reglab/statecodes huggingface dataset:
Rhode Island Code of Regulations › Title 216 - Department of health › Chapter 20 - Community Health › Subchapter 10 - Screening, Medical Services, and Reporting › Part 4 - School Health Programs › Section 216-RICR-20-10-4.13 - Vision Screening

Current through June 14, 2024
4.13.1
General Vision Screening Requirements
A. Pursuant to R.I. Gen Laws §§
											16-21-14 and
				   16-21-14.1,
				  vision screening is required for all students upon entry to school, and in
				  preschool programs operated by public school districts, and first
				  (1st), second (2nd),
				  third (3rd), fourth
				  (4th), fifth (5th),
				  seventh (7th) and ninth
				  (9th) grades.
B. If evidence is presented to the school
				  physician or school nurse that an eye examination was completed within the
				  preceding twelve (12) months of the initial screening by the student's
				  ophthalmologist, optometrist, pediatric ophthalmologist, pediatric optometrist
				  or primary care provider, the student may be exempt from this screening
				  requirement for that school year.
C. A school must screen vision using
				  evidence-based, optotype-based screening, or evidence-based, instrument-based
				  screening, depending on the age of the student in accordance with the National
				  Center for Children's Vision and Eye Health's Vision Screening Recommendations
				  (
https://nationalcenter.preventblindness.org/vision-screening-recommendations
)
				  incorporated by reference at §
											4.2(L)   of
				  this Part.
1. Certain students who have a
				  higher rate of vision problems should bypass vision screening in accordance
				  with the National Center for Children's Vision and Eye Health's Vision
				  Screening Recommendations and be referred directly to an eye specialist for a
				  comprehensive examination. The school nurse may determine which children should
				  be referred directly.
D.
				  It is recommended that vision screening occur early in the school year.
				  Preschool and kindergarten screening must be completed within thirty (30)
				  administrative days of the start of school.
E. Vision screening outside of the grade
				  level required for screening must occur upon referral from teachers,
				  parents/caregivers, or with presentation of signs or symptoms of a vision
				  problem.
F. Students transferring
				  to a school without record of previous vision screening must be
				  screened.
G. When a trained,
				  unlicensed individual, or individuals from an outside entity, conducts the
				  initial screening, the school nurse must rescreen the student before making a
				  referral.
1. Rescreening for all vision tools,
				  except instrument-based screening, will occur as soon as possible, but no later
				  than six (6) months following the initial screen.
H. Students who do not pass vision screening
				  must be referred to their parents/caregivers and provided with a referral form
				  to bring to their health care provider or eye specialist.
I. Periodic reporting of vision screening
				  results to RIDE and/or RIDOH may be required.
Rhode Island Code of Regulations › Title 216 - Department of health › Chapter 20 - Community Health › Subchapter 10 - Screening, Medical Services, and Reporting › Part 4 - School Health Programs › Section 216-RICR-20-10-4.14 - Hearing Screening

Current through June 14, 2024
4.14.1
General Hearing Screening Requirements
A. Students in preschool programs operated by
				  public school districts, and all students in kindergarten, first
				  (1st), second (2nd), and
				  third (3rd) grades and any student(s) new to a
				  school without a prior record ofa hearing screening must be given a hearing
				  screening test by a properly trained and qualified person in accordance with
				  the guidelines of the American Speech-Language-Hearing Association (ASHA)
				  incorporated at §
											4.2(G)   of
				  this Part.
B. Students who failed
				  the hearing screening tests in previous years, repeat a grade, have a history
				  of hearing difficulty or pathology, are enrolled in curricular or
				  extracurricular activities where there is exposure to noise levels that meet or
				  exceed current Occupational Safety and Health Administration (OSHA) standards
				  incorporated at §
											4.2(I)   of
				  this Part, or are suspected by school personnel of a hearing loss must be
				  screened as often as is necessary.
C. The "passing" criteria for the hearing
				  screening test shall be in accordance with the guidelines of the American
				  Speech-Language-Hearing Association (ASHA) incorporated at §
											4.2(G)   of
				  this Part.
D. The screening must
				  consist of an initial Otoacoustics Emission hearing test. Students who fail the
				  initial screen must be re-screened within four (4) weeks with tympanometry and
				  pure tone in accordance with the American Speech/Language and Hearing
				  guidelines incorporated at §
											4.2(G)   of
				  this Part.
E. Any student who
				  provides documentation from a parent that a hearing screening test has been
				  performed in accordance with § 4.14.1(A) of this Part is exempt from this
				  screening requirement.
1. In the absence of
				  this documentation from the parent, the school is required to make provisions
				  for the screening.
Rhode Island Code of Regulations › Title 216 - Department of health › Chapter 20 - Community Health › Subchapter 10 - Screening, Medical Services, and Reporting › Part 4 - School Health Programs › Section 216-RICR-20-10-4.15 - Speech/Language Screening

Current through June 14, 2024
4.15.1
General Speech/Language Requirements
A. Every elementary school student who has
				  not been previously screened for speech/language impairments must be screened
				  for speech and language impairments by a trained and qualified person as
				  described in § 4.15.2 of this Part. Any student may be screened on an "as
				  needed" basis.
1. For those students who have
				  been previously screened, results of said screening must be transferred to each
				  new school in accordance with the requirements of § 4.18.2 of this
				  Part.
Rhode Island Code of Regulations › Title 216 - Department of health › Chapter 20 - Community Health › Subchapter 10 - Screening, Medical Services, and Reporting › Part 4 - School Health Programs › Section 216-RICR-20-10-4.16 - Scoliosis Screening

