Name: Title: Date:

This Statement of Deficiencies was generated as a result of the on-site State licensure inspection conducted at your facility on 1/5/2026. 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 55 children as an Accommodation. The census at the time of survey was 5 children. 5 children's files and 0 staff files were reviewed due to completed LOT not being on site, an ADHOC inspection will be conducted at a later time. 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: CYDNI JAMES Title: Regional Kids Club... During the inspection (MUST ADDRESS) FAILURETO the following was observed: ADDRESS ALL AREAS MAY - Blue mat in jungle gym has tears RESULT INAN throughout UNACCEPTABLE PLAN OF - Black step in jungle gym has tears CORRECTION *Upload proof of correction to SOD and answer the four POC questions. Cydni James, Regional Kids Club Compliance Manager will be responsible AND During the CORRECTION inspection the following was observed: CydniJames, Regional Kids Club - Tape is lifting on hopscotch Compliance Manager will be responsible. *Upload proof of correction to SOD and answer the four POC questions. NRS 230 NRS 230 01/13/202 Certificate of immunization prerequisite to 1. Thespecific actions that will be taken to 6 admission to child care facility; conditional correct the deficiency and verificationof admission; report to Health Division. Except completion, i.e. documents, photographs, as otherwise provided in NRS 432A.235 for etc. accommodation facilities: 1. Duringthe inspection the following was observed: - Child number 4 and 5 are missing immunizations. Please see identifier. *Uploadproof of correction to SOD and answer the four POC questions.

This Statement of Deficiencies was generated as a result of the on-site State licensure survey conducted at your facility on 08/08/2025. The facility is licensed for 68 Children as an Accommodation. The census at the time of the survey was 7 children and 2 staff. Files were not reviewed during this inspection visit but will be reviewed at the next inspection. Reminder: Ensure that the space for the complaint log is titled. COS - There was an outlet with a safety If deficiencies are cited, an approved plan of correction must be returned within 10 days after receipt of this statement of deficie completed the Disaster for the month of August and logged into the Fire/Disaster Based on a review of Emergency Drill Drill Log. logs during on-site inspection, it was observed that the last documented 2. The date of the corrective action will be completed Disaster Drill was in 04/30/2025. The next drill should have been completed The update was given to us on 8/15/25 and logged in July 2025. Ensure that Disaster drills are completed and 3. Changes that will be made or measures logged every three months (quarterly). that will be taken to prevent future Please conduct and log a disaster drill

Observe children, ratios, supervision, child files. NAC 340 1. Procedures for admission must provide NAC 340 01/29/202 the caregiver with sufficient information and 1. The specific actions that will 5 instruction from the parents to enable the be taken to correct the caregiver to prepare a record and to make decisions or act on behalf of the child. deficiency and verification of 2. Before the admission of a child to a completion, i.e. documents, facility, the parent shall give the following photographs, etc. (MUST information to the caregiver: (a) The child ' s full legal name, date of ADDRES forms and immunization records are obtained before allowing Based on file review conducted on entry into the Kids Club facility. 01/22/2025, it was observed that one We will be sure to check child was missing enrollment forms. Please ensure that children who are children’s immunization records present at the facility have files according to the birth date and accessible to staff and CCL at all times. obtain the immunization records Please answer the four questions and through the immunization portal upload requested documentation into and alert parents when the the Plan of Correction by 02/06 ADDRESS ALL AREAS MAY Based on file review, it was observed RESULT IN AN that there was one child missing their UNACCEPTABLE PLAN OF signed NRS 432A.178 form. Please CORRECTION request that child’s parent sign and return this form and ensure that child Cydni James, Regional Kids forms and files are accessible to staff and CCL. Please answer the four Club Compliance Manager, will questions and upload form into the Plan be responsible. of Correction by 02/06/2025. Refer to the Child Identifier List for name of child. NAC 360 1. The licensee of a facility shall not NAC 360 01/29/202 disclose to COMPLETE) Based on file review conducted on 01/22/2025, it was observed that child The email was sent on #1 is missing their Permission to 1/30/2025 Release form. Please request that child’s parent read and sign this form 3. Changes that will be made or and ensure that child files and forms are available to staff across facilities. measures that will be taken to Upload into the Plan of Correction by prevent future occurrence of the 02/06/2025. Please email Surveyor deficient practice (MUST once this is completed. Refer to child ADDRESS) identifier list for name of child. Based on file review conducted on The email was sent on 01/22/2025, it was observed that 1/29/2025 children were missing immunizations or religious exemption forms for all 3. Changes that will be made or required immunizations. Please refer to measures that will be taken to child identifier list for name of child. prevent future occurrence of the Please request that child’s parent schedule an appointment for these deficient practice (MUST shots and returns an updated record for ADDRESS) your file. Ensure that child files and forms are accessible across facilities for Moving forward, we will e

