reglab/statecodes huggingface dataset:
Arizona Administrative Code › Title 9 - HEALTH SERVICES › Chapter 3 - DEPARTMENT OF HEALTH SERVICES - CHILD CARE GROUP HOMES › Article 2 - CERTIFICATION › Section R9-3-206 - Inspections; Investigations

Current through Register Vol. 30, No. 28, July 12, 2024
A.
				An applicant, certificate holder, or provider shall allow immediate access to
				all areas of the premises that may affect the health, safety, or welfare of an
				enrolled child or to which an enrolled child may have access during hours of
				operation to representatives from:
1. The
				Department,
2. The local health
				department,
3. Arizona Department
				of Child Safety, or
4. The local
				fire department or State Fire Marshal.
Arizona Administrative Code › Title 9 - HEALTH SERVICES › Chapter 3 - DEPARTMENT OF HEALTH SERVICES - CHILD CARE GROUP HOMES › Article 2 - CERTIFICATION › Section R9-3-207 - Denial, Revocation, or Suspension of a Certificate

Current through Register Vol. 30, No. 28, July 12, 2024
A. The Department may deny, revoke, or
				suspend a certificate to operate a child care group home if an applicant or
				certificate holder:
1. Provides false or
				misleading information to the Department;
2. Is the parent or guardian of a child
				adjudicated to be a dependent child as defined in A.R.S. §
										8-201;
3. Has been denied a certificate or license
				to operate a child care group home or child care facility in any state, unless
				the denial was based on the individual's failure to complete the certification
				or licensing process according to a required time-frame;
4. Has had a certificate or license to
				operate a child care group home or child care facility revoked or suspended in
				any state for reasons that relate to endangerment of the health and safety of
				children;
5. Has been denied a
				fingerprint clearance card or has had a fingerprint clearance card suspended or
				revoked under A.R.S. Title 41, Chapter 12, Article 3.1; or
6. Fails to substantially comply with any
				provision in A.R.S. Title 36, Chapter 7.1, Article 4 or this Chapter.
Arizona Administrative Code › Title 9 - HEALTH SERVICES › Chapter 3 - DEPARTMENT OF HEALTH SERVICES - CHILD CARE GROUP HOMES › Article 3 - OPERATING A CHILD CARE GROUP HOME › Section R9-3-301 - Certificate Holder and Provider Responsibilities

Current through Register Vol. 30, No. 28, July 12, 2024
A. A certificate holder shall:
1. Designate a provider who:
a. Lives in the residence;
b. Is 21 years of age or older;
c. Has a high school diploma, high school
				equivalency diploma, associate degree, or bachelor degree;
d. Meets one of the following:
i. Has completed at least three credit hours
				in child growth and development, nutrition, psychology, or early childhood
				education;
ii. Has completed at
				least 60 hours of training in child growth and development, nutrition,
				psychology, early childhood education, or management of a child care business;
				or
iii. Has at least 12 months of
				child care experience; and
e. Has completed Department-provided
				orientation training that includes the Department's role in certifying and
				regulating child care group homes under A.R.S. Title 36, Chapter 7.1, Article 4
				and this Chapter;
Arizona Administrative Code › Title 9 - HEALTH SERVICES › Chapter 3 - DEPARTMENT OF HEALTH SERVICES - CHILD CARE GROUP HOMES › Article 3 - OPERATING A CHILD CARE GROUP HOME › Section R9-3-302 - Staff Training

Current through Register Vol. 30, No. 28, July 12, 2024
A.
				Within 10 calendar days after the starting date of employment or volunteer
				service, a certificate holder shall provide, and each staff member shall
				complete, training for new staff members that includes all of the following:
1. Names, ages, and developmental stages of
				enrolled children;
2. Health needs,
				nutritional requirements, any known allergies, and information about adaptive
				devices of enrolled children;
3.
				Guiding and disciplining children;
4. Hand washing techniques;
5. Diapering techniques and toileting, if any
				enrolled children are in diapers or require assistance in using the
				toilet;
6. Sudden infant death
				syndrome awareness, if child care services are provided to an infant or a
				one-year-old child;
7. Preparing,
				serving, and storing food;
8.
				Preparing, handling, and storing infant formula and breast milk, if any
				enrolled children are fed infant formula or breast milk;
9. Recognizing signs of illness and
				infestation;
10. Detecting,
				preventing, and reporting child abuse or neglect;
11. Responding to accidents and
				emergencies;
12. Sun
				safety;
13. Procedures for trips
				away from the child care group home, if applicable; and
14. Staff responsibilities as required by
				A.R.S. Title 36, Chapter 7.1, Article 4 and this Chapter.
Arizona Administrative Code › Title 9 - HEALTH SERVICES › Chapter 3 - DEPARTMENT OF HEALTH SERVICES - CHILD CARE GROUP HOMES › Article 3 - OPERATING A CHILD CARE GROUP HOME › Section R9-3-303 - Enrollment of Children

Current through Register Vol. 30, No. 28, July 12, 2024
A. A
				certificate holder shall require that a child be enrolled by the child's parent
				or by an individual authorized in writing by the child's parent.
B. Except as required in A.R.S. § 36-309,
				before a child is enrolled at a child care group home, a certificate holder
				shall require the individual enrolling the child to complete a
				Department-provided Emergency, Information, and Immunization Record card
				containing:
1. The child's name, home
				address, city, state, zip code, sex, and date of birth;
2. The date of the child's
				enrollment;
3. The name, home
				address, city, state, zip code, and contact telephone number of each parent of
				the child;
4. The name and contact
				telephone number of at least two individuals authorized by the child's parent
				to collect the child from the child care group home or to be contacted if the
				child's parent cannot be contacted;
5. The name and contact telephone number of
				the child's physician, physician assistant, or registered nurse
				practitioner;
6. Written
				authorization for emergency medical care of the child;
7. The name of the individual to be contacted
				in case of injury or sudden illness of the child;
8. A written description provided by a
				child's parent of the nutritional and dietary needs of the child;
9. A written description provided by the
				child's parent noting the child's susceptibility to illness, physical
				conditions of which a staff member should be aware, and any individual
				requirements for health maintenance; and
10. The dated signature of the individual
				completing the Emergency, Information, and Immunization Record card.
Arizona Administrative Code › Title 9 - HEALTH SERVICES › Chapter 3 - DEPARTMENT OF HEALTH SERVICES - CHILD CARE GROUP HOMES › Article 3 - OPERATING A CHILD CARE GROUP HOME › Section R9-3-304 - Enrolled Child Immunization Requirements

