North Carson Center Smart Start

· This statement of deficiencies was generated as a result of an annual inspection conducted at your facility on 4.6.26. The facility is licensed for 94 as a child care center. The census at the time of inspection was 28 children. 10 staff files and 10 child files were reviewed at the time of inspection. Ensure the following staff have submitted their annualtraining hours by 5.31.26 to ensure 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: REBECCA PRENTIC The following Staff were missing their Nevada Registry upon record review on 4.6.26. - Zoe Welson 4059 B. WING _______________________ 04/06/2026 NORTH CARSON CENTER SMART START 2323 NORTH CARSON STREET, CARSON Based on record review on 4.6.26 the following staff are missing their TB Test. - Brianda Diaz NAC 323 1. Except as otherwise provided in NAC NAC 323 1. The employee out of compliance is 05/16/202 432A.521 and NRS 432A.177, within 120 signed up for our club-wide CPR/First Aid 6 days after commencing his or her course in May and her certificate will be employment or position in a child care emailed over upon completion. facility, each person who is employed in a 2. Our organization will be hosting a child care facility, other than a person CPR/First Aid course on Saturday, May employed in a facility that provides care for 16th at 9:00 AM. ill children, and each director of a child care 3. Director will now manage a spreadsheet facility shall complete: of all employees and their expiration d... Based on record review on 4.6.26, the facility failed to ensure that within 120 days of hire each employee completed that required hours of training in child care which includes: any training required by the facility for the purpose 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 recognition and repor Based on record review on 4.6.26 the following child was missing their immunization record. - Child #1 NAC 430 1. Each facility, including, without limitation, NAC 430 1. Assessments are currently being 05/15/202 a family home and a group home, shall completed on the students who are missing 6 have an early care and education program. updated assessments in their files. 2. Each facility described in subsection 1 2. All students will have a completed, shall develop a written assessment plan current and filed ASQ by Friday, May 15th. which is designed to, without limitation: We will submit all Based on record review on 4.6.26 the following children's are needing assessments completed at least twice a year. -Child #1 child #3 Child #4 Child #5 Child #6 Child #7

· Thisstatement of deficiencies was generated as a result of an annual inspectionconducted at your facility on 10.9.25. The facility is licensed for 94 as achild care center. The census at the time of inspection was 43 children. 0staff files and 0 child files were reviewed at the time of inspection, fileswill 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: REBECCA PRENTICE Title: Executive Director Date: 10/29/2025 RE Based on Record 2. This action was completed on review on 10.9.25 the facility failed to have 10/28/2025. no record that a fire drill was held at least 3. To ensure fire drills are completed once every month. Hold fire drills are monthly, site director will create an annual required and complete a record of the drill. calendar to conduct fire drills on a monthly basis. 4. I, Rebecca Prentice, executive director take responsibility for this oversite, as we were training a new director. NAC 302 1. A licensee of a child care facility shall not NAC 302 1. Padding and carpet have been placed 10/28 Based on observation on 10.9.25 the facility failed to recognize and eliminate the following hazards for the safety of children as evidence by: Surveyor observed and notice there was no resilient surface for the indoor slide in the toddlers classroom. Facility will need to provide a resilient surface for slide to prevent injures.

This Statement of Deficiencies was generated as a result of an on-site complaint investigation at your facility on 10/9/25. The facility is licensed for 94 children as a Child Care facility. The census at the time of the survey was 43 children. NAC 250 1. Except as otherwise provided in this NAC 250 1. Photos provided to address the adequate 11/05/202 subsection, subsection 3 and NRS shade during the months of May-August. 5 432A.078 in each facility there must be: Shade has been taken down due to time of (a) At least 35 square feet of indoor space year. for each child, exclusive of bathrooms, 2. Corrective action moving forward will be halls, kitchen, stairs, storage spaces, addressed in March-April of 2026 when the multipurpose rooms and gymnasiums that shade is required again. If deficie... Based on observation and interview on 10/9/25, facility failed to provide a shade area that are at least equal in size to the product of 5 square feet multiplied by the number of children in the outdoor play area. - Staff stated there were three pop up tents present at the facility during the summer. Staff stated towards August there was only one pop up tent present as one had blown away with the wind and one was broken leaving the playground with less than the required 5 square feet of shade per child.

