1. A. A licensee shall ensure that there is a first aid kit on facility premises that contains first aid supplies in a quantity sufficient to meet the needs of the enrolled children including the following:

   1. 1. Sterile bandages including:

      1. a. Adhesive bandages of assorted sizes,
      2. b. Sterile gauze pads, and
      3. c. Sterile gauze rolls;
   2. 2. Antiseptic solution or sealed antiseptic wipes;
   3. 3. A pair of scissors;
   4. 4. Adhesive or self-adhering tape;
   5. 5. Single-use, non-porous gloves; and
   6. 6. Reclosable plastic bags of at least one-gallon size.
2. B. A licensee shall ensure that the first aid kit required in subsection (A) is accessible to staff members but inaccessible to enrolled children.

3. C. A licensee shall:

   1. 1. Prepare and date a written fire and emergency plan that contains:

      1. a. The location of the first aid kit;
      2. b. The names of staff members who have adult and pediatric first aid and CPR certification, as required by R9-5-725(E);

      3. c. The directions for:

         1. i. Initiating verbal notification of an enrolled child’s parent by telephone or other equally expeditious means within 30 minutes of a fire or emergency, and
         2. ii. Providing written notification to the enrolled child’s parent within 24 hours, and
      4. d. The facility’s street address and the emergency telephone numbers for the local fire department, police department, ambulance service, and poison control center;
      5. e. The procedures for evacuation, relocation, shelter-in-place and lockdown, staff and volunteer emergency preparedness training and practice drills, communication and reunification with families, continuity of operations, and accommodation of children with disabilities and children with chronic medical conditions, as specified in R9-5-713;
   2. 2. Maintain the plan required in subsection (C)(1) in a location on facility premises that has an operable telephone service or two-way voice communication system that connects the facility with an individual who has direct access to an in-and-out operable telephone service;
   3. 3. Post the plan required in subsection (C)(1) in any indoor activity area that does not have an operable telephone service or two-way voice communication system that connects the indoor activity area with an individual who has direct access to an in-and-out operable telephone services; and
   4. 4. Update the plan in subsection (C)(1) every 12 months after the date of initial preparation of the plan or when any information changes.
4. D. The licensee shall consult with appropriate state and local authorities and shall establish and follow a written multi-hazard emergency and evacuation plan to protect children in the event of emergencies.
5. E. A licensee shall post, near an activity area or a room’s designated exit, a building evacuation plan that details the designated exits from the activity area or room and the facility.

6. F. A licensee shall maintain and use a communication system that contains:

   1. 1. A direct-access, in-and-out, operating telephone service at the facility; or
   2. 2. A two-way voice communication system that connects the facility with an individual who has direct access to an in-and-out, operating telephone service.

7. G. If while attending a facility an enrolled child has an accident, injury, or emergency that, based on an evaluation by a staff member, requires medical treatment by a health care provider, a licensee shall ensure that a staff member:

   1. 1. Notifies the enrolled child’s parent and the Department immediately after the accident, serious physical injury, as defined in A.R.S. § 8-201, or emergency;

   2. 2. Documents:

      1. a. A description of the accident, serious physical injury, or emergency, including the date, time, and location of the accident, serious physical injury, or emergency;
      2. b. The method used to notify the enrolled child’s parent; and
      3. c. The time the enrolled child’s parent was notified; and
   3. 3. Maintains documentation required in subsection (F)(2) on facility premises for 12 months after the date of the child’s disenrollment.

8. H. If an enrolled child’s parent informs a staff member at the facility that the enrolled child’s parent obtained medical treatment from a health care provider for an accident, serious physical injury, or emergency the enrolled child had while attending the facility, a licensee shall ensure that a staff member:

   1. 1. Documents any information about the enrolled child’s accident, serious physical injury, or emergency received from the enrolled child’s parent; and
   2. 2. Maintains documentation required in subsection (G)(1) on facility premises for 12 months after the date of the child’s disenrollment.

Historical Note

New Section made by final rulemaking at 31 A.A.R. 2015 (June 27, 2025), effective August 3, 2025 (Supp. 25-2).