Section 665.105  Definitions


Act – Section 7 of the Child Care Act of 1969.


Advanced practice nurse – a person who is licensed as an advanced practice nurse under the Nurse Practice Act.


Advisory Committee on Immunization Practices or ACIP – a group of medical and public health experts selected by the Secretary of the U.S. Department of Health and Human Services (HHS) following an application and nomination process that develops recommendations on how to use vaccines to control diseases in the United States.


Attendance center – an individual building or site responsible for taking and maintaining attendance records of students. 


Body mass index or BMI – the result of a calculation of weight and height measurement used to determine whether an individual's weight is appropriate for his or her height.  Body mass index is calculated by multiplying weight in pounds by 703 and dividing by the square of the height in inches.


Weight (lbs) x 703/Height (inches)2




703 (Weight (lbs)/Height (inches)2


Certified vision screener − a person who has been trained by the Illinois Department of Public Health and who holds a current and valid certification from the Department as a vision screener in accordance with the Illinois Child Vision and Hearing Test Act.


Child care facility – any person, group of persons, center, organization or institution who or that is established and maintained for the care of children outside of their home.


Dental examination − an examination, performed by a dentist, that includes, at a minimum, oral health status and treatment needs.


Dentist – a person who is licensed to practice dentistry under the Illinois Dental Practice Act.


Department or IDPH – the Illinois Department of Public Health.


Eye examination – an examination, performed by an optometrist or a physician who provides eye examinations, that includes, at a minimum, history, visual acuity, subjective refraction to best visual acuity near and far, internal and external examination, and a glaucoma evaluation, as well as any other tests or observations that, in the professional judgment of the physician or optometrist, are necessary. (Section 27-8.1(2) of the School Code)


Glaucoma evaluation – an examination that includes the measurement by instrumentation of the intraocular pressure of the eye, and other tests focused on the optic nerve, as needed.


Health care official – a person with signature or administrative authority within a health care, child care or school setting.


Health care provider – a physician, advanced practice nurse, or physician assistant who is authorized to conduct health examinations under  Section 27-8.1(2) of the School Code and a pharmacist who is authorized to administer vaccinations under the Illinois Pharmacy Practice Act of 1975.


Local school authority – that person, including, but not limited to, homeless liaison, principal, social worker or registered nurse employed by the school authority, who has ultimate control and responsibility for any public, private/independent or parochial elementary or secondary school, or any  attendance center or nursery school operated by an elementary or secondary school or institution of higher learning.


Optometrist – a person who is licensed to practice optometry under the Illinois Optometric Practice Act of 1987.


Pharmacist – a person who is licensed to practice pharmacy under the Illinois Pharmacy Practice Act of 1975.


Physician – a person who is licensed to practice medicine in all of its branches as provided in the Medical Practice Act of 1987.


Physician assistant – a person who is licensed as a physician assistant under the Physician Assistant Practice Act of 1987.


Proof of immunity – documented evidence of the child's having received a vaccine verified by a health care provider, laboratory evidence or proof of disease as described in Section 665.250.


Registered nurse – a person who is licensed as a registered professional nurse under the Nurse Practice  Act.


School program – nursery  schools, pre-school programs, early childhood programs, Head Start, or other pre-kindergarten child care programs offered or operated by a school or school district.


Subjective refraction – determining the best visual status of the patient using ophthalmic lenses with directed patient response.


Vision screening − mandated vision screening by Department-certified vision screeners under the Child Vision and Hearing Test Act and the Department's rules titled Vision Screening. Vision screening services include testing, evaluation and follow-up, which may include a recommendation for an eye examination.


Visual acuity testing – a measurement of the resolving power of the human eye using standardized testing conditions, usually by distinguishing standardized targets such as letters or children's symbols.  It is done far at 20 feet and near at 16 inches without correction, with the present refractive correction, and with best correction by examination, and includes monocular and binocular findings.


(Source:  Amended at 41 Ill. Reg. 2973, effective February 27, 2017)