STUDENTS
507.1 - STUDENT HEALTH AND IMMUNIZATION CERTIFICATES
Students desiring to participate in athletic activities or enrolling in kindergarten or first grade in the school district shall have a physical examination by a licensed physician and provide proof of such an examination to the school district. A physical examination and proof of such an examination may be required by the administration for students in other grades enrolling for the first time in the school district.
Students enrolling in kindergarten or any grade in elementary school in the District will have, at a minimum, a dental screening performed by a licensed medical professional (physician, nurse, physician assistant, dentist, dental hygienist) sometime between the student turning three (3) years of age and four (4) months following the student’s enrollment in the District, and will provide proof of such a screening to the District. Students enrolling in any grade in high school in the District will have, at a minimum, a dental screening performed by a licensed dentist or dental hygienist sometime between one (1) year prior to the student’s enrollment in the District and four (4) months following the student’s enrollment in the District, and will provide proof of such a screening to the District.
Parents or guardians of students enrolling in kindergarten in the District shall be provided a student vision card provided by the Iowa optometric association and as approved by the department of education. The goal of the District is that every child receives an eye examination by age seven, as needed.
The superintendent shall ensure the district collaborates with the Iowa Department of Public Health to ensure that applicants and transfer students comply with the blood lead testing requirements under Iowa law.
Students enrolling for the first time in the school District will also submit a certificate of immunization against diphtheria, pertussis, tetanus, poliomyelitis, rubeola, rubella, and other immunizations required by law. The student may be admitted conditionally to the attendance center if the student has not yet completed the immunization process but is in the process of doing so. Failure to meet the immunization requirement will be grounds for suspension, expulsion or denial of admission. Upon recommendation of the Iowa Department of Education and Iowa Department of Public Health, students entering the District for the first time may be required to pass a TB test prior to admission. The District may conduct TB tests of current students.
Exemptions from the immunization requirement in this policy will be allowed only for medical or religious reasons recognized under the law. The student must provide a valid Iowa State Department of Health Certificate of Immunization Exemption to be exempt from this policy.
NOTE: Physical examinations are not required by law but are strongly recommended. Immunizations and the certificate of immunization are legal requirements.
Legal Reference: Iowa Code §§ 139.9; 280.13 (1995).
281 I.A.C. 33.5.
641 I.A.C. 7.
Cross Reference: 402.2 Child Abuse Reporting
501 Student Attendance
507 Student Health and Well-Being
Approved: 7/13/00
Reviewed: 10/29/2020
Revised: 10/29/2020, 10/16/2023
STUDENTS
507.11 - STOCK EPINEPHRINE
The WACO Community School District will implement a protocol to respond to life-threatening allergic reactions (anaphylaxis). The school will maintain the medication necessary to apply the protocol in each building of the school district. This protocol would apply to any individual present (student, staff, visitor, etc.) in the facility both while school is in session and during any school-sponsored extracurricular activities.
The district nurse and all trained and authorized personnel may administer an epinephrine auto-injector from the school’s supply to any individual if reasonably and in good faith believes the person is having an anaphylactic reaction. Individuals authorized to administer the epinephrine will complete appropriate training and be signed off by the district nurse annually.
The district will obtain and keep on file a prescription and standing order for the stock epinephrine, both pediatric and adult doses, from a licensed healthcare professional. A new prescription must be obtained annually.
The district will store the epinephrine auto-injectors in a secured, room temperature area that remains accessible in an emergency within each school building. The medication will be checked monthly to ensure stability and effectiveness by the school nurse.
In the event the epinephrine is used, the “Report of Stock Epinephrine Administration” form will be filled out and submitted to the state of Iowa.
ANAPHYLAXIS EMERGENCY TREATMENT PROTOCOL
Anaphylaxis is a medical emergency that requires immediate medical attention and can be fatal if not treated. Some students, staff, and/or visitors are at an increased risk for anaphylaxis because of known allergies. However, some individuals with unknown allergies may experience their first anaphylactic reaction while at school as allergens can develop any time during a person’s life.
All students with a known history of anaphylaxis or any severe allergies should have a specific emergency action plan on file and their own auto-injector of epinephrine at school. For these individuals follow their specific action plan.