This Statement of Deficiencies was generated as a result of the on-site State licensure survey conducted at your facility on 01/06/2025. The facility is licensed for 68 Children as an Accommodation. The census at the time of survey was 0 children and 2 staff. 0 children files were reviewed and 9 staff files were reviewed. Facility was unable to provide children's files during inspection. Surveyor will return to review child files. Reminders: 1. Play structure storage area needs to be 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 1477 B. WING _______________________ 01/06/2025 EOS FITNESS - CENTENNIAL 6564 LOSEE... Based on observation upon Surveyor’s arrival at thefacility, it was observed that the hours listed on the Kids Club door were notthe same as the hours listed on their license. Surveyor’s conducted theinspection during their closed hours and were unable to complete the inspectiondue to the

The facility is licensed for 68 children as an Accommodation. The census at the time of investigation was 7 children. 7 children's files and 10 staff files were reviewed. NAC NAC 09/11/202 280.6 6. To maintain his or her license, the 280.6 1. actions that will be 4 The specific 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: CYDNI JAMES Title: Regional Compliance Manager Date: 09/11/2024 REPRESENTATIVE'S SIGNATURE Based on record We received an update from the review, State Fire Certificate of Compiance expired 12/08/23. Upload current State Fire company who facilitates the fire Certificate of Compliance once received alarms installed. We have then post on wall. passed our pre-test and waiting for the results of the final inspection for the gym, before we can request the Childcare Fire Inspection. 2. The date the corrective action will be completed (MUSTCOMPLETE) The update was given to us on 9.4.24 3. Changes that will be made or measures that will be taken to prevent future occurrence of the deficien Based on record Cydni James, Regional Kids review, Vanessa-Mae G and Courtney H Club Compliance Managerwill be need to register with NV Registry. Upload responsible. NV Registry certificate then place in employee file. NRS 230 NRS 230 1. The specific actions that will be taken to 08/31/202 Certificate of immunization prerequisite to correct the deficiency and verification of 4 admission to child care facility; conditional completion, i.e. documents, photographs, admission; report to Health Division. Except etc. as otherwise provided in NRS 432A.235 for accommodation facilities: We have obtain Based on record review, Child #4 needs 2nd Hep A. Upload current immunizations then place in child file.

This Statement of Deficiencies was generated as a result of the on-site State licensure survey conducted at your facility on 01/08/2024. The facility is licensed for 68 children as a accommodation. The census at the time of survey was 7 children. 15 children's files and 6 staff files were reviewed. Reminders: Please upload all documents to renewal application 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: ARGIE REYES Title: Regional Compliance Manager Da 2. The date the corrective action will Based on interview and record review be completed (MUST COMPLETE) • We are hoping to get this done on 01/09/2024, the facility did not have within the next month or two. This is verification of a current Certificate of a big project and will take time to Compliance. The Certificate of finish. Compliance was noted to have expired on 12/22/2023. Please contact the 3. Changes that will be made or State Fire Marshal ' s office or your measures that will be taken to prevent local fire inspection agency to secure a future occurrence of the deficient current Ce

This Statement of Deficiencies was generated as a result of the on-site State licensure survey conducted at your facility on 08/24/2023. At time of inspection no regulatory deficiencies. The facility is licensed for 68 children as an Accommodation. The census at the time of survey was 4 children. 10 children's files and 7 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 2/10/2023. The facility is licensed for 68 Children as an accommodation center. The census at the time of survey was 3 children and 15 children files were reviewed, and 7 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 ofthe on-site State licensure survey conducted at your facility on 9/30/2022. Thefacility is licensed for 68 Children as a center. The census at the time ofsurvey was 2 children and 15 children files were reviewed, and 7 staff fileswere reviewed. If deficiencies are cited, an approved plan of correction must be returned within 10 days after receipt of this statement of deficiencies. LABORATORY DIRECTOR'S OR PROVIDER/SUPPLIER Name: Title: Date: REPRESENTATIVE'S SIGNATURE

The facility is licensed for 68 children as an Accomodation. The census at the time of investigation was 1 child. 1 child's files and 10 staff files were reviewed. NRS 230 NRS 230 1. We have reached out to the parent of the 02/07/202 Certificate of immunization prerequisite to child that was missing a dose of Hep A. I 2 admission to child care facility; conditional will be attaching a screenshot of the email admission; report to Health Division. Except sent to the parent. In that email we made as otherwise provided in NRS 432A.235 for sure that they understand that we are not accommodation fa Based on record review, Child #1 needs updated immunizations. Upload current shot record showing 2nd Hep A then place in child file.

