In November 2013 the Washington state Department of Early Learning (DEL) received a complaint that University Child Development School (UCDS) in Seattle was refusing to make reasonable accommodations for a 5 year old student with type 1 diabetes as is required of the school by law. The DEL conducted an investigation and found the complaint against UCDS to be valid. UCDS appealed the DEL ruling twice. This is the letter sent by the DEL to inform UCDS that it was upholding its original decision after the school's second appeal.
The United States Department of Justice (USDOJ) issued this Closing Letter at the conclusion of its investigation of alleged discrimination and ADA violations at University Child Development School (UCDS) in Seattle. The letter is addressed to UCDS' attorney.
3rd issue of Volume 10. A magazine in urdu language mainly based on spiritual treatment and learning. Many topics on ISLAM, SUFISM, SOCIAL PROBLEMS, SELF HELP, PSYCHOLOGY, HEALTH, SPIRITUAL TREATMENT, Ruqya etc. A very useful magazine for everyone.
The document discusses the benefits of exercise for both physical and mental health. It notes that regular exercise can reduce the risk of diseases like heart disease and diabetes, improve mood, and reduce stress and anxiety levels. Exercise is also said to boost brain health and function by improving cognitive abilities and reducing the risk of conditions like Alzheimer's disease and dementia.
The United States Department of Justice (USDOJ) issued this Closing Letter at the conclusion of its investigation of alleged discrimination and ADA violations at University Child Development School (UCDS) in Seattle. The letter is addressed to UCDS' attorney.
3rd issue of Volume 10. A magazine in urdu language mainly based on spiritual treatment and learning. Many topics on ISLAM, SUFISM, SOCIAL PROBLEMS, SELF HELP, PSYCHOLOGY, HEALTH, SPIRITUAL TREATMENT, Ruqya etc. A very useful magazine for everyone.
The document discusses the benefits of exercise for both physical and mental health. It notes that regular exercise can reduce the risk of diseases like heart disease and diabetes, improve mood, and reduce stress and anxiety levels. Exercise is also said to boost brain health and function by improving cognitive abilities and reducing the risk of conditions like Alzheimer's disease and dementia.
Harihar Kaka Part 3 Class 10 X Hindi CBSE Revision NotesDronstudy.com
Harihar Kaka Part 3 Class 10 X Hindi CBSE Revision Notes
This Chapter is of CBSE Class 10 Hindi(Course B), This course contains the folowing chapters.
Ab Kahan Doosre Ke Dukh Mein Dukhi Hone Wale Class 10 X Hindi CBSE Revision Notes,
Atamtran Class 10 X Hindi CBSE Revision Notes,
Bade Bhai Saheb Class 10 X Hindi CBSE Revision Notes,
Bihari Ke Dohe Class 10 X Hindi CBSE Revision Notes,
Dairy Ka Ek Panna Class 10 X Hindi CBSE Revision Notes,
Girgit Class 10 X Hindi CBSE Revision Notes,
Harihar Kaka Part 1 Class 10 X Hindi CBSE Revision Notes
Harihar Kaka Part 2 Class 10 X Hindi CBSE Revision Notes,
Harihar Kaka Part 3 Class 10 X Hindi CBSE Revision Notes,
Kar Chale Hum Fida Class 10 X Hindi CBSE Revision Notes,
Kartoos Class 10 X Hindi CBSE Revision Notes,
Madhur Madhur Mere Deepak Jale Class 10 X Hindi CBSE Revision Notes,
Manushyata Class 10 X Hindi CBSE Revision Notes,
Meera Ke Pad Class 10 X Hindi CBSE Revision Notes,
Parvat Pradesh Me Pavas Class 10 X Hindi CBSE Revision Notes,
Patjhar Mein Tooti Pattiyaan Part 1 Class 10 X Hindi CBSE Revision Notes,
Patjhar Mein Tooti Pattiyaan Part 2 Class 10 X Hindi CBSE Revision Notes,
Kabir Sakhi Class 10 X Hindi CBSE Revision Notes,
Sapno Ke Se Din Part 1 Class 10 X Hindi CBSE Revision Notes,
Sapno Ke Se Din Part 2 Class 10 X Hindi CBSE Revision Notes,
Tantaara Vamero Katha Class 10 X Hindi CBSE Revision Notes,
Teesri Kasam Ke Shilpkar Class 10 X Hindi CBSE Revision Notes,
Top Class 10 X Hindi CBSE Revision Notes,
Topi Shukla Class 10 X Hindi CBSE Revision Notes,
Please watch videos on below link :-
https://goo.gl/f98g04
Alternatively, visit this URL to access this chapter directly
https://goo.gl/8KHaQ2