For any person without a known allergy take the following steps:
For ANY of the following SEVERE symptoms:
LUNGS: shortness of breath, wheezing, repetitive coughing
HEART: pale or blue color, faint, weak pulse, dizziness
THROAT: tightness, hoarseness, trouble breathing or swallowing
MOUTH: significant swelling of the tongue and/or lips
SKIN: widespread hives or redness
GUT: repetitive vomiting or severe diarrhea
PSYCHOLOGICAL: feeling of impending doom, anxiety, confusion
Steps:
Epinephrine doses:
0.15mg IM for 55 pounds or less
0.30mg IM for 55 pounds or more
Legal Reference: Iowa Code §§ 135.185; 279.8
281 I.A.C. 14.3.
641 I.A.C. 7.
Cross Reference: 507 Student Health and Well-Being
Approved: 5/17/2021
Reviewed:
Revised:
STUDENTS
507.2 - ADMINISTRATION OF MEDICATION TO STUDENTS
The board is committed to the inclusion of all students in the education program and recognizes that some students may need prescription and nonprescription medication to participate in their educational program.
Medication shall be administered when the student's parent or guardian (hereafter "parent") provides a signed and dated written statement requesting medication administration and the medication is in the original, labeled container, either as dispensed or in the manufacturer's container. Administration of medication may also occur consistent with board policy 804.05 – Stock Prescription Medication Supply.
When administration of the medication requires ongoing professional health judgment, an individual health plan shall be developed by licensed health personnel working under the auspice of the school with collaboration from the parent or guardian, individual’s health care provider or education team pursuant to 281.14.2(256) . Students who have demonstrated competence in administering their own medications may self-administer their medication. A written statement by the student's parent shall be on file requesting co-administration of medication, when competence has been demonstrated. By law, students with asthma, airway constricting diseases, respiratory distress or students at risk of anaphylaxis who use epinephrine auto-injectors may self-administer their medication upon the written approval of the student’s parents and prescribing licensed health care professional regardless of competency.
Persons administering medication shall include authorized practitioners, such as licensed registered nurses and physician, and persons to whom authorized practitioners have delegated the administration of medication (who have successfully completed a medication administration course conducted by a registered nurse or pharmacist that is provided by the department of education). The medication administration course is completed every five years with an annual procedural skills check completed with a registered nurse or a pharmacist. A record of course completion shall be maintained by the school.
A written medication administration record shall be on file including:
Medication shall be stored in a secured area unless an alternate provision is documented. The development of emergency protocols for medication-related reactions is required. Medication information shall be confidential information as provided by law.
Disposal of unused, discontinued/recalled, or expired abandoned medication shall be in compliance with federal and state law. Prior to disposal school personnel shall make a reasonable attempt to return medication by providing written notification that expired, discontinued, or unused medications needs to be picked up. If medication is not picked up by the date specified, disposal shall be in accordance with the disposal procedures for the specific category of medication.
NOTE: This is a mandatory policy.
NOTE: Iowa law requires school districts to allow students with asthma, airway constricting disease, or respiratory distress to carry and self-administer their medication as long as the parents and prescribing physician report and approve in writing. Students do not have to prove competency to the school district. The consent form, see 507.2E1, is all that is required. School districts that determine students are abusing their self-administration may either withdraw the self-administration if medically advisable or discipline the student, or both.
NOTE: School districts may stock over-the-counter, nonprescription medications that are not for life-threatening incidents. The policy for medication administration covers prescription and nonprescription medication.
NOTE: Disposal procedures reflect the Iowa Department of Education School Hazardous Waste and Medication Management Guidance, issued 2021-2022: https://www.iowadnr.gov/Portals/idnr/uploads/waste/swfact_schoolhazardou...
Legal Reference: Iowa Code ch. 124 (1995).
281 I.A.C. 41.23.
657 I.A.C. 1.1(3).
Cross Reference: 506 Student Records
507 Student Health and Well-Being
603.3 Special Education
607.2 Student Health Services
Approved: 7/13/00
Reviewed: 9/21/15
Revised: 8/21/2023
STUDENTS
507.2E1 - RECORD OF THE ADMINISTRATION OF PRESCRIPTION MEDICATION
Name of Student:
Parents' Phone Number: Grade:
Medication:
Date to Begin: Date to End:
Dosage: Time:
Prescriber or person authorizing administration:
Phone #1: Phone #2:
Possible Adverse Reaction:
Person(s) Authorized to Administer Medication: .
**********
Date Given
Time
Dosage Given
Signature of Employee Administering Medication
Comments
Reviewed 10/16/2023
STUDENTS
507-2E2- PARENTAL AUTHORIZATION AND RELEASE FORM FOR THE ADMINISTRATION OF PRESCRIPTION MEDICATION TO STUDENTS
The undersigned are the parent(s), guardian(s), or person(s) in charge of
(Student's Full Legal Name) ,
in the grade at the building in the WACO Community School District.
It is necessary that ______________________ receive
(name of medication) ___________________________________________________________ ,
beginning on (date) and continuing through (date) .