Current through Register Vol. 30, No. 28, July 12, 2024
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-appropriate immunizations required under 9 A.A.C. 6, Article 7, that is:
a. Provided by a physician, physician
				assistant, registered nurse practitioner, or another individual authorized 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
Arizona Administrative Code › Title 9 - HEALTH SERVICES › Chapter 3 - DEPARTMENT OF HEALTH SERVICES - CHILD CARE GROUP HOMES › Article 3 - OPERATING A CHILD CARE GROUP HOME › Section R9-3-305 - Admission and Release of Enrolled Children

Current through Register Vol. 30, No. 28, July 12, 2024
A. A certificate holder shall ensure that:
1. An enrolled child is signed into and
				signed out from the child care group home by:
a. The enrolled child's parent;
b. An individual authorized in writing or by
				telephone by the enrolled child's parent; or
c. The enrolled child, if the enrolled child
				is a school-age child and the enrolled child's parent has given written
				permission for the enrolled child to self-admit or self-release;
Arizona Administrative Code › Title 9 - HEALTH SERVICES › Chapter 3 - DEPARTMENT OF HEALTH SERVICES - CHILD CARE GROUP HOMES › Article 3 - OPERATING A CHILD CARE GROUP HOME › Section R9-3-306 - Pesticides

Current through Register Vol. 30, No. 28, July 12, 2024
Except as prescribed by A.R.S. §
									36-898(C),
				  a certificate holder shall ensure that a staff member makes the following
				  pesticide information available in writing to the parent of an enrolled child,
				  upon the parent's request, at least 48 hours before a pesticide application
				  occurs on the premises:
1. The name
				and telephone number of the pesticide business licensee and the name of the
				licensed applicator providing pesticide services;
2. The date and time of the pesticide
				application;
3. The pesticide
				label, including a warning label stating that the pesticide should not be
				applied when children are present, and the material safety data sheet;
				and
4. The brand, concentration,
				rate of application, and any use restrictions required by the label of the
				herbicide or specific pesticide.
Arizona Administrative Code › Title 9 - HEALTH SERVICES › Chapter 3 - DEPARTMENT OF HEALTH SERVICES - CHILD CARE GROUP HOMES › Article 3 - OPERATING A CHILD CARE GROUP HOME › Section R9-3-307 - Illness and Infestation

Current through Register Vol. 30, No. 28, July 12, 2024
A. A
				certificate holder shall ensure that an enrolled child is excluded from the
				child care group home when:
1. A staff member
				determines that the enrolled child's illness:
a. Prevents the enrolled child from
				participating in activities without experiencing discomfort or aggravation of
				symptoms, or
b. Results in a
				greater need for care than staff members can provide without compromising the
				health or safety of other enrolled children, or
Arizona Administrative Code › Title 9 - HEALTH SERVICES › Chapter 3 - DEPARTMENT OF HEALTH SERVICES - CHILD CARE GROUP HOMES › Article 3 - OPERATING A CHILD CARE GROUP HOME › Section R9-3-308 - Suspected Abuse or Neglect of an Enrolled Child

Current through Register Vol. 30, No. 28, July 12, 2024
A certificate holder shall ensure that:
1. The certificate holder or a staff member
				immediately reports suspected abuse or neglect of an enrolled child under
				A.R.S. Title 8, Chapter 4, Article 8, or to a local law enforcement agency, as
				required by A.R.S. §
									13-3620;
2. If a staff member or resident is suspected
				of abuse or neglect of an enrolled child, the certificate holder also reports
				the suspected abuse or neglect to the Department; and
3. Documentation of a report required in
				subsection (1) or (2) is maintained on the premises for 12 months after the
				date of the report.
Arizona Administrative Code › Title 9 - HEALTH SERVICES › Chapter 3 - DEPARTMENT OF HEALTH SERVICES - CHILD CARE GROUP HOMES › Article 3 - OPERATING A CHILD CARE GROUP HOME › Section R9-3-309 - Medications

Current through Register Vol. 30, No. 28, July 12, 2024
A. A certificate
				holder shall ensure that a document is prepared and maintained on the premises
				that specifies:
1. Whether prescription or
				nonprescription medications are administered to enrolled children;
				and
2. If prescription or
				nonprescription medications are administered, the requirements in subsection
				(B) for administering the prescription or nonprescription
				medications.
Arizona Administrative Code › Title 9 - HEALTH SERVICES › Chapter 3 - DEPARTMENT OF HEALTH SERVICES - CHILD CARE GROUP HOMES › Article 3 - OPERATING A CHILD CARE GROUP HOME › Section R9-3-310 - Accident and Emergency Procedures

Current through Register Vol. 30, No. 28, July 12, 2024
A. A certificate holder shall ensure that a
				child care group home has a first-aid kit on the premises that contains at
				least the following items, in a quantity sufficient to meet the needs of the
				enrolled children at the child care group home:
1. Sterile bandages including:
a. Adhesive bandages of assorted
				sizes,
b. Sterile gauze pads,
				and
c. Sterile gauze
				rolls,
Arizona Administrative Code › Title 9 - HEALTH SERVICES › Chapter 3 - DEPARTMENT OF HEALTH SERVICES - CHILD CARE GROUP HOMES › Article 4 - PROGRAM AND EQUIPMENT STANDARDS › Section R9-3-401 - General Program, Equipment, and Health and Safety Standards

