591-1-1-.25(3) · Rule 591-1-1-.25(3) requires the Center and surrounding premises to be kept clean, free of debris and in good repair. Hygienic measures such as, but not limited to, screened windows and proper waste disposal procedures shall be utilized to minimize the presence of rodents, flies, roaches and other vermin at the Center.

During a Complaint Investigation & Monitoring Visit conducted on July 15, 2024 ; It was determined based on observation that the following areas were in need of repair: - Classroom 3R - Green peeling paint was observed on the base board underneath the window located on the back-left side in the home living area. Also, Near the diaper table beneath the window on the right, the paint was observed to be peeling and accessible.

Open Not marked corrected in the state record

Open / not marked corrected.

591-1-1-.25(3) · Rule 591-1-1-.25(3) requires the Center and surrounding premises to be kept clean, free of debris and in good repair. Hygienic measures such as, but not limited to, screened windows and proper waste disposal procedures shall be utilized to minimize the presence of rodents, flies, roaches and other vermin at the Center.

During a Licensing Study conducted on April 24, 2025 ; It was determined based on observation that the following areas were in need of repair: - Classroom 1L - The cabinet above the sink on the right was observed to be detached and in need of repair.

Open Not marked corrected in the state record

Open / not marked corrected.

591-1-1-.36(7)(b) · Rule 591-1-1-.36(7)(b) requires that an emergency medical information record be maintained in the vehicle for each child being transported. The emergency medical information record for each child shall include a listing of the child's full name, date of birth, allergies, special medical needs and conditions, current prescribed medications that the child is required to take on a daily basis for a chronic condition, the name and telephone number of the child's doctor, the local medical facility that the Center uses in the area where the Center is located and the telephone numbers where the Parents can be reached.

During a Complaint Investigation & Monitoring Visit conducted on July 15, 2024 ; It was determined based on a review of records that two children were missing their physician's information and one child was missing their emergency contact during transportation on the week of May 20, 2024 and May 13, 2024 and two children were missing their medical emergency forms.

Open Not marked corrected in the state record

Open / not marked corrected.

591-1-1-.36(7)(b) · Rule 591-1-1-.36(7)(b) requires that an emergency medical information record be maintained in the vehicle for each child being transported. The emergency medical information record for each child shall include a listing of the child's full name, date of birth, allergies, special medical needs and conditions, current prescribed medications that the child is required to take on a daily basis for a chronic condition, the name and telephone number of the child's doctor, the local medical facility that the Center uses in the area where the Center is located and the telephone numbers where the Parents can be reached.

During a Licensing Study conducted on April 24, 2025 ; It was determined based on a review of records that seven children were missing their physician's information and two children were missing their emergency contact during transportation on the week of April 7, 2025 and April 14, 2025.

Open Not marked corrected in the state record

Open / not marked corrected.

591-1-1-.26(9) · Rule 591-1-1-.26(9) requires the playground to be kept clean, free from litter and free of hazards, such as but not limited to rocks, exposed tree roots and exposed sharp edges of concrete.

During a Complaint Investigation & Monitoring Visit conducted on July 15, 2024 ; It was determined based on observation that the following hazards were observed on the playground: - Playground Large - There were missing lattice at the bottom which created a gap of eight and a half inches on the back and left side of the pavilion. Also, there was a loose board on the right side and the nail head was not flushed. There was a white PVC pipe detached in the area near the swings on the left side near the pavilion.

Open Not marked corrected in the state record

Open / not marked corrected.

591-1-1-.26(9) · Rule 591-1-1-.26(9) requires the playground to be kept clean, free from litter and free of hazards, such as but not limited to rocks, exposed tree roots and exposed sharp edges of concrete.

During a Licensing Study conducted on April 24, 2025 ; It was determined based on observation that the following hazards were observed on the playground: -Playground Large: Exposed concrete at post to the right upon exiting from the 2L classroom. There was missing lattice at the bottom which created a gap of eight and a half inches on the back and left side of the pavilion. Also, there was a loose board on the right side and the nail head was not flush. There was a white PVC pipe detached in the area near the swings on the left side near the pavilion. -Playground/RT Side: A hole was observed to the back side of the fence area on the playground around the gas tank.

Open Not marked corrected in the state record

Open / not marked corrected.

591-1-1-.26(8) · Rule 591-1-1-.26(8) requires climbing and swinging equipment to have a resilient surface beneath the equipment and the fall zone from such equipment must be adequately maintained by the Center to assure continuing resiliency.

During a Complaint Investigation & Monitoring Visit conducted on July 15, 2024 ; It was determined based on observation that there was four and a half inches of mulch on the left side of the red and blue slide, where six inches were needed.

