Little Timbers Academy

· Thisstatement of deficiencies was generated as a result of an annual inspectionconducted at your facility on 11.19.25. The facility is licensed for 73 as achild care center. The census at the time of inspection was 36 children. 16 staff files and 15 child files were reviewed at the time of inspection. Licensing Reminder: Ensurethe following staff have submitted their annual training hours by 12.31.25 toensure compliance and timely review: Staff #7 needs 6 hours; Staff #8 needs 4 hours. Also, please make sure to do the renewal application before 12.31.25 to stay in compliance. If deficiencie

ThisStatement of Deficiencies was generated as a result of an on-sitecomplaint investigation at your facility on 7/25/25. The facility islicensed for 73 children as a Child Care facility. The census at the time ofthe survey was 35 children. No regulatory deficiencies were found at the time of investigation. 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 the result of an on site semi annual inspection at your facility on 5.20.25. The facility is licensed for 73 children as a child care center. The census at the time of visit was 60 children. 0 staff and 0 child files were reviewed and will be audited at the time of renewal inspection. There were no regulatory deficiencies noted at the time of visit. 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

This Statement of Deficiencies was generated as a result of an annual inspection on 11.22.24 . The facility is licensed for 73 children as a Child Care facility. The census at the time of the survey was 29. 10 children’s files were reviewed and 17 employee files were reviewed Reminders and Recommendations: - Update NABs by 11/26/24 to ensure compliance -Update and submit Liability Policy to include CCL as certificate holder with Address 727 Fairview, CC, NV 89701 -Fix small Breaks in fencing outside to ensure safety -Sand and paint outside fences and gates for safety from splinters -Schedule

This statement of deficiencies was generated as a result of a semi annual inspection conducted at your facility on 5.9.24. The facility is licensed for 73 children as a child care center. The census at the time of inspection was 55 children and 10 staff. 15 child files and 15 staff files were reviewed. NAC 306 1. Every caregiver in a child care facility NAC 306 Employees listed in POC had been 05/20/202 must: submitted to registry within their original 90 4 (a) Be at least 16 years of age; days; however, previous director had (b) Be able to summon help in an submitted membership request under Based on record review and interview on 5.7.24 the facility failed to ensure within 90 days of employment each caregiver has applied with the Nevada Registry. Provide verification that staff as noted has submitted applications. Staff #8 Staff #15 1467 B. WING ___________________ Based on observation, interview, and record review on 5.7.24 facility staff in Discovery classroom failed to have the written plan of curriculum for the current week available. Make sure current plans for the week are accessible in all classrooms, and remind staff that curriculum must be prepared before the curriculum becomes effective.

This statement of deficiencies was generated based on a complaint investigation conducted at your facility on 4.17.24. The facility is licensed for 73 children as a child care facility. The census at the time of investigation was 61 children. Additional deficiencies not relating to the complaint were noted at the time of 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: PIA WOOD Title: Owner Date: 05/07/2024 REPRESENTATIVE'S SIGNATURE Based on interview sheets. and record review on 4.17.24, facility allowed staff with pending background 4) Director and shift supervisors are check to be left alone with children without responsible making sure uncleared supervision from a staff with a cleared teachers have appropriate supervision. background check. NAC 302 1. A licensee of a child care facility shall not NAC 302 1) Meeting was held on 4/26/24 to review 05/24/202 knowingly appoint a person as director of the following classes assigned to 4 the facility or appoint or permit the employees: appointment of a person as an employee Based on record safety program. Teachers are responsible review and interview on 4.17.24 the staff of for classroom safety and parent the facility failed to communicate with communication. parents in a professional manner. Based on record review and interview on 4.17.24 the staff of the facility failed to recognize and eliminate hazards to the safety of children due to knife being left in sink and being accessible to children. NAC 304 1. The director of a child care facility is NAC 304 1) Supervisors are all aware who has been 04/26/202 responsible for screening, scheduling and cleared to be in a classroom unsupervised. 4 1467 B. WING _______________________ 04/17/2024 LITTLE TIMBERS ACADEMY 151 E PARK ST, CARSON CITY, NEVADA ,89703 supervising the staff of the facility and for the conduct... Based on record review and interview on 4.17.24 the designated in charge staff failed to screen, schedule, and supervise the staff of the facility. Staff with pending background check scheduled to be left alone with children without supervision from a staff with a cleared background check. Director is responsible for the conduct of each member of the staff at the facility. NAC 520 1. A licensee of a child care facility shall NAC 520 1) Meeting was held on 4/26/24 to review 04/26/202 have a staff which is sufficient in number to the following classes assigned to 4 provide physical care, supervision and employees: individual attention to each child and allow -Parent Communication: Building time for interaction between the staff and Partners in the Educational Process the children to promote ... Based on record review and interview on 4.17.24, the facility failed to have staff present which was sufficient in number to provide physical care, supervision, and individual attention to each child. Due to the lack of supervision a child was able to access a knife resulting in the injury of a child on 4.16.24. Based on observation and interview on 4.17.24, the facility failed to have staff present which was sufficient in number to provide physical care, supervision, and individual attention to each child. While Disco classroom was within ratio, the staff were not interacting or appropriatel

This Statement of Deficiencies was generated as a result of an on-site complaint investigation at your facility on 4/10/24 and 4/15/24. The facility is licensed for 73 children as a Child Care facility. The census at the time of the survey was 57 children. Additional deficiencies not related to the complaint were found at the time of 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: PIA WOOD Title: Owner Date: 05/15/2024 REPRESENTATIVE'S SIGNATU Meeting was held on 2/27/24 to review sign- in procedures and expected standards Based on interview and record review under new leadership. on 4/15/24, the facility failed to maintain a daily sign-in sheet that included the 2) 2/27/24 first and last names of staff and children 3) Full names are already listed on sign-in and/or times of arrival or departure. sheets for each classroom. Teachers will fill Provide instruction as necessary to out arrival and departure times for children ensure complete information is in their classroom. recorded and monitor the daily sign-in sheets for both childr

This Statement of Deficiencies was generated as a result of an on-site complaint investigation at your facility on 3/5/24. The facility is licensed for 73 children as a Child Care center. The census at the time of the survey was 40 children. Additional deficiencies not related to the complaint were found at the time of inspection. Reminders and recommendation: -Recommend a new sign in sheet format to ensure accuracy. 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/SUPPL Based on record 4) Director is responsible for training staff review and interview on 3/5/24 the facility and checking accuracy of sign-in sheets. failed to maintain a daily sign in sheet that Teachers are responsible for maintaining included the times of arrival and departure, daily sheets. as well as first and last names for staff and children. Submit staff training regarding maintaining accurate sign-in sheets. NAC 1. Except as otherwise provided in NAC NAC 1) Center will maintain ratios in all classes. 03/26/202 5205 432A.290 and 432A.546, a licensee of a 5205 Staff will maintain accurate sign-in sheets. 4 child care center, child care institution, 2) 3/26/24 accommodation facility, facility for special 3) New staff hired to maintain ratios. Staff events, nursery for infants and toddle... Based on observation, record review and interview on 3/5/24 the facility failed to provide an adequate number of staff for the number of children in care. At the time of inspection: -Room observed to have 1 staff and 12 children, ages 2-5 years. 1 additional staff required. -Room observed to have 1 staff and 7 children, ages 16 months-2 years, 1 additional staff required. Review of random sampling of sign in sheets showed rooms out of ratio on multiple occasions over a 2 week period.

