Foothills Montessori School

This Statement of Deficiencies was generated as a result of the on-site State licensure inspection conducted at your facility on 03/31/2026. 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 114 children as a Center. The census at the time of survey was 106 children. 0 children's files and 0 staff files were reviewed. During the inspection the following was observed: - staff members Krystal R needs prints and memo Paula M needs prints and memo * Director sent staff to get printed and will email surveyor by end of day on 3.31.26 in addition to completing the POC requirements. *Upload proof of correction to SOD and answer the four POC questions. 1416 B. WING _______________________ 03/31/2026 FOOTHILLS MONTESSORI SCHOOL 1401 AMADOR LANE, HENDERSON, NEVADA ,89012 NAC 1. Every member of the staff of a facility, NAC 04/17/202 310.1 including a volunteer, and each resident of 310.1 Plan of Correction – During the inspection the following was observed: - Staff member Paula M won site without current TB. * Director sent staff to get tested and will email surveyor by end of day on 3.31.26 in addition to completing the POC requirements. *Upload proof 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 08/29/2025. The facility is licensed for 114Children as a Center. The census at the time of the survey was 88 children and11 staff. 20 children’s files were reviewed, and 19 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: DANNA KARLAVAGE Title: Head of School Date: 09/18/2025 REPRESENTATIVE'S SIGNATURE STA 9/16/2025; stamped/signed fingerprint receipt will be Based on review of staff files, there uploaded same day. were staff who aremissing their consent and release forms and Memo of Eligibility. Please upload the requested • If NABS is operational by forms for the staff listed below to the 9/23/2025, we will upload an Plan of Correction by 09/23/2025. updated NABS roster showing Ensure that you answer all 4 questions both staff as pending/in process; in the POC box under "remarks." if NABS remains down, we’ll Staff Andrea H. and Robert G. need to fill • Staff without current NV Registry documentation are Based on staff file review,there were staff who were missing their NV removed from schedule until Registry certificates. Staff listed below proof is on file. are missing their NV Registry. Please upload proof of NV Registry to the Plan of Correction by 09/23/2025. Ensure 4) Responsible person: that you answer all 4 questions in the POC box under "remarks." • Primary: Rebekah Atmadja- Please upload the NV Registry Certificate for Kini T. Division of Basedon staff file review, there were staff or volunteers with missing or expired negative TB test results. Please have staff tested and upload negative TB test results into the Plan of Correction by 09/23/2025 for the staff listed below. Ensure that you answer all 4 questions in the POC box under "remarks." Please upload TB result forms for Robert G. and Andrea H. NAC 320 1. Except as otherwise provided in NRS NAC 320 09/18/202 432A.177 , within the first 2 weeks after 5 commencing employment, newly employed Robert Ginther has been removed members of the staff of a facility must be from our employee list. He is no given a written and oral orientation program longer an employee of Foothills 1416 B. WING _______________________ 08/29/2025 FOOTHILLS MONTESSORI SCHOOL 1401 AMADOR LANE, HENDER... Based on staff binder review, it was observed that the staff listed below are missing their Orientation Checklists. Please upload signed and completed Orientation Checklists into the Plan of Correction by 09/23/2025. Ensure that you answer all 4 questions in the POC box under "remarks." Andrea H. and Robert G. NAC 340 1. Procedures for admission must provide NAC 340 09/18/202 the caregiver with sufficient information and 5 instruction from the parents to enable the POC — Missing caregiver to prepare a record and to make decisions or act on behalf of the child. Admission Form 2. Before the adm 09/02/2025); updated enrollment Based on file review conducted during checklist noting completion. inspection, it was observed that child #6 is missing their Admission form. Please 2) Date corrective action completed: request that child’s parent fill out, September 2, 2025. complete and sign this form and upload into the Plan of Correction by 3) Measures to prevent recurrence: 09/23/2025. Refer to Child Identifier List for Children’s names. Ensure that you • Admissions packet checklist answer all 4 questions in the POC box. gate: Admission Form must be on file before any attendance. • Same-da series and not yet required for Based on file review conducted, it was this child’s age. observed that child #4 is missing immunizations or religious exemption forms for all required immunizations. • 09/15/2025: Uploaded proof Please refer to child identifier list for of age (DOB documentation) name of child. Please request that and the current immunization child’s parent schedule an appointment record showing up-to-date- for these shots and return an updated for-age status. record for your file. Upload immunizations form or exemption form to the Plan of Correction by 09/23/2025. Ensure that

