Ivywood Academy

591-1-1-.11(1) · Rule 591-1-1-.11(1) requires that disciplinary actions used to correct a child’s behavior, guidance techniques and any activities in which the children participate or observe at the Center shall not be detrimental to the physical or mental health of any child.

During an investigation, it was determined that on May 15, 2024, a staff member placed a four-year-old child in a dark bathroom for two minutes and prevented them from exiting as a form of discipline. On the same day, the same staff member placed a three-year-old child in a dark bathroom for two minutes and prevented them from exiting the bathroom. The staff member was observed to continue pressing the door closed as the children kicked and screamed and pushed the door attempting to open it. When the door was observed to open slightly the staff member continued to push the door closed. 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 May 15, 2024, a staff member placed a four-year-old child in a dark bathroom alone for two minutes and blocked the exit. The same staff member then placed a three-year-old child in a dark bathroom for two minutes and blocked the exit. As a result, on June 21, 2024, the staff member was charged with two counts of First Degree Cruelty to Children and one count of Simple Assault.

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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 schedule 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 May 15, 2024, a staff member placed a four-year-old child in a dark bathroom for two minutes and prevented them from exiting by leaning their body weight on the door. On the same day, the same staff member placed a three-year-old child in the dark bathroom for two minutes and prevented them from exiting by leaning their body weight on the door. List of Rule Violations for: Ivywood Academy 1071 Jodeco Road West Stockbridge, Georgia 30281

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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 schedule 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 May 21, 2024, a staff member grabbed a five-year-old child by the upper arm and escorted the child to an adjacent bathroom as a form of discipline. The child sustained three red abrasions, one of the marks broke the skin.

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591-1-1-.29(1) · Rule 591-1-1-.29(1) requires that within twenty-four (24) hours or the next work day, the Director or designated person-in-charge shall report or cause to be reported any suspected incidents of child abuse, neglect or deprivation to the local County Division of Family and Children Services in accordance with state law and to the Department, notifying that such a report was made.

During an investigation, it was determined that on May 21, 2024, a five-year-old child sustained an injury after being inappropriately disciplined. The center reported the incident to the Division of Family and Children Services on May 25, 2024; however, the Center did not report to the Department within the 24-hour time frame or the next business day that a report had been made to the Division of Family and Children Services. EXHIBIT “B”

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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 Licensing Study conducted on August 10, 2022 ; It was determined based on observation the following hazards were accessible to children in care: * Bleach water solution was located underneath the diaper changing table in an unlocked cabinet in Classroom A (first left). * A stapler and "Miracle Grow" potting mix labeled, "keep out of reach of children" were located underneath the diaper changing table in unlocked cabinets in Classroom B (second left). * Baby wipes labeled, "keep out of reach of children" were located underneath the diaper changing table in unlocked cabinets in Classroom A (first left), Classroom B (second left), and Classroom C (third left). Baby wipes were also in containers to the right side of the classroom in Classroom J (first right). * A toilet plunger was located in the girl's bathroom in Classroom H (third right). 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-.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 October 25, 2022 ; It was determined based on observation the following hazards were accessible to children in care: * A staff member's purse and plastic grocery bags were located underneath the diaper changing table in an unlocked cabinet in Classroom A (first left). * Baby wipes, "Ibuprofen", "Aquaphor" ointment, "Euceria" ointment labeled, "keep out of reach of children" were located underneath the diaper changing table in unlocked cabinets in Classroom B (second left). * Baby wipes labeled, "keep out of reach of children" were located underneath the diaper changing table in unlocked cabinets in Classroom C (third left). Baby wipes were also in containers to the right side of the classroom in Classroom J (first right). * "Lysol" wipes labeled, "keep out of reach of children" were located in an unlocked cabinet underneath the sink in Classroom D (back left afterschool). 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-.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 February 28, 2023 ; It was determined based on observation the following hazards were present: * Two staff member's purses in the first right classroom were located on a low shelf accessible to children in care. Additionally, trash bags and baby wipes labeled as "suffocation hazard" were located in a clear bin next to the children's bathrooms. * A staff member's purse in the third left classroom was located on a low shelf accessible to children in care. * Baby wipes labeled as "suffocation hazard" were located in the second right classroom on a low shelf accessible to children in care. Hua Chen, Qinghua Lin and Ms. White

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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 Monitoring Visit conducted on March 18, 2022 ; It was determined that the following playground hazards were observed: * Playground B - Rust and chipped paint were observed on the four stairs of each side of the green and purple climbing structure. The side of the steps leading up onto the green and purple climbing structure were observed to be cracked and broken on both sides. At the top of the steps rust and chipped paint were also present. Additionally, rusted "O" hooks were observed at the top of the four swings along with rusted "S" hooks which connected the four seats of the swings. * Playground C - The side of the steps leading up onto the green and purple climbing structure was observed to be cracked and broken on both sides and at the top of the steps at the base. The hand rails were also rusted with chipped paint. * Playground D - The side of the steps leading up onto the red and purple climbing structure was observed to be cracked and broken on both sides and at the top of the steps at the base. The hand rails were also rusted with chipped paint.

