Kce Champions Llc @ Raiders Game Day

This Statement of Deficiencies was generated as a result of the on-site State licensure inspection conducted at your facility on 1/4/2026 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. Inspection consensus, the facility is licensed for 47 children as a Extended Accommodation. The census at the time of survey was 18 children. 0 children's files and 0 staff files were reviewed. Staff and child files will be reviewed during 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: LEISEL ANDERSON Title: Area Mana... Based on observation and file review, staff Erika Hernandez was observed working in the toddler classroom unsupervised without completing fingerprints. Please note that all staff must be fingerprinted within 24 hours of hire date and entered into NABS. Erika Hernandez must complete Childcare Licensing finger prints and entered into NABS. Please upload proof of these corrections. NAC 302 1. A licensee of a child care facility shall not NAC 302 1) The childcare is closed now. However 01/12/202 knowingly appoint a person as director of next season we will get baby locks for those 6 the facility Based on observation, the following hazards were observed during facility walkthrough: - Large black extension cords were 3703 B. WING _______________________ 01/04/2026 KCE CHAMPIONS LLC @ RAIDERS GAME DAY 3333 Based on file review, the facility's last carpet cleaning was completed on 9/2/2025 and are due for a cleaning. It should noted that carpets appeared to be clean and in good conditions. Complete carpet cleaning, update carpet cleaning log, and upload carpet cleaning log to provide proof of this correction. NAC 425 1. The director or a designated member of NAC 425 1) We have my day forms and we will utilize 01/12/202 the staff of a nursery for infants and them in the infant room. 6 toddlers or other facility that enrolls infants 2) 1.4 the childcare is no longer standing and toddlers shall discuss policies until August concerning the health of an infant or toddler 3) We have a training plan for July and we with the parents before enrollment of the will add this to the list as non negotiable... Based on file review and observation, daily reports for feeding, diapering, and sleeping are not being completed for infant and toddlers. Daily reports will need to be completed and provided to parents moving forward to properly track feedings, diapering, and sleeping. Upload Daily report the facility will begin tom implement for review. NAC 520 1. A licensee of a child care facility shall NAC 520 1) We will be more strict with our children 01/12/202 have a staff which is sufficient in number to being in one room. We have a lot of siblings 6 provide physical care, supervision and and they like to go visit each other. We can individual attention to each child and allow be more stringent with who is in what room. time for interaction between the staff and 2) 1.4 the children to promote the c... Based on observation, staff did not provide proper supervision as School Aged children and Toddlers being able to freely go back and forth between classrooms. The lack of supervision 3703 B. WING _______________________ 01/04/2026 KCE CHAMPIONS LLC @ RAIDERS GAME DAY 3333 AL DAVIS WAY, LAS VEGAS, NEVADA ,89118 and structure caused the facility's ratio to also constantly fluctuate during the inspection. Staff will need to provide appropriate supervision and redirect children accordingly to eliminate the children from freely going back and forth between classrooms. NAC 1. Except as otherwise provided in NAC NAC 1) We will be very strict on not allowing the 01/12/202 5205 432A.290 and 432A.546, a licensee of a 5205 siblings to visit each other. 6 child care center, child care institution, 2) ... Based on observation, the facility was initially out of ratio due to staff Erika Hernandez working alone in the toddler classroom not fingerprinted. Furthermore, the ratio for the toddler classroom was 10:1 with the youngest in the classroom being 1 year old. 3703 B. WING ____

The facility is licensed for 47 children as a Center. The census at the time of inspection was 10 children. 10 child's files and 9 staff files were reviewed. Reminder: -The facility will need to submit State Fire Marshal Application to request new 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: LEISEL ANDERSON Title: Area Manager Date: 10/14/2025 REPRESENTATIVE'S SIGNATURE Based on file review, Staff Mary Martinez eligibility memo expired 5/28/2025. It was last noted that staff was pending out of state checks. Due to NABS being unavailable at this time surveyor is unable to confirm an updated status on Mary Martinez's background check. Therefore, Mary Martinez will need to remain with an "eligible" staff and not be left alone unsupervised. Mary Martinez was observed alone with children in the toddler Based on observation, the facility failed to have a license posted publicly. Print Childcare License and post within the facility for public view. Complete correction and upload pictures to provide proof of this correction. 