Lake Mead Christian Academy - Early Education

This Statement of Deficiencies was generated as a result of the on-site State Ad-Hoc inspection conducted at your facility on 08/13/2025 to review staff and child files. The facility is licensed for 295 children as a Center. The census at the time of survey was 143 children. 25 children's files and 34 staff files were reviewed. Recommendations: 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: THERESA HEHN Title: facility director Date: 08/22/2025 REPRESENT Based on review of records, the facility failed to ensure all staff were background checked as required. The following staff need to get fingerprinted to complete a background check: Gayle S. Upload a copy of the Consent & Release form to show they have been fingerprinted. Answer 4 POC questions. NAC 306 1. Every caregiver in a child care facility NAC 306 1 The 2 staff members were required to 08/22/202 must: renew and or complete trainings to file for 5 (a) Be at least 16 years of age; Nevada Registry (b) Be able to summon help in an 2 They began to obtain their NV Registry emergency; member Based on record review, the facility failed to ensure that each employee had proof of Nevada Registry membership present for review. Please upload proof of Nevada Registry membership for the following staff: -Elisa H. -Lorelai R. Answer 4 POC questions. NAC 323 1. Except as otherwise provided in NAC NAC 323 1 All staff retook the proper Wellness class 08/22/202 432A.521 and NRS 432A.177, within 120 2 Staff began completing the recognized 5 days after commencing his or her Wellness class immediately employment or position in a child care 3 This was difficult in terms of CCEI and facility, each person who is employed in a Nevada Registry making a change to an child care facility, other than a person acceptable Wellness class without proper employed in a facility that provides care for commun... Based on record review, the facility failed to ensure that within 120 days of hire each employee completed the required hours of training in childcare. Please upload proof of trainings for staff listed on the identifier list. -Amy G.-Wellness training course (2 hours) -Danielle H.-Wellness training course (2 hours) -Tiffany J.- Wellness training course (2 hours) -Yegisapet K.-Wellness training course (2 hours) -Kristie L.- Human Growth & Development or Positive Guidance (1 hour), Wellness training course (2 hours) -Lorelai R. -Signs of Illness (2 hours), Child Abuse & Neglect (2 hours), SIDS Based on record review, the facility admitted children who had missing or 788 B. WING _______________________ 08/13/2025 LAKE MEAD CHRISTIAN ACADEMY - EARLY EDUCATION 540 E. LAKE MEAD PKWY, HENDERSON, NEVADA ,89 Based on review of records, the facility did not assess each child within three months after enrollment in the facility or repeat assessment every six months. Please upload assessments for the following children listed on the identifier list: Child # 1 Child # 2 Child # 3 Child # 4 Child # 5 Child # 6 Child # 13 Child # 16 Child # 19 Child # 21 Answer 4 POC questions.

This Statement of Deficiencies was generated as a result of the complaint investigation conducted at your facility on XXXXX. 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 295 children as a center. The census at the time of survey was 88 children. 0 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: THERESA HEHN Title: facility director Date: 07/22/2025 REPRESENTATIVE'S SIGNATURE 788 B. WING _______________________ 07/17/2025 L... Based on the review of the attendance sheets provided the facility failed to provide an adequate number of staff for the number of children in care. Room 116 (2's): On dates 5/19 - 5/21 the room was out of ratio from 12:30 pm -1:30 pm, on 5/22 from 12:00 pm - 1:45 pm, and on 5/23 all day. There needed to be one additional care giver to maintain the ratio during that time. The ratios were as follows. 5/19 14:1, 5/20 13:1, 5/21 12:1, 5/22 13:1, 5/23 10:1 STATEMENT

This Statement of Deficiencies was generated as a result of the on-site State Annual Inspection conducted at your facility on 07/15/2025. The facility is licensed for 295 children as a Center. The census at the time of survey was 84 children. 0 children's files and 0 staff files were reviewed. Staff files and Child files will be reviewed at a later date. 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: THERESA HEHN Title: Director Date: 07/18/2025 REPRESEN Based on observation mentioned and we will be sure to be more and review of records, the facility failed to aware of the processes and procedures of ensure all staff were background checked NABS and entered onto the NABS roster as 4. Our staff person that monitors and required. The following staff need to manages all trainings and expiration dates complete a background check and entered was talked with about the expectation to onto the NABS roster: keep abreast of all practices of the Agencies - however, the Director is Argelia B. ultimately responsible for the result of the Mykklyla R. staff Based on observation, the following playground hazards were noted: Toddler Playground: The shed needs a lock and is overflowing, causing the side walls to bulge which creates sharp edges and poses a safety hazard. Ensure the shed remains locked and free of all safety hazards. Upload pictures of corrections. Answer 4 POC questions. NAC 302 1. A licensee of a child care facility shall not NAC 302 1. Request to correct or immediate 07/18/202 knowingly appoint a person as director of correction will take place ion of items noted 5 PRINTED Based on standards for all classrooms observation, the following hazards were noted: Infant class: A dead bug/roach was observed near the children's cots. Please ensure the classroom is inspected regularly to maintain a safe and hygienic environment and that any pest concerns are addressed promptly. Room 121- Two adult scissors and two knives were observed on a food cart that was accessible to children. The Surveyor relocated the items to a secure location to ensure they were out of reach and inaccessible to children. Room 125- The cabinet under the sink was unlocked and was observed to have Based on inspection and record review facility failed to ensure all staff had a negative TB. Please upload current Negative TB for the following staff: Ciara M., and Alisa D. 788 B. WING _______________________ 07/15/2025

