1	Section 504 Plans Nuts -n- Bolts Crystal Jackson American Diabetes Association Summer 2004
2	GOALS Schools must provide a medically safe environment for a student with diabetes. Students with diabetes must have the same access to educational opportunities as do other students.
3	Applicable Federal Laws Section 504 of the Rehabilitation Act of 1973 (Section 504) Americans with Disabilities Act (ADA) Individuals with Disabilities in Education Act (IDEA)
4	Section 504 A civil rights law that prohibits discrimination on the basis of disability All public schools and private schools that receive federal funding Historically, students with diabetes have been protected under 504
5	Schools Must: Identify students with disabilities Provide FAPE Educate children with disabilities with other students as much as possible Allow parental participation in decisions Provide students with disabilities with an equal opportunity to participate in non-academic and extracurricular activities
6	Initiate 504 Process Schools are required to identify students with disabilities Reality is that most schools do not Parent should request 504 evaluation of child Panel convened to determine 504 eligibility 504 Plan developed by parent and school
7	Why a Plan? Ensures your child will have equal access and medical needs met Responsibilities clearly set out Avenue to work out potential problems and misunderstandings ahead of time In response to a problem
8	Is a Plan Required? No, there is no requirement that a student have a plan in order to be protected under Section 504 Contents of plan based upon health care team approved Diabetes Medical Management Plan (DMMP)
9	Plan Contents - TDP List of trained diabetes personnel (TDP) Times when TDP will be available Description of training Description of diabetes tasks to be performed by TDP
10	Level of Self-Care Independent management Management by student with supervision by TDP TDP needed to perform all diabetes care tasks
11	Food, Water, Bathroom Access When must snacks be eaten? When must lunch be eaten? Is a change is lunch or snack schedule needed? Where may snacks and water be eaten? TDP to ensure that snack/meal eaten on time Unrestricted access to water and bathroom
12	Treating Hypo & Hyper Student access to equipment, food, supplies TDP to provide response in accordance with DMMP Glucagon for severe hypo Insulin for hyper Other treatment specified in DMMP
13	Diabetes Care Tasks Who performs and where? BGM Insulin administration Glucagon Insulin pump storage
14	Field Trips & Extracurriculars Full participation in all school-sponsored field trips and extracurricular activities Activities covered by TDP Parent cannot be required to attend
15	Tests and Classroom Work Student permitted to take test at alternate time if hypo or hyper Breaks for water, treatment of hypo/hyper Access to snacks and supplies Extra time if needed Teacher to provide missed instruction Reasonable time period to make up work Absences without penalty
16	Daily Instructions Parent to be notified in advance of special activities Parent may send in snack or special instructions Substitute teachers provided with written instructions
17	Other TDP for shelter-in-place and emergency evacuations Equal treatment and encouragement Privacy provided if desired Confidentiality When to notify parents Emergency contact information
18	Enforcement Office of Civil Rights (OCR) of the U.S. Dept. of Education enforces 504 and ADA in programs that receive assistance from the federal government Complaint must be filed within 180 days of alleged discrimination Investigation, intervention, formal agreement
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