LAUSD Athletic
Administrators and
Athletic Directors
Trenton Cornelius – Coordinator
Dave Siedelman – Specialist
Dawn Xitco – Specialist
Phone: (213) 241-5847
Fax: (213) 241-5846
Hazing and Bullying
Judy Chaisson - Office of Diversity and Equity
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LGBT Issues
Coaches Code of Conduct
Required Student-Athlete Documents
Code of Conduct/Child Abuse
Operations – Office of Earl Perkins
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Keep personal life separate from professional
duties
Do not intermingle your private social media
with the students
Do not transport students without proper
approval in writing
All forms of communication (phone, email,
social media, etc.) should remain professional
Out of Season Contact
Civic Center Permits Office- Kyle Kirkpatrick
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All coaches get 10 screening
dates during the school year.
Must have emergency cards
and cleared physical
Coaches must possess their
own liability insurance
School uniforms, equipment,
and funds may not be used
for out of season activities
Coaches must always obtain
a LAUSD lease or civic
center permit
LAUSD Office Duties and
Responsibilities
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Transportation
Processing Coaches
Facilities
Incident Reports
Injury Tracking Forms
School Police
MISIS Issues
Site Visits
Rosters
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AD/AP Orientations
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Supervision of Athletic Contest
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Share supervision plan with opponents prior to
contest
Introduce yourself to officials and opponents
supervision staff. Be active and visible
Supervision is responsible for crowd control not
the school police
Supervision should have all emergency contact
numbers and forms to act if there is an incident
SITE VISITS
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Site Evaluation Form (In Packet)
Key Areas of Visit
Student-Athlete Paperwork.
 Nurses Clearance of physicals.
 Coaches Files- Title V Requirements
 Preseason Coaches Meetings and Agendas
 Finance – Team trust accounts and parent
permission slips.
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ASB Policies
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Athletic Purchases
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Keep Inventory of Uniforms and Athletic Equipment.
Secure and log location of school purchased items.
All fundraisers conducted to purchase athletic uniforms or
equipment must be approved by principal.
Participation by the students and school employees must be
voluntary.
Reference Bul-6264.0 for additional information.
AB 1575 states all students are entitled to a free public
education; therefore no fees can be required for participation
on athletic teams
Important LAUSD Dates
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Eligibility Dates
Eligibility Roster due Dates
Professional Development Days (14 Dates)
Fall Eligibility Rosters are due 08/28/14.
Important Dates Handout included in packet.
th
9
Grade Probation Period
LAUSD REF-4236.10 5/23/14
 - Fall Sports ONLY
*First Time 9th Graders ONLY
Probationary period is only granted for students below a 2.0
GPA coming from 8th Grade. Incoming freshmen are allowed a
probationary period for eligibility during the first 10 weeks of the
school year. Incoming freshmen need to have passed the
equivalent of 20 semester credits of work on the most recent
grading report to be eligible for the probationary period. At the
10 week grade report incoming freshmen must meet all eligibility
requirements for athletic eligibility.
- 9th Grade Probationary Students need a separate roster
submitted to The Athletic Office before they can participate.
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Processing and Certification of
Coaches
Know who should and should not be working with the student athletes
 Coaches must notify Athletic Directors of their fingerprinting date
 All forms must be filled out and submitted prior to the first practice
 Communication between you and your SAA is important… ie Tracking numbers and
RPA’s
Time reporting Cards
Payroll (Athletic Assistants are paid monthly)
Stipends Fall November 2014 pay period
Winter February 2015 pay period
Spring May 2015 pay period
Athletic Directors December 2014 and June 2015 pay periods
- Make sure you include the coaches Social Security number on the Supplemental
Assignment form
 When submitting supplemental, make sure you send Employment Athletic Assistant
Form for all (AA coaches) and Freeze Form for new (AA coaches) at your school, that
wasn’t paid in 2013-14 school year.
 All Paid Coaches must be 21 years of age at the time the first official practice.
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Volunteer Coaches
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All adults on sidelines/ bench/field
must be processed as volunteers
Volunteer Coaching Form must be
submitted to the Athletics Office for
each season. If you have no
volunteer coaches, please write none
and submit.
Volunteer coaches cannot coach
without the presence of a paid coach
School administration is responsible
for monitoring volunteer coaches at
practice and games.
Heat Index
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Make sure all coaches have a
copy of the Heat Index chart
Chart should be posted and
made visible
Many smartphone apps (ex.
OSHA) can be downloaded
and provide the heat index
for your location
Use common sense and good
judgment in modifying
activities
Transportation
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Must continue to shuttle and make reductions as
much as possible
http://fieldtrip.lausd.net is the website and buses
may only be ordered through LAUSD servers.
Buses are not available between 1:30pm and 4:30
pm.
All practice and game buses must be ordered at
least 15 days early
The Athletic Office will order all playoff buses and
you will send me a confirmation email to confirm
the pick-up time and destination.
NO new orders will be accepted by
transportation. Everything goes through Athletics
Office.
If using private transportation make sure all
required documents are filled
All Charter buses must be on the LAUSD
Approved Charter list. Late request bus orders
maybe subject to ordering a charter bus, if a bus
can not be provide at the schools cost.
Tournament Paperwork
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TRAVEL REQUIRING PRE-APPROVAL
Out of Los Angeles County (not overnight) – All athletic travel outside Los
Angeles County must have the prior approval of the Principal, and the Local District
Superintendent. District Form #34-EH-57 (Request for Field Trip/Excursion) must
be completed and submitted to the ESC Administrator of Operations no later than 30
days prior to travel.
Overnight – Requests for overnight travel must be submitted to the ESC
Superintendent at least 45 days prior to travel. A letter describing departure and arrival
times and dates, accommodations, type and nature of the competition, supervision
arrangements, type of travel, and the number of instructional days missed, must
accompany Form #34-EH-57 (if out of Los Angeles County) and if a tournament, an
approved request for Sanction Event form must also be included. If approved by the
ESC Administrator of Operations, a copy of the request must be forwarded to the
Coordinator of Interscholastic Athletics.
Local (Any contest that is within normal driving distance, with departure and return
on the same day.) Refