WAC 246-760-071. Required and alternative vision screening tools and referral criteria

(1) A school must use the standardized optotype-based distance vision and near vision acuity screening tools approved for each grade as well as the rescreening and referral criteria by grade outlined in Table 1 of this section. When using a screening tool with a single isolated optotype or a single line of optotypes, the tool must include the use of crowding bars or crowding boxes. (2) A school may use an instrument-based vision screening device in lieu of the optotype-based tools outlined in this section. Referral using instrument-based vision screening devices is determined through the manufacturer's criteria. If the instrument-based screening device does not generate a result for a student, a school must screen that student using the optotype-based tools outlined in this section. Table 1 Purpose of Screening Grade Screening Tools Rescreening and Referral Criteria Distance Vision Kindergarten LEA vision test: Single LEA symbol (at 5 feet), or HOTV letter Visual acuity worse than 20/40 in either eye Distance Vision Grade one LEA vision test: Single LEA symbol (at 5 feet), or HOTV letter Visual acuity worse than 20/32 in either eye Distance Vision Grades two and above LEA vision tests: LEA symbols or numbers, or HOTV letters, or Sloan letters Visual acuity worse than 20/32 in either eye Near Vision Acuity Kindergarten LEA vision tests: LEA symbols near vision, HOTV, or Sloan letters Visual acuity worse than 20/40 in either eye Near Vision Acuity Grade one and above LEA vision tests: LEA symbols near vision, HOTV, or Sloan letters Visual acuity worse than 20/32 in either eye Purpose of Screening Grade Screening Tools Rescreening and Referral Criteria Distance Vision Kindergarten LEA vision test: Single LEA symbol (at 5 feet), or HOTV letter Visual acuity worse than 20/40 in either eye Distance Vision Grade one LEA vision test: Single LEA symbol (at 5 feet), or HOTV letter Visual acuity worse than 20/32 in either eye Distance Vision Grades two and above LEA vision tests: LEA symbols or numbers, or HOTV letters, or Sloan letters Visual acuity worse than 20/32 in either eye Near Vision Acuity Kindergarten LEA vision tests: LEA symbols near vision, HOTV, or Sloan letters Visual acuity worse than 20/40 in either eye Near Vision Acuity Grade one and above LEA vision tests: LEA symbols near vision, HOTV, or Sloan letters Visual acuity worse than 20/32 in either eye