Open Not marked corrected in the state record

Open / not marked corrected.

591-1-1-.26(8) · Rule 591-1-1-.26(8) requires climbing and swinging equipment to have a resilient surface beneath the equipment and the fall zone from such equipment must be adequately maintained by the Center to assure continuing resiliency.

During a Licensing Study conducted on April 24, 2025 ; It was determined based on observation that the following areas were in need of resilient surfaces: -Playground Large: The red spiral fireman pole area observed to have less than one inch of mulch where six inches was needed. The six swings area there was no mulch observed where six inches were needed. Also, the dome climber was observed to have one and a half inch of mulch where three were needed. Exhibit "A"

Open Not marked corrected in the state record

Open / not marked corrected.

591-1-1-.11(2) · Rule 591-1-1-.11(2) requires that Personnel not: physically or sexually abuse a child or engage or permit others to engage in sexually overt conduct in the presence of any child enrolled in the Center; inflict corporal/physical punishment upon a child; shake, jerk, pinch or handle a child roughly; verbally abuse or humiliate a child which includes, but is not limited to, the use of threats, profanity or belittling remarks about a child or his family; isolate a child in a dark room, closet or unsupervised area; use mechanical or physical restraints or devices to discipline children; use medication to discipline or control children's behavior without written medical authorization issued by a licensed professional and given with the parent's written consent; restrict unreasonably a child from going to the bathroom; punish toileting accidents; force-feed a child or withhold feeding a child regularly scheduled meals and/or snacks; force or withhold naps; allow children to discipline or humiliate other children; or confine a child for disciplinary purposes to a swing, highchair, infant carrier, walker or jump seat.

During an investigation, it was determined that on August 1, 2023, at approximately 3:15 p.m., a staff member was observed on video footage to roughly handle a five-year-old child as a form of discipline. Video footage showed the staff member grabbing the child by their arms abruptly, dragging them across a bench, and then throwing the child to the ground from the staff member’s waist height. The staff member was then observed to lift the child up by the torso and carry them toward the building. The child sustained bruises to their left arm. No medical attention was obtained. The staff member was arrested as a result of the incident. 2. Rule 591-1-1.31(13) prohibits Center Staff from committing any criminal act, as defined under Georgia law, in the presence of any child enrolled in the Center and requires Center staff to comply with all applicable laws and regulations. During an investigation, it was determined that on August 1, 2023, at approximately 3:15 p.m., a staff member was observed on video footage to roughly handle a five-year-old child as a form of discipline. Video footage showed the staff member grabbing the child by their arms abruptly, dragging them across a bench, and then throwing the child to the ground from the staff member’s waist height. The staff member was then observed to lift the child up by the torso and carry them toward the building. The child sustained bruises to their left arm. No medical attention was obtained. The staff member was arrested on August 3, 2023, as a result of the incident.

Open Not marked corrected in the state record

Open / not marked corrected.

591-1-1-.32(7) · Rule 591-1-1-.32(7) requires that children shall be supervised at all times appropriate to the individual age, needs and capabilities of each child. Such supervision must include, but not be limited to, indoor and outdoor activities, mealtimes, naptime, transportation, field trips, and transitions between activities. “Supervision” means that the appropriate number of Staff members are physically present in the area where children are being cared for and are providing watchful oversight to the children, volunteers and Students-in-Training. The persons supervising in the child care area must be alert, positioned to maximize their ability to hear and see the children at all times, and able to respond promptly to the needs and actions of the children being supervised, as well as the actions of the volunteers and Students-in-Training, and provide timely attention to the children’s actions and needs. Staff shall be attentive and participating with all children during mealtimes and shall be seated within an arm’s length away from children thirty-six (36) months of age and younger. AND

Open Not marked corrected in the state record

Open / not marked corrected.

591-1-1-.36(10) · Rule 591-1-1-.36(10) requires that a child never be left unattended in a vehicle.

During an investigation, it was determined that on September 15, 2022, a five-year-old child was left unsupervised on a vehicle for approximately one hour and twenty-five minutes. Staff stated on September 15, 2022, at 3:35 p.m., proper first and second checks were not conducted, and a five-year-old child was left alone on the vehicle. Staff stated the vehicle was parked, staff went inside, and the child was lying down, asleep on the seat. Staff stated at approximately 5:00 p.m. the child woke up and began to honk the vehicle's horn, alerting a parent who found the child. The child was unsupervised for approximately one hour and twenty-five minutes. There was no injury sustained to the child. No professional medical attention was sought due to this incident.