Current through Register Vol. 30, No. 28, July 12, 2024
A. In addition to
				complying with the requirements in this Chapter, a certificate holder shall
				ensure that the health, safety, or welfare of an enrolled child is not placed
				at risk of harm.
B. A certificate
				holder shall ensure that:
1. A staff member:
a. Supervises each enrolled child at all
				times,
b. Plays and communicates
				with an enrolled child throughout the day, and
c. Responds immediately to signs of distress
				from an enrolled child;
Arizona Administrative Code › Title 9 - HEALTH SERVICES › Chapter 3 - DEPARTMENT OF HEALTH SERVICES - CHILD CARE GROUP HOMES › Article 4 - PROGRAM AND EQUIPMENT STANDARDS › Section R9-3-402 - Supplemental Standards for Napping or Sleeping

Current through Register Vol. 30, No. 28, July 12, 2024
A. A certificate holder shall ensure that:
1. Each enrolled child who naps or sleeps at
				the child care group home is furnished with a bed, cot, mat, or crib that
				accommodates the enrolled child's height and weight;
2. The bed, cot, mat, or crib is not used by
				another individual while in use by the enrolled child;
3. The cot, mat, or bed's mattress is covered
				with a clean sheet that is laundered when soiled, at least once every seven
				calendar days, and before use by a different enrolled child;
4. The crib mattress is covered with a clean
				fitted-sheet designed for the crib mattress size that is laundered when soiled,
				at least once every 24 hours, and before use by a different enrolled child;
				and
5. A clean blanket or sheet is
				provided to each enrolled child.
Arizona Administrative Code › Title 9 - HEALTH SERVICES › Chapter 3 - DEPARTMENT OF HEALTH SERVICES - CHILD CARE GROUP HOMES › Article 4 - PROGRAM AND EQUIPMENT STANDARDS › Section R9-3-403 - Supplemental Standards for Care of an Enrolled Infant or One- or Two-Year-Old Child

Current through Register Vol. 30, No. 28, July 12, 2024
A. A
				certificate holder shall ensure that:
1. A
				staff member:
a. Does not allow an enrolled
				infant or one- or two-year-old child to spend more than 30 consecutive minutes
				of time while awake in a crib, playpen, swing, feeding chair, infant seat, or
				other confining piece of equipment;
b. Allows each enrolled infant to maintain an
				individual pattern of sleeping, waking, and eating, unless the enrolled
				infant's parent has instructed otherwise;
c. If providing a bottle or sippy cup to an
				enrolled infant or one- or two-year-old child before the enrolled infant or
				one- or two-year-old child naps or sleeps:
i.
				Ensures that only water is in the bottle or sippy cup unless the written
				instructions required by subsection (A)(3)(b) state otherwise;
ii. Removes the used bottle or sippy cup from
				the enrolled infant or one- or two-year-old child's crib, bed, cot, or mat as
				soon as the enrolled infant or one- or two-year-old child finishes drinking or
				falls asleep; and
iii. Cleans the
				used bottle or sippy cup before the bottle or sippy cup is reused;
d. Checks the diaper of each
				enrolled infant or one- or two-year-old child throughout the day and changes a
				diaper as soon as it is wet or soiled;
e. Ensures that toys provided for an enrolled
				infant or one- or two-year-old child are too large to swallow; and
f. Does not permit an enrolled infant to use
				a walker;
Arizona Administrative Code › Title 9 - HEALTH SERVICES › Chapter 3 - DEPARTMENT OF HEALTH SERVICES - CHILD CARE GROUP HOMES › Article 4 - PROGRAM AND EQUIPMENT STANDARDS › Section R9-3-404 - Supplemental Standards for Care of an Enrolled Child with Special Needs

Current through Register Vol. 30, No. 28, July 12, 2024
A. Before an
				enrolled child with special needs receives child care services at a child care
				group home, the certificate holder shall ensure that the provider obtains from
				the enrolled child's parent an individual plan for the enrolled child that
				includes, as applicable, the following:
1. A
				medication schedule,
2. Nutrition
				and feeding instructions,
3.
				Instructions for medical equipment or adaptive devices used by the enrolled
				child,
4. Emergency
				instructions,
5. Toileting and
				personal hygiene instructions,
6.
				Identification of specific child care services to be provided at the child care
				group home, and
7. Instructions for
				fire and emergency evacuation drills.
Arizona Administrative Code › Title 9 - HEALTH SERVICES › Chapter 3 - DEPARTMENT OF HEALTH SERVICES - CHILD CARE GROUP HOMES › Article 4 - PROGRAM AND EQUIPMENT STANDARDS › Section R9-3-405 - Discipline and Guidance

Current through Register Vol. 30, No. 28, July 12, 2024
A. A
				certificate holder shall ensure that a staff member:
1. Establishes and maintains reasonable
				guidelines and limits for enrolled children's behavior and applies them
				consistently;
2. Teaches, models,
				and encourages orderly conduct, self-control, and age-appropriate
				behavior;
3. When disciplining an
				enrolled child:
a. Explains to the enrolled
				child why the particular behavior is not allowed,
b. Suggests an alternate behavior to the
				enrolled child, and
c. Assists the
				enrolled child to become engaged in an alternate activity; and
4. If an enrolled child's behavior
				may result in harm to self or others, holds the enrolled child without undue
				force until the enrolled child regains self-control or composure.
Arizona Administrative Code › Title 9 - HEALTH SERVICES › Chapter 3 - DEPARTMENT OF HEALTH SERVICES - CHILD CARE GROUP HOMES › Article 4 - PROGRAM AND EQUIPMENT STANDARDS › Section R9-3-406 - General Nutrition and Menu Standards

