Arizona Administrative Code
Title 9 - HEALTH SERVICES
Chapter 13 - DEPARTMENT OF HEALTH SERVICES - HEALTH PROGRAMS SERVICES
Article 1 - HEARING SCREENING AND VISION SCREENING
Section R9-13-106 - Equipment Standards

Universal Citation: AZ Admin Code R 9-13-106

Current through Register Vol. 30, No. 38, September 20, 2024

A. An administrator shall ensure that audiological equipment used for hearing screenings is recommended by the American Academy of Audiology.

B. An administrator shall ensure that:

1. A pure tone audiometer is calibrated:
a. Not more than 12 months before the hearing screening is planned to occur, and

b. According to ANSI/ASA S3.6-2010 American National Standards Institution/Acoustical Society of America, Specification for Audiometers, incorporated by reference, on file with the Department, including no future editions or amendments, and available from the American National Standards Institution at https://webstore.ansi.org.

2. A tympanometer is calibrated:
a. Not more than 12 months before the hearing screening is planned to occur; and

b. According to ANSI/ASA S3.39-1987 (R2020) American National Standards Institution/ Acoustical Society of America, American National Standard Specifications for Instruments to Measure Aural Acoustic Impedance and Admittance (Aural Acoustic Immittance), incorporated by reference, on file with the Department, including no future editions or amendments, and available from the American National Standards Institution at https://web-store.ansi.org.

3. An otoacoustic emissions device is calibrated:
a. Not more than 12 months before the hearing screening is planned to occur; and

b. According to the specifications of the otoacoustic emissions device's manufacturer, including:
i. Distortion product emission,

ii. No less than three test frequencies between 1 and 5 kHz,

iii. An f2/f1 ratio of 1.22,

iv. A L1/L2 levels of 65/55 dB SPL, and

v. A pass and fail criterion based on an emission-to-noise ratio.

C. A hearing screener shall ensure that:

1. A pure tone audiometer:
a. Is inspected within one school day before the hearing screening is planned to occur; and

b. During the inspection in subsection (C)(1)(a):
i. Had a power source and power indicator that were working,

ii. Had earphones that were free of noise or distortion that could interfere with a hearing screening,

iii. Had earphone cords that were connected securely to the pure tone audiometer and had no breaks, and

iv. Generated a signal at each frequency and intensity specified in Table 13.3 that did not cross from one earphone to the other.

2. A tympanometer:
a. Is inspected within one school day before the hearing screening is planned to occur; and

b. During the inspection in subsection (C)(2)(a):
i. Had no obstruction in the tympanometer's probe, and

ii. Generated a signal.

3. An otoacoustic emissions device:
a. Is inspected within one school day before the hearing screening is planned to occur; and

b. During the inspection in subsection (C)(3)(a):
i. Had no obstruction in the otoacoustic emission device's probe microphone, and

ii. Generated a signal.

D. The administrator shall:

1. Ensure that the vision equipment used to conduct vision screenings is in good condition; and

2. If applicable, verify that the calibration is up-to-date according to the manufacturer guidelines for autorefractors.

E. A vision screener shall ensure vision equipment is:

1. Used for vision screenings based on the age and developmental abilities of the student;

2. If applicable, verify an autorefractor/photoscreeners' calibration date is within the past 12 months from the day the vision screening is provided; and

3. Inspected within one school day before the vision screening is scheduled to occur.

Disclaimer: These regulations may not be the most recent version. Arizona may have more current or accurate information. We make no warranties or guarantees about the accuracy, completeness, or adequacy of the information contained on this site or the information linked to on the state site. Please check official sources.
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