Current through June 14, 2024
4.16.1
General Scoliosis Screening Requirements
A. Annual scoliosis screening, conducted by a
				  school nurse, is required for students in grades six (6) through eight (8)
				  pursuant to R.I. Gen. Laws §
											16-21-10.
B. No school-based scoliosis screening shall
				  be conducted before students are introduced to the nature of the condition, its
				  effects, and the nature of the scoliosis screening procedure.
C. The screening of male and female students
				  must be conducted separately and individually. A private, well-lit screening
				  area should be available.
D. The
				  parent of any student may have the scoliosis screening conducted by a private
				  physician.
E. If these results are
				  made available to the local school department, the student will be exempt from
				  the scoliosis screening requirement.
F. The screening is not required of any
				  student whose parents object on the grounds that the test conflicts with their
				  religious beliefs.
Rhode Island Code of Regulations › Title 216 - Department of health › Chapter 20 - Community Health › Subchapter 10 - Screening, Medical Services, and Reporting › Part 4 - School Health Programs › Section 216-RICR-20-10-4.17 - Dental Health Screening

Current through June 14, 2024
4.17.1
General Dental Health Screening Requirements
A. Every student who has not been previously
				  enrolled in a public or non-public school in this State must be given a dental
				  screening by a licensed dentist, licensed dental hygienist, or a licensed
				  public health dental hygienist with at least three (3) years of clinical
				  experience.
1. Thereafter, every student must
				  be given an annual dental screening by a licensed dentist, dental hygienist, or
				  a licensed public health dental hygienist through the fifth
				  (5th) grade and must be screened at least once
				  between the sixth (6th) and tenth
				  (10th) grades.
a.
				  Provided, however, that dental screenings for students in kindergarten, third
				  (3rd) and ninth (9th)
				  grades must be performed by a licensed dentist or licensed public health dental
				  hygienist.
b. Dental hygienists
				  performing the dental screenings pursuant to the provisions of this section
				  must do so under the general supervision of the dentist liable and responsible
				  under the contract with the community as required under R.I. Gen. Laws §
													16-21-9(b).
c. Public health dental hygienists performing
				  the dental screenings pursuant to the provisions of R.I. Gen. Laws §
													16-21-9 must do so in accordance within the collaborative agreement guidelines between
				  the public health dental hygienist and a licensed dentist, or an authorized
				  facility. (For a definition of "general" supervision or "collaborative
				  agreement", see Part 40-05-2 of this Title, Dentists, Dental Hygienists and
				  Dental Assistants.
Rhode Island Code of Regulations › Title 216 - Department of health › Chapter 20 - Community Health › Subchapter 10 - Screening, Medical Services, and Reporting › Part 4 - School Health Programs › Section 216-RICR-20-10-4.18 - Health Records

Current through June 14, 2024
A. The school nurse
				  is responsible for the complete, cumulative school health record for each
				  student at the school in which the student is enrolled. The health record must
				  include:
1. Immunization status;
2. Health history, including chronic
				  conditions and treatment plan;
3.
				  Screening results and necessary follow-up;
4. Health examination reports;
5. Documentation of traumatic injuries and
				  episodes of sudden illness referred for emergency health care (see also
				  requirements in "First Aid and Emergencies" §
											4.21   of this
				  Part);
6. For a student with
				  documented anaphylaxis, the parental authorization of a student's treatment for
				  allergies and the physician's order to administer an epinephrine auto-injector
				  must be entered into the student's health record.
7. Documentation of any nursing assessments
				  completed;
8. Documentation of any
				  consultations with school personnel, students, parents, or health care
				  providers related to a student's health problem(s), recommendations made, and
				  any known results;
9. Documentation
				  of the health care provider's orders, if any, and parental permission to
				  administer medication or medical treatment in school by the school
				  nurse.
Rhode Island Code of Regulations › Title 216 - Department of health › Chapter 20 - Community Health › Subchapter 10 - Screening, Medical Services, and Reporting › Part 4 - School Health Programs › Section 216-RICR-20-10-4.19 - Notification of Parents

Current through June 14, 2024
A. Parents and/or
				  guardians must be notified, according to established local school district
				  procedures, of any suspected deviation from normal or usual health found as a
				  result of a screening test (e.g., vision screening), health examination, and/or
				  school personnel observation, in accordance with all applicable State and/or
				  Federal laws and Regulations.
B.
				  Each school district must develop procedures or protocols for documenting and
				  implementing a follow-up and referral plan for students identified as needing
				  additional services.
Rhode Island Code of Regulations › Title 216 - Department of health › Chapter 20 - Community Health › Subchapter 10 - Screening, Medical Services, and Reporting › Part 4 - School Health Programs › Section 216-RICR-20-10-4.20 - School Disease Reporting Requirements

