Students desiring to participate in athletic activities or enrolling in kindergarten or first grade in the school district will have a physical examination by a licensed physician and
provide proof of such an examination to the school district.  A physical examination and proof of such an examination may be required by the administration for students in
other grades enrolling for the first time in the school district.

A certificate of health stating the results of a physical examination and signed by the physician is on file at the attendance center.  Each student will submit an up-to-date
certificate of health upon the request of the superintendent.  Failure to provide this information may be grounds for disciplinary action.

Students enrolling for the first time in the school district will also submit a certificate of immunization against diphtheria, pertussis, tetanus, poliomyelitis, rubeola, rubella, and
other immunizations required by law.  The student may be admitted conditionally to the attendance center if the student has not yet completed the immunization process but is
in the process of doing so.  Failure to meet the immunization requirement will be grounds for suspension, expulsion or denial of admission.  Upon recommendation of the Iowa
Department of Education and Iowa Department of Public Health, students entering the district for the first time may be required to pass a TB test prior to admission.  The
district may conduct TB tests of current students.

Exemptions from the immunization requirement in this policy will be allowed only for medical or religious reasons recognized under the law.  The student must provide a valid
Iowa State Department of Health Certificate of Immunization Exemption to be exempt from this policy.

NOTE:  Physical examinations are not required by law but are strongly recommended.  Immunizations and the certificate of immunization are legal requirements.

Legal Reference:  Iowa Code §§ 139.9; 280.13 (2007).
                                       281 I.A.C. 33.5.
                                       641 I.A.C. 7.

Cross Reference:  402.2    Child Abuse Reporting
                                       501       Student Attendance
                                       507       Student Health and Well-Being

Approved    2-15-2010                          
Reviewed  _7-20-2015__                                                                 
Revised                   

Some students may need prescription and nonprescription medication to participate in their educational program.

Medication shall be administered when the student's parent or guardian (hereafter "parent") provides a signed and dated written statement requesting medication administration and the
medication is in the original, labeled container, either as dispensed or in the manufacturer's container.

When administration of the medication requires ongoing professional health judgment, an individual health plan shall be developed by the licensed health personnel with the student and
the student's parent.  Students who have demonstrated competence in administering their own medications may self-administer their medication. A written statement by the student's parent
shall be on file requesting co-administration of medication, when competence has been demonstrated.   By law, students with asthma or other airway constricting diseases may self -
administer their medication upon approval of their parents and prescribing physician regardless of competency.  

Persons administering medication shall include the licensed registered nurse, parent, physician, and persons who have successfully completed a medication administration course reviewed
by the Board of Pharmacy Examiners. A medication administration course and periodic update shall be conducted by a registered nurse or licensed pharmacist, and a record of course
completion kept on file at the agency.

A written medication administration record shall be on file including:

date; student’s name; prescriber or person authorizing administration; medication; medication dosage;

administration time; administration method; signature and title of the person administering medication; and any unusual circumstances, actions, or omissions.

Medication shall be stored in a secured area unless an alternate provision is documented.  Emergency protocols for medication-related reactions shall be posted.  Medication information
shall be confidential information.

Note:    This law reflects the Iowa Department of Education’s special education administrative rule regarding administration of medication.  Since there are no rules addressing students
not receiving special education services, IASB has written the sample policies and regulations to address all students.  

Iowa law requires school districts to allow students with asthma or other airway constricting disease to carry and self-administer their medication as long as the parents and prescribing
physician report and approve in writing.  Students do not have to prove competency to the school district. The consent form, see 507.2E1, is all that is required.  School districts that
determine students are abusing their self-administration may either withdraw the self-administration if medically advisable or discipline the student, or both.

Legal Reference:  Iowa Code §§124.101(1), 147.107, 152.1, 155A.4(2), 280.16, 280.23 (2007)
                                       Education [281]—§41.12(11) IAC
                                       Pharmacy [657]—§8.32(124, 155A), IAC
                                       Nursing Board [655]—§6.2(152), IAC

Cross Reference:  506     Student Records
                                       507     Student Health and Well-Being
                                       603.3  Special Education
                                    607.2  Student Health Services

Approved    2-15-2010                          
Reviewed     7-20-2015                                                            
Revised                   

Students with a communicable disease will be allowed to attend school provided their presence does not create a substantial risk of illness or transmission to other students or
employees.  The term "communicable disease" will mean an infectious or contagious disease spread from person to person, or animal to person, or as defined by law.

Prevention and control of communicable diseases is included in the school district's bloodborne pathogens exposure control plan.  The procedures will include scope and
application, definitions, exposure control, methods of compliance, universal precautions, vaccination, post-exposure evaluation, follow-up, communication of hazards to
employees and record keeping.  This plan is reviewed annually by the superintendent and school nurse.

