Dover Area School District | Case 17588-15-16 | 2016-06-04
Pennsylvania special education due-process decision
- Case number
- 17588-15-16
- Date
- 06/04/2016
- Parties / district (official listing)
- Dover Area School District
- Hearing officer
- Linda Valentini
- Issues (official listing)
- Section 504 Related Services Evidence
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Decision text
Page 1
This is a redacted version of the original decision. Select details have been removed from the
decision to preserve anonymity of the student. The redactions do not affect the substance of
the document.
Pennsylvania
Special Education Hearing Officer
DECISION
DUE PROCESS HEARING
Name of Child: R.M.
ODR #17588 / 15-16 KE
Date of Birth:
[redacted]
Date of Hearing:
May 16, 2016
CLOSED HEARING
Parties to the Hearing: Representative:
Parent[s] Daniel Fennick, Esquire
Anderson, Converse & Fennick
1423 East Market Street
York, PA 17403
Dover Area School District Zachary E. Nahass, Esquire
2 School Lane CGA Law Firm
Dover, PA 17315 135 North George Street
York, PA 17401
Date Record Closed: June 1, 2016
Date of Decision: June 4, 2016
Hearing Officer: Linda M. Valentini, Psy.D., CHO
C e r t i f i e d H e a r i n g O f f i c i a l
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Background
Student is an elementary school-age Student enrolled in the District. Student is a qualified
handicapped person / protected handicapped student under Section 504 of the Rehabilitation Act
of 1973 (29 U.S.C. §794), the federal regulations implementing Section 504 (34 C.F.R.
§§104.32—104.37), and Chapter 15 of the Pennsylvania Code. Student has had a 504 Service
Plan (504 Plan) since December 2014.
Student is diagnosed with Ehlers-Danlos syndrome, which also involves Postural Orthostatic
Tachycardia Syndrome (POTS). Student may experience rapid lowering of blood pressure that
can result in dizziness and occasional fainting.
In March 2016 Student fainted in the nurse’s office and fell from a chair, sustaining a
concussion. The Parents believe that to insure Student’s safety Student requires a medically
trained dedicated aide in close proximity to Student at all times throughout the school day. The
District believes that it is capable of providing supervision of Student with existing staff and that
a medically trained dedicated aide is not necessary to ensure Student’s safety.
Based upon review of the record produced at the single hearing session, as well as review of the
parties’ respective written legal arguments, I find in favor of the District.
Issue
Must the District be required to provide a medically trained dedicated aide in close
proximity to Student at all times during the school day?
Stipulations
Student is an “otherwise qualified” Student in accordance with Federal and State Standards. [NT
10]
The District will provide all the relief requested in the Parents’ complaint, clauses B through O,
other than clause A, referencing an aide, about which the dispute in this hearing revolves. [NT
10; S-1]
Findings of Fact
1
1. Student carries the medical diagnosis of Ehlers-Danlos syndrome, a complication of
which is Postural Orthostatic Tachycardia Syndrome (POTS). [NT 25-26]
1 The parties submitted School exhibits, Parent exhibits and Joint exhibits; they are marked S, P, or J respectively.
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2. In a May 19, 2014 letter addressed To Whom It May Concern Student’s pediatric
cardiologist who is the area specialist in POTS describes it as follows: “POTS consists of
severe dysfunction of the autonomic nervous system, and includes varied symptoms such
as severe dizziness and fainting, headaches, severe fatigue, difficulty with concentration,
heat or cold intolerance, palpitations and chest pain, weakness and abdominal
discomfort.” [NT 70; J-1]
3. If early onset of symptoms is detected, Student can lie down or be put flat on the floor
which raises blood pressure and allows Student to return to the interrupted activity.
Student is expected to be able to provide “early warnings” to those around Student when
Student experiences symptoms that could precipitate a loss of consciousness. [NT 33, 39]
4. On the occasions when Student experienced POTS-related symptoms at school, Student
was always able to tell school staff about the onset of symptoms. Student knows to lie
down right away if experiencing feeling faint or being about to pass out. [NT 71-72, 134,
136]
5. In his May 19, 2014 letter the pediatric cardiologist recommended a number of
interventions for Student including that Student have unlimited access to water and the
restroom, be accompanied to the restroom by a ‘buddy’, be allowed extra time for
homework and testing, and be given ‘forbearance’ for frequent tardiness and/or absence.
