reglab/statecodes huggingface dataset:
Washington Administrative Code › Title 246 - Health, Department of › PARENT/CHILD HEALTH › Chapter 246-710 - Children and youth with special health care needs (cyshcn) program › Section 246-710-080 - Third-party resources

Current through Register Vol. 24-14, July 15, 2024
The department shall be the payor of last resort to all
				  private and other publicly funded health programs. The department may pay for
				  services with DX/TX funds only after payment by all entitlement programs and
				  all other private and public funding resources have been exhausted, except
				  where prohibited by federal law.
Statutory Authority: RCW  43.20.140. 99-01-100, §
					 246-710-080, filed 12/17/98, effective 1/17/99. Statutory Authority:
					 RCW
					  43.20.050. 91-02-051 (Order 124B), recodified
					 as § 246-710-080, filed 12/27/90, effective 1/31/91. Statutory Authority:
					 RCW  43.20.140 and
					 43.20.050. 83-01-002 (Order 247),
					 § 248-105-090, filed 12/2/82.
Washington Administrative Code › Title 246 - Health, Department of › PARENT/CHILD HEALTH › Chapter 246-710 - Children and youth with special health care needs (cyshcn) program › Section 246-710-090 - Repayment

Current through Register Vol. 24-14, July 15, 2024
Repayment to the department from the provider, family or
				  other source is required should insurance benefits, trusts, court-awarded
				  damages or similar funds become available, and where payments have been made to
				  the vendor or provider for services paid for by DX/TX funds. A provider shall
				  provide repayment to the department for overpayment made for services paid out
				  of DX/TX funds. In instances where repayment is required, the vendor or
				  provider must refund the DX/TX payment to the local CYSHCN agency payable to
				  the department which the local CYSHCN agency must transfer to the
				  department.
Statutory Authority: RCW  43.20.140. 99-01-100, §
					 246-710-090, filed 12/17/98, effective 1/17/99. Statutory Authority:
					 RCW
					  43.20.050. 91-02-051 (Order 124B), recodified
					 as § 246-710-090, filed 12/27/90, effective 1/31/91. Statutory Authority:
					 RCW  43.20.140 and
					 43.20.050. 83-01-002 (Order 247),
					 § 248-105-100, filed 12/2/82.
Washington Administrative Code › Title 246 - Health, Department of › PARENT/CHILD HEALTH › Chapter 246-710 - Children and youth with special health care needs (cyshcn) program › Section 246-710-100 - Neurodevelopmental centers (NDCs)

Current through Register Vol. 24-14, July 15, 2024
(1) For
				the purposes of this section, "neurodevelop-mental center (NDC) of excellence"
				means a department-designated nonprofit agency, hospital, or other organization
				located in Washington state that provides multidisciplinary pediatric
				assessment and treatment services including outreach, evaluation, diagnosis,
				treatment planning, and specialized therapies to CYSHCN up to twenty-one years
				of age.
(2) NDCs provide
				evaluation, diagnosis, and coordinated therapies and may also, at the
				discretion of a child's primary care provider, refer for additional medical
				specialty consultation.
(3) NDCs
				may be designated by the department as neu-rodevelopmental centers of
				excellence. In order to be considered for NDC designation by the department, a
				NDC shall:
(a) Be licensed or capable of
				becoming licensed to do business in the state of Washington;
(b) Maintain a formal relationship with a
				designated medical director with specialized pediatric training; and
(c) Employ occupational therapists licensed
				under chapter 18.59 RCW, physical therapists licensed under chapter 18.74 RCW,
				and speech language pathologists licensed under chapter 18.35 RCW with
				pediatric training on staff.
Washington Administrative Code › Title 246 - Health, Department of › PARENT/CHILD HEALTH › Chapter 246-710 - Children and youth with special health care needs (cyshcn) program › Section 246-710-110 - Data sharing

Current through Register Vol. 24-14, July 15, 2024
(1) The
				department's CYSHCN program has a federal mandate under Title V of the Social
				Security Act (42 U.S.C.
				701 et seq.) to ensure that the HCA-medicaid
				program is made aware of medicaid-enrolled recipients of services through Title
				V. The purpose of this mandate is to ensure the medicaid agency is able to
				identify a child or youth who has special health care needs in order for the
				authority to offer care coordination and other services.
(2) The department shall take appropriate
				measures to safeguard any information gathered, and shall share information
				with only those agencies with a legitimate need to know or to comply with
				federal law. Consent to share client information with agencies outside of the
				local CYSHCN agency requires a separate release of information form signed by
				the parent or guardian.
(3) The
				department may create and release data files for public use, provided that
				these files do not contain any direct or indirect patient
				identifiers.
(4) The following
				definitions apply for the purpose of this section:
(a) "Direct identifier" means a single data
				element that identifies an individual person.
(b) "Indirect identifier" means a single data
				element that on its own might not identify an individual person, but when
				combined with other indirect identifiers is likely to identify an individual
				person.
Washington Administrative Code › Title 246 - Health, Department of › PARENT/CHILD HEALTH › Chapter 246-720 - Human donor milk bank standards › Section 246-720-001 - Purpose and applicability