Current through June 14, 2024
A. In
				  accordance with the Rules and Regulations pertaining to Part 30-05-1 of this
				  Title, Reporting and Testing of Infectious, Environmental and Occupational
				  Diseases, the basic responsibility for reporting infectious, environmental and
				  occupational diseases lies with:
1. Physicians
				  licensed in accordance with R.I. Gen. Laws Chapter 5-37 who are attending the
				  case or suspected case;
2.
				  Laboratories;
3. Other authorized
				  health professionals working under the auspices of a physician; and
4. Other health care professionals authorized
				  by law or Regulation to practice independently (e.g., registered nurse
				  practitioners).
5. In the school
				  setting, this requirement encompasses school nurses directed by a physician to
				  report in accordance with the regulatory requirements cited above.
6. Licensed health care facilities that
				  operate school-based health clinics must report communicable, environmental and
				  occupational diseases in accordance with the Rules and Regulations for the
				  Licensing of Organized Ambulatory Care Facilities and Part 30-05-1 of this
				  Title, Reporting and Testing of Infectious, Environmental and Occupational
				  Diseases.
Rhode Island Code of Regulations › Title 216 - Department of health › Chapter 20 - Community Health › Subchapter 10 - Screening, Medical Services, and Reporting › Part 4 - School Health Programs › Section 216-RICR-20-10-4.22 - Diabetes Care Management

Current through June 14, 2024
A. Each school
				  district must develop a policy or protocol that allows students who are
				  diagnosed with diabetes to self-manage their disease whenever possible. The
				  policy or protocol must be developed in collaboration with licensed health care
				  providers, parents, students, school nurses and administrators, as
				  appropriate.
B. Such policy or
				  protocol must require no less than the following:
1. Developing an individualized health care
				  plan (IHCP) and an emergency care plan (ECP/EHCP);
2. Permitting self-testing in the classroom
				  or other appropriate place(s) on the school campus or at school-sponsored
				  activities, as designated in the IHCP;
3. Permitting healthy snacks in the classroom
				  or other appropriate place(s) on the school campus or at school-sponsored
				  activities, as designated in the IHCP;
4. Permitting bathroom and water fountain
				  privileges in the classroom or other appropriate place(s) on the school campus
				  or at school-sponsored activities as designated in the IHCP,
5. Ensuring the accompaniment of a
				  symptomatic student to a health area by a designated adult, per the IHCP and
				  the ECP/EHCP, unless such action puts the student at increased health
				  risk.
Rhode Island Code of Regulations › Title 216 - Department of health › Chapter 20 - Community Health › Subchapter 10 - Screening, Medical Services, and Reporting › Part 4 - School Health Programs › Section 216-RICR-20-10-4.24 - Medication Administration

Current through June 14, 2024
A. Each school
				  district or authority must develop protocols or procedures related to
				  medication administration in schools that include, at a minimum, the following
				  provisions:
1. A school nurse must administer
				  medication(s) to student(s) within the public school setting except as provided
				  in §§ 4.21.4(F), 4.22.1, 4.24.3, 4.24.4, or 4.24.5 of this Part. The
				  school nurse must be licensed in Rhode Island in accordance with the
				  requirements of R.I. Gen. Laws Chapter 5-34. He or she must also be certified
				  in accordance with the provisions of R.I. Gen. Laws §
											16-21-8.
a. All medications, including prescription
				  and over-the-counter (OTC), must be administered only in accordance with a
				  written order from a licensed health care prescriber, except as provided in
				  §§ 4.21.4(F), 4.22.1, 4.24.3, 4.24.4, or 4.24.5 of this Part. All
				  medications must be administered in keeping with safe standards of health care
				  practice and in accordance with all applicable State and Federal laws and
				  Regulations.
Rhode Island Code of Regulations › Title 216 - Department of health › Chapter 20 - Community Health › Subchapter 10 - Screening, Medical Services, and Reporting › Part 4 - School Health Programs › Section 216-RICR-20-10-4.25 - Immunization and Testing for Communicable Diseases

Current through June 14, 2024
Pursuant to Part 30-05-3 of this Title, Immunization and
					 Communicable Disease Testing in Preschool, School, Colleges or Universities,
					 all schools in Rhode Island must adopt, at a minimum, the standards for
					 immunization and communicable disease testing described
					 therein.
Rhode Island Code of Regulations › Title 216 - Department of health › Chapter 20 - Community Health › Subchapter 10 - Screening, Medical Services, and Reporting › Part 4 - School Health Programs › Section 216-RICR-20-10-4.26 - Standards for School Building(s) and Approval

Current through June 14, 2024
A.
				  Pursuant to R.I. Gen. Laws §
										16-21-3,
				  the State Building Codes Standards Committee, the State Fire Marshall, the
				  State Health Department, and the Department of Labor and Training, Division of
				  Occupational Safety shall determine whether the school buildings in the several
				  cities and towns or on State property conform to appropriate State and Federal
				  laws and Regulations within their respective jurisdiction.
1. Furthermore, it shall be the
				  responsibility of each local Fire Chief, local Building Inspector, the Director
				  of the State Department of Health, and the Director of the State Labor and
				  Training Department to determine and notify each local school superintendent or
				  non-public school official by August 1 of each year as to whether the public
				  and non-public nursery, elementary and secondary school buildings conform to
				  appropriate State and Federal laws and Regulations within their respective
				  jurisdiction.
2. In the case of
				  those schools on State property, it shall be the responsibility of the State
				  Building Commissioner, the State Fire Marshall, the Director of the State
				  Department of Health, and the Department of Labor and Training to notify the
				  department director responsible for the operation of the school as to whether
				  these schools conform to appropriate State and Federal laws and
				  Regulations.
Rhode Island Code of Regulations › Title 216 - Department of health › Chapter 20 - Community Health › Subchapter 10 - Screening, Medical Services, and Reporting › Part 4 - School Health Programs › Section 216-RICR-20-10-4.27 - New Construction, Renovation or Conversion of Existing Buildings to Schools

