Creative Image Learning Center

591-1-1-.03(9) · Rule 591-1-1-.03(9) requires that staff shall not engage in, or allow children or other adults to engage in, activities that could be detrimental to a child’s health or well-being, such as but not limited to, horse play, rough play, wrestling, and picking up a child in a manner that could cause injury.

During an investigation, it was determined that on March 10, 2026, at approximately 2:56 P.M., staff failed to physically intervene in stopping children from climbing on a shelf and jumping off multiple times, resulting in a 4- year-old child sustaining a left wrist injury. There was one staff member caring for seven three and four-year-old children when the incident occurred. Per video footage, multiple children climbed on and jumped from multiple shelves and tables before the child was injured. The staff member was standing in the center of the room, facing the opposite direction, from the area of where the child was injured. The injury required professional medical attention.

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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.

During an investigation, it was determined that on March 10, 2026, multiple children were climbing and jumping from a shelf in the classroom when a 4-year-old child sustained an injury to the left wrist. One staff member was supervising one 3-year-old child and six 4-year-old children. Per video footage, the staff member was not faced towards the children during multiple occasions of jumping on and from furniture, children pushing and playing roughly or when a child fell backwards out of a chair with a drumstick in their hand. Staff were unaware the child had fallen and was injured until the injured child made the staff member aware and was holding their arm. The injury required professional medical attention.

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591-1-1-.29(3) · Rule 591-1-1-.29(3) requires the Director or designated person-in-charge shall report or cause to be reported to the Department within twenty-four (24) hours or the next work day: any death of a child while in the 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; any fire; any structural disaster; any emergency situation that requires temporarily relocating children; and any time the program’s operating status changes (i.e., open to closed or temporarily closed and temporarily closed to open).

During an investigation, it was determined that on March 10, 2026, a 4-year-old child sustained an injury to the left wrist that required professional medical attention. The center was notified on March 11, 2026, of the medical attention, and failed to report the incident to the department within 24 hours or the next work day as required.

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591-1-1-.36(9) · Rule 591-1-1-.36(9) requires the Center to be responsible for the child from the time and place the child is picked up until the child is delivered to his or her Parent(s) or responsible person designated by Parent(s). A child shall not be dropped off at any location where there is no one present authorized to receive the child.

During an investigation, it was determined that on November 29, 2022, a six-year-old child was dropped off and left at an elementary school before the school was open and no one was available to receive the child. The child was left outside alone for an undetermined amount of time.

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591-1-1-.32(7) · Rule 591-1-1-.32(7) requires that children 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.

During a Licensing Study visit on June 22, 2022, it was determined based on the consultant's observation upon arrival at the Center, that a child was not supervised by a staff member, in the area next to the front reception.

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591-1-1-.32(7) · Rule 591-1-1-.32(7) requires that children 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.

During an investigation, it was determined that on November 29, 2022, a six-year-old child was dropped off and left at an elementary school before the school was open and no one was available to receive the child. The child was left outside, unsupervised and alone for an undetermined amount of time.

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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 September 15, 2022 ; It was determined based on observation that approximately one inch of resilient surfacing was measured under the red climbing dome and blue climbing dome on the preschool playground, six inches of resilient surfacing was required. It was further determined that approximately two inches of resilient surfacing was measured under the swings on the preschool playground, six inches of resilient surfacing was required. An adverse action was previously issued for this rule violation. This rule violation is no longer appealable. No fine is being issued at this time.

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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 POI Follow Up conducted on December 5, 2022 ; It was determined based on observation that approximately one inch of resilient surfacing was measured under the red climbing dome and blue climbing dome, six inches of resilient surfacing was required. An adverse action was previously issued for this rule violation. This rule violation is no longer appealable. No fine is being issued at this time.

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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 Follow Up conducted on January 12, 2023 ; It was determined based on observation that approximately one inch of resilient surfacing was measured under the red climbing dome and blue climbing dome on the preschool playground, six inches of resilient surfacing was required. An adverse action was previously issued for this rule violation. This rule violation is no longer appealable. No fine is being issued at this time.