I hereby request the WACO Community School District, or its authorized representative, to administer the above-named medication to my child named above and agree to:
1. Submit this request to the principal or school nurse;
2. Personally ensure that the medication is received by the principal or school nurse administering it in the container in which it was dispensed by the prescribing physician or licensed pharmacist or is in the manufacturer's container;
3. Personally ensure that the container in which the medication is dispensed is marked with the medication name, dosage, interval dosage, and date after which no administration should be given; and
Dated this day of , 20_____
Name of Student
Parent/Guardian Home Phone Number
_____________________
Alternate Phone No.
Reviewed: 10/16/2023
STUDENTS
507.3 - COMMUNICABLE DISEASES - STUDENTS
Students with a communicable disease will be allowed to attend school provided their presence does not create a substantial risk of illness or transmission to other students or employees. The term "communicable disease" shall mean an infectious or contagious disease spread from person to person, or animal to person, or as defined by law.
Prevention and control of communicable diseases shall be included in the school district's bloodborne pathogens exposure control plan. The procedures shall include scope and application, definitions, exposure control, methods of compliance, universal precautions, vaccination, post-exposure evaluation, follow-up, communication of hazards to employees and record keeping. This plan shall be reviewed annually by the superintendent and school nurse.
The health risk to immunodepressed students shall be determined by their personal physician. The health risk to others in the school district environment from the presence of a student with a communicable disease shall be determined on a case-by-case basis by the student's personal physician, a physician chosen by the school district or public health officials.
A student who is at school and who has a communicable disease which creates a substantial risk of harm to other students, employees, or others at school shall report the condition to the Superintendent any time the student is aware that the disease actively creates such risk.
A student’s parent or guardian shall notify the superintendent or the school nurse when the student learns the student has a communicable disease. It shall be the responsibility of the superintendent, when the superintendent or school nurse, upon investigation, has knowledge that a reportable communicable disease is present, to notify the Iowa Department of Public Health. Health data of a student is confidential and it shall not be disclosed to third parties, except in cases of reportable communicable diseases.
It shall be the responsibility of the superintendent, in conjunction with the school nurse, to develop administrative regulations stating the procedures for dealing with students with a communicable disease.
NOTE: This policy is consistent with current health practices regarding communicable diseases. The bloodborne pathogen language in the second paragraph and accompanying regulation is in compliance with federal law on control of bloodborne pathogens.
Legal Reference: School Board of Nassau County v. Arline, 480 U.S. 273 (1987).
29 U.S.C. §§ 701 et seq. (1988).
45 C.F.R. Pt. 84.3 (1993).
Iowa Code ch. 139 (1997).
641 I.A.C. 1.2-.5, 7.
Cross Reference: 403.3 Communicable Diseases - Employees
506 Student Records
507 Student Health and Well-Being
Approved: 1/21/99
Revised: 10/29/2020
Reviewed: 10/29/2020, 10/16/2023
STUDENTS
507.3E1 - COMMUNICABLE DISEASE CHART
CONCISE DESCRIPTIONS AND RECOMMENDATIONS FOR EXCLUSION OF CASES FROM SCHOOL
DISEASE
*Immunization is available
Usual Interval Between Exposure and First Symptoms of Disease
MAIN SYMPTOMS
Minimum Exclusion From School
CHICKENPOX*
13 to 17 days
Mild symptoms and fever. Pocks are "blistery." Develop scabs, most on covered parts of body.
7 days from onset of pocks or until pocks become dry
CONJUNCTIVITIS
(PINK EYE)
24 to 72 hours
Tearing, redness and puffy lids, eye discharge.
Until treatment begins or physician approves readmission.
COVID-19
5-6 days, but can be asymptomatic and contagious for up to 14 days
Typical symptoms include fever, cough, and shortness of breath. Atypical symptoms include chills, malaise, sore throat, increased confusion, rhinorrhea or nasal congestion, myalgia, dizziness, headache, nausea, and diarrhea
14 days following exposure or and at least 3 days (72 hours) after recovery.
ERYTHEMIA
INFECTIOSUM
(5TH DISEASE)
4 to 20 days
Usual age 5 to 14 years – unusual in adults. Brief prodrome of low-grade fever followed by Erythemia (slapped cheek) appearance on cheeks, lace-like rash on extremities lasting a few days to 3 weeks. Rash seems to recur.
After diagnosis no exclusion from school.
GERMAN MEASLES*
(RUBELLA)
14 to 23 days
Usually mild. Enlarged glands in neck and behind ears. Brief red rash.
7 days from onset of rash. Keep away from pregnant women.
HAEMOPHILUS
MENINGITIS
2 to 4 days
Fever, vomiting, lethargy, stiff neck and back.
Until physician permits return.
HEPATITIS A
Variable – 15 to 50 (average 28 to 30 days)
Abdominal pain, nausea, usually fever. Skin and eyes may or may not turn yellow.