The facility is licensed for 295 children as a Center. The census at the time of investigation was 151 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: THERESA HEHN Title: facility director Date: 10/06/2025 REPRESENTATIVE'S SIGNATURE Base on the record about undone behavior review and the interview with the director, 2 Ongoing meetings with the family took the center failed to accommodate the needs place for months The complaint was filed of the child by offering alternate and the inspection complete in May, 2025 accommodations for the child's behavioral 3 It is difficult to make recommendations for needs. outside resources in this case that was never an issue or concern Mom and Dad never discussed any condition concerning their child until the day they were notified (after several meetings) that they were not invited to Based on interview and record review of the incident reports, staff buckled child in chair as child was a danger to self and others which is inappropriate discipline to restrain a child.

This Statement of Deficiencies was generated as a result of the on-site State Semi Annual Inspection conducted at your facility on 2/28/2025. The facility is licensed for 295 children as a Center. The census at the time of survey was 153 children. 0 children's files and 0staff files were reviewed. Reminders: Child files. all staff files and 24 annual training hours 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: during the inspection on 2/28 3 Staff has been address about the Based on Surveyor observation, the facility deficiency and will comply If at any time the failed to ensure the following staff had team falls out of compliance written appropriate supervision while in contact correction will take place with children, while background 4 Ultimately the director is responsible for investigation is in pending status. Ursula G. all deficiencies in the Center However, staff has an "in process" backgrounds status and is trained and aware that classrooms must was left alone in classroom 132B. Surveyor r all deficiencies in the Center However, all staff is trained and aware that sign in sheets Based on record review, the facility must remain accurate at all times Staff and failed to maintain a daily sign-in sheet leadership will work together to be sure this that included the times of arrival and does not reoccur departure for staff and/or children. Room 103: A baby left the classroom to be nursed by the parent but was not signed out. Any time a child leaves the classroom, even for a brief period, they must be signed out and signed back in upon their return. Room 132: There were 15 children i Based observation, the following hazards were noted: Room 103: Cleaning supplies were found on the counter next to the changing table. Please make sure that cleaning supplies are stored in a location that is inaccessible to children, such as on a high shelf or in a locked cabinet. Answer 4 POC questions. NAC 520 1. A licensee of a child care facility shall NAC 520 1 The nursery staff has moved cribs and/or 02/28/202 have a staff which is sufficient in number to cot to be more in direct sight when babies 5 provide physical care, supervision and are asleep in cribs or on cots individual attention to each child and allow 2 The infraction was corrected immediately time for interaction between the staff and after the inspection on 2/28 the children to promote the children ' s 3 Staff has been a... Based on observation, in Classroom 103, one child was sleeping in a crib in the corner of the room, while another child was resting on a cot behind a wall, out of the staff's view. Ensure that classroom staff maintain visual supervision of all children during naptime at all times. Answer 4 POC questions. NAC 1. Except as otherwise provided in NAC NAC 1 The classroom staff corrected coverage 02/28/202 5205 432A.290 and 432A.546, a licensee of a 5205 while inspection was taking place - this was 5 child care center, child care institution, due to staff stepping out for personal accommodation facility, facility for special reasons leaving us out of ration during nap events, nursery for infants and toddlers or time Better communication will take place special needs facility shall, between the w... Based on observation, the facility failed to provide an adequate number of staff for the number of children in care in the following classrooms: Classroom #128: 3 year old class, the ratio 16:1 but the required ratio is 12:1. One additional staff was required to come into compliance. Corrected on site. Classroom #12B: 3 year old class, the ratio 14:1 but the required ratio is 12:1. One additional staff was required to come into compliance. Corrected on site. Ensure all classrooms has an adequate number of staff for the number of children in care at all times. Answer 4 POC questions. STATE FOR

Based on complaint investigation, interview and review of family handbook it was established that certain strategies and methodologies used to help with children’s safety and learning is not clearly communicated to the families and should be added to facility statement/handbook. Upload copy of addendum paragraph to handbook.