Open Not marked corrected in the state record

Open / not marked corrected.

591-1-1-.29(3) · Rule 591-1-1-.29(3) requires the Director or designated person-in-charge to report or cause to be reported to the Department within 24 hours or the next work day: any death of a child while in care of the Center; any serious illness or injury requiring hospitalization or professional medical attention other than first aid of a child while in the care of the Center; any situation when a child in care becomes missing, such as, but not limited to, a child who is left on a vehicle, a child who leaves the building, playground, or property, or a child who is left behind on any trip; and fire; any structural disaster; and any emergency situation that requires temporarily relocating children.

During an investigation, it was determined that on September 16, 2022, at approximately 3:30 p.m., five-year-old child was left on the center’s transportation vehicle for one hour and twenty-five minutes and staff were unaware that the child had been left on the vehicle. The center was required to report the incident to The Department on September 16, 2022 but did not contact The Department until September 19, 2022 as required.

Open Not marked corrected in the state record

Open / not marked corrected.

591-1-1-.36(7)(c)2 · Rule 591-1-1-.36(7)(c)2 requires that the driver or other designated person shall immediately document in writing, with a check or other mark/symbol to account for each child listed on the passenger transportation checklist each time a child enters and exits the vehicle. The driver or other designated staff person shall document in writing with a different mark/symbol to account for each child listed on the passenger transportation checklist who was not present on the vehicle for any reason. An explanation shall be documented in writing whenever a child is transported to a field trip site but is not present on the return trip to the Center.

During an investigation, it was determined that on September 15, 2022, a five-year-old child listed on the passenger transportation checklist was not accounted for as being loaded and unloaded from the vehicle when a five-year-old child laid down on the seat of the vehicle during afternoon routine transportation and fell asleep. Staff were unaware that the child was left on the vehicle until the child woke up and began honking the horn and was found by another parent arriving at the facility. There was no injury sustained by the child and no professional medical attention was sought due to the incident.

Open Not marked corrected in the state record

Open / not marked corrected.

591-1-1-.36(7)(d)1. · Rule 591-1-1-.36(7)(d)1. requires that the first check be conducted immediately upon unloading the last child at any location including, but not limited to, a field trip destination, arrival at the Center, and the last stop during transportation to home or school. The responsible person on the vehicle shall physically walk through the entire vehicle; visually inspect all seat surfaces, under all seats and in all compartments or recesses in the vehicle’s interior; sign the passenger transportation checklist(s), indicating all of the children have exited the vehicle; and give the passenger transportation checklist (s) to the second designated Staff person.

During an investigation, it was determined that on September 15, 2022, center staff did not complete the first check of the vehicle immediately upon unloading after a vehicle returned to the center as required. The driver stated that she looked under the seats but did not physically walk through the entire vehicle. As a result, a five-year-old child was left unsupervised in a center vehicle for one hour and twenty-five minutes.

Open Not marked corrected in the state record

Open / not marked corrected.

591-1-1-.36(7)(d)2 · Rule 591-1-1-.36(7)(d)2 requires that the second designated Staff person conduct a check of the vehicle immediately upon the completion of the first check of the vehicle. The responsible person shall physically walk through the entire vehicle; visually inspect all seat surfaces, under all seats and in all compartments or recesses in the vehicle's interior; and sign the passenger transportation checklist(s), indicating all of the children have exited the vehicle. There shall be continuous watchful oversight of the vehicle between the first check and second check.

During an investigation, it was determined that on September 15, 2022, center staff did not complete the second check of a vehicle immediately upon the completion of a first check of a vehicle as required. The staff person stated that she did not get on the vehicle to physically walk through the entire vehicle, visually inspect all seat surfaces, under all seats and in all compartments. The staff person signed the transportation checklist indicating that the second check was completed. As a result, a five-year-old child was left unsupervised in a center vehicle for one hour and twenty-five minutes.

Open Not marked corrected in the state record

Open / not marked corrected.

591-1-1-.17(2) · Rule 591-1-1-.17(2) requires that Personnel, to the extent possible, keep children clean, dry and comfortable.

During an investigation, it was determined that on September 15, 2022, a five-year-old child was not kept clean, dry and comfortable, when the child was observed to have been left unsupervised on a vehicle for approximately one hour and twenty-five minutes. Once removed from the vehicle, the child was observed to be hot, sweaty, had a flushed face, and was thirsty. The temperature recorded that day during the hour and twenty-five minutes that the child remained on the vehicle was between 77 and 81 degrees. No injury or professional medical attention was reported.

Open Not marked corrected in the state record

Open / not marked corrected.