14 days from onset of clinical disease and at least 7 days from onset of jaundice.
IMPETIGO
1 to 3 days
Inflamed sores, with puss.
48 hours after antibiotic therapy started or until physician permits retune.
MEASLES*
10 days to fever, 14 days to rash
Begins with fever, conjunctivitis, runny nose, cough, then blotchy red rash.
4 days from onset of rash.
MENINGOCOCCAL
MENINGITIS
2 to 10 days (commonly 3 to 4 days
Headache, nausea, stiff neck, fever.
Until physician permits return.
MUMPS*
12 to 25 (commonly 18) days
Fever, swelling and tenderness of glands at angle of jaw.
9 days after onset of swollen glands or until swelling disappears.
PEDICULOSIS
(HEAD/BODY LICE)
7 days for eggs to hatch
Lice and nits (eggs) in hair.
24 hours after adequate treatment to kill lice and nits.
RINGWORM OF SCALP
10 to 14 days
Scaly patch, usually ring shaped, on scalp.
No exclusion from school. Exclude from gymnasium, swimming pools, contact sports.
SCABIES
2 to 6 weeks initial exposure; 1 to 4 days reexposure
Tiny burrows in skin caused by mites.
Until 24 hours after treatment.
SCARLET FEVER
SCARLATINA
STREP THROAT
1 to 3 days
Sudden onset, vomiting, sore throat, fever, later fine rash (not on face). Rash usually with first infection.
24 hours after antibiotics started and no fever.
WHOOPING COUGH* (PERTUSSIS)
7 to 10 days
Head cold, slight fever, cough, characteristic whoop after 2 weeks.
5 days after start of antibiotic treatment.
STUDENTS
507.3E2 - REPORTABLE INFECTIOUS DISEASES
While the school district is not responsible for reporting, the following infectious diseases are required to be reported to the state and local public health offices:
Acquired Immune
Deficiency Syndrome
(AIDS)
Leprosy
Rubella (German
measles)
Leptospirosis
Lyme disease
Rubeola (measles)
Amebiasis
Malaria
Salmonellosis
Anthrax
Meningitis
(bacterial or viral)
Shigellosis
Botulism
Tetanus
Brucellosis
Mumps
Toxic Shock Syndrome
Campylobacteriosis
Parvovirus B 19
infection (fifth
disease and other
complications)
Trichinosis
Chlamydia trachomatis
Tuberculosis
Cholera
Tularemia
COVID-19
Diphtheria
Typhoid fever
E. Coli 0157:h7
Pertussis
(whooping cough)
Typhus fever
Encephalitis
Venereal disease
Chancroid
Gonorrhea
Granuloma Inguinale
Giardiasis
Plague
Hepatitis, viral
(A,B, Non A-
Non-B, Unspecified)
Poliomyelitis
Psittacosis
Rabies
Lymphogranuloma
Venereum
Syphilis
Histoplasmosis
Reye's Syndrome
Human Immunodeficiency
Virus (HIV) infection
other than AIDS
Rheumatic fever
Rocky Mountain
spotted fever
Yellow fever
Influenza
Rubella (congenital
syndrome)
Legionellosis
Any other disease which is unusual in incidence, occurs in unusual numbers of circumstances, or appears to be of public health concern, e.g., epidemic diarrhea, food or waterborne outbreaks, acute respiratory illness.
STUDENTS
507.3E3 - REPORTING FORM
Source: Iowa Department of Public Health (1997).
REPORT THE FOLLOWING DISEASES IMMEDIATELY BY TELEPHONE (1-800-362-2736)
Botulism
Poliomyelitis
Yellow Fever
Cholera
Rabies (Human)
Disease outbreaks of
Diphtheria
Rubella
any public health concern
Plague
Rubeola (measles)
REPORT ALL OTHER DISEASES BELOW.
WEEK ENDING
See other side for list of reportable infectious diseases.
DISEASE
PATIENT
COUNTY OR CITY
DOB
SEX
Name Parent (If applicable)
Address
Attending Physician
Name Parent (If applicable)
Address
Attending Physician
Name Parent (If applicable)
Address
Attending Physician
Name Parent (If applicable)
Address
Attending Physician
Name Parent (If applicable)
Address
Attending Physician
Reporting Physician, Hospital, or Other Authorized Person
Address
Remarks:
FOR SCHOOLS ONLY: Report over 10% absent only. Total enrollment:
Monday
Tuesday
Wednesday
Thursday
Friday
No.
