First Step Kid's Care

The first aid kit was well stocked. However, the eye wash, which is an important safety item for addressing potential eye-related concerns, expired on 04/01/2026. Please replace the expired eye wash immediately and upload a photo of the new product to the corresponding POC deficiency item. Please be sure to answer the four questions listed in theStatement of Deficiencies (SOD) letter for each cited deficiency. Copy andpaste the questions into your Plan of Correction (POC) and provide a responsefor each one.

This Statement of Deficiencies was generated as a result of the on-site State licensure survey conducted at your facility on 8/14/2025. The facility is licensed for 18 Children as a center. The census at the time of survey was 17 children and 10 children files were reviewed and 7 staff files were reviewed. *Please repair the rusted area in the toddler's playground fence, email picture to surveyor. 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: Dat Please repair the rusted area in the toddler's playground fence, upload picture to the plan of correction. NRS 230 NRS 230 1: Action that will be taken for correction : 08/22/202 Certificate of immunization prerequisite to to check all kids files periodically. to make 5 admission to child care facility; conditional sure that all immunization records are up to admission; report to Health Division. Except date. If needed, inform the parent verbally as otherwise provided in NRS 432A.235 for or a reminder letter to please provide an accommodation facilities: updated immunization record. 1. Except Based on child's record review, child #3 needs updated vaccination records, please refer to the identification list to obtain name and upload the records into the plan of correction.

This Statement of Deficiencies was generated as a result ofthe on-site State licensure survey conducted at your facility on 4/21/2025. Thefacility is licensed for 69 Children as a center. The census at the time ofsurvey was 18 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 survey conducted at your facility on 8/08/2024. The facility is licensed for 69 Children as a center. The census at the time of survey was 14 children and 10 children files were reviewed and 6 staff files were reviewed. **Reminder** Please talk to your staff regarding positive discipline. One child need the correct exempt immunization form. 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 PROV Based on observation the fence has some rust areas, the sprinkles caps are missing resulting in sharp edges, the wooden cover on the wall is chipped. The playhouse covering the water fountain has sharp edges. There are some chipped paint and the wall, the handrail's paint is chipped and has some rust areas. Please replace or repair and upload pictures into the plan of correction. Based on observation, 2 storage bins are broken and have sharp edges, please replace or fix bins. The bookshelf in the infant room has chipped paint and the metal plate on wall is loose and has some chipped paint. Please replace or repair and upload pictures into the plan of correction.

This Statement of Deficiencies was generated as a result of the on-site State licensure survey conducted at your facility on 4/25/2024. The facility is licensed for 69 Children as a center. The census at the time of survey was 18 children and 10 children files were reviewed and 6 staff files were reviewed. NAC 310 1. Every member of the staff of a facility, NAC 310 2 NAC 310 05/12/202 including a volunteer, and each resident of 1. Action taken. Contacted Ms. Lessie to 4 the facility shall present to the director of give me a copy of her TB test. the facility, to be placed in the person’s file Based on staff's binder review, Leslie S. needs negative TB test results. Please upload the records into the plan of correction. NRS 230 NRS 230 #3 NRC 23 05/12/202 Certificate of immunization prerequisite to 4 admission to child care facility; conditional 1: Specific Action: I informed Child #1 that I admission; report to Health Division. Except needed an updated copy of her childs as otherwise provided in NRS 432A.235 for immunization record. accommodation facilities: I informed Child #2 that I 1. Except as otherwise provided in needed an updated copy of her childs subsection 3 and unless e Based on children's files two children need updated vaccination records, please refer to the identification list to obtain names and specifics. Please upload the records into the plan of correction.

This Statement of Deficiencies was generated as a result of the on-siteState licensure survey conducted at your facility, for State license #1112,on 09/12/2023. There were no regulatorydeficiencies identified at the time of the survey. Inspection consensus, thefacility is licensed for 18 children as a center. The census at the timeof survey was 16 children. 10 children's files and 4 staff files werereviewed Reminder: Signs of Illness needs to be retaken for Sonia and Ursula, training over 10 years. Can be taken towards annual hours for next licensing year. If deficiencies are cited, an approv

The facility is licensed for 18 children as a Center. The census at the time of inspection was 16 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

The facility is licensed for 18 children as a Center. The census at the time of inspection was 17 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

License capacity 18 Facility Type C Total Number of Children 10 Number of child files reviewed 10 Number of staff files reviewed 7 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

REMINDERS *Masks need to cover nose and mouth anytime staff are inside *Nap sheets and any toys need to be cleaned, sanitized and disinfected daily. *Sensory activities need to be individual per child or discontinued. 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: SONIA WILHELM Title: Owner /Director Date: 09/25/2021 REPRESENTATIVE'S SIGNATURE Division of Public an Based on record review the facility NABS roster the following documents are missing from the NABS roster 1. Ursula D. – missing Sheriff Card and Consent and release 2. May R. - missing Sheriff Card and Consent and release 3. Sonia W. - missing Sheriff Card and Consent and release 4. Destiny Y – missing temporary Sheriff Card. NAC "3. The licensee of a facility shall hold: NAC Concerning the Fire/Disaster Drill Log. it 09/25/202 280.3 (a) A fire drill at least once every month; and 280.3 was posted but overlooked. it was right 1 (b) A drill for natural disasters at least once under the Fire/Di Based on record review the person in charge was unable to find the Fire and Disaster drill logs. 979 B. WING _______________________ 09/08/2021 FIRST STEP KID'S CARE 4701 E. OWENS AVE, LAS VEGAS, NEVADA ,89110 (X4 Based on record review children #3 and 4 are missing up to date shot records 979 B. WING _______________________ 09/08/2021 FIRST STEP KID'S CARE 4701 E. OWENS AVE, LAS VEGAS, NEVADA ,89110 Based on record review child #2 is missing a developmental assessment 979 B. WING _______________________ 09/08/2021 FIRST STEP KID'S CARE 4701 E. OWENS AVE, LAS VEGAS, NEVADA ,89110 NAC 520 1. A licensee of a child care facility shall NAC 520 In order to correct this situation to not 09/20/202 have a staff which is sufficient in number to happen again. Before I leave or Im not 1 provide physical care, supervision and there. I will review instructions on not to individual attention to each child and allow leave the infant time for interaction between the staff and room. if something is needed please ask the children to promote the children ' s another staff member. social competence, emotional well-being and intellectual development. 2. Except as otherwise provided in subsection 3, in addi... Based on observation the Infant room teacher was seen leaving the children in the room unattended on more than one occasion.