This statement of deficiencies was generated based on an annual inspection conducted at your facility on 11.8.23. The facility is licensed for 73 children as a child care center. The census at the time of inspection was 47 children and 7 staff. 15 child files and 12 staff files were reviewed. The following items must be submitted for review no later than 12.31.23 for timely application submission. Failure to submit may result in progressive action. -Staff #5; 2 annual training hours -Submit renewal application and upload all required documents for review. -Submit request for State Fire inspec Based on observation and interview on 11.8.23, the facility failed to have appropriate depths and perimeters of resilient surfacing underneath and surrounding any elevated play equipment. Rake and redistribute resilient surfacing back into fall zones on preschool and toddler playgrounds. Communicate to staff to push resilient surfacing back into fall zones as needed. Based on observation and interview on 11.8.23, the facility failed to clean a nonporous surface as evidenced by the following: -Dirt and grime build up present walls and doorways. Facility needs general cleaning.

This Statement of Deficiencies was generated as a result of a complaint investigation that began on 9/13/23 conducted at your facility. The facility is licensed for 73 children as a child care facility. 6 staff and the director were interviewed. 21 child file reviewed and 0 staff files. 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 1467 B. WING _______________________ 09/13/2023 LITTLE TIMBERS ACADEMY 151 E PARK ST, CARSON CITY, NEVADA ,89703 NAC 250 1. Except as otherwise provided in this NAC 250 1....the children in the toddler room have 09/13/202 subsection, subsection 3 and NRS been divided into two classro... Based on observation, record and interview on 9/13/23 the facility failed to ensure at least 35 square feet of indoor space was available for each child. T-1 and T-2 room were combined resulting in 21 children throughout he day and 15 children during site visit in the T-2 room, which measures and is approved for 14 children. Ensure rooms are used according to approved capacity. NAC 5. The director of the facility shall maintain a NAC 1....staff was re-trained on how to correctly 09/13/202 280.5 daily sign-in sheet that includes: 280.5 fill out sign in sheets 3 (a) The first and last names of Based on record review and interview on 9/13/23 the facility failed to ensure sign in sheets contained first and last names, as well as the times of arrival and departure of staff and children. Sign in sheets were missing staff last name, departure time for children and staff were not accurately signed in and out in the Infant room. Submit staff training regarding accurate sign in sheets. NAC 1. Except as otherwise provided in NAC NAC 1...additional staff was hired 09/14/202 5205 432A.290 and 432A.546, a licensee of a 5205 2...09/14/2023 3 1467 B. WING _______________________ 09/13/2023 LITTLE TIMBERS ACADEMY 151 E PARK ST, CARSON CITY, NEVADA ,89703 child care center, child care institution, 3...Director Carol Stroble and Assistant accommodation facility, facility for special director Aur... Based on observation, record review and interview on 9/13/23 the facility failed to provide an adequate number of staff for the number of infants/toddlers in care. 14 children, ages 18 months-3 years, were observed in the T-2 room with 2 staff members. One additional staff members required. Based on record review of the sign in sheet from 9/13/23 the T-2 room was shown to be out of ratio multiple times throughout the day with one interval of 21 children ages 13 months-3 years with 1 staff member. 3 additional staff members required.

This statement of Deficiencies was generated as a result of a semi-annual inspection on 05/10/23. The facility is licensed for 73 children as a Child Care Center. The census at the time of the survey was 38 children. 15 child files and 9 staff files were reviewed. Reminders and Recommendations: Ensure dates of enrollment are on all child files. Director recommended to sign up for WebIZ access. Administer assessments this month as required for children 1, 3, 4, 5, 9, 11, and 15. Work on Child File organization for next inspection. Update NABS as discussed for staff #7. If deficiencies are cite Based on observation and interview on 05/10/23, facility was found to have hazards as listed below: Preschool Playground: garbage present, shed had metal flashing hanging from the roof, shovel and wheelbarrow present. Middle toddler playground: needs additional resilient surface surrounding all elevated play equipment, crimp wire on gate. Side Toddler Playground: peeling paint present in wood chips and on wall; lattice separating two toddler playground was loose with sharp screws exposed; caterpillar eyes were broken with sharp edges and Based on record review and interview, the facility had no record that fire and disaster drill were held as required. Hold monthly fire drills and quarterly disaster drills as required. Document drills upon completion. Document quarterly emergency plan review with staff. Last documented fire drill held on 2/1/23 and last disaster drill held on 1/3/23. AND PLAN OF CO Based on observation and interview, facility failed to recognize and eliminate the following hazards for the safety of children as evidenced by the following: Discovery room: cupboard door under sink broken; vinyl base board peeling off wall, bathroom light broken. Lobby: broken handle on bottom left cupboard door; bottom right cupboard door broken. Preschool: Cupboard door on supply cubby broken. Replace outlet covers as required. NAC 323 1. Except as otherwise provided in NAC NAC 323 1....staff files have been reviewed and staff 05/19/202 432A.521 and NRS 432A.177, within 120 is in the process of completing required 3 days after commencing his or her trainings employment or position in a child care 2....05/19/2023 facility, each person who is employed in a 3...director will review staff ... Based on record review and interview on 05/10/23, the facility failed to ensure staff complete initial trainings as required. Staff as listed need to secure child care training. Staff #6: Child Abuse and Neglect. (Must be renewed every 5 years) NAC 360 1. The licensee of a facility shall not NAC 360 1....form was signed by parent 05/19/202 disclose to any person who is not a member 2....05/19/2023 3 of the staff of the facility or a member of the 3....director will go over forms to assure licensing staff of the Health Division they are filled out properly information pertaining to any child, Based on record review and interview on 05/10/23, the facility failed to have forms available which allows a parent to release information pertaining to his child. Make release of information forms available and place in child file for the following children: child # 9 1467 B. Based on interview and record review, facility failed to have evidence of each child's health within 30 days of admission. Obtain a written statement from a licensed physician or registered nurse attesting to the status of the child's health and place in child's file. Child 12 Child 13 NRS 230 NRS 230 1....all children have updated shot records 05/19/202 Certificate of immunization prerequisite to 2....05/19/2023 3 admission to child care facility; conditional 3...director will review files to assure they admission; report to Health Division. Except are complete as otherwise provided in NRS 4 Based on record review and interview on 05/10/23, the below 1467 B. WING _______________________ 05/10/2023 LITTLE TIMBERS ACADEMY 151 E PARK ST, CARSON CITY, NEVADA ,89703 Based on observation and interview on 05/10/23, facility failed to offer daily outdoor play. Staff state they have not been going outside due to weather and have been offering indoor play. Based on current conditions of all three playgrounds, insufficient evidence of daily outdoor play. Ensure playground maintenance is completed and children are allowed daily outdoor play. Based on record review and interview on 05/10/23, the facility failed to ensure assessments were completed at least twice a year and within 3 months of enrollment. Please ensure assessments are completed for all children present, with the exception of school age children, at least twice a year and within 3 months of enrollment. Child #2 NAC 414 1. A carpeted floor or rug on a floor that is NAC 414 1....a deep cleaning has been done in all 05/19/202 too large to wash in a washing machine classrooms 3 must be vacuumed not less than one time 2....05/19/2023 each day or more often if necessary an Based on observation and interview on 05/10/23 facility failed to clean non-porous surfaces in the facility not less than one time each day or more often if necessary. Grime build up present on multiple surfaces in the facility including the play kitchen in the preschool room, the cubbies and carpet in the Discovery room. Surveyor recommends general over-all cleaning of cupboards, walls, shelving and equipment within the facility. Surveyor will conduct follow-up to ensure general cleaning has taken place. NAC 416 1. Each member of the staff of a facility that NAC 416 1....new cots have been ordered 05/15/202 is necessary to meet the applicable 2....05/19/2023 3 requirement for the ratio of caregivers to 3....routine inspections of all nap mats/cots children set forth in Based on observation and interview on 05/10/23, the facility failed to ensure each sleeping device has a 1467 B. WING _______________________ 05/10/2023 LITTLE TIMBERS ACADEMY 151 E PARK ST, CARSON CITY, NEVADA ,89703 waterproof covering. Numerous nap mats were observed in various classroom with rips present and foam exposed. Director states cots have been ordered to replace nap mats. Upload photo verification upon receipt of cots. NAC 1. Except as otherwise provided in NAC NAC 1....and additional teacher was put in the 05/15/202 5205 432A.290 and 432A.546, a licensee of a 5205 classroom 3 child care center, child care institution, 2....05/15/2023 accommodation facility, facility for special 3....ratios will be closley watched to assure events, nursery for infants and toddlers or the corre... Based on observation, interview and record review on 05/10/23, the facility failed to provide adequate number of staff for the number of children in care. Take corrective action to ensure sufficient staffing in order to provide for the children's needs. T1 and T2 classrooms combined due to staffing. Two staff present with 15 children, youngest being 17 months old. One additional staff needed.