Current through Register Vol. 24-14, July 15, 2024
The purpose of this rule is to promote and establish
				  consistent standards for milk banks that provide health care facilities and
				  providers and International Board-Certified Lactation Consultants donated human
				  milk or human milk derived products prescribed for inpatient use that will be
				  billed to an insurance carrier. To qualify for certification a milk bank must
				  comply with this chapter, RCW   41.05.017, chapters 43.70, 48.43, and 74.09 RCW,
				  and any other state or federal requirements.
Washington Administrative Code › Title 246 - Health, Department of › PARENT/CHILD HEALTH › Chapter 246-720 - Human donor milk bank standards › Section 246-720-010 - Definitions

Current through Register Vol. 24-14, July 15, 2024
The definitions in this section apply throughout this chapter
				  unless the context clearly requires otherwise.
(1) "Adulterated" means the addition of a
				substance other than human milk to artificially increase the volume of a
				donation to a milk bank.
(2)
				"Compensation" means monetary or in-kind payment or donation to either a milk
				donor or a third party made in exchange for donated human milk.
(3) "Current good manufacturing practice" or
				"CGMP" means the regulations adopted by the United States Food and Drug
				Administration (FDA) under Title 21, Chapter 1, Subchapter B, Part 117 of the
				Code of Federal Regulations.
(4)
				"Department" means the Washington state department of health.
(5) "Donor human milk" means human milk that
				has been contributed to a milk bank by one or more donors.
(6) "Food safety plan" or "FSP" means a
				written plan to significantly minimize or prevent biological, chemical, and
				physical hazards in a milk bank.
(7) "Human milk derived product" means donor
				human milk which has been processed to alter or concentrate the nutrient
				composition including, but not limited to, human milk derived
				fortifiers.
(8) "Milk bank" means
				an organization that engages in the procurement, processing, storage,
				distribution, or use of human milk contributed by donors. This definition does
				not include hospitals that act as milk collection sites or milk depots, or that
				procure, store, distribute or use donor milk received from an offsite milk
				bank.
(9) "Milk depot" means a
				drop-off or collection site for donor milk that then gets transported to a milk
				bank.
(10) "Milk donor" means a
				lactating person who has passed a health screening and voluntarily donates
				milk.
(11) "Preventive controls
				qualified individual" or "PCQI" means a person who has completed a formal
				certification program through the Food Safety Preventive Controls Alliance
				(FSPCA).
(12) "Processing" means
				the use of evidence-based methodologies to prepare safe milk for recipients
				including, but not limited to, pasteurization.
(13) "Unit of alcohol" means a standard drink
				which contains 0.6 ounces (14.0 grams or 1.2 tablespoons) of pure
				alcohol.
Washington Administrative Code › Title 246 - Health, Department of › PARENT/CHILD HEALTH › Chapter 246-720 - Human donor milk bank standards › Section 246-720-020 - Milk bank organizational structure

Current through Register Vol. 24-14, July 15, 2024
A milk bank must, at a minimum, have:
(1) An executive director or milk bank
				coordinator to oversee business, clinical, and laboratory operations;
(2) A medical director who provides clinical
				guidance and policy review;
(3)
				Staff, including health care professionals, donor screeners, and lab
				technicians, who demonstrate:
(a) Knowledge of
				food safety, food processing, PCQI training content, and applicable municipal,
				state, and federal regulations; and
(b) Documented on-going education and
				training critical to the safe provision of donor human milk;
Washington Administrative Code › Title 246 - Health, Department of › PARENT/CHILD HEALTH › Chapter 246-720 - Human donor milk bank standards › Section 246-720-030 - Screening milk donors

Current through Register Vol. 24-14, July 15, 2024
A milk bank must screen a milk donor consistent with the
				  requirements of this section in order to register with the department.
(1) A milk bank must screen a milk donor
				prior to their first milk donation including, but not limited to:
(a) A donor must be screened verbally or in
				writing and provided educational materials. Screenings must be conducted in the
				language in which the donor is most comfortable communicating whenever
				possible. Educational materials provided to milk donors must also be written in
				the language of the milk donor's choice.
(b) A milk bank must serologically screen a
				potential milk donor for human immunodeficiency virus (HIV)-1 and -2, human
				T-lymphotropic virus (HTLV)-1 and -2, hepatitis C, hepatitis B, and
				syphilis.
(c) As part of the
				screening process, a milk bank must instruct a milk donor about situations in
				which they must temporarily or permanently discontinue donation and report such
				situations to the milk bank.
Washington Administrative Code › Title 246 - Health, Department of › PARENT/CHILD HEALTH › Chapter 246-720 - Human donor milk bank standards › Section 246-720-040 - Milk handling restrictions

Current through Register Vol. 24-14, July 15, 2024
A milk bank must meet the following milk handling
				  restrictions in order to register with the department:
(1) Milk may not be donated if it has been
				heat-treated in any way by the milk donor.
(2) Milk may be temporarily stored by a milk
				donor in the refrigerator for a maximum of 96 hours before being moved to the
				freezer for long-term storage.
(3)
				Milk that has been frozen for storage purposes expires one year from the date
				of expression and may not be donated.
Washington Administrative Code › Title 246 - Health, Department of › PARENT/CHILD HEALTH › Chapter 246-720 - Human donor milk bank standards › Section 246-720-050 - Milk donor education and procedures

