Big Blue Marble - Grovetown

591-1-1-.25(13) · Rule 591-1-1-.25(13) requires that potentially hazardous equipment, materials and supplies be stored in a locked area inaccessible to children.

During a Complaint Investigation & Licensing Study conducted on March 7, 2023 ; It was determined, based on observation, that the following potential hazards were observed accessible to children on this date: - Room G - An unlocked closet was observed to contain staff purses and cleaning supplies on this date. Wipes and gloves were observed accessible to children on the top of the Rubbermaid storage drawers near the bathroom. - Room H - An unlocked closet was observed to contain staff purses, a broom, a dust pan, and cleaning supplies.

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591-1-1-.25(13) · Rule 591-1-1-.25(13) requires that potentially hazardous equipment, materials and supplies be stored in a locked area inaccessible to children.

During a Monitoring Visit conducted on December 9, 2022 ; It was determined, based on observation, that a staff purse was observed accessible to children on a low shelf and a black trash bag was observed accessible to children near Home Living in Room H on this date. It was further determined that the bathroom in Room G had a toilet brush accessible to children on this date.

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591-1-1-.25(13) · Rule 591-1-1-.25(13) requires that potentially hazardous equipment, materials and supplies be stored in a locked area inaccessible to children.

During a Complaint Investigation Follow Up conducted on May 23, 2023 ; It was determined based on the consultant's observation that the following potential hazards were observed accessible to children on this date: - Room G - The classroom closet door was unlocked and contained the following hazards: Broom and dust pan, two bottles of glass cleaner, a container of Lysol wipes, Air Wick Air Freshener, Germ x Hand Sanitizer, a bottle of disinfecting spray, and a soap bottle. - Room H- The classroom closet door was unlocked and contained the following hazards: Broom and dust pan, a pack of Lysol Wipes, and two containers of Clorox Wipes.

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591-1-1-.25(13) · Rule 591-1-1-.25(13) requires that potentially hazardous equipment, materials and supplies be stored in a locked area inaccessible to children.

During a Complaint Investigation & Licensing Study POI Follow Up conducted on October 24, 2023 ; It was determined based on the consultant's observation that the cabinet under the diaper changing table in classroom G was unlocked and the following items were accessible: bleach spray, soap bottle spray, and Desitin diaper cream.

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591-1-1-17(7) · Rule 591-1-1-17(7) requires that children wash their hands with liquid soap and warm running water upon arrival for care, when moving from one child care group to another, upon re- entering the child care area after outside play, before and after eating meals and snacks, handling or touching food, playing in water; after toileting and diapering, playing in sand, touching animals or pets, and contact with bodily fluids and after contamination by any other means.

During an Incident Investigation by Phone conducted on February 17, 2023 ; It was determined based on investigative findings that on February 7, 2023, center staff diapered four children and did not wash the children's hands after diapering. Corporation Service Company and Ms. Mullins

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591-1-1-17(7) · Rule 591-1-1-17(7) requires that children wash their hands with liquid soap and warm running water upon arrival for care, when moving from one child care group to another, upon re- entering the child care area after outside play, before and after eating meals and snacks, handling or touching food, playing in water; after toileting and diapering, playing in sand, touching animals or pets, and contact with bodily fluids and after contamination by any other means.

During a Complaint Investigation Follow Up conducted on September 21, 2023 ; It was determined, based on consultant¶s observation, a staff member was observed to not wash a two-year-old child¶s hand after diaper changing.

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591-1-1-17(7) · Rule 591-1-1-17(7) requires that children wash their hands with liquid soap and warm running water upon arrival for care, when moving from one child care group to another, upon re- entering the child care area after outside play, before and after eating meals and snacks, handling or touching food, playing in water; after toileting and diapering, playing in sand, touching animals or pets, and contact with bodily fluids and after contamination by any other means.

During a Complaint Investigation & Licensing Study POI Follow Up conducted on October 24, 2023 ; It was determined based on the consultant's observation that children in classroom F were observed not washing their hands with liquid soap and warm running water after diapering.

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591-1-1-.17(8) · Rule 591-1-1-.17(8) requires staff to wash their hands with liquid soap and warm running water upon arrival for the day, when moving from one child care group to another, upon re- entering the child care area after outside play, before and after diapering each child, dispensing medication, applying topical medications, handling and preparing food, eating, drinking, preparing bottles, feeding each child, assisting children with eating and drinking, after toileting or assisting children with toileting, using tobacco products, handling garbage and organic waste, touching animals or pets, handling bodily fluids and after contamination by any means.

During an Incident Investigation by Phone conducted on February 17, 2023 ; It was determined based on investigative findings that on February 7, 2023, center staff did not wash hands in between diapering four children.

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591-1-1-.17(8) · Rule 591-1-1-.17(8) requires staff to wash their hands with liquid soap and warm running water upon arrival for the day, when moving from one child care group to another, upon re- entering the child care area after outside play, before and after diapering each child, dispensing medication, applying topical medications, handling and preparing food, eating, drinking, preparing bottles, feeding each child, assisting children with eating and drinking, after toileting or assisting children with toileting, using tobacco products, handling garbage and organic waste, touching animals or pets, handling bodily fluids and after contamination by any means.

During a Complaint Investigation Follow Up conducted on September 21, 2023 ; It was determined, based on consultant¶s observation, a staff member was observed to not wash their hands after diaper changing.

