Grace and Wonder Child Development Center

This statement of deficiencies was generated as a result of a semi annual inspection conducted at your facility on 3.04.26. The facility is licensed for 86 as a child care center. The census at the time of inspection were 54 children. 0 staff 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: PATRICK ULRICH Title: Director Date: 03/16/2026 REPRES Based on observation This is where we keep our interviews, tours, and record review on 3.4.26, facility failed to maintenance, and any other upcoming ensure disaster drills were competed at events. We will add our drills to this least once every three months. Please calendar every 3 months so we will not complete a disaster drill, ensure they are forget to schedule them. This will help us completed at least once every three months keep track of upcoming drills so that we do and file. not miss another one. 4. We will have 3 people in charge of making sure the drills are on the calendar, our op

This statement of deficiencies was generated as a result of an annual inspection conducted at your facility on 10.23.25. The facility is licensed for 86 as a child care center. The census at the time of inspection was 44 children. 15 child files and 24 staff files were reviewed. Annual Trainings due before 10.31.25 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 3.11.25. The facility is licensed for 86 as a child care center. The census at the time of inspection was 59 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 inspection on 9.23.24. The facility is licensed for 86 children as a Child Care facility. The census at the time of the survey was 49. 10 children’s files were reviewed and 28 employee files were reviewed. Reminders and Recommendations: -Purchase crib sheet straps to ensure crib sheets fit tightly -Rake resilient surface to ensure even distribution -Prior to next inspection address your policy regarding taking children to the restroom as to lessen wait/transition times -Staff #5 needs all required initial trainings and Neva

This Statement of Deficiencies was generated as a result of an on-site complaint investigation at your facility on 5/6/24. The facility is licensed for 86 children as a Child Care facility. The census at the time of the survey was 54 children NAC 400 1. A licensee of a facility shall enhance a NAC 400 1. The director and assistant director will 05/13/202 child ' s behavior through positive guidance, spend extra time (started on 5/13/24) 4 redirection of the child ' s behavior and the mentoring the staff member on setting setting of clear-cut limits on behavior. classroom/behavior expectations Based on interview director and the lead teacher on how to on 5/6/24 the facility failed to enhance the enhance a child's behavior. We will also behavior of children through the use of make sure that there is extra support in the positive guidance, redirection of the child's staff member's classroom and outside to behavior and the setting of clear cut limits help her with being able to provide 1 on 1 on behavior. Disciplinary measures used in support for a student who is having trouble a facility must be consistent with supportive, while maintaining safety for the rest of her positive action.

This Statement of Deficiencies was generated as a result of a semi- annual inspection on 3/20/24. The facility is licensed for 86 children as a Child Care facility. The census at the time of the survey was 54. 15 children’s files were reviewed and 24 employee files were reviewed. There were no regulatory deficiencies noted at the time of inspection. Reminders and Recommendations: -Email backgrounds regarding staff discussed -Document quarterly disaster review with staff as discussed -Fire drill due this month -Staff #2 needs CPR upon return to work; Staff #8 needs orientation, Nevada Registry

Statement of Deficiencies was generated as a result of a compliant investigation on 3/18/24 conducted at your facility.?The facility is licensed for 86 children as a child care center. The census at the time of survey was 34 children. There were no regulatory deficiencies identified at the time of the survey.? 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 1.19.24. The facility is licensed for 86 children as a child care facility. The census at the time of investigation was 42 children. NAC 400 1. A licensee of a facility shall enhance a NAC 400 1. All staff will take 3 hours of positive 03/11/202 child ' s behavior through positive guidance, guidance/discipline classes in order to help 4 redirection of the child ' s behavior and the them learn how to better handle age setting of clear-cut limits on behavior. appropriate behaviors in the classroo Based on interview some classes relating to discipline, on 1.19.24 the facility failed to enhance the challenging behaviors, and developing behavior of children through he use of positive relationships. The Director and positive guidance, redirection of the child's Assistant Director will also spend more time behavior, and the setting of clear cut limits. in the classroom helping teachers handle behaviors in their classroom rather than -PreK1; Surveyor was told if the sending kids to the office for age children don’t want to write, appropriate misbehaviors and only sending kids to the office