Current through Register Vol. 24-14, July 15, 2024
(1)
				A milk bank must instruct a milk donor verbally or in writing, in a language of
				the donor's choice about:
(a) Potential risks
				such as medication, dietary supplement, and herbal supplement use, illnesses,
				and recreational drug use;
(b) The
				potential that the milk bank may require a milk donor to defer or cease
				donation in the event the milk bank identifies risks related to the milk
				donor;
(c) Appropriate methods for
				clean expression, handling, storage, and transportation of human milk;
				and
(d) Contacting the milk bank to
				report household illnesses and any changes in the milk donor's health status or
				medication use.
Washington Administrative Code › Title 246 - Health, Department of › PARENT/CHILD HEALTH › Chapter 246-720 - Human donor milk bank standards › Section 246-720-060 - Milk bank standard operating procedures

Current through Register Vol. 24-14, July 15, 2024
A milk bank must maintain detailed standard operating
				  procedures that are available to all staff. Standard operating procedures must
				  be updated every two years. Standard operating procedures must include, at a
				  minimum, procedures addressing the following:
(1) Donor screening and serological
				testing;
(2) Pasteurization or
				thermal processing;
(3)
				Microbiological testing;
(4)
				Receiving, storage, and transport of donor milk;
(5) Sanitation and cGMPs;
(6) Emergency preparedness;
(7) Recall.
Washington Administrative Code › Title 246 - Health, Department of › PARENT/CHILD HEALTH › Chapter 246-720 - Human donor milk bank standards › Section 246-720-070 - Milk bank minimum operating standards

Current through Register Vol. 24-14, July 15, 2024
A milk bank must meet the following minimum operating
				  standards to register with the department:
(1) A milk processing facility must be
				suitable in size, construction, and design to ensure sanitary operations for
				milk processing activities and comply with all United States Food and Drug
				Administration food manufacturing safety requirements for food manufacturing
				facilities.
(2) Equipment intended
				for milk processing must be used only for milk banking purposes or processing
				of human milk-derived products.
(3)
				Equipment must be cleaned and maintained according to manufacturer's
				instructions or in a method other than the manufacturer's recommendation only
				when otherwise validated as appropriate by the FDA.
(4) Equipment and utensils must be designed
				and made from noncorrosive food grade material that can be adequately cleaned
				and maintained. The design, construction, and use of equipment and utensils
				must not result in contamination of milk.
(5) Freezers must be locked or located in a
				secured area and inaccessible to the public.
(6) Freezer temperatures must be maintained
				at -18°C (0°F) or less.
(7)
				Refrigerator temperatures must be maintained between 1°C and 4°C
				(40°F).
(8) Commercial dish
				washing machines must reach a minimum boost temperature of 82.2°C
				(180°F) with every cycle.
(9)
				Dish washing machine sanitizers and rinse agents must be food safe and
				appropriate for the make and model of the dish washing machine.
(10) Thermometers must be calibrated to a
				National Institute of Standards and Technology (NIST) reference thermometer
				each quarter, or more often if dropped, damaged, or any time a thermometer's
				accuracy is in question.
(11) Each
				milk bank must have a quality assurance program that includes, at a minimum:
(a) cGMP program monitoring and
				recordkeeping, including:
(i) Sanitation and
				pest control schedules and checklists;
(ii) Staff education and training
				records;
(iii) Equipment
				maintenance and calibration schedules and records.
Washington Administrative Code › Title 246 - Health, Department of › PARENT/CHILD HEALTH › Chapter 246-720 - Human donor milk bank standards › Section 246-720-080 - Milk processing

Current through Register Vol. 24-14, July 15, 2024
A milk bank must meet the following milk processing criteria
				  in order to register with the department:
(1) A milk bank must use an electronic
				inventory system to account for every ounce of donated human milk received,
				processed, dispensed, discarded, or used for research.
(2) Donated human milk must be traceable to a
				specific milk donor throughout every step in the collection and donation
				process.
(3) A milk bank must
				maintain detailed logistics records, related to donated human milk including,
				but not limited to, incoming shipping records, receiving date, volume, and the
				condition of the donated human milk.
(4) Frozen donated human milk must be
				gradually thawed in a manner that prevents contamination, with careful
				monitoring and record-keeping documenting adherence to time and temperature
				requirements.
(5) Donated human
				milk from multiple donors may be pooled together to create a uniform batch of
				donor milk. Pooling must be performed with aseptic technique under clean
				conditions and must be adequately mixed to ensure an even macronutrient
				distribution throughout the batch.
(6) Donated human milk must be strained with
				a food grade filter before bottling.
(7) Processed donated human milk must be
				stored in FDA-approved glass or food-grade plastic containers. Containers must
				be airtight and leakproof.
(8)
				Stored donated human milk must be thermally processed, which includes, but is
				not limited to, pasteurization, prior to storage. Following thermal processing,
				milk must be rapidly chilled using either processing equipment manufactured to
				cool milk or ice baths.
(9) Each
				batch of processed donated human milk or human milk-derived products must be
				cultured for bacteria. Post-pasteurization or thermal processing,
				bacteriological testing must be conducted by a third-party accredited lab.
				Clinical labs must maintain Clinical Laboratory Improvement Amendments (CLIA)
				or equivalent certification. Food testing labs must meet International
				Organization for Standardization (ISO)/International Electrotechnical
				Commission (IEC) 17025 standards. Donated human milk or human milk-derived
				products that fail bacteriological testing must not be dispensed.
Washington Administrative Code › Title 246 - Health, Department of › PARENT/CHILD HEALTH › Chapter 246-720 - Human donor milk bank standards › Section 246-720-090 - Additional requirements for donor human milk provided by compensated donors

