<?xml version='1.0' encoding='utf-8'?>
<regulation prefix="Regulation" num=".10" citation="COMAR 13A.05.05.10" title_num="13A" subtitle_num="05" chapter_num="05" heading="School Health Services Standards — Health Facilities.">
  <paragraph num="A.">
    <text>Health Suite.</text>
    <paragraph num="(1)">
      <text>School buildings constructed or renovated and occupied after January 1, 1993 shall provide a handicapped-accessible space that, at a minimum, includes space for waiting, examination and treatment, storage, and resting. There shall be a separate room for private consultation and for use as a designated school health services professional's office. Toilets, a lavatory, and a telephone shall be in the health suite. Locked file cabinets shall be available for storing health records and for medications.</text>
    </paragraph>
    <paragraph num="(2)">
      <text>Schools occupied before January 1, 1993 shall provide space for use as the designated school health professional's office and shall meet the standards in §A(1), above, to the maximum extent possible. At a minimum, a lavatory and a telephone shall be easily accessible. Locked file cabinets shall be available for storing health records and for medications.</text>
    </paragraph>
    <paragraph num="(3)">
      <text>A designated school health services professional shall be involved at the local level in the planning of health areas in new schools and in the modernization of old schools. A designated school health services professional at the State level shall be available as necessary for consultation.</text>
    </paragraph>
  </paragraph>
  <paragraph num="B.">
    <text>Screening Facilities.</text>
    <paragraph num="(1)">
      <text>A room shall be provided for hearing screening tests. This room shall meet the following criteria:</text>
      <paragraph num="(a)">
        <text>The screening room shall be as quiet as possible;</text>
      </paragraph>
      <paragraph num="(b)">
        <text>Areas near fans or air conditioners, hall traffic, playground or street traffic, group activities, bathrooms, lunchrooms, office equipment, refrigerators, or snack machines shall be avoided;</text>
      </paragraph>
      <paragraph num="(c)">
        <text>Excess noise, such as talking, paper shuffling, and moving furniture, shall be avoided;</text>
      </paragraph>
      <paragraph num="(d)">
        <text>The room shall be uncluttered and free of visual distractions.</text>
      </paragraph>
    </paragraph>
    <paragraph num="(2)">
      <text>Space and lighting requirements for the specific vision test used shall be made available.</text>
    </paragraph>
  </paragraph>
</regulation>