ThisStatement of Deficiencies was generated as a result of an on- sitecomplaint investigation at your facility on 7.15.2025. The facility islicensed for 94 children as a Child Care facility. The census at the time ofthe survey was 31 children. If deficiencies are cited, an approved plan of correction must be returned within 10 days after receipt of this statement of deficiencies. LABORATORY DIRECTOR'S OR PROVIDER/SUPPLIER Name: REBECCA PRENTICE Title: Director Date: 07/18/2025 REPRESENTATIVE'S SIGNATURE FORM APPROVE Based on observation on 7.15.25, facility failed to have disinfecting agents prepared daily. - Surveyor observed cleaning and sanitation bottles present in the classrooms without a clearly labeled date as proof of daily preparation

This Statement of Deficiencies was generated as a result of an on-site complaint investigation at your facility on 7.7.25. The facility is licensed for 94 children as a Child Care facility. The census at the time of the survey was 35 children. If deficiencies are cited, an approved plan of correction must be returned within 10 days after receipt of this statement of deficiencies. LABORATORY DIRECTOR'S OR PROVIDER/SUPPLIER Name: REBECCA PRENTICE Title: Director Date: 07/18/2025 REPRESENTATIVE'S SIGNATURE FORM APPROVE Based on observation 2. Attendance sheets were printed on 7.7.25, the facility failed to maintain a Wednesday, July 16th and all staff was daily sign in sheet that included the times of reminded to sign in and out with first and arrival and departure for staff and children. last names moving forward. 3. Attendance sheets have been printed for - Surveyor observed sign in sheets this week and the rest of the month. present at the time of investigation dated 4. I, Rebecca Prentice, am ultimately from 6.5.25 in the infant classroom. responsible for not having the attendance sheets ready for the staff. Moving forward, I will ensure that these are printed the week prior and ready for staff. NAC 304 1. The director of a child care facility is NAC 304 1. I am currently transitioning into the 07/18... Based on observation on 7.7.25, the facility failed to be physically present in the facility for a sufficient amount of time to ensure compliance with the provisions or designate a member of the staff who is responsible for the operation of the facility when the director is not present at the facility. - Upon arrival, Surveyors Taylor and Digangi observed no director or designated staff member in charge at the facility.

This statement of deficiencies was generated based on an annual inspection completed on 3.27.25 at your facility. The facility is licensed for 94 children as a child care center. The census at the time of visit was 54 children. 15 child files and 19 staff files were reviewed. Licensing Reminders: -Please submit all application documents by 5.23.25 for timely review and submission of renewal application. - The following training hours are due no later than 5.31.25 If deficiencies are cited, an approved plan of correction must be returned within 10 days after receipt of this statement of defici Based on observation and interview on 03.37.25 the facility was found to have hazards as listed below. Ensure that the play area is free of hazard. - Play structure step broken and in need of repair - Play structure slide in too close proximity of fence, move play structure to allow appropriate space for use. -Playground equipment in need of general cleaning as black residue was present on multiple surfaces. Devise a schedule to ensure outdoor equipment is cleaned routinely. Division of Public and Beh based on interview director is monitoring the and record review on 3.27.25 the facility sign-in sheets to ensure that failed to maintain a daily sign-in sheet that staff is signing in upon included the first and last names of the staff and children present. entering and exiting the classroom with their first and last name. 2. All staff was reminded of this during our staff meeting on Wednesday, April 2nd, and the director is constantly monitoring the sign-in sheets. 3. To prevent staff from forgetting their first and last name on the sign-in sheets, the director is doing daily checks to ensur Based on interview they are caring for the children. and observation on 3.27.25 the facility failed to recognize and eliminate the following 4. As the director of this center, it is my hazards for the safety of children as responsibility to make sure the learning evidenced by the following: spaces are free of hazards and safe for the - rugs in twos room posed a tripping hazard, children. Moving forward, my staff will also ensure rugs remain flat throughout the day. know what hazards to look for, so they too - furniture stacked in twos room that could can keep the learning environments safe. f Based on record review and interview on 3.27.25 new employees were not given a written and 4059 B. WING _______________________ 03/27/2025 NORTH CARSON CENTER SMART START 2323 NORTH CARSON STREET, CARSON CITY, NEVADA ,89706 oral orientation and training policies, procedures, and programs of the facility within the first two weeks of hire. Provide training as required for the following staff members #4 #8 #9 #12 NAC 323 1. Except as otherwise provided in NAC NAC 323 05/01/202 432A.521 and NRS 432A.177, within 120 1. Employee #8 has all initial 5 days after commencing his or her trainings complete. A staff file employment or position in a child care facility, each person who is employed in a will be created and kept with child care facility, other than a person all employee files ensuring em... Based on record review and interview on 3.27.25 the facility failed to ensure that within 120 days of hire of each employee completed the required hours of training in child care. Staff as listed need to secure child care training: #8- all initial trainings #14- trainings must be within two years of hire and need to be retaken Based on record responsible for all child review and interview on 3.27.25 the facility records and making sure they did not ensure that information provided by the parent before admission included a are all in order at all times. written authorization signed by the parent which allows emergency and medical care. Secure missing authorization for the child as needed Child #9 NRS 178 Child care facility required to maintain NRS 178 03/28/202 certain information; reporting of information 1. Parents of child #3 have 5 to parents and guardians; notice of right to Based on record review and interview on 3.27.25 the facility failed to have a completed complaint review 4059 B. WING _______________________ 03/27/2025 NORTH CARSON CENTER SMART START 2323 NORTH CARSON STREET, Based on record review and interview on 3.27.25 the facility 25th. This gives each family failed to have evidence of each child's about 30 days to complete health present within 30 days after the this task. child's initial admission. The evidence must include a written statement from a license physician or registered nurse attesting to 3. To ensure each child returns the status of the child's health. the health statement within Child #1 their first 30 days of Child #3 Child #7 enrollment, the director will Child #10 set date reminders for each Child #14 child and put a note in each file to ma Based on record review and interview on 3.27.25 the facility failed to have a current immunization record or approved exemption on file at the child care facility. Obtain and file a current immunization record the children listed. Child #1 Child #14 Child #15 NAC NAC 04/25/202 430.3 3. In addition to the written assessment plan 430.3 1. During initial review of child 5 which is developed pursuant to subsection files, it was found that not all 2, each facility described in subsection 1 shall, within 3 months after a child enrolls in classrooms and children have the facility, assess the child b Based on record April. review and interview on 3.27.25 the facility failed to ensure assessments were 2. Each student will have a completed at least twice a year and within 3 months of enrolment. Please ensure completed assessment in assessments are present for the following their child file no later than children Friday, April 25th. The staff is Child #1 Child #5 currently completing ASQ’s Child #6 for each child. Child #8 Child #11 3. An assessment schedule has Child #12 Child#14 been set up for the center Child #15 which will allow for consistency within each classroom. The assessment sche Based on observation and interview on 3.27.25 an are used for changing diapers failed to have a smooth, nonabrasive, impervious surface. Diaper changing mat in ones in need of replacement as tears are present. NAC 416 1. Each member of the staff of a facility that NAC 416 04/03/202 is necessary to meet the applicable 1. Ripped nap mats have been 5 requirement for the ratio of caregivers to replaced with new ones. children set forth in Based on observation and interview on 3.27.25 the facility failed to ensure each sleeping device has appropriate bedding and a waterproof and washable covering. Nap mats ripped in ones class and in need of replacement. Devise schedule to routinely monitor nap mats for rips and tears and replace as needed.