3703 B. WING _______________________ 09/15/2025 NAME O Based on observation, the facility did not have evacuation maps posted within the facility. Print and post up to date evacuation map within the facility. Complete correction and upload pictures to provider proof of this correction NAC NAC 1) I posted emergency numbers 09/28/202 290.1 1. Each licensee of a facility shall have a 290.1 2) 9.28 during last game 5 working telephone listed in a local 3) I will add this to the list of preseason telephone directory. A current list of postings. emergency telephone numbers, including 4) Leisel Anderson and Shea Hollan health agencies, fire and police d Based on observation the facility did not have Emergency number posted within the facility. Print and post emergency numbers within the facility. Complete corrections and upload pictures to provider proof of these corrections. NAC 306 1. Every caregiver in a child care facility NAC 306 1) I had everyone give me their Nevada 10/14/202 must: registry. Carmen still had to obtain her initial 5 (a) Be at least 16 years of age; certificate and it turns out she also needs a (b) Be able to summon help in an child CPR She will obtain this CPR on emergency; 10.16.25. Carmen has quit the Raiders in (c) Based on file review the following staff are missing and up to date Nevada Registry Certificate on file: Leisle A. Shae H. Alexis H. Mary M. Winnie R. Carmen V. Devanie Z. Titishia C. Upload up to date Nevada Registry for the staff listed to provide proof of this correction. NAC 308 1. Whenever a child care facility is in NAC 308 1) I have collected all CPR cards requested 10/06/202 operation, each caregiver on duty must 2) 10.6.25 5 have completed training for the recognition 3) I will ask all CPR cards be sent to me of signs and symptoms of illness and the instead of to their site directors Based on file review the following staff are missing up to date CPR/ First Aide Certificate on file: Katherine A. Leisel A. Winnie R. Carmen V. Titishia C. 3703 B. WING _______________________ 09/15/2025 KCE CHA Based on file review, the following staff are missing up to date TB Test: Leisel A. Devanie Z. Upload up to date TB test results for the staff listed to provide proof of this correction. NAC 320 1. Except as otherwise provided in NRS NAC 320 1) I have attached the orientations of all 10/06/202 432A.177 , within the first 2 weeks after staff members. 5 commencing employment, newly employed 2) 10.6 members of the staff of a facility must be 3) I will do a file check for orientations upon given a written and oral orientation program the teachers signing up for Raiders. and be trained in the policies, procedures 4) Leisel Anderson and Shae Hollan and programs of the facility by the director or a designee trained by the director. The 3703 B. WING _______________________ 09/15/2025 KCE CHAMPIONS... Based on file review the following staff did not have a complete orientation checklist on file: Katherine A. Leisel A. Alexis H. Mary M. Winnie R. Carmen V. Devanie Z. Titishia C. Upload completed orientation checklist for the staff listed to provide proof of this correction. NAC 323 1. Except as otherwise provided in NAC NAC 323 1) Had the employees take the trainings 10/13/202 3703 B. WING _______________________ 09/15/2025 KCE CHAMPIONS LLC @ RAIDERS GAME DAY 3333 AL DAVIS WAY, LAS VEGAS, NEVADA ,89118 432A.521 and NRS 432A.177, within 120 2) 10.12.25 5 days after commencing his or her 3)We will start these training in the employment or position in a child care beginning of summer instead of wait until facility, each person who is employed in a season starts child care facility, other t... Based on file review the following staff are missing initial trainings: Leisel A.: is missing an up-to- date Child Abuse and Neglect training due to one on file 3703 B. WING _______________________ 09/15/2025 K 3703 B. WING _______________________ 09/15/2025 KCE CHAMPIONS LLC @ RAIDERS GAME DAY 3333 AL DAVIS WAY, LAS VEGAS, NEVADA ,89118 ID ( Based on observation, the facility's first aid kit is missing up to date eye wash the eyewash observed in first aid kit expired in July 2025. Replenish the facility's first aid kit with new eyewash. Completed corrections and upload pictures of new eyewash to included new expiration. Based on observation the following violations were observed: The facility's restrooms do not hand handwashing procedures posted. Furthermore, a staff member was observed assisting child with getting food and eating. Staff failed to wash her hands and the child's hands prior to serving food and eating. Lastly, a different staff member was observed picking food with hands (from children's buffet line) and eating without wash hands prior to serving herself. Ensure that staff are washing their hands and children's hands prior to meals.