ThisStatement of Deficiencies was generated as a result of the on-site Statelicensure inspection conducted at your facility on 6/6/24. Thefacility is licensed for #295 Children as a center. The census at the time ofsurvey was # 115 children and #25 children files were reviewed and #43 staff files werereviewed. NAC 200 Based on record review and interview the facility failed to enter 4 staff members into NABS within 24 hours. One staff member did not have proof of fingerprinting. Mykyyla R, Mystique, M Treasure, J Shipp, L - No proof of fingerprints Answer 4 poc questions and upload NABS Roster to show that staff has been entered. NRS 230 NRS 230 1 Shot records will be carefully compared to 06/12/202 Certificate of immunization prerequisite to spreadsheet tracker. However they were 4 admission to child care facility; conditional obtained by both student #16 and #21 admission; report to Health Division. Exce Based on record review and interview the facility failed to provide evidence of current immunizations for the following children" Child 16 and Child 21. Identifier list copy was left at facility and is located in documents. Answer 4 poc questions and upload updated shot records.

The facility is licensed for 295 children as a Center. The census at the time of investigation was 170 children. 25 children's files and 41 staff files were reviewed. NAC 306 1. Every caregiver in a child care facility NAC 306 1 Trisha had issues with her NV Registry 03/05/202 must: but we were sure to address it again 4 (a) Be at least 16 years of age; 2 We revisited the issue on 3/4 when our (b) Be able to summon help in an CEU admin returned emergency; 3 CEU admin was out on maternity leave (c) Be emotionally and physically qualified which is why some things got unattended to to carry out Based on record review, Trisha C needs to register with NV Registry. Upload NV Registry certificate then place in employee file. 788 B. WING _______________________ 03/01/2024 LAKE MEAD CHRISTIAN ACADEMY - EARLY E Based on record review, Child #4,10,23 and 25 need updated immunizations. Upload current shot record then place in child file. NAC NAC 1 Assessments are completed in 03/05/202 430.3 3. In addition to the written assessment plan 430.3 September and March on a regular basis 4 which is developed pursuant to subsection Assessments were completed for 2, each facility described in subsection 1 September however they were with shall, within 3 months after a child enrolls in teachers to assess again for March the facility, assess the child by use of, 2 We gathered the assessments throughout without l Based on record assessments for September and were in the review, Child midst of completed for March when our #1,3,4,5,6,7,8,10,11,12,13,16,17,18,19,20,2 inspection took place. 2,23,24 and 25 need assessments completed. Upload completed assessments then place in child file.

This Statement of Deficiencies was generated as a result of the on-site State licensure complaint investigation conducted at your facility on 01/09/2024. At time of inspection no regulatory deficiencies were observed. The facility is licensed for 280 children as a center. The census at the time of survey was 108 children. 0 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: Title: Date: REPRESENTATIVE'S SIGNA

Reminder: Email Surveyor continuous hours for the following no later than 08/31/23 to avoid Notice of Violation and possible fine. Theresa H - 24 hours Tiffany J - 6 hours to include 2 hrs Wellness 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: THERESA HEHN Title: Director Date: 08/25/2023 REPRESENTATIVE'S SIGNATURE STATEMEN Based on record review, Natalie M did not have proof of negative TB test. Upload TB test results then place in employee file. NRS 230 NRS 230 Notices were sent to parents to bring 08/14/202 Certificate of immunization prerequisite to immunizations current 3 admission to child care facility; conditional Parents complied from 8/14-8/24 admission; report to Health Division. Except We have developed a spread sheet to try as otherwise provided in NRS 432A.235 for and monitor immunizations It can be accommodation facilities: challenging at times to be accurate when 1. Except as otherwise provided i Based on record review, Child #3, 8, 15, 17, 18, 19, 30, 32 and 33 need updated immunizations. Upload current shot record then place in child file. 788 B. WING _______________________ 08/11/2023 LAKE MEAD CHRISTIA Based on record review, Child #17, 23 and 31 need assessments completed. Upload completed and dated assessments then place in child file.

The facility is licensed for 280 children as a Center. The census at the time of inspection was 174 children. 25 children's files and 40 staff files were reviewed. NAC 310 1. Every member of the staff of a facility, NAC 310 1 The date due was read in error on the 04/03/202 including a volunteer, and each resident of listing of trainings - the oversight caused the 3 the facility shall present to the director of staff person to be expired the facility, to be placed in the person’s file, 2 Melissa was asked to set an appointment written evidence that the person is free from the same day as the i Melissa S. had an expired TB slip on file, have the staff obtain a current TB slip and then upload it in the Plan of Correction (POC) by 4/7/23. **Ensure that TB slips are renewed every 2 years prior to expiration.

