Primrose School at Tatum

AAC R9-5-404.A. A. A licensee shall ensure that at least the following staff-to-children ratios are maintained at all times when providing child care services to enrolled children: Age Group/Staff: Children - Infants/1:5 or 2:11; 1-year-old children/1:6 or 2:13; 2-year-old children/1:8; 3-year-old children/1:13; 4-year-old children/1:15; 5-year-old children not school-age/1:20; School-age children/1:20

“Allegation Findings: Based on the staff statements, staff-to-child ratios were not maintained at all times. Staff stated they are usually out of ratio in the mornings. Staff have had a ratio of 2:23 children with 1-year-olds present.”

AAC R9-5-501.A.1. A. A licensee shall ensure that: 1. In addition to complying with the requirements in this Chapter, the health, safety, or welfare of an enrolled child is not placed at risk of harm;

“Findings: Based on the Compliance Officer's observations, documentation, and staff statements, the health, safety, and welfare of enrolled children was placed at risk of harm when multiple incidents occurred in the Early Preschool 1's room in a span of four weeks. There were forty-six incident reports reviewed during the inspection involving biting. During the inspection, two more incidents occurred. Staff stated the following: *"There's been lots of biting incidents in the classroom; yesterday it was a crazy 20 minutes of biting, there were 6 bites." *"Biting has been happening a lot in the past 2 days." *"It's a lot with 14 children in the Early Preschool 1s; kids are all over the place, children are getting aggressive."”

AAC R9-5-516.B.4. B. If prescription or nonprescription medications are administered, a licensee shall ensure that:4. A staff member : a. Administers a prescription medication provided by a parent only from a container dispensed by a pharmacy; b. Administers a nonprescription medication provided by a parent for an enrolled child only from a container prepackaged and labeled for use by the manufacturer and labeled with the enrolled child’s name; c. Does not administer any medication that has been transferred from one container to another; and d. Does not administer a nonprescription medication to an enrolled child inconsistent with the instructions on the nonprescription medication’s label, unless the facility receives written authorization from the enrolled child’s health care provider.

“Findings: Based on the Compliance Officer's observation and facility documentations, the prescription medication for Child #1 lacked an original container as dispensed by a pharmacy.”

AAC R9-5-512.F. F. A licensee shall ensure that:1. Each toilet room in a facility contains, within easy reach of enrolled children: a. Mounted toilet tissue; and b. Except as provided in subsection (G): i. A sink with running water; ii. Soap contained in a dispenser; and iii. Disposable, single-use paper towels in a mounted dispenser, or a mechanical air hand dryer; 2. Staff members wash their hands with soap and running water after toileting; 3. An enrolled child’s hands are washed with soap and running water after toileting; 4. Except for a cup or receptacle used only for water, food waste is stored in a covered container and the container is clean and lined with a plastic bag; 5. Food waste and other refuse is removed from the facility building at least once every 24 hours or more often as necessary to maintain a clean condition and avoid odors; 6. A staff member or an enrolled child does not draw water for human consumption from a toilet room handwashing sink; 7. Toys, materials, and equipment are maintained in a clean condition; 8. Plumbing fixtures are maintained in a clean and working condition; and 9. Chipped or cracked sinks and toilets are replaced or repaired.

“Findings: Based on the Compliance Officer's observations, the following items were not maintained in compliance: *Preschool 2 room: There was a 1/2 in hole above the toilet tank cover. 1 toilet lacked mounted toilet tissue. *Older toddler room: The diapering sink clogged after running the water faucet for 10 seconds.”

AAC R9-5-512.C. C. A licensee shall ensure that floor coverings are:1. Clean; and 2. Free from: a. Dampness, b. Odors, and c. Hazards.

“Findings: Based on the Compliance Officer's observations, in the Early Preschool 1 room, there was a buildup of debris on the restroom floor.”

AAC R9-5-512.B. B. A licensee shall maintain facility premises and furnishings:1. In a clean condition, and 2. Free from odor.

“Findings: Based on the Compliance Officer's observations, in the Preschool 2 room, there were 3 unflushed toilets in the child restrooms.”

AAC R9-5-503.A.2. A. A licensee shall ensure that each diaper changing area required in R9-5-601(4) contains:2. A hand-washing sink next to the diaper changing surface for staff use when changing diapers and for washing an enrolled child during or after diapering that provides: a. Running water between 86° F and 110° F, b. Soap from a dispenser, and c. Single-use paper hand towels from a dispenser;

“Findings: Based on the Compliance Officer's observations, all of the diapering sinks at the facility had running water at 120 degrees Fahrenheit.”