Current through Register Vol. 24-14, July 15, 2024
A milk bank that obtains donor human milk from donors who are
				  compensated must also test the donor human milk to ensure that it is
				  unadulterated and contains only human milk.
(1) To ensure donor human milk is
				unadulterated a milk bank may use methods including, but not limited to, a milk
				analyzer or DNA testing.
(2) If a
				milk bank finds donated human milk to be adulterated or to contain milk not
				from the milk donor, the milk bank must discard the donated human
				milk.
(3) If a milk bank finds more
				than once that donated human milk from a milk donor is adulterated or contains
				milk not from the screened milk donor, the milk bank must suspend the milk
				donor from participation in milk donation.
Washington Administrative Code › Title 246 - Health, Department of › PARENT/CHILD HEALTH › Chapter 246-720 - Human donor milk bank standards › Section 246-720-100 - Certification

Current through Register Vol. 24-14, July 15, 2024
(1) The department may issue a certification
				to a milk bank that demonstrates to the satisfaction of the department that it
				meets the standards under this chapter.
(2) Certifications are valid for five years
				and may be renewed with the department upon expiration.
(3) To apply for certification, a milk bank
				must submit to the department an application on forms provided by the
				department.
(4) The department may
				deny or revoke a certification for failure to meet minimum standards under this
				chapter.
Washington Administrative Code › Title 246 - Health, Department of › PARENT/CHILD HEALTH › Chapter 246-760 - Auditory and visual standards - School districts › Section 246-760-001 - Purpose and application of auditory and visual screening standards for school districts

Current through Register Vol. 24-14, July 15, 2024
Each board of school directors in the state shall provide
				  for and require screening of the auditory and visual acuity of children
				  attending schools in their districts to determine if any child demonstrates
				  auditory or visual problems that may negatively impact their learning. Each
				  board of school directors shall establish procedures to implement these
				  rules.
Statutory Authority: RCW  28A.210.200. 02-20-079, §
					 246-760-001, filed 9/30/02, effective 10/31/02. Statutory Authority:
					 RCW
					  43.20.050 and
					 28A.210.020. 92-02-019 (Order
					 225B), § 246-760-001, filed 12/23/91, effective 1/23/92. Statutory
					 Authority:
					 RCW
					  43.20.050. 91-02-051 (Order 124B), recodified
					 as § 246-760-001, filed 12/27/90, effective 1/31/91; Order 63, §
					 248-144-010 (codified as WAC 248-148-010), filed
					 11/1/71.
Washington Administrative Code › Title 246 - Health, Department of › PARENT/CHILD HEALTH › Chapter 246-760 - Auditory and visual standards - School districts › AUDITORY ACUITY STANDARDS › Section 246-760-020 - Frequency for schools to screen children

Current through Register Vol. 24-14, July 15, 2024
(1) A school shall conduct auditory and
				  distance vision and near vision acuity screening of children:
(a) In kindergarten and grades one, two,
				  three, five, and seven; and
(b)
				  Showing symptoms of possible loss in auditory or visual acuity and who are
				  referred to the district by parents, guardians, school staff, or student
				  self-report.
Washington Administrative Code › Title 246 - Health, Department of › PARENT/CHILD HEALTH › Chapter 246-760 - Auditory and visual standards - School districts › AUDITORY ACUITY STANDARDS › Section 246-760-030 - What are the auditory acuity screening standards for screening equipment and procedures?

Current through Register Vol. 24-14, July 15, 2024
(1) Schools
				  shall use auditory screening equipment providing tonal stimuli at frequencies
				  at one thousand, two thousand, and four thousand herz (Hz) at hearing levels of
				  twenty decibels (dB), as measured at the earphones, in reference to American
				  National Standards Institute (ANSI) 1996 standards.
(2) Qualified persons will check the
				  calibration of frequencies and intensity at least every twelve months, at the
				  earphones, using equipment designed for audiometer calibration.
Statutory Authority: RCW 28A.210.200. 02-20-079, §
						246-760-030, filed 9/30/02, effective 10/31/02. Statutory Authority:
						RCW
						 43.20.050. 91-02-051 (Order 124B), recodified
						as § 246-760-030, filed 12/27/90, effective 1/31/91. Statutory Authority:
						RCW 28A.31.030. 87-22-010 (Order 306), § 248-148-031, filed
						10/26/87.
Washington Administrative Code › Title 246 - Health, Department of › PARENT/CHILD HEALTH › Chapter 246-760 - Auditory and visual standards - School districts › AUDITORY ACUITY STANDARDS › Section 246-760-040 - What are the procedures for auditory acuity screening?

