Primrose School Of Lawrenceville North

591-1-1-.07(4) · Rule 591-1-1-.07(4) requires the Center to have a written plan which outlines how emergency medical services will be obtained, including place(s) the child will be taken for emergency care. When a medical emergency arises involving a child, the Center Staff shall seek prompt emergency medical treatment and provide any certified or licensed emergency medical persons with immediate access to the child.

During an investigation, it was determined that on March 9, 2026, at approximately 4:20 p.m., the center staff did not comply with a child's written plan for medical emergencies when a 1-year-old child sustained burn injuries. An unsecured infant bottle fell over from a countertop and hot formula spilled onto the 1-year-old child. The child was observed to have white and red skin that was inflamed and peeling on their left upper arm and torso. The child’s parent was contacted, and the parent was advised of the injury and that the child needed to receive medical attention. At 4:40 p.m., the parent arrived at the center and took the child to receive professional medical attention. The child was diagnosed with second-degree burns to their chest, left upper arm, and torso areas. The center did not seek prompt professional emergency medical treatment during the time of the incident. The center staff was aware of the severity of the child’s injury and did not contact professional emergency medical services.

View state record

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 March 9, 2026, at approximately 4:20 p.m. the center staff failed to ensure that adequate supervision was provided when a 1-year-old child sustained burn injuries. During feeding time, a staff member warmed an infant bottle that contained formula. The staff member determined that the formula was too hot and placed the bottle on a countertop. Unaware that the bottle’s lid was not fully tightened, the teacher stepped away from the counter to intervene in an interaction between two other children. The teacher then heard the 1-year-old child scream and observed that the unsecured bottle had fallen, spilling hot formula onto the child who was on the floor near the counter. The child required professional medical attention and was diagnosed with second- degree burns to their chest, left upper arm, and torso areas.

View state record

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 September 25, 2024 ; It was determined based on observation that two of three children's bottles were not labeled with their full name in the classroom 1L.

View state record

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 January 15, 2025 ; It was determined based on observation that two of seven children's bottles were not labeled, and two of seven children's bottles were not labeled with their full name in the classroom 1L.

View state record

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 a Licensing Study conducted on September 25, 2024 ; It was determined based on a review of records that center staff did not document the first check of the vehicle after returning from a field trip to Regal Theater at the Mall of Georgia on July 17, 2024, and after returning from field trip to Splash Pad, on July 22, 2024.

View state record

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 a Complaint Investigation & Monitoring Visit conducted on January 15, 2025 ; It was determined based on a review of records that center staff did not document the first check of the vehicle after completing a morning school transportation route to Rock Springs Elementary on December 18, 2024.

View state record

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 a Licensing Study conducted on September 25, 2024 ; It was determined based on a review of records that center staff did not document the second check of the vehicle after returning from a field trip to Regal Theater at the Mall of Georgia on July 17, 2024, and after returning from field trip to Splash Pad, on July 22, 2024.

View state record

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 a Complaint Investigation & Monitoring Visit conducted on January 15, 2025 ; It was determined based on a review of records that center staff did not document the second check of the vehicle after completing afternoon school transportation routes from Rock Springs Elementary, Woodward Elementary, and Walnut Grove Elementary on January 9, 2025.

View state record

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 February 20, 2024 ; It was determined based on observation that there was approximately three inches of resilient surfacing around the swings on PG Right Back. Six inches of resilient surfacing was required.

View state record

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 September 25, 2024 ; It was determined based on observation that there was approximately three inches of resilient surfacing around the swings on PG Right Back. Six inches of resilient surfacing was required.

View state record

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 January 15, 2025 ; It was determined based on observation that there was approximately three inches of resilient surfacing around the swings on PG Right Back. Six inches of resilient surfacing was required.

View state record

591-1-1-.36(7)(c)3. · Rule 591-1-1-.36(7)(c)3. requires that the driver or other designated person document in writing the date and time of arrival and departure each time the vehicle departs from the Center, is loaded or unloaded at each school and when the vehicle returns to the Center; each time the vehicle departs from the Center, arrives at the location where any child is picked up or dropped off and when the vehicle returns to the Center; each time the vehicle leaves the Center, arrives at a field trip destination, leaves a field trip destination, and returns to the Center.

During a Licensing Study conducted on September 25, 2024 ; It was determined based on a review of records that center staff did not document the time the vehicle departed from the field trip location and the time the vehicle returned to the center after a field trip to Regal Theater at the Mall of Georgia on July 17, 2024, and after a field trip to Splash Pad, on July 22, 2024.

View state record

591-1-1-.36(7)(c)3. · Rule 591-1-1-.36(7)(c)3. requires that the driver or other designated person document in writing the date and time of arrival and departure each time the vehicle departs from the Center, is loaded or unloaded at each school and when the vehicle returns to the Center; each time the vehicle departs from the Center, arrives at the location where any child is picked up or dropped off and when the vehicle returns to the Center; each time the vehicle leaves the Center, arrives at a field trip destination, leaves a field trip destination, and returns to the Center.

During a Complaint Investigation & Monitoring Visit conducted on January 15, 2025 ; It was determined based on a review of records that center staff did not document the date of transportation routes conducted to McKendree Elementary, Rock Springs Elementary, Woodward Elementary, and Walnut Grove Elementary on December 16, 2024, December 17, 2024, December 18, 2024, December 19, 2024, December 20, 2024, January 6, 2025, January 7, 2025, January 8, 2024, and January 9, 2024. Exhibit "A"

View state record