ThisStatement of Deficiencies was generated as a result of an on-sitecomplaint investigation at your facility on 7/25/25. The facility islicensed for 73 children as a Child Care facility. The census at the time ofthe survey was 35 children. No regulatory deficiencies were found at the time of investigation. 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 the result of an on site semi annual inspection at your facility on 5.20.25. The facility is licensed for 73 children as a child care center. The census at the time of visit was 60 children. 0 staff and 0 child files were reviewed and will be audited at the time of renewal inspection. There were no regulatory deficiencies noted at the time of visit. 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

This Statement of Deficiencies was generated as a result of an annual inspection on 11.22.24 . The facility is licensed for 73 children as a Child Care facility. The census at the time of the survey was 29. 10 children’s files were reviewed and 17 employee files were reviewed Reminders and Recommendations: - Update NABs by 11/26/24 to ensure compliance -Update and submit Liability Policy to include CCL as certificate holder with Address 727 Fairview, CC, NV 89701 -Fix small Breaks in fencing outside to ensure safety -Sand and paint outside fences and gates for safety from splinters -Schedule

This statement of deficiencies was generated as a result of a semi annual inspection conducted at your facility on 5.9.24. The facility is licensed for 73 children as a child care center. The census at the time of inspection was 55 children and 10 staff. 15 child files and 15 staff files were reviewed. NAC 306 1. Every caregiver in a child care facility NAC 306 Employees listed in POC had been 05/20/202 must: submitted to registry within their original 90 4 (a) Be at least 16 years of age; days; however, previous director had (b) Be able to summon help in an submitted membership request under Based on record review and interview on 5.7.24 the facility failed to ensure within 90 days of employment each caregiver has applied with the Nevada Registry. Provide verification that staff as noted has submitted applications. Staff #8 Staff #15 1467 B. WING ___________________ Based on observation, interview, and record review on 5.7.24 facility staff in Discovery classroom failed to have the written plan of curriculum for the current week available. Make sure current plans for the week are accessible in all classrooms, and remind staff that curriculum must be prepared before the curriculum becomes effective.

This Statement of Deficiencies was generated as a result of an on-site complaint investigation at your facility on 4/10/24 and 4/15/24. The facility is licensed for 73 children as a Child Care facility. The census at the time of the survey was 57 children. Additional deficiencies not related to the complaint were found at the time of 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: PIA WOOD Title: Owner Date: 05/15/2024 REPRESENTATIVE'S SIGNATU Meeting was held on 2/27/24 to review sign- in procedures and expected standards Based on interview and record review under new leadership. on 4/15/24, the facility failed to maintain a daily sign-in sheet that included the 2) 2/27/24 first and last names of staff and children 3) Full names are already listed on sign-in and/or times of arrival or departure. sheets for each classroom. Teachers will fill Provide instruction as necessary to out arrival and departure times for children ensure complete information is in their classroom. recorded and monitor the daily sign-in sheets for both childr

This statement of deficiencies was generated based on a complaint investigation conducted at your facility on 4.17.24. The facility is licensed for 73 children as a child care facility. The census at the time of investigation was 61 children. Additional deficiencies not relating to the complaint were noted at the time of 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: PIA WOOD Title: Owner Date: 05/07/2024 REPRESENTATIVE'S SIGNATURE Based on interview sheets. and record review on 4.17.24, facility allowed staff with pending background 4) Director and shift supervisors are check to be left alone with children without responsible making sure uncleared supervision from a staff with a cleared teachers have appropriate supervision. background check. NAC 302 1. A licensee of a child care facility shall not NAC 302 1) Meeting was held on 4/26/24 to review 05/24/202 knowingly appoint a person as director of the following classes assigned to 4 the facility or appoint or permit the employees: appointment of a person as an employee Based on record safety program. Teachers are responsible review and interview on 4.17.24 the staff of for classroom safety and parent the facility failed to communicate with communication. parents in a professional manner. Based on record review and interview on 4.17.24 the staff of the facility failed to recognize and eliminate hazards to the safety of children due to knife being left in sink and being accessible to children. NAC 304 1. The director of a child care facility is NAC 304 1) Supervisors are all aware who has been 04/26/202 responsible for screening, scheduling and cleared to be in a classroom unsupervised. 4 1467 B. WING _______________________ 04/17/2024 LITTLE TIMBERS ACADEMY 151 E PARK ST, CARSON CITY, NEVADA ,89703 supervising the staff of the facility and for the conduct... Based on record review and interview on 4.17.24 the designated in charge staff failed to screen, schedule, and supervise the staff of the facility. Staff with pending background check scheduled to be left alone with children without supervision from a staff with a cleared background check. Director is responsible for the conduct of each member of the staff at the facility. NAC 520 1. A licensee of a child care facility shall NAC 520 1) Meeting was held on 4/26/24 to review 04/26/202 have a staff which is sufficient in number to the following classes assigned to 4 provide physical care, supervision and employees: individual attention to each child and allow -Parent Communication: Building time for interaction between the staff and Partners in the Educational Process the children to promote ... Based on record review and interview on 4.17.24, the facility failed to have staff present which was sufficient in number to provide physical care, supervision, and individual attention to each child. Due to the lack of supervision a child was able to access a knife resulting in the injury of a child on 4.16.24. Based on observation and interview on 4.17.24, the facility failed to have staff present which was sufficient in number to provide physical care, supervision, and individual attention to each child. While Disco classroom was within ratio, the staff were not interacting or appropriatel