This Statement of Deficiencies was generated as a result of the on-site State licensure survey conducted at your facility on 04/23/2025. The facility is licensed for 114 Children as a Center. The census at the time of the survey was 91 children and 12 staff. Files were not reviewed during this inspection visit but will be reviewed at the next inspection. NAC 4. Fingerprints must be taken and NAC PLAN OF CORRECTION 05/23/202 200.4 applications for investigations must be 200.4 Facility Name: Foothills Montessori School 5 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 1416 B. WING _______________________ 04/23/2025... • Background clearances Based on interview and NABS roster • Health records and immunizations review, it wasobserved that staff Laura Thiele and Kerry Osbourn were not on • Emergency contact forms the roster and will need to be re-printed. Surveyor required provider to have the • Staff training and certifications two staff reprinted and a copy of C & R emailed to Surveyor by 12pm on • Signed consents and authorizations 4/25/25. Provider met deadline and emailed a copy of C&R forms for both A File Audit Completion Checklist was created and filed. All documents are now staff. Please upload Consent and organized, current, and prepared for review Release forms for Laura Thiele and Kerry at the next scheduled inspection. Osbourn into NABS and upload a copy Verification of completion is availabl...

The Facility is licensed for 114 children as a Center. The census at the time of inspection was 58 children. 15 child's files and 18 staff files were reviewed: Reminders: NABS: Ensure to complete a new application in NABS for staff M. Eckes and upload new Consent & Release form in order for new Eligibility Memo to be processed. First-Aid Kit: Eyewash is due to expire 9/2024. Ensure to renew eyewash solution in all First-Aid Kits. Classrooms: Ensure that brooms and dustpans are placed upright, on wall in classrooms. If deficiencies are cited, an approved plan of correction must be returned wit

This Statement of Deficiencies was generated as a result of the onsite State licensure inspection conducted on 03/28/2024. There were no regulatory deficiencies observed at the inspection. This facility is licensed for 114 children as a center. There were 50 children at the time of the inspection. 10 children's files and 18 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 114 children as a Center. The census at the time of inspection was 97 children. 25 children's files and 19 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 04/04/2023. At time of inspection no regulatory deficiencies were noted. The facility is licensed for 114 children as a center. The census at the time of survey was 95 children. 20 children's files and 18 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 09/20/2022. The facility is licensed for 114 children as a center. The census at the time of survey was 100 children. 25 children's files and 17 staff files were reviewed. Reminders: Please ensure that all renewal documents are uploaded to your renewal application. NRS 178 Child care facility required to maintain NRS 178 Plan of Correction- On 9/23/22, we emailed 09/23/202 If deficiencies are cited, an approved plan of correction must be returned within 10 days after re Based on observation and record review, parent was not informed of right to view complaints made against facility. Ensure parents sign NRS 178 notification form and it is kept in the child's file. Please upload NRS178 for children listed on the identifier list. Child # 1

This Statement of Deficiencies was generated as a result of the on-site State licensure survey conducted at your facility on 3/24/22. The facility is licensed for 114 Children as a center. The census at the time of survey was 91 children and 25 children files were reviewed and 19 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: KRISTA SALVATI Title: School Leader Date: 03/23/2022 REPRESENTATIVE'S SIGNATURE Based on record been verified within three months. We will review the facility did not have current also be diligent in printing out the consent and release papers or memo's on appropriate paperwork for our licensing file for the following staff: binders. Diana Marquina - new C & Rn- also upload 4. The person responsible is our director into NABS( if not there already) but the administrative team is also Yesinia Medina - New C & R - also upload responsible for ensuring the timely into NABS organization of all Child Care Licensing Lora Milne - new C & R - also upload into documents. NABS Krist Based on record review the facility failed to provide evidence of health statement for the following children: Child 23 - Health statement & permission to release Please see child identifier list located in documents.