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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 POI Follow Up conducted on February 16, 2023 ; It was determined based on observation that no resilient surfacing was observed under or around the red climbing dome. Three inches of resilient surfacing was required. It was further determined based on observation that no resilient surfacing was observed under or around the blue climbing dome. Three inches of resilient surfacing was required. Exhibit "A"

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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 a Complaint Investigation & Monitoring Visit POI Follow Up conducted on December 5, 2022 ; It was determined based on review of records that the following were missing from the transportation checklist: - One out of one check mark was missing to account for children loading and unloading the vehicle on November 14, 2022, from Allgood to Creative Image. - One out of one check mark was missing to account for children loading and unloading the vehicle on November 15, 2022, from Allgood to Creative Image. - One out of one check mark was missing to account for children loading and unloading the vehicle on November 16, 2022, from Allgood to Creative Image. - One out of one check mark was missing to account for children loading and unloading the vehicle on November 17, 2022, from Allgood to Creative Image. - One out of one check mark was missing to account for children loading and unloading the vehicle on November 18, 2022, from Allgood to Creative Image.

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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 a Complaint Investigation Follow Up conducted on January 12, 2023 ; It was determined based on review of records that one out of 10 check marks was missing to account for children loading and unloading the vehicle on January 4, 2023 through January 6, 2023 from Dekalb Prep Academy to Creative Image.

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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 September 15, 2022 ; It was determined based on observation that approximately one inch of resilient surfacing was measured under the red climbing dome and blue climbing dome on the preschool playground, six inches of resilient surfacing was required. It was further determined that approximately two inches of resilient surfacing was measured under the swings on the preschool playground, six inches of resilient surfacing was required.

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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 POI Follow Up conducted on December 5, 2022 ; It was determined based on observation that approximately one inch of resilient surfacing was measured under the red climbing dome and blue climbing dome, six inches of resilient surfacing was required.

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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 Follow Up conducted on January 12, 2023 ; It was determined based on observation that approximately one inch of resilient surfacing was measured under the red climbing dome and blue climbing dome on the preschool playground, six inches of resilient surfacing was required. Exhibit "A"

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591-1-1-.25(8) · Rule 591-1-1-.25(8) requires protective caps on all unused electrical outlets within children's reach and requires that electrical outlets in use be made inaccessible to children.

During a Licensing Study conducted on June 22, 2022 ; It was determined based on observation that there were multiple missing protective caps in the L-DS and M - Down Back classrooms. It was further determined that there was a broken faceplate on one electrical outlet and one electrical outlet was missing the faceplate, also in the L-DS and M - Down Back classrooms.

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591-1-1-.25(8) · Rule 591-1-1-.25(8) requires protective caps on all unused electrical outlets within children's reach and requires that electrical outlets in use be made inaccessible to children.

During a Complaint Investigation & Monitoring Visit conducted on September 15, 2022 ; It was determined based on observation that there were multiple missing protective caps in the L-DS and M - Down Back classrooms.

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591-1-1-.15(2)(a) · Rule 591-1-1-.15(2)(a) requires Center Personnel to hold and feed infants less than six months of age and older children who cannot hold their own bottles or sit alone. Baby bottles shall never be propped; the infant's head shall be elevated while feeding.

During a Licensing Study conducted on June 22, 2022 ; It was determined based on observation that an infant who could not hold their own bottle or sit alone, was not being held by a staff member while having their bottle. It was further determined that the infant had a baby bottle propped in their mouth.

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591-1-1-.15(2)(a) · Rule 591-1-1-.15(2)(a) requires Center Personnel to hold and feed infants less than six months of age and older children who cannot hold their own bottles or sit alone. Baby bottles shall never be propped; the infant's head shall be elevated while feeding.

During a Complaint Investigation & Monitoring Visit conducted on September 15, 2022 ; It was determined based on observation that an infant who could not hold their own bottle or sit alone, was not being held by a staff member while having their bottle. It was further determined that an infant had a baby bottle propped in their mouth while sitting in the activity chair.

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591-1-1-.15(3) · Rule 591-1-1-.15(3) requires baby bottles and formula to be labeled with the individual child's name; supplied by the Parent daily in bottles; and refrigerated at a temperature of forty (40) degrees Fahrenheit or less. Only the current day's formula or breast milk shall be served. If formula must be provided by the Center, only commercially prepared, ready-to-feed formula shall be used. Refrigerated or frozen breast milk shall only be heated or thawed under warm running water or in a container of warm water.

During a Licensing Study conducted on June 22, 2022 ; It was determined based on observation that not all of the children's bottles were labeled with the individual child's name as required.