This Statement of Deficiencies was generated as a result of a Semi Annual Inspection conducted at your facility on 10.18.24. The facility is licensed for 94 children as a Child Care facility. The census at the time of the survey was 43. Reminders and Recommendations: -Update/upload NABS by 10/30/24 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 Based on observation outside and got rid of some of the and interview on 10/18/24 director failed to broken toys. Some, we were able to recognize and eliminate the following hazards for the safety of children as get fixed and now are in rotation of evidenced by the following: toys. The broken toy area is completely cleared out. Moving -Ensure that stored items in the bathrooms forward we will fix toys in a prompt are fully covered for sanitary purposes -Ensure broken items stored in the outside manner or throw away if we are play yard are removed unable to fix them. As of 11/5/2024 the item h Based on interview, observation, and review on 10/18/24, facility failed to have a written plan of curriculum prepared before the early care and education program became effective and made available for parental review in all classrooms .Ensure curriculum integrates literacy, mathematics, science, social studies, creative expression and the arts, and health and safety. Ensure curriculum incorporates concepts and activities that foster the social, emotional, physical, linguistic and cognitive development of children. -Curriculums posted were not current Based on observation, interview and record review on 10/18/24, facility failed to keep carpets cleaned and in good condition. -Small Carpets in all rooms were dirty and soiled 4059 B. WING _______________________ 10/18/2024 Based on observation washed in the washing and review on 10/18/24, the facility failed to ensure the bedding on a play bed were machine/dryer. being cleaned on a regular basis. -Staff reported that the bedding was washed once a month 4059 B. WING _______________________ 10/18/2 Based on observation on 10/18/24 facility failed to integrate age appropriate key areas of instruction during transition times. -Transition times were excessive in length with no activity provided to children. -While waiting to come back to classroom, children in Preschool Age room were instructed to sit on the floor of the employee lounge for over 10 minutes while waiting to come back into the building from outside -Children in Preschool Age room were made to sit at the lunch table after finishing their lunches for over 15 minutes while all classmates completed lunch NAC 400 1. A licensee of Based on observation on 10/18/24 staff failed to enhance a child's behavior through positive guidance, redirection of the child's behavior and the setting of clear-cut boundaries on behavior. -On multiple occasions, staff on the outside play yard were heard to be coercively yelling "no" to children with no further guidance

This Statement of Deficiencies was generated as a result ofthe on-site initial State licensure survey conducted at yourfacility for State license #4059 on 6/12/24. All licensing requirements have been met as of 6/26/24 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