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Mandated Screenings


Vision Screening
AB 1840 was approved by the Governor on September 29, 2014. This bill caused Section 49455 of the California Education Code to be amended to read, in part:
49455. (a) (1) During the kindergarten year or upon first enrollment or entry in a California school district of a pupil at an elementary school, and in grades 2, 5, and 8, the pupilís vision shall be appraised by the school nurse or other authorized person under Section 49452. (2) A pupil whose first enrollment or entry occurs in grade 4 or 7 shall not be required to be appraised in the year immediately following the pupilís first enrollment or entry.(b) The appraisal shall include tests for visual acuity, including near vision, and color vision; however, color vision shall be appraised once and only on male pupils, and the results of the appraisal shall be entered in the health record of the pupil. Color vision appraisal need not begin until the male pupil has reached the first grade. (c) The appraisal may be waived, if the pupilís parents so desire, by their presenting of a certificate from a physician and surgeon, a physician assistant practicing in compliance with Chapter 7.7 (commencing with Section 3500) of Division 2 of the Business and Professions Code, or an optometrist setting out the results of a determination of the pupilís vision, including visual acuity and color vision. (d) A pupilís vision may be appraised by using an eye chart or any other scientifically validated photoscreening test. Photoscreening tests shall be performed, under an agreement with, or the supervision of, an optometrist or ophthalmologist, by the school nurse or a trained individual who meets requirements established by the department. (e) Continual and regular observation of the pupilís eyes, appearance, behavior, visual performance, and perception that may indicate vision difficulties shall be done by the school nurse and the classroom teacher. (f) This section shall not apply to a pupil whose parents or guardian file with the principal of the school in which the pupil is enrolling, a statement in writing that they adhere to the faith or teachings of any well-recognized religious sect, denomination, or organization and in accordance with its creed, tenets, or principles depend for healing upon prayer in the practice of their religion. (g) The department shall adopt guidelines to implement this section, including training requirements and a method of testing for near vision.
(Amended by Stats. 2014, Ch. 925, Sec. 2.5. Effective January 1, 2015.)

C.A.C Title 5, 3027, indicates that all pupils being assessed for initial and three-year review for special education services shall have had a hearing and vision screening unless parental permission is denied.

Hearing Mandates: C.A.C. Title 5, 2950-2951 indicates that hearing screening is annually mandated for each pupil in kindergarten or 1st grade, 2nd, 5th, 8th, and 10th or 11th grades.

C.A.C. Title 5, 3027 also mandates that all students being assessed for initial and three-year review for special education shall have hearing screening, unless parental permissions was denied.

Other students who should be screened are:
  • Those referred by the instructional staff, parents, physicians, etc.
  • Transferring students who moved from one geographic area to another.
  • Those students who have history of ear infections and/or hearing acuity loss.
Scoliosis (Postural Screening)
Scoliosis Suspension

A document released by the California Department of Finance revealed that scoliosis screening is one of many suspended mandates.

Oral Health Assessment: (In Compliance with C.E.C. 49452.8)
A new law requires that by May 31 each year, students in kindergarten (or first grade, if it is their first year in public school) submit proof of an oral health assessment performed by a licensed dentist or other licensed or registered dental health professional.
Annual Oral Health Requirement Form
More information.

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Tulare County Office of Education
School Health Program
7000 Doe Avenue, Building 700, Visalia, CA 93291

Nan Arnold, Program Manager
(559) 651-0130 • fax: (559) 651-1995



Jim Vidak, County Superintendent of Schools
Tulare County Office of Education
All mail to: P.O. Box 5091, Visalia, CA 93278-5091
Physical address: 6200 S. Mooney Blvd., Visalia, CA 93277
phone: (559) 733-6300 • fax: (559) 627-5219

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