Current through Register Vol. 28, No. 3, September 1, 2024
4.1 Vision and Hearing
Screening
4.1.1 Each public school student in
kindergarten and in grades 2, 4, 7 and grades 9 or 10 shall receive both a
vision screening and a hearing screening by January 15th of each school year.
4.1.1.1 In addition to the screening
requirements in subsection 4.1.1, screening shall also be provided to school
enterers, students referred by a teacher or an administrator, and students
considered for special education.
4.1.1.2 Driver education students shall have
a vision screening within 1 year of their in-car driving hours.
4.1.2 The school nurse shall
record the results of the vision and hearing screenings within the student's
electronic health record (see 14 DE Admin. Code 811) and shall notify the
parent, guardian or relative caregiver as defined in 14 Del.C. §
202(f), or the
student if 18 years or older, or an unaccompanied homeless youth (as defined by
42 USC §
11434a) if the student has a suspected
problem.
4.2 Postural and
Gait Screening
4.2.1 Each public school
student in grades 5 through 9 shall receive a postural and gait screening by
December 15th of each school year.
4.2.2 The school nurse shall record the
findings of the postural and gait screening within the student's electronic
health record (see 14 DE Admin. Code 811) and shall notify the parents,
guardian or relative caregiver as defined in 14 Del.C. §
202(f), or the
student if 18 years or older, or an unaccompanied homeless youth (as defined by
42 USC §
11434a) if a suspected deviation has been
detected.
If a suspected deviation is detected, the school nurse shall
refer the student for further evaluation through an on-site follow up
evaluation or a referral to the student's healthcare provider.
4.3 Lead Screening
4.3.1 School enterers at kindergarten or at
age 5 or prior, shall be required to provide documentation of lead screening as
per 16 Del.C. §
2603.
Except in the case of enrollment in kindergarten, the screen
may be done 60 calendar days of the date of enrollment.
4.3.2 The school nurse shall document the
lead screening within the student's electronic health record. See 14 DE Admin.
Code 811.
Non-regulatory note: The Childhood Lead Poisoning Prevention
Act, 16 Del.C. Ch. 26, requires healthcare providers to order lead screening
for children at or around 12 and 24 months of age. A child is not required to
undergo the screening if the child's parent or guardian objects on the grounds
that the screening conflicts with the parent's or guardian's religious beliefs.
16 Del.C. §
2602(e).
4.4 Oral Health
Screening
4.4.1 Beginning with the 2024-2025
school year, and for each school year thereafter subject to 14 Del.C. §
4123(f), each
school, through the Bureau of Oral Health and Dental Services shall provide an
oral health screening to each student enrolled in kindergarten by the last
student attendance day of the school year.
4.4.2 The school shall record the results of
the oral health screening within the student's electronic health
record.
4.4.3 If a student fails
the oral health screening, the school shall notify the student's parent,
guardian, or relative caregiver.
Non-regulatory note: Pursuant to 14 Del.C. §
4123(e), the
Bureau of Oral Health and Dental Services is required to inform a parent or
guardian of each student's oral health status by sending home, with the
student, a copy of the dental screening results and to refer students who need
a dental referral or restorative care to a dentist.