This Statement of Deficiencies was generated as a result of an on-site complaint investigation at your facility on 3/5/24. The facility is licensed for 73 children as a Child Care center. The census at the time of the survey was 40 children. Additional deficiencies not related to the complaint were found at the time of inspection. Reminders and recommendation: -Recommend a new sign in sheet format to ensure accuracy. 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/SUPPL Based on record 4) Director is responsible for training staff review and interview on 3/5/24 the facility and checking accuracy of sign-in sheets. failed to maintain a daily sign in sheet that Teachers are responsible for maintaining included the times of arrival and departure, daily sheets. as well as first and last names for staff and children. Submit staff training regarding maintaining accurate sign-in sheets. NAC 1. Except as otherwise provided in NAC NAC 1) Center will maintain ratios in all classes. 03/26/202 5205 432A.290 and 432A.546, a licensee of a 5205 Staff will maintain accurate sign-in sheets. 4 child care center, child care institution, 2) 3/26/24 accommodation facility, facility for special 3) New staff hired to maintain ratios. Staff events, nursery for infants and toddle... Based on observation, record review and interview on 3/5/24 the facility failed to provide an adequate number of staff for the number of children in care. At the time of inspection: -Room observed to have 1 staff and 12 children, ages 2-5 years. 1 additional staff required. -Room observed to have 1 staff and 7 children, ages 16 months-2 years, 1 additional staff required. Review of random sampling of sign in sheets showed rooms out of ratio on multiple occasions over a 2 week period.

This statement of deficiencies was generated based on an annual inspection conducted at your facility on 11.8.23. The facility is licensed for 73 children as a child care center. The census at the time of inspection was 47 children and 7 staff. 15 child files and 12 staff files were reviewed. The following items must be submitted for review no later than 12.31.23 for timely application submission. Failure to submit may result in progressive action. -Staff #5; 2 annual training hours -Submit renewal application and upload all required documents for review. -Submit request for State Fire inspec Based on observation and interview on 11.8.23, the facility failed to have appropriate depths and perimeters of resilient surfacing underneath and surrounding any elevated play equipment. Rake and redistribute resilient surfacing back into fall zones on preschool and toddler playgrounds. Communicate to staff to push resilient surfacing back into fall zones as needed. Based on observation and interview on 11.8.23, the facility failed to clean a nonporous surface as evidenced by the following: -Dirt and grime build up present walls and doorways. Facility needs general cleaning.

A Semi-Annual licensuresurvey was conducted at you facility for State license # 1467 on 9.10.20. The facility is licensed for 73 children as a Child Care facility. Thecensus at the time of the survey was 46. 5 children’s files werereviewed and 14 employee files were reviewed. Reminders: 1. The below employees are due to have all their initial trainings completed and apply to the Nevada Registry by the date listed: -Employee # 5: All initial trainings due by 12.6.20 -Employee # 6: All initial trainings due by 11.10.20 -Employee # 7: All initial trainings due by 12.18.20 -Employee # 8: All init Based on record review on 9.10.20, Employee #4 has not had a TB test in the last 24 months. A TB test must be scheduled and results be maintained in employees file. 1467 B. WING _______________________ 09/10/2020 Based on record review on 9.10.20, Child #2 has attended the facility longer than 90 days and does not have a health statement on file. Secure a health statement and place in child's file. NRS 230 NRS 230 1...parents of the children were contacted 09/10/202 Certificate of immunization prerequisite to and current shot records have been faxed 0 admission to child care facility; conditional to the facility admission; report to Health Division. Except 2...09/10/2020 as otherwise provided in NRS 432A.235 for 3...Director will monitor the children's files to accommodation facilities: assure they ar Based on record review on 9.10.20 and WebIZ review, the below listed children are due for the immunizations named: Child # 3: Due DPT, Hep B, HIB, PCV 13 Child #4: Due for Hep B and HIB Obtain and file a current immunization 1467 B. WING _______________________ 09/10/2020 NAME O Based on observation and interview on 9.10.20, there was an insufficient number of toys and materials available, within the children's reach to play with. There appeared to be additional toys on the tops of shelves or cubbies, however, children could not reach the toys. There needs to be an adequate number of toys and materials available on the low, open shelves, within the children's reach for the number of children in the classrooms. Many of the low open shelves had no toys on them. Secure additional toys/materials and place them where the children are able to reach them. Based on record review on 9.10.20. the below listed children either did not have an initial assessment within 90 days or two assessments in the last year. Child #1 Child #3 Child #5 1467 B. WING _______________________ 09/10/2020 Based on observation and interview on 9.10.20, all classrooms did not have a written plan of curriculum available. Ensure all staff are completing written age appropriate lesson plans for children in all classrooms. Ensure that the plans include instruction, concepts and activities that foster the social, emotional, physical, linguistic and cognitive development of children. NAC 520 1. A licensee of a child care facility shall NAC 520 1...Director or assistant director will be in 09/10/202 have a staff which is sufficient in number to the classroom to assure children are being 0 provide physical care, supervision and supervised individual attention to each child and allow 2...09/10/2020 time for interaction between the staff and 3...More training for the toddler teachers is the children to... Based on observation on 9.10.20, children in the T2 classroom were not being adequately supervised as evidenced by twice, during the inspection time two children had climbed on top of the dramatic play sink. In addition, there were crayon scribble marks on the walls in this same classroom. Ensure that all children are being supervised at all times.

This Statement of Deficiencies was generated as a result of a complaint investigation that began on 9/13/23 conducted at your facility. The facility is licensed for 73 children as a child care facility. 6 staff and the director were interviewed. 21 child file reviewed and 0 staff files. 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 1467 B. WING _______________________ 09/13/2023 LITTLE TIMBERS ACADEMY 151 E PARK ST, CARSON CITY, NEVADA ,89703 NAC 250 1. Except as otherwise provided in this NAC 250 1....the children in the toddler room have 09/13/202 subsection, subsection 3 and NRS been divided into two classro... Based on observation, record and interview on 9/13/23 the facility failed to ensure at least 35 square feet of indoor space was available for each child. T-1 and T-2 room were combined resulting in 21 children throughout he day and 15 children during site visit in the T-2 room, which measures and is approved for 14 children. Ensure rooms are used according to approved capacity. NAC 5. The director of the facility shall maintain a NAC 1....staff was re-trained on how to correctly 09/13/202 280.5 daily sign-in sheet that includes: 280.5 fill out sign in sheets 3 (a) The first and last names of Based on record review and interview on 9/13/23 the facility failed to ensure sign in sheets contained first and last names, as well as the times of arrival and departure of staff and children. Sign in sheets were missing staff last name, departure time for children and staff were not accurately signed in and out in the Infant room. Submit staff training regarding accurate sign in sheets. NAC 1. Except as otherwise provided in NAC NAC 1...additional staff was hired 09/14/202 5205 432A.290 and 432A.546, a licensee of a 5205 2...09/14/2023 3 1467 B. WING _______________________ 09/13/2023 LITTLE TIMBERS ACADEMY 151 E PARK ST, CARSON CITY, NEVADA ,89703 child care center, child care institution, 3...Director Carol Stroble and Assistant accommodation facility, facility for special director Aur... Based on observation, record review and interview on 9/13/23 the facility failed to provide an adequate number of staff for the number of infants/toddlers in care. 14 children, ages 18 months-3 years, were observed in the T-2 room with 2 staff members. One additional staff members required. Based on record review of the sign in sheet from 9/13/23 the T-2 room was shown to be out of ratio multiple times throughout the day with one interval of 21 children ages 13 months-3 years with 1 staff member. 3 additional staff members required.

