Hollywood Park and Recreation

This Statement of Deficiencies was generated as a result of an Ad-Hoc licensure survey conducted to review all staff files on 12/17/2025.There were no regulatory deficiencies identified at the time of thesurvey. The facility is licensed for 25 children as a Center. The census at the time of survey was 0 children. 0 children's files and 5 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 STAT

This Statement of Deficiencies was generated as a result of the on-site State blicensure survey conducted at your facility on 12.04.2025. The facility is licensed for 25 children as a Center. The census at the time of survey was 10 children. 10 children's files and 4 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: ROBYN MOODY Title: Recreation Specialist Date: 12/18/2025 REPRESENTATIVE'S SIGNATURE 1267 B. WING _______________________ 12/04/2025 HOLLYWOOD PARK AND RECREATION 1650 S. HOLLYWOOD BLVD, LAS VEGAS, NEVADA ,89142 The following NAC/NRS codes were found to be out of compliance with state code and regulations: NAC 432a.... The following was observed during the annual health and safety inspection conducted at your facility on 12.4.2025 Playground: unlocked gated that leads to community park Classroom: Trash can without lid NAC 306 1. Every caregiver in a child care facility NAC 306 1. Document confirming Ariana A. is 12/18/202 must: now with NV registry are attached 5 (a) Be at least 16 years of age; 2.12/16/25 (b) Be able to summon help in an 3. Staff and director will make sure Teacher Ariana need a Nevada Registry Certificate in file. Please register with the Nevada Registry, upload proof of completion and answer the four POC questions. NAC 323 1. Except as otherwise provided in NAC NAC 323 1. LOT is attached 12/18/202 432A.521 and NRS 432A.177, within 120 2. 12/16/25 5 days after commencing his or her 3. Will be kept up year around to employment or position in a child care comply facility, each person who is employed in a 4. Bridget Ganigan and Robyn Moody child care facility, other than a person employed in a facility that provides care for ill children, and each director of a child care facility shall complete: (a) Any training required by the facility in which the director serves or in which the person is employed for the purposes of obtaining certification ... Employee files were incomplete upon inspection. Please complete LOT and Submit LOT. Schedule with surveyor to bring employee files in, answer the four POC questions. 1267 B. WING _______________________ 12/04/2025 Based on interview and record review, the facility failed to ensure that each child had a written authorization signed by a parent with allows emergency and medical care. Please upload a completed copy signed by parent for children noted below: Child #7 Please upload a copy of the completed and signed emergency and medical care form. Please answer the 4 POC questions. Based on interview and record review, the facility failed to have signed Permission to Release Information form on file for the following child as referenced on the identifier sheet: Child # 1 Please upload the signed Permission to Release form and answer the 4 POC questions 1 Based on interview and record review, child(ren) as noted below failed to have current immunization records on file at time of inspection. Please submit a copy of the current immunization record for child(ren) noted below: Child #1: missing DPT, Varicella, Polio, MMR Child #2: missing DPT Child #4:Varicella, MMR Child #6: missing DPT, Varicella, Polio, MMR Child #9: missing DPT, Polio Child #10: missing DPT, Varicella, Polio, 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 09.03.2025. There were no regulatory deficiencies identified at the time of the survey. The facility is licensed for 25 children as a Center. The census at the time of survey was 16 children. No children's files and no staff files were reviewed. Reminders: 1. The SNHD permit posted expired on 06.30.2025. Please update your SNHD permit. 2. Fire extinguisher was tagged 01.09.24. Please have your fire extinguisher reserviced and retagged. 3. Eye wash expired on 08.2024, please dispose of expired eye wash and replenish with current ones. 4. Please add tweezers to your first aid kit. 5. Please remember to post curriculum. 6. Debra N.'s current Consent & Release form m...