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591-1-1-.17(8) · Rule 591-1-1-.17(8) requires staff to wash their hands with liquid soap and warm running water upon arrival for the day, when moving from one child care group to another, upon re- entering the child care area after outside play, before and after diapering each child, dispensing medication, applying topical medications, handling and preparing food, eating, drinking, preparing bottles, feeding each child, assisting children with eating and drinking, after toileting or assisting children with toileting, using tobacco products, handling garbage and organic waste, touching animals or pets, handling bodily fluids and after contamination by any means.

During a Complaint Investigation & Licensing Study POI Follow Up conducted on October 24, 2023 ; It was determined based on the consultant's observation that a staff member in classroom C and classroom D were observed to not wash their hands with liquid soap and warm running water before diaper changes. Corporation Service Company and Ms. Mullins Exhibit "A"

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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 Incident Investigation Closure conducted on December 29, 2022 ; It was determined based on investigation that on November 2, 2022, a three-year-old child was inappropriately disciplined when a staff person placed the child in a classroom restroom and held the door closed to correct the child's behavior. It was further determined that on an undetermined date in October, the same child was kicked by a staff person when the three-year-old child kicked the staff person, while on the playground. 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-.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 a Complaint Closure conducted on July 17, 2023 ; It was determined based on investigative findings that on June 9, 2023, a staff member aggressively grabbed a five-year-old child's elbow because the child was painting on their own hand and would not stop painting their own hand when instructed to. Exhibit "A"

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591-1-1-.03(9) · Rule 591-1-1-.03(9) requires center staff to refrain from engaging in, or allowing 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.

It was determined that on February 7, 2023 staff members in the Toddler Two classroom allowed two-year-old children to run around the classroom and did not intervene; as a result, a two-year-old child fell, and professional medical attention was obtained. It was further determined that a staff member in the Toddler Two classroom roughly handled an injured child after the child fell while running around in the classroom. The staff member roughly placed the child on the diaper changing table, roughly pulled the child's pants up and down over the injured leg and made multiple attempts in a rough manner to make the child stand on their injured leg.

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591-1-1-.03(8) · Rule 591-1-1-.03(8) requires a center to provide individual attention to each child by responding promptly to the child's distress signals and need for comfort.

It was determined that on February 7, 2023, center staff did not provide individual attention to a two-year-old child who fell and injured their leg while running in the classroom. After the child fell, the child remained on the floor and cried for approximately one minute. A staff person picked the child up to diaper the child and then placed the child on the floor where the child remained in distress and unable to move for approximately another fifteen minutes. The child’s parent was contacted and took the child for professional medical treatment. 3. A. 591-1-1-17(7) requires that children wash their hands with liquid soap and warm running water upon arrival for care, when moving from one child care group to another, upon re-entering the child care area after outside play, before and after eating meals and snacks, handling or touching food, playing in water; after toileting and diapering, playing in sand, touching animals or pets, and contact with bodily fluids and after contamination by any other means. It was determined based on investigation, that the center failed to follow proper hand washing procedures on May 12, 2022, when they failed to have children wash hands with liquid soap and warm running water upon arrival and before eating meals and snacks, as staff used germ killing wipes or hand sanitizer to clean children's hands throughout the day. 3. B. 591-1-1-17(7) requires that children wash their hands with liquid soap and warm running water upon arrival for care, when moving from one child care group to another, upon re-entering the child care area after outside play, before and after eating meals and snacks, handling or touching food, playing in water; after toileting and diapering, playing in sand, touching animals or pets, and contact with bodily fluids and after contamination by any other means. It was determined based on investigation that on February 7, 2023, that staff diapered four children and did not wash the children's hands after diapering. Corporation Service Company 4. A. 591-1-1-.17(8) requires staff to wash their hands with liquid soap and warm running water upon arrival for the day, when moving from one child care group to another, upon re-entering the child care area after outside play, before and after diapering each child, dispensing medication, applying topical medications, handling and preparing food, eating, drinking, preparing bottles, feeding each child, assisting children with eating and drinking, after toileting or assisting children with toileting, using tobacco products, handling garbage and organic waste, touching animals or pets, handling bodily fluids and after contamination by any means. It was determined based on investigative findings on May 16, 2022, that staff failed to wash their hands upon arrival to the classroom or when entering another classroom with warm running water and liquid soap. 4. B. 591-1-1-.17(8) requires staff to wash their hands with liquid soap and warm running water upon arrival for the day, when moving from one child care group to another, upon re-entering the child care area after outside play, before and after diapering each child, dispensing medication, applying topical medications, handling and preparing food, eating, drinking, preparing bottles, feeding each child, assisting children with eating and drinking, after toileting or assisting children with toileting, using tobacco products, handling garbage and organic waste, touching animals or pets, handling bodily fluids and after contamination by any means. It was determined based on investigative findings that on February 7, 2023, center staff did not wash hands in between diapering four children.

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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 restaints 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 November 2, 2022 staff inappropriately disciplined a three-year- old child in the classroom. Video footage revealed that a three-year-old child was resisting as the child entered the classroom. The staff person grabbed the child by the hand and pulled the child into the classroom who continued resisting. The staff person and child tripped over a cot and fell on the floor. The staff person and child stood up and the staff person dragged the child by both hands to the bathroom. The staff person placed the child in the bathroom for 17 seconds as the staff person held the door shut. Staff statements further revealed that on an unknown date in October, while outside on the playground, the three-year-old child kicked a staff person, and the staff person kicked the child back on the child’s leg.

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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 based on investigative findings that on August 30, 2021, a two-year-old child was put in the bathroom, the lights were cut off, the door was shut, and a toy shelf was placed in front of the door to prevent the child from exiting the bathroom as a form of discipline. The child remained isolated in the dark bathroom for more than two minutes and thirty-five seconds. The child did not require professional medical attention.

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