Current through June 14, 2024
4.27.1
General Requirements
A. All new
				  construction or the alteration, extension, or modification of an existing
				  building(s) is subject to all applicable Federal, State and local laws, codes,
				  Regulations, and ordinances, including but not limited to the following
				  regulatory provisions enforced by the specific agency:
1. IBC-1 State Building Code,
et
				  al
, R.I. Gen. Laws Chapter 23-27.3, R.I. State Building Code Standards
				  Committee;
2. The Uniform Federal
				  Accessibility Standards (UFAS) incorporated at §
												4.2(L)   of
				  this Part and State accessibility for persons with disability standards:
a. R.I. Gen. Laws §
													37-8-15,
				  "Access for People with Disabilities";
b. The Federal Rehabilitation Act of 1973, as
				  amended, (29 U.S.C. §
														791
et seq
.) § 504,   34    C.F.R. Part 104, Program Accessibility for Persons with Disabilities and the
				  Americans with Disabilities Act of 1990 (42 U.S.C. §
														12101
et seq
.), 28 C.F.R.
				  Parts 35 and 36, Accessibility for Persons with Disabilities in Public Entities
				  and Public Accommodations;
c. R.I.
				  Gen. Laws §
													42-26-13 Open Meetings-Accessibility for Persons with Disabilities; 510-RICR- 00-00-17,
				  RISBC-  17   P ublic Meetings Accessibility Standard;
3. Construction, Division of Occupational
				  Safety, Rhode Island Department of Labor and Training, incorporated at §
												4.2(I)   of
				  this Part;
4. R.I. Gen. Laws §
												16-21-5.1,
				  "Carbon monoxide detectors required in school buildings;
5.
												§ 450-RIC R- 00-00 - 7.1.10 of the
				  Fire Safety Code Board of Appeal and Review's Fire Safety Code; and,
6. 200-RICR- 20-05-4, Rhode Island School
				  Construction Regulations
7. Such
				  other applicable statutory and regulatory provisions.
Rhode Island Code of Regulations › Title 216 - Department of health › Chapter 20 - Community Health › Subchapter 10 - Screening, Medical Services, and Reporting › Part 4 - School Health Programs › Section 216-RICR-20-10-4.28 - Existing School Buildings/General Requirements

Current through June 14, 2024
A. All
				  existing structures must comply with all applicable Federal, State and local
				  laws, codes, Regulations, and ordinances including but not limited to the
				  following regulatory requirements enforced by the specified agency:
1. 510-RICR- 00-00-13, Standards for Existing
				  Schools, through the local building officials or the State Building
				  Commissioner;
2. Where applicable,
				  the Federal and State accessibility for persons with disability standards:
a. R.I. Gen. Laws §
												37-8-15,
				  "Access for People with Disabilities";
b. The Federal Rehabilitation Act of 1973, as
				  amended, (29 U.S.C. §
													791
et seq
.) § 504,   34    C.F.R. Part 104, Program Accessibility for Persons with Disabilities and the
				  Americans with Disabilities Act of 1990 (42 U.S.C. §
													12101
et seq
.), C.F.R. Parts
				  35 and 36, Accessibility for Persons with Disabilities in Public Entities and
				  Public Accommodations;
c. R.I. Gen.
				  Laws §
												42-26-13 Open Meetings--Accessibility for Persons with Disabilities; 510-RICR- 00-00-17,
				  RISBC-  17   P ublic Meetings Accessibility Standard
3. R.I. Gen. Laws Chapter 23-24.9, "Mercury
				  Reduction and Education Act;"
4. 29
				  C.F.R. Parts 1910 and 1926, Construction, Division of Occupational Safety, R.I.
				  Department of Labor and Training;
5. R.I. Gen. Laws §
											16-21-5.1,
				  "Carbon monoxide detectors required in school buildings;
6. R.I. Gen. Laws Chapter 23-28.12 and §
											7, Chapters 1 through 8 and
				  Chapters 24 through 43 of 450-RICR- 00-00-7, RI Fire Code; and,
7. Such other applicable statutory or
				  regulatory requirements.
Rhode Island Code of Regulations › Title 216 - Department of health › Chapter 20 - Community Health › Subchapter 10 - Screening, Medical Services, and Reporting › Part 4 - School Health Programs › Section 216-RICR-20-10-4.29 - Pesticide Applications and Notification of Pesticide Applications at Schools

Current through June 14, 2024
All school buildings are subject to the provisions of R.I.
					 Gen. Laws §
										23-25-37 for the notification and application of pesticides.
Rhode Island Code of Regulations › Title 216 - Department of health › Chapter 20 - Community Health › Subchapter 10 - Screening, Medical Services, and Reporting › Part 4 - School Health Programs › Section 216-RICR-20-10-4.30 - Asbestos

Current through June 14, 2024
All school buildings are subject to the provisions of R.I.
					 Gen. Laws Chapter 23-24.5 and Part 50-15-1 of this Title, Asbestos
					 Control.
Rhode Island Code of Regulations › Title 216 - Department of health › Chapter 20 - Community Health › Subchapter 10 - Screening, Medical Services, and Reporting › Part 4 - School Health Programs › Section 216-RICR-20-10-4.31 - Lead

Current through June 14, 2024
All schools serving children under the age of six (6) years
					 (e.g., kindergartens, day care sites) are subject to the provisions of R.I.
					 Gen. Laws Chapter 23-24.6 and Part 50-15-3 of this Title, Lead Poisoning
					 Prevention.
Rhode Island Code of Regulations › Title 216 - Department of health › Chapter 20 - Community Health › Subchapter 10 - Screening, Medical Services, and Reporting › Part 4 - School Health Programs › Section 216-RICR-20-10-4.32 - Radon