Current through Register Vol. 30, No. 28, July 12, 2024
A. This Section does not apply to
				infants.
B. A certificate holder
				shall ensure that meals and snacks are served to enrolled children in
				compliance with Table 4.1.
C. When
				a child care group home provides food for enrolled children, the certificate
				holder shall ensure that:
1. Each meal or
				snack is prepared and served according to the meal pattern requirements in
				Table 4.2;
2. Second servings of
				food are served to each enrolled child at meal time and snack time, if
				requested by the enrolled child;
3.
				The same food item, other than milk, is not served more than once in a single
				day;
4. During each week, meals
				include a variety of foods from each food category in the meal pattern
				requirements in Table 4.2;
5.
				Unless an enrolled child's parent requests otherwise, milk served to the
				enrolled child is:
a. Fat-free or 1% low-fat
				milk for an enrolled child older than two years of age; and
b. Whole milk for an enrolled child two years
				of age or younger;
6.
				Only pasteurized milk is served;
7.
				Reconstituted dry milk is not served to meet the fluid milk
				requirement;
8. Juice served to
				enrolled children for a meal or snack is pasteurized full-strength 100%
				vegetable juice, fruit juice, or fruit and vegetable juice combination from an
				original, commercially filled container or reconstituted from a concentrate
				according to manufacturer directions;
9. A beverage sweetened with any kind of
				sugar product is not provided by the child care group home; and
10. High fat or high sugar food items such as
				muffins, brownies, donuts, pastries, croissants, cakes, or cookies are served
				to satisfy a meal or snack category no more than twice each week.
Arizona Administrative Code › Title 9 - HEALTH SERVICES › Chapter 3 - DEPARTMENT OF HEALTH SERVICES - CHILD CARE GROUP HOMES › Article 4 - PROGRAM AND EQUIPMENT STANDARDS › Table 4.1 - Meals and Snacks Required to Be Served to Enrolled Children

Current through Register Vol. 30, No. 28, July 12, 2024
Times Enrolled Child Is at Child
						  Care Group Home
Child Required to Be Served
Before 8:00 a.m.
Breakfast, if requested by
						  parent or child
Between 8:00 a.m. and 11:00 a.m.
At least one snack
Between 11:00 a.m. and 1:00 p.m.
Lunch
Between 1:00 p.m. and 5:00 p.m.
At least one snack
Between 5:00 p.m. and 7:00 p.m.,
						  if staying beyond 7:00 p.m.
Dinner
Between 7:00 p.m. and 9:00 p.m.,
						  if staying beyond 9:00 p.m.
At least one snack
Arizona Administrative Code › Title 9 - HEALTH SERVICES › Chapter 3 - DEPARTMENT OF HEALTH SERVICES - CHILD CARE GROUP HOMES › Article 4 - PROGRAM AND EQUIPMENT STANDARDS › Table 4.2 - Meal Pattern Requirements for Children

Current through Register Vol. 30, No. 28, July 12, 2024
Food Components
Ages 1 through 2 years
Ages 3 through 5 years
Ages 6 and Older
Breakfast:
1. Milk, fluid
2. Vegetable, fruit, or both
3. Grains
1/2 cup
1/4 cup
1/2 oz eq1
3/4 cup
1/2 cup
1/2 oz eq1
1 cup
1/2 cup
1 oz eq1
Lunch or Supper:
1. Milk, fluid
2. Vegetables Fruits
3. Grains
4. Meat or meat alternates
1/2 cup
1/8 cup
1/8 cup
1/2 oz eq1
1 oz.
3/4 cup
1/4 cup
1/4 cup
1/2 oz eq1
1 1/2 oz.
1 cup
1/2 cup
1/4 cup
1 oz eq1
2 oz.
Snack: (select 2 of these 4 components)***
1. Milk, fluid
2. Vegetables Fruits
3. Bread Grains
4. Meat or meat alternates
1/2 cup
1/2 cup
1/2 cup
1/2 oz.
1/2 cup
1/2 cup
1/2 cup
1/2 oz.
1 cup
3/4 cup
3/4 cup
1 oz.
1 Meat and meat alternates may be used to substitute
							 the entire grains component a maximum of three times per week. Oz eq = ounce
							 equivalents
* In the same meal service, dried beans or dried peas
							 may be used as a meat alternate or as a vegetable; however, such use does not
							 satisfy the requirement for both components.
** At lunch and supper, no more than 50% of the
							 requirement shall be met with nuts, seeds, or nut butters. Nuts, seeds, or nut
							 butters shall be combined with another meat or meat alternative to fulfill the
							 requirement. Two tablespoons of nut butter or one ounce of nuts or seeds equals
							 one ounce of meat.
*** Juice may not be served when milk is served as
							 the only other component.
Arizona Administrative Code › Title 9 - HEALTH SERVICES › Chapter 3 - DEPARTMENT OF HEALTH SERVICES - CHILD CARE GROUP HOMES › Article 4 - PROGRAM AND EQUIPMENT STANDARDS › Section R9-3-408 - Field Trips and Other Trips Away from the Child Care Group Home

Current through Register Vol. 30, No. 28, July 12, 2024
A. A certificate
				holder shall only allow a staff member to take an enrolled child away from an
				area of the child care group home approved for providing child care services
				during hours of operation with written permission from the enrolled child's
				parent as follows:
1. For a trip to drop off
				the enrolled child at or pick up the enrolled child from the enrolled child's
				school, bus stop, or another location, the written permission shall include:
a. The enrolled child's name;
b. The location where the enrolled child will
				be dropped off or picked up;
c. The
				time at which the enrolled child will be dropped off or picked up;
d. The time period, not to exceed 12 months,
				during which the permission is given; and
e. The dated signature of the enrolled
				child's parent; and
Arizona Administrative Code › Title 9 - HEALTH SERVICES › Chapter 3 - DEPARTMENT OF HEALTH SERVICES - CHILD CARE GROUP HOMES › Article 5 - PHYSICAL ENVIRONMENT STANDARDS › Section R9-3-501 - General Physical Environment Standards

