Definitions
\n\nSpecial dietary needs include food intolerances, allergies, and other medical needs that may require avoidance of specific foods.
\n\nFood allergies are abnormal responses of the body's immune system to certain foods or ingredients.
\n\nAnaphylaxis is a potentially life-threatening hypersensitivity to a substance and may be caused by a food allergy. Symptoms may include shortness of breath, wheezing, difficulty breathing, difficulty talking or swallowing, hives, itching, swelling, shock, or asthma. (Education Code 49414)
\n\nIn severe cases, anaphylaxis may result in lowered blood pressure, loss of consciousness, or even death. Symptoms typically appear immediately after exposure to a certain food or substance but in rare cases may occur after a few hours.
\n\nEpinephrine auto-injector is a disposable drug delivery system with a spring-activated concealed needle that is designed for emergency administration of epinephrine to persons suffering a potentially fatal reaction to anaphylaxis. (Education Code 49414)
\n\nNotification by Parent/Guardian
\n\nIf their child has a known food allergy, the parents/guardians shall notify the Superintendent or designee, in writing, and provide written medical documentation, signed by a physician, that describes the nature of the student's condition, instructions, and necessary medications. If the food allergy requires food substitutions or modifications in school meals, the written statement shall also describe the specific foods to be restricted and the foods that should be substituted.
\n\nPrevention
\n\nTo minimize students' exposure to foods to which they are allergic, the Superintendent or designee shall, at a minimum, implement the following preventive measures:
\n\nThe district's health education curriculum may include instruction on food allergies in order to assist food-allergic students in taking responsibility for monitoring their diet and to teach other students about the dangers of sharing foods or utensils with others.
\n\nEmergency Response
\n\nEpinephrine auto-injectors or other medicine provided for use in the event of an anaphylactic shock reaction shall be stored and used in accordance with law and BP/AR 5141.21 - Administering Medication and Monitoring Health Conditions.
\n\nIn addition, staff shall call 911 and seek immediate medical attention for a student experiencing an anaphylactic shock reaction.
\n\nAs soon as possible, school staff shall contact the student's parents/guardians or other person identified as an emergency contact.
\n\n\n", "contentText": "Definitions\n\nSpecial dietary needs include food intolerances, allergies, and other medical needs that may require avoidance of specific foods.\n\nFood allergies are abnormal responses of the body's immune system to certain foods or ingredients.\n\nAnaphylaxis is a potentially life-threatening hypersensitivity to a substance and may be caused by a food allergy. Symptoms may include shortness of breath, wheezing, difficulty breathing, difficulty talking or swallowing, hives, itching, swelling, shock, or asthma. (Education Code 49414)\n\nIn severe cases, anaphylaxis may result in lowered blood pressure, loss of consciousness, or even death. Symptoms typically appear immediately after exposure to a certain food or substance but in rare cases may occur after a few hours.\n\nEpinephrine auto-injector is a disposable drug delivery system with a spring-activated concealed needle that is designed for emergency administration of epinephrine to persons suffering a potentially fatal reaction to anaphylaxis. (Education Code 49414)\n\nNotification by Parent/Guardian\n\nIf their child has a known food allergy, the parents/guardians shall notify the Superintendent or designee, in writing, and provide written medical documentation, signed by a physician, that describes the nature of the student's condition, instructions, and necessary medications. If the food allergy requires food substitutions or modifications in school meals, the written statement shall also describe the specific foods to be restricted and the foods that should be substituted.\n\nPrevention\n\nTo minimize students' exposure to foods to which they are allergic, the Superintendent or designee shall, at a minimum, implement the following preventive measures:\n\n- Notification to District Staff\n\n\tWhen notified by the parent/guardian that a student has a food allergy, the Superintendent or designee shall inform the student's principal, teacher(s), bus driver, school nurse, coach, substitute teacher, and/or any other personnel responsible for supervising the student.\n\n\tThe principal or designee shall notify substitute staff of any students with known food allergies and the school's response plan.\n\n- Food Services\n\n\tThe district's food services program shall make food substitutions in breakfasts, lunches, and after-school snacks when students are considered to have a disability under Section 504 of the federal Rehabilitation Act of 1973 that restricts their diet and when a physician has signed a statement of need that includes recommended alternate foods. (7 CFR 210.10, 220.8)\n\n\tSubstitutions may be made on a case-by-case basis for students who do not have a disability under Section 504 but who cannot consume the regular breakfast, lunch, or after-school snack because of medical or other special dietary needs, when supported by a statement of need signed by a recognized medical authority. (7 CFR 210.10, 220.8, 225.16)\n\n\tThe district's food services staff shall check food labels or specifications to ensure that foods do not contain traces of substances to which the student is allergic.