Current through June 14, 2024
All school buildings are subject to the provisions of R.I.
					 Gen. Laws Chapter 23-61 and Part 50-15-2 of this Title, Radon
					 Control.
Rhode Island Code of Regulations › Title 216 - Department of health › Chapter 20 - Community Health › Subchapter 10 - Screening, Medical Services, and Reporting › Part 4 - School Health Programs › Section 216-RICR-20-10-4.33 - Latex Gloves

Current through June 14, 2024
Any school that utilizes latex gloves must do so in
					 accordance with the provisions of Subchapter 15 Part 3 of this Chapter, Use of
					 Latex Gloves by Health Care Workers, in Licensed Health Care Facilities, and by
					 Other Persons, Firms, or Corporations Licensed or Registered by the
					 Department.
Rhode Island Code of Regulations › Title 216 - Department of health › Chapter 20 - Community Health › Subchapter 10 - Screening, Medical Services, and Reporting › Part 4 - School Health Programs › Section 216-RICR-20-10-4.34 - Food Service

Current through June 14, 2024
A. Food service in
				  all schools, including food service facilities, must comply with the following
				  statutory and regulatory provisions relating to food protection including, but
				  not limited to:
1. R.I. Gen. Laws Chapter
				  21-27 and §23-1-31;
2. Part 50-10-1 of this Title, Rhode Island
				  Food Code;
3. Part 50-10-2 of this
				  Title, Certification of Managers in Food Safety.
Rhode Island Code of Regulations › Title 216 - Department of health › Chapter 20 - Community Health › Subchapter 10 - Screening, Medical Services, and Reporting › Part 4 - School Health Programs › Section 216-RICR-20-10-4.35 - Health Room

Current through June 14, 2024
A. Schools must
				  have a designated health room(s) to be utilized for health services. The
				  room(s) must be equipped with no less than the following accommodations:
1. Within the health room:
a. Hand washing facilities, including warm
				  (not to exceed one hundred twenty degrees Fahrenheit (120° F) [forty-nine
				  degrees Celsius (49° C)]) and cold running water, soap dispensers and soap
				  (liquid or powdered), and either disposable towels or a heated-air hand drying
				  device;
b. A cot or other suitable
				  area for reclining, with accommodations for privacy;
c. All supplies necessary for the disposal of
				  biohazardous waste, including but not limited to, a sharps container that must
				  be managed in accordance with the requirements of 250- RICR- 140-15-1, Rhode
				  Island Department of Environmental Management Medical Waste
				  Regulations;
d. A secure medication
				  storage area, including a locked storage site for controlled
				  substances;
e. A
				  telephone;
Rhode Island Code of Regulations › Title 216 - Department of health › Chapter 20 - Community Health › Subchapter 10 - Screening, Medical Services, and Reporting › Part 4 - School Health Programs › Section 216-RICR-20-10-4.36 - Sanitation Facilities

Current through June 14, 2024
A. The premises of
				  each school must include an appropriate number of hand washing facilities,
				  toilets, and drinking fountains for all students and school personnel and must
				  be maintained in a working and sanitary condition as determined by RIDOH and in
				  accordance with the most recent version of the Code of Federal Regulations of
				  the Division of Occupational Safety, R.I. Department of Labor and Training.
1. Hand washing facilities: In addition, hand
				  washing facilities must have cold and warm (not to exceed one hundred twenty
				  degrees Fahrenheit (120° F) [forty-nine degrees Celsius (49° C)])
				  running water and be stocked at all times with soap dispensers and soap (liquid
				  or powdered) and either disposable towels or a heated-air hand drying device.
				  An adequate number of alcohol-based personal hand washing stations for students
				  and teachers must also be available within school premises in accordance with
				  Executive Order 07-01.
2. Toilets:
				  At a minimum, the following ratios of toilets must be accessible to students:
Type of School
Minimum Ratio of Toilets per Student
Boys
Girls
Elementary School
1:40
1:35
Secondary School
1:75
Urinals 1:30
1:45
3.
				  Showers: In those schools where shower facilities are in use, they must be
				  properly cleaned and maintained and supplied with cold and warm (not to exceed
				  one hundred twenty degrees Fahrenheit (120° F) [forty-nine degrees Celsius
				  (49° C)]) running water.
4. All
				  sanitation facilities must be accessible to persons with disabilities in
				  accordance with all applicable local, State and Federal laws and
				  Regulations.
Rhode Island Code of Regulations › Title 216 - Department of health › Chapter 20 - Community Health › Subchapter 10 - Screening, Medical Services, and Reporting › Part 4 - School Health Programs › Section 216-RICR-20-10-4.37 - Housekeeping

Current through June 14, 2024
Each school must maintain a comprehensive list of all
					 solutions, compounds and other products used in and around the school for
					 cleaning and maintenance. This list must include, but not be limited to,
					 cleaning products used in all parts of the school, lawn care products used on
					 school campus, and products used to maintain facilities such as swimming pools.
					 The list must be kept in a readily accessible location, such as the school
					 administrative office, be updated regularly and provided to any individual upon
					 request.
Rhode Island Code of Regulations › Title 216 - Department of health › Chapter 20 - Community Health › Subchapter 10 - Screening, Medical Services, and Reporting › Part 4 - School Health Programs › Section 216-RICR-20-10-4.38 - Swimming Pools