This Statement of Deficiencies was generated as a result of the on-site State licensure inspection conducted at your facility on 1/5/2026. 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 55 children as an Accommodation. The census at the time of survey was 5 children. 5 children's files and 0 staff files were reviewed due to completed LOT not being on site, an ADHOC inspection will be conducted at a later time. 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: CYDNI JAMES Title: Regional Kids Club... During the inspection (MUST ADDRESS) FAILURETO the following was observed: ADDRESS ALL AREAS MAY - Blue mat in jungle gym has tears RESULT INAN throughout UNACCEPTABLE PLAN OF - Black step in jungle gym has tears CORRECTION *Upload proof of correction to SOD and answer the four POC questions. Cydni James, Regional Kids Club Compliance Manager will be responsible AND During the CORRECTION inspection the following was observed: CydniJames, Regional Kids Club - Tape is lifting on hopscotch Compliance Manager will be responsible. *Upload proof of correction to SOD and answer the four POC questions. NRS 230 NRS 230 01/13/202 Certificate of immunization prerequisite to 1. Thespecific actions that will be taken to 6 admission to child care facility; conditional correct the deficiency and verificationof admission; report to Health Division. Except completion, i.e. documents, photographs, as otherwise provided in NRS 432A.235 for etc. accommodation facilities: 1. Duringthe inspection the following was observed: - Child number 4 and 5 are missing immunizations. Please see identifier. *Uploadproof of correction to SOD and answer the four POC questions.

This Statement of Deficiencies was generated as a result of the on-site State licensure survey conducted at your facility on 08/08/2025. The facility is licensed for 68 Children as an Accommodation. The census at the time of the survey was 7 children and 2 staff. Files were not reviewed during this inspection visit but will be reviewed at the next inspection. Reminder: Ensure that the space for the complaint log is titled. COS - There was an outlet with a safety If deficiencies are cited, an approved plan of correction must be returned within 10 days after receipt of this statement of deficie completed the Disaster for the month of August and logged into the Fire/Disaster Based on a review of Emergency Drill Drill Log. logs during on-site inspection, it was observed that the last documented 2. The date of the corrective action will be completed Disaster Drill was in 04/30/2025. The next drill should have been completed The update was given to us on 8/15/25 and logged in July 2025. Ensure that Disaster drills are completed and 3. Changes that will be made or measures logged every three months (quarterly). that will be taken to prevent future Please conduct and log a disaster drill

Observe children, ratios, supervision, child files. NAC 340 1. Procedures for admission must provide NAC 340 01/29/202 the caregiver with sufficient information and 1. The specific actions that will 5 instruction from the parents to enable the be taken to correct the caregiver to prepare a record and to make decisions or act on behalf of the child. deficiency and verification of 2. Before the admission of a child to a completion, i.e. documents, facility, the parent shall give the following photographs, etc. (MUST information to the caregiver: (a) The child ' s full legal name, date of ADDRES forms and immunization records are obtained before allowing Based on file review conducted on entry into the Kids Club facility. 01/22/2025, it was observed that one We will be sure to check child was missing enrollment forms. Please ensure that children who are children’s immunization records present at the facility have files according to the birth date and accessible to staff and CCL at all times. obtain the immunization records Please answer the four questions and through the immunization portal upload requested documentation into and alert parents when the the Plan of Correction by 02/06 ADDRESS ALL AREAS MAY Based on file review, it was observed RESULT IN AN that there was one child missing their UNACCEPTABLE PLAN OF signed NRS 432A.178 form. Please CORRECTION request that child’s parent sign and return this form and ensure that child Cydni James, Regional Kids forms and files are accessible to staff and CCL. Please answer the four Club Compliance Manager, will questions and upload form into the Plan be responsible. of Correction by 02/06/2025. Refer to the Child Identifier List for name of child. NAC 360 1. The licensee of a facility shall not NAC 360 01/29/202 disclose to COMPLETE) Based on file review conducted on 01/22/2025, it was observed that child The email was sent on #1 is missing their Permission to 1/30/2025 Release form. Please request that child’s parent read and sign this form 3. Changes that will be made or and ensure that child files and forms are available to staff across facilities. measures that will be taken to Upload into the Plan of Correction by prevent future occurrence of the 02/06/2025. Please email Surveyor deficient practice (MUST once this is completed. Refer to child ADDRESS) identifier list for name of child. Based on file review conducted on The email was sent on 01/22/2025, it was observed that 1/29/2025 children were missing immunizations or religious exemption forms for all 3. Changes that will be made or required immunizations. Please refer to measures that will be taken to child identifier list for name of child. prevent future occurrence of the Please request that child’s parent schedule an appointment for these deficient practice (MUST shots and returns an updated record for ADDRESS) your file. Ensure that child files and forms are accessible across facilities for Moving forward, we will e