[J-1]
6. Student’s initial 504 Plan dated December 19, 2014 began to be implemented on January
21, 2015. The 504 Plan contained the relevant interventions recommended by the
pediatric cardiologist as well as some additional accommodations based on input from the
Parents. Student’s family pediatrician was also involved in developing the initial 504
Plan. [NT 30, 37, 57; S-4]
7. The December 19, 2014 504 Plan was revised on August 21, 2015. There was another
proposed revision dated January 21, 2016. There is some dispute between the parties as to
whether the August 21, 2015 504 Plan or the January 21, 2016 504 Plan was in place at
the time of the March 1, 2016 incident in question. [NT 61-62; S-3; S-4; P-5 p 6]
8. On February 9, 2016, the District’s guidance counselor sent a copy of the January 21,
2016 revision of the existing 504 plan to Student’s mother, with a request that she review
it to ensure that she remained in agreement. Mother responded that “[e]verything looks
fine” and only inquired about options when Student was absent. [NT 107; S-3, S-5]
9. Regardless of which 504 Plan was in place, in different places on the forms, all three 504
Plans (December 2014, August 2015, January 2016) contain the identical language that
“If student reports dizziness, light-headedness, or feeling of passing out, call nurse to
escort to health room for evaluation.” [S-3, S-4, P-5 p 6]
10. The December 19, 2014 504 Plan, and its revision on August 21, 2015, describe the
symptoms of Student’s disability that substantially limit or prohibit participation in an
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aspect of Student’s program as follows: “[POTS] causes severe dizziness and fainting,
headaches, severe fatigue, difficulty with concentration, heat or cold intolerance,
palpitations and chest pain, weakness and abdominal discomfort.” The January 21, 2016
proposed revision does not have the list of symptoms. [S-3, S-4, P-5 p 6]
11. On March 1, 2016, Student’s teacher overheard Student telling a classmate that Student
“thought [Student] was going to be sick.” [NT 184]
12. The teacher did not believe that Student was experiencing warning symptoms of fainting,
but rather that Student was suffering from a gastrointestinal condition that many of the
children in the school were having at the time to the point where the school had to shut
the lunchroom down. [NT 157, 185-186; S-4]
13. The teacher sent Student to the nurse’s office where, waiting for the nurse who was
present but attending another student, Student lost consciousness and fell from a chair,
sustaining a concussion. On the day of the incident there was a substitute nurse on duty.
[NT 54, 183-184, 186]
14. Student’s fainting spells have not been frequent and most often Student’s POTS
symptoms fall short of fainting. The only time Student fainted in school before March 1,
2016 was in autumn of 1st grade, three-and-a-half years ago. [NT 25, 37, 55, 101-102]
15. Student is being seen at the concussion clinic at an area hospital for children. Student’s
concussive symptoms should resolve before the end of the summer. [NT 50-51, 68-70]
16. The family physician2 advised the Parents that they could take Student on a pre-planned
trip to Florida a few days after the incident as long as Student did not go on any “crazy
rides”. [NT 80, 208-209]
17. On March 17, 2016 immediately upon the family’s return from vacation the District
convened a meeting in order to amend Student’s 504 Plan. [NT 208-209]
18. The record does not reveal why in the original 504 Plan of December 2014 and its
subsequent August 2015 and February 2016 revisions the District and the Parents chose
to limit symptoms that required calling the nurse to escort Student to the health room to
“dizziness, light-headedness, or feeling of passing out”. [S-4]
19. Unlike its predecessors, the proposed March 17, 2016 504 Plan reads as follows, “If
student reports or shows signs of any of the following symptoms: severe dizziness,
fainting, headaches, severe fatigue, difficulty with concentration, heat or cold intolerance,
palpitations, chest pain, weakness, and abdominal discomfort, have student lie on floor
immediately and then call nurse for a wheelchair escort to the health room for
evaluation.” [NT 108; J-2]
2 Unspecified in the record
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20. The District asked the Parents to take the draft March 17, 2016 504 Plan with them to
their appointment that same day with Student’s specialists at a hospital for children in
Philadelphia, and to obtain feedback from those physicians on the draft March 17, 2016
504 Plan. The Parents did not provide any feedback from Student’s specialists. [NT 64,
212; J-2]
21. On March 17, 2016, after the 504 meeting, the Parents asked the school principal for an
aide for Student. [NT 210-211, 217]
22. None of the specialists who treat Student for POTS or follow Student for the concussion
has ever, before or after the incident, recommended that Student be provided a dedicated
aide to accommodate Student’s condition. [NT 42]
23. In a post-incident March 17, 2016 letter the physician who is following Student’s