Current through Register Vol. 24-14, July 15, 2024
(1) Schools shall screen all children
				  referenced in WAC
				  246-760-020 on an individual
				  basis at one thousand, two thousand, and four thousand Hz.
(2) The screener shall:
(a) Present each of the tonal stimuli at a
				  hearing level of twenty dB based on the ANSI 1996 standards;
(b) Conduct screenings in an environment free
				  of extraneous noise;
(c) If at all
				  possible, complete screening within the first semester of each school
				  year;
(d) Place the results of
				  screenings, any referrals, and referral results in each student's health and/or
				  school record; and
(e) Forward the
				  results to the student's new school if the student transfers.
Washington Administrative Code › Title 246 - Health, Department of › PARENT/CHILD HEALTH › Chapter 246-760 - Auditory and visual standards - School districts › AUDITORY ACUITY STANDARDS › Section 246-760-050 - What are the auditory acuity screening referral procedures?

Current through Register Vol. 24-14, July 15, 2024
(1) If a child does
				  not respond to one or more frequencies in either ear:
(a) The school must rescreen the child within
				  six weeks; and
(b) Notify their
				  teachers of the need for preferential positioning in class because of the
				  possibility of decreased hearing; and
(c) Notify the parents or legal guardian of
				  the need for audiological evaluation if the student fails the second
				  screening.
Washington Administrative Code › Title 246 - Health, Department of › PARENT/CHILD HEALTH › Chapter 246-760 - Auditory and visual standards - School districts › AUDITORY ACUITY STANDARDS › Section 246-760-060 - What are the auditory acuity screening qualifications for personnel?

Current through Register Vol. 24-14, July 15, 2024
Each school district shall designate a district audiologist
					 or district staff member having:
(1)
				  Responsibility for administering the auditory screening program; and
(2) Training and experience to:
(a) Develop an administrative plan for
				  conducting auditory screening in cooperation with the appropriate school
				  personnel to ensure the program is carried out efficiently and
				  effectively;
(b) Obtain the
				  necessary instrumentation for carrying out the screening program, and ensuring
				  the equipment is in proper working order and calibration; and
(c) Secure appropriate personnel for carrying
				  out the screening program, if assistance is necessary, and for assuring these
				  personnel are sufficiently trained to:
(i)
				  Understand the purposes and regulations involved in the auditory screening
				  programs; and
(ii) Utilize the
				  screening equipment to ensure maximum accuracy;
(d) Ensure records are made and distributed
				  as appropriate; and
(e) Disseminate
				  information to other school personnel familiarizing them with aspects of a
				  child's behavior indicating the need for referral for auditory
				  screening.
Washington Administrative Code › Title 246 - Health, Department of › PARENT/CHILD HEALTH › Chapter 246-760 - Auditory and visual standards - School districts › VISUAL ACUITY STANDARDS › Section 246-760-070 - Vision screening

Current through Register Vol. 24-14, July 15, 2024
(1) A school
				  shall conduct all vision screening using tools and procedures that are
				  linguistically, developmentally and age-appropriate. For distance vision and
				  near vision acuity screening schools shall use screening tools identified in
				  WAC 246-760-071.
(2) A school shall
				  conduct vision screening according to the tool's instructions and screening
				  protocol and consistent with AAPOS and National Association of School Nurses
				  guidance.
(3) A school is not
				  required to screen a student who has already had a comprehensive vision
				  examination by a licensed vision care professional within the previous twelve
				  months. In order to waive the screening, schools need to have a report or form
				  signed by a licensed vision care professional indicating that an examination
				  has been administered. A school must place this report or form in the student's
				  health record.
(4) A school is not
				  required to screen a student who the school district has reported as having a
				  visual impairment as required under
				  RCW
				   72.40.060.
Statutory Authority: RCW  28A.210.200. 02-20-079, §
						246-760-070, filed 9/30/02, effective 10/31/02. Statutory Authority:
						RCW
						 43.20.050. 91-02-051 (Order 124B), recodified
						as § 246-760-070, filed 12/27/90, effective 1/31/91. Statutory Authority:
						RCW 28A.31.030. 87-22-010 (Order 306), § 248-148-121, filed
						10/26/87.
Washington Administrative Code › Title 246 - Health, Department of › PARENT/CHILD HEALTH › Chapter 246-760 - Auditory and visual standards - School districts › VISUAL ACUITY STANDARDS › Section 246-760-071 - Required and alternative vision screening tools and referral criteria