This Statement of Deficiencies was generated as a result of the on-site State licensure survey conducted at your facility on 01/06/2025. The facility is licensed for 68 Children as an Accommodation. The census at the time of survey was 0 children and 2 staff. 0 children files were reviewed and 9 staff files were reviewed. Facility was unable to provide children's files during inspection. Surveyor will return to review child files. Reminders: 1. Play structure storage area needs to be 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 1477 B. WING _______________________ 01/06/2025 EOS FITNESS - CENTENNIAL 6564 LOSEE... Based on observation upon Surveyor’s arrival at thefacility, it was observed that the hours listed on the Kids Club door were notthe same as the hours listed on their license. Surveyor’s conducted theinspection during their closed hours and were unable to complete the inspectiondue to the

The facility is licensed for 68 children as an Accommodation. The census at the time of investigation was 7 children. 7 children's files and 10 staff files were reviewed. NAC NAC 09/11/202 280.6 6. To maintain his or her license, the 280.6 1. actions that will be 4 The specific 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: CYDNI JAMES Title: Regional Compliance Manager Date: 09/11/2024 REPRESENTATIVE'S SIGNATURE Based on record We received an update from the review, State Fire Certificate of Compiance expired 12/08/23. Upload current State Fire company who facilitates the fire Certificate of Compliance once received alarms installed. We have then post on wall. passed our pre-test and waiting for the results of the final inspection for the gym, before we can request the Childcare Fire Inspection. 2. The date the corrective action will be completed (MUSTCOMPLETE) The update was given to us on 9.4.24 3. Changes that will be made or measures that will be taken to prevent future occurrence of the deficien Based on record Cydni James, Regional Kids review, Vanessa-Mae G and Courtney H Club Compliance Managerwill be need to register with NV Registry. Upload responsible. NV Registry certificate then place in employee file. NRS 230 NRS 230 1. The specific actions that will be taken to 08/31/202 Certificate of immunization prerequisite to correct the deficiency and verification of 4 admission to child care facility; conditional completion, i.e. documents, photographs, admission; report to Health Division. Except etc. as otherwise provided in NRS 432A.235 for accommodation facilities: We have obtain Based on record review, Child #4 needs 2nd Hep A. Upload current immunizations then place in child file.

This Statement of Deficiencies was generated as a result of the on-site State licensure survey conducted at your facility on 01/08/2024. The facility is licensed for 68 children as a accommodation. The census at the time of survey was 7 children. 15 children's files and 6 staff files were reviewed. Reminders: Please upload all documents to renewal application 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: ARGIE REYES Title: Regional Compliance Manager Da 2. The date the corrective action will Based on interview and record review be completed (MUST COMPLETE) • We are hoping to get this done on 01/09/2024, the facility did not have within the next month or two. This is verification of a current Certificate of a big project and will take time to Compliance. The Certificate of finish. Compliance was noted to have expired on 12/22/2023. Please contact the 3. Changes that will be made or State Fire Marshal ' s office or your measures that will be taken to prevent local fire inspection agency to secure a future occurrence of the deficient current Ce

This Statement of Deficiencies was generated as a result of the on-site State licensure survey conducted at your facility on 08/24/2023. At time of inspection no regulatory deficiencies. The facility is licensed for 68 children as an Accommodation. The census at the time of survey was 4 children. 10 children's files and 7 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 2/10/2023. The facility is licensed for 68 Children as an accommodation center. The census at the time of survey was 3 children and 15 children files were reviewed, and 7 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