The Learning Palace

Feeding instructions for a child not yet eating table were not available for review at the time of inspection.

Children ages 15mo-3yo were observed were observed watching TV during the morning routine.

One caregiver was providing care for a group of 9 children ages 15mo to 3yo. Age difference exceeded 18months.

Children in the toddler / prek classroom were observed screaming, flighting, moving and climbing onto furniture.

Director was not present at arrival, a person in charge was not designated.

A 3yo child was observed in a high chair during the morning routine.

A group of 9 children ages 13mo-3yo were combined in the toddler classroom. Age difference exceed 18 months.

Infant-age children did not participate in outdoor play as described on the daily schedule.

Five staff records were reviewed. One is missing copy of high school diploma and Administering Medications training for one staff member could not be located.

Menu posted is from last week. Note: This was corrected at inspection when provider printed and updated the menu posted.

Operational Policies were reviewed and following information is missing: -Outdoor and Physical Activity Policy -Procedures for providing and applying insect repellent and sunscreen -Procedures for conducting health checks -Information on vaccine-preventable diseases for employees -Information regarding the Under the gang-free zone

One of out of seven children's files were reviewed was not available for review at the time of inspection.

Children's Product Safety Certification was last signed / certified on 01/01/2021.

Certificates for three out of five staff training records reviewed were not available for review at the time of inspection, including certificates for the following topics: Hazardous Materials Food Allergies Emergency Preparedness Building and Physical Premises Safety Communicable Diseases

One caregiver was providing care for 5 children ages 5mo, 7mo, 7mo, 12mo and 12mo.

Last health inspection was conducted on 02/21/2022.

Operation reconfigured the operation's layout. Four classrooms were removed and two new infant classrooms were designated. Note: This was corrected at inspection when operation updated layout and agreed to a reduction of capacity.

Six out ten children's files reviewed are missing immunization records.

Televisions in the toddler and toddler / prek room are not anchored. There was a mopping bucket with water on the hall that leads to the children's restroom. There was a cleaning product in the sink outside the children's restroom. Sprinkler system is located next to the children's restroom and accessible to children.

Based on information provided by staff members a fire drill has not been conducted during 2023.

There are daily schedules and lesson plans posted around the operation but were not observed being followed. The lesson plans posted do not indicate the age group and dates they are designated for. Infant children were not observed participating in morning outdoor play. Infant schedule indicates TV time is allowed at 5:30 PM. Toddler and Prek Room do not indicate times for AM outdoor play nor physical activity. Children remained sited for 30 minutes while waiting for lunch.

No water was available or served during lunch.

Three staff training records were reviewed. Two staff members are missing training on safe sleep/shaken baby/ early brain development. Three staff member are missing administering medications training. One staff member is missing communicable diseases training.

Children used hand sanitizer prior to lunch instead of washing their hands.

One of the boy's restroom is inaccessible to children due to pending repairs as the sink is at rik of falling.

Five children record were reviewed; two of the records were not available for review. One file is missing health statement. Another file is missing admission date, parent telephone number, emergency contact address and immunization records.

A total of 14 children ages 12 mo to 4yo were combined for lunch in the prek room. Age difference exceeded 18 months.

Play-yard in the infant rorom were not labeled with the children's names nor assigned number.

Three out of three staff training records reviewed are pediatric CPR Training, two of the records are also missing pediatric first aid training.

Last emergency practices documented are from 2021. Per provided they were conducted last month but were not documented.

There is raw ground beef stored above a container with uncovered corn dogs in fridge.

Operation policies were reviewed and are missing the following: (6) explained how parent notification will be conducted (9) safe sleep policy including restrictions regarding cribs, bedding, blankets and toys (13) explain enrollment procedure (18) physical and outdoor activity policy (28) policy regarding employee vaccinations (b)((2) inform parent regarding gang free zone

Front door is labeled as an amergency exit and was locked at arrival.

A review of the Employees Who Left Employment in 2021 data from February 23, 2022, revealed that the center had not reported the number of employees who left employment in 2021 by February 22, 2022, as required. Note: This was corrected when provider completed the survey after February 24, 2022.