concussion noted, “No gym now, but [Student] can go out for recess”. There were other
recommendations, none of which were for a one-to-one aide. [J-3]
24. In a post-incident April 4, 2016 letter, Student’s neurologist recommended that Student
keep a diary of food, fluid intake, and sleep, among other recommended interventions,
but did not recommend that Student receive the services of a one-on-one aide. [P-12]
25. A post-incident May 1, 2016 detailed report from Student’s pediatric cardiologist’s office
indicates that Student has no barriers to learning, and discusses recommended
interventions, such as a cooling vest and adequate fluid intake, but did not recommend
that Student receive the services of a one-on-one aide. [P-20]
26. The May 1, 2016 detailed report from Student’s pediatric cardiologist’s office notes that
the Parents were provided with a “POTS school accommodations letter”. The POTS
school accommodations letter was not entered into evidence by either party. [NT 91-93]
27. Student’s father testified that he wanted a dedicated aide to watch what the District is
doing because he does not trust the District. [NT 88]
28. While none of the specialists who provide Student’s treatment for POTS recommended
that Student receive a dedicated aide, and the family pediatrician had never before
recommended a dedicated aide, after the incident the Parents asked Student’s pediatrician
to recommend the provision of a dedicated aide. [NT 97-98]
29. On April 12, 2016 prior to Student’s next pediatric appointment the pediatrician
addressed a letter to Parents’ counsel saying that he would “support the following
accommodations”, the first of which was “a medically trained aide to be immediately
available to [Student] throughout the entire school day”. (Emphasis added) [J-4]
30. On April 25, 2016 the pediatrician addressed a letter To Whom It May Concern wherein
he stated that “it is a reasonable accommodation to have a nurse or medically trained aide
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in near proximity to Student in school and at other locations away from home such as
summer programs.” [P-17]
31. The pediatrician testified at the hearing, opining that Student should have a dedicated
aide, but also testified that POTS does not limit Student’s ability to play sports although
Student may not play sports until the concussion has resolved. [NT 48]
32. The pediatrician, speaking about the dedicated aide, also acknowledged that “a person
like that needs to take a break once in a while, I presume, and make their own bathroom
trips; but, yes, as much as possible I would like -- I would foresee this person being
available to [Student]…But, yeah, I think that as much as possible that I would, you
know, hope for, you know, 95 percent of the day this person could be available to
[Student]”. [NT 32]
33. In support of the need for a medically trained aide, the pediatrician noted that although
“we're going to be depending on [Student] a lot to give us these early warnings and … if
[Student] has an upset stomach or a headache, you know, [Student] can't be treated like
another child because this could be -- this could rapidly progress to a fainting episode, but
I think -- yeah, a medically trained person could keep an eye on [Student] and if [Student]
looks pale or is not acting right could intervene to contact [Student] and see if [Student]
needs to be taken to the nurse's office.” [NT 33]
34. The pediatrician defined ‘medically trained’ as someone with training as a medical
assistant or higher. [NT 47-48]
35. The District’s school nurse has been a registered nurse for twenty years, with fifteen of
those twenty in pediatrics or cardiology. She has been a school nurse for nine of her
twenty years. She has always had students with fainting disorders, neurological disorders,
and seizure disorders on her caseload. [NT 131-132]
36. Based on her experience in the school setting and with Student in particular the District’s
school nurse is confident that Student does not require a dedicated aide.3 [NT 144-145]
37. Since the incident, the District has developed a “medical alert” poster with Student’s
picture on it to be placed in prominent places in the nurse’s office and in a folder on the
teacher’s desk to ensure that substitute nurses and substitute teachers are aware of
Student’s condition. [NT 155-156; S-8]
38. The school nurse has provided training to District staff regarding Student’s condition, and
she will continue to provide ongoing training to everyone who in any way has contact
with Student. [NT 145-146]
3 Although Student’s current teacher has no concerns about her ability to implement the District’s proposed
interventions to keep Student safe she will not be Student’s teacher next year, therefore her opinion in this regard is
irrelevant. [NT 180, 187]
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39. The District has developed a schedule whereby as much as possible there are always at
least two adults in close proximity to Student and all are trained on what symptoms to
look for and what actions to take in the event that Student experiences such symptoms.
