Ariz. Admin. Code § R9-5-507 - Supplemental Standards for Children with Special Needs

A. A licensee providing child care services for a child with special needs shall:

1. Except as provided in subsection (A)(2), before a child with special needs receives child care services, obtain from the enrolled child's parent a copy of an existing individualized plan for the enrolled child that can be reviewed, adopted, and implemented by the licensee when providing child care services to the enrolled child that includes the following as needed for the enrolled child:

a. Medication schedule;

b. Nutrition and feeding instructions;

c. Qualifications required of a staff member who feeds the enrolled child;

d. Medical equipment or adaptive devices;

e. Medical emergency instructions;

f. Toileting and personal hygiene instructions;

g. Specific child care services to be provided to the enrolled child at the facility;

h. Information from health care providers, including the frequency and length of any prescribed medical treatment or therapy;

i. Training required of a staff member to care for the enrolled child's special needs; and

j. Participation in fire and emergency evacuation drills;

2. If an enrolled child with special needs does not have an existing individualized plan, obtain from the enrolled child's parent written instructions for providing services to the enrolled child until a written individualized plan required in subsection (A)(1) is developed by a team consisting of staff members, the enrolled child's parent, and health care providers that is completed within 30 calendar days after the enrolled child's initial date of receiving child care services;

3. Maintain an enrolled child's current individualized plan on facility premises and if the current individualized plan was developed according to subsection (A)(2), provide a copy to the enrolled child's parent; and

4. Ensure the individualized plan is updated at least every 12 months after the date of the initial plan or as changes occur.

B. If an enrolled child with special needs who is 18 months of age or older and does not walk is placed in an infant group, a licensee may move the enrolled child after the enrolled child's parent and licensee determine that the proposed move is developmentally-appropriate.

C. A licensee shall ensure that:

1. When tube feeding an enrolled child, a staff member only uses:

a. Commercially prepackaged formula in a ready-to-use state,

b. Formula prepared by the enrolled child's parent and brought to the facility in an unbreakable container, or

c. Breast milk brought to the facility in an unbreakable container; and

2. Only a staff member instructed by an enrolled child's parent or individual designated by the enrolled child's parent:

a. Feeds the enrolled child using the enrolled child's tube-feeding apparatus, and

b. Cleans the enrolled child's tube-feeding apparatus.

D. A licensee shall provide an enrolled child with special needs with:

1. Developmentally-appropriate toys, materials, and equipment; and

2. Assistance from staff members to enable the enrolled child to participate in the activities of the facility.

E. In addition to complying with the transportation requirements in R9-5-517, a licensee transporting an enrolled child with special needs in a wheelchair in a facility's motor vehicle shall ensure that:

1. The enrolled child's wheelchair is manufactured to be secured in a motor vehicle;

2. The enrolled child's wheelchair is secured in the motor vehicle using a minimum of four anchorages attached to the motor vehicle floor, and four securement devices, such as straps or webbing that have buckles and fasteners, that attach the wheelchair to the anchorages;

3. The enrolled child is secured in the wheelchair by means of a wheelchair restraint that is a combination of pelvic and upper body belts intended to secure a passenger in a wheelchair; and

4. The enrolled child's wheelchair is placed in a position in the motor vehicle that does not prevent access to the enrolled child in the wheelchair or passage to the front and rear in the motor vehicle.

F. A licensee providing child care services for an enrolled child who uses a wheelchair or is not able to walk shall locate the enrolled child on the ground floor of the facility.

G. If a child care facility requires a separate diaper changing area to allow privacy while providing diapering to an enrolled child with special needs, the licensee shall submit a written request for approval of the intended change to the Department according to R9-5-208 prior to adding a diaper changing area.

Notes

Ariz. Admin. Code § R9-5-507

Adopted effective December 12, 1986 (Supp. 86-6). Section repealed; new Section adopted effective October 17, 1997 (Supp. 97-4). Amended by exempt rulemaking at 16 A.A.R. 1564, effective September 30, 2010 (Supp. 10-3). Amended by final expedited rulemaking at 24 A.A.R. 3429, effective 12/5/2018.