Here is the list of important URLs related to dronstudy.com
Youtube Channel : - https://www.youtube.com/channel/UCPiuJvuyMVFSwcIdBCTpTyQ
Websita Link : - http://www.dronstudy.com
Khoshboo e Adeeb (Majmoa e Naa) - owaisoloGyAbul Meezab
کتاب: خوشبوئے ادیب (باقیاتِ سید محمد حسین ادیؔب رائے پوری)
شاعر؛ سید محمد حسین ادیؔب رائے پوری
Book: Khoshboo e Adeeb
Poet; Syed Muhammad Hussain Adeeb rai puri
مجموعہِ حمد و نعت
Majmoa e Hamd o naat
The document discusses the benefits of exercise for mental health. It states that regular exercise can help reduce anxiety and depression and improve mood and cognitive function. Exercise causes chemical changes in the brain that may help alleviate symptoms of mental illnesses.
This document provides information about the Healthy Start program in Sarasota County, Florida. It describes the program components, which include universal prenatal and infant risk screening. It notes that Florida law requires offering the risk screening questionnaire to all pregnant women and newborns. It discusses how the Healthy Start Coalition monitors screening rates and provides technical assistance to improve them. Benefits of screening include identifying at-risk infants for early referral to services. The document provides details on the screening, scoring, referral processes and Healthy Start services that are available to families based on screening results or other risk factors.
In November 2013 the Washington state Department of Early Learning (DEL) received a complaint that University Child Development School (UCDS) in Seattle was refusing to make reasonable accommodations for a 5 year old student with type 1 diabetes as is required of the school by law. The DEL conducted an investigation and found the complaint against UCDS to be valid. UCDS appealed the DEL ruling twice. This is the letter sent by the DEL to inform UCDS that it was upholding its original decision after the school's first appeal.
Harihar Kaka Part 3 Class 10 X Hindi CBSE Revision NotesDronstudy.com
Harihar Kaka Part 3 Class 10 X Hindi CBSE Revision Notes
This Chapter is of CBSE Class 10 Hindi(Course B), This course contains the folowing chapters.
Ab Kahan Doosre Ke Dukh Mein Dukhi Hone Wale Class 10 X Hindi CBSE Revision Notes,
Atamtran Class 10 X Hindi CBSE Revision Notes,
Bade Bhai Saheb Class 10 X Hindi CBSE Revision Notes,
Bihari Ke Dohe Class 10 X Hindi CBSE Revision Notes,
Dairy Ka Ek Panna Class 10 X Hindi CBSE Revision Notes,
Girgit Class 10 X Hindi CBSE Revision Notes,
Harihar Kaka Part 1 Class 10 X Hindi CBSE Revision Notes
Harihar Kaka Part 2 Class 10 X Hindi CBSE Revision Notes,
Harihar Kaka Part 3 Class 10 X Hindi CBSE Revision Notes,
Kar Chale Hum Fida Class 10 X Hindi CBSE Revision Notes,
Kartoos Class 10 X Hindi CBSE Revision Notes,
Madhur Madhur Mere Deepak Jale Class 10 X Hindi CBSE Revision Notes,
Manushyata Class 10 X Hindi CBSE Revision Notes,
Meera Ke Pad Class 10 X Hindi CBSE Revision Notes,
Parvat Pradesh Me Pavas Class 10 X Hindi CBSE Revision Notes,
Patjhar Mein Tooti Pattiyaan Part 1 Class 10 X Hindi CBSE Revision Notes,
Patjhar Mein Tooti Pattiyaan Part 2 Class 10 X Hindi CBSE Revision Notes,
Kabir Sakhi Class 10 X Hindi CBSE Revision Notes,
Sapno Ke Se Din Part 1 Class 10 X Hindi CBSE Revision Notes,
Sapno Ke Se Din Part 2 Class 10 X Hindi CBSE Revision Notes,
Tantaara Vamero Katha Class 10 X Hindi CBSE Revision Notes,
Teesri Kasam Ke Shilpkar Class 10 X Hindi CBSE Revision Notes,
Top Class 10 X Hindi CBSE Revision Notes,
Topi Shukla Class 10 X Hindi CBSE Revision Notes,
Please watch videos on below link :-
https://goo.gl/f98g04
Alternatively, visit this URL to access this chapter directly
https://goo.gl/8KHaQ2
Here is the list of important URLs related to dronstudy.com
Youtube Channel : - https://www.youtube.com/channel/UCPiuJvuyMVFSwcIdBCTpTyQ
Websita Link : - http://www.dronstudy.com
Khoshboo e Adeeb (Majmoa e Naa) - owaisoloGyAbul Meezab
کتاب: خوشبوئے ادیب (باقیاتِ سید محمد حسین ادیؔب رائے پوری)
شاعر؛ سید محمد حسین ادیؔب رائے پوری
Book: Khoshboo e Adeeb
Poet; Syed Muhammad Hussain Adeeb rai puri
مجموعہِ حمد و نعت