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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 Monitoring Visit conducted on February 28, 2023 ; It was determined based on observation the following playground equipment was not in good repair: * "S" hooks and the metal triangular pieces which were connected to the swing seats on playground B were rusted. * The purple slide was cracked on the purple and green climbing structure on playground C. Additionally, the metal was separated which posed as a pinching hazard and exposed rust were present throughout the climbing structure. * Chipped paint and rust were present throughout the red climbing structure on playground D.

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591-1-1-.32(2) · Rule 591-1-1-.32(2) requires the Center maintain Staff:child ratios in mixed-age groups based on the age of the youngest group of children that includes more than twenty percent of the total number of children in the mixed-age group.

During a Complaint Investigation Follow Up conducted on October 25, 2022 ; It was determined based on observation that in Room H there was a staff:child ratio of 1:20 among 10 three-year-olds and 10 four-year-olds. A staff:child ratio of 2:20 was required. Further, a staff:child ratio of 1:12 among 8 two- year-olds and 4 three-year-olds was observed in Room J. A staff:child ratio of 2:12 was required.

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591-1-1-.32(2) · Rule 591-1-1-.32(2) requires the Center maintain Staff:child ratios in mixed-age groups based on the age of the youngest group of children that includes more than twenty percent of the total number of children in the mixed-age group.

During a Monitoring Visit conducted on February 28, 2023 ; It was determined based on observation the third right classroom was out of ratio in that the ratio was 1:17 with six, three-year-old children and 11, four-year-old children instead of 2:17 which was required. Exhibit "A"

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591-1-1-.15(2) · Rule 591-1-1-.15(2) requires that a signed written feeding plan for children less than one (1) year of age shall be obtained from Parent(s) and that instructions from the Parent(s) shall be updated regularly as new foods are added or other dietary changes are made. The feeding plan shall be posted in the child's assigned room and must include the child's feeding schedule, the amount of formula or breast milk to be given, instructions for the introduction of solid foods, the amount of food to be given and notation of any type(s) of commercially premixed formula which may not be used in an emergency because of food allergies.

During a Licensing Study conducted on August 10, 2022 ; It was determined based on a review of records that two of five infant feeding plans were incomplete as they did not contain the parent's response to instructions for the introduction of solid foods as required.

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591-1-1-.15(2) · Rule 591-1-1-.15(2) requires that a signed written feeding plan for children less than one (1) year of age shall be obtained from Parent(s) and that instructions from the Parent(s) shall be updated regularly as new foods are added or other dietary changes are made. The feeding plan shall be posted in the child's assigned room and must include the child's feeding schedule, the amount of formula or breast milk to be given, instructions for the introduction of solid foods, the amount of food to be given and notation of any type(s) of commercially premixed formula which may not be used in an emergency because of food allergies.

During a Complaint Investigation Follow Up conducted on October 25, 2022 ; It was determined based on a review of records that three of six infant feeding plans were incomplete as they did not contain the parent's response to instructions for the introduction of solid foods as required.

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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 Licensing Study conducted on August 10, 2022 ; It was determined based on observation the following hazards were accessible to children in care: * Bleach water solution was located underneath the diaper changing table in an unlocked cabinet in Classroom A (first left). * A stapler and "Miracle Grow" potting mix labeled, "keep out of reach of children" were located underneath the diaper changing table in unlocked cabinets in Classroom B (second left). * Baby wipes labeled, "keep out of reach of children" were located underneath the diaper changing table in unlocked cabinets in Classroom A (first left), Classroom B (second left), and Classroom C (third left). Baby wipes were also in containers to the right side of the classroom in Classroom J (first right). * A toilet plunger was located in the girl's bathroom in Classroom H (third right).

