This government document is issued by Human Resources for use in Maricopa County, AZ
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https://www.google.com/url?client=internal-element-cse&cx=007218899975830598806:668akstzics&q=https://www.maricopa.gov/DocumentCenter/View/44294/Arizona-Childcare-Health-and-Safety-Policy-Manual-PDF&sa=U&ved=2ahUKEwjY7Nqe3Pj5AhVLgP0HHfaACZA4ChAWegQIBRAC&usg=AOvVaw2pAvBwk5DV5bUqTT2OqHcu