Current through Register Vol. 24-14, July 15, 2024
(1) A school must
				  use the standardized optotype-based distance vision and near vision acuity
				  screening tools approved for each grade as well as the rescreening and referral
				  criteria by grade outlined in Table 1 of this section. When using a screening
				  tool with a single isolated optotype or a single line of optotypes, the tool
				  must include the use of crowding bars or crowding boxes.
(2) A school may use an instrument-based
				  vision screening device in lieu of the optotype-based tools outlined in this
				  section. Referral using instrument-based vision screening devices is determined
				  through the manufacturer's criteria. If the instrument-based screening device
				  does not generate a result for a student, a school must screen that student
				  using the optotype-based tools outlined in this section.
Table 1
Purpose of Screening
Grade
Screening Tools
Rescreening and Referral
							 Criteria
Distance Vision
Kindergarten
LEA vision test: Single LEA symbol (at 5
							 feet), or HOTV letter
Visual acuity worse than 20/40 in either
							 eye
Distance Vision
Grade one
LEA vision test: Single LEA symbol (at 5
							 feet), or HOTV letter
Visual acuity worse than 20/32 in either
							 eye
Distance Vision
Grades two and above
LEA vision tests: LEA symbols or numbers,
							 or HOTV letters, or Sloan letters
Visual acuity worse than 20/32 in either
							 eye
Near Vision Acuity
Kindergarten
LEA vision tests: LEA symbols near
							 vision, HOTV, or Sloan letters
Visual acuity worse than 20/40 in either
							 eye
Near Vision Acuity
Grade one and above
LEA vision tests: LEA symbols near
							 vision, HOTV, or Sloan letters
Visual acuity worse than 20/32 in either
							 eye
Washington Administrative Code › Title 246 - Health, Department of › PARENT/CHILD HEALTH › Chapter 246-760 - Auditory and visual standards - School districts › VISUAL ACUITY STANDARDS › Section 246-760-080 - Vision screening procedures

Current through Register Vol. 24-14, July 15, 2024
(1)
				  A school shall:
(a) Screen children with
				  their corrective lenses on;
(b)
				  Place the results of screening, any referrals, and referral results in each
				  student's health record; and
(c)
				  Forward the results to the student's new school if the student
				  transfers.
Washington Administrative Code › Title 246 - Health, Department of › PARENT/CHILD HEALTH › Chapter 246-760 - Auditory and visual standards - School districts › VISUAL ACUITY STANDARDS › Section 246-760-090

Current through Register Vol. 24-14, July 15, 2024
Statutory Authority: RCW  28A.210.200. 02-20-079, §
						246-760-090, filed 9/30/02, effective 10/31/02. Statutory Authority:
						RCW
						 43.20.050. 91-02-051 (Order 124B), recodified
						as § 246-760-090, filed 12/27/90, effective 1/31/91. Statutory Authority:
						RCW 28A.31.030. 87-22-010 (Order 306), § 248-148-131, filed
						10/26/87.
Washington Administrative Code › Title 246 - Health, Department of › PARENT/CHILD HEALTH › Chapter 246-760 - Auditory and visual standards - School districts › VISUAL ACUITY STANDARDS › Section 246-760-100 - Qualifications for the visual acuity screening personnel

Current through Register Vol. 24-14, July 15, 2024
(1) Persons performing visual screening may
				  include, but are not limited to, school nurses, school principals, other school
				  personnel, or lay persons who have completed training in vision screening; and
				  ophthalmologists, optometrists, or opticians who donate their professional
				  services to schools or school districts. If an ophthalmologist, optometrist, or
				  optician who donates his or her services identifies a visual problem that may
				  impact a student's learning, the vision professional shall notify the school
				  nurse, or the school principal or his or her designee of the results of the
				  screening in writing but may not contact the student's parents or guardians
				  directly per
				  RCW
				   28A.210.020.
(2) Screening must be performed in a manner
				  consistent with this chapter and
				  RCW
				   28A.210.020. Any person conducting vision
				  screening must be competent to administer screening procedures as a function of
				  their professional training and background or special training and demonstrated
				  competence under supervision by the school nurse, or the school principal or
				  his or her designee.
(3) A lay
				  person shall demonstrate his or her competence at administering the screening
				  tools including controlling for lighting or distractions that could affect the
				  screening results.
(4) Supervision,
				  training, reporting and referral of vision screening shall be the
				  responsibility of the school nurse, or the school principal or his or her
				  designee. The principal or his or her designee must demonstrate his or her
				  competence in vision screening through supervised training by a competent
				  school or public health nurse or licensed vision care professional, have
				  supervisory ability and experience, and have the ability to work well with
				  school staff and lay persons. Ideally, the person should demonstrate the
				  ability to teach vision screening techniques and operations to
				  others.
(5) Students in grades
				  kindergarten through twelve may not assist with or conduct vision screening of
				  other students in their school district, unless students are supervised and
				  conducting screening within the scope of an advanced vocational health-related
				  curriculum such as nursing.
Statutory Authority:
						RCW
						 28A.210.020. 10-15-100, § 246-760-100,
						filed 7/20/10, effective 8/20/10. Statutory Authority: RCW  28A.210.200.
						02-20-079, § 246-760-100, filed 9/30/02, effective 10/31/02. Statutory
						Authority:
						RCW
						 43.20.050. 91-02-051 (Order 124B), recodified
						as § 246-760-100, filed 12/27/90, effective 1/31/91; Order 63, §
						248-144-150 (codified as WAC 248-148-150), filed
						11/1/71.
Washington Administrative Code › Title 246 - Health, Department of › PARENT/CHILD HEALTH › Chapter 246-770 - Fruit and vegetable incentives program › Section 246-770-010 - Fruit and vegetable incentives program-Purpose

Current through Register Vol. 24-14, July 15, 2024
The purpose of the fruit and vegetable incentives program is
				  to:
(1) Improve access and
				affordability to culturally relevant fruits and vegetables for individuals and
				families with limited financial resources;
(2) Increase fruit and vegetable consumption
				and nutrition security among program participants; and
(3) Support Washington's food systems and
				agriculture and promote local economic development.
Washington Administrative Code › Title 246 - Health, Department of › PARENT/CHILD HEALTH › Chapter 246-770 - Fruit and vegetable incentives program › Section 246-770-020 - Definitions