The health risk to immunosupressed students is determined by their personal physician.  The health risk to others in the school district environment from the presence of a
student with a communicable disease is determined on a case-by-case basis by the student's personal physician, a physician chosen by the school district or public health
officials.

It is the responsibility of the superintendent, in conjunction with the school nurse, to develop administrative regulations stating the procedures for dealing with students with a
communicable disease.

NOTE:  This policy is consistent with current health practices regarding communicable diseases.  The bloodborne pathogen language in the second paragraph and
accompanying regulation is in compliance with federal law on control of bloodborne pathogens.

Legal Reference:  School Board of Nassau County v. Arline, 480 U.S. 273 (1987).
                                       29 U.S.C. §§ 701 et seq. (2004).
                                       45 C.F.R. Pt. 84.3 (2004).
                                       Iowa Code ch. 139 (2007).
                                       641 I.A.C. 1.2-.5, 7.

Cross Reference:  403.3    Communicable Diseases - Employees
                                       506       Student Records
                                       507       Student Health and Well-Being

Approved   2-15-2010               
Reviewed     7-20-2015                     
Revised                   

When a student becomes ill or is injured at school, the school district will attempt to notify the student's parents as soon as possible.

The school district, while not responsible for medical treatment of an ill or injured student, will have employees present administer emergency or minor first aid if possible.  An
ill or injured child will be turned over to the care of the parents or qualified medical employees as quickly as possible.

It is the responsibility of the principal to file an accident report with the superintendent within twenty-four hours after the student is injured.

Annually, parents are required to complete a medical emergency authorization form indicating the procedures to be followed, if possible, in an emergency involving their
child.  The authorization form will also include the phone numbers of the parents and alternative numbers to call in case of an injury or illness.

The superintendent is responsible, in conjunction with the school nurse, to develop rules and regulations governing the procedure in the event a student should become ill or be
injured at school.

NOTE:  This policy outlines the recommended practice.

Legal Reference:  Iowa Code § 613.17 (2007).

Cross Reference:  507       Student Health and Well-Being

Approved    2-15-2010                          
Reviewed    7-20-2015                                                                     
Revised                   

Students will be informed of the appropriate action to take in an emergency.  Emergency drills for fire, weather, and other disasters are conducted each school year.  Fire and
tornado drills are each conducted regularly during the academic school year with a minimum of two before December 31 and two after January 1.

A.L.I.C.E. protocol will be used for intruder events and will be reviewed with staff each year.

Each attendance center will develop and maintain a written plan containing emergency and disaster procedures.  The plan will be communicated to and reviewed with
employees.  Employees will participate in emergency drills.  Licensed employees are responsible for instructing the proper techniques to be followed in the drill.

Legal Reference:  Iowa Code § 100.31 (2007).
                                        281 I.A.C. 41.25(3).

Cross Reference:  507       Student Health and Well-Being
                                       711.10  School Bus Safety Instruction
                                       804       Safety Program

Approved    2-15-2010                          
Reviewed  _7-20-2015__                                                                 
Revised                   

Students will have the opportunity to participate in the health and accident insurance plan selected by the school district.  The cost of the health and accident insurance program
is borne by the student.  Participation in the insurance health and accident plan is not a contract with the school district, but rather, a contract between the insurance company
and the student.

Students participating in intramural or extracurricular athletics are required to have health and accident insurance.  The student will bring written proof of insurance or
participate in the health and accident insurance program selected by the school district.

Legal Reference:  Iowa Code § 279.8 (2007).

Cross Reference:  504       Student Activities
                                       507       Student Health and Well-Being

Approved    2-15-2010                          
Reviewed     7-20-2015                                                                     
Revised                   

Disagreements between family members are not the responsibility of the school district.  The school district will not take the "side" of one family member over another in a
disagreement about custody or parental rights.  Court orders that have been issued are followed by the school district.  It is the responsibility of the person requesting an action
by the school district to inform and provide the school district the court order allowing such action.

This policy does not prohibit an employee from listening to a student's problems and concerns.

It is the responsibility of the superintendent to ensure employees remain neutral in a disagreement about custody and parental rights.

Legal Reference:  Iowa Code §§ 232.67, .70, .73, .75; 235A; 279.8; 710.6 (2007).
                                       441 I.A.C. 9.2; 155; 175.

Cross Reference:  506       Student Records
                                       507       Student Health and Well-Being

Approved    2-15-2010                          
Reviewed    7-20-2015                                                                      
Revised                

The board recognizes that some special education students need special health services during the school day.  These students will receive special health services in conjunction
with their individualized education program. 

The superintendent, in conjunction with licensed health personnel, will establish administrative regulations for the implementation of this policy.

Note:  This is a mandatory policy and its accompanying regulations and they reflect Iowa law.  The regulation is new.