This Statement of Deficiencies was generated as a result of the on-site State licensure survey conducted at your facility on 12/19/2024. The facility is licensed for 69 Children as a center. The census at the time of survey was 7 children and 7 children files were reviewed and 2 staff files were reviewed. Bridgett G. needs 7 hours of continuing training, please email certificates to surveyor by 1/31/2025. 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: AL Child # 7 had no available file to review. Please upload completed forms into the plan of correction. NRS 178 Child care facility required to maintain NRS 178 01/06/202 certain information; reporting of information 5 to parents and guardians; notice of right to information. 1. The specific actions that will be 1. A child care facility shall maintain a copy taken to correct the deficiency and of: (a) The license issued to the facility by the verification of completion-To correct Health Division or an agency for the the deficiency we will make sure licensing of child care facilities established Child # 7 had no available file to review. Please upload completed NRS 178 form into the plan of correction. 1267 B. WING _______________________ 12/19/2024 HOLLYWOOD PARK AND RECREATION 1650 S. HOLLYWOOD BLVD, L Child # 7 had no will be double checking that all available file to review. Please upload enrollment packets are filled out completed release of information form into the plan of correction. and up to date in the binders. 4. Identify the person responsible- Debbie Nelson, Bridget Ganigan- Nava and Alejandra Favela will be in charge of making sure the binder is up to date. Child # 7 had no will make sure all kids have available file to review. Please upload health evaluation in binder with health statement form into the plan of their files. correction. 4. Identify the person responsible- Alejandra Favela, Bridget Ganigan and Debbie Nelson will be in charge of make sure each child has a health evaluation. NRS 230 NRS 230 01/15/202 Certificate of immunization prerequisite to 1. The specific actions that will be 5 admission to child care facility; conditional taken to correct the deficiency and admission; report to Health Division. Except as otherwise provided in Based on child's file review, child #3 please upload updated vaccination record into the plan of correction. Child #7 had no file available, please upload vaccination records into the plan of correction. 1267 B. WING _______________________ 12/19/2024 Based on child's file assessed when time to do so. review, child # 1 needs assessment. Please upload the assessment into the plan of correction. 4. Identify the person responsible - Bridget Ganigan-Nava and Debbie Nelson will be conducting assessments during class and making sure every child is accounted for.

This Statement of Deficiencies was generated as a result of the on-site State licensure survey conducted at your facility on 9/16/24. 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. Inspection consensus, the facility is licensed for 25 children as a center. The census at the time of survey was 18 children. 10 children's files and 2 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: ALEJANDRA FAVELA Title: Recreational Specialist Date: 09/24/2024 REPRESENTATIVE'S SIGNATURE 1267 B. WING _______________... Based on observation and interview on 9/16/24, the facility was found to have hazards as listed below. Ensure that the play area is free of hazards, debris and trash. Please submit photo evidence of correction. - Unraveled hose - Brooms not stored properly - Trash and debris need to be removed NAC 310 1. Every member of the staff of a facility, NAC 310 1. We will be uploading documents of 09/24/202 Based on a review of staff files, staff members, volunteers, and/or residents of the facility did not have written evidence that they were free from communicable tuberculosis issued within the preceding 24 months. Staff listed below may not return until current TB test verification is received. Please submit a copy of the updated TB test results for the staff listed below. Staff #1 and 2 NRS 230 NRS 230 1. We will be uploading verification of 09/24/202 Certificate of immunization prerequisite to completion for each child missing 4 admission to child care facility; conditional vaccinations. We Based on interview and record review, child (ren) as noted below failed to have current immunization records on file at time of inspection. Please submit a copy of the current immunization record for child(ren) noted below: Child #1 and 6: - missing 4 yr. old shots (1 round of DTP, Polio, MMR, and Varicella). Each record should show 5 rounds of DTP, 4 rounds of Polio, and 2 rounds of MMR and Varicella). Child #5, 7, and 10: - need updated, current shots Child #2: - missing 1 round of Varicella

This Statement of Deficiencies was generated as a result of the onsite inspection conducted on 12/05/2023. No regulatory deficiencies were observed at the time of the inspection. The facility is licensed for 25 children as a center. The census at the time of inspection was 9 children. 10 children's and 2 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 01/04/2023. The facility is licensed for 25 children as a center. The census at the time of survey was 12 children. 10 children's files and 2 staff files were reviewed. Reminders: Please ensure to upload backgrounds documents for staff D. N. to the facility's NABS roster. 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: TAYLOR COLLIN Based on record review and interview, the facility admitted children who were not up to date with immunizations or for whom no record was present or needed an updated. Please uploaded updated immunizations for children listed on the identifier list. Child # 8 Child# 10