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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 October 25, 2022 ; It was determined based on observation the following hazards were accessible to children in care: * A staff member's purse and plastic grocery bags were located underneath the diaper changing table in an unlocked cabinet in Classroom A (first left). * Baby wipes, "Ibuprofen", "Aquaphor" ointment, "Euceria" ointment labeled, "keep out of reach of children" were located underneath the diaper changing table in unlocked cabinets in Classroom B (second left). * Baby wipes labeled, "keep out of reach of children" were located underneath the diaper changing table in unlocked cabinets in Classroom C (third left). Baby wipes were also in containers to the right side of the classroom in Classroom J (first right). * "Lysol" wipes labeled, "keep out of reach of children" were located in an unlocked cabinet underneath the sink in Classroom D (back left afterschool). Chen Hua, Lin Qinghua and Melanie White

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591-1-1-.14(2) · Rule 591-1-1-.14(2) requires a Staff member who is trained in CPR and first aid to be on the premises and on any field trip whenever any child is present. In addition, Staff who provide direct care to children must satisfactorily obtain certification in first aid and CPR by December 29, 2016 if employed prior to September 30, 2016 and within 90 days of their hire date if employed after September 30, 2016.

During a Complaint Investigation Follow Up conducted on October 25, 2022 ; It was determined based review of records staff member (#12) did not complete First Aid and CPR within the first 90 days of employment as required. Exhibit "A"

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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 August 10, 2022 ; It was determined based on observation the following was not in good repair: * Broken cabinets were observed underneath the diaper changing tables in the first left, second left and third left classrooms. * The tissue holder in the back left afterschool boy's bathroom was broken. * Vents were not operable in the boy's bathroom in Classroom E (back middle) and in Classroom F (fifth right). * The tile was broken on the right back wall in the boy's bathroom in Classroom G (fourth right). * Vents were dusty in the boy's and girl's bathroom in Classroom H (third right). * The carpet was lifted up in areas and not in good repair in Classroom H (third right).

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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 Follow Up conducted on October 25, 2022 ; It was determined based on observation the following was not in good repair: * Broken cabinets were observed underneath the diaper changing tables in the first left, second left and third left classrooms. * Tissue holders in the Classroom J (first right), Classroom H (third right) and back left (afterschool) bathrooms were broken. * Vents were dusty in the boy's and girl's bathroom in Classroom H (third right). * The carpet was lifted up in areas and not in good repair in Classroom H (third right).

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591-1-1-.32(1) · Rule 591-1-1-.32(1) requires the Center to maintain the required Staff:child ratios as follows: under 1 year or under 18 months if not walking = 1:6; 1 year and walking = 1:8; 2 years = 1:10; 3 years = 1:15; 4 years = 1:18; 5 years = 1:20;and 6 years and older = 1:25. A Center must establish groupings of children for care with maximum group sizes as follows: under 1 year = 12; under 18 months/not walking = 12; 1 year and walking = 16; 2 years = 20; 3 years = 30; 4 years = 36; 5 years = 40; and 6 years and older = 50.

During a Monitoring Visit conducted on March 18, 2022 ; It was determined based on observation that the fifth right classroom had a staff:child ratio of 1:21 among four-year-olds. A staff:child ratio of 1:18 was required.

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591-1-1-.32(1) · Rule 591-1-1-.32(1) requires the Center to maintain the required Staff:child ratios as follows: under 1 year or under 18 months if not walking = 1:6; 1 year and walking = 1:8; 2 years = 1:10; 3 years = 1:15; 4 years = 1:18; 5 years = 1:20;and 6 years and older = 1:25. A Center must establish groupings of children for care with maximum group sizes as follows: under 1 year = 12; under 18 months/not walking = 12; 1 year and walking = 16; 2 years = 20; 3 years = 30; 4 years = 36; 5 years = 40; and 6 years and older = 50.

During a Complaint Investigation Follow Up conducted on October 25, 2022 ; It was determined based on observation that Room B had a staff:child ratio of 1:9 among one year old children. A staff:child ratio of 2:9 was required.

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591-1-1-.14(2) · Rule 591-1-1-.14(2) requires a Staff member who is trained in CPR and first aid to be on the premises and on any field trip whenever any child is present. In addition, Staff who provide direct care to children must satisfactorily obtain certification in first aid and CPR by December 29, 2016 if employed prior to September 30, 2016 and within 90 days of their hire date if employed after September 30, 2016. Chen Hua, Lin Qinghua and Melanie White

During a Licensing Study conducted on August 10, 2022 ; It was determined based on a review of records that staff member (# 11) did not complete First Aid and CPR within the first 90 days of employment as required.

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