ThisStatement of Deficiencies was generated as a result of an on-sitecomplaint investigation at your facility on 7/25/25. The facility islicensed for 73 children as a Child Care facility. The census at the time ofthe survey was 35 children. No regulatory deficiencies were found at the time of investigation. 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 the result of an on site semi annual inspection at your facility on 5.20.25. The facility is licensed for 73 children as a child care center. The census at the time of visit was 60 children. 0 staff and 0 child files were reviewed and will be audited at the time of renewal inspection. There were no regulatory deficiencies noted at the time of visit. 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

This Statement of Deficiencies was generated as a result of an annual inspection on 11.22.24 . The facility is licensed for 73 children as a Child Care facility. The census at the time of the survey was 29. 10 children’s files were reviewed and 17 employee files were reviewed Reminders and Recommendations: - Update NABs by 11/26/24 to ensure compliance -Update and submit Liability Policy to include CCL as certificate holder with Address 727 Fairview, CC, NV 89701 -Fix small Breaks in fencing outside to ensure safety -Sand and paint outside fences and gates for safety from splinters -Schedule

This statement of deficiencies was generated as a result of a semi annual inspection conducted at your facility on 5.9.24. The facility is licensed for 73 children as a child care center. The census at the time of inspection was 55 children and 10 staff. 15 child files and 15 staff files were reviewed. NAC 306 1. Every caregiver in a child care facility NAC 306 Employees listed in POC had been 05/20/202 must: submitted to registry within their original 90 4 (a) Be at least 16 years of age; days; however, previous director had (b) Be able to summon help in an submitted membership request under Based on record review and interview on 5.7.24 the facility failed to ensure within 90 days of employment each caregiver has applied with the Nevada Registry. Provide verification that staff as noted has submitted applications. Staff #8 Staff #15 1467 B. WING ___________________ Based on observation, interview, and record review on 5.7.24 facility staff in Discovery classroom failed to have the written plan of curriculum for the current week available. Make sure current plans for the week are accessible in all classrooms, and remind staff that curriculum must be prepared before the curriculum becomes effective.

This Statement of Deficiencies was generated as a result of an on-site complaint investigation at your facility on 4/10/24 and 4/15/24. The facility is licensed for 73 children as a Child Care facility. The census at the time of the survey was 57 children. Additional deficiencies not related to the complaint were found at the time of 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: PIA WOOD Title: Owner Date: 05/15/2024 REPRESENTATIVE'S SIGNATU Meeting was held on 2/27/24 to review sign- in procedures and expected standards Based on interview and record review under new leadership. on 4/15/24, the facility failed to maintain a daily sign-in sheet that included the 2) 2/27/24 first and last names of staff and children 3) Full names are already listed on sign-in and/or times of arrival or departure. sheets for each classroom. Teachers will fill Provide instruction as necessary to out arrival and departure times for children ensure complete information is in their classroom. recorded and monitor the daily sign-in sheets for both childr

This statement of deficiencies was generated based on a complaint investigation conducted at your facility on 4.17.24. The facility is licensed for 73 children as a child care facility. The census at the time of investigation was 61 children. Additional deficiencies not relating to the complaint were noted at the time of 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: PIA WOOD Title: Owner Date: 05/07/2024 REPRESENTATIVE'S SIGNATURE Based on interview sheets. and record review on 4.17.24, facility allowed staff with pending background 4) Director and shift supervisors are check to be left alone with children without responsible making sure uncleared supervision from a staff with a cleared teachers have appropriate supervision. background check. NAC 302 1. A licensee of a child care facility shall not NAC 302 1) Meeting was held on 4/26/24 to review 05/24/202 knowingly appoint a person as director of the following classes assigned to 4 the facility or appoint or permit the employees: appointment of a person as an employee Based on record safety program. Teachers are responsible review and interview on 4.17.24 the staff of for classroom safety and parent the facility failed to communicate with communication. parents in a professional manner. Based on record review and interview on 4.17.24 the staff of the facility failed to recognize and eliminate hazards to the safety of children due to knife being left in sink and being accessible to children. NAC 304 1. The director of a child care facility is NAC 304 1) Supervisors are all aware who has been 04/26/202 responsible for screening, scheduling and cleared to be in a classroom unsupervised. 4 1467 B. WING _______________________ 04/17/2024 LITTLE TIMBERS ACADEMY 151 E PARK ST, CARSON CITY, NEVADA ,89703 supervising the staff of the facility and for the conduct... Based on record review and interview on 4.17.24 the designated in charge staff failed to screen, schedule, and supervise the staff of the facility. Staff with pending background check scheduled to be left alone with children without supervision from a staff with a cleared background check. Director is responsible for the conduct of each member of the staff at the facility. NAC 520 1. A licensee of a child care facility shall NAC 520 1) Meeting was held on 4/26/24 to review 04/26/202 have a staff which is sufficient in number to the following classes assigned to 4 provide physical care, supervision and employees: individual attention to each child and allow -Parent Communication: Building time for interaction between the staff and Partners in the Educational Process the children to promote ... Based on record review and interview on 4.17.24, the facility failed to have staff present which was sufficient in number to provide physical care, supervision, and individual attention to each child. Due to the lack of supervision a child was able to access a knife resulting in the injury of a child on 4.16.24. Based on observation and interview on 4.17.24, the facility failed to have staff present which was sufficient in number to provide physical care, supervision, and individual attention to each child. While Disco classroom was within ratio, the staff were not interacting or appropriatel

This Statement of Deficiencies was generated as a result of an on-site complaint investigation at your facility on 3/5/24. The facility is licensed for 73 children as a Child Care center. The census at the time of the survey was 40 children. Additional deficiencies not related to the complaint were found at the time of inspection. Reminders and recommendation: -Recommend a new sign in sheet format to ensure accuracy. 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/SUPPL Based on record 4) Director is responsible for training staff review and interview on 3/5/24 the facility and checking accuracy of sign-in sheets. failed to maintain a daily sign in sheet that Teachers are responsible for maintaining included the times of arrival and departure, daily sheets. as well as first and last names for staff and children. Submit staff training regarding maintaining accurate sign-in sheets. NAC 1. Except as otherwise provided in NAC NAC 1) Center will maintain ratios in all classes. 03/26/202 5205 432A.290 and 432A.546, a licensee of a 5205 Staff will maintain accurate sign-in sheets. 4 child care center, child care institution, 2) 3/26/24 accommodation facility, facility for special 3) New staff hired to maintain ratios. Staff events, nursery for infants and toddle... Based on observation, record review and interview on 3/5/24 the facility failed to provide an adequate number of staff for the number of children in care. At the time of inspection: -Room observed to have 1 staff and 12 children, ages 2-5 years. 1 additional staff required. -Room observed to have 1 staff and 7 children, ages 16 months-2 years, 1 additional staff required. Review of random sampling of sign in sheets showed rooms out of ratio on multiple occasions over a 2 week period.