Based on record review the following did not have evidence of TB negative Test. Jennyfer C. NAC 323 1. Except as otherwise provided in NAC NAC 323 The staff that were required to retake the 09/27/202 432A.521 and NRS 432A.177, within 120 course with the "blood borne pathogens" 1 days after commencing his or her included, have all completed the course. All 1416 B. WING _______________________ 09/14/2021 FOOTHILLS MONTESSORI SCHOOL 1401 AMADOR LANE, HENDERSON, NEVADA ,89012 employment or position in a child care staff will be given instructions on how to facility, each person who is employed in a register for the appropriate signs and child care facility, other than a person symptoms class for CCL and the Nevada employed in a facility that provides care for Registry. Melissa Eckes will be re... Based on record review the facility did not provide evidence of initial trainings for the following staff. Kim K. - Child Wellness ( obesity) Diana M - Signs of illness /Blood born pathogens - Need both names on certifates Yesinia M - Signs of illness /Blood born pathogens Alisa P. - Signs of illness /Blood born pathogens Katherine W. - Signs of illness /Blood born pathogens NAC 340 1. Procedures for admission must provide NAC 340 Admissions packet, assessment, and 09/16/202 Division of Public and Beha Based on record review the following children were missing admissions packet. Child 3 - Please see child identifier list. 1416 B. WING _______________________ 09/14/2021 FOOTHILLS MONTESSORI SCHOOL 1401 AMADOR LA

This Statement of Deficiencies was generated as a result of the on-site State licensure survey conducted at your facility on 04/08/21. NAC 323 1. Except as otherwise provided in NAC NAC 323 1. Wellness class was completed by Carla 04/19/202 432A.521 and NRS 432A.177, within 120 Rosas 1 days after commencing his or her employment or position in a child care 2. Complete 4/19/2021 facility, each person who is employed in a child care facility, other than a person 3. We will ensure that at the 90 mark we sit employed in a facility that provides care for with all new employees ensuring they have ill children, and each director of a child care completed the necessary requirements facility shall complete: (a) Any training required by the facility in 4. Kim Gallagher which the director serves or i... Based on interview and record review, the facility failed to ensure that within 120 days of hire each employee completed the required hours of training in child care. Training not on file for staff as noted below: Child Wellness- C. Rosas NRS 230 NRS 230 1. The family was notified that the 04/15/202 Certificate of immunization prerequisite to immunizations must be up to date for the 1 admission to child care facility; conditional child to attend and provide proof to us that admission; report to Health Division. Except they have been completed. as otherwise provided in NRS 432A.235 for accommo Certificate of immunization prerequisite to admission to child care facility; Child(ren) as noted below failed to have current immunization records on file at time of inspection. Child #1