This Statement of Deficiencies was generated as a result of an annual inspection on 9/5/23. The facility is licensed for 86 children as a Child Care facility. The census at the time of the survey was 52. 20 children’s files were reviewed and 26 employee files were reviewed. Reminders and Recommendations: -Update/upload NABS by 9/8/23 as discussed -Fire and disaster drill due this month -Ensure additional activities and 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/SUP Based on interview and record review on 9/5/23 facility failed to abide by background check procedures. Proper procedures for required background investigation must be followed. The following staff were present on site without being entered into NABS: -Trinity hire date 8/25/23 inspection and the director had time to meet with each classroom teacher, each Basedon interview and record review classroom assistant, and any other staff that on 9/5/23, the facility failed to maintain may be in the classroom. We started adaily sign-in sheet that included the recording first and last names on all sign in sheets on 9/11/23. Upon review of the new first and last names of staff andchildren center policy, the director did notice that and/or times of arrival or departure. one of the classrooms was writing first Provide instruction as necessaryto names and last initials on the st process and discussed with each new hire when they start working here. Each Based on observation and interview on classroom will be inspected on a daily basis 9/5/23, facility failed to recognize and to ensure that all personal items are stored eliminate the following hazards for the in a locked cabinet or out of reach of the children. safety of children as evidenced by the 4. The teacher will be responsible fore following: making sure that all of their items are stored in the proper location when they enter their -Staff personal belongings in PreK room classrooms. This would be either in a s manager/owner have access to in order to keep track of each employees' classes and Based on interview and record review their registry memberships. It will have the on 9/5/23 facility failed to ensure within expiration date of each staff member's 90days after each caregiver registry membership so that we can get a notification a month before their AND PLAN OF CORRE Based on interview and record review on 9/5/23, staff listed below was not given a written and oral orientation and training in the policies, procedures, and programs of the facility within the first 2 weeks after commencing employment. Provide orientation and training as and that a copy of the test is added to their file. Based on interview and record review on 9/5/23, staff listed on the supplement did not have written evidence of a Mantoux tuberculin skin test or an examination by a provider authorized to diagnose active tuberculosis prior to beginning employment. A report stating the staff is free from TB must be secured for any person whose test/examination is more than two years old. -Staff #19 NAC 323 1. Except as otherwise provided in NAC NAC 323 1. Each of the staff members, except for 09/19/202 432A.521 and NRS 432A.177, within 120 #7, has completed their missing classes. I 3 days after commencing his or her have uploaded their certificates of employment or position in a child care completion for each of their missing facility, each person who is ... Based on interview and record review on 9/5/23,the facility failed to ensure that within 120 days of hire each employee completed the required hours of training in child care which includes: any training required by the facility for the purposes of obtaining certification in CPR, three or more hours of training in child development , two or more hours of training in first aid, two or more hours of training in the signs and symptoms of illness, which must include, without limitation, training in the prevention of exposure to bloodbourne pathogens, two or more hours of training in the recogniti Based on interview and record review on 9/5/23 the below listed child did not have a current immunization record or exemption 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 #5 needs 3 DTaP, 2nd IPV, 3 Hib, 3rd Hep B, and 3 PCV -Child #6 needs 5th DTaP, 4th IPV, 2nd MMR, and 2nd Varicella -Child #13 needs 4th DTaP and 4th Hib -Child #14 needs 4th DTaP and 4th Hib -Child #19 needs 5th DTaP, 2nd MMR, and 2nd Varicella NAC NAC 1. Brigance assessments were done for 09/14/202 430.3 3. 3. The new assessment schedules will help us keep track of new students and when all Based on interview and record review of their assessments are due. Each teacher on 9/5/23, the facility did not assess will be able to check the schedule to see if each child within three months after they have any assessments due each week so they can play to get the students tested enrollment in the facility or repeat Based on observation and interview on 9/5/23, an area used for changing diapers failed to have a smooth, nonabrasive, impervious surface. Replace this changing surface with one that meets sanitation requirements. -Diaper changing mat in Toddler 1 room was torn

This Statement of Deficiencies was generated as a result of a follow up visit at your facility on 6/26/23. The facility is licensed for 86 children as a Child Care facility. The census at the time of the survey was 36 children. There were no regulatory deficiencies noted at the time of visit. 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 conducted at your facility on 3.15.23. The facility is licensed for 86 children as a child care facility. The census at the time of investigation was 37 children. 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 annual inspection conducted at your facility on 10.23.25. The facility is licensed for 86 as a child care center. The census at the time of inspection was 44 children. 15 child files and 24 staff files were reviewed. Annual Trainings due before 10.31.25 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