1. 504 Plans for Students with Celiac Disease Andrea Levario, J.D.

2. Goals for Today Federal Laws Options for meeting student needs Process 504 plan components GF menus

3. Part of the Rehabilitation Act of 1973 Federal civil rights law All qualified persons with disabilities within the jurisdiction of a school district are entitled to a free appropriate public education What is Section 504?

4. Understand the Options 504 Plan Individual Health Plan Individual Education Plan

5. 504 and IHP Individual Health Plan In writing, informal Not legally binding No documented disability 504 Plan In writing, formal Documented disability Lists accommodations Parents may be involved Due process

6. IDEA Individual Education Plan (IEP) For students with specific disabilities Specialized instruction program Parents involved Defined procedural process

7. Federal Disability Laws Applies to public schools Applies to most private schools Applies to public schools Applies to limited private schools Americans with Disabilities Act (ADA) Section 504 Rehabilitation Act 1973

8. Celiac Disease = Disability? Must meet this standard – The individual student has a physical or mental impairment which substantially limits one or more major life activities.

9. “Major Life Activities” Walking Seeing Hearing Speaking Breathing Reading Thinking Learning Working Eating Caring for one’s self Communicating Concentrating Performing manual tasks

10. The Process Request for services Student evaluation Determination of eligibility Plan drafted, approved, implemented

11. What to Document Identify the disability Explain how it restricts the child's diet Major life activity affected Foods to be omitted Foods to be substituted

12. Medical Statement

13. Medical Statement (cont.)

14. Scope of Section 504 Class Food Service Communication Extracurricular Activities Emergency

15. The 504 Plan Objective – Safe Environment Accommodations predicated on student age Reasonable Team effort to keep child safe

16. In the Classroom Snacks / Rewards Cleaning desks Attention to hand washing Additional bathroom privileges Extra time for test taking Information for substitute teachers

17. Communication is Key Parental notification Emergency contacts Emergency evacuations / shelter-in-place

18. Attention in the School Kitchen Separate food preparation Dedicated work spaces and/or equipment Clean and sanitize surfaces, equipment Review product labels, share with parent Staff training

19. Meal Accommodations Required Allergies - potential of anaphylaxis Celiac disease With Approval Allergies - no anaphylaxis Food intolerances

20. Chesterfield County, VA Middle School Gluten-Free Menu

22. Helpful Notes for Dietitians Know what the USDA meal pattern requirements are so that you can assist the school in developing the child’s personalized diet plan. Be knowledgeable of the policies and procedures in place for the State and local district as they pertain to children with identified special dietary needs

23. Resources CDF Website Foodallergy.org Centers for Disease Control and Prevention (CDC) “Voluntary Guidelines for Managing Food Allergies In Schools and Early Care and Education Programs”