Current through Register Vol. 24-14, July 15, 2024
The following definitions apply throughout this chapter
				  unless otherwise specified:
(1)
				"Authorized farm stand" means a farm stand in Washington that has met the
				selection criteria established by the department and has signed a contract with
				the department allowing participation in basic food incentives.
(2) "Authorized farmers' market" means a
				farmers' market in Washington that has met the selection criteria established
				by the department and has signed a contract with the department allowing
				participation in basic food incentives.
(3) "Authorized grocery store" means a
				grocery store in Washington that has met the selection criteria established by
				the department and has signed a contract with the department allowing
				participation in basic food incentives.
(4) "Authorized health care system" means an
				organization whose primary intent is to deliver health care services.
(5) "Authorized retailer" means any retail
				outlet that has met the selection criteria established by the department and
				has signed a contract with the department allowing participation in fruit and
				vegetable vouchers.
(6) "Basic food
				incentives" includes farmers' market basic food incentives and grocery store
				basic food incentives.
(7) "County
				with high food insecurity" means a county located within the borders of the
				state of Washington where the resident population experiences rates of food
				insecurity higher than the state average.
(8) "Culturally relevant" means the
				acknowledgment and appreciation of experiences, traditions, and diverse
				preferences of a group of people.
(9) "Department" means the Washington state
				department of health.
(10)
				"Electronic benefit transfer" means the method of transferring basic food
				benefits from eligible participants to eligible participating retailers via a
				benefits card.
(11) "Eligible
				fruits and vegetables" means:
(a) For farmers
				market basic food incentives, eligible fruits and vegetables means fruits,
				vegetables, herbs, plants, and seeds that produce food.
(b) For grocery store basic food incentives
				and fruit and vegetable vouchers, eligible fruits and vegetables means fruits
				and vegetables that are unprocessed or minimally processed including, but not
				limited to, frozen or cut products.
Washington Administrative Code › Title 246 - Health, Department of › PARENT/CHILD HEALTH › Chapter 246-770 - Fruit and vegetable incentives program › Section 246-770-030 - Farmers' market and farm stand basic food incentives

Current through Register Vol. 24-14, July 15, 2024
(1) To become authorized to offer basic food
				incentives, a farmers' market or farm stand must:
(a) Be in good standing with the United
				States Department of Agriculture as an authorized farmers' market or farm stand
				that can accept SNAP benefits through electronic benefit transfer;
(b) Provide documentation to the department
				showing United States Department of Agriculture approval to accept SNAP
				benefits;
(c) Apply as a farmers'
				market or farm stand on a form determined by the department including
				documentation demonstrating that the farmers' market or farm stand applicant
				meets the following criteria:
(i) Have a
				designated staff member on-site during operating hours that has completed all
				required basic food incentive training;
(ii) Have days and times posted for operating
				hours; and
(iii) Have at least one
				vendor selling fresh fruits and vegetables.
(d) Execute a contract with the
				department.
Washington Administrative Code › Title 246 - Health, Department of › PARENT/CHILD HEALTH › Chapter 246-770 - Fruit and vegetable incentives program › Section 246-770-040 - Grocery store basic food incentives

Current through Register Vol. 24-14, July 15, 2024
(1) To
				become authorized to offer basic food incentives, the grocery store must:
(a) Be in good standing with the United
				States Department of Agriculture as an authorized grocer that can accept SNAP
				benefits through electronic benefit transfer;
(b) Apply as a grocery store on a form
				determined by the department, including documentation demonstrating that the
				grocery store meets the following criteria:
(i) Have a point-of-sale mechanism that
				allows tracking and redemption of basic food incentives, including either
				automated or manual tracking;
(ii)
				Have a designated staff member on-site during operating hours that has
				completed all required basic food incentive training; and
(iii) Sells fresh fruits and
				vegetables.
(c) Execute a
				contract with the department.
Washington Administrative Code › Title 246 - Health, Department of › PARENT/CHILD HEALTH › Chapter 246-770 - Fruit and vegetable incentives program › Section 246-770-050 - Fruit and vegetable vouchers for health care systems

Current through Register Vol. 24-14, July 15, 2024
(1) To become a health care system authorized
				to distribute fruit and vegetable vouchers, an applicant must:
(a) Apply as a health care system on a form
				determined by the department;
(b)
				Complete all required training on fruit and vegetable voucher requirements
				offered by the department; and
(c)
				Receive a contract from the department signed by both the department and the
				applicant.
Washington Administrative Code › Title 246 - Health, Department of › PARENT/CHILD HEALTH › Chapter 246-770 - Fruit and vegetable incentives program › Section 246-770-060 - Fruit and vegetable vouchers for retailers

Current through Register Vol. 24-14, July 15, 2024
(1) To
				become authorized to accept fruit and vegetable vouchers as distributed by a
				health care system under WAC
				246-770-050, a retailer must:
(a) Apply as a retailer on a form provided by
				the department including documentation that the retailer meets the following
				criteria:
(i) Have a point-of-sale mechanism
				that allows either automated or manual tracking and redemption of fruit and
				vegetable vouchers;
(ii) Have a
				designated staff member on-site during operating hours that has completed all
				required fruit and vegetable voucher training; and
(iii) Sells fresh fruits and
				vegetables.
Washington Administrative Code › Title 246 - Health, Department of › PARENT/CHILD HEALTH › Chapter 246-780 - Farmers' market nutrition program › Section 246-780-001 - What is the purpose of the farmers' market nutrition program?