This Statement of Deficiencies was generated as a result of the on-site State Ad-Hoc inspection conducted at your facility on 08/13/2025 to review staff and child files. The facility is licensed for 295 children as a Center. The census at the time of survey was 143 children. 25 children's files and 34 staff files were reviewed. Recommendations: 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: THERESA HEHN Title: facility director Date: 08/22/2025 REPRESENT Based on review of records, the facility failed to ensure all staff were background checked as required. The following staff need to get fingerprinted to complete a background check: Gayle S. Upload a copy of the Consent & Release form to show they have been fingerprinted. Answer 4 POC questions. NAC 306 1. Every caregiver in a child care facility NAC 306 1 The 2 staff members were required to 08/22/202 must: renew and or complete trainings to file for 5 (a) Be at least 16 years of age; Nevada Registry (b) Be able to summon help in an 2 They began to obtain their NV Registry emergency; member Based on record review, the facility failed to ensure that each employee had proof of Nevada Registry membership present for review. Please upload proof of Nevada Registry membership for the following staff: -Elisa H. -Lorelai R. Answer 4 POC questions. NAC 323 1. Except as otherwise provided in NAC NAC 323 1 All staff retook the proper Wellness class 08/22/202 432A.521 and NRS 432A.177, within 120 2 Staff began completing the recognized 5 days after commencing his or her Wellness class immediately employment or position in a child care 3 This was difficult in terms of CCEI and facility, each person who is employed in a Nevada Registry making a change to an child care facility, other than a person acceptable Wellness class without proper employed in a facility that provides care for commun... Based on record review, the facility failed to ensure that within 120 days of hire each employee completed the required hours of training in childcare. Please upload proof of trainings for staff listed on the identifier list. -Amy G.-Wellness training course (2 hours) -Danielle H.-Wellness training course (2 hours) -Tiffany J.- Wellness training course (2 hours) -Yegisapet K.-Wellness training course (2 hours) -Kristie L.- Human Growth & Development or Positive Guidance (1 hour), Wellness training course (2 hours) -Lorelai R. -Signs of Illness (2 hours), Child Abuse & Neglect (2 hours), SIDS Based on record review, the facility admitted children who had missing or 788 B. WING _______________________ 08/13/2025 LAKE MEAD CHRISTIAN ACADEMY - EARLY EDUCATION 540 E. LAKE MEAD PKWY, HENDERSON, NEVADA ,89 Based on review of records, the facility did not assess each child within three months after enrollment in the facility or repeat assessment every six months. Please upload assessments for the following children listed on the identifier list: Child # 1 Child # 2 Child # 3 Child # 4 Child # 5 Child # 6 Child # 13 Child # 16 Child # 19 Child # 21 Answer 4 POC questions.

This Statement of Deficiencies was generated as a result of the complaint investigation conducted at your facility on XXXXX. 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 295 children as a center. The census at the time of survey was 88 children. 0 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: THERESA HEHN Title: facility director Date: 07/22/2025 REPRESENTATIVE'S SIGNATURE 788 B. WING _______________________ 07/17/2025 L... Based on the review of the attendance sheets provided the facility failed to provide an adequate number of staff for the number of children in care. Room 116 (2's): On dates 5/19 - 5/21 the room was out of ratio from 12:30 pm -1:30 pm, on 5/22 from 12:00 pm - 1:45 pm, and on 5/23 all day. There needed to be one additional care giver to maintain the ratio during that time. The ratios were as follows. 5/19 14:1, 5/20 13:1, 5/21 12:1, 5/22 13:1, 5/23 10:1 STATEMENT

