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RULES AND REGULATIONS FOR SCHOOL HEALTH …

RULES AND REGULATIONS FOR SCHOOL HEALTH PROGRAMS [R16-21-SCHO] STATE OF RHODE ISLAND AND PROVIDENCE PLANTATIONS DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION DEPARTMENT OF HEALTH January 1964 As Amended: March 1979 December 1980 May 1989 December 1989 March 1993 January 2007 (re-filing in accordance with the provisions of section of the Rhode Island General Laws, as amended) January 1996 January 2007 December 1998 January 2009 December 1999 December 2000 January 2012 (re-filing in accordance with the provisions of section of the Rhode Island General Laws, as amended) July 2014 January 2002 (re-filing in accordance with the provisions of section of the Rhode Island General Laws, as amended)

rules and regulations for school health programs [r16-21-scho] state of rhode island and providence plantations department of elementary and secondary education

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Transcription of RULES AND REGULATIONS FOR SCHOOL HEALTH …

1 RULES AND REGULATIONS FOR SCHOOL HEALTH PROGRAMS [R16-21-SCHO] STATE OF RHODE ISLAND AND PROVIDENCE PLANTATIONS DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION DEPARTMENT OF HEALTH January 1964 As Amended: March 1979 December 1980 May 1989 December 1989 March 1993 January 2007 (re-filing in accordance with the provisions of section of the Rhode Island General Laws, as amended) January 1996 January 2007 December 1998 January 2009 December 1999 December 2000 January 2012 (re-filing in accordance with the provisions of section of the Rhode Island General Laws, as amended) July 2014 January 2002 (re-filing in accordance with the provisions of section of the Rhode Island General Laws, as amended)

2 October 2003 June 2005 i INTRODUCTION These amended RULES and REGULATIONS for SCHOOL HEALTH Programs [(R16-21-SCHO] are promulgated pursuant to the authority conferred under RIGL Chapters 16-21, 35-4 and 23-1-18(4), and are established for the purpose of adopting prevailing standards pertaining to SCHOOL HEALTH programs. Pursuant to the provisions of 42-35-3(a)(3) and of the General Laws of Rhode Island, as amended, the following were given consideration in arriving at these amended REGULATIONS : (1) alternative approaches to the REGULATIONS ; (2) overlap or duplication with other state REGULATIONS ; and (3) significant economic impact on small business.)

3 Based on the available information, no known alternative approach, overlap or duplication was identified. Professional staff at the Departments of HEALTH and Education shall be available to provide guidance on the implementation of these REGULATIONS , as needed. Upon promulgation of these amendments, these amended REGULATIONS shall supersede all previous RULES and REGULATIONS for SCHOOL HEALTH Programs [R16-21-SCHO] promulgated by the Departments of Education and HEALTH and filed with the Secretary of State. ii TABLE OF CONTENTS Page PART I DEFINITIONS & GENERAL REQUIREMENTS 1 Definitions 1 General Requirements 7 Child Abuse/Neglect Reporting Requirements 8 HEALTH and Wellness Subcommittee 9 PART II HEALTH EDUCATION AND PHYSICAL EDUCATION

4 10 Administration of the HEALTH Education Program 10 HEALTH Education Curriculum 11 Mandated HEALTH Instructional Outcomes: Required Content Areas 12 Physical Education Curriculum 14 PART III HEALTH SERVICES 15 Responsibility for Services 15 SCHOOL Personnel 16 HEALTH Examinations 19 Vision Screening 20 Hearing Screening 23 Speech/Language Screening 25 Scoliosis Screening 26 Dental HEALTH Screening 27 HEALTH Records 28 Notification of Parents 30 SCHOOL Reporting Requirements 30 First Aid and Emergencies 31 Concussions and Head Injuries in Recreational and/or

5 Athletic Competition 36 Diabetes Care Management 36 Medication Administration 38 Immunization and Testing for Communicable Diseases 40 PART IV HEALTHFUL SCHOOL ENVIRONMENT 42 Standards for SCHOOL Buildings and Approval 42 New Construction ( SCHOOL Building)/General Requirements 42 Existing SCHOOL Buildings/General Requirements 43 Pesticide Applications and Notifications of Pesticide Applications at SCHOOL 44 Asbestos 46 Lead 47 Radon 47 Latex Gloves 48 Food Service 48 Healthier Beverages and Healthier Snacks 50 HEALTH Room 50 Sanitation 51 Housekeeping 51 Swimming Pools 52 Water Supply 52 Tobacco 52 SCHOOL Safety Plans / SCHOOL Safety Teams / SCHOOL Crisis Response Teams / SCHOOL Safety Assessments /

6 Statewide Bullying Policy 53 Statewide Bullying Policy 57 Weapons and Firearms 59 Alcohol and Other Drugs 60 Recreational Facilities 60 Laboratories, Shops and Other Special Purpose Areas 60 Chemical Hygiene Plan 61 Vehicular and Pedestrian Traffic Safety 62 Asset Protection 62 PART V ENFORCEMENT & SEVERABILITY 63 Enforcement 63 Severability 63 REFERENCES 64 APPENDIX A 67 1 PART I DEFINITIONS AND GENERAL REQUIREMENTS Section Definitions

7 Wherever used in these RULES and REGULATIONS the terms listed below shall be construed as follows: "Added sweetener" shall mean any additive, including natural or artificial additives that enhances the sweetness of the beverage, including, added sugar, but does not include, the naturally occurring sugar or sugars that are contained within milk or fruit juice. "Anaphylaxis" refers to a potentially fatal, acute allergic reaction to a substance (such as stinging insects, foods and medications) that is induced by an exposure to the substance.

8 Manifestations of anaphylaxis may be cutaneous (such as hives, itchiness, swelling), cardiorespiratory (swelling of tongue, throat, wheezing, difficulty breathing, low blood pressure), central nervous system (lethargy, coma) and others. "At SCHOOL ", as used in and of these REGULATIONS , means in a classroom, elsewhere on or immediately adjacent to SCHOOL premises, on a SCHOOL bus or other SCHOOL -related vehicle, at an official SCHOOL bus stop, or at any SCHOOL -sponsored activity or event whether or not it is held on SCHOOL premises, or using property or equipment provided by the SCHOOL that creates a material and substantial disruption of the education process or the orderly operation of the SCHOOL .

9 "Audiologist" means an individual licensed in this state in accordance with the RULES and REGULATIONS for Licensing Speech Pathologists and Audiologists (R5-48-SPA) [Reference 8] who specializes in preventing, identifying, and assessing hearing disorders, as well as providing audiologic treatment including hearing aids and other assistive listening devices. "Audiometric aide" means an individual registered in this state in accordance with the RULES and REGULATIONS for Licensing Speech Pathologists and Audiologists (R5-48-SPA) [Reference 8].

10 "Bullying and Cyber-Bullying", as used in these REGULATIONS , are defined by RIGL 16-21-33 and (a) of these REGULATIONS . "Certified HEALTH educator" means an individual who holds the appropriate certification as a HEALTH educator in accordance with the requirements of the Rhode Island Department of Elementary and Secondary Education. "Certified SCHOOL nurse-teacher" means an individual who is licensed as a professional (registered) nurse in this state pursuant to RIGL Chapter 5-34 and is certified by the Rhode Island Department of Elementary and Secondary Education as a Certified SCHOOL Nurse-Teacher.


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