Directive to Administrators (Specify which administrators) All Site Administrators

WAD (Wednesday) Publication Date

September 16, 2015

WAD Notice Number No. of Page

1 of 12 WAD Title Vision and Hearing Screenings

Date Due (if applicable) N/A

Not Applicable After May 31, 2016

From Kim Coates (Cabinet member or approved by one below)

Title Executive Director, School Health Programs, SFCSD

Signature

Telephone 242-2615

Inform

( x ) Certificated Staff ( x ) Classified Staff ( x ) Parents ( x ) Post on Bulletin Board ( x ) Other: As Needed

Administrative Directive WHO: All Site Administrators and Teachers

WHAT: Vision and Hearing Screening for school age children is required by state law (CA Ed Code, Section 49452). The following children in SFUSD are to receive vision and hearing screening during the 2015-2016 school year:

Students in grades 1 and 4; Referrals from other elementary, middle and high school grade levels; Students being referred for initial psycho-educational testing; Students with IEPs with upcoming Triennial Reviews.

WHEN: 2015-2016 School Year

WHY: Poor vision and hearing in children can interfere with coordination, acquisition of skills, achievement of developmental milestones, and the ability to learn properly. Early detection of vision and hearing loss can provide the opportunity to correct the problem earlier, and with less interference to learning.

HOW: Responsibilities of Site Administrator

Enter screening dates on master calendar. o Please do not schedule field trips that include students being screened on screening date.

Please contact Kim Levine at 415-242-2615 at School Health Programs ASAP for any screening dates requiring rescheduling.

Notify staff of screening dates and procedures. o Screening instructions and materials will be mailed to your school site two weeks prior to

screening. If you do not receive your materials, please contact Kim Levine at 415-242-2615. Review and implement instructions provided in this WAD.

o Students must be supervised by certificated staff at all times. Any student arriving to the screening without the presence of certificated staff will be turned away.

o Within two weeks after screening, SFCSD Health Workers will record screening results in students’ cum folders. Referrals for students who did not pass the screening will be prepared and given to Site Administrator for mailing. Please make cum folders, envelopes, and workspace available for Health Workers.

Middle Schools- please create your own screening schedule that includes the teacher name and room number. See sample screening instructions and sample referral forms. Vision and hearing screenings occur on the same day for Middle Schools.

High Schools – vision and hearing screenings are usually conducted by School District Nurses assigned to the site.

Screening Results - For all high school screenings and all screenings done on dates other than the designated screening dates (see attached vision and hearing screening schedule), a designated employee at the site needs to add the screening results into the students’ cum folder and into Synergy.

Attached, please find the following documents related to SFUSD’s vision and hearing screening:

o Vision Screening Instructions o Vision Screening Site Information Request o Principal Letter and Vision Screening Procedure o Vision and Hearing Screening – Teacher Referral Forms o Hearing Screening –Site Information Request Form o Hearing Screening Instructions and Information o Middle School Screening Instructions for Vision and Hearing o Middle School Hearing and Vision Screening Teacher Referral Form o Hearing and Vision screening protocol for Special Education students o Vision and Hearing screening schedules

Responsibilities of Student, Family, and Community Support Department Notify Site Administrator of screening dates (see attached screening dates) Provide screening instructions and materials to school sites (see attachments). Schedule, coordinate, and orient qualified screeners as necessary. On elementary and middle school designated screening dates (see attached vision and hearing

screening schedule), SFCSD Health Workers will record screening results in the student’s cum folder and into Synergy. A list of students that do not pass the screening, and next steps will be provided to the Site Administrator at this time.

Provide on-going consultation to school sites/screening teams Provide school sites with updated referral information.

If you have any questions, please contact the Nurse of the Day at 415-242-2615.