Current through June 14, 2024
Swimming pools are subject to the statutory provisions of
					 R.I. Gen. Laws Chapter 23-22 and any other applicable law relating to Part
					 50-05-4 of this Title, Licensing Aquatic Venues.
Rhode Island Code of Regulations › Title 216 - Department of health › Chapter 20 - Community Health › Subchapter 10 - Screening, Medical Services, and Reporting › Part 4 - School Health Programs › Section 216-RICR-20-10-4.39 - Water Supply

Current through June 14, 2024
A. Each school
				  building must be furnished with an adequate supply of potable water in
				  accordance with Part 50-05-1 of this Title, Public Drinking Water.
1. Potable water must be supplied to all food
				  service areas, lavatories, janitorial and shower areas.
2. An adequate supply of potable drinking
				  water must be available for consumption through a sufficient number of
				  well-maintained and accessible sources and in accordance with 510-RICR-
				  00-00-3, RISBC-  3   R hode Island Plumbing Code.
Rhode Island Code of Regulations › Title 216 - Department of health › Chapter 20 - Community Health › Subchapter 10 - Screening, Medical Services, and Reporting › Part 4 - School Health Programs › Section 216-RICR-20-10-4.40 - Tobacco

Current through June 14, 2024
School buildings, school campus, and all facilities used by
					 a school, are subject to the provisions of R.I. Gen. Laws Chapters 23-20.9
					 entitled "Smoking in Schools" and Chapter 23-20.10 the "Public Health and
					 Workplace Safety Act".
4.40.1
Violations and Penalties
In accordance with R.I. Gen. Laws Chapter 23-20.10 if an
					 employer violates the provisions of the statute, civil penalties will be levied
					 in accordance with R.I. Gen. Laws §§
											23-20.10-10 and
					  23-20.10-14.
Rhode Island Code of Regulations › Title 216 - Department of health › Chapter 20 - Community Health › Subchapter 10 - Screening, Medical Services, and Reporting › Part 4 - School Health Programs › Section 216-RICR-20-10-4.41 - School Safety

Current through June 14, 2024
4.41.1
School
				  Safety Assessments
The school district of each city, town, and regional school
					 department is required to conduct an assessment every three (3) years to
					 examine the safety of each school building in accordance with R.I. Gen Laws
					 §
											16-21-23(a).
4.41.2
School Safety
				  Teams
The school committee or superintendent of each city, town,
					 and regional school department is required to appoint a school safety team and
					 a school crisis response team in accordance with R.I. Gen. Laws §§
											16-21-23(b)
					 through (c).
4.41.3
School Safety Plans
A. In accordance with R.I. Gen. Laws §
											16-21-23(b),
				  the school committee of each city, town, and regional school department is
				  required to adopt a comprehensive school safety plan that addresses
				  preparedness, response and recovery and meets the policy and procedure
				  requirements in R.I. Gen. Laws §
											16-21-24.
1. The school safety plan must include best
				  practices and relevant provisions of the current State model plan as published
				  by RIDE including:
a. Guidance for
				  communicating threats of violence or harm to the specifically identifiable
				  student(s) and/or school personnel who are the subject of said threats by
				  individuals or groups.
b. Standards
				  for determining those threats of violence or harm that meet the threshold of
				  seriousness and reasonableness so that communication of said threats to
				  specifically identifiable students and/or school personnel is
				  justified;
Rhode Island Code of Regulations › Title 216 - Department of health › Chapter 20 - Community Health › Subchapter 10 - Screening, Medical Services, and Reporting › Part 4 - School Health Programs › Section 216-RICR-20-10-4.42 - Weapons and Firearms

Current through June 14, 2024
A. All schools are
				  required to have policies prohibiting possession of firearms and other weapons
				  and imposing penalties for such possession in conformity with R.I. Gen. Laws
				  §
										16-21-18 and the " Gun Free Schools Act,"20 U.S.C. §
											8921
et seq
.
1. All school districts must ensure the
				  discipline policies regarding incidents of students in possession of weapons
				  are imposed on a case-by-case basis.
Rhode Island Code of Regulations › Title 216 - Department of health › Chapter 20 - Community Health › Subchapter 10 - Screening, Medical Services, and Reporting › Part 4 - School Health Programs › Section 216-RICR-20-10-4.43 - Alcohol and Other Drugs

Current through June 14, 2024
A. All schools are
				  required to have policies regarding possession of alcohol and other drugs and
				  must have on-going prevention activities and programs as supported by the "
				  Safe and Drug-Free Schools and Communities Act,"20 U.S.C. §
											7101
et seq
.
1. All school districts must ensure that the
				  discipline policies regarding incidents of students in possession of alcohol or
				  drugs are imposed on a case-by-case basis.
Rhode Island Code of Regulations › Title 216 - Department of health › Chapter 20 - Community Health › Subchapter 10 - Screening, Medical Services, and Reporting › Part 4 - School Health Programs › Section 216-RICR-20-10-4.44 - Recreational Facilities

Current through June 14, 2024
A. All recreation
				  facilities and areas, including gymnasiums, playgrounds, and athletic fields
				  must be maintained and operated in a safe manner, including, at a minimum, the
				  following provisions:
1. Playground surfaces
				  and equipment must demonstrate compliance with all applicable guidelines of the
				  most recent version of the Handbook for Public Playground Safety issued by the
				  U.S. Consumer Products Safety Commission incorporated at §
											4.2(B)   of
				  this Part.
Rhode Island Code of Regulations › Title 216 - Department of health › Chapter 20 - Community Health › Subchapter 10 - Screening, Medical Services, and Reporting › Part 4 - School Health Programs › Section 216-RICR-20-10-4.45 - Vehicular and Pedestrian Traffic Safety

