Eos Fitness Rancho

The facility is licensed for 26 children as an Accommodation. The census at the time of inspection was 4 children. If deficiencies are cited, an approved plan of correction must be returned within 10 days after receipt of this statement of deficiencies. LABORATORY DIRECTOR'S OR PROVIDER/SUPPLIER Name: Title: Date: REPRESENTATIVE'S SIGNATURE

This Statement of Deficiencies was generated as a result of the on-site State licensure inspection conducted at your facility on 10/03/2025. Please respond to each deficiency and attach documents as requested for the deficiency it pertains to. Sign and submit your Plan of Correction within 10 business days of receipt. The facility is licensed for 26 children as an Accommodation. The census at the time of survey was 10 children. 10 children's files and 9 staff files were reviewed. Based on record RESULT IN AN review, CPR/First Aid certification (expires UNACCEPTABLE PLAN OF 0424.26) for Cydni J. shows as "instructor". CORRECTION Please provide documentation that shows the this certification covers CPR and FIRST Aid for Adults/Children/Infants. Otherwise, Cydni James, Regional Kids staff member needs certification that clearly Club Compliance Manager will states the cetification is for First Aid and be responsible. CPR for all 3 age groups. Please answer the 4 POC questions. NRS 230 NRS 230 10/06/202 Certificate of immunization prerequisite to 1. The specific actions th Based on interview Club Compliance Manager will and record review, children noted below failed to have current immunization records be responsible. on file at time of inspection. Please submit a copy of the current immunization record for children noted below: Child #6: missing Varicella, and MMR Child #9: missing Varicella, and MMR Answer the 4 POC questions.

This Statement of Deficiencies was generated as a result of the on-site State licensure inspection conducted at your facility on 05/22/2025. There were no regulatory deficiencies identified at the time of the survey. The facility is licensed for 30 children as an accommodation. The census at the time of survey was 3 children. 0 children's files and 0 staff files were reviewed. Reminders: 1. Continue to keep staff, children and facility files current and updated and "inspection ready" at all times. 2. Surveyor will email designated Operator a carpet log. Use that log to keep track of when the

This Statement of Deficiencies was generated as a result of the on-site State licensure survey conducted at your facility, for State license #4099, on 11/5/24. There were no regulatory deficiencies identified at the time of the survey. Inspection consensus, the facility is licensed for 30 children as a accommodation. The census at the time of survey was 0 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/SUPPLI