This Statement of Deficiencies was generated as a result of the on-site State licensure survey conducted at your facility on 03/30/2021. NAC 306 1. Every caregiver in a child care facility NAC 306 1. The action taken to correct the 04/14/202 must: deficiencies. I obtained the 2 documents 1 (a) Be at least 16 years of age; and they were scanned / and uploaded. (b) Be able to summon help in an emergency; 2. the correction for employee #1 was (c) Be emotionally and physically qualified corrected on Mar. 25th,21 but she forgot to to carry out a program which places give it to me. employee #2 was 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. May R. Adelina P. NRS 230 NRS 230 1. The specific action that was taken. I 04/14/202 Certificate of immunization prerequisite to obtained the document from the parent. It 1 admission to child care facility; conditional was scanned/and uploaded . admission; report to Health Division. Except 2. The date that that the correction was as otherwise provided in NRS 432A.235 for completed on April 2nd,21 3. The changes that Based on observation and record review, facility failed to have signed copy of form notifying parents of right to request complaint information for the following children as referenced on the identifier sheet: Child # 1

This Statement of Deficiencies was generated as a result of the on-site State licensure survey conducted at your facility on 8/14/2025. The facility is licensed for 18 Children as a center. The census at the time of survey was 17 children and 10 children files were reviewed and 7 staff files were reviewed. *Please repair the rusted area in the toddler's playground fence, email picture to surveyor. 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: Dat Please repair the rusted area in the toddler's playground fence, upload picture to the plan of correction. NRS 230 NRS 230 1: Action that will be taken for correction : 08/22/202 Certificate of immunization prerequisite to to check all kids files periodically. to make 5 admission to child care facility; conditional sure that all immunization records are up to admission; report to Health Division. Except date. If needed, inform the parent verbally as otherwise provided in NRS 432A.235 for or a reminder letter to please provide an accommodation facilities: updated immunization record. 1. Except Based on child's record review, child #3 needs updated vaccination records, please refer to the identification list to obtain name and upload the records into the plan of correction.

This Statement of Deficiencies was generated as a result ofthe on-site State licensure survey conducted at your facility on 4/21/2025. Thefacility is licensed for 69 Children as a center. The census at the time ofsurvey was 18 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 survey conducted at your facility on 8/08/2024. The facility is licensed for 69 Children as a center. The census at the time of survey was 14 children and 10 children files were reviewed and 6 staff files were reviewed. **Reminder** Please talk to your staff regarding positive discipline. One child need the correct exempt immunization form. 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 PROV Based on observation the fence has some rust areas, the sprinkles caps are missing resulting in sharp edges, the wooden cover on the wall is chipped. The playhouse covering the water fountain has sharp edges. There are some chipped paint and the wall, the handrail's paint is chipped and has some rust areas. Please replace or repair and upload pictures into the plan of correction. Based on observation, 2 storage bins are broken and have sharp edges, please replace or fix bins. The bookshelf in the infant room has chipped paint and the metal plate on wall is loose and has some chipped paint. Please replace or repair and upload pictures into the plan of correction.

This Statement of Deficiencies was generated as a result of the on-site State licensure survey conducted at your facility on 4/25/2024. The facility is licensed for 69 Children as a center. The census at the time of survey was 18 children and 10 children files were reviewed and 6 staff files were reviewed. NAC 310 1. Every member of the staff of a facility, NAC 310 2 NAC 310 05/12/202 including a volunteer, and each resident of 1. Action taken. Contacted Ms. Lessie to 4 the facility shall present to the director of give me a copy of her TB test. the facility, to be placed in the person’s file Based on staff's binder review, Leslie S. needs negative TB test results. Please upload the records into the plan of correction. NRS 230 NRS 230 #3 NRC 23 05/12/202 Certificate of immunization prerequisite to 4 admission to child care facility; conditional 1: Specific Action: I informed Child #1 that I admission; report to Health Division. Except needed an updated copy of her childs as otherwise provided in NRS 432A.235 for immunization record. accommodation facilities: I informed Child #2 that I 1. Except as otherwise provided in needed an updated copy of her childs subsection 3 and unless e Based on children's files two children need updated vaccination records, please refer to the identification list to obtain names and specifics. Please upload the records into the plan of correction.

This Statement of Deficiencies was generated as a result of the on-siteState licensure survey conducted at your facility, for State license #1112,on 09/12/2023. There were no regulatorydeficiencies identified at the time of the survey. Inspection consensus, thefacility is licensed for 18 children as a center. The census at the timeof survey was 16 children. 10 children's files and 4 staff files werereviewed Reminder: Signs of Illness needs to be retaken for Sonia and Ursula, training over 10 years. Can be taken towards annual hours for next licensing year. If deficiencies are cited, an approv

The facility is licensed for 18 children as a Center. The census at the time of inspection was 16 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