Current through June 14, 2024
A.
				  Each school is required to develop written procedures or protocols to reduce
				  the risk of motor vehicle injuries and exposure to motor vehicle exhaust fumes
				  among students. These procedures must be reviewed annually by school
				  representatives and local police authorities and must address no less than the
				  following issues:
1. Arrival and departure
				  areas for busses, private automobiles, bicyclists, and pedestrians;
2. Parking and idling locations for motor
				  vehicles, including busses;
3.
				  Signage and crosswalks;
4. Traffic
				  flow on and adjacent to school campus; and,
5. Emergency procedures.
Rhode Island Code of Regulations › Title 216 - Department of health › Chapter 20 - Community Health › Subchapter 10 - Screening, Medical Services, and Reporting › Part 4 - School Health Programs › Section 216-RICR-20-10-4.46 - Asset Protection

Current through June 14, 2024
Each public school and district is subject to the
					 provisions of R.I. Gen. Laws Chapter 16-7.1, requiring all public schools and
					 districts to provide an annual asset protection plan to the Commissioner of
					 RIDE.
Rhode Island Code of Regulations › Title 216 - Department of health › Chapter 20 - Community Health › Subchapter 10 - Screening, Medical Services, and Reporting › Part 4 - School Health Programs › Section 216-RICR-20-10-4.47 - Enforcement

Current through June 14, 2024
A. Pursuant to the provisions of R.I. Gen.
				  Laws §
										16-5-30,
				  the Commissioner of RIDE may for violation or neglect of law or for violation
				  or neglect of Rules and Regulations in pursuance of law by any city or town or
				  city or town officer or school committee, order the General Treasurer to
				  withhold the payment of any portion of the public money that has been or may be
				  apportioned to the city or town.
B.
				  The General Treasurer upon the receipt in writing of the order shall hold the
				  public money due the city or town until such time as the Commissioner by
				  writing requests the withheld funds for the purposes of eliminating the
				  violation or neglect of law or Regulation that caused the order to be issued,
				  or the Commissioner of RIDE shall notify the Treasurer that the city or town
				  has complied with the order as the Department shall make in the premises, in
				  which case payment shall be made to the town forthwith.
C. The Council on Elementary and Secondary
				  Education shall report to the General Assembly annually all infractions of
				  school law which shall be brought to its attention, with a record of such
				  action as the Department shall have taken in each instance.
Rhode Island Code of Regulations › Title 216 - Department of health › Chapter 20 - Community Health › Subchapter 10 - Screening, Medical Services, and Reporting › Part 4 - School Health Programs › Section 216-RICR-20-10-4.48 - Laboratories, Shops and Other Special Purpose Areas

Current through June 14, 2024
A.
				  Special purpose areas of school facilities that must include, but not be
				  limited to, the cafeteria, home economics laboratory, industrial arts and
				  vocational laboratories, art rooms, and science laboratories must be in
				  compliance with the following provisions:
1.
				  Rhode Island Department of Labor and Training "OSHA Regulations 1910"
				  Occupational Safety and Health Standards, as filed with the Secretary of State
				  pursuant to R.I. Gen. Laws Chapter 28-20;
2.  29 C.F.R. Part 1200, General Industry
				  Standards 1910. Hazardous Communication that requires employers to maintain in
				  the workplace copies of the required material safety data sheets for each
				  hazardous chemical, and must ensure that they are readily accessible during
				  each work shift to employees when they are in their work area(s), and to
				  provide training in accordance with State and Federal Regulations.
3. Rhode Island Department of Labor and
				  Training "OSHA Regulations 1926": Safety and Health Regulations for
				  Construction, as filed with the Secretary of State pursuant to R.I. Gen. Laws
				  Chapter 28-20;
4. R.I. Gen. Laws
				  §
											16-7-24,
				  entitled "Minimum Appropriation by a Community for Approved School
				  Expenses";
5. Rhode Island Council
				  on Elementary and Secondary Education's Basic Education Program (BEP) 200-RICR-
				  20-10-1.
Rhode Island Code of Regulations › Title 216 - Department of health › Chapter 20 - Community Health › Subchapter 10 - Screening, Medical Services, and Reporting › Part 5 - Epinephrine Auto-Injectors for Emergency Administration › Section 216-RICR-20-10-5.1 - Authority

Current through June 14, 2024
Tliese regulations are established pursuant to the
					 authority conferred under R.I. Gen. Laws Chapter 23-6.4. for the purpose of
					 establishing the procedures for an authorized entity to acquire and maintain a
					 supply of epinephrine auto-injectors for administration to an individual
					 experiencing anaphylaxis.
Rhode Island Code of Regulations › Title 216 - Department of health › Chapter 20 - Community Health › Subchapter 10 - Screening, Medical Services, and Reporting › Part 5 - Epinephrine Auto-Injectors for Emergency Administration › Section 216-RICR-20-10-5.2 - Definitions

