14 Del. Admin. Code § 815-4.0

Current through Reigster Vol. 28, No. 6, December 1, 2024

Section 815-4.0 - Screening

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.

14 Del. Admin. Code § 815-4.0

10 DE Reg. 1807 (06/01/07)
15 DE Reg. 838 (12/01/11)
16 DE Reg. 283 (09/01/12)
25 DE Reg. 410 (10/1/2021)
25 DE Reg. 755 (2/1/2022)
28 DE Reg. 223 (9/1/2024) (Final)