Kiddyversity

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 12 children as a group. The census at the time of survey was 5 children. 0 children's files and 0 staff files were reviewed. During the inspection inspector to come. He told me not worry the following was observed: and he also sent me the Child Care - Certificate of Compliance expired on Inspection Request form and a one time 2.8.2024 payment form I completed and sent both * provider stated that she has been in back to him with payment the same day. He communication with fire to come out and do informed me that someone would be investigation. coming to inspect sometime next week. My plan of correction: I will make sure to get *Upload proof of correction to SOD and an inspection request form and submit it answer the

This Statement of Deficiencies was generated as a result of the on-site State licensure survey conducted at your facility on 07/08/2025. The facility is licensed for 12 Children as a Group Care. The census at the time of the survey was 10 children and 4 staff. 7 children’s files were reviewed, and 4 staff files were reviewed. Urgent: 1. Two Volunteer staff need to be printed today, 7/8/25. Email Surveyor Consent and release forms for Shiah S. and Daylena S. by 4:00pm on 7/9/2025. If deficiencies are cited, an approved plan of correction must be returned within 10 days after receipt of this st Based on review of NABS Roster during on- site inspection, there were 2 volunteer staff who were not on the NABS roster. Staff were removed from working with the children immediately and asked to get printed that day. Surveyor has requested copies of Consent and release forms be emailed to her by 4:00pm on 7/9/2025. Please ensure these are sent for Shiah S. and Daylena S. by the given deadline. Please upload an updated NABS roster that reflects both volunteers named above in process/eligible status by 7/25/2025. Ensure that you answer all 4 questions in the Plan of Correction. Based on file review and interview at inspection, it was observed that the health permit expired on 6/30/2025 and the last health inspection was conducted on 7/1/2024. Owner stated that she has called the Health department to check on when they will be doing the next inspection and was not given an answer, owner stated they have not visited yet this year. Please answer all 4 POC questions in the POCbox by 7/25/2025. NAC "3. The licensee of a facility shall hold: NAC 1. Kiddyversity will maintain a log of monthly 07/30/202 280.3 (a) A fire drill at least once every month; and 280.3 fire drills Based on a review oflogs for Fire Drills, the last documented Fire Drill was on 04/28/2025. Themonths of May and June 2025 were missing. Please complete and document a Firedrill for the month of July 2025 and upload an updated log into the Plan of Correctionby 07/25/2025. Fire drills must be completed and logged everymonth. Ensure that you answer all 4 questions in the Plan of Correction. NAC 306 1. Every caregiver in a child care facility NAC 306 1. Paul Jacque and Kathy Jacque have 09/06/202 must: completing all of their required classes. 5 Based on staff file review, staff, Paul J. was missing his NV Registry. Please upload proofof NV Registry for Paul J. to the Plan of Correction by 07/25/2025. Ensure that you answerall 4 questions in the POC box. NAC 2. Before a person, including a person who NAC 1. Employee's has updated TB test 07/30/202 310.2 has received a bacillus Calmette-Guerin 310.2 2. 08/30/25 5 (BCG) vaccination, begins employment, 3. Owner of daycare will remind employees volunteering or residing at a facility, he or of expiration date she must have submitted to a: 4.Kathy Jacque is responsible for (a) Tuberculin t Basedon staff file review, there were volunteers with missing negative TB test results. Please have volunteer staff, Delena S. tested on 7/8/25 and upload negative TBtest results into the Plan of Correction by 07/25/2025 for the staff listedbelow. Refer to the staff identifier list for name. Ensure that you answer all 4 questions in the POC box. Owner was told that this staff needed to be tested that day, 7/8/25 and the result form is due to Surveyor via email by 7/14/25. NAC 320 1. Except as otherwise provided in NRS NAC 320 1.Documents have been updated and will 07/30/202 432A.177 , within the first 2 weeks after stay current 5 commencing employment, newly employed 2.07/25/25 members of the staff of a facility must be 3. In the future orientation will be done given a written and oral ori... Based onstaff binder review, it was observed that staff Kathy J. and Paul J. are missingtheir Orientation Checklists. Please upload signed and completed Orientation Checklists into the Plan ofCorrection by 07/25/2025. Ensure that youanswer all 4 questions in the POC box. NAC 323 1. Except as otherwise provided in NAC NAC 323 1. Paul Jacque has completed all of his 09/08/202 432A.521 and NRS 432A.177, within 120 required new employee Nevada Registry 5 days after commencing his or her courses. employment or position in a child care 2. The date of completion was September 6, facility, each person who is employed in a 2025. child care facility, other than a person 3. I will make sure to remind my staff to stay employed in a facility that provides care for up to date on their annual classes and... Based on file review conducted during inspection, itwas observed that staff were missing Initial trainings. Staff andtrainings missing are listed below. Ensure that staff complete trainings andupload certificates into the Plan of Correction by 07/25/2025. Ensure that you answer all four questions in the Plan ofcorrection. Paul J. - Missing - Human Growth andDevelopment or Positive Guidance (3 hours), Administration of Medication,Building and Physical Premises Safety, Healthand Wellness Course NAC 340 1. Procedures for admission must provide NAC 340 1.The Family will sign admission form upon 0 Basedon file review conducted during inspection, it was observedthat children are missing their Admission forms. Please request that child’sparent fill out, complete and sign this form and upload into the Plan ofCorrection by 07/25/2025. Refer to Child Identifier List for Children’snames. Ensure that you answer all 4 questions in thePOC box. Missing forms: Child #1 - Missing Permission to Release signed, Health Statement, Emergency Medical release signed, Transportation form, NRS 178 statement signed. Child #2 - Missing Permission to Release signed, Emergency Medical release signed, Transport Based onfile review conducted during on-site inspection, it was observed that therewere children missing their Assessments in their file. Please refer to childidentifier list for names. Upload copies of the assessments to the Plan ofCorrection by 07/25/2025. Ensure that you answer all 4 questions in the Plan ofCorrection. Child #1, Child #3, Child #7