[NT 223]
40. Whereas prior to March 1, 2016, Student’s 504 Plan only required the nurse to be called
if Student expressed feeling dizzy and/or lightheaded, the proposed March 17, 2016 504
Plan now includes the provision that “If Student reports or shows signs of any of the
following symptoms: severe dizziness, fainting, headaches, severe fatigue, difficulty with
concentration, heat or cold intolerance, palpitations, chest pain, weakness and abdominal
discomfort have Student lie on floor immediately and then call nurse for a wheelchair
escort to the health room for evaluation”. [NT 108, 177; J-2]
41. Although the Parents have not yet approved the proposed March 17, 2016 504 Plan the
District is currently implementing it. [NT 141]
General Legal Principles
Burden of Proof: The burden of proof consists of two elements: the burden of production
[generally, which party presents its evidence first] and the burden of persuasion [which party’s
evidence outweighs the other party’s evidence in the judgment of the fact finder, in this case the
hearing officer]. The burden of persuasion lies with the party asking for the hearing. If the
parties provide evidence that is equally balanced, or in “equipoise”, then the party asking for the
hearing cannot prevail, having failed to present weightier evidence than the other party. Schaffer
v. Weast, 546 U.S. 49, 62 (2005); 4 L.E. v. Ramsey Board of Education, 435 F.3d 384, 392 (3d
Cir. 2006); Ridley S.D. v. M.R., 680 F.3d 260 (3rd Cir. 2012). In this case, because Parents asked
for the hearing, they bore the burden of persuasion. As the evidence was not evenly balanced
Schaffer was not applied.
Section 504: The claims in this case were asserted solely under the statute prohibiting disability-
based discrimination, commonly referred to as “Section 504 of the Rehabilitation Act of 1973”
or simply “Section 504,” found at 29 U.S.C. §794(a). Section 504 provides that,
No otherwise qualified individual with a disability in the United States, as
defined in section 705(20) of this title, shall, solely by reason of her or his
disability, be excluded from the participation in, be denied the benefits of, or be
subjected to discrimination under any program or activity receiving Federal
financial assistance.
4 Although the Parents bring this matter solely under Section 504, the Supreme Court’s analysis in Schaffer was based
upon basic principles in the common law and in administrative law. I see no reason to deviate from this analysis under
Section 504. Moreover, the Third Circuit Court of Appeals has recognized that the two statutes are unusually similar
with regard to the rights that they protect, and that at least one procedural requirement of the IDEA should be applied
in Section 504 cases. P.P. v. West Chester Area School District, 585 F.3d 727, 736 (3d Cir. 2009)(applying the IDEA
statutory limitation of actions to Section 504 cases). I conc lude that the reasoning in these cases is applicable to
Section 504 cases; thus, I follow those cases here.
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Notwithstanding language which, by its plain terms, proscribes discriminatory conduct by
recipients of federal funds, in the context of education the protections of Section 504 are
considered co-extensive with those provided by the IDEA statute with respect to the obligation to
provide a disabled student with a free, appropriate public education (FAPE). D.G. v. Somerset
Hills School District, 559 F.Supp.2d 484 (D.N.J. 2008); School District of Philadelphia v.
Deborah A. and Candiss C., 2009 WL 778321 (E.D. Pa. 2009).
The protections of Section 504 are implemented by federal regulations found at 34 C.F.R.
§§104.32—104.37. In addition, Pennsylvania has adopt ed regulations implementing §504 in the
context of prohibiting discrimination on the basis of disability and providing educational services
in the public schools, which are found in 22 Pa. Code §§15.1—15.11 (Chapter 15). As
explained in §15.1:
a. This chapter addresses a school district’s responsibility to comply with the requirements
of Section 504 and its implementing regulations at 34 CFR Part 104 (relating to
nondiscrimination on the basis of handicap in programs and activities receiving or
benefiting from federal financial assistance) and implements the statutory and regulatory
requirements of Section 504.
b. Section 504 and its accompanying regulations protect otherwise qualified handicapped
students who have physical, mental or health impairments from discrimination because of
those impairments. The law an d its regulations require pub lic educational agencies to
ensure that these students have equal opportunity to participate in the school program and
extracurricular activities to the maximum extent appropriate to the ability of the protected
handicapped student in question. School districts are required to provide these students
with the aids, services and accommodations that are designed to meet the educational needs
of protected handicapped students as adequately as the needs of non-handicapped students
are met. These aids, services and accomm odations may include, but are not limited to,
special transportation, modified equipment, ad justments in the student’s roster or the
administration of needed medication. For purpose s of the chapter, students protected by
Section 504 are defined and identified as protected handicapped students.