Current through Register Vol. 30, No. 28, July 12, 2024
A. A certificate holder shall ensure that a
				child care group home has:
1. At least 30
				square feet of floor space in indoor areas of the child care group home
				approved for providing child care services for each enrolled child, not
				including the following:
a. A
				kitchen,
b. A bathroom,
c. A laundry room,
d. A workshop room,
e. A hallway, or
f. A garage that has not been converted into
				living space;
Arizona Administrative Code › Title 9 - HEALTH SERVICES › Chapter 3 - DEPARTMENT OF HEALTH SERVICES - CHILD CARE GROUP HOMES › Article 5 - PHYSICAL ENVIRONMENT STANDARDS › Section R9-3-502 - Outdoor Activity Area Standards

Current through Register Vol. 30, No. 28, July 12, 2024
A. Except as provided in subsection (B), a
				certificate holder shall ensure that the child care group home has an outdoor
				activity area that:
1. Is on the
				premises;
2. Is at least 500 square
				feet in size;
3. Is adjacent to the
				residence;
4. Includes shaded areas
				large enough to accommodate all enrolled children occupying the outdoor
				activity area at any time; and
5.
				Except as provided in subsection (D), is enclosed by a fence that:
a. Is at least 4 feet high;
b. Is secured to the ground;
c. Does not have any vertical or horizontal
				open space that exceeds 4 inches at any point, including any space on a gate;
				and
d. Has a gate from which an
				individual may exit the outdoor activity area.
Arizona Administrative Code › Title 9 - HEALTH SERVICES › Chapter 3 - DEPARTMENT OF HEALTH SERVICES - CHILD CARE GROUP HOMES › Article 5 - PHYSICAL ENVIRONMENT STANDARDS › Section R9-3-503 - Swimming Pool Standards

Current through Register Vol. 30, No. 28, July 12, 2024
A. A
				certificate holder shall ensure that a swimming pool used by an enrolled child
				at a child care group home:
1. Contains water
				that meets one of the following chemical disinfection standards:
a. A free chlorine residual between 1.0 and
				3.0 ppm as measured by the N, N-Diethyl-p-phenylenediamine test;
b. A free bromine residual between 2.0 and
				4.0 ppm as measured by the N, N-Diethyl-p-phenylenediamine test; or
c. An oxidation-reduction potential equal to
				or greater than 650 millivolts; and
Arizona Administrative Code › Title 9 - HEALTH SERVICES › Chapter 3 - DEPARTMENT OF HEALTH SERVICES - CHILD CARE GROUP HOMES › Article 5 - PHYSICAL ENVIRONMENT STANDARDS › Section R9-3-504 - Fire Safety, Gas Safety, and Emergency Standards

Current through Register Vol. 30, No. 28, July 12, 2024
A. A certificate holder shall ensure that:
1. The house number of the child care group
				home's residence is painted or posted on the premises so that it is visible
				from the street;
2. A smoke
				detector is installed in each indoor area of the child care group home approved
				for providing child care services and in each hallway of the child care group
				home's residence;
3. Each smoke
				detector required under subsection (A)(2):
a.
				Is maintained in an operable condition; and
b. Is either battery operated or, if
				hard-wired into the electrical system of the child care group home's residence,
				has a back-up battery;
4. The child care group home's residence has
				at least two portable fire extinguishers:
a.
				One of which is labeled as rated at least 1A-10-BC by the Underwriters
				Laboratories is mounted on the kitchen wall and is easily accessible,
				and
b. One of which is labeled as
				rated at least 2A-10-BC by the Underwriters Laboratories and is maintained in a
				location accessible to staff members in an area of the child care group home
				approved for providing child care services;
5. Each electrical outlet in an area of the
				child care group home approved for providing child care services is covered
				with a safety plug cover or insert when not in use;
6. An appliance, light, or other device with
				a frayed or spliced electrical cord is not used at the child care group
				home;
7. An electrical cord,
				including an extension cord, is not run under a rug or carpeting, over a nail,
				or from one room to another at the child care group home;
8. Each electrical, cable, or telephone
				outlet at the child care group home is covered with a face plate;
9. A wood-burning stove, the interior of a
				fireplace, or a chiminea is inaccessible to enrolled children when in
				use;
10. An unvented space heater
				or open-flame space heater is not used in the child care group home's residence
				during hours of operation;
11. An
				electric portable heater is not used in the child care group home's residence
				during hours of operation unless the electric portable heater:
a. Has:
i.
				Either a non-porous casing or a grill with a mesh small enough to prevent cloth
				or a child's finger from entering the casing,
ii. A tilt switch that shuts off power to the
				electric portable heater if the electric portable heater tips over,
iii. An automatic shutoff control to prevent
				overheating, and
iv. A thermostat
				control; and
b. Is
				plugged directly into a wall outlet;
12. A candle or incense is not burned in the
				child care group home's residence during hours of operation; and
13. Smoking is not permitted in the residence
				during hours of operation or in the presence or sight of enrolled
				children.
Arizona Administrative Code › Title 9 - HEALTH SERVICES › Chapter 3 - DEPARTMENT OF HEALTH SERVICES - CHILD CARE GROUP HOMES › Article 5 - PHYSICAL ENVIRONMENT STANDARDS › Section R9-3-505 - General Safety Standards

Current through Register Vol. 30, No. 28, July 12, 2024
A.
				A certificate holder shall ensure that the following are cared for only on the
				ground floor of the child care group home's residence:
1. An enrolled infant,
2. An enrolled child younger than five years
				of age, and
3. An enrolled child
				who uses a wheelchair or is not able to walk.
Arizona Administrative Code › Title 9 - HEALTH SERVICES › Chapter 3 - DEPARTMENT OF HEALTH SERVICES - CHILD CARE GROUP HOMES › Article 5 - PHYSICAL ENVIRONMENT STANDARDS › Section R9-3-506 - General Cleaning and Sanitation Standards