This statement of deficiencies was generated based on an annual inspection conducted at your facility on 11.8.23. The facility is licensed for 73 children as a child care center. The census at the time of inspection was 47 children and 7 staff. 15 child files and 12 staff files were reviewed. The following items must be submitted for review no later than 12.31.23 for timely application submission. Failure to submit may result in progressive action. -Staff #5; 2 annual training hours -Submit renewal application and upload all required documents for review. -Submit request for State Fire inspec Based on observation and interview on 11.8.23, the facility failed to have appropriate depths and perimeters of resilient surfacing underneath and surrounding any elevated play equipment. Rake and redistribute resilient surfacing back into fall zones on preschool and toddler playgrounds. Communicate to staff to push resilient surfacing back into fall zones as needed. Based on observation and interview on 11.8.23, the facility failed to clean a nonporous surface as evidenced by the following: -Dirt and grime build up present walls and doorways. Facility needs general cleaning.

This Statement of Deficiencies was generated as a result of a complaint investigation that began on 9/13/23 conducted at your facility. The facility is licensed for 73 children as a child care facility. 6 staff and the director were interviewed. 21 child file reviewed and 0 staff files. 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 1467 B. WING _______________________ 09/13/2023 LITTLE TIMBERS ACADEMY 151 E PARK ST, CARSON CITY, NEVADA ,89703 NAC 250 1. Except as otherwise provided in this NAC 250 1....the children in the toddler room have 09/13/202 subsection, subsection 3 and NRS been divided into two classro... Based on observation, record and interview on 9/13/23 the facility failed to ensure at least 35 square feet of indoor space was available for each child. T-1 and T-2 room were combined resulting in 21 children throughout he day and 15 children during site visit in the T-2 room, which measures and is approved for 14 children. Ensure rooms are used according to approved capacity. NAC 5. The director of the facility shall maintain a NAC 1....staff was re-trained on how to correctly 09/13/202 280.5 daily sign-in sheet that includes: 280.5 fill out sign in sheets 3 (a) The first and last names of Based on record review and interview on 9/13/23 the facility failed to ensure sign in sheets contained first and last names, as well as the times of arrival and departure of staff and children. Sign in sheets were missing staff last name, departure time for children and staff were not accurately signed in and out in the Infant room. Submit staff training regarding accurate sign in sheets. NAC 1. Except as otherwise provided in NAC NAC 1...additional staff was hired 09/14/202 5205 432A.290 and 432A.546, a licensee of a 5205 2...09/14/2023 3 1467 B. WING _______________________ 09/13/2023 LITTLE TIMBERS ACADEMY 151 E PARK ST, CARSON CITY, NEVADA ,89703 child care center, child care institution, 3...Director Carol Stroble and Assistant accommodation facility, facility for special director Aur... Based on observation, record review and interview on 9/13/23 the facility failed to provide an adequate number of staff for the number of infants/toddlers in care. 14 children, ages 18 months-3 years, were observed in the T-2 room with 2 staff members. One additional staff members required. Based on record review of the sign in sheet from 9/13/23 the T-2 room was shown to be out of ratio multiple times throughout the day with one interval of 21 children ages 13 months-3 years with 1 staff member. 3 additional staff members required.

This Statement of Deficiencies was generated as a result of an annual inspection on 11/7/18. The facility is licensed for 73 children as a Child Care facility. The census at the time of the survey was 52. 6 children’s files were reviewed and 17 employee files were reviewed. Reminders and Recommendations: -Rake resilient surface to evenly distribute; discard table on grass playground as discussed -Fire drill due this month -Post hours for director and designee as discussed -Staff #13 needs SIDS by 1/17/19 -Staff #15 needs all initial training requirements including 6 hours of Child Development 4. Director is responsible. Based on observation and interview on 11/7/18, the facility had no record that a drill for natural disasters was held at least once every three months. Hold drills for natural disasters as required and complete a record of the drills. -Last disaster drill on record was conducted 7/18/18 NAC 4. Appropriate plans for removing the staff NAC 1. Employees will accurately maintain sign- 11/16/201 280.4 and children of a facility to a shelter within a 280.4 in sheets and Tadpoles to reflect the 8 building of the facility and for the evacuation children in their care. of t Based on interview and record review on 11/7/18, the facility failed to maintain a daily sign-in sheet that included the first and last names of staff and children and/or times of arrival or departure. Provide instruction as necessary to ensure complete information is recorded and monitor the daily sign-in sheets for both children and staff. Sign in sheets were inaccurate for both staff and children NAC 306 1. Every caregiver in a child care facility NAC 306 1. Employee Files will be audited on the first 11/26/201 Based on interview and record review on 11/7/18 facility failed to ensure within 90 days after each caregiver commences his employment in the child care facility; they have applied with the Nevada Registry or its successor organization, and/or annually renewed his registration before the date on which it expires. Provide verification the staff members as noted have submitted initial or renewal application. -Staff #11 Based on interview and record review on 11/7/18, staff listed on the supplement did not have written evidence of a Mantoux tuberculin skin test or an examination by a provider authorized to diagnose active tuberculosis at least once every 24 months. A report stating the staff is free from TB must be secured for any person whose test/examination is more than two years old. -Staff #4 -Staff #13 NAC 320 1. Except as otherwise provided in NRS NAC 320 1. A new orientation checklist was created. 11/26/201 432A.177 , within the first 2 weeks after All employees without an orientation were 8 commencing employment, newly employed given an orientation and provided with members of the staff of a facility must be paperwork. given a written and oral orientation program 2.11/26/2018 and be trained in th... Based on interview and record review on 11/7/18, staff listed below was not given a written and oral orientation and training in the policies, procedures, and programs of the facility within the first 2 weeks after commencing employment. Provide orientation and training as required. -Staff #12 -Staff #15 -Staff #17 NRS 230 NRS 230 1. Old immunization files were thrown out 11/08/201 Certificate of immunization prerequisite to and current immunizations are on file. 8 admission to child care facility; conditional 2. 11/08/2018 admission; report to Health Division. Except 3. Children under the ag Based on interview and record review on 11/7/18 the below listed children did not have a current 1467 B. WING _______________________ 11/07/2018 LITTLE TIMBERS ACADEMY 151 E PARK ST, CARSON CITY, NEVADA ,89703 ( Based on observation and interview on 11/7/18 facility failed to ensure that perishable items in lunch boxes were stored or packed in a manner that maintains the temperature of the contents. -Several lunch boxes with perishable items did not contain ice packs NAC NAC 1. Teacher will no longer provide food as a 11/07/201 380.11 11. Food must not be used as a basis for 380.11 reward. 8 discipline or reward. Children should be 2. 11/7/2018 encouraged, but must not be forced, to eat. 3. Teachers were reminded food can not be used as a reward/punishment. 4. Teachers and director are responsible. Based on interview on 11/7/18 facility failed to ensure that food is not used as a basis for reward or punishment. -Staff utilize food as a reward for potty training when parents provide