A school district is not required to maximize a child’s opportunity; it must provide a basic floor
of opportunity. See Lachman v. Illinois State Bd. of Educ., 852 F.2d 290 (7th Cir.), cert.
denied, 488 U.S. 925 (1988). In a homespun and frequently paraphrased statement, the court
in Doe v. Tullahoma City Schools accepted a School District's argument that it was only
required to "...provide the educational equivalent of a serviceable Chevrolet to every
handicapped student." and that "....the Board is not required to provide a Cadillac..." Doe ex
rel. Doe v. Bd. of Ed. of Tullahoma City Sch., 9 F.3d 455, 459-460 (6th Cir. 1993)
The Third Circuit has adopted this minimal standard for educational benefit, and has refined it
to mean that more than “trivial” or “de minimis” benefit is required. See Polk v. Central
Susquehanna Intermediate Unit 16, 853 F.2d 171, 1179 (3d Cir. 1998), cert. denied 488 U.S.
1030 (1989).
See also Carlisle Area School v. Scott P., 62 F.3d 520, 533-34 (3d Cir. 1995),
quoting Rowley, 458 U.S. at 201; (School districts “need not provide the optimal level of
services, or even a level that would confirm additional benefits, since the IEP required by
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IDEA represents only a “basic floor of opportunity”). Thus, what the statute guarantees is an
“appropriate” education, “not one that provides everything that might be thought desirable by
‘loving parents.’” Tucker v. Bayshore Union Free School District, 873 F.2d 563, 567 (2d Cir.
1989).
Credibility: During a due process hearing the hearing officer is charged with the responsibility of
judging the credibility of witnesses, weighing evidence and, accordingly, rendering a decision
incorporating findings of fact, discussion and conclusions of law. Hearing officers have the
plenary responsibility to make “express, qualitative determinations regarding the relative
credibility and persuasiveness of the witnesses”. Blount v. Lancaster-Lebanon Intermediate
Unit, 2003 LEXIS 21639 at *28 (2003); see also generally David G. v. Council Rock School
District, 2009 WL 3064732 (E.D. Pa. 2009); T.E. v. Cumberland Valley School District, 2014
U.S. Dist. LEXIS 1471 *11-12 (M.D. Pa. 2014); A.S. v. Office for Dispute Resolution
(Quakertown Community School District, 88 A.3d 256, 266 (Pa. Commw. 2014). I found the
pediatrician, who participated in the creation of Student’s first 504 Plan, to be testifying as a
strong advocate for the Parents’ position rather than offering an expert objective opinion to assist
the fact-finder. In his written correspondence with Parents’ counsel and in a letter To Whom It
May Concern the pediatrician used the phrases “support the following accommodations” and
“reasonable accommodation” when referencing the aide. There was considerable wrangling on
the record about his failure to use the phrase “medically necessary” with regard to the aide, but
finally upon re-direct examination from Parents’ counsel he did answer in the affirmative to the
question of whether the aide was medically necessary. Given that the answer was in the context
of litigation and advocacy I cannot give it full weight since he never committed it to writing and
the first time the pediatrician used that phrase was at the hearing during his third round of being
questioned. [NT 42-46]
Discussion
Student's POTS meets the legal test of Section 504 and Pennsylvania Chapter 15 regulations for
a disability that affects full participation in school in the absence of accommodations, namely,
reasonable safety precautions in light of the potential for fainting spells. 22 Pa. Code §15.2.
Student’s disability requires reasonable provisions in order to ensure Student’s safety in a public
school setting.
I am perplexed as to why, in Student’s initial December 2014 504 Plan and its revisions in
August 2015 and January 2016, the Parents, the District and the family pediatrician who
contributed to the initial 504 Plan, knowing that symptoms of possible fainting included more
than dizziness, light-headedness, or a feeling of passing out, chose to include only those
symptoms as triggers for calling the nurse to escort Student to the nurse’s office. The other
symptoms - headaches, severe fatigue, difficulty with concentration, heat or cold intolerance,
palpitations, chest pain, weakness, and abdominal discomfort - although listed elsewhere in the
December 2014 and August 2015 504 Plans (but not in the January 2016 504 Plan) were not
named as triggers for the nurse’s involvement. These symptoms were known to the District
since at least May 19, 2014, and to the Parents presumably earlier, when the pediatric
cardiologist described them in his letter.