Current through Register Vol. 24-14, July 15, 2024
(1) The purpose of
				the farmers' market nutrition program (FMNP) is to:
(a) Provide access to locally grown, fresh,
				nutritious, unprepared fruits and vegetables to women, infants over five months
				of age, and children, who participate in the special supplemental nutrition
				program for women, infants, and children; and
(b) Expand the awareness and use of farmers'
				markets where consumers can buy directly from the grower.
Washington Administrative Code › Title 246 - Health, Department of › PARENT/CHILD HEALTH › Chapter 246-780 - Farmers' market nutrition program › Section 246-780-020 - How does an applicant farmers' market become authorized to participate in the farmer's market nutrition program?

Current through Register Vol. 24-14, July 15, 2024
(1) To become authorized to participate in
				the FMNP, an applicant must:
(a) Apply as a
				farmers' market on a form provided by the department;
(b) Meet the selection criteria in subsection
				(2) of this section;
(c) Complete
				training on FMNP requirements; and
(d) Receive a contract from the department
				signed by both the department and the applicant.
Washington Administrative Code › Title 246 - Health, Department of › PARENT/CHILD HEALTH › Chapter 246-780 - Farmers' market nutrition program › Section 246-780-022 - What is expected of an authorized farmers' market?

Current through Register Vol. 24-14, July 15, 2024
The authorized farmers' market must:
(1) Comply with the FMNP requirements and the
				terms and conditions of their contract;
(2) Accept training and technical assistance
				on FMNP requirements from department staff;
(3) Provide in person training to authorized
				growers, market employees and volunteers on FMNP requirements including, but
				not limited to: Eligible foods, check redemption procedures, civil rights
				requirements and the complaint process;
(4) Be accountable for the actions of
				employees and volunteers;
(5) Keep
				a current list of authorized growers, including the authorized grower's name,
				business address, telephone number, and crops to be sold during the farmers'
				market season. The authorized farmers' market must provide this list to the
				department on request;
(6) Ensure
				that FMNP checks are accepted only by authorized growers for locally grown
				eligible foods;
(7) Report to the
				department anyone that accepts FMNP checks without authorization from the
				department;
(8) Refuse to process
				any FMNP checks taken by unauthorized individuals;
(9) Ensure FMNP checks are stamped with the
				appropriate market and authorized grower identification numbers;
(10) Ensure authorized growers have and
				display the "WIC Farmers' Market Checks Welcome Here" sign each day;
(11) Comply with federal and state
				nondiscrimination laws;
(12) Ensure
				that clients receive the same courtesies as other customers;
(13) Provide the department, upon request,
				with any information it has available regarding its participation in the
				FMNP;
(14) Keep client information
				confidential;
(15) Allow the
				department to monitor the authorized farmers' market for compliance with FMNP
				requirements;
(16) Notify the
				department immediately if authorized farmers' market operations cease;
				and
(17) Notify the department
				immediately of any authorized farmers' market, authorized grower or authorized
				farm store suspected of noncompliance with FMNP requirements.
Statutory Authority:
					 RCW
					 43.70.700. 10-21-068, § 246-780-022,
					 filed 10/15/10, effective 11/15/10. Statutory Authority:
					 RCW
					  43.70.120 and  7 C.F.R. 248 . 00-07-129, §
					 246-780-022, filed 3/22/00, effective
					 4/22/00.
Washington Administrative Code › Title 246 - Health, Department of › PARENT/CHILD HEALTH › Chapter 246-780 - Farmers' market nutrition program › Section 246-780-025 - How does an applicant grower become authorized to participate in the farmers' market nutrition program?

Current through Register Vol. 24-14, July 15, 2024
(1)
				To become authorized to participate in the FMNP an applicant must:
(a) Apply as a grower on a form provided by
				the department;
(b) Meet the grower
				selection criteria in subsection (2) of this section;
(c) Complete training on FMNP requirements
				provided by either an authorized farmers' market manager or the department;
				and
(d) Receive a contract from the
				department signed by both the department and the applicant.
Washington Administrative Code › Title 246 - Health, Department of › PARENT/CHILD HEALTH › Chapter 246-780 - Farmers' market nutrition program › Section 246-780-026 - How does an applicant farm store become authorized to participate in the farmers' market nutrition program?

Current through Register Vol. 24-14, July 15, 2024
(1)
				To become authorized to participate in the FMNP an applicant must:
(a) Apply as a farm store on a form provided
				by the department;
(b) Meet the
				farm store selection criteria in subsection (2) of this section;
(c) Complete training on FMNP requirements
				provided by either an authorized farmers' market manager or the FMNP;
				and
(d) Receive a contract from the
				department signed by both the department and the applicant.