Current through Register Vol. 30, No. 28, July 12, 2024
A certificate holder shall ensure that:
1. All areas of the child care group home
				approved for providing child care services and the furnishings, equipment,
				supplies, materials, utensils, and toys in those areas are kept clean and free
				of insects and vermin;
2. All
				equipment, materials, and toys used by or accessible to enrolled children are
				cleaned and disinfected as often as necessary to maintain them in a clean and
				disinfected condition and, for items used by infants or one- or two-year-old
				children, at least once every 24 hours;
3. All plumbing fixtures at the child care
				group home are maintained in operating condition;
4. The plumbing at the child care group home
				supplies sufficient water pressure to meet the child care group home's
				toileting and cleaning needs;
5.
				Each bathroom used by an enrolled child at the child care group home has the
				following within the reach of enrolled children:
a. Mounted toilet tissue,
b. Soap contained in a dispenser,
				and
c. Singly dispensed paper
				towels;
Arizona Administrative Code › Title 9 - HEALTH SERVICES › Chapter 3 - DEPARTMENT OF HEALTH SERVICES - CHILD CARE GROUP HOMES › Article 5 - PHYSICAL ENVIRONMENT STANDARDS › Section R9-3-507 - Diaper-Changing Standards

Current through Register Vol. 30, No. 28, July 12, 2024
A. A
				certificate holder shall ensure that a staff member changes diapers only on a
				nonabsorbent, sanitizable diaper changing surface that:
1. Is kept clear of items not required for
				diaper changing;
2. Is in an area
				of the child care group home approved for providing child care services, but
				not in a kitchen or eating area; and
3. Provides access to running water that is
				not a kitchen sink and dispensed soap within 15 feet.
Arizona Administrative Code › Title 9 - HEALTH SERVICES › Chapter 3 - DEPARTMENT OF HEALTH SERVICES - CHILD CARE GROUP HOMES › Article 5 - PHYSICAL ENVIRONMENT STANDARDS › Section R9-3-508 - Pet and Animal Standards

Current through Register Vol. 30, No. 28, July 12, 2024
A certificate holder shall ensure that:
1. Each dog, cat, or ferret at the child care
				group home has a current vaccination against rabies;
2. Documentation of current vaccination
				against rabies, required in subsection (1), is maintained on the
				premises;
3. All pet and animal
				habitats at the child care group home are kept clean;
4. When kept in an area of the child care
				group home approved for providing child care services, a bird is:
a. Kept in a cage during hours of operation,
				and
b. Not kept in the kitchen or
				an eating area of the child care group home;
Arizona Administrative Code › Title 9 - HEALTH SERVICES › Chapter 4 - DEPARTMENT OF HEALTH SERVICES - NONCOMMUNICABLE DISEASES › Article 1 - DEFINITIONS › Section R9-4-101 - Definitions, General

Current through Register Vol. 30, No. 28, July 12, 2024
In this Chapter, unless otherwise specified:
1. "Admitted" means the same as in A.A.C.
				R9-10-101.
2. "Business day" means any day of the week
				other than a Saturday, a Sunday, a state legal holiday, or a day on which the
				Department is authorized or obligated by law or executive order to
				close.
3. "Calendar day" means any
				day of the week, including a Saturday or a Sunday.
4. "Clinical laboratory" means a facility
				that:
a. Meets the definition in A.R.S. §
										36-451;
b. Holds a certificate of accreditation or
				certificate of compliance issued by the United States Department of Health and
				Human Services under the 1988 amendments to the Clinical Laboratories
				Improvement Act of 1967; and
c. Is
				located within Arizona.
Arizona Administrative Code › Title 9 - HEALTH SERVICES › Chapter 4 - DEPARTMENT OF HEALTH SERVICES - NONCOMMUNICABLE DISEASES › Article 2 - PESTICIDE ILLNESS › Section R9-4-201 - Definitions

Current through Register Vol. 30, No. 28, July 12, 2024
In this Article, unless otherwise specified:
1. "Cluster illness" means pesticide illness
				in two or more individuals that is caused by or may be related to one pesticide
				exposure incident.
2. "Documented"
				means evidenced by written information such as pesticide applicator reports,
				statements of individuals with pesticide illness, or medical records.
3. "Health care professional" means a
				physician, a registered nurse practitioner, a physician assistant, or any other
				individual who is authorized by law to diagnose human illness.
4. "Medical director" means the individual
				designated by a poison control center as responsible for providing medical
				direction for the poison control center or for approving and coordinating the
				activities of the individuals who provide medical direction for the poison
				control center.
.
5. "Pesticide" means the same as
				in A.R.S. §
									3-361, but does not
				include an antimicrobial agent, such as a disinfectant, sanitizer, or
				deodorizer, used for cleaning.
6. "Pesticide illness"
				means any sickness reasonably believed by a health care professional or medical
				director to be caused by or related to documented exposure to any pesticide,
				based upon professional judgment and:
a. The
				history, signs, or symptoms of the sickness;
b. Laboratory findings regarding the
				individual; or
c. The individual's
				response to treatment for the sickness.
Arizona Administrative Code › Title 9 - HEALTH SERVICES › Chapter 4 - DEPARTMENT OF HEALTH SERVICES - NONCOMMUNICABLE DISEASES › Article 2 - PESTICIDE ILLNESS › Section R9-4-202 - Pesticide Illness Reporting Requirements

Current through Register Vol. 30, No. 28, July 12, 2024
A. A health care
				professional who believes that an individual has pesticide illness shall submit
				a report to the Department, either personally or through a representative:
1. Except as specified in subsections (A)(2)
				and (C), within five business days after the health care professional
				determines that the individual may have pesticide illness; and
2. Within one business days after the
				individual is admitted to a hospital or dies due to pesticide
				illness.
Arizona Administrative Code › Title 9 - HEALTH SERVICES › Chapter 4 - DEPARTMENT OF HEALTH SERVICES - NONCOMMUNICABLE DISEASES › Article 3 - BLOOD LEAD LEVELS › Section R9-4-301 - Definitions

