Hand in Hand Preschool & Early Development Center - Buffalo
Data last updated · May 2026
Quality Indicators
See Methodology →- Overall QualityCombines daily care quality (interactions, learning, environment) with structural features like staff-to-child ratios and teacher qualifications.5 / 5
- Process QualityThe quality of daily care — caregiver-child interactions, learning activities, and the emotional climate. Drawn from the state QRIS rating, accreditations, and Head Start CLASS observations.Not Available
- Structural QualityMeasurable features like staff-to-child ratios, group sizes, license status, and teacher qualifications. Provider-level data when available; otherwise the state regulatory baseline.5 / 5
Why this rating
This daycare earned 5 out of 5 stars overall. Structural quality reflects a license in good standing. The structural rating also includes Nevada's licensing baseline — what every licensed daycare in the state must meet. Nevada caps infant ratios at 1:6, toddler ratios at 1:6, and preschool ratios at 1:13. Lead-teacher education isn't regulated. Teachers must complete 24 hours of annual training. No objective process measures (e.g., state quality rating or national accreditation) are available for this daycare. The overall rating reflects structural features only.
Quality Recognitions & Accreditations
- Accreditations
- National Association for the Education of Young Children (NAEYC)Not Accredited
- National Accreditation Commission (NAC)Not Accredited
- National Early Childhood Program Accreditation (NECPA)Not Accredited
- National Association for Family Child Care (NAFCC)Not Accredited
Facility Info
- Facility type
- Child Care Center
- Age groups served
- Infants, Toddlers, Preschool, School-Age
- Licensed capacity
- 268
- Teacher-child ratios & group sizesState Minimum Displayed
Age Max ratio Max group Infants 1:6 12 Toddlers 1:6 12 Preschool 1:13 26
Teacher Credentials
- Lead teacher credentialState Minimum Displayed
- Not Regulated
Inspection History
Across 22 inspections since 2016, the issues cited most often were Licensing & Administrative Compliance (11) and Staff Qualifications & Background Checks (10). None of the 21 findings were critical.
See All 20 Inspection Visits
Jun 20, 20251 Finding1 Important
- This Statement of Deficiencies Was Generated as a Result of the On-site State Licensure Survey Conducted at Your…Annual
This Statement of Deficiencies was generated as a result of the on-site State licensure survey conducted at your facility on 06/20/2025. The facility is licensed for 268 children as a Center. The census at the time of survey was 99 children. 25 children's files and 37 staff files were reviewed. Reminder: Upload current Rate Sheet to the renewal checklist. 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: CHRISTINE PYATT Title: Administrator Date: 06/25/2025 Based on determined by the type of repairs that are observation, the following hazards were identified in the facility. The administration noted: faculty will continue to work in conjunction with the teaching faculty members to Classroom 9: The window seal facing the regularly assess and survey the facility playground is peeling, exposing the premises to identify areas requiring repair underlying metal plate. Please provide or maintenance services in order to provide pictures of correction. a safe, hazard-free environment for all students in attendance at our program. Answer 4 POC questions.
Jan 17, 20251 Finding1 Important
- This Statement of Deficiencies Was Generated as a Result of the On-site State Licensure Survey Conducted at Your…Bi-annual
This Statement of Deficiencies was generated as a result of the on-site State licensure survey conducted at your facility on 1/17/2025. The facility is licensed for 268 children as a Center. The census at the time of survey was 135 children. 0 children's files and 0 staff files were reviewed. There were no regulatory deficiencies identified at the time of the survey. Reminders: Staff and child files will be reviewed during 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 DIR
Jun 18, 20241 Finding1 Important
- The Facility Is Licensed for 268 Children as a Center The Census at the Time of Inspection Was 139 ChildrenAnnual
The facility is licensed for 268 children as a Center The census at the time of inspection was 139 children. 25 children's files and 38 staff files were reviewed. Reminder: Continue to upload annual checklist items. Send by email: annual hours for staff by 7/30/24. 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
Jun 17, 20241 Finding1 Important
- This Statement of Deficiencies Was Generated as a Result of the Complaint Investigation Conducted at Your Facility On…Complaint - 9953
This Statement of Deficiencies was generated as a result of the complaint investigation conducted at your facility on 06/17/2024. Please respond to each deficiency and attach documents as requested for the deficiency it pertains to. Sign and submit your Plan of Correction within 5 business days of receipt. Inspection consensus, the facility is licensed for 268 children as a center. The census at the time of survey was [#] children. 1 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/SUPPLIER Name: CHRISTINA PYATT Title: Administrator Date: 11/06/2024 REPRESENTATIVE'S SIGNATURE 1335 B. WING _______________________ 06/17/... Based on observation according to the mandated teacher to child the facility failed to ensure that staff ratios for the classroom. The teaching maintained a proximity to the child that faculty assigned to each of the specified allows them to be capable of intervening if playground safety zones must maintain full assistance or direction is needed by the visibility of and close proximity to each of child and to observe, oversee and guide the the students in that designated area, must child. Staff were not aware that a child had continually monitor and observe student been injured by another child and failed to interactions to ensure safe behavior on the intervene to prevent the injury. Please playground, and must apply behavior submit a plan that will ensure staff maintain intervention suppo...