Absent
% of Enrollment
REPORT NUMBER OF CASES ONLY
Chickenpox Gastroenteritis
Erythema infectiosum (5th Disease Influenza-like illness (URI)
STUDENTS
507.4 - STUDENT ILLNESS OR INJURY AT SCHOOL
When a student becomes ill or is injured at school, the school district shall attempt to notify the student's parents as soon as possible.
The school district, while not responsible for medical treatment of an ill or injured student, will have employees present administer emergency or minor first aid if possible. An ill or injured child will be turned over to the care of the parents or qualified medical employees as quickly as possible.
It shall be the responsibility of the school nurse to file an accident report with the superintendent within twenty-four hours after the student is injured.
Annually, parents shall be required to complete a medical emergency authorization form indicating the procedures to be followed, if possible, in an emergency involving their child. The authorization form will also include the phone numbers of the parents and alternative numbers to call in case of an injury or illness.
The superintendent shall be responsible, in conjunction with the school nurse, to develop rules and regulations governing the procedure in the event a student should become ill or be injured at school.
NOTE: This policy outlines the recommended practice.
Legal Reference: Iowa Code § 613.17 (1995).
Cross Reference: 507 Student Health and Well-Being
Approved: 7/13/00
Reviewed: 9/21/15, 10/16/2023
Revised:
STUDENTS
507.5 - EMERGENCY DRILLS
Students will be informed of the action to take in an emergency. Emergency drills for fire, weather, and other disasters shall be conducted each school year. Fire and tornado drills shall be each conducted regularly during the academic school year with a minimum of two before December 31 and two after January 1.
Each attendance center will develop and maintain a written plan containing emergency and disaster procedures. The plan will be communicated to and reviewed with employees. Employees will participate in emergency drills. Licensed employees are responsible for instructing the proper techniques to be followed in the drill.
NOTE: The last sentence of the first paragraph is a legal requirement.
Legal Reference: Iowa Code § 100.31 (1995).
281 I.A.C. 41.27(3).
Cross Reference: 507 Student Health and Well-Being
711.7 School Bus Safety Instruction
804 Safety Program
Approved: 7/13/00
Reviewed: 9/21/15, 10/16/2023
Revised:
STUDENTS
507.6 - STUDENT INSURANCE
New: The district will provide all students in grades PK-12 with catastrophic insurance coverage while at school, and while participating in any school-sponsored event. Participation in the accident insurance plan is not a contract with the school district, but rather, a contract between the insurance company and the student.
It is the recommendation of the Board of Directors that all students be covered by insurance (health and accident insurance).
NOTE: Although it is a recommended practice, it is within the board's discretion to determine whether it wants to require student athletes to have insurance.
Legal Reference: Iowa Code § 279.8 (1995).
Cross Reference: 504 Student Activities
507 Student Health and Well-Being
Approved: 7/13/00
Reviewed: 9/21/15
Revised: 11/20/2023
STUDENTS
507.7 - CUSTODY AND PARENTAL RIGHTS
Disagreements between family members are not the responsibility of the school district. The school district will not take the "side" of one family member over another in a disagreement about custody or parental rights. Court orders that have been issued shall be followed by the school district. It shall be the responsibility of the person requesting an action by the school district to inform and provide the school district the court order allowing such action.
This policy does not prohibit an employee from listening to a student's problems and concerns.
It is the responsibility of the superintendent to ensure employees remain neutral in a disagreement about custody and parental rights.
Legal Reference: Iowa Code §§ 232.67, .70, .73, .75; 235A; 279.8; 710.6 (1995).
441 I.A.C. 9.2; 155; 175.
Cross Reference: 506 Student Records
507 Student Health and Well-Being
Approved: 7/13/00
Reviewed: 9/21/15, 11/20/2023
Revised:
STUDENTS
507.8 - STUDENT SPECIAL HEALTH SERVICES
The board recognizes that there are some special education students who are in need of special health services during the school day. These students shall receive confidential special health services in conjunction with their education program.
The superintendent, in conjunction with licensed health personnel, will establish administrative regulations for the implementation of this policy.
NOTE: This is a mandatory policy and reflects Iowa law.
Legal Reference: Board of Education v. Rowley, 458 U.S. 176 (1982).
Springdale School District #50 v. Grace, 693 F.2d 41 (8th Cir. 1982).
Southeast Warren Comm. School District v. Dept. of Public Instruction, 285 N.W.2d 173 (Iowa 1979).
20 U.S.C. §§1400 et seq. (1988).
34 C.F.R. Pt. 300 et seq. (1993).
Iowa Code §§ 256.11(7); 256B; 273.2, .5, .9(2)-(3); 280.8 (1999).