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The dispute between the parties as to whether the August 2015 504 Plan or the January 2016 504
Plan was in effect on the date of the incident is not relevant to this decision. As of March 1,
2016 the classroom teacher would have had the August 2015 504 Plan and possibly but not
necessarily the January 2016 504 Plan. Including the initial December 2014 504 Plan, all three
504 Plans prior to March 1, 2016 included the language, “If student reports dizziness, light-
headedness, or feeling of passing out, call nurse to escort to health room for evaluation.” None
of the 504 Plans the Parents and the District agreed upon prior to March 1, 2016 triggered the
nurse’s being called to escort Student to the office if Student experienced headaches, severe
fatigue, difficulty with concentration, heat or cold intolerance, palpitations, chest pain, weakness,
and abdominal discomfort.
The Parents were in agreement with Student’s December 19, 2014 504 Plan and its August 2015
revision, and possibly with the January 2016 revision which mother reviewed in February 2016.
They now are requesting that a medically trained aide accompany Student throughout the school
day. The incident on March 1, 2016 was, if not a perfect storm, at least a series of highly
unfortunate combined events: the District and the Parents did not include in any of three 504
Plans a complete list of the symptoms for which the nurse needed to be called to escort Student
to the nurse’s office; the nurse covering in the school that day was a substitute who was not
closely familiar with Student; another child was in need of the nurse’s attention when Student
arrived; Student’s posture in the chair was such that a fall was not prevented. As a result of this
convergence of circumstances, Student fell and sustained a concussion.
The Parents are understandably very concerned about their child’s wellbeing, and now very
frightened for their child’s safety. Further, they currently harbor great mistrust of the District’s
ability to protect their child. In order to try to prevent any possible future harm from fainting
befalling their child the Parents appealed to their family pediatrician to assist in securing a
medically trained aide to accompany Student throughout the school day, or at least in the
pediatrician’s words, “as much as possible…95 percent of the day.” Of course there is
absolutely no guarantee that another near-perfect storm would occur during the 5 percent of the
day when the medically trained dedicated aide was not in attendance. Additionally it has to be
recognized that the last time when Student fainted in school was three years ago in 1
st grade.
The pediatrician’s opinion on the type of training that would qualify an aide as being ‘medically
trained’ was training as a “medical assistant or higher”. However, it does not stand to reason that
since, as the pediatrician testified, we are going to be “depending on Student a lot to give us
these early warnings” we need a medically trained aide who “could keep an eye on Student and
if Student looks pale or is not acting right could intervene to contact Student and see if Student
needs to be taken to the nurse's office.” It does not take training as a medical assistant or higher
to ascertain what can be observed by staff in a school setting, parents, sitters/and or a neighbor
thoroughly familiar with Student’s condition. The Parents have adduced no evidence that the
person[s] who are occasionally left to care for Student at home have medical training. [NT 79]
I recognize that there is likely nothing that will completely allay the Parents’ fears; however, it is
noteworthy that the District administration responded immediately to utilize its resources to
address the causes of the incident as comprehensively as possible. The District has placed a
medical alert poster with Student’s picture on it in the nurse’s office and in a folder on the
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teacher’s desk so substitute nurses and teachers would recognize Student and have necessary
information; the school nurse has trained every staff member who potentially can come in
contact with Student about what to do if Student expresses or is observed to be experiencing a
symptom associated with POTS; the District has agreed to have a licensed nurse present in the
building at all times when Student is in attendance; and as far as possible the District has more
than one adult in close proximity to Student. Furthermore, the District has offered the
comprehensive proposed March 17, 2016 504 Plan including provisions ‘b’ through ‘o’ as
stipulated. Most importantly the proposed 504 Plan now includes the provision that “If Student
reports or shows signs of any of the following symptoms: severe dizziness, fainting, headaches,
severe fatigue, difficulty with concentration, heat or cold intolerance, palpitations, chest pain,
weakness and abdominal discomfort have Student lie on floor immediately and then call nurse
for a wheelchair escort to the health room for evaluation”.
In order to bolster their request for a dedicated medically trained aide the Parents raised other
roles for the aide such as being responsible for monitoring dietary restrictions and
location/educational activities for Student. The father testified that the school nurse would be the
one to train the aide, for example, about dietary restrictions and schoolwork issues. [NT 99]
Although considerable time was spent on these topics, I find that they were red herrings, not
relevant to the core issue in this hearing.
Order
In accordance with the foregoing findings of fact and conclusions of law, it is hereby ordered
that:
The District is not required to provide Student with a medically trained dedicated aide.
Any claims not specifically addressed by this decision and order are denied and dismissed.
June 4, 2016
Linda M. Valentini, Psy.D., CHO
Date Linda M. Valentini, Psy.D., CHO
Special Education Hearing Officer
NAHO Certified Hearing Official