Legal Reference:  Board of Education v. Rowley, 458 U.S. 176 (1982).
                                       Springdale School District #50 v. Grace, 693 F.2d 41 (8th Cir. 1982).
                                       Southeast Warren Comm. School District v. Dept. of Public Instruction, 285 N.W.2d 173 (Iowa 1979).
                                       20 U.S.C. §§ 1400 et seq. (2004).
                                       34 C.F.R. Pt. 300 et seq. (2004).
                                       Iowa Code §§ 256.11(7); 256B; 273.2, .5, .9(2)-(3); 280.8 (2007).
                                       281 I.A.C. 12.3(7), 41.96

Cross Reference:  502       Student Rights and Responsibilities
                                       506       Student Records
                                       603.3    Special Education

Approved    2-15-2010                          
Reviewed    7-20-2015                                                                      
Revised                   

The board promotes healthy students by supporting wellness, good nutrition and regular physical activity as a part of the total learning environment.  The school district
supports a healthy environment where students learn and participate in positive dietary and lifestyle practices.  By facilitating learning through the support and promotion
of good nutrition and physical activity, schools contribute to the basic health status of students.  Improved health optimizes student performance potential.

The school district provides a comprehensive learning environment for developing and practicing lifelong wellness behaviors.  The entire school environment, not
just the classroom, shall be aligned with healthy school district goals to positively influence a student's understanding, beliefs and habits as they relate to good
nutrition and regular physical activity. 

The school district supports and promotes proper dietary habits contributing to students' health status and academic performance.  All foods available on school grounds
and at school-sponsored activities during the instructional day should meet or exceed the school district nutrition standards and in compliance with state and federal law. 
Foods should be served with consideration toward nutritional integrity, variety, appeal, taste, safety and packaging to ensure high-quality meals.  See the DE guidance on
Healthy Kids Act

The school district will make every effort to eliminate any social stigma attached to, and prevent the overt identification of, students who are eligible for free and
reduced-price meals.  Toward this end, the school district may utilize electronic identification and payment systems; promote the availability of meals to all students;
and/or use nontraditional methods for serving meals, such as "grab-and-go" or classroom breakfast.

The school district will develop a local wellness policy committee comprised of parents, students, and representatives of the school food authority, the school board,
school administrators, the public, physical education teachers, and school health professionals.  The local wellness policy committee will develop a plan to
implement the local wellness policy and periodically review and update the policy.  The committee will designate an individual to monitor implementation and
evaluation of the policy.  The committee will report annually to the board and community regarding the content and effectiveness of this policy and recommend
updates if needed.  When monitoring implementation, schools will be evaluated individually with reports prepared by each school and the school district as a whole. 
The report will include which schools are in compliance with this policy, the extent to which this policy compares to model Wellness policies and describe the
progress made in achieving the goals of this policy. 

Specific Wellness Goals

• specific goals for nutrition education and promotion, (see Appendix)
• physical activity, (see Appendix)
• other school-based activities that are designed to promote student wellness, (see Appendix)

The nutrition guidelines for all foods available will focus on promoting student health and reducing childhood obesity in the school district.

The board will monitor and evaluate this policy. (- see Appendix).

Appendix

Nutrition Education and Promotion

The school district will provide nutrition education and engage in nutrition promotion that:

• promotes fruits, vegetables, whole-grain products, low-fat and fat-free dairy products, healthy food preparation methods and health-enhancing nutrition
  practices;
• includes enjoyable, developmentally appropriate, culturally relevant participatory activities, such as contests, promotions, taste-testing, farm visits and
  school gardens;
• emphasizes caloric balance between food intake and physical activity;
• emphasizes reading a label and knowing nutritional values; and,
• includes training for teachers and other staff.

Physical Activity

The school district will provide physical education that:

• is for all students in grades K-12 for the entire school year;
• is taught by a certified physical education teacher at least 60 minutes a week for elementary students and 90 minutes a week for middle and high school
  students;
• includes students with disabilities (students with special health-care needs may be provided in alternative educational settings); and,
• engages students in moderate to vigorous activity during at least 50 percent of physical education class time.

The elementary school should provide recess for students that:

• is at least 40 minutes per day for PK-4 and preferably outdoors;
• is at least 20 minutes per day for 5-6 and preferably outdoors;
• encourages moderate to vigorous physical activity verbally and through the provision of space and equipment; and,
• discourages extended periods of inactivity (periods of two or more hours).

When activities, such as mandatory school-wide testing, make it necessary for students to remain indoors for long periods of time, schools should give students periodic
breaks during which they are encouraged to stand and be moderately active.

Students will have a total physical activity time (including physical education, recess, and personal activity) for a minimum of 30 minutes per day for elementary (PK-5) 
students and 120 minutes per week for secondary (6-12) students.