Current through June 14, 2024
A. Wherever used in this Part, the following
				  terms shall be construed as follows:
1. "Act"
				  means R.I. Gen Laws Chapter 23-6.4, entitled "Life-saving Allergy Medication -
				  Stock Supply of Epinephrine Auto-Injectors - Emergency
				  Administration."
2. "Administer"
				  means the direct application of an epinephrine auto-injector to the body of an
				  individual.
3. "Authorized entity"
				  means any entity or organization at, or in connection with, where allergens
				  capable of causing anaphylaxis may be present, as specified in § 5.3.1 of
				  this Part.
4. "Authorized health
				  care provider" means a physician, nurse, or other person duly authorized by
				  law, in the state in which they practice, to prescribe drugs.
5. "Department" means the Rhode Island
				  Department of Health.
6. "Director"
				  means the Director of the Rhode Island Department of Health.
7. "Epinephrine auto-injector" means a
				  single-use device used for the automatic injection of a premeasured dose of
				  epinephrine into the human body.
8.
				  "Provide" means the supplying of one or more epinephrine auto-injectors to an
				  individual.
Rhode Island Code of Regulations › Title 216 - Department of health › Chapter 20 - Community Health › Subchapter 10 - Screening, Medical Services, and Reporting › Part 5 - Epinephrine Auto-Injectors for Emergency Administration › Section 216-RICR-20-10-5.3 - Applicability

Current through June 14, 2024
This Part applies to authorized health care providers,
					 pharmacists and authorized entities, as defined by the Act and this
					 Part.
5.3.1
Authorized
				  Entity
A. Pursuant to R.I. Gen. Laws
				  §
											23-6.4-1(2),
				  the Director has determined that the following entities and organizations are
				  considered authorized entities:
1. A food
				  business required to register with the Department on an annual basis pursuant
				  to R.I. Gen. Laws §
												21-27-10;
2. A pre-school, school, college or
				  university as defined in the Department's rules and regulations pertaining to
				  Immunization and Communicable Disease Testing in Preschool, School, Colleges or
				  Universities (Part 30-05-3 of this Title);
3. A family day care home as defined in R.I.
				  Gen. Laws §
												23-28.1-5(5);
4. A place of assembly as specified in R.I.
				  Gen. Laws Chapter 23-28.6;
5. A
				  state or local governmental agency or facility;
6. An organized athletic team, league or
				  association; and
7. A place of
				  employment which provides in-house employee health services.
Rhode Island Code of Regulations › Title 216 - Department of health › Chapter 20 - Community Health › Subchapter 10 - Screening, Medical Services, and Reporting › Part 5 - Epinephrine Auto-Injectors for Emergency Administration › Section 216-RICR-20-10-5.4 - Training for Use of Epinephrine Auto-injectors

Current through June 14, 2024
A.
				  Anaphylaxis training must be completed in accordance with R.I. Gen. Laws §
										23-6.4-6.
1. A healthcare provider (e.g., physician,
				  physician assistant, nurse, EMT, etc.) who is currently licensed by the
				  Department, and who has received anaphylaxis training as part of their
				  professional development, is not required to complete this additional
				  training.
5.4.1
Operations
				  Plan Required
Rhode Island Code of Regulations › Title 216 - Department of health › Chapter 20 - Community Health › Subchapter 10 - Screening, Medical Services, and Reporting › Part 5 - Epinephrine Auto-Injectors for Emergency Administration › Section 216-RICR-20-10-5.5 - Reporting Requirements

Current through June 14, 2024
Authorized entities must comply with the reporting
					 requirements contained in R.I. Gen. Laws §
										23-6.4-8.
					 Such reporting must occur according to procedures and format required by the
					 Department.
Rhode Island Code of Regulations › Title 216 - Department of health › Chapter 20 - Community Health › Subchapter 10 - Screening, Medical Services, and Reporting › Part 6 - Termination of Pregnancy (216-RICR-20-10-6) › Section 216-RICR-20-10-6.1 - Authority

Current through June 14, 2024
These rules and regulations are promulgated pursuant to the
					 authority set forth in R.I. Gen. Laws §
										23-1-1 for the purpose of safeguarding the health, safety, and welfare of women
					 undergoing a termination of pregnancy.
Rhode Island Code of Regulations › Title 216 - Department of health › Chapter 20 - Community Health › Subchapter 10 - Screening, Medical Services, and Reporting › Part 6 - Termination of Pregnancy (216-RICR-20-10-6) › Section 216-RICR-20-10-6.2 - Definitions

Current through June 14, 2024
A. Wherever used in these regulations, the
				  following terms shall be construed as follows:
1. "Fetal death", as defined in R.I. Gen.
				  Laws §
											23-3-1(3),
				  means death prior to the complete expulsion or extraction from its mother of a
				  product of human conception, irrespective of the duration of pregnancy; the
				  death is indicated by the fact that after such expulsion or extraction the
				  fetus does not breathe or show any other evidence of life such as beating of
				  the heart, pulsation of the umbilical cord, or definite movement of the
				  voluntary muscles.
2. "Gestation"
				  means the duration of the pregnancy computed from the first day of the last
				  menstrual period, or based upon clinical judgment of the examining physician
				  (or other licensed health care practitioner acting within his/her scope of
				  practice) when that date is unreliable.
3. "Gestational age" means the estimated age
				  of the fetus based upon anatomical characteristics of the fetus.
4. "Physician" means a person authorized or
				  licensed to practice medicine or osteopathy pursuant to R.I. Gen. Laws
				  §5-37.
5. "R.I. Gen. Laws"
				  means Rhode Island General Laws, as amended.
6. "Termination of a pregnancy" or
				  "Termination" shall mean administering to a woman any medicine, drug,
				  substance, or thing whatever, or the employment upon her of any instrument or
				  other means whatever, with intent to procure or induce the miscarriage of such
				  woman. (The term "abortion" is not used in these regulations, since it applies
				  to both spontaneous and induced fetal loss).