This Statement of Deficiencies was generated as a result of the on-site State Annual Inspection conducted at your facility on 07/15/2025. The facility is licensed for 295 children as a Center. The census at the time of survey was 84 children. 0 children's files and 0 staff files were reviewed. Staff files and Child files will be reviewed at a later date. 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: THERESA HEHN Title: Director Date: 07/18/2025 REPRESEN Based on observation mentioned and we will be sure to be more and review of records, the facility failed to aware of the processes and procedures of ensure all staff were background checked NABS and entered onto the NABS roster as 4. Our staff person that monitors and required. The following staff need to manages all trainings and expiration dates complete a background check and entered was talked with about the expectation to onto the NABS roster: keep abreast of all practices of the Agencies - however, the Director is Argelia B. ultimately responsible for the result of the Mykklyla R. staff Based on observation, the following playground hazards were noted: Toddler Playground: The shed needs a lock and is overflowing, causing the side walls to bulge which creates sharp edges and poses a safety hazard. Ensure the shed remains locked and free of all safety hazards. Upload pictures of corrections. Answer 4 POC questions. NAC 302 1. A licensee of a child care facility shall not NAC 302 1. Request to correct or immediate 07/18/202 knowingly appoint a person as director of correction will take place ion of items noted 5 PRINTED Based on standards for all classrooms observation, the following hazards were noted: Infant class: A dead bug/roach was observed near the children's cots. Please ensure the classroom is inspected regularly to maintain a safe and hygienic environment and that any pest concerns are addressed promptly. Room 121- Two adult scissors and two knives were observed on a food cart that was accessible to children. The Surveyor relocated the items to a secure location to ensure they were out of reach and inaccessible to children. Room 125- The cabinet under the sink was unlocked and was observed to have Based on inspection and record review facility failed to ensure all staff had a negative TB. Please upload current Negative TB for the following staff: Ciara M., and Alisa D. 788 B. WING _______________________ 07/15/2025

This Statement of Deficiencies was generated as a result of the on-site State Semi Annual Inspection conducted at your facility on 2/28/2025. The facility is licensed for 295 children as a Center. The census at the time of survey was 153 children. 0 children's files and 0staff files were reviewed. Reminders: Child files. all staff files and 24 annual training hours 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: during the inspection on 2/28 3 Staff has been address about the Based on Surveyor observation, the facility deficiency and will comply If at any time the failed to ensure the following staff had team falls out of compliance written appropriate supervision while in contact correction will take place with children, while background 4 Ultimately the director is responsible for investigation is in pending status. Ursula G. all deficiencies in the Center However, staff has an "in process" backgrounds status and is trained and aware that classrooms must was left alone in classroom 132B. Surveyor r all deficiencies in the Center However, all staff is trained and aware that sign in sheets Based on record review, the facility must remain accurate at all times Staff and failed to maintain a daily sign-in sheet leadership will work together to be sure this that included the times of arrival and does not reoccur departure for staff and/or children. Room 103: A baby left the classroom to be nursed by the parent but was not signed out. Any time a child leaves the classroom, even for a brief period, they must be signed out and signed back in upon their return. Room 132: There were 15 children i Based observation, the following hazards were noted: Room 103: Cleaning supplies were found on the counter next to the changing table. Please make sure that cleaning supplies are stored in a location that is inaccessible to children, such as on a high shelf or in a locked cabinet. Answer 4 POC questions. NAC 520 1. A licensee of a child care facility shall NAC 520 1 The nursery staff has moved cribs and/or 02/28/202 have a staff which is sufficient in number to cot to be more in direct sight when babies 5 provide physical care, supervision and are asleep in cribs or on cots individual attention to each child and allow 2 The infraction was corrected immediately time for interaction between the staff and after the inspection on 2/28 the children to promote the children ' s 3 Staff has been a... Based on observation, in Classroom 103, one child was sleeping in a crib in the corner of the room, while another child was resting on a cot behind a wall, out of the staff's view. Ensure that classroom staff maintain visual supervision of all children during naptime at all times. Answer 4 POC questions. NAC 1. Except as otherwise provided in NAC NAC 1 The classroom staff corrected coverage 02/28/202 5205 432A.290 and 432A.546, a licensee of a 5205 while inspection was taking place - this was 5 child care center, child care institution, due to staff stepping out for personal accommodation facility, facility for special reasons leaving us out of ration during nap events, nursery for infants and toddlers or time Better communication will take place special needs facility shall, between the w... Based on observation, the facility failed to provide an adequate number of staff for the number of children in care in the following classrooms: Classroom #128: 3 year old class, the ratio 16:1 but the required ratio is 12:1. One additional staff was required to come into compliance. Corrected on site. Classroom #12B: 3 year old class, the ratio 14:1 but the required ratio is 12:1. One additional staff was required to come into compliance. Corrected on site. Ensure all classrooms has an adequate number of staff for the number of children in care at all times. Answer 4 POC questions. STATE FOR

Based on complaint investigation, interview and review of family handbook it was established that certain strategies and methodologies used to help with children’s safety and learning is not clearly communicated to the families and should be added to facility statement/handbook. Upload copy of addendum paragraph to handbook.

