Washington Administrative Code
Title 246 - Health, Department of
PARENT/CHILD HEALTH
Chapter 246-760 - Auditory and visual standards - School districts
VISUAL ACUITY STANDARDS
Section 246-760-071 - Required and alternative vision screening tools and referral criteria
Current through Register Vol. 24-18, September 15, 2024
(1) A school must use the standardized optotype-based distance vision and near vision acuity screening tools approved for each grade as well as the rescreening and referral criteria by grade outlined in Table 1 of this section. When using a screening tool with a single isolated optotype or a single line of optotypes, the tool must include the use of crowding bars or crowding boxes.
(2) A school may use an instrument-based vision screening device in lieu of the optotype-based tools outlined in this section. Referral using instrument-based vision screening devices is determined through the manufacturer's criteria. If the instrument-based screening device does not generate a result for a student, a school must screen that student using the optotype-based tools outlined in this section.
Table 1
| Purpose of Screening | Grade | Screening Tools | Rescreening and Referral Criteria |
| Distance Vision | Kindergarten | LEA vision test: Single LEA symbol (at 5 feet), or HOTV letter | Visual acuity worse than 20/40 in either eye |
| Distance Vision | Grade one | LEA vision test: Single LEA symbol (at 5 feet), or HOTV letter | Visual acuity worse than 20/32 in either eye |
| Distance Vision | Grades two and above | LEA vision tests: LEA symbols or numbers, or HOTV letters, or Sloan letters | Visual acuity worse than 20/32 in either eye |
| Near Vision Acuity | Kindergarten | LEA vision tests: LEA symbols near vision, HOTV, or Sloan letters | Visual acuity worse than 20/40 in either eye |
| Near Vision Acuity | Grade one and above | LEA vision tests: LEA symbols near vision, HOTV, or Sloan letters | Visual acuity worse than 20/32 in either eye |