Majmoa e Hamd o naat
The document discusses the benefits of exercise for mental health. It states that regular exercise can help reduce anxiety and depression and improve mood and cognitive function. Exercise causes chemical changes in the brain that may help alleviate symptoms of mental illnesses.
This document provides information about the Healthy Start program in Sarasota County, Florida. It describes the program components, which include universal prenatal and infant risk screening. It notes that Florida law requires offering the risk screening questionnaire to all pregnant women and newborns. It discusses how the Healthy Start Coalition monitors screening rates and provides technical assistance to improve them. Benefits of screening include identifying at-risk infants for early referral to services. The document provides details on the screening, scoring, referral processes and Healthy Start services that are available to families based on screening results or other risk factors.
In November 2013 the Washington state Department of Early Learning (DEL) received a complaint that University Child Development School (UCDS) in Seattle was refusing to make reasonable accommodations for a 5 year old student with type 1 diabetes as is required of the school by law. The DEL conducted an investigation and found the complaint against UCDS to be valid. UCDS appealed the DEL ruling twice. This is the letter sent by the DEL to inform UCDS that it was upholding its original decision after the school's first appeal.
Insurance Appeal Presentation, AZ Autism Coalitiondrsuelerner
The author is unable to attend a conference due to parenting responsibilities for her 18-year-old daughter with autism spectrum disorder (ASD) who is starting college. The author conveys a message of hope, noting that after struggles in K-12, her daughter is now living independently and enjoying her life on her own terms while attending community college. The challenges of her daughter's ASD are still present but she is experiencing emotions, joy, and hope similar to other 18-year-olds.
Title IV-D of the Social Security Act requires each state to provide child support services and establish paternity. Anyone can receive these services for a $25 annual fee. The process begins with establishing paternity through genetic testing or marriage. Child support is then established through a court order and enforced through methods like income withholding, liens, and suspending licenses. The order can later be modified if circumstances change significantly, such as a change in income, which is determined through a review process.
Taylor Keisler is a senior Health Science major at Clemson University who has been interested in a medical career involving pediatrics since age 13. She is currently applying to medical school and preparing for the MCAT. Her goal is to become a pediatric oncologist. The summary provides an overview of the application process and requirements for this career path, including medical school, residency training in pediatrics, and a fellowship in pediatric hematology-oncology. Statistics are presented on acceptance rates and demographics for two South Carolina medical schools.
Taylor Keisler is a senior Health Science major at Clemson University who has been working towards her career aspiration of becoming a pediatric oncologist. She has begun the application process for medical school, including reviewing for the MCAT and submitting recommendation letters. Keisler hopes to further her education by attending a credible South Carolina medical school to pursue pediatric oncology.
This document provides an overview and training curriculum for diabetes awareness, training, and action in North Carolina public schools. It discusses legislation supporting care for students with diabetes, the roles and responsibilities of various school staff, general and intensive training programs, guidelines for developing individualized care plans, communicating with parents and students, and ensuring proper diabetes management and emergency response in schools.
