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
maintained 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 administrator 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
determine 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
immunity 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 according to
R9-6-706,
a school administrator or school administrator'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
immunizations 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
immunizations 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
questions 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
maintain 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
determine the start and termination of an outbreak.
A. An administrator of a school or a child
care administrator shall ensure that:
1. For
each child attending the school or child care, one of the following is
maintained at the school or child care for each disease listed in
R9-6-702:
a. Documentary proof of immunization, as
specified in
R9-6-704(A),
according to Table 7.1;
b.
Documentary proof of immunization, as specified in
R9-6-704(A),
demonstrating compliance with Table 7.2;
c. Documentary proof of immunity, as
specified in
R9-6-704(B)
and according to
R9-6-706(D);
or
d. A statement of exemption from
immunization, as specified in
R9-6-706(A) through
(C);
2. Lists are maintained at the school or
child care of children who:
a. Do not have
documentary proof of:
i. Immunization for each
disease listed in
R9-6-702,
according to Table 7.1; or
ii.
Immunity for each disease listed in
R9-6-702,
according to R9-6-706(D);
b. Do not have documentary proof according to
subsection (A)(1)(a) or (c) but are in compliance with Table 7.2; or
c. Have a statement of exemption from
immunization, according to
R9-6-706(A),
(B), or (C), for any of the diseases listed
in
R9-6-702;
3. Except as provided in subsection (D), for
a child enrolled in school who does not have one of the documents in subsection
(A)(1) for each disease listed in
R9-6-702:
a. The child's parent is notified in writing
at the time of school enrollment or, for an enrolled child, at the time of
review of immunization documentation that the child:
i. Is not in compliance with Arizona
immunization requirements; and
ii.
Except as required by
42 U.S.C.
11301, will be excluded from school entry,
according to A.R.S. §
15-872(B),
unless the documentation required in subsection (A)(1) is provided for each
disease listed in
R9-6-702
before school entry; and
b. The child is excluded from school entry if
the required documentation is not provided before school entry;
and
4. Except as provided
in subsection (D), for a child enrolled in a child care who does not have one
of the documents in subsection (A)(1) for each disease listed in
R9-6-702:
a. The child's parent is notified in writing
before or at the time of child care entry or, for an enrolled child, at the
time of review of immunization documentation that the child:
i. Is not in compliance with Arizona
immunization requirements, and
ii.
May attend the child care for not more than 15 days from the date of child care
entry without providing one of the documents in subsection (A)(1) for each
disease listed in
R9-6-702;
and
b. The child is
excluded from child care entry if the required documentation is not provided
for the child within 15 days following child care
entry.
B. If
an administrator of a school or a child care administrator questions the
accuracy of a document provided for a child as documentary proof of
immunization or immunity and is unable to verify the accuracy of the document,
the administrator of the school or the child care administrator shall notify
the child's parent in writing that:
1. For a
child attending a school:
a. The
administrator of the school cannot verify compliance with Arizona immunization
requirements on the basis of the documents provided; and
b. Except as required by
42 U.S.C.
11301, the child will be excluded from school
entry, according to A.R.S. §
15-872(B),
until the child's parent provides to the school documentation that meets the
requirements in
R9-6-704
or
R9-6-706;
2. For a child attending a child care:
a. The child care administrator cannot verify
compliance with Arizona immunization requirements on the basis of the documents
provided; and
b. The child may
attend the child care for not more than 15 days after the date of child care
entry without the child's parent providing to the child care documentation that
meets the requirements in R9-6-704 or R9-6-706; and
3. The child's parent may bring the child to
a physician, a registered nurse practitioner, a local health agency, or, as
authorized under A.R.S. §
32-1974,
a pharmacist as defined in A.R.S. §
32-1901
to:
a. Review the child's immunization
history,
b. Provide needed
immunizations, and
c. Provide the
required documentation.
C.
An administrator of a school or a child care administrator shall
not allow a child to attend the school or child care during an outbreak of a
disease listed in
R9-6-702,
as determined by the Department or a local health agency, for which the child
lacks:
1. Documentary proof of immunization,
according to
R9-6-704(A);
or
2. Documentary proof of
immunity, according to
R9-6-704(B).
D. If the Department receives notification
from the Centers for Disease Control and Prevention that there is a shortage of
a vaccine for a disease listed in
R9-6-702,
or that the amount of a vaccine for a disease listed in
R9-6-702
is being limited, the Department shall:
1.
Determine whether:
a. Compliance with
exclusion requirements in subsections (A)(3) and (4) is suspended for the
vaccine in limited supply, or
b. A
different vaccine or a combination of different vaccines may substitute for the
vaccine in limited supply;
2. Provide notification in writing to each
school and child care in this state:
a. Of
the shortage or limitation of the vaccine;
b. Whether the Department is:
i. Suspending compliance with exclusion
requirements in subsections (A)(3) and (4) on the basis of the vaccine in
limited supply; or
ii. Recommending
an alternative vaccine or combination of vaccines to satisfy the requirement
R9-6-702
for the vaccine in limited supply and, if so, the Department's recommendation;
and
c. If known, when the
shortage or limitation of the vaccine is expected to end and the vaccine to be
available; and
3. Upon
receiving notification from the Centers for Disease Control and Prevention that
the vaccine is available, notify each school and child care in this state:
a. That the vaccine is available,
and
b. If applicable, the date that
compliance with exclusion requirements in subsections (A)(3) and (4) will be
reinstated.
E.
The Department shall notify each school and child care in this state if the
Department no longer requires compliance with subsection (A) for a disease
listed in R9-6-702.