AAC R9-5-203.E. E. If a staff member possesses a fingerprint clearance card that was issued before the staff member became a staff member at the facility, a licensee shall:1. Contact the Department of Public Safety before the individual becomes a staff member to determine whether the fingerprint clearance card is valid; and 2. Document this determination, including the name of the staff member, the date of contact with the Department of Public Safety, and whether the fingerprint clearance card is valid.

“Findings: Based on the Compliance Officer's observations and a review of 4 staff files, Staff #1(DOE 3/10/25) lacked documentation of the Licensee contacting DPS to verify Staff #1's fingerprint clearance card before they became a staff member.”

AAC R9-5-306.B. B. A licensee shall: 1. Develop, document, and implement policies and procedures to ensure that a staff member maintains daily documentation of the presence of an enrolled child in an activity area that includes a method to account for any temporary absences of the enrolled child from the activity area, and 2. Maintain the documentation of the presence of enrolled children in an activity area required in subsection (B)(1) on facility premises for 12 months after the date of the documentation.

“Findings: Based on the Compliance Officer's observations and facility documentation, the following rosters were not accurate: *Infants 2: There were 7 children present, and 6 were documented on the classroom roster. *4K1: There were 11 children present, and 10 were documented on the classroom roster.”

AAC R9-5-501.A.12. A. A licensee shall ensure that: 12. The facility premises, including the buildings, are maintained free from hazards;

“Findings: Based on the Compliance Officer's observations, in the Early Preschool 2 room, there was an area of exposed wood on the East wall above the cots.”

AAC R9-5-503.A.1. A. A licensee shall ensure that each diaper changing area required in R9-5-601(4) contains:1. A nonabsorbent, sanitizable diaper changing surface that is: a. Seamless and smooth, and b. Kept clear of items not required for diaper changing;

“Findings: Based on the Compliance Officer's observations, the following diaper changing areas were not maintained seamless and smooth: *Early Preschool 1 & 2 & Older Toddler room: There was white buildup around the handwashing sink faucet. *Young Toddler: There was red debris on the right side of the table. *All diaper tables lack caulking around the changing surface.”

AAC R9-5-605.B.16. B. A licensee shall ensure that:16. The fire extinguisher required in subsection (A): a. Is serviced at least once every 12 months; and b. Has a tag attached to the fire extinguisher that specifies the date of the last servicing and the identification of the person who serviced the fire extinguisher; and

“Findings: Based on the Compliance Officer's observations and facility documentation, the fire extinguishers' tags were dated January 2024 as their last inspection date.”

AAC R9-5-510.A.1. A. A licensee shall ensure that a staff member: 1. Defines and maintains consistent and reasonable guidelines and limitations for an enrolled child’s behavior;

“Findings: Based on the Compliance Officer's observation, In the Toddler 1 classroom, the staff did not maintain reasonable guidelines when a child (1's) cried in a chair and was isolated. The staff left the child crying and did not check on the child for over 5 minutes.”

AAC R9-5-605.B.10. B. A licensee shall ensure that:10. Toilet rooms are ventilated to the outside of the building, either by a screened window open to the outside air or by an exhaust fan and duct system that is operated when the toilet room is in use;

“Findings: Based on the Compliance Officer's observations, the following classrooms lacked working exhaust fans in the restrooms: *Early Preschool *Preschool *Preschool 1 *Preschool 2 *Explorers *Pre-K 1 *Pre-K 2 *Previously cited 07/16/2024”

AAC R9-5-605.B.1. B. A licensee shall ensure that:1. All designated exits, corridors, and passageways that provide escape from the building are unobstructed and unlocked during hours of operation;

“Findings: Based on the Compliance Officer's observations, in the Pre-K hallway, facility materials, and equipment partially blocked a designated exit. *Previously cited 07/16/2024”

AAC R9-5-516.B.3. B. If prescription or nonprescription medications are administered, a licensee shall ensure that:3. A facility director, or a staff member designated in writing by the facility director, does not administer a medication to an enrolled child unless the facility receives written authorization signed by the enrolled child’s parent or health care provider that includes the: a. Name of the enrolled child; b. Type of the medication; c. Prescription number, if any; d. Instructions for administration specifying the: i. Dosage and route of administration; ii. If indicated, starting and ending dates of the dosage period; and iii. Times and frequency of administration; e. Reason for the medication; and f. Date of authorization; and

“Findings: Based on the Compliance Officer's observations, Child #1's medication administration permission form lacked an end date, a time, and a frequency of administration. *Previously cited 07/16/2024”

AAC R9-5-503.B. B. A licensee shall ensure that a staff member does not:1. Permit a bottle, formula, food, eating utensil, or food preparation in a diaper changing area; 2. Draw water for human consumption from a diaper changing area sink; or 3. Except as provided in subsection (C), if responsible for food preparation, change diapers until food preparation duties have been completed for the day.

