Section R9-6-705. Responsibilities of Schools and Child Care

A.      Except as provided in R9-6-706, a school administrator or a child care administrator shall ensure that an immunization record for each child attending a school or child care is main- tained at the school or child care and contains the applicable documentary proof of immunity listed in R9-6-704.

B.       If a child does not meet the requirements for immunization according to Table 1 or Table 2 or requirements for exemption from immunization according to R9-6-706, a school adminis- trator shall:

1.        Not allow the child to enter the school, or

2.        If the child is already attending the school, remove the child from school as authorized by A.R.S. § 15-872.

C.      If a child does not meet the requirements for immunization according to Table 1 or Table 2 or requirements for exemption from immunization according to R9-6-706, a child care administrator shall notify the responsible person in writing at the time of entry that:

1.        The child may attend the child care for not more than 15 days from the date of the notification; and

2.        If the child is not immunized by the 15th day following notification, the child is not permitted to attend the child care.

D.      A school administrator or child care administrator shall deter- mine that a child is in compliance with an immunization requirement in this Article for a specific disease if:

1.        The child’s immunization record contains proof of immu- nity required in R9-6-704, and the child has received the required immunizations according to Table 1 or Table 2; or

2.        A responsible person has submitted to the school or child care documentation of an exemption from immunization according to R9-6-706.

E.       At the time of enrollment, if a child’s immunization record is not available, does not contain proof of immunity required in R9-6-704, or does not contain proof of an exemption accord- ing to R9-6-706, a school administrator or school administra- tor’s designee, or a child care administrator shall notify the responsible person:

1.        That the child is not in compliance with immunization requirements;

2.        In writing, that:

a.        For the child enrolling in a school, all immuniza- tions are required to be completed according to Table 1 or Table 2 and proof provided to the school before entry; or

b.        For the child enrolling in a child care, all immuniza- tions required in Table 1 or Table 2 are required to be completed and proof provided to the child care within 15 days of the notification; and

3.        In writing, that the responsible person is required to send the child to a physician or local health agency to obtain written proof of immunization before entry.

F.       If a school administrator or a child care administrator ques- tions the accuracy of a child’s immunization record and is unable to verify the accuracy of the immunization record, the school administrator or the child care administrator shall notify, in writing, the responsible person:

1.        That the responsible person is required to send the child to a physician or local health agency to review the child’s immunization history and provide immunizations as needed;

2.        For a child attending a school, that the child is not allowed to return to school until the child’s immunization record meets the standards of documentary proof in R9-6- 704 and is presented to the school; and

3.        For a child attending a child care, that beginning 15 days following the notification, the child is not allowed to attend the child care, unless the child’s immunization record meets the standards of documentary proof in R9-6- 704 and is presented to the child care.

G.      A school administrator or child care administrator shall main- tain a list that contains the name of each child who:

1.        Is exempt from providing proof of immunity according to R9-6-706, or

2.        Has not provided proof of immunity in compliance with R9-6-704.

H.      A school administrator or child care administrator shall not allow a child who lacks proof of immunity against a disease listed in R9-6-702(A) to attend the school or child care during an outbreak of the disease for which the child lacks proof of immunity. The Department or local health agency shall deter- mine the start and termination of an outbreak.

Historical Note

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). For- mer 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).