Jan 25, 20241 Finding1 Important
- The Facility Is Licensed for 268 Children as a CenterBi-annual
The facility is licensed for 268 children as a Center. The census at the time of investigation was 157 children. 25 children's files and 38 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
Feb 6, 20231 Finding1 Important
- This Statement of Deficiencies Was Generated as a Result of the On-site State Licensure Survey Conducted at Your…Bi-annual
This Statement of Deficiencies was generated as a result of the on-site State licensure survey conducted at your facility on 02/06/2023. There were no regulatory deficiencies identified at the time of the survey. The Facility is licensed for 268 children as a center. The census at the time of survey was 113 children. 35 children's files and 34 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 SIGNATUR
Jul 6, 20221 Finding1 Important
- This Statement of Deficiencies Was Generated as a Result of the on-siteState Licensure Survey Conducted at Your…Annual
This Statement of Deficiencies was generated as a result of the on-siteState licensure survey conducted at your facility on 07/06/2022. The Facility is licensed for 268 children as a center.The census at the time of survey was 142 children. 35 children's files and 34 staff files were reviewed. NAC 310 1. Every member of the staff of a facility, NAC 310 NAC 310 07/06/202 including a volunteer, and each resident of (1) The TB Test for the referenced 2 the facility shall present to the director of employee was completed on July 6, 2022 the facility, to be placed in the person’s file, and the upd Based on interview and record review, the facility did not have writtenevidence that all staff were free from communicable tuberculosis issued withinthe preceding 24 months. M. Gulick
Jun 13, 20221 Finding1 Important
- The Facility Is Licensed for 268 Children as CenterComplaint - 7087
The facility is licensed for 268 children as Center. The census at the time of survey was 122 children. 0 children’s files and 0 staff files were reviewed. This Statement of Deficiencies was generated as a result of the on-site State licensure survey conducted at your facility on 6/13/22 There were no regulatory deficiencies identified at the time of the survey. ** Surveyor McMahan observed neat and clean facility. Facility has friendly staff demonstrated excellent account of safety protocols and had excellent sign in sheets. If deficiencies are cited, an approved plan of correction must be r
Feb 14, 20221 Finding1 Important
- This Statement of Deficiencies Was Generated as a Result of the on-siteState Licensure Survey Conducted at Your…Bi-annual
This Statement of Deficiencies was generated as a result of the on-siteState licensure survey conducted at your facility on 2/14/2022. Thefacility is licensed for 268 children as a center. The census at thetime of survey was 119 children. 10 children's files and 36 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: REPRESENTATIVE'S SIGNATURE
Jul 1, 20212 Findings2 Important
- This Statement of Deficiencies Was Generated as a Result of the On-site State Licensure Survey Conducted at Your…Annual
This Statement of Deficiencies was generated as a result of the on-site State licensure survey conducted at your facility on 1/17/2025. The facility is licensed for 268 children as a Center. The census at the time of survey was 135 children. 0 children's files and 0 staff files were reviewed. There were no regulatory deficiencies identified at the time of the survey. Reminders: Staff and child files will be reviewed during 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 DIR
- This Statement of Deficiencies Was Generated as a Result of the Onsite Child Care Licensing Complaint Investigation…Complaint - 5929
This Statement of Deficiencies was generated as a result of the onsite Child Care Licensing complaint investigation conducted in your facility on 07/01/2021. At time of investigation, no regulatory deficiencies were noted. 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
Feb 24, 20211 Finding1 Important
- This Statement of Deficiencies Was Generated as a Result of the Complaint Investigation Conducted at Your Facility On…Bi-annual
This Statement of Deficiencies was generated as a result of the complaint investigation conducted at your facility on 06/17/2024. Please respond to each deficiency and attach documents as requested for the deficiency it pertains to. Sign and submit your Plan of Correction within 5 business days of receipt. Inspection consensus, the facility is licensed for 268 children as a center. The census at the time of survey was [#] children. 1 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/SUPPLIER Name: CHRISTINA PYATT Title: Administrator Date: 11/06/2024 REPRESENTATIVE'S SIGNATURE 1335 B. WING _______________________ 06/17/... Based on observation according to the mandated teacher to child the facility failed to ensure that staff ratios for the classroom. The teaching maintained a proximity to the child that faculty assigned to each of the specified allows them to be capable of intervening if playground safety zones must maintain full assistance or direction is needed by the visibility of and close proximity to each of child and to observe, oversee and guide the the students in that designated area, must child. Staff were not aware that a child had continually monitor and observe student been injured by another child and failed to interactions to ensure safe behavior on the intervene to prevent the injury. Please playground, and must apply behavior submit a plan that will ensure staff maintain intervention suppo...