“Findings: Based on the Compliance Officer's observations, in the Toddler 1 (1's) classroom, there were drinking water cups on the diapering changing sink.”

AAC R9-5-512.C. C. A licensee shall ensure that floor coverings are:1. Clean; and 2. Free from: a. Dampness, b. Odors, and c. Hazards.

“Findings: Based on the Compliance Officer's observations, the facility did not maintain the flooring in a clean condition. The following was observed: *In the Infant 1 classroom, the carpet throughout the classroom had multiple brown stains. *In the Infant 2 classroom, the area rug had multiple deep dark brown crusty circular stains. *Previously Cited 07/16/2024”

AAC R9-5-511.F. F. A licensee shall ensure that storage space is provided in the facility for cots, mats, sheets, and blankets, that is:1. Accessible to an area used for naptime or sleeping; and 2. Separate from food service and preparation areas, toilet rooms, and laundry rooms.

“Findings: Based on the Compliance Officer's Observation, in the Preschool (3's) bathroom, on a white wire shelf, there were nap sheets in an uncovered white plastic bin.”

AAC R9-5-503.A.1. A. A licensee shall ensure that each diaper changing area required in R9-5-601(4) contains:1. A nonabsorbent, sanitizable diaper changing surface that is: a. Seamless and smooth, and b. Kept clear of items not required for diaper changing;

“Findings: Based on the Compliance Officer's observation, the following diaper areas were not kept clear of non-diapering items: *In the Preschool classroom (3's), there was a rolled-up rug leaning upright against the diapering table and a plastic blue storage bucket of books in the diaper changing area. *In the Infant 2 classroom, there was artwork, paint, a paintbrush, and a container of adult lotion in the diaper changing area. *Previously cited 07/16/2024”

AAC R9-5-502.B.3. B. A licensee providing child care services for infants shall not: 3. Permit an infant to use a walker; or

“Findings: Based on the Compliance Officer's observations, on the Infant outdoor playground, there was a walker accessible to enrolled infants. *Previously cited 07/16/2024”

AAC R9-5-603.C. C. Except as provided in subsection (D), a licensee shall ensure that an outdoor activity area:1. Is enclosed by a fence: a. A minimum of 4 feet high; b. Secured to the ground; and c. With either vertical or horizontal open spaces on the fence or gate that do not exceed 4.0 inches; 2. Is maintained free from hazards, such as exposed concrete footings and broken toys; and 3. Has gates that are kept closed while an enrolled child is in the outdoor activity area

“Findings: Based on the Compliance Officer's observation, on the Preschool and Pre-K outdoor activity areas, there were sections of turf that the seams were separating and fraying. *Previously cited 07/16/2024”

AAC R9-5-503.B. B. A licensee shall ensure that a staff member does not:1. Permit a bottle, formula, food, eating utensil, or food preparation in a diaper changing area; 2. Draw water for human consumption from a diaper changing area sink; or 3. Except as provided in subsection (C), if responsible for food preparation, change diapers until food preparation duties have been completed for the day.

“Findings: Based on the Compliance Officer Supervisor #1's and the Compliance Officer's observations, in the Toddler 1 classroom, there was a large serving bowl, serving spoon, and food waste in the diaper changing sink.”

AAC R9-5-516.I. I. Except as specified in A.R.S. § 36-2229(B) through (D), a licensee shall ensure that a facility does not stock a supply of medications for administration to enrolled children, including:1. Any prescription medication; or 2. A nonprescription medication such as aspirin, acetaminophen, ibuprofen, or cough syrup.

“Findings: Based on the Compliance Officer Supervisor #1's observation, the first aid kit contained a stock supply of medication (4 burn cream packets, 4 Neomycin antibiotic ointment packets, 2 Ibuprofen packets, 2 non-aspirin packets, 10 sting relief packets).”

AAC R9-5-603.C. C. Except as provided in subsection (D), a licensee shall ensure that an outdoor activity area:1. Is enclosed by a fence: a. A minimum of 4 feet high; b. Secured to the ground; and c. With either vertical or horizontal open spaces on the fence or gate that do not exceed 4.0 inches; 2. Is maintained free from hazards, such as exposed concrete footings and broken toys; and 3. Has gates that are kept closed while an enrolled child is in the outdoor activity area

“Findings: Based on the Compliance Officer Supervisor #1's and the Compliance Officer's observations, in the outdoor activity areas, the following hazards were observed: *On the Toddler and Preschool playgrounds, there were metal ring clippings with exposed sharp edges on the netting surrounding the fence. *On the Infant playground, there were 4 extra large cardboard boxes on the sidewalk. *On the Pre-K playground, by the swings, there was a section of turf that the seam was separating and fraying. *On the Infant playground, there were 2 plastic buckets with brown and dirty standing water.”

