Section R9-3-304. Enrolled Child Immunization Requirements

A.      A certificate holder shall not permit an enrolled child to receive child care services at a child care group home until the child care group home receives:

1.        An immunization record for the enrolled child with the information required in 9 A.A.C. 6, Article 7, stating that the enrolled child has received all current, age-appropri- ate immunizations required under 9 A.A.C. 6, Article 7, that is:

a.        Provided by a physician, physician assistant, regis- tered nurse practitioner, or another individual autho- rized by state law to administer immunizations; or

b.        Generated from the Arizona State Immunization Information System, which is the Department’s child immunization reporting system established in

A.R.S. § 36-135; or

2.        An exemption affidavit for the enrolled child provided by the enrolled child’s parent that contains:

a.        A statement, signed by the enrolled child’s physi- cian, physician assistant, or registered nurse practi- tioner, that the immunizations required by 9 A.A.C. 6, Article 7 would endanger the enrolled child’s health or medical condition; or

b.        A statement, signed by the enrolled child’s parent, that the enrolled child is being raised in a religion whose teachings are in opposition to immunization.

B.       A certificate holder shall ensure that a staff member attaches 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 R9-3-303(B).

C.      A certificate holder shall ensure that a staff member updates an enrolled child’s written immunization record required in sub- section (A)(1)(a) each time the enrolled child’s parent provides the child care group home with a written statement from the enrolled child’s physician, physician assistant, or registered nurse practitioner that the enrolled child has received an age- appropriate immunization required by 9 A.A.C. 6, Article 7.

D.      If an enrolled child’s immunization record indicates that the enrolled child has not received an age-appropriate immuniza- tion required by 9 A.A.C. 6, Article 7, a certificate holder shall ensure that a staff member:

1.        Notifies the enrolled child’s parent in writing that the enrolled child may attend the child care group home for not more than 15 days after the date of the notification unless the enrolled child’s parent complies with the immunization requirements in 9 A.A.C. 6, Article 7; and

2.        Documents on the enrolled child’s Emergency, Informa- tion, and Immunization Record card the date on which the enrolled child’s parent is notified of an immunization required by the Department.

E.       For an outbreak of a disease listed in A.A.C. R9-6-702(A) at a child care group home, a certificate holder shall:

1.        Not allow an enrolled child to attend the child care group home between the start and end of the outbreak if the enrolled child lacks documentation of immunization or evidence of immunity to the disease that complies with

A.A.C. R9-6-704, and

2.        Permit the enrolled child to attend the child care group home if a parent of the enrolled child provides any of the documents in A.A.C. R9-6-704 for the enrolled child.

Historical Note

New Section made by final rulemaking at 10 A.A.R. 1214, effective September 1, 2004 (Supp. 04-1). Section repealed; new R9-3-304 renumbered from R9-3-308 and amended by exempt rulemaking at 17 A.A.R. 1530, effective September 30, 2011 (Supp. 11-3).