ThisStatement of Deficiencies was generated as a result of the on-site Statelicensure inspection conducted at your facility on 6/6/24. Thefacility is licensed for #295 Children as a center. The census at the time ofsurvey was # 115 children and #25 children files were reviewed and #43 staff files werereviewed. NAC 200 Based on record review and interview the facility failed to enter 4 staff members into NABS within 24 hours. One staff member did not have proof of fingerprinting. Mykyyla R, Mystique, M Treasure, J Shipp, L - No proof of fingerprints Answer 4 poc questions and upload NABS Roster to show that staff has been entered. NRS 230 NRS 230 1 Shot records will be carefully compared to 06/12/202 Certificate of immunization prerequisite to spreadsheet tracker. However they were 4 admission to child care facility; conditional obtained by both student #16 and #21 admission; report to Health Division. Exce Based on record review and interview the facility failed to provide evidence of current immunizations for the following children" Child 16 and Child 21. Identifier list copy was left at facility and is located in documents. Answer 4 poc questions and upload updated shot records.

The facility is licensed for 295 children as a Center. The census at the time of investigation was 170 children. 25 children's files and 41 staff files were reviewed. NAC 306 1. Every caregiver in a child care facility NAC 306 1 Trisha had issues with her NV Registry 03/05/202 must: but we were sure to address it again 4 (a) Be at least 16 years of age; 2 We revisited the issue on 3/4 when our (b) Be able to summon help in an CEU admin returned emergency; 3 CEU admin was out on maternity leave (c) Be emotionally and physically qualified which is why some things got unattended to to carry out Based on record review, Trisha C needs to register with NV Registry. Upload NV Registry certificate then place in employee file. 788 B. WING _______________________ 03/01/2024 LAKE MEAD CHRISTIAN ACADEMY - EARLY E Based on record review, Child #4,10,23 and 25 need updated immunizations. Upload current shot record then place in child file. NAC NAC 1 Assessments are completed in 03/05/202 430.3 3. In addition to the written assessment plan 430.3 September and March on a regular basis 4 which is developed pursuant to subsection Assessments were completed for 2, each facility described in subsection 1 September however they were with shall, within 3 months after a child enrolls in teachers to assess again for March the facility, assess the child by use of, 2 We gathered the assessments throughout without l Based on record assessments for September and were in the review, Child midst of completed for March when our #1,3,4,5,6,7,8,10,11,12,13,16,17,18,19,20,2 inspection took place. 2,23,24 and 25 need assessments completed. Upload completed assessments then place in child file.

This Statement of Deficiencies was generated as a result of the on-site State licensure complaint investigation conducted at your facility on 01/09/2024. At time of inspection no regulatory deficiencies were observed. The facility is licensed for 280 children as a center. The census at the time of survey was 108 children. 0 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: Title: Date: REPRESENTATIVE'S SIGNA

Reminder: Email Surveyor continuous hours for the following no later than 08/31/23 to avoid Notice of Violation and possible fine. Theresa H - 24 hours Tiffany J - 6 hours to include 2 hrs Wellness 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: THERESA HEHN Title: Director Date: 08/25/2023 REPRESENTATIVE'S SIGNATURE STATEMEN Based on record review, Natalie M did not have proof of negative TB test. Upload TB test results then place in employee file. NRS 230 NRS 230 Notices were sent to parents to bring 08/14/202 Certificate of immunization prerequisite to immunizations current 3 admission to child care facility; conditional Parents complied from 8/14-8/24 admission; report to Health Division. Except We have developed a spread sheet to try as otherwise provided in NRS 432A.235 for and monitor immunizations It can be accommodation facilities: challenging at times to be accurate when 1. Except as otherwise provided i Based on record review, Child #3, 8, 15, 17, 18, 19, 30, 32 and 33 need updated immunizations. Upload current shot record then place in child file. 788 B. WING _______________________ 08/11/2023 LAKE MEAD CHRISTIA Based on record review, Child #17, 23 and 31 need assessments completed. Upload completed and dated assessments then place in child file.

This Statement of Deficiencies was generated as a result of the on-site State licensure survey conducted at your facility on 3/13/2018. NAC 306 1. Every caregiver in a child care facility NAC 306 1. Nevada Registry for Lindsay Ritchie was 04/20/201 must: held up due to taking the incorrect Rec and 8 (a) Be at least 16 years of age; Rep Abuse class. (b) Be able to summon help in an 2. That has since been corrected. Please emergency; note the letter of acceptance from NV (c) Be emotionally and physically qualified Registry. to carry out a program which places 3. Staff will be more conscience of Based on interview and record review, the facility failed to ensure that within 90 days of hire each employee had a completed application or renewal of Nevada Registry membership. Current Nevada Registry membership not present for staff noted below as listed on the staff identifier sheet. L. Ritchie: Please submit copy of Nevada Registry Certificate or email from Nevada Registry stating compliance NAC 323 1. Except as otherwise provided in NAC 323 1. Staff member mistakenly took a Child 04/20/201 subsection 4 and Based on record 788 B. WING _______________________ 03/13/2018 LAKE MEAD CHRISTIAN ACADEMY - EARLY EDUCATION 540 E. LAKE MEAD PKWY, HENDERSON, NEVADA ,89015 review and interview the facility failed to ensure that all staff completed the required hours of training within 90 days of hire. The staff listed need to complete the required training. Please submit all completed trainings to surveyor for review. L. Ritchie: Child Abuse and Neglect training not valid, Child Development class for 2 hours does not have a Nevada Registry Approval code. NAC 524 Child care centers and accommodation NAC 524 1. Staff member mistakenly took a Child 04/20/201 facilities: Caregivers during the day. Except Abuse class that was not recognized. She 8 as otherwise provided in Based on observation and interview the facility failed to provide a sufficient number of staff for the number of children in care. This is based off the revised regulations for ratios for Child Care Facilities. Please refer to

