Ariz. Admin. Code § R9-13-103 - Hearing Screening and Vision Screening Requirements

A. Before permitting an individual to provide a hearing screening, an administrator shall ensure that the individual:

1. Is an audiologist; or

2. Except as provided in R9-13-108(H), has a hearing screening certificate of completion, as specified in R9-13-108(C) .

B. If an individual is not a screener and requires supervision, an administrator shall ensure that the individual provides hearing screenings specified in R9-13-108(M) .

C.B. Before performing a hearing screening on a student, a hearing screener shall:

1. Verify that the student is on a list of students in the school's hearing screening population provided by the administrator; and

2. Conduct a non-otoscopic inspection of the student's outer ears for anything that would contraindicate the continuation of the hearing screening, such as:

a. Blood or other bodily fluid in or draining from the auditory canal,

b. Earwax that may be occluding the auditory canal,

c. An open sore, or

d. A foreign object.

D.C. If a hearing screener observes a condition specified in subsection (B)(2) when inspecting a student's outer ears, the hearing screener shall:

1. Not perform a hearing screening on the student, and

2. Report the student's condition to the administrator immediately.

E.D. If a hearing screener does not observe a condition specified in subsection (B)(2) when inspecting a student's outer ears, the hearing screener shall:

1. Determine the developmental and age appropriate audiological equipment to be used, based on whether the student:

a. Is able or unable to understand the screener's instructions;

b. Has been designated as a child with a disability, as defined in A.R.S. § 15-761; or

c. Is physically or behaviorally limited in the ability to respond to perceived sounds; and

2. Perform a hearing screening on each of the student's ears, using the appropriate hearing screening methods, as specified in Table 13.3;

3. Perform a hearing screening on each of the student's ears; and

4. Comply with the requirements specified in R9-13-104(A) .

F. If a screener determines that a student in subsection (E)(1) is not able to complete the hearing screening, the screener shall:

1. Not perform a hearing screening on the student, and

2. Report the student's condition to the administrator within 10 school days.

G. When performing a hearing screening on a student, a screener shall comply with one of the following, passing criteria, if using:

1. A pure tone audiometer to perform a three-frequency, pure tone hearing screening on each of the student's ears with response recorded at each of the following frequencies and intensities:

a. 1000 Hz at 20 dB HL,

b. 2000 Hz at 20 dB HL, and

c. 4000 Hz at 20 dB HL;

2. A combination of a tympanometer and a pure tone audiometer to:

a. Produce a tympanogram showing the following results:

i. Peak acoustic immittance in mmho, ml, or compliance for a 226 Hz probe tone; or

ii. Tympanometric width in daPa; and

b. Obtain the results of a three-frequency, pure tone hearing screening on each of the student's ears with response recorded at each of the following frequencies and intensities:

i. 1000 Hz at 20 dB HL,

ii. 2000 Hz at 20 dB HL, and

iii. 4000 Hz at 20 dB HL; or

3. An OAE device to:

a. Measure responses of the cochlea to no less than three test frequencies; and

b. Device display screen indicates pass.

E. If a hearing screener determines that a student is not able to complete the hearing screening, the hearing screener shall inform the administrator within 10 school days.

F. Before permitting an individual to provide a vision screening, an administrator shall ensure that the individual:

1. Is an optometrist;

2. Is an ophthalmologist; or

3. Except as provided in R9-13-112(H), has a vision screening certificate of completion, as specified in R9-13-112(C).

G. Before performing a vision screening on a student, a vision screener shall:

1. Verify that the student is on a list of students in the school's vision screening population provided by the administrator; and

2. Conduct a non-ophthalmoscopic inspection of the student's eyes for anything that would contraindicate the continuation of the vision screening, such as:

a. Abnormal color of iris or shape of pupils,

b. Asymmetry of eyes or pupil size,

c. Cloudy or hazy appearance to the cornea,

d. Crusty eyelashes,

e. Discoloration of the sclera,

f. Drainage from an eye,

g. Drooping of an eyelid,

h. Growth on an eyelid or eye, or

i. Redness and/or swelling of eyes, eyelids, or conjunctivitis.

H. If a vision screener observes a condition specified in subsection (G)(2) when inspecting a student's eyes, the vision screener shall:

1. Not perform a vision screening on the student, and

2. Report the student's condition to the administrator immediately.

I. If a vision screener does not observe a condition specified in subsection (G)(2) when inspecting a student's eyes, the vision screener shall:

1. Determine the developmental and age-appropriate vision equipment to be used, based on whether the student:

a. Is able or unable to understand the vision screener's instructions;

b. Has been designated as a child with a disability, as defined in A.R.S. § 15- 761; or

c. Is physically or behaviorally limited in the ability to respond to perceived visual stimuli; and

2. Perform a vision screening using the appropriate vision screening methods, as specified in Table 13.4.

J. If a vision screener determines that a student is not able to complete the vision screening, the vision screener shall inform the administrator within 10 school days.

Notes

Ariz. Admin. Code § R9-13-103

Adopted effective February 18, 1986 (Supp. 86-1). Amended effective October 15, 1993 (Supp. 93-4). Amended by final rulemaking at 8 A.A.R. 3307, effective July 16, 2002 (Supp. 02-3). Amended by final rulemaking at 25 A.A.R. 1827, effective 7/2/2019. Amended by final rulemaking at 30 A.A.R. 1949, effective 7/7/2024.