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591-1-1-.15(3) · Rule 591-1-1-.15(3) requires baby bottles and formula to be labeled with the individual child's name; supplied by the Parent daily in bottles; and refrigerated at a temperature of forty (40) degrees Fahrenheit or less. Only the current day's formula or breast milk shall be served. If formula must be provided by the Center, only commercially prepared, ready-to-feed formula shall be used. Refrigerated or frozen breast milk shall only be heated or thawed under warm running water or in a container of warm water.

During a Complaint Investigation & Monitoring Visit conducted on September 15, 2022 ; It was determined based on observation that not all of the children's bottles were labeled with the individual child's name as required.

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591-1-1-.25(11) · Rule 591-1-1-.25(11) requires that floor coverings be tight, smooth, free of odors and washable or cleanable.

During a Licensing Study conducted on June 22, 2022 ; It was determined that the following hazards were observed: • A-1st right infant classroom. There was water stain damage on the carpet next to the fire exit door. • H-3 left classroom. There were gaps in the floor tiles which were a potential tripping hazard. • At the top of the staircase leading to the downstairs classroom, the carpet was frayed and not securely fastened which was a potential tripping hazard. • There were several missing white/brown small floor tiles in the front reception area, which posed a potential tripping hazard.

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591-1-1-.25(11) · Rule 591-1-1-.25(11) requires that floor coverings be tight, smooth, free of odors and washable or cleanable.

During a Complaint Investigation & Monitoring Visit conducted on September 15, 2022 ; It was determined based on observation that the following hazards were observed: - At the bottom of the first staircase, the carpet was loose and not securely fastened which was a potential tripping hazard. - There was a broken floor tile in front of the restroom door. - There is a missing floor tile on the right side of the front desk.

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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 June 22, 2022 ; It was determined based on observation that the following hazards were observed: - There was a rectangular and square hole cut out in the wall in the B-2nd right classroom restroom. - There were dark stain marks on the wall in the B-2nd right classroom restroom. - There were multiple holes in the walls in the L-DS and M – Down Back classrooms.

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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 September 15, 2022 ; It was determined based on observation that the following hazards were observed: - Leak in the ceiling above the cubbies in the B-2nd Right Classroom. - There were multiple holes in the walls in the L-DS and M – Down Back classrooms.

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591-1-1-.26(6) · Rule 591-1-1-.26(6) requires that playground equipment provide an opportunity for the children to engage in a variety of experiences and shall be age-appropriate. For example, toddlers shall not be permitted to swing in swings designed for School-age Children. The outdoor equipment shall be free of lead-based paint, sharp corners and shall be regularly maintained in such a way as to be free of rust and splinters that could pose significant safety hazard to the children. All equipment shall be arranged so as not to obstruct supervision of children.

During a Licensing Study conducted on June 22, 2022 ; It was determined based on observation that there was rust and peeling paint on the yellow climbing play structure.

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591-1-1-.26(6) · Rule 591-1-1-.26(6) requires that playground equipment provide an opportunity for the children to engage in a variety of experiences and shall be age-appropriate. For example, toddlers shall not be permitted to swing in swings designed for School-age Children. The outdoor equipment shall be free of lead-based paint, sharp corners and shall be regularly maintained in such a way as to be free of rust and splinters that could pose significant safety hazard to the children. All equipment shall be arranged so as not to obstruct supervision of children.

During a Complaint Investigation & Monitoring Visit conducted on September 15, 2022 ; It was determined based on observation that there was peeling paint on the blue climbing play structure.

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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 Monitoring Visit conducted on December 7, 2021 ; It was determined based on a review of documentation that the emergency medical information record for each child did not contain the name and telephone number of the child's doctor for four of five children's files.

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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 June 22, 2022 ; It was determined based on consultant's review of documentation that the Center failed to upload the requested emergency medical information record for each child by June 29, 2022 as required, for five of five children's records.

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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 September 15, 2022 ; It was determined based on a review of documentation that the Center did not have the required emergency medical information on file on this date, for five of five children's records.

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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 June 22, 2022 ; It was determined based on observation that there were vines growing through the fence, on the Main playground.

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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 September 15, 2022 ; It was determined based on observation that the following hazards were observed: Preschool Playground - There was rust on the swing chains. - Discarded green carpet on the left side. - Rocks throughout the playground. - Eight active wasp nests under the pavilions. - An active ant bed on the left side. - Exposed concrete on the back fence post and around the white drainage pipes. - Exposed drainage pipe. - Broken window on the left side of the building. Infant Playground - There was rust on the swing chains. - Vines growing through the fence on the right side. Exhibit "A"

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