The document provides information for a child's admission to Becky Gates Children's Center. It includes sections for transportation consent, meals served, medical issues, emergency contacts, authorized pickups, emergency medical consent, and immunization records. Parents provide their contact information, emergency contacts, consent for emergency medical care, as well as details on transportation, medical issues, and authorized pickups for their child. Immunization and physical records are also requested as part of the intake process.
The Relationship Between Children in Foster Care and the U.S. Health Care Sys...hfairel
This paper discusses the relationship between children in foster care and their relationship with the U.S. healthcare system, specifically the gaps between the two systems and solutions that could help bridge those gaps. This paper falls under the the families and individuals in societal contexts and the family law and public policy CFLE content areas.
Chloe Braxton is seeking a position as a medical assistant. She is currently completing her associate's degree in medical assisting from Bryant & Stratton College with a 3.9 GPA and is expected to graduate in June 2016. She has internship experience as a medical assistant at Daniel Lee Medical Group where she gained experience in front office duties, maintaining environmental asepsis, and filing records. She also has previous work experience as a business office associate at Riverside Diagnostic Center where she greeted patients, scheduled appointments, and maintained patient accounts.
This document provides an overview and training for parent volunteers at Elkridge Elementary School. It outlines that the training is required by Maryland law and school policy to review procedures for reporting suspected child abuse. It details that volunteers must report any suspicions of abuse to the Department of Social Services and stresses maintaining confidentiality of student information. The roles of the school liaison and principal in the reporting process are defined. Expectations of parent volunteers to protect privacy and focus on their duties are also covered.
Decision to Breastfeed a “Personal Choice”, which Need Not be Accommodated: F...Sean Bawden
The Canadian Federal Court of Appeal upheld the decision that the employee’s decision to breastfeed her child was a “personal choice”, holding specifically at paragraph 35 of its reasons for decision that, “Breastfeeding during working hours is not a legal obligation towards the child under her care. It is a personal choice.”
This document discusses the reproductive health needs of court-involved youth and the legal authority to provide them care. It notes that pregnancy rates are much higher for youth in foster care than others, and early parenting exacerbates challenges. The law authorizes medical consent for these youth and supports providing education, exams, and contraception. Collaboration between legal and child welfare systems can help address motivations for early pregnancy and improve long-term outcomes.
This document outlines the rights and reporting policies of Jonathan's Place agency. It states that the agency will respect the constitutional and human rights of all individuals involved, including foster parents, children, staff, and volunteers. All agency staff and foster parents must maintain confidentiality of personal information and follow state laws and policies. The document defines mandated reporting requirements where staff must report any suspected abuse or neglect of a child or vulnerable person. It also provides details on reporting serious incidents that occur involving the children in the agency's care.
This document outlines the policies of the Alif-Ba-Ta Learning Center preschool program. It discusses enrollment requirements such as completing forms, supplying materials, and reading the policy handbook. It also covers the program's philosophy of providing a loving educational environment. The document details rates and fees including an enrollment fee, payment schedule, and late fees. It concludes with policies on arrivals/departures and communication expectations.
The document provides policies for a preschool program called Alif-Ba-Ta Learning Center. It outlines enrollment requirements including forms that must be completed, operating hours, fees including late fees, arrival and departure procedures, holidays and closures, health policies, safety policies, and meal policies. It aims to inform parents of the philosophy, goals, and procedures of the preschool program.
This document outlines the policies of the Alif-Ba-Ta Learning Center preschool program. It discusses enrollment requirements such as completing forms, supplying materials, and reading the policy handbook. It describes the program's hours of operation, philosophy of providing a loving educational environment, and trial period. It also details rates and fees such as the enrollment fee, monthly tuition, and late payment charges. Policies regarding arrivals/departures, absences, and damaged property are also summarized.
The document outlines policies for a preschool program including:
1) Enrollment requires interviews, reading the handbook, supplying required items, and completing all forms.
2) Operating hours are from 8am-3pm Monday through Friday with extended hours available.
3) Policies address arrivals and departures, illnesses, holidays, emergencies, safety, and meals.
