Ariz. Admin. Code § 9-6-705

Current through Register Vol. 30, No. 50, December 13, 2024

Section R9-6-705 - Responsibilities of Schools and Child Care Administrators of Schools, Child Care Administrators, and the Department

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A. An administrator of a school or a child care administrator shall ensure that:

1. For each child attending the school or child care, one of the following is maintained at the school or child care for each disease listed in R9-6-702:

a. Documentary proof of immunization, as specified in R9-6-704(A), according to Table 7.1;

b. Documentary proof of immunization, as specified in R9-6-704(A), demonstrating compliance with Table 7.2;

c. Documentary proof of immunity, as specified in R9-6-704(B) and according to R9-6-706(D); or

d. A statement of exemption from immunization, as specified in R9-6-706(A) through (C);

2. Lists are maintained at the school or child care of children who:

a. Do not have documentary proof of:

i. Immunization for each disease listed in R9-6-702, according to Table 7.1; or

ii. Immunity for each disease listed in R9-6-702, according to R9-6-706(D);

b. Do not have documentary proof according to subsection (A)(1)(a) or (c) but are in compliance with Table 7.2; or

c. Have a statement of exemption from immunization, according to R9-6-706(A), (B), or (C), for any of the diseases listed in R9-6-702;

3. Except as provided in subsection (D), for a child enrolled in school who does not have one of the documents in subsection (A)(1) for each disease listed in R9-6-702:

a. The child's parent is notified in writing at the time of school enrollment or, for an enrolled child, at the time of review of immunization documentation that the child:

i. Is not in compliance with Arizona immunization requirements; and

ii. Except as required by 42 U.S.C. 11301, will be excluded from school entry, according to A.R.S. § 15-872(B), unless the documentation required in subsection (A)(1) is provided for each disease listed in R9-6-702 before school entry; and

b. The child is excluded from school entry if the required documentation is not provided before school entry; and

4. Except as provided in subsection (D), for a child enrolled in a child care who does not have one of the documents in subsection (A)(1) for each disease listed in R9-6-702:

a. The child's parent is notified in writing before or at the time of child care entry or, for an enrolled child, at the time of review of immunization documentation that the child:

i. Is not in compliance with Arizona immunization requirements, and

ii. May attend the child care for not more than 15 days from the date of child care entry without providing one of the documents in subsection (A)(1) for each disease listed in R9-6-702; and

b. The child is excluded from child care entry if the required documentation is not provided for the child within 15 days following child care entry.

B. If an administrator of a school or a child care administrator questions the accuracy of a document provided for a child as documentary proof of immunization or immunity and is unable to verify the accuracy of the document, the administrator of the school or the child care administrator shall notify the child's parent in writing that:

1. For a child attending a school:

a. The administrator of the school cannot verify compliance with Arizona immunization requirements on the basis of the documents provided; and

b. Except as required by 42 U.S.C. 11301, the child will be excluded from school entry, according to A.R.S. § 15-872(B), until the child's parent provides to the school documentation that meets the requirements in R9-6-704 or R9-6-706;

2. For a child attending a child care:

a. The child care administrator cannot verify compliance with Arizona immunization requirements on the basis of the documents provided; and

b. The child may attend the child care for not more than 15 days after the date of child care entry without the child's parent providing to the child care documentation that meets the requirements in R9-6-704 or R9-6-706; and

3. The child's parent may bring the child to a physician, a registered nurse practitioner, a local health agency, or, as authorized under A.R.S. § 32-1974, a pharmacist as defined in A.R.S. § 32-1901 to:

a. Review the child's immunization history,

b. Provide needed immunizations, and

c. Provide the required documentation.

C. An administrator of a school or a child care administrator shall not allow a child to attend the school or child care during an outbreak of a disease listed in R9-6-702, as determined by the Department or a local health agency, for which the child lacks:

1. Documentary proof of immunization, according to R9-6-704(A); or

2. Documentary proof of immunity, according to R9-6-704(B).

D. If the Department receives notification from the Centers for Disease Control and Prevention that there is a shortage of a vaccine for a disease listed in R9-6-702, or that the amount of a vaccine for a disease listed in R9-6-702 is being limited, the Department shall:

1. Determine whether:

a. Compliance with exclusion requirements in subsections (A)(3) and (4) is suspended for the vaccine in limited supply, or

b. A different vaccine or a combination of different vaccines may substitute for the vaccine in limited supply;

2. Provide notification in writing to each school and child care in this state:

a. Of the shortage or limitation of the vaccine;

b. Whether the Department is:

i. Suspending compliance with exclusion requirements in subsections (A)(3) and (4) on the basis of the vaccine in limited supply; or

ii. Recommending an alternative vaccine or combination of vaccines to satisfy the requirement R9-6-702 for the vaccine in limited supply and, if so, the Department's recommendation; and

c. If known, when the shortage or limitation of the vaccine is expected to end and the vaccine to be available; and

3. Upon receiving notification from the Centers for Disease Control and Prevention that the vaccine is available, notify each school and child care in this state:

a. That the vaccine is available, and

b. If applicable, the date that compliance with exclusion requirements in subsections (A)(3) and (4) will be reinstated.

E. The Department shall notify each school and child care in this state if the Department no longer requires compliance with subsection (A) for a disease listed in R9-6-702.

Ariz. Admin. Code § R9-6-705

Adopted effective January 28, 1987 (Supp. 87-1). Former Section R9-6-705 renumbered to Section R9-6-305, new Section R9-6-705 renumbered from R9-6-505 and amended effective October 19, 1993 (Supp. 93-4). Former Section R9-6-705 renumbered to R9-6-706; new Section R9-6-705 renumbered from R9-6-704 and amended by final rulemaking at 8 A.A.R. 4274, effective September 16, 2002 (Supp. 02-3). Amended by final expedited rulemaking at 24 A.A.R. 2682, effective 9/4/2018.