This Statement of Deficiencies was generated as a result of the on-site State licensure survey conducted at your facility on 08/29/2025. The facility is licensed for 114Children as a Center. The census at the time of the survey was 88 children and11 staff. 20 children’s files were reviewed, and 19 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: DANNA KARLAVAGE Title: Head of School Date: 09/18/2025 REPRESENTATIVE'S SIGNATURE STA 9/16/2025; stamped/signed fingerprint receipt will be Based on review of staff files, there uploaded same day. were staff who aremissing their consent and release forms and Memo of Eligibility. Please upload the requested • If NABS is operational by forms for the staff listed below to the 9/23/2025, we will upload an Plan of Correction by 09/23/2025. updated NABS roster showing Ensure that you answer all 4 questions both staff as pending/in process; in the POC box under "remarks." if NABS remains down, we’ll Staff Andrea H. and Robert G. need to fill • Staff without current NV Registry documentation are Based on staff file review,there were staff who were missing their NV removed from schedule until Registry certificates. Staff listed below proof is on file. are missing their NV Registry. Please upload proof of NV Registry to the Plan of Correction by 09/23/2025. Ensure 4) Responsible person: that you answer all 4 questions in the POC box under "remarks." • Primary: Rebekah Atmadja- Please upload the NV Registry Certificate for Kini T. Division of Basedon staff file review, there were staff or volunteers with missing or expired negative TB test results. Please have staff tested and upload negative TB test results into the Plan of Correction by 09/23/2025 for the staff listed below. Ensure that you answer all 4 questions in the POC box under "remarks." Please upload TB result forms for Robert G. and Andrea H. NAC 320 1. Except as otherwise provided in NRS NAC 320 09/18/202 432A.177 , within the first 2 weeks after 5 commencing employment, newly employed Robert Ginther has been removed members of the staff of a facility must be from our employee list. He is no given a written and oral orientation program longer an employee of Foothills 1416 B. WING _______________________ 08/29/2025 FOOTHILLS MONTESSORI SCHOOL 1401 AMADOR LANE, HENDER... Based on staff binder review, it was observed that the staff listed below are missing their Orientation Checklists. Please upload signed and completed Orientation Checklists into the Plan of Correction by 09/23/2025. Ensure that you answer all 4 questions in the POC box under "remarks." Andrea H. and Robert G. NAC 340 1. Procedures for admission must provide NAC 340 09/18/202 the caregiver with sufficient information and 5 instruction from the parents to enable the POC — Missing caregiver to prepare a record and to make decisions or act on behalf of the child. Admission Form 2. Before the adm 09/02/2025); updated enrollment Based on file review conducted during checklist noting completion. inspection, it was observed that child #6 is missing their Admission form. Please 2) Date corrective action completed: request that child’s parent fill out, September 2, 2025. complete and sign this form and upload into the Plan of Correction by 3) Measures to prevent recurrence: 09/23/2025. Refer to Child Identifier List for Children’s names. Ensure that you • Admissions packet checklist answer all 4 questions in the POC box. gate: Admission Form must be on file before any attendance. • Same-da series and not yet required for Based on file review conducted, it was this child’s age. observed that child #4 is missing immunizations or religious exemption forms for all required immunizations. • 09/15/2025: Uploaded proof Please refer to child identifier list for of age (DOB documentation) name of child. Please request that and the current immunization child’s parent schedule an appointment record showing up-to-date- for these shots and return an updated for-age status. record for your file. Upload immunizations form or exemption form to the Plan of Correction by 09/23/2025. Ensure that

This Statement of Deficiencies was generated as a result of the on-site State licensure survey conducted at your facility on 04/23/2025. The facility is licensed for 114 Children as a Center. The census at the time of the survey was 91 children and 12 staff. Files were not reviewed during this inspection visit but will be reviewed at the next inspection. NAC 4. Fingerprints must be taken and NAC PLAN OF CORRECTION 05/23/202 200.4 applications for investigations must be 200.4 Facility Name: Foothills Montessori School 5 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 1416 B. WING _______________________ 04/23/2025... • Background clearances Based on interview and NABS roster • Health records and immunizations review, it wasobserved that staff Laura Thiele and Kerry Osbourn were not on • Emergency contact forms the roster and will need to be re-printed. Surveyor required provider to have the • Staff training and certifications two staff reprinted and a copy of C & R emailed to Surveyor by 12pm on • Signed consents and authorizations 4/25/25. Provider met deadline and emailed a copy of C&R forms for both A File Audit Completion Checklist was created and filed. All documents are now staff. Please upload Consent and organized, current, and prepared for review Release forms for Laura Thiele and Kerry at the next scheduled inspection. Osbourn into NABS and upload a copy Verification of completion is availabl...

The Facility is licensed for 114 children as a Center. The census at the time of inspection was 58 children. 15 child's files and 18 staff files were reviewed: Reminders: NABS: Ensure to complete a new application in NABS for staff M. Eckes and upload new Consent & Release form in order for new Eligibility Memo to be processed. First-Aid Kit: Eyewash is due to expire 9/2024. Ensure to renew eyewash solution in all First-Aid Kits. Classrooms: Ensure that brooms and dustpans are placed upright, on wall in classrooms. If deficiencies are cited, an approved plan of correction must be returned wit

This Statement of Deficiencies was generated as a result of the onsite State licensure inspection conducted on 03/28/2024. There were no regulatory deficiencies observed at the inspection. This facility is licensed for 114 children as a center. There were 50 children at the time of the inspection. 10 children's files and 18 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 114 children as a Center. The census at the time of inspection was 97 children. 25 children's files and 19 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 04/04/2023. At time of inspection no regulatory deficiencies were noted. The facility is licensed for 114 children as a center. The census at the time of survey was 95 children. 20 children's files and 18 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