This randomized controlled trial tested the effectiveness of postcard mailings on increasing dental utilization among low-income children in Yakima County, Washington. Over 5,800 children were randomly assigned to receive different postcards or no postcards. The postcards provided information about enrolling in the county's dental program or highlighted specific benefits like fluoride varnish. Analysis of Medicaid claims data found no significant differences in dental utilization rates between the groups, indicating the postcard mailings did not increase utilization of preventive dental services. Baseline utilization was already relatively high, potentially limiting the impact of the mailings.
ISO/IEC 27001, ISO/IEC 42001, and GDPR: Best Practices for Implementation and...PECB
Denis is a dynamic and results-driven Chief Information Officer (CIO) with a distinguished career spanning information systems analysis and technical project management. With a proven track record of spearheading the design and delivery of cutting-edge Information Management solutions, he has consistently elevated business operations, streamlined reporting functions, and maximized process efficiency.
Certified as an ISO/IEC 27001: Information Security Management Systems (ISMS) Lead Implementer, Data Protection Officer, and Cyber Risks Analyst, Denis brings a heightened focus on data security, privacy, and cyber resilience to every endeavor.
His expertise extends across a diverse spectrum of reporting, database, and web development applications, underpinned by an exceptional grasp of data storage and virtualization technologies. His proficiency in application testing, database administration, and data cleansing ensures seamless execution of complex projects.
What sets Denis apart is his comprehensive understanding of Business and Systems Analysis technologies, honed through involvement in all phases of the Software Development Lifecycle (SDLC). From meticulous requirements gathering to precise analysis, innovative design, rigorous development, thorough testing, and successful implementation, he has consistently delivered exceptional results.
Throughout his career, he has taken on multifaceted roles, from leading technical project management teams to owning solutions that drive operational excellence. His conscientious and proactive approach is unwavering, whether he is working independently or collaboratively within a team. His ability to connect with colleagues on a personal level underscores his commitment to fostering a harmonious and productive workplace environment.
Date: May 29, 2024
Tags: Information Security, ISO/IEC 27001, ISO/IEC 42001, Artificial Intelligence, GDPR
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বাংলাদেশের অর্থনৈতিক সমীক্ষা ২০২৪ [Bangladesh Economic Review 2024 Bangla.pdf] কম্পিউটার , ট্যাব ও স্মার্ট ফোন ভার্সন সহ সম্পূর্ণ বাংলা ই-বুক বা pdf বই " সুচিপত্র ...বুকমার্ক মেনু 🔖 ও হাইপার লিংক মেনু 📝👆 যুক্ত ..
আমাদের সবার জন্য খুব খুব গুরুত্বপূর্ণ একটি বই ..বিসিএস, ব্যাংক, ইউনিভার্সিটি ভর্তি ও যে কোন প্রতিযোগিতা মূলক পরীক্ষার জন্য এর খুব ইম্পরট্যান্ট একটি বিষয় ...তাছাড়া বাংলাদেশের সাম্প্রতিক যে কোন ডাটা বা তথ্য এই বইতে পাবেন ...
তাই একজন নাগরিক হিসাবে এই তথ্য গুলো আপনার জানা প্রয়োজন ...।
বিসিএস ও ব্যাংক এর লিখিত পরীক্ষা ...+এছাড়া মাধ্যমিক ও উচ্চমাধ্যমিকের স্টুডেন্টদের জন্য অনেক কাজে আসবে ...
Philippine Edukasyong Pantahanan at Pangkabuhayan (EPP) CurriculumMJDuyan
(𝐓𝐋𝐄 𝟏𝟎𝟎) (𝐋𝐞𝐬𝐬𝐨𝐧 𝟏)-𝐏𝐫𝐞𝐥𝐢𝐦𝐬
𝐃𝐢𝐬𝐜𝐮𝐬𝐬 𝐭𝐡𝐞 𝐄𝐏𝐏 𝐂𝐮𝐫𝐫𝐢𝐜𝐮𝐥𝐮𝐦 𝐢𝐧 𝐭𝐡𝐞 𝐏𝐡𝐢𝐥𝐢𝐩𝐩𝐢𝐧𝐞𝐬:
- Understand the goals and objectives of the Edukasyong Pantahanan at Pangkabuhayan (EPP) curriculum, recognizing its importance in fostering practical life skills and values among students. Students will also be able to identify the key components and subjects covered, such as agriculture, home economics, industrial arts, and information and communication technology.
