Utah Admin. Code R384-201-8 - Screening

(1) Screening is to be performed following criteria developed by UDOH.

(2) Vision screening should be done early in the school year to provide time for adequate referral and follow-up .

(3) A parent or guardian of a student has the right not to have their student participate in vision screening. A parent or guardian must be notified of scheduled vision screening by the LEA to provide an opportunity to opt out of screening for their student. A parent or guardian choosing to opt out of vision screening for their student must do so annually and in writing.

(4) An LEA staff member should be present at all times during vision screenings including those done by a qualified outside entity.

(5) Screenings are to be done using material and procedures approved by UDOH. Standards and procedures are based on recommendations of the American Academy of Pediatrics, the American Academy of Ophthalmology, the American Optometric Association, the National Center for Children's Vision and Eye Health, and the National Association of School Nurses.

(6) School vision screening is comprised of tier 1 and tier 2 screening.

(a) Tier 1 vision screening is a lower-level vision screening which includes basic distance vision screening.

(b) Tier 2 vision screening is a higher-level evaluation that should include screening of distance and near vision. It may also include eye focusing or tracking problems, color screening, and screening for convergence insufficiency if indicated by results of the Vision Symptom Questionnaire.

(i) The approved tier 2 screener may automatically refer the student to an eye care professional in lieu of performing the tier 2 screening.

(ii) If the LEA does not have an approved tier 2 screener the LEA should automatically refer the student to an eye care professional.

(7) Those approved to provide vision screening include the following:

(a) a school nurse, a qualified outside entity, trained volunteer, or a health care professional as defined in Subsection 53G-9-404 (1)(a) who has completed UDOH training for tier 1 vision screening is approved to provide tier 1 vision screening; and

(b) a school nurse or a health care professional as defined in Subsection 53G-9-404 (1)(a) who has completed UDOH training for tier 2 vision screening is approved to provide tier 2 vision screening.

(8) A person assisting with vision screening:

(a) may not profit financially from school vision screening; and

(b) may not market, advertise, or promote a business in connection with assisting with vision screening.

(9) A qualified outside entity shall provide results of vision screening to the LEA.

(10) A student who is not a candidate for regular vision screening may be screened using an approved instrument-based screening device. Only devices approved by UDOH should be used for screening, and then only when screening with a chart is not an option.

(10) The LEA shall document each vision screening result including any referral and follow-up in the student's permanent school record.

Notes

Utah Admin. Code R384-201-8

Amended by Utah State Bulletin Number 2019-16, effective 8/1/2019 Amended by Utah State Bulletin Number 2020-14, effective 7/9/2020