Note - Iowa law now requires elementary students, K-5, to have 30 minutes of physical activity, not physical education, per day.  This requirement can be met
through a combination of PE, recess, classroom and other activities.  Middle and high school students must have at least 120 minutes of physical activity per week. 
Again this is not just physical education but can be met with a combination of PE, school and non-school sponsored athletics and other activities where the body is
exerted.  Should a student wish to meet the requirement outside of school, the student and school district must have an agreement detailing the outside activity.  A
physical activity sample agreement may be found on IASB's Web site at:  http://www.ia-sb.org/WorkArea/showcontent.aspx?id=7768  or the Iowa Department of
Education Healthy Kids Act.

Physical Activity and Punishment

Employees should not use physical activity (e.g., running laps, pushups) or withhold opportunities for physical activity (e.g., recess, physical education) as punishment.

Physical Activity Opportunities after School

After-school child care and enrichment programs will provide and encourage—verbally, and through the provision of space, equipment and activities—daily periods of
moderate to vigorous physical activity for all participants.

Other School-Based Activities that Promote Student Wellness

The school district will support parents’ efforts to provide a healthy diet and daily physical activity for their children .   The school district will:

• discourage sedentary activities, such as watching television, playing computer games, etc.;
• encourage classroom teachers to provide short physical activity breaks between lessons or classes, as appropriate;
• encourage parents to pack healthy lunches and snacks and to refrain from including beverages and foods that do not meet the established nutrition standards for individual foods and beverages;
• provide parents a list of foods that meet the school district’s snack standards and ideas for healthy celebrations/parties, rewards and fundraising activities;
• include sharing information about physical activity and physical education through a web site, newsletter, other take-home materials, special events or physical education homework;
• share information about nutritional content of meals with parents and students; and,
• provide healthy alternatives for food sold individually.

Snacks served during the school day or in after-school care or enrichment programs will make a positive contribution to children’s diets and health, with an emphasis on
serving fruits and vegetables as the primary snacks and water as the primary beverage.  Schools will assess if and when to offer snacks based on timing of meals,
children’s nutritional needs, children’s ages and other considerations.  The school district will disseminate a list of healthful snack items to teachers, after-school program
personnel and parents.

All foods made available on campus adhere to food safety and security guidelines.

• All foods made available on campus comply with the state and local food safety and sanitation regulations. Hazard Analysis and Critical Control Points
  (HACCP) plans and guidelines are implemented to prevent food illness in schools.  http://www.fns.usda.gov/tn/Resources/servingsafe_chapter6.pdf
• For the safety and security of the food and facility, access to the food service operations are limited to child nutrition staff and authorized personnel. 

Plan for Measuring Implementation

Monitoring

The superintendent will ensure compliance with established school district-wide nutrition and physical activity wellness policies.

In each school:

• the principal will ensure compliance with those policies in the school and will report on the school’s compliance to the superintendent; and,
• food service staff, at the school or school district level, will ensure compliance with nutrition policies within food service areas and will report on this
  matter to the superintendent or principal.

In the school district:

• the school district will report on the most recent USDA School Meals Initiative (SMI) review findings and any resulting changes.  If the school district has
  not received a SMI review from the state agency within the past five years, the school district will request from the state agency that a SMI review be
  scheduled as soon as possible;
• the superintendent will develop a summary report every three years on school district-wide compliance with the school district’s established nutrition and
  physical activity wellness policies, based on input from schools within the school district; and,
• the report will be provided to the school board and also distributed to all school wellness committees, parent/teacher organizations, principals and health
  services personnel in the school district.

Policy Review

To help with the initial development of the school district’s wellness policies, each school in the school district will conduct a baseline assessment of the school’s existing
nutrition and physical activity environments and practices.  The results of those school-by-school assessments will be compiled at the school district level to identify and
prioritize needs.

Assessments will be repeated every 3 years to help review policy compliance, assess progress and determine areas in need of improvement.  As part of that review, the
school district will review the nutrition and physical activity policies and practices and the provision of an environment that supports healthy eating and physical
activity.  The school district, and individual schools within the school district will, revise the wellness policies and develop work plans to facilitate their implementation.

Legal Reference:  Richard B. Russell National School Lunch Act, 42 U.S.C. 1751 et seq. (2005)
                                       Child Nutrition Act of 1966, 42 U.S.C. 1771 et seq., 
                                       Iowa Code 256.7(29), 256.11(6)
                                       281 IAC 12.5(19), 12.5(20), 58.11

Cross Reference:  504.5    Student Fund Raising
                               504.6    Student Activity Program
                               710       School Food Services

Approved _6-16-2014__                       
Reviewed  _7-20-2015__                
Revised  ______________