281 I.A.C. 12.3(7), 41.96
Cross Reference: 502 Student Rights and Responsibilities
506 Student Records
603.3 Special Education
Approved: 7/13/00
Reviewed: 9/21/15, 11/20/2023
Revised:
EDUCATIONAL PROGRAM AND INSTRUCTION
507.8R1 - SPECIAL HEALTH SERVICES REGULATION
Some students who require special education need special health services in order to participate in the educational program. These students shall receive special health services in accordance with their individualized educational program.
A. Definitions
"Assignment and delegation" - occurs when licensed health personnel, in collaboration with the education team, determine the special health services to be provided and the qualifications of individuals performing the health services. Primary consideration is given to the recommendation of the licensed health personnel. Each designation considers the student's special health service. The rationale for the designation is documented. If the designation decision of the team differs from the licensed health professional, team members may file a dissenting opinion.
"Co-administration" - the eligible student's participation in the planning, management and implementation of the student's special health service and demonstration of proficiency to licensed health personnel.
"Educational program" - includes all school curricular programs and activities both on and off school grounds.
"Education team" - may include the eligible student, the student's parent, administrator, teacher, licensed health personnel, and others involved in the student's educational program.
"Health assessment" - health data collection, observation, analysis, and interpretation relating to the eligible student's educational program.
"Health instruction" - education by licensed health personnel to prepare qualified designated personnel to deliver and perform special health services contained in the eligible student's health plan. Documentation of education and periodic updates shall be on file at school.
"Individual health plan" - the confidential, written, preplanned and ongoing special health service in the educational program. It includes assessment, planning, implementation, documentation, evaluation and a plan for emergencies. The plan is updated as needed and at least annually. Licensed health personnel develop this written plan with the education team.
"Licensed health personnel" - includes licensed registered nurse, licensed physician, and other licensed health personnel legally authorized to provide special health services and medications.
"Prescriber" - licensed health personnel legally authorized to prescribe special health services and medications.
"Qualified designated personnel" - persons instructed, supervised and competent in implementing the eligible student's health plan.
"Special health services" - includes, but is not limited to, services for eligible students whose health status (stable or unstable) requires:
"Supervision" - the assessment, delegation, evaluation and documentation of special health services by licensed health personnel. Levels of supervision include situations in which licensed health personnel are:
B. Licensed health personnel shall provide special health services under the auspices of the school. Duties of the licensed personnel include the duty to:
C. Prior to the provision of special health services the following shall be on file:
D. Licensed health personnel, in collaboration with the education team, shall determine the special health services to be provided and the qualifications of individuals performing the special health services. The documented rationale shall include the following:
E. Licensed health personnel shall supervise the special health services, define the level of supervision and document the supervision.
F. Licensed health personnel shall instruct qualified designated personnel to deliver and perform special health services contained in the eligible individual health plan. Documentation of instruction and periodic updates shall be on file at school.
G. Parents shall provide the usual equipment, supplies and necessary maintenance for such. The equipment shall be stored in a secure area. The personnel responsible for the equipment shall be designated in the individual health plan. The individual health plan shall designate the role of the school, parents, and others in the provision, supply, storage and maintenance of necessary equipment.
Approved: 5/23/01
Reviewed: 9/21/15, 11/20/2023
Revised:
STUDENTS
507.9 - STUDENT HEALTH SERVICES
WELLNESS POLICY
The Board promotes healthy students by supporting wellness, good nutrition and regular physical activity as a part of the total learning environment. The school district supports a healthy environment where students learn and participate in positive dietary and lifestyle practices. By facilitating learning through the support and promotion of good nutrition and physical activity, schools contribute to the basic health status of students. Improved health optimizes student performance potential.
The school district provides a comprehensive learning environment for developing and practicing lifelong wellness behaviors. The entire school environment, not just the classroom, shall be aligned with healthy school district goals to positively influence a student’s understanding, beliefs and habits as they relate to good nutrition and regular physical activity.
The school district supports and promotes proper dietary habits contributing to students’ health status and academic performance. All foods available on school grounds and at school-sponsored activities during the instructional day should meet or exceed the school district’s nutrition standards. Foods should be served with consideration toward nutritional integrity, variety, appeal, taste, safety and packaging to ensure high-quality meals.
The school district will make every effort to eliminate any social stigma attached to, and prevent the overt identification of, students who are eligible for free and reduced-price meals. Toward this end, the school district may utilize electronic identification and payment systems; provide meals at no charge to all children, regardless of income; promote the availability of meals to all students.
The school district will develop a local wellness policy committee comprised of representatives of the board, parents, leaders in food/exercise authority and employees. The local wellness policy committee will develop a plan to implement and measure the local wellness policy and monitor the effectiveness of the policy. The committee will designate an individual to monitor implementation and evaluation of the implementation or the policy. The committee will report annually to the board regarding the effectiveness of this policy.