𝐄𝐱𝐩𝐥𝐚𝐢𝐧 𝐭𝐡𝐞 𝐍𝐚𝐭𝐮𝐫𝐞 𝐚𝐧𝐝 𝐒𝐜𝐨𝐩𝐞 𝐨𝐟 𝐚𝐧 𝐄𝐧𝐭𝐫𝐞𝐩𝐫𝐞𝐧𝐞𝐮𝐫:
-Define entrepreneurship, distinguishing it from general business activities by emphasizing its focus on innovation, risk-taking, and value creation. Students will describe the characteristics and traits of successful entrepreneurs, including their roles and responsibilities, and discuss the broader economic and social impacts of entrepreneurial activities on both local and global scales.
Strategies for Effective Upskilling is a presentation by Chinwendu Peace in a Your Skill Boost Masterclass organisation by the Excellence Foundation for South Sudan on 08th and 09th June 2024 from 1 PM to 3 PM on each day.
Gender and Mental Health - Counselling and Family Therapy Applications and In...PsychoTech Services
A proprietary approach developed by bringing together the best of learning theories from Psychology, design principles from the world of visualization, and pedagogical methods from over a decade of training experience, that enables you to: Learn better, faster!
1. Paula Smith
C/O Tracy M. Miller
701 5th Ave Suite 3300
Seattle, WA 98104
Provider ID#: 192295
Dear Ms. Smith:
STATE OF WAS.HlNGTON
DEPARTMENT OF EARLY LEARNlNG
805 156th Ave NE
Bellevue, WA 98007
Must be Certified Mail or Hand Delivered
April 21, 2014
The Department of Early Leaming received your request on March 10, 2014; DEL reviewed your
Regional Administrator review request of:
0 Compliance agreement dated regarding .
Valid complaint finding(s) from complaint# 439998 received on November 15, 2014.
D No referral status due to mistaken identity received on
During the review process the following materials were provided and taken under consideration:
Written statement from you explaining specific reasons/conditions for the review.
Relevant materials from your licensing file.
Other: RCW 43.215 and WAC 170-295
This review has been concluded and a decision has been made:
The licensor's decision has been upheld because:
The letter contesting the Valid complaint finding states that, "the dispute about accommodations
o has arisen because (I) the full extent of need for nursing care was not apparent
when he was first admitted to the School; and (2) the School does not employ a nurse and cannot,
therefore, provide "nursing care," which includes the non-delegable duties of administering
medication and piercing the skin."
Point (1) above states that the school was not aware ofthe full extent of the child's needs. The
documentation obtained shows that the family was proactive in notifying the school ofthe child's
needs starting with the admission paperwork, extending themselves to meet and further discuss
any questions staff may have and by offering to arrange for training even after the child began
attending the program.
· On 01/22/13, the family submitted an essay and enrollment paperwork for their two children.
The essay clearly disclosed that the child has type 1 diabetes and requires blood glucose level
checks and insulin. When asked to include any other information that the caregiver feels is
10.9. l.3 Supervisory Review Decision Letter
Rev. 2/13
3h 3h3h
2. important for the school to know the parent wrote, "As mentioned elsewhere in this application,
has type I (juvenile) diabetes that is well controlled and places no limits on his abilities.
However, it is necessary for teachers to be aware ofhis condition and to know a few basic facts
about it." Furthermore, the parents articulated that with basic training the child's previous
teachers were able to quickly learn how to assist the child. The children were later accepted into
the full-day Early Elementary Program on 03/15/13.
Following the child's acceptance into the program, and prior to the beginning ofthe school year,
the family initiated mutliple attempts to correspond with the school asking how they could help
educate and prepare staffto assist their child with his diabetic needs. Included in the
correspondence was a PDF document titled, "Helping the Student with Diabetes Succeed: A
Guide for School Personnel." Ms. Angie Goodwill acknowledged receipt ofthis document on
07/26/13 and informed the family that the school would be touching base with them closer to the
start ofthe school year.
On 08/28/13, Ms. Melissa Chittenden emailed the family to reiterate the messages previously
discussed during a 08/27/13 meeting. Ms. Chittenden specifically stated, "...I'm optimistic that
we can work together with you to figure out a way for to get the medical care he needs
from someone other than a UCDS employee..."