This Statement of Deficiencies was generated as a result of the on-site State licensure survey conducted at your facility on 07/13/2022. The facility is licensed for 25 children as a center. The census at the time of survey was 0 children. 0 children's files and 3 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 25 children as a center. The census at the time of survey was 9 children. 9 children's files and 3 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: MATTHEW BROWN Title: Recreation Specialist Date: 01/19/2022 REPRESENTATIVE'S SIGNATURE Based on record review 1 staff member had incorrect consent and release papers and a missing eligibility memo. Bridget G. NAC 323 1. Except as otherwise provided in NAC NAC 323 1. CPR card has been uploaded 01/19/202 432A.521 and NRS 432A.177, within 120 2. Corrected action completed 1/18/2022 2 days after commencing his or her 3. Files will be placed in the appropriate employment or position in a child care spot as soon as received facility, each person who is employed in a 4. Matthew Brown will be responsible child care facility, other than a person employed in a facility that provides care for ill children, and each director of a child care facility shall complete: (a) Any training required by the facility in which the director serves or in which the person is employed for the purposes ... Based on record review the facility failed to provide evidence of initial trainings for the following staff: CPR - Debra N. NRS 230 NRS 230 1. Child 1 shot records uploaded. 01/19/202 Certificate of immunization prerequisite to 2. Child 1 shot records uploaded on 2 admission to child care facility; conditional 1/18/2022. admission; report to Health Division. Except 3. Make sure parents give updated shot as otherwise provided in NRS 432A.235 for records once received. accommodation facilities: 4. Matthew Brown is responsible. 1. Except as otherwise provided in subsection 3 and unless excused b Based on record review the facility failed to provide evidence of current immunizations for the following children: Child 1 - 4 year old shots. NAC 430 1. Each facility, including, without limitation, NAC 430 1. Assessments were uploaded 01/19/202 a family home and a group home, shall 2. Assessments uploaded on 1/18/2022 2 have an early care and education program. 3. Assessments will be completed and 2. Each facility described in subsection 1 uploaded as needed. shall develop a written assessment plan 4. Matthew Brown is responsible. which is designed to, without limitation: (a) Identify the Based on record review the facility failed to provide evidence of assessment for the following children. Child 8 - Assessment needed

Based on record review the facility failed to provide evidence of backgrounds for the following staff: Matthew B - Sheriffs card, Consent and Release, Eligibility memo Bridget G.N - Consent and Release ( needs a new one in file) - Upload new C & R and Temp card to the NABS website NAC 310 1. Every member of the staff of a facility, NAC 310 1. TB test was added to the licensing binder 08/25/202 including a volunteer, and each resident of and also uploaded for POC. 1 the facility shall present to the director of 2. Corrective action took place on the facility, to be placed in the person’s file, Based on record review the facility failed to provide evidence of negative TB test for the following: Matthew B.

This Statement of Deficiencies was generated as a result of the on-site State blicensure survey conducted at your facility on 12.04.2025. The facility is licensed for 25 children as a Center. The census at the time of survey was 10 children. 10 children's files and 4 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: ROBYN MOODY Title: Recreation Specialist Date: 12/18/2025 REPRESENTATIVE'S SIGNATURE 1267 B. WING _______________________ 12/04/2025 HOLLYWOOD PARK AND RECREATION 1650 S. HOLLYWOOD BLVD, LAS VEGAS, NEVADA ,89142 The following NAC/NRS codes were found to be out of compliance with state code and regulations: NAC 432a.... The following was observed during the annual health and safety inspection conducted at your facility on 12.4.2025 Playground: unlocked gated that leads to community park Classroom: Trash can without lid NAC 306 1. Every caregiver in a child care facility NAC 306 1. Document confirming Ariana A. is 12/18/202 must: now with NV registry are attached 5 (a) Be at least 16 years of age; 2.12/16/25 (b) Be able to summon help in an 3. Staff and director will make sure Teacher Ariana need a Nevada Registry Certificate in file. Please register with the Nevada Registry, upload proof of completion and answer the four POC questions. NAC 323 1. Except as otherwise provided in NAC NAC 323 1. LOT is attached 12/18/202 432A.521 and NRS 432A.177, within 120 2. 12/16/25 5 days after commencing his or her 3. Will be kept up year around to employment or position in a child care comply facility, each person who is employed in a 4. Bridget Ganigan and Robyn Moody child care facility, other than a person employed in a facility that provides care for ill children, and each director of a child care facility shall complete: (a) Any training required by the facility in which the director serves or in which the person is employed for the purposes of obtaining certification ... Employee files were incomplete upon inspection. Please complete LOT and Submit LOT. Schedule with surveyor to bring employee files in, answer the four POC questions. 1267 B. WING _______________________ 12/04/2025 Based on interview and record review, the facility failed to ensure that each child had a written authorization signed by a parent with allows emergency and medical care. Please upload a completed copy signed by parent for children noted below: Child #7 Please upload a copy of the completed and signed emergency and medical care form. Please answer the 4 POC questions. Based on interview and record review, the facility failed to have signed Permission to Release Information form on file for the following child as referenced on the identifier sheet: Child # 1 Please upload the signed Permission to Release form and answer the 4 POC questions 1 Based on interview and record review, child(ren) as noted below failed to have current immunization records on file at time of inspection. Please submit a copy of the current immunization record for child(ren) noted below: Child #1: missing DPT, Varicella, Polio, MMR Child #2: missing DPT Child #4:Varicella, MMR Child #6: missing DPT, Varicella, Polio, MMR Child #9: missing DPT, Polio Child #10: missing DPT, Varicella, Polio, 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 09.03.2025. There were no regulatory deficiencies identified at the time of the survey. The facility is licensed for 25 children as a Center. The census at the time of survey was 16 children. No children's files and no staff files were reviewed. Reminders: 1. The SNHD permit posted expired on 06.30.2025. Please update your SNHD permit. 2. Fire extinguisher was tagged 01.09.24. Please have your fire extinguisher reserviced and retagged. 3. Eye wash expired on 08.2024, please dispose of expired eye wash and replenish with current ones. 4. Please add tweezers to your first aid kit. 5. Please remember to post curriculum. 6. Debra N.'s current Consent & Release form m...