The facility is licensed for 47 children as a Extended Accommodation. The census at the time of inspection was 9 children. 0 child's file and 0 staff files were reviewed. Reminders: - Ensure evacuation maps are posted in each classroom within the facility. - Ensure staff files remain on site and are accessible for al inspections. - Ensure Security staff store personal items inaccessible to 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: LEISEL A Based on observation of the facility's NABS Roster, staff Mary M. Eligibility is expired as of 12/12/24. Staff was observed in the Toddler/ Pre- Classroom working alone. Staff Mary M. cannot be left alone with children with an Expired Eligibility determination status. Mary M. will need to notify and reach out to Child Care Licensing Backgrounds Unit to obtain further direction and identify what items she needs to submit in regards to her Out-of-State check and see if she is eligible for another temporary Eligibility Memo. During inspection, the site director, Hannah C. reported that she will Based on file review, the facility's fire and disaster drills were last completed and logged in September 2024. Fire drills are to be completed every thirty days and disaster drills are to be completed every three moths. Complete fire and disaster drill, log each drill, and upload logs for review to show proof of this correction. Based on observation, two personal items were located in the lower cabinets in the food/ eating area accessible to children. This hazard was corrected on site and relocated out of reach. Ensure that all personal items are inaccessible to children at al times.

The Facility is licensed for 47 children as am Extended Accommodation. The census at the time of inspection was7 children. 5 child files and 7 staff files were reviewed. Reminders: Renewal application is still missing the following- 1. Checklist Item #2: Parent Handbook 2. Check List Item# 4: Orientation Checklist 3. Checklist Item# 14: Employee List of Training (LOT) 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: LEISEL ANDERSON Title: Area Manager Date Based on file review, The following staff are missing Eligibility Memos: 1. Katherine A. 2. Hannah C. 3. Devanie Z. Please print out Eligibility Memos from NABS and upload. Ensure Eligibility Memos are placed in staff files. 3703 B. WING _______________________ 08/23/2024 NAME Based on observation, Child Care Facility License was not posted publicly. Please print and post license publicly in facility. Upload picture to provide proof of this correction. 3703 B. WING _______________________ 08/23/2024 Based on record review, facility did not have record of fire drills and disaster drills being completed. Please note that during game session the facility is required to complete drills and maintain logs. Fire drills are to be completed monthly and disaster drills are to be completed every three months. If the facility is unable to practice fire and disaster drills while children are in the facility due to security reasons, staff will be required to complete drills when children are not scheduled to be in the facility and log them appropriately. Please complete a fire drill, disaster drill, c Based on file review the following staff is missing Nevada Registry Certificates: 1. Devanie Z. Upload Nevada Registry certificate. 3703 B. WING _______________________ 08/23/2024 KCE CHAMPIONS LLC @ RAIDERS GAM Based on file review, Staff, Lesile A. does not have a Negative TB test on file. Complete TB teste and upload results. Once uploaded ensure that TB test results are placed in staff file. NAC 323 1. Except as otherwise provided in NAC NAC 323 1) The shaken baby and head trauma is 432A.521 and NRS 432A.177, within 120 placed in her file via the urban league days after commencing his or her transcript employment or position in a child care 2) 9/16 facility, each person who is employed in a 3) All files will be audited during summer for child care facility, other than a person returning staff members employed in a facility that provides care for 4) Leisel Anderson and Hannah Calligan ill children, and each director of a child care facility shall complete: (a) Any training required by the facil... Based on file review, the following staff is missing initial trainings: 1. Devanie Z.: Shaken Baby Syndrome and Abusive Head Trauma (1hr). Please complete initial training and upload certificate. NAC 326 1. During each 12-month licensing period NAC 326 1) Employees will complete trainings on immediately succeeding the completion of time. the initial training required pursuant to NAC 2) 9/23/24 432A.323, each director of a child care 3)Site director is educated on the 24 hour facility and each caregiver who is employed yearly requirement now and will enforce. at the facility shall complete: 4) Based on field review, the following staff are missing annual training: 1. Katherine A. : Wellness Course and 24 hours of Annual training (Please note that the Wellness Course can count towards the 24 annual hours). 