This Statement of Deficiencies was generated as a result of an annual inspection on 11.22.24 . The facility is licensed for 73 children as a Child Care facility. The census at the time of the survey was 29. 10 children’s files were reviewed and 17 employee files were reviewed Reminders and Recommendations: - Update NABs by 11/26/24 to ensure compliance -Update and submit Liability Policy to include CCL as certificate holder with Address 727 Fairview, CC, NV 89701 -Fix small Breaks in fencing outside to ensure safety -Sand and paint outside fences and gates for safety from splinters -Schedule

ThisStatement of Deficiencies was generated as a result of an on-sitecomplaint investigation at your facility on 7/25/25. The facility islicensed for 73 children as a Child Care facility. The census at the time ofthe survey was 35 children. No regulatory deficiencies were found at the time of investigation. 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 a semi annual inspection conducted at your facility on 5.9.24. The facility is licensed for 73 children as a child care center. The census at the time of inspection was 55 children and 10 staff. 15 child files and 15 staff files were reviewed. NAC 306 1. Every caregiver in a child care facility NAC 306 Employees listed in POC had been 05/20/202 must: submitted to registry within their original 90 4 (a) Be at least 16 years of age; days; however, previous director had (b) Be able to summon help in an submitted membership request under Based on record review and interview on 5.7.24 the facility failed to ensure within 90 days of employment each caregiver has applied with the Nevada Registry. Provide verification that staff as noted has submitted applications. Staff #8 Staff #15 1467 B. WING ___________________ Based on observation, interview, and record review on 5.7.24 facility staff in Discovery classroom failed to have the written plan of curriculum for the current week available. Make sure current plans for the week are accessible in all classrooms, and remind staff that curriculum must be prepared before the curriculum becomes effective.

This Statement of Deficiencies was generated as a result of an on-site complaint investigation at your facility on 4/10/24 and 4/15/24. The facility is licensed for 73 children as a Child Care facility. The census at the time of the survey was 57 children. Additional deficiencies not related to the complaint were found at the time of 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: PIA WOOD Title: Owner Date: 05/15/2024 REPRESENTATIVE'S SIGNATU Meeting was held on 2/27/24 to review sign- in procedures and expected standards Based on interview and record review under new leadership. on 4/15/24, the facility failed to maintain a daily sign-in sheet that included the 2) 2/27/24 first and last names of staff and children 3) Full names are already listed on sign-in and/or times of arrival or departure. sheets for each classroom. Teachers will fill Provide instruction as necessary to out arrival and departure times for children ensure complete information is in their classroom. recorded and monitor the daily sign-in sheets for both childr

This statement of deficiencies was generated based on a complaint investigation conducted at your facility on 4.17.24. The facility is licensed for 73 children as a child care facility. The census at the time of investigation was 61 children. Additional deficiencies not relating to the complaint were noted at the time of 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: PIA WOOD Title: Owner Date: 05/07/2024 REPRESENTATIVE'S SIGNATURE Based on interview sheets. and record review on 4.17.24, facility allowed staff with pending background 4) Director and shift supervisors are check to be left alone with children without responsible making sure uncleared supervision from a staff with a cleared teachers have appropriate supervision. background check. NAC 302 1. A licensee of a child care facility shall not NAC 302 1) Meeting was held on 4/26/24 to review 05/24/202 knowingly appoint a person as director of the following classes assigned to 4 the facility or appoint or permit the employees: appointment of a person as an employee Based on record safety program. Teachers are responsible review and interview on 4.17.24 the staff of for classroom safety and parent the facility failed to communicate with communication. parents in a professional manner. Based on record review and interview on 4.17.24 the staff of the facility failed to recognize and eliminate hazards to the safety of children due to knife being left in sink and being accessible to children. NAC 304 1. The director of a child care facility is NAC 304 1) Supervisors are all aware who has been 04/26/202 responsible for screening, scheduling and cleared to be in a classroom unsupervised. 4 1467 B. WING _______________________ 04/17/2024 LITTLE TIMBERS ACADEMY 151 E PARK ST, CARSON CITY, NEVADA ,89703 supervising the staff of the facility and for the conduct... Based on record review and interview on 4.17.24 the designated in charge staff failed to screen, schedule, and supervise the staff of the facility. Staff with pending background check scheduled to be left alone with children without supervision from a staff with a cleared background check. Director is responsible for the conduct of each member of the staff at the facility. NAC 520 1. A licensee of a child care facility shall NAC 520 1) Meeting was held on 4/26/24 to review 04/26/202 have a staff which is sufficient in number to the following classes assigned to 4 provide physical care, supervision and employees: individual attention to each child and allow -Parent Communication: Building time for interaction between the staff and Partners in the Educational Process the children to promote ... Based on record review and interview on 4.17.24, the facility failed to have staff present which was sufficient in number to provide physical care, supervision, and individual attention to each child. Due to the lack of supervision a child was able to access a knife resulting in the injury of a child on 4.16.24. Based on observation and interview on 4.17.24, the facility failed to have staff present which was sufficient in number to provide physical care, supervision, and individual attention to each child. While Disco classroom was within ratio, the staff were not interacting or appropriatel

This statement of deficiencies was generated as the result of an on site semi annual inspection at your facility on 5.20.25. The facility is licensed for 73 children as a child care center. The census at the time of visit was 60 children. 0 staff and 0 child files were reviewed and will be audited at the time of renewal inspection. There were no regulatory deficiencies noted at the time of visit. 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

This Statement of Deficiencies was generated as a result of an on-site complaint investigation at your facility on 3/5/24. The facility is licensed for 73 children as a Child Care center. The census at the time of the survey was 40 children. Additional deficiencies not related to the complaint were found at the time of inspection. Reminders and recommendation: -Recommend a new sign in sheet format to ensure accuracy. 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/SUPPL Based on record 4) Director is responsible for training staff review and interview on 3/5/24 the facility and checking accuracy of sign-in sheets. failed to maintain a daily sign in sheet that Teachers are responsible for maintaining included the times of arrival and departure, daily sheets. as well as first and last names for staff and children. Submit staff training regarding maintaining accurate sign-in sheets. NAC 1. Except as otherwise provided in NAC NAC 1) Center will maintain ratios in all classes. 03/26/202 5205 432A.290 and 432A.546, a licensee of a 5205 Staff will maintain accurate sign-in sheets. 4 child care center, child care institution, 2) 3/26/24 accommodation facility, facility for special 3) New staff hired to maintain ratios. Staff events, nursery for infants and toddle... Based on observation, record review and interview on 3/5/24 the facility failed to provide an adequate number of staff for the number of children in care. At the time of inspection: -Room observed to have 1 staff and 12 children, ages 2-5 years. 1 additional staff required. -Room observed to have 1 staff and 7 children, ages 16 months-2 years, 1 additional staff required. Review of random sampling of sign in sheets showed rooms out of ratio on multiple occasions over a 2 week period.