This Statement of Deficiencies was generated as a result of the on-site State Ad-Hoc inspection conducted at your facility on 08/13/2025 to review staff and child files. The facility is licensed for 295 children as a Center. The census at the time of survey was 143 children. 25 children's files and 34 staff files were reviewed. Recommendations: 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: THERESA HEHN Title: facility director Date: 08/22/2025 REPRESENT Based on review of records, the facility failed to ensure all staff were background checked as required. The following staff need to get fingerprinted to complete a background check: Gayle S. Upload a copy of the Consent & Release form to show they have been fingerprinted. Answer 4 POC questions. NAC 306 1. Every caregiver in a child care facility NAC 306 1 The 2 staff members were required to 08/22/202 must: renew and or complete trainings to file for 5 (a) Be at least 16 years of age; Nevada Registry (b) Be able to summon help in an 2 They began to obtain their NV Registry emergency; member Based on record review, the facility failed to ensure that each employee had proof of Nevada Registry membership present for review. Please upload proof of Nevada Registry membership for the following staff: -Elisa H. -Lorelai R. Answer 4 POC questions. NAC 323 1. Except as otherwise provided in NAC NAC 323 1 All staff retook the proper Wellness class 08/22/202 432A.521 and NRS 432A.177, within 120 2 Staff began completing the recognized 5 days after commencing his or her Wellness class immediately employment or position in a child care 3 This was difficult in terms of CCEI and facility, each person who is employed in a Nevada Registry making a change to an child care facility, other than a person acceptable Wellness class without proper employed in a facility that provides care for commun... Based on record review, the facility failed to ensure that within 120 days of hire each employee completed the required hours of training in childcare. Please upload proof of trainings for staff listed on the identifier list. -Amy G.-Wellness training course (2 hours) -Danielle H.-Wellness training course (2 hours) -Tiffany J.- Wellness training course (2 hours) -Yegisapet K.-Wellness training course (2 hours) -Kristie L.- Human Growth & Development or Positive Guidance (1 hour), Wellness training course (2 hours) -Lorelai R. -Signs of Illness (2 hours), Child Abuse & Neglect (2 hours), SIDS Based on record review, the facility admitted children who had missing or 788 B. WING _______________________ 08/13/2025 LAKE MEAD CHRISTIAN ACADEMY - EARLY EDUCATION 540 E. LAKE MEAD PKWY, HENDERSON, NEVADA ,89 Based on review of records, the facility did not assess each child within three months after enrollment in the facility or repeat assessment every six months. Please upload assessments for the following children listed on the identifier list: Child # 1 Child # 2 Child # 3 Child # 4 Child # 5 Child # 6 Child # 13 Child # 16 Child # 19 Child # 21 Answer 4 POC questions.

This Statement of Deficiencies was generated as a result of the on-site State Annual Inspection conducted at your facility on 07/15/2025. The facility is licensed for 295 children as a Center. The census at the time of survey was 84 children. 0 children's files and 0 staff files were reviewed. Staff files and Child files will be reviewed at a later date. 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: THERESA HEHN Title: Director Date: 07/18/2025 REPRESEN Based on observation mentioned and we will be sure to be more and review of records, the facility failed to aware of the processes and procedures of ensure all staff were background checked NABS and entered onto the NABS roster as 4. Our staff person that monitors and required. The following staff need to manages all trainings and expiration dates complete a background check and entered was talked with about the expectation to onto the NABS roster: keep abreast of all practices of the Agencies - however, the Director is Argelia B. ultimately responsible for the result of the Mykklyla R. staff Based on observation, the following playground hazards were noted: Toddler Playground: The shed needs a lock and is overflowing, causing the side walls to bulge which creates sharp edges and poses a safety hazard. Ensure the shed remains locked and free of all safety hazards. Upload pictures of corrections. Answer 4 POC questions. NAC 302 1. A licensee of a child care facility shall not NAC 302 1. Request to correct or immediate 07/18/202 knowingly appoint a person as director of correction will take place ion of items noted 5 PRINTED Based on standards for all classrooms observation, the following hazards were noted: Infant class: A dead bug/roach was observed near the children's cots. Please ensure the classroom is inspected regularly to maintain a safe and hygienic environment and that any pest concerns are addressed promptly. Room 121- Two adult scissors and two knives were observed on a food cart that was accessible to children. The Surveyor relocated the items to a secure location to ensure they were out of reach and inaccessible to children. Room 125- The cabinet under the sink was unlocked and was observed to have Based on inspection and record review facility failed to ensure all staff had a negative TB. Please upload current Negative TB for the following staff: Ciara M., and Alisa D. 788 B. WING _______________________ 07/15/2025