\n\n\tUnder no circumstances shall food services staff prescribe nutritional requirements or revise a diet order prescribed by a physician.\n\n\tFood substitutions shall not result in any additional cost to the student.\n\n- Class Parties/School Activities\n\n\tWithout identifying the student, the principal or teacher may notify parents/guardians of other students in the class that a student is allergic to a specific food and may request that the food not be provided at class parties or other school events.\n\n\tWhenever the ingredients in any food served at class parties or other school activities are unknown, the student shall be encouraged to avoid the food.\n\n- Sanitation and Cleaning\n\n\tTo avoid spreading allergens, cafeteria tables and classroom surfaces shall be cleaned with a fresh cloth or disposable paper towels and cleaning products known to effectively remove food proteins, excluding waterless cleaners or instant hand sanitizers that do not involve a wet-wash step. Cross-contact from a sponge or cloth used to clean allergen-containing tabletops shall be avoided.\n\n\tStaff shall use and promote hand-washing using soap and water before and after food handling.\n\n\tStudents shall be notified that exchanging meals or utensils is prohibited.\n\n- Professional Development\n\n\tSchoolwide professional development shall be provided to appropriate staff on the identification and management of food allergies, including avoidance measures, typical symptoms, the proper use of epinephrine auto-injectors, documentation and storage of medication, and emergency drills.\n\n- Supervision of Students\n\n\tStaff who are trained and knowledgeable about symptoms of anaphylaxis and actions to take in an emergency shall provide supervision in the classroom and cafeteria and on the playground whenever students known to have a food allergy are on school grounds.\n\n- Health Education\n\nThe district's health education curriculum may include instruction on food allergies in order to assist food-allergic students in taking responsibility for monitoring their diet and to teach other students about the dangers of sharing foods or utensils with others.\n\nEmergency Response\n\nEpinephrine auto-injectors or other medicine provided for use in the event of an anaphylactic shock reaction shall be stored and used in accordance with law and BP/AR 5141.21 - Administering Medication and Monitoring Health Conditions.\n\nIn addition, staff shall call 911 and seek immediate medical attention for a student experiencing an anaphylactic shock reaction.\n\nAs soon as possible, school staff shall contact the student's parents/guardians or other person identified as an emergency contact.", "footnotes": [ { "type": "State", "references": [ { "code": "5 CCR 15562", "description": "Reimbursement for meals; substitutions", "url": "https://govt.westlaw.com/calregs/Document/I43FC06734C6911EC93A8000D3A7C4BC3?viewType=FullText&originationContext=documenttoc&transitionType=CategoryPageItem&contextData=(sc.Default)" }, { "code": "5 CCR 600-611", "description": "Administering medication to students", "url": "https://govt.westlaw.com/calregs/Browse/Home/California/CaliforniaCodeofRegulations?guid=I2B7EA5804C6911EC93A8000D3A7C4BC3&transitionType=Default&contextData=%28sc.Default%29#I2B8164A34C6911EC93A8000D3A7C4BC3" }, { "code": "Ed. Code 234.1", "description": "Student protections relating to discrimination, harassment, intimidation, and bullying", "url": "https://leginfo.legislature.ca.gov/faces/codes_displaySection.xhtml?lawCode=EDC§ionNum=234.1." }, { "code": "Ed. Code 49407", "description": "Liability for treatment", "url": "https://leginfo.legislature.ca.gov/faces/codes_displaySection.xhtml?lawCode=EDC§ionNum=49407." }, { "code": "Ed. Code 49408", "description": "Student emergency information", "url": "https://leginfo.legislature.ca.gov/faces/codes_displaySection.xhtml?lawCode=EDC§ionNum=49408." }, { "code": "Ed. Code 49414", "description": "Emergency epinephrine auto-injectors", "url": "https://leginfo.legislature.ca.gov/faces/codes_displaySection.xhtml?lawCode=EDC§ionNum=49414." }, { "code": "Ed. Code 49423", "description": "Administration of prescribed medication for student", "url": "https://leginfo.legislature.ca.gov/faces/codes_displaySection.xhtml?lawCode=EDC§ionNum=49423." } ] }, { "type": "Federal", "references": [ { "code": "20 USC 1232g", "description": "Family Educational Rights and Privacy Act (FERPA) of 1974", "url": "https://uscode.house.gov/view.xhtml?req=(title:20%20section:1232g%20edition:prelim)%20OR%20(granuleid:USC-prelim-title20-section1232g)&f=treesort&edition=prelim&num=0&jumpTo=true" }, { "code": "20 USC 1400-1482", "description": "Individuals with Disabilities Education Act", "url": "https://uscode.house.gov/view.xhtml?path=/prelim@title20/chapter33&edition=prelim" }, { "code": "29 USC 701-795a", "description": "Rehabilitation Act", "url": "" }, { "code": "29 USC 794", "description": "Rehabilitation Act of 1973; Section 