AAC R9-5-605.B.1. B. A licensee shall ensure that:1. All designated exits, corridors, and passageways that provide escape from the building are unobstructed and unlocked during hours of operation;

“Findings: Based on the Compliance Officer Supervisor #1's and the Compliance Officer's observations, in the Pre-K hallway, facility materials and equipment partially blocked a designated exit.”

AAC R9-5-605.B.10. B. A licensee shall ensure that:10. Toilet rooms are ventilated to the outside of the building, either by a screened window open to the outside air or by an exhaust fan and duct system that is operated when the toilet room is in use;

“Findings: Based on the Compliance Officer Supervisor #1's and the Compliance Officer's observations, the following classrooms lacked working exhaust fans in the restrooms: *Early Preschool *Preschool *Preschool 1 *Preschool 2 *Explorers *Pre-K 1 *Pre-K 2”

AAC R9-5-503.A.4. A. A licensee shall ensure that each diaper changing area required in R9-5-601(4) contains:4. At least one waterproof, sanitizable container with a waterproof liner and a tight fitting lid for soiled clothing.

“Findings: Based on the Compliance Officer Supervisor #1's and the Compliance Officer's observations, the Preschool classroom lacked a sanitizable, waterproof, and lined container for soiled clothing.”

AAC R9-5-501.A.1. A. A licensee shall ensure that:1. In addition to complying with the requirements in this Chapter, the health, safety, or welfare of an enrolled child is not placed at risk of harm;

“Findings: Based on the Compliance Officer Supervisor #1's and the Compliance Officer's observations, the health, safety, and welfare of children were at risk when there was cross-contamination, In the Preschool classroom, there were bibs and drinking water on the toileting sinks. In the Pre-K classroom, there was drinking water on the toileting sinks.”

AAC R9-5-309.A. A. An applicant shall obtain the following inspections of a facility and make any repairs or corrections stated on an inspection report before a license is issued by the Department: 1. If there are gas pipes that run from a gas meter to an appliance or location on the facility premises, a gas inspection by a licensed plumber or individual authorized by the local jurisdiction that verifies there are no gas leaks in the gas pipes that run from the gas meter to any appliance or location on facility premises; and 2. A fire inspection by a local fire department.

“Findings: Based on facility documentation and the Compliance Officer Supervisor #1's observation, the facility fire report that was presented stated: "Non-transferable".”

AAC R9-5-305.B. B. A licensee shall attach an enrolled child’s written immunization record or exemption affidavit, required in subsection(A), to the enrolled child’s Emergency, Information, and Immunization Record card, required in R9-5 304(B).

“Findings: Based on facility documentation and the Compliance Officer Supervisor #1's observation, review of children's Emergency, Information, and Immunization Record cards, 3 of 30 cards lacked an attached written immunization record.”

AAC R9-5-503.A.2. A. A licensee shall ensure that each diaper changing area required in R9-5-601(4) contains:2. A hand-washing sink next to the diaper changing surface for staff use when changing diapers and for washing an enrolled child during or after diapering that provides: a. Running water between 86° F and 110° F, b. Soap from a dispenser, and c. Single-use paper hand towels from a dispenser;

“Findings: Based on the Compliance Officer Supervisor #1's observations, in the Early Preschool classroom, the diaper changing sink was slow to drain and hand washing soap was on a high shelf and not accessible to children.”

AAC R9-5-503.A.1. A. A licensee shall ensure that each diaper changing area required in R9-5-601(4) contains:1. A nonabsorbent, sanitizable diaper changing surface that is: a. Seamless and smooth, and b. Kept clear of items not required for diaper changing;

“Findings: Based on the Compliance Officer Supervisor #1's and the Compliance Officer's observations, the following diaper areas were not kept clear of non-diapering items: *In the Preschool classroom, there was a bucket of Legos, Lego building plates, and a plastic storage bucket of books, stored in the diaper changing area. *In the Infant 2 classroom, there were 2 pacifiers and 4 toys in the diaper changing area.”

AAC R9-5-502.B.3. B. A licensee providing child care services for infants shall not: 3. Permit an infant to use a walker; or

“Findings: Based on the Compliance Officer Supervisor #1's and the Compliance Officer's observations, on the Infant outdoor playground, there was a walker accessible to enrolled infants.”