This statement of deficiencies was generated based on an annual inspection conducted at your facility on 11.8.23. The facility is licensed for 73 children as a child care center. The census at the time of inspection was 47 children and 7 staff. 15 child files and 12 staff files were reviewed. The following items must be submitted for review no later than 12.31.23 for timely application submission. Failure to submit may result in progressive action. -Staff #5; 2 annual training hours -Submit renewal application and upload all required documents for review. -Submit request for State Fire inspec Based on observation and interview on 11.8.23, the facility failed to have appropriate depths and perimeters of resilient surfacing underneath and surrounding any elevated play equipment. Rake and redistribute resilient surfacing back into fall zones on preschool and toddler playgrounds. Communicate to staff to push resilient surfacing back into fall zones as needed. Based on observation and interview on 11.8.23, the facility failed to clean a nonporous surface as evidenced by the following: -Dirt and grime build up present walls and doorways. Facility needs general cleaning.

This Statement of Deficiencies was generated as a result of a complaint investigation that began on 9/13/23 conducted at your facility. The facility is licensed for 73 children as a child care facility. 6 staff and the director were interviewed. 21 child file reviewed and 0 staff files. 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 1467 B. WING _______________________ 09/13/2023 LITTLE TIMBERS ACADEMY 151 E PARK ST, CARSON CITY, NEVADA ,89703 NAC 250 1. Except as otherwise provided in this NAC 250 1....the children in the toddler room have 09/13/202 subsection, subsection 3 and NRS been divided into two classro... Based on observation, record and interview on 9/13/23 the facility failed to ensure at least 35 square feet of indoor space was available for each child. T-1 and T-2 room were combined resulting in 21 children throughout he day and 15 children during site visit in the T-2 room, which measures and is approved for 14 children. Ensure rooms are used according to approved capacity. NAC 5. The director of the facility shall maintain a NAC 1....staff was re-trained on how to correctly 09/13/202 280.5 daily sign-in sheet that includes: 280.5 fill out sign in sheets 3 (a) The first and last names of Based on record review and interview on 9/13/23 the facility failed to ensure sign in sheets contained first and last names, as well as the times of arrival and departure of staff and children. Sign in sheets were missing staff last name, departure time for children and staff were not accurately signed in and out in the Infant room. Submit staff training regarding accurate sign in sheets. NAC 1. Except as otherwise provided in NAC NAC 1...additional staff was hired 09/14/202 5205 432A.290 and 432A.546, a licensee of a 5205 2...09/14/2023 3 1467 B. WING _______________________ 09/13/2023 LITTLE TIMBERS ACADEMY 151 E PARK ST, CARSON CITY, NEVADA ,89703 child care center, child care institution, 3...Director Carol Stroble and Assistant accommodation facility, facility for special director Aur... Based on observation, record review and interview on 9/13/23 the facility failed to provide an adequate number of staff for the number of infants/toddlers in care. 14 children, ages 18 months-3 years, were observed in the T-2 room with 2 staff members. One additional staff members required. Based on record review of the sign in sheet from 9/13/23 the T-2 room was shown to be out of ratio multiple times throughout the day with one interval of 21 children ages 13 months-3 years with 1 staff member. 3 additional staff members required.

This Statement of Deficiencies was generated as a result of an annual inspection on 11/7/16. The facility is licensed for 73 children as a Child Care facility. The census at the time of the survey was 63 . 7 children’s files were reviewed and 15 employee files were reviewed. Reminders and Recommendations: -Rake resilient surface to evenly distribute. Monitor and ensure this is done on a consistent basis as needed. -Seal playground bench to prevent possible splinter hazard -Fire drill due this month -Disaster drill due this quarter -Staff #12 needs CPR, First Aid, Signs of Illness/Bloodborne P Based on interview and record review on 11/7/16 facility failed to ensure within 90 days after each caregiver commences his employment in the child care facility; they have applied with the Nevada Registry or its successor organization, and/or annually renewed his registration before the date on which it expires. Provide verification the staff members as noted have submitted initial or renewal application. -Staff #14 Based on interview and record review on 11/7/16, staff listed on the supplement did not have written evidence of a Mantoux tuberculin skin test or an examination by a provider authorized to diagnose active tuberculosis at least once every 24 months. A report stating the staff is free from TB must be secured for any person whose test/examination is more than two years old. -Staff #10 NAC 320 1. Except as otherwise provided in NRS NAC 320 1. Orientation was given. 11/21/201 432A.177 , within the first 2 weeks after 2. 11/21/16 6 commencing employment, newly employed 3. Director has made spreadsheet to ensure members of the staff of a facility must be employee files are up to date. given a written and oral orientation program 4. Director is responsible. and be trained in the policies, procedu... Based on interview and record review on 11/7/16, staff listed below was not given a written and oral orientation and training in the policies, procedures, and programs of the facility within the first 2 weeks after commencing employment. Provide orientation and training as required. -Staff #12 NAC 323 1. Except as otherwise provided in NAC 323 1. Staff #14 has child abuse and SIDS. She 11/30/201 subsection 4 and Based on interview and record review on 11/7/16, the facility failed to ensure that within 90 days of hire each employee completed the required hours of training in child care which includes: any training required by the facility for the purposes of obtaining certification in CPR, three or more hours of training in child development , two or more hours of training in first aid, two or more hours of training in the signs and symptoms of illness, which must include, without limitation, training in the prevention of exposure to bloodborne pathogens, and two or more hours of training in the recog Based on interview and record review on 11/7/16 the below listed children did not have a current immunization record or approved exemption on file at the facility. Obtain and file a current immunization record for the children listed. Discard old immunization records upon obtaining most current. -Child #5 -Child #7 NAC 385 1. The staff of each facility shall: NAC 385 1. Staff has been reminded to date bottles. 11/15/201 (a) Provide appropriate and adequate 2. 11/15/16 6 seating for the children at the facility during 3. Director will perform random checks to snacks and meals; make sure staff Based on observation and interview on 11/7/16 the staff failed to label each bottle of formula and container of food with the name of the child to whom it belonged and the date the formula or food was prepared by the facility or was prepared or purchased by the parent. Ensure formula and food is labeled as required. Bottles were not dated NAC 411 1. Each area in a facility that is used for NAC 411 1. More impervious tiles were added. 11/15/201 changing diapers must: 2. 11/15/16 6 (a) Have a smooth, nonabrasive, 3. Tiles will not be taken up. impervious surface; 4. Director is responsible. (b) Based on observation and interview on 11/7/16, an area used for changing diapers failed to have a smooth, nonabrasive, impervious surface. Replace this changing surface with one that meets sanitation requirements. -Floor covering not sufficient for diaper changing area -Clean under changing table mats as needed Based on observation and interview on 11/7/16 staff did not use a two-step procedure for cleaning and disinfecting non-porous surfaces such as toys, cribs, tables, etc. Ensure staff first clean with soap and water and then disinfect with a disinfecting agent.