Cabinet Member Kevin Truitt

Title: Associate Superintendent of Student, Family and Community Support Department

Signature

SAN FRANCISCO UNIFIED SCHOOL DISTRICT – WEEKLY ADMINISTRATIVE DIRECTIVE (WAD)

October 2015 December 2015 February 2016

8 Paul Revere K-8 1 Starr King 1 Alvarado 9 Malcolm X 3 CIS 2 Miraloma13 Sheridan 4 El Dorado 4 Alamo

15 L R Flynn 7 Lafayette 4 ML King

16 WM Cobb 8 Harvey Milk 5 C. Lilienthal Mad. K-2

19 Bryant 10 Ulloa 9 Bessie Carmichael

20 Marshall 11 Monroe 11 Jefferson

22 Fairmount 14 JY Chin 12 C. Lilienthal Scott 3-823 Bret Harte 15 George Peabody 16 New Traditions

26 Junipero Sierra 17 Francis S. Key 18 Vis. Valley ES

27 VV MS 18 Willie Brown

27 Sanchez 19 Commodore Sloat29 Chavez January 2016 22 G J. Lau Noth Beach

29 Bessie Carmichael 6-8 5 Redding 23 GJ. Lau Chinatown

7 AF. YU 25 Sherman

November 2015 7 AP. Giannini MS 26 W. Portal ( 2 Drs)

2 Daniel Webster 8 Rosa Parks March 20163 Charles Drew 11 Sutro 1 Mission Ed Center

3 Roosevelt MS 12 Grattan 3 Lakeshore

5 Guadalupe 12 Aptos 4 Sunset

5 James Denman MS 14 R.L. Stevnson 7 Yic Wo

6 Buena V./Horace K-8 15 SF Montessouri 8 Jean Parker

9 McKinley 19 Spring Valley 10 Longfellow

9 Francisco MS 21 ER Taylor 11 CHINESE Ed. Center

10 Argone 21 Rooftop 5-8 14 Jose Ortega

10 Francisco MS 22 Diane Feinstein 15 Rooftop K-4

12 Hillcrest 25 Garfield 17 Sunnyside

12 ISA 6-12 26 Glen Park 22 Clarendon13 G W Carver

16 Cleveland

17 McCoppin

17 James Lick MS.

19 Lawton K-8 RED is screened by Mary Main

19 Everett Marina and Presidio - TBD

20 John Muir

24 SF Community

SFUSD's VISION SCREENING SCHEDULE 2015-2016

September 2015 December 2015 February 201621 Sheridan 1 Buena Vista/HM 2 McCoppin

22 Marshall 2 SF Community K-8 3 Glen Park23 Sanchez 3 Lawton K-8 4 Jose Ortega24 Bryant 4 Sunset 4 ML King25 WM Cobb 7 F S Key 5 Vis Valley28 J. Serra 8 Charles Drew 9 Alice Fong Yu29 Cleveland 9 Hillcrest 10 ER Taylor30 Chavez 10 Bessie Carmichael K-5 11 Clarendon

11 Rosa Parks 12 GarfieldOctober 2015 14 McKinley 16 Sutro

1 G.W. Carver 15 Redding 17 Lakeshore2 Tenderloin 16 Jean Parker 18 G Moscone5 Fairmount 18 Willie Brown

15 Hoover MS 19 Sherman21 Flynn January 201622 Daniel Webster 5 Yick Wo March 2016

23 John Muir 6 Alamo 1 SF Montessori27 Vis Valley MS 7 Sunnyside 2 C. Lilienthal Mad. K-229 Bessie Carmichael 7 AP Giannini 3 G J Lau /North Beach

8 Alvarado 4 G J Lau/ ChinatownNovember 2015 7 Chinese Ed. Center

2 Monroe 11 J. Y. Chin 9 Mission Edu. Center3 Malcolm X 12 Argone 10 Rooftop K-43 Roosevelt MS 12 Aptos MS 11 Diane Feinstein4 Bret Harte 13 Commodore Sloat 15 C. Lilienthal / Scott5 Starr King 14 Grattan5 James Denman MS 15 Spring Valley6 Chinese Immersion 15 George Peabody (portables)9 Lafayette 21 New traditions Marina and Presidio - TBD9 Francisco MS 21 Rooftop 5-8 Red is screened by Mary Main

10 Paul Revere 22 Guadalupe10 Francisco 25 Miraloma (portables)12 Harvey Milk 25 RL. Stevenson12 ISA 8-12 26 Ulloa

13 El Dorado 27 Jefferson17 James Lick MS 28 Longfellow19 Everett MS 29 West Portal

SFUSD HEARING SCREENINGS SCHEDULE 2015-2016