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 12 Children as a Group Care. The census at the time of the survey was 6 children and 2 staff. Files were not reviewed during this inspection visit but will be reviewed at the next inspection. Reminders: 1. Please conduct and log a disaster drill for April 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 Based on interview and NABS review, it was observed that there was no NABS roster set up in the system. Owner has a NABS account and needs to upload Consent and Release forms for Kathy Jacque and Paul Jacque to NABS which will create a roster. Please upload consent and release forms and a copy of the NABS roster to the Plan of Correction by 5/9/25. Ensure that you answer all 4 questions in the Plan of Correction. Based onobservation during on-site inspection, it was observed that the weapon kept inthe home was locked up with the ammunition together. Owner was notified thatthe weapon and the ammunition must be stored and locked up separately. Ownerstated they have a plan to order/buy a smaller lock box and will lock theammunition up separately from the weapon. Please have correction completed byAnnual inspection. Based on a review of Emergency Drill logs during on-siteinspection, it was observed that the last documented Fire Drill was in February 2025. The next drill should have been completed and loggedin March 2025. Ensure that you complete and log a fire drill in April 2025. Please ensure that Fire drills are completed and logged every month. Upload an updated log that reflects the April fire drill into the Plan of Correction by 5/9/2025. Ensurethat you answer all 4 questions in the Plan of Correction. NAC 385 1. The staff of each facility shall: NAC 385 I Kathy Jacque Have Labeled the baby 05/07/2 Based onobservation during on-site inspection, it was observed that water bottles were not labeled, ensure that waterbottles are labeled with first and last names of children. Please upload photosinto the Plan of Corrections to reflect bottle and water bottle corrections by 5/9/25 andensure that youanswer all 4 questions in the Plan of Correction. NAC NAC The gate will have a extra chain and clamp 05/07/202 390.6 6. Furniture must be durable, safe and 390.6 for my special needs children. 5 intended for use by children or appropriately .Code # .390.1 I have made arrangements adapted for use by Based on observation duringinspection visit, it was observed that there were hazards found on the outdoorplayground. It was observed that there was a gate that needs a sturdier chain lock with a clip to prevent taller children from opening the gate. Uploadphotos of corrections and repairs to the Plan of Correction by 05/09/2025.

This Statement of Deficiencies was generated as a result of the on-site State initial licensure inspection conducted at your facility, on 7/25/24. There were no regulatory deficiencies identified at the time of the survey. The facility is licensed for #12 children as a Group Care. 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