Current through Register Vol. 30, No. 28, July 12, 2024
In this Article, unless otherwise specified:
1. "Adult" means an individual 16 years of
				age or older.
2. "Child" means an
				individual younger than 16 years of age.
3.
				"Patient" means the individual whose blood has been tested for lead
				content.
4. "Point-of-care test for
				blood lead" means an analysis to screen an individual for exposure to lead:
a. That is performed outside a clinical
				laboratory, and
b. For which the
				results of the analysis are available before the individual leaves the location
				at which the analysis was performed.
Arizona Administrative Code › Title 9 - HEALTH SERVICES › Chapter 4 - DEPARTMENT OF HEALTH SERVICES - NONCOMMUNICABLE DISEASES › Article 3 - BLOOD LEAD LEVELS › Section R9-4-302 - Blood Lead Level Reporting Requirements

Current through Register Vol. 30, No. 28, July 12, 2024
A. For each patient, a physician shall submit
				a report to the Department, either personally or through a representative, for
				the levels of lead and within the time periods specified in Table 3.1.
Table 3.1: Criteria for Physician Reporting of Blood
				  Lead Levels
Child
Adult
Within One Business Day After Performing a
							 Point-of-Care Test for Blood Lead or Receiving the Result of a Test for Blood
							 Lead from a Clinical Laboratory
>= 45 µg of lead per dL of whole blood
>= 60 µg of lead per dL of whole blood
Within Five Business Days After Performing a
							 Point-of-Care Test for Blood Lead or Receiving the Result of a Test for Blood
							 Lead from a Clinical Laboratory
>= 10 µg to <45 µg of lead per dL of
>= 25 µg to <60 µg of lead per dL of whole
							 blood
At Least Once Each Month After Performing a
							 Point-of-Care Test for Blood Lead
< 10 µg of lead per dL of whole blood
< 25 µg of lead per dL of whole blood
B. A
				physician shall ensure that the report required in subsection (A) includes the
				following information:
1. The patient's name,
				address, and telephone number;
2.
				The patient's date of birth;
3. The
				patient's gender, race, and ethnicity;
4. If the patient is an adult, the patient's
				occupation and the name, address, and telephone number of the patient's
				employer;
5. Whether the blood
				collected from the patient was venous blood or capillary blood;
6. The date the blood was
				collected;
7. The results of the
				blood lead level test;
8. The date
				of the test result;
9. If the test
				result indicates a blood lead level greater than or equal to 25 µg of lead per
				dL of whole blood for an adult or greater than or equal to 10 µg of lead per dL
				of whole blood for a child:
a. The funding
				source for the medical services provided to the patient and, if applicable, the
				name of the patient's health plan and the identification number for the patient
				assigned by the health plan;
b. The
				language predominantly spoken in the patient's home, if known; and
c. If the patient is a child, the name of the
				patient's parent or guardian;
10. The date the physician performed the
				point-of-care test for blood lead or received the test result from a clinical
				laboratory;
11. If applicable, the
				name, address, and telephone number of the clinical laboratory that tested the
				blood; and
12. The name, practice
				name, address, and telephone number of the physician who performed the
				point-of-care test for blood lead or received the test result from the clinical
				laboratory.
Arizona Administrative Code › Title 9 - HEALTH SERVICES › Chapter 4 - DEPARTMENT OF HEALTH SERVICES - NONCOMMUNICABLE DISEASES › Article 4 - CANCER REGISTRY › Section R9-4-401 - Definitions

Current through Register Vol. 30, No. 28, July 12, 2024
In this Article, unless otherwise specified:
.
1. "Analytic patient" means a patient, who
				is:
a. Diagnosed at a facility, or
b. Administered any part of a first course of
				treatment at the facility.
Arizona Administrative Code › Title 9 - HEALTH SERVICES › Chapter 4 - DEPARTMENT OF HEALTH SERVICES - NONCOMMUNICABLE DISEASES › Article 4 - CANCER REGISTRY › Section R9-4-402 - Exceptions

Current through Register Vol. 30, No. 28, July 12, 2024
This Article does not apply to a hospital that is a special
				  hospital, as defined in A.A.C.
				  R9-10-101,
				  that:
1. Is only licensed to provide
				psychiatric services, or
2. Limits
				admission to individuals requiring rehabilitation services, as defined in
				A.A.C. R9-10-101.
Arizona Administrative Code › Title 9 - HEALTH SERVICES › Chapter 4 - DEPARTMENT OF HEALTH SERVICES - NONCOMMUNICABLE DISEASES › Article 4 - CANCER REGISTRY › Section R9-4-404 - Requirements for Submitting Case Reports and Follow-up Reports and Allowing Review of Hospital Records

Current through Register Vol. 30, No. 28, July 12, 2024
A.
				The cancer registry of a hospital with a licensed capacity of 50 or more
				inpatient beds shall ensure that:
1. An
				electronic case report, prepared according to
				R9-4-403(B),
				is submitted to the Department within 180 calendar days after the date a
				patient is first released from the hospital;
2. An
				electronic follow-up report, for correcting information previously submitted
				according to
				R9-4-403(A)(2)(j) through
				(l), or (B)(2)(a), (b), (m), (n), or (w), is
				submitted to the Department:
a. Within 30
				calendar days after identifying the correct information and at least
				annually,
b. For all patients for
				whom applicable corrected information is obtained,
c. That includes patient identifying
				information and the information to be corrected, and
d. In a format provided by the Department;
				and
3. An electronic
				follow-up report for analytic patients, in a format provided by the Department:
a. Is submitted to the Department at least
				annually for:
i. All living analytic patients
				in the hospital's cancer registry database, and
ii. All analytic patients in the hospital's
				cancer registry database who have died since the last follow-up report;
				and
b. Includes, as
				applicable:
i. A change of patient
				address;
ii. A summary of
				additional first course of treatment; and
iii. The information in
				R9-4-403(A)(2)(s), (u),
				(v), and (w) and
				R9-4-403(B)(2)(gg).
Arizona Administrative Code › Title 9 - HEALTH SERVICES › Chapter 4 - DEPARTMENT OF HEALTH SERVICES - NONCOMMUNICABLE DISEASES › Article 4 - CANCER REGISTRY › Section R9-4-405 - Data Quality Assurance