504", "url": "https://uscode.house.gov/view.xhtml?req=(title:29%20section:794%20edition:prelim)%20OR%20(granuleid:USC-prelim-title29-section794)&f=treesort&edition=prelim&num=0&jumpTo=true" }, { "code": "42 USC 12101-12213", "description": "Americans with Disabilities Act", "url": "https://uscode.house.gov/view.xhtml?path=/prelim@title42/chapter126&edition=prelim" }, { "code": "42 USC 1751-1769j", "description": "School Lunch Program", "url": "https://uscode.house.gov/view.xhtml?path=/prelim@title42/chapter13&edition=prelim" }, { "code": "42 USC 1771-1791", "description": "Child nutrition", "url": "" }, { "code": "42 USC 1773", "description": "School Breakfast Program", "url": "https://uscode.house.gov/view.xhtml?req=(title:42%20section:1773%20edition:prelim)%20OR%20(granuleid:USC-prelim-title42-section1773)&f=treesort&edition=prelim&num=0&jumpTo=true" }, { "code": "7 CFR 210.1-210.33", "description": "National School Lunch Program", "url": "https://www.ecfr.gov/current/title-7/subtitle-B/chapter-II/subchapter-A/part-210" }, { "code": "7 CFR 220.1-220.21", "description": "National School Breakfast Program", "url": "" }, { "code": "7 CFR 225.16", "description": "Meal programs; individual substitutions", "url": "https://www.ecfr.gov/current/title-7/subtitle-B/chapter-II/subchapter-A/part-225/subpart-C/section-225.16" } ] }, { "type": "Management Resources", "references": [ { "code": "California Department of Education Publication", "description": "Training Standards for the Administration of Epinephrine Auto-Injectors, December 2004", "url": "https://www.cde.ca.gov/" }, { "code": "Food Allergy Research and Education Publication", "description": "School Guidelines for Managing Students with Food Allergies", "url": "https://www.foodallergy.org/resources/fams-expert-recommendations-pdf" }, { "code": "National School Boards Association Publication", "description": "Legal and Practical Issues Relating to Accommodating Students with Peanut Allergies, Inquiry and Analysis, April 2009", "url": "" }, { "code": "U.S DOE, Office for Civil Rights Publication", "description": "Dear Colleague Ltr & Questions & Answers on ADA Amendments Act of 2008 for Students with Disabilities Attending Public Elem & Secondary Schools, 2012", "url": "https://www.ed.gov/sites/ed/files/about/offices/list/ocr/docs/dcl-504faq-201109.pdf" }, { "code": "U.S. Department of Agriculture Publication", "description": "Accommodating Children with Special Dietary Needs in the School Nutrition Programs: Guidance for School Food Service Staff, 2001", "url": "https://www.isbe.net/Documents/special_dietary.pdf" }, { "code": "Website", "description": "CSBA District and County Office of Education Legal Services", "url": "https://legalservices.csba.org/" }, { "code": "Website", "description": "U.S. Department of Agriculture", "url": "http://www.fns.usda.gov" }, { "code": "Website", "description": "Food Allergy Research and Education", "url": "http://www.foodallergy.org" }, { "code": "Website", "description": "National School Boards Association", "url": "http://www.nsba.org" }, { "code": "Website", "description": "California Department of Education, Health Services and School Nursing", "url": "http://www.cde.ca.gov/ls/he/hn" }, { "code": "Website", "description": "U.S. Department of Education, Office for Civil Rights", "url": "http://www2.ed.gov/ocr" } ] } ], "crossRefs": [ { "code": "3550", "title": "Food Service/Child Nutrition Program", "type": "AR" }, { "code": "3550", "title": "Food Service/Child Nutrition Program", "type": "AR" }, { "code": "3554", "title": "Other Food Sales", "type": "AR" }, { "code": "3554", "title": "Other Food Sales", "type": "AR" }, { "code": "3555", "title": "Nutrition Program Compliance", "type": "AR" }, { "code": "3555-E PDF(1)", "title": "Nutrition Program Compliance", "type": "AR" }, { "code": "3555-E(1)", "title": "Nutrition Program Compliance", "type": "AR" }, { "code": "4231", "title": "Staff Development", "type": "AR" }, { "code": "5030", "title": "Student Wellness", "type": "AR" }, { "code": "5125", "title": "Student Records", "type": "AR" }, { "code": "5125", "title": "Student Records", "type": "AR" }, { "code": "5131.2", "title": "Bullying", "type": "AR" }, { "code": "5131.2", "title": "Bullying", "type": "AR" }, { "code": "5141", "title": "Health Care And Emergencies", "type": "AR" }, { "code": "5141", "title": "Health Care And Emergencies", "type": "AR" }, { "code": "5141.21", "title": "Administering Medication And Monitoring Health Conditions", "type": "AR" }, { "code": "5141.21", "title": "Administering Medication And Monitoring Health Conditions", "type": "AR" }, { "code": "5141.23", "title": "Asthma Management", "type": "AR" }, { "code": "5141.23", "title": "Asthma Management", "type": "AR" }, { "code": "5141.24", "title": "Specialized Health Care Services", "type": "AR" }, { "code": "5145.3", "title": "Nondiscrimination/Harassment", "type": "AR" }, { "code": "5145.3", "title": "Nondiscrimination/Harassment", "type": "AR" }, { "code": "5148.2", "title": "Before/After School Programs", "type": "AR" }, { "code": "5148.2", "title": "Before/After School Programs", "type": "AR" }, { "code": "6164.6", "title": "Identification And Education Under Section 504", "type": "AR" }, { "code": "6164.6", "title": "Identification And Education Under Section 504", "type": "AR" } ], "attachments": [] }