In their continued efforts to help educate staff, the family arranged for pediatric endocinologist
Dr. Craig Taplin and diabetic educator Amanda Peters to provide a presentation on the basic
supervision and monitoring ofthe child's diabetic needs. During this presentation Ms. Chittenden
reportedly stressed to staffthat they did not have to assist the child with his diabetic are, but
rather the material presented was for informational purposes only.
On 09/23/13, the family completed and signed a Diabetes Medical Management Plan that
specified the child's needs.
Point (2) states that the school does not employ a nurse and cannot, therefore, provide "nursing
care," which includes the non-delegable duties ofadministering medication and piercing the
skin."
During a meeting held on 10/11/13, you informed the family that the school staffwould not
directly assist the child with his medical needs.
Federal laws state that child care programs must do an individualized assessment ofany child
with diabetes and reasonably accommodate their needs. To facilitate appropriate care, staffmust
have an understanding ofdiabetes and be trained in its management and emergencies. Based on
documentation obtained during the complaint inspection, there was no evidence that the school
made any efforts with their staffto assess the child's individual needs and make
accommodations to assist him directly.
The US Department ofJustice Commonly Asked Questions About Child Care Centers and ADA
clearly specifies that programs are generally required to test a child's blood sugar levels.
Additionally, it specifies that providers should follow directions for simple diabetes-related care
as outlined by the parents and physician. "In most instances they (parents) will authorize the
provider to monitor the child's blood sugar- or "blood glucose" - levels before lunch and
10.9.l.3 Supervisory Review Decision Letter
Rev. 2/13
3h
3h
3h
3. whenever the child appears to be having certain easy-to-recognize symptoms ofa low blood sugar
incident. While the process may seem uncomfortable or even frightening to those unfamiliar with
it, monitoring a child's blood sugar is easy to do with minimal training and takes only a minute or
two. The parents are responsible for providing all appropriate testing equipment, training, and
special food necessary for the child."
Washington Administrative Code (WAC) 170-295-3050 specifically states, "Ifa child has a
condition where the Americans with Disabilities Act (ADA) would apply you must make
reasonable accommodation and give the medication." As mentioned, Federal laws have
considered diabetes to be a disability. The family articulated that the child is knowlegable about
his condition and has some self care skills, however they also articulated that he requires adult
supervision and/or assistance with his daily care.
Based on review ofthe information obtained during the course ofthe complaint inspection it is
concluded that although the school enrolled the child into the program with knowledge ofthe
child's condition, efforts were not made to make reasonable accommodations to directly help the
child. Rather, the program offerred a stipend up to $10,000.00 and placed the responsibility on
the family for being at the school and/or hiring a separate person to be at the school each day.
This does not meet the intent ofthe WAC and therefore I am upholding the licensor's decision to
conclude the complaint as Valid.
D The licensor's decision has been overturned because:
D Other:
IZI Ifyou are not satisfied with this review, you may request the next level ofreview by
contacting:
Mary Kay Quinlan
Statewide Licensing Administrator
PO Box40970
Olympia, WA 98504-0970
(360) 407-1972
D This is DEL's final review.
Your request must be received no later than 10 days after the receipt ofthis letter.
Ifyou have any questions, please feel free to call me at:(425) 590-3102
Sincerely,
....
Heather West
NW Regional Administrator
10.9.1.3 Supervisory Review Decision Letter
Rev. 2/13
4. Department ofEarly Learning
cc: Noy Sivongxay, Child Care Licensor
Deanna Sundby, DEL Licensing Analyst
Heather West, DEL Regional Administrator
10.9.1.3 Supervisory Review Decision Letter
Rev. 2/13
5. • Complete !tams 1, 2, and 3. Also complete
Item 4 if Restricted Delivery Is desired.
• Print your name and address on the reverse
so that we can return the card to you.
• Attach this card to the back ofi the mailpiece,
or on the front If space permits.
1. Article Addressed to:
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3. Seivlce Type
D Certified Mall 0 Express Mail
0 Registered 0 Return Receipt for MerohandlH
0 Insured Mail D C.0.0.
4. Restricted Delivery? (Extra F'") O
2. Article Number
(T'ranstar from se/Vlca JabeQ
7012 2210 0002 1314 9759
PS Form 3811, February 2004 Domestic Return Receipt