Current through Register Vol. 30, No. 28, July 12, 2024
A. To
				ensure completeness and accuracy of cancer reporting:
1. Upon notice from the Department of at
				least five business days, a hospital, clinic, physician, doctor of naturopathic
				medicine, dentist, or registered nurse practitioner required to report under
				R9-4-404
				shall allow the Department to review any of the following records, as are
				applicable to the facility:
a. A report meeting the requirements of
				R9-4-404(B)(1);
b. Patient medical records;
c. Medical records of
				individuals not diagnosed with cancer;
d. Pathology
				reports;
e. Cytology reports;
f. Logs containing
				information about surgical procedures, as specified in A.A.C.
				R9-10-215(6)
				or A.A.C.
				R9-10-911(A);
				and
g. Records other than those specified in subsections
				(A)(1)(a) through (f) that contain information about diagnostic evaluation,
				cancer-directed treatment, or other treatment provided to an individual by the
				hospital, clinic, physician, doctor of naturopathic medicine, dentist, or
				registered nurse practitioner;
Arizona Administrative Code › Title 9 - HEALTH SERVICES › Chapter 4 - DEPARTMENT OF HEALTH SERVICES - NONCOMMUNICABLE DISEASES › Article 5 - BIRTH DEFECTS MONITORING PROGRAM › Section R9-4-501 - Definitions

Current through Register Vol. 30, No. 28, July 12, 2024
In this Article, unless otherwise specified:
1. "Birth defect" means an abnormality:
a. Of body structure, function, or chemistry,
				or of chromosomal structure or composition;
b. That is present at or before birth;
				and
c. That may be diagnosed before
				or at birth, or later in life.
Arizona Administrative Code › Title 9 - HEALTH SERVICES › Chapter 4 - DEPARTMENT OF HEALTH SERVICES - NONCOMMUNICABLE DISEASES › Article 5 - BIRTH DEFECTS MONITORING PROGRAM › Section R9-4-502 - Reporting Sources; Information Submitted to the Department

Current through Register Vol. 30, No. 28, July 12, 2024
A. The designee of
				a hospital shall:
1. Upon the request of the
				Department and no more often than once per month, prepare a report, in a format
				specified by the Department, identifying all individuals:
a. Who are patients or the mothers of
				patients; and
b. Whose:
i. Discharge date is within the time period
				for which the report is being prepared, as specified in subsection (A)(2)(d);
				and
ii. Medical records include for
				the principal diagnosis, a secondary diagnosis, or a procedure performed on the
				individual, an ICD Code for a diagnosis or a procedure code specified in a list
				provided to the hospital by the Department;
Arizona Administrative Code › Title 9 - HEALTH SERVICES › Chapter 4 - DEPARTMENT OF HEALTH SERVICES - NONCOMMUNICABLE DISEASES › Article 5 - BIRTH DEFECTS MONITORING PROGRAM › Section R9-4-503 - Review of Records; Information Collected

Current through Register Vol. 30, No. 28, July 12, 2024
A. Upon notice from the Department of at
				least five business days, the following persons or facilities shall allow the
				Department access to the facility and the electronic or written records
				specified in subsection (B)(1) to collect the information specified in
				subsection (B)(2):
1. A hospital,
2. A clinic,
3. A physician,
4. A midwife,
5. A registered nurse practitioner,
6. A genetic testing facility,
7. A prenatal diagnostic facility,
8. A physician assistant,
9. A clinical laboratory, or
10. A medical examiner.
Arizona Administrative Code › Title 9 - HEALTH SERVICES › Chapter 4 - DEPARTMENT OF HEALTH SERVICES - NONCOMMUNICABLE DISEASES › Article 5 - BIRTH DEFECTS MONITORING PROGRAM › Section R9-4-504 - Data Quality Assurance and Follow-up

Current through Register Vol. 30, No. 28, July 12, 2024
A. The Department may request a hospital,
				clinic, high-risk perinatal practice, genetic testing facility, or prenatal
				diagnostic facility to revise a report:
1.
				That was submitted to the Department by the designee of the hospital, clinic,
				high-risk perinatal practice, genetic testing facility, or prenatal diagnostic
				facility under
				R9-4-502;
2. That was not prepared according to
				R9-4-502;
				and
3. By identifying the revisions
				that are needed in the report.
Arizona Administrative Code › Title 9 - HEALTH SERVICES › Chapter 4 - DEPARTMENT OF HEALTH SERVICES - NONCOMMUNICABLE DISEASES › Article 6 - OPIOID POISONING-RELATED REPORTING › Section R9-4-601 - Definitions

Current through Register Vol. 30, No. 28, July 12, 2024
In this Article, unless otherwise specified:
1. "Administrator" means the individual who
				is a senior leader in a health care institution or correctional
				facility.
2. "Ambulance service"
				has the same meaning as in A.R.S. §
									36-2201.
3. "Business day" means the period from 8:00
				a.m. to 5:00 p.m. on a Monday, Tuesday, Wednesday, Thursday, or Friday that is
				not a state holiday.
4. "Clinical
				laboratory" has the same meaning as in A.R.S. §
									36-451.
5. "Correctional facility" has the same
				meaning as in A.A.C.
				R9-6-101.
6. "Dispense" has the same meaning as in
				A.R.S. §
									32-1901.
7. "Emergency medical services provider" has
				the same meaning as in A.R.S. §
									36-2201.
8. "First response agency" means:
a. An ambulance service,
b. An emergency medical services provider,
				or
c. A law enforcement
				agency.