Jul 13, 20201 Finding1 Important
- The Facility Is Licensed for 268 Children as a Center The Census at the Time of Inspection Was 139 ChildrenAnnual
The facility is licensed for 268 children as a Center The census at the time of inspection was 139 children. 25 children's files and 38 staff files were reviewed. Reminder: Continue to upload annual checklist items. Send by email: annual hours for staff by 7/30/24. 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
Jan 16, 20201 Finding1 Important
- The Facility Is Licensed for 268 Children as a CenterBi-annual
The facility is licensed for 268 children as a Center. The census at the time of investigation was 157 children. 25 children's files and 38 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
Jul 18, 20191 Finding1 Important
- This Statement of Deficiencies Was Generated as a Result of the On-site State Licensure Survey Conducted at Your…Complaint - 3175
This Statement of Deficiencies was generated as a result of the on-site State licensure survey conducted at your facility on 02/06/2023. There were no regulatory deficiencies identified at the time of the survey. The Facility is licensed for 268 children as a center. The census at the time of survey was 113 children. 35 children's files and 34 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 SIGNATUR
Jan 29, 20191 Finding1 Important
- The Facility Is Licensed for 268 Children as CenterBi-annual
The facility is licensed for 268 children as Center. The census at the time of survey was 122 children. 0 children’s files and 0 staff files were reviewed. This Statement of Deficiencies was generated as a result of the on-site State licensure survey conducted at your facility on 6/13/22 There were no regulatory deficiencies identified at the time of the survey. ** Surveyor McMahan observed neat and clean facility. Facility has friendly staff demonstrated excellent account of safety protocols and had excellent sign in sheets. If deficiencies are cited, an approved plan of correction must be r
Jul 6, 20181 Finding1 Important
- This Statement of Deficiencies Was Generated as a Result of the on-siteState Licensure Survey Conducted at Your…Annual
This Statement of Deficiencies was generated as a result of the on-siteState licensure survey conducted at your facility on 07/06/2022. The Facility is licensed for 268 children as a center.The census at the time of survey was 142 children. 35 children's files and 34 staff files were reviewed. NAC 310 1. Every member of the staff of a facility, NAC 310 NAC 310 07/06/202 including a volunteer, and each resident of (1) The TB Test for the referenced 2 the facility shall present to the director of employee was completed on July 6, 2022 the facility, to be placed in the person’s file, and the upd Based on interview and record review, the facility did not have writtenevidence that all staff were free from communicable tuberculosis issued withinthe preceding 24 months. M. Gulick
Jan 30, 20181 Finding1 Important
- This Statement of Deficiencies Was Generated as a Result of the on-siteState Licensure Survey Conducted at Your…Bi-annual
This Statement of Deficiencies was generated as a result of the on-siteState licensure survey conducted at your facility on 2/14/2022. Thefacility is licensed for 268 children as a center. The census at thetime of survey was 119 children. 10 children's files and 36 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: REPRESENTATIVE'S SIGNATURE
Jul 5, 20171 Finding1 Important
- Guille AAnnual
Guille A. is missing 2 hours of annual training 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: CHRISTINA PYATT Title: Director Date: 07/17/2017 REPRESENTATIVE'S SIGNATURE
Jul 6, 20161 Finding1 Important
- This Statement of Deficiencies Was Generated as a Result of the On-site State Licensure Survey Conducted at Your…Annual
This Statement of Deficiencies was generated as a result of the on-site State licensure survey conducted at your facility on 1/17/2025. The facility is licensed for 268 children as a Center. The census at the time of survey was 135 children. 0 children's files and 0 staff files were reviewed. There were no regulatory deficiencies identified at the time of the survey. Reminders: Staff and child files will be reviewed during 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 DIR
Jan 26, 20161 Finding1 Important
- This Statement of Deficiencies Was Generated as a Result of the Complaint Investigation Conducted at Your Facility On…Bi-annual
This Statement of Deficiencies was generated as a result of the complaint investigation conducted at your facility on 06/17/2024. Please respond to each deficiency and attach documents as requested for the deficiency it pertains to. Sign and submit your Plan of Correction within 5 business days of receipt. Inspection consensus, the facility is licensed for 268 children as a center. The census at the time of survey was [#] children. 1 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/SUPPLIER Name: CHRISTINA PYATT Title: Administrator Date: 11/06/2024 REPRESENTATIVE'S SIGNATURE 1335 B. WING _______________________ 06/17/... Based on observation according to the mandated teacher to child the facility failed to ensure that staff ratios for the classroom. The teaching maintained a proximity to the child that faculty assigned to each of the specified allows them to be capable of intervening if playground safety zones must maintain full assistance or direction is needed by the visibility of and close proximity to each of child and to observe, oversee and guide the the students in that designated area, must child. Staff were not aware that a child had continually monitor and observe student been injured by another child and failed to interactions to ensure safe behavior on the intervene to prevent the injury. Please playground, and must apply behavior submit a plan that will ensure staff maintain intervention suppo...