This Statement of Deficiencies was generated as a result of the on-site State licensure survey conducted at your facility on 12/19/2024. The facility is licensed for 69 Children as a center. The census at the time of survey was 7 children and 7 children files were reviewed and 2 staff files were reviewed. Bridgett G. needs 7 hours of continuing training, please email certificates to surveyor by 1/31/2025. 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: AL Child # 7 had no available file to review. Please upload completed forms into the plan of correction. NRS 178 Child care facility required to maintain NRS 178 01/06/202 certain information; reporting of information 5 to parents and guardians; notice of right to information. 1. The specific actions that will be 1. A child care facility shall maintain a copy taken to correct the deficiency and of: (a) The license issued to the facility by the verification of completion-To correct Health Division or an agency for the the deficiency we will make sure licensing of child care facilities established Child # 7 had no available file to review. Please upload completed NRS 178 form into the plan of correction. 1267 B. WING _______________________ 12/19/2024 HOLLYWOOD PARK AND RECREATION 1650 S. HOLLYWOOD BLVD, L Child # 7 had no will be double checking that all available file to review. Please upload enrollment packets are filled out completed release of information form into the plan of correction. and up to date in the binders. 4. Identify the person responsible- Debbie Nelson, Bridget Ganigan- Nava and Alejandra Favela will be in charge of making sure the binder is up to date. Child # 7 had no will make sure all kids have available file to review. Please upload health evaluation in binder with health statement form into the plan of their files. correction. 4. Identify the person responsible- Alejandra Favela, Bridget Ganigan and Debbie Nelson will be in charge of make sure each child has a health evaluation. NRS 230 NRS 230 01/15/202 Certificate of immunization prerequisite to 1. The specific actions that will be 5 admission to child care facility; conditional taken to correct the deficiency and admission; report to Health Division. Except as otherwise provided in Based on child's file review, child #3 please upload updated vaccination record into the plan of correction. Child #7 had no file available, please upload vaccination records into the plan of correction. 1267 B. WING _______________________ 12/19/2024 Based on child's file assessed when time to do so. review, child # 1 needs assessment. Please upload the assessment into the plan of correction. 4. Identify the person responsible - Bridget Ganigan-Nava and Debbie Nelson will be conducting assessments during class and making sure every child is accounted for.

This Statement of Deficiencies was generated as a result of the on-site State licensure survey conducted at your facility on 9/16/24. 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. Inspection consensus, the facility is licensed for 25 children as a center. The census at the time of survey was 18 children. 10 children's files and 2 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: ALEJANDRA FAVELA Title: Recreational Specialist Date: 09/24/2024 REPRESENTATIVE'S SIGNATURE 1267 B. WING _______________... Based on observation and interview on 9/16/24, the facility was found to have hazards as listed below. Ensure that the play area is free of hazards, debris and trash. Please submit photo evidence of correction. - Unraveled hose - Brooms not stored properly - Trash and debris need to be removed NAC 310 1. Every member of the staff of a facility, NAC 310 1. We will be uploading documents of 09/24/202 Based on a review of staff files, staff members, volunteers, and/or residents of the facility did not have written evidence that they were free from communicable tuberculosis issued within the preceding 24 months. Staff listed below may not return until current TB test verification is received. Please submit a copy of the updated TB test results for the staff listed below. Staff #1 and 2 NRS 230 NRS 230 1. We will be uploading verification of 09/24/202 Certificate of immunization prerequisite to completion for each child missing 4 admission to child care facility; conditional vaccinations. We Based on interview and record review, child (ren) as noted below failed to have current immunization records on file at time of inspection. Please submit a copy of the current immunization record for child(ren) noted below: Child #1 and 6: - missing 4 yr. old shots (1 round of DTP, Polio, MMR, and Varicella). Each record should show 5 rounds of DTP, 4 rounds of Polio, and 2 rounds of MMR and Varicella). Child #5, 7, and 10: - need updated, current shots Child #2: - missing 1 round of Varicella