Specific Wellness Goals
Legal Reference: Richard B. Russell National School Lunch Act, 42 U.S.C. 1751 et seq. (2005)
Child Nutrition Act of 1966, 42 U.S.C. 1771 et seq.,
Cross Reference: 504.6 Student Activity Program
710 School Food Services
Approved 3/20/06
Reviewed 7/20/2020
Revised
507.9E1 - Wellness Policy Appendix A, B, C, D
Appendix A
The school district will provide nutrition education and engage in nutrition that:
Appendix B
Physical Activity
Physical Education
Recess
Elementary schools should provide recess for students that:
When activities, such as mandatory school-wide testing, make it necessary for students to remain indoors for long periods of time, school should give periodic breaks during which they are encouraged to stand and be moderately active.
Physical Activity and Punishment
Teachers and other school and community personnel should not use physical activity (running laps, push-ups) or withhold opportunities for physical activity (recess, physical education) as punishment.
Appendix C
Other School-Based Activities that Promote Student Wellness
Integrating Physical Activity into Classroom Settings
For students to receive the nationally recommended amount of daily physical activity (at least 60 minutes per day) and for student to fully embrace regular physical activity as a personal behavior, students need opportunities for physical activity beyond physical education class. Toward that end WACO will:
Communication with Parents
The district/school will support parents’ efforts to provide a healthy diet and daily physical activity for their children. The WACO Community Schools will:
Staff Wellness
The WACO Community Schools will value the health and well being of every staff member and will plan and implement activities that support personal efforts by staff to maintain a healthy lifestyle. The district will:
Appendix D
Page 1 of 4
NUTRITION GUIDELINES FOR ALL FOODS AVAILABLE ON CAMPUS
School Meals
Meals served through the National School Lunch and Breakfast Programs will:
• be appealing and attractive to children;
• be served in clean and pleasant settings;
• meet, at a minimum, nutrition requirements established by local, state and federal law;
• offer a variety of fruits and vegetables; and -
• ensure that half of the served grains are whole grain.
WACO Community Schools will:
• engage students and parents through surveys, in selecting foods offered through the meal programs in order to identify new, healthful and appealing food choices; and,
• share information about the nutritional content of meals with parents and students. (The information could be made available on menus, a web site, on cafeteria menu boards, placards or other point-of-purchase materials.)
Breakfast
To ensure that all children have breakfast, either at home or at school, in order to meet their nutritional needs and enhance their ability to learn, the WACO Community Schools will:
· operate the breakfast program, to the extent possible;
· arrange bus schedules and utilize methods to serve breakfasts that encourage participation;
· notify parents and students of the availability of the School Breakfast Program, where available; and,
· encourage parents to provide a healthy breakfast for their children through newsletter articles, take-home materials or other means.
Free and Reduced-Priced Meals
The school district will make every effort to eliminate any social stigma attached to, and prevent the overt identification of, students who are eligible for free and reduced-price meals. Toward this end, the school district may:
· utilize electronic identification and payment systems;
· provide meals at no charge to all children, regardless of income; and,
· promote the availability of meals to all students.
Meal Times and Scheduling
The WACO Community Schools:
· will provide students with an appropriate time for breakfast and lunch;
· should schedule meal periods at appropriate times, e.g., lunch should be schedu1ed between 11:00 am and 1:00 pm; should not schedule tutoring, club or organizational meetings or activities during mealtimes, unless students may eat during such activities;
· will provide students access to hand washing or hand sanitizing before they eat; and
· students who have special oral health needs will be allowed appropriate accommodations.
Qualification of Food Service Staff
Qualified nutrition professionals will administer the meal programs. As part of the school district’s responsibility to operate a food service program, the school district will:
· provide continuing professional development for all nutrition professionals; and,
· provide staff development programs that include appropriate certification and/or training programs for child nutrition directors, nutrition managers and cafeteria workers, according to their levels of responsibility.
Sharing of Foods
The school district discourages students from sharing their foods or beverages with one another during meal or snack times, given concerns about allergies and other restrictions on some children’s diets.
Foods Sold Outside the Meal (e.g. vending, a la carte, sales)
Elementary schools: The food service program will approve and provide all food and beverage sales to students in elementary schools. To this end:
· food in elementary schools should be sold as balanced meals, given young children’s limited nutrition skills; and,
· foods and beverages sold individually should be limited to low-fat and non-fat milk, fruits and non-fried vegetables.
