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ARIZONA DEPARTMENT OF ECONOMIC SECURITY Child Care Administration (CCA) CHILD CARE PROVIDER REGISTRATION AGREEMENT TABLE OF CONTENTS 1.0. CHILD CARE PROVIDER REGISTRATION AGREEMENT LANGUAGE .........................................................1 1.1 DEFINITION OF TERMS.................................................................................................................................1 2.0 PRE-CONTRACT REQUIREMENTS ..........................................................................................................................2 2.1 EMPOWER PROGRAM PARTICIPATION ....................................................................................................2 2.2 TRAINING ........................................................................................................................................................3 2.3 E-VERIFY .........................................................................................................................................................3 2.4 CRIMINAL BACKGROUND CHECKS (AND FEES, IF APPLICABLE) .....................................................4 2.5 FINGERPRINTING REQUIREMENTS ...........................................................................................................5 2.6 DIRECT DEPOSIT............................................................................................................................................5 2.7 EMAIL ADDRESS............................................................................................................................................6 2.8 FORMS TO BE COMPLETED AND RETURNED .........................................................................................6 3.0 PROVIDER: RIGHTS AND RESPONSIBILITIES....................................................................................................6 3.1 COMPLIANCE WITH APPLICABLE LAW ...................................................................................................6 3.2 NON-DISCRIMINATION.................................................................................................................................7 3.3 INDEMNIFICATION - PATENT AND COPYRIGHT....................................................................................7 3.4 GENERAL INDEMNIFICATION ....................................................................................................................7 3.5 INSURANCE.....................................................................................................................................................7 3.6 EMAIL ADDRESS............................................................................................................................................8 3.7 PROVIDER'S RESPONSIBILITIES TO CLIENTS .........................................................................................8 3.8 RECORD KEEPING REQUIREMENTS .......................................................................................................11 3.9 CLAIMS FOR PAYMENT..............................................................................................................................13 3.10 PAYMENT RECOUPMENT ..........................................................................................................................16 3.11 CONFIDENTIALITY......................................................................................................................................16 3.12 BREACH OR UNAUTHORIZED ACCESS TO CONFIDENTIAL INFORMATION REMEDIATION.....16 3.13 UNILATERAL CHANGES TO THIS AGREEMENT ...................................................................................17 3.14 REPORTING ADDITIONAL CHANGES......................................................................................................17 3.15 ASSIGNMENTS AND DELEGATION..........................................................................................................17 3.16 HEALTH AND SAFETY REQUIREMENTS ................................................................................................18 3.17 ADDITIONAL ANNUAL TRAINING...........................................................................................................18 3.18 CONTRACT COMPLIANCE REVIEW.........................................................................................................18 3.19 SUPPORTING DOCUMENTS AND INFORMATION.................................................................................19 3.20 INVESTIGATIONS.........................................................................................................................................19 3.21 REPORTING SERIOUS INJURIES AND DEATHS .....................................................................................19 3.22 CHILD ABUSE MANDATED REPORTING REQUIREMENT...................................................................19 3.23 CHILD CARE RESOURCE & REFERRAL (CCR&R) .................................................................................19 3.24 THIRD PARTY ANTITRUST VIOLATIONS ...............................................................................................19 3.25 APPLICABLE TAXES....................................................................................................................................19 4.0 THE DEPARTMENT OF ECONOMIC SECURITY: RIGHTS AND RESPONSIBILITIES..............................19 4.1 REFERRALS ...................................................................................................................................................19 4.2 PAYMENT ......................................................................................................................................................19 4.3 CONTRACT COMPLIANCE REVIEW.........................................................................................................20 4.4 RIGHT OF OFFSET........................................................................................................................................20 4.5 PROPERTY OF STATE..................................................................................................................................20 4.6 VISITATION, INSPECTION AND COPYING..............................................................................................20 CCA-1210B (4-16) – Page i Arizona Department of Economic Security