AAC R9-5-502.A.8.b. A. A licensee providing child care services for infants shall: 8. Provide a crib for each infant that: b. Has a commercially waterproofed mattress; and

“Findings: Based on the Compliance Officer Supervisor #1's and the Compliance Officer's observations, In Infant 1 (8 of 8 mattresses) and Infant 2 (9 of 9 mattresses) classrooms, a total of 17 crib mattresses were not commercially waterproofed.”

AAC R9-5-501.A.12. A. A licensee shall ensure that: 12. The facility premises, including the buildings, are maintained free from hazards;

“Findings: Based on the Compliance Officer Supervisor #1's and the Compliance Officer's observations, the following hazards were found: *In the Early Preschool classroom, the car rug was curling and lifting on the sides, causing a tripping hazard. *In the Preschool classroom, on the South wall, in the dramatic play area, the outlet plate was loose to the touch. In the Preschool bathroom, the toilet tank lid lacked a bolt, leaving a hole with sharp edges. *In the Young Toddler classroom, on the North wall, the outlet plate was loose and protruding from the wall. *In the Preschool 1 bathroom, the left toilet tank lid had a bolt protruding 1/4 inch.”

AAC R9-5-501.A.9. A. A licensee shall ensure that:9. If a staff member places an enrolled child in a feeding chair when feeding the enrolled child: a. The feeding chair is constructed to prevent toppling; b. The tray or feeding surface of the feeding chair is smooth and free of cracks; and c. The staff member: i Cleans the feeding chair before and after each enrolled child’s use; ii. Sanitizes the tray or feeding surface before and after each enrolled child’s use; and iii. If the feeding chair was manufactured with a safety strap, fastens the feeding chair’s safety strap while the enrolled child is in the feeding chair;

“Findings: Based on the Compliance Officer Supervisor #1's and the Compliance Officer's observations, in the Infant 2 classroom, there were 2 feeding chairs with dried food substance.”

AAC R9-5-516.B.3. B. If prescription or nonprescription medications are administered, a licensee shall ensure that:3. A facility director, or a staff member designated in writing by the facility director, does not administer a medication to an enrolled child unless the facility receives written authorization signed by the enrolled child’s parent or health care provider that includes the: a. Name of the enrolled child; b. Type of the medication; c. Prescription number, if any; d. Instructions for administration specifying the: i. Dosage and route of administration; ii. If indicated, starting and ending dates of the dosage period; and iii. Times and frequency of administration; e. Reason for the medication; and f. Date of authorization; and

“Findings: Based on the facility documentation, the Compliance Officer Supervisor #1's, and the Compliance Officer's observations, Child #1's medication administration permission form lacked an end date, a time, and a frequency of administration.”

AAC R9-5-512.C. C. A licensee shall ensure that floor coverings are:1. Clean; and 2. Free from: a. Dampness, b. Odors, and c. Hazards.

“Findings: Based on the Compliance Officer Supervisor #1's and the Compliance Officer's observations, the facility did not maintain the flooring in a clean condition. The following was observed: *There was a black build-up of dirt and debris in all the classrooms. *In the Infant 1 classroom, the carpet throughout the classroom had multiple brown stains. *In the Infant 2 classroom, the area rug had multiple deep dark brown crusty circular stains. *In the Young Toddler classroom, the carpet had multiple deep, dark brown circular stains. *In the Early Preschool classroom, the shape area rug at the front of the room, had deep brown and black stains in multiple areas. *In the Preschool classroom, the blue area rug in front of the toileting sinks, had large, deep black stains.”

AAC R9-5-512.B. B. A licensee shall maintain facility premises and furnishings:1. In a clean condition, and 2. Free from odor.

“Findings: Based on the Compliance Officer Supervisor's #1's and the Compliance Officer's observations, the following areas were not maintained: *In all the classrooms, there was a build-up of gray fuzzy dirt on the window blinds. *In the Pre-K boy's bathroom, there was a strong odor of urine. *On the Toddler playground, the play structure had a thick black build-up. *On the Preschool Playground, the 2 play structures had a thick black build-up. *On the Infant playground, there was a large foam mat that had dust and bird feces. *On the Infant playground, there was a red foam structure that had torn and frayed edges, exposing foam.”

AAC R9-5-508.C. C. If a licensee provides food, a licensee shall prepare and serve food according to the meal pattern requirements found in Table 5.1, "Meal Pattern Requirements for Children."

“Findings: Based on facility documentation, the Compliance Officer Supervisor #1's, and the Compliance Officer's observations, the facility's menu lacked the required components. There was only 1 component listed.”