2. Hannah C. : Wellness Course and 6 hours of Annual training (Please note that the Wellness Course can count towards the remaining 6 annual hours). 3. Devanie Z. : Wellness Course and 20 hours of Annual training (Please note that the Wellness Course can count towards the Division of Publ Based on file review, carpet logs were not available for 3703 B. WING _______________________ 08/23/2024 KCE CHAMPIONS LLC @ RAIDERS GAME DAY 3333 AL DAVIS WAY, LAS VEGAS, NEVADA ,89118

The facility is licensed for 47 children as a Center. The census at the time of investigation was 21 children. 15 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: LEISEL ANDERSON Title: Area Manager Date: 12/26/2023 REPRESENTATIVE'S SIGNATURE Based on record review, NABS roster is inaccurate and need to add original employees from Initial inspection and term employees who will not be working at facility. Upload revised and current NABS roster once determine who needs to be added and termed. NAC 304 1. The director of a child care facility is NAC 304 1) We have corrected NABS an entered 12/26/202 responsible for screening, scheduling and correct people 3 supervising the staff of the facility and for 2) 12/26/23 the conduct of each member of the staff at 3) We will not enter employees on to NABS the facility. without a complete file 2. The director shall: 4)Leisel Anderson and Hannah Calligan (a) Provide a program for child care for the facility which meets the requirements of this chapter. (b) Be physically present in the facili... Based on record review, employee binder did not have all 3703 B. WING _______________________ 12/10/2023 KCE CHAMPIONS LLC @ RAIDERS GAME DAY 3333 AL DAVIS WAY, LAS VEGAS, NEVADA ,89118 Based on record review, Devanie Z, Katherine A and Aubrie D need current NV Registry. Upload copy of NV Registry certificate then place in employee file. NAC 3. Every member of the staff of a facility, NAC 1) TB tests for all employees will be 12/26/202 310.3 including a volunteer, and each resident of 310.3 completed before working with children. 3 the facility shall submit to: 2) 12/26/23 (a) A tuberculin test; or 3) TB tests will be checked before next (b) An examination by a provider of health season and any new hires will get a current care who is authorized to diagnose active test if th Based on record review, Kiersten B and Aubrie D need negative TB test. Upload TB test results then place in employee file. NRS 178 Child care facility required to maintain NRS 178 1. Both forms are signed. 12/26/202 certain information; reporting of information 2. 12/26/23 3 to parents and guardians; notice of right to 3. They were siblings so in future we will information. ensure both copies are in both sibling file as 1. A child care facility shall maintain a copy it is per child not per family. of: 4. Leisel Anderson and Hannah Calligan (a) The license issued to the facility by the Health Based on review, Child #8 and #12 need NRS178 form signed. Upload signed form then place in child file. 3703 B. WING _______________________ 12/10/2023 KCE CHAMPIONS LLC @ RAIDERS GAME DAY 3333 AL DAVIS WAY, LAS Based on record review, Child #8 and #12 need Permission to Release form signed by Parent. Upload signed form then place in child file. NRS 230 NRS 230 1) We will ensure all families have updated 12/26/202 Certificate of immunization prerequisite to immunizations on file during program. 3 admission to child care facility; conditional 2) 12/26/23 admission; report to Health Division. Except 3) We will have all immunizations records as otherwise provided in NRS 432A.235 for complete and updated before next accommodation facilities: season. For Remy, we will ask for an 1. Except as otherwise pro Based on record review, Child #1-15 except #13 need immunizations. Upload current shot record then place in child file. 3703 B. WING _______________________ 12/10/2023 KCE CHAMPIONS LLC @ RAIDERS GAME DAY 3333 AL Based on record review, medication was found to be expired and must be discarded or given back to Parents.