This Statement of Deficiencies was generated as a result of the complaint investigation conducted at your facility on XXXXX. 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 295 children as a center. The census at the time of survey was 88 children. 0 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: THERESA HEHN Title: facility director Date: 07/22/2025 REPRESENTATIVE'S SIGNATURE 788 B. WING _______________________ 07/17/2025 L... Based on the review of the attendance sheets provided the facility failed to provide an adequate number of staff for the number of children in care. Room 116 (2's): On dates 5/19 - 5/21 the room was out of ratio from 12:30 pm -1:30 pm, on 5/22 from 12:00 pm - 1:45 pm, and on 5/23 all day. There needed to be one additional care giver to maintain the ratio during that time. The ratios were as follows. 5/19 14:1, 5/20 13:1, 5/21 12:1, 5/22 13:1, 5/23 10:1 STATEMENT

This Statement of Deficiencies was generated as a result of the on-site State Semi Annual Inspection conducted at your facility on 2/28/2025. The facility is licensed for 295 children as a Center. The census at the time of survey was 153 children. 0 children's files and 0staff files were reviewed. Reminders: Child files. all staff files and 24 annual training hours 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: during the inspection on 2/28 3 Staff has been address about the Based on Surveyor observation, the facility deficiency and will comply If at any time the failed to ensure the following staff had team falls out of compliance written appropriate supervision while in contact correction will take place with children, while background 4 Ultimately the director is responsible for investigation is in pending status. Ursula G. all deficiencies in the Center However, staff has an "in process" backgrounds status and is trained and aware that classrooms must was left alone in classroom 132B. Surveyor r all deficiencies in the Center However, all staff is trained and aware that sign in sheets Based on record review, the facility must remain accurate at all times Staff and failed to maintain a daily sign-in sheet leadership will work together to be sure this that included the times of arrival and does not reoccur departure for staff and/or children. Room 103: A baby left the classroom to be nursed by the parent but was not signed out. Any time a child leaves the classroom, even for a brief period, they must be signed out and signed back in upon their return. Room 132: There were 15 children i Based observation, the following hazards were noted: Room 103: Cleaning supplies were found on the counter next to the changing table. Please make sure that cleaning supplies are stored in a location that is inaccessible to children, such as on a high shelf or in a locked cabinet. Answer 4 POC questions. NAC 520 1. A licensee of a child care facility shall NAC 520 1 The nursery staff has moved cribs and/or 02/28/202 have a staff which is sufficient in number to cot to be more in direct sight when babies 5 provide physical care, supervision and are asleep in cribs or on cots individual attention to each child and allow 2 The infraction was corrected immediately time for interaction between the staff and after the inspection on 2/28 the children to promote the children ' s 3 Staff has been a... Based on observation, in Classroom 103, one child was sleeping in a crib in the corner of the room, while another child was resting on a cot behind a wall, out of the staff's view. Ensure that classroom staff maintain visual supervision of all children during naptime at all times. Answer 4 POC questions. NAC 1. Except as otherwise provided in NAC NAC 1 The classroom staff corrected coverage 02/28/202 5205 432A.290 and 432A.546, a licensee of a 5205 while inspection was taking place - this was 5 child care center, child care institution, due to staff stepping out for personal accommodation facility, facility for special reasons leaving us out of ration during nap events, nursery for infants and toddlers or time Better communication will take place special needs facility shall, between the w... Based on observation, the facility failed to provide an adequate number of staff for the number of children in care in the following classrooms: Classroom #128: 3 year old class, the ratio 16:1 but the required ratio is 12:1. One additional staff was required to come into compliance. Corrected on site. Classroom #12B: 3 year old class, the ratio 14:1 but the required ratio is 12:1. One additional staff was required to come into compliance. Corrected on site. Ensure all classrooms has an adequate number of staff for the number of children in care at all times. Answer 4 POC questions. STATE FOR