Secondary schools: In middle/junior high and high school, all foods and beverages sold individually outside the reimbursable meal programs (including those sold through a la carte [snack] lines, vending machines, student stores or fundraising activities) during the school day, or through programs for students after the school day, will meet the following nutrition and portion size standards:
Beverages
· Allowed: water or seltzer water without added caloric sweeteners; fruit and vegetable juices and fruit-based drinks that contain at least 50 percent fruit juice and that do not contain additional caloric sweeteners; unflavored or flavored low-fat or fat-free milk and nutritionally equivalent nondairy beverages (as defined by the USDA).
· Not allowed: soft drinks containing caloric sweeteners; sports drinks; iced tea fruit-based drinks that contain less than 50 percent real fruit juice or that contain additional caloric sweeteners; beverages containing caffeine, excluding low-fat or fat-free chocolate milk (which contain minimal amounts of caffeine) will not be sold during the instructional day.
Foods
A food item sold individually:
· will have no more than 35 percent of its calories from fat (excluding nuts, seeds, peanut butter and other nut butters) and 10 percent of its calories from saturated and trans fat combined;
· will have no more than 35 percent of its weight from added sugars;
· will contain no more than 230 mg of sodium per serving for chips, cereals, crackers, french fries, baked goods and other snack items; will contain no more than 480 mg of sodium per serving for pastas, meats and soups; and will contain no more than 600 mg of sodium for pizza, sandwiches and main dishes;
Examples: Food items could include, but are not limited to, fresh fruits and percent fruit or vegetable juice; fruit-based drinks that are at least 50 percent real fruit juice and do not contain additional caloric sweeteners; cooked, dried or canned fruits (light syrup); and cooked, dried or canned vegetables (that meet the above guidelines).
Fundraising Activities
· all fundraising projects are encourage to follow the district nutrition standards
· all fundraising projects for sale and consumption within and prior to the instructional day will be expected to make every effort to follow the district’s nutrition standards
Snacks
Snacks served during the school day or in after-school care or enrichment programs will make a positive contribution to children’s diets and health, with an emphasis on serving fruits and vegetables as the primary snacks and water as the primary beverage. Schools will assess if and when to offer snacks based on timing of meals, children’s nutritional needs, children’s ages and other considerations. The school district will disseminate a list of healthful snack items to teachers, after-school program personnel and parents.
If eligible, schools that provide snacks through after-school programs will pursue reimbursements through the National School Lunch Program.
Rewards
Strong consideration should be given to nonfood items as part of any teacher-to-student incentive programs. Should teachers feel compelled to utilize food items as an incentive they are encouraged to adhere to the district nutrition standards.
Celebrations
Schools should evaluate their celebrations practices that involve food during the school day. The district will disseminate a list of healthy party ideas to parents and teachers.
School-Sponsored Events
Foods and beverages offered or sold at school-sponsored events outside the school day will meet the nutrition standards for meals or for foods and beverages sold individually.
Food Safety
All foods made available on campus adhere to food safety and security guidelines.
· All foods made available on campus comply with the state and local food safety and sanitation regulations. Hazard Analysis and Critical Control Points (HACCP) plans and guidelines are implemented to prevent food illness in schools. http://www.fiis.usda.gov/mfResources/serviunsafe chapter6.pdf
Summer Meals
Schools in which more than 50 percent of students are eligible for free or reduced-price meals will sponsor the Summer Food Service Program for at least six weeks between the last day of the academic school year and the first day of the following school year, and, preferably, throughout the entire summer vacation.
Appendix E
PLAN FOR MEASURING IMPLEMENTATION I
Monitoring
The superintendent will ensure compliance with established school district-wide nutrition and physical activity wellness policies.
In each school:
· the principal will ensure compliance with those policies in the school and will report on the school’s compliance to the superintendent; and,
· food service staff, at the school or school district level, will ensure compliance with nutrition policies within food service areas and will report on this matter to the superintendent or principal.
n the school district:
· the school district will report on the most recent USDA School Meals Initiative (SMI) review findings and any resulting changes. If the school district has not received a SMI review from the state agency within the past five years, the school district will request from the state agency that a SMI review be scheduled as soon as possible;
· the superintendent will develop a summary report every three years on school district-wide compliance with the school district’s established nutrition and physical activity wellness policies, based on input from schools within the school district; and,
· the report will be provided to the school board and also distributed to all school wellness committees, parent/teacher organizations, principals and health services personnel in the school district.
Policy Review
To help with the initial development of the school district’s wellness policies, each school will conduct a baseline assessment of the school’s existing nutrition and physical activities practices. The results of those school-by-school assessments will be compiled at the school to identify and prioritize needs.
Assessments will be repeated every three years to help review policy compliance, as to determine areas in need of improvement. As part of that review, the school district will review the nutrition and physical activity policies and practices and the provision of an environment that supports physical activity. The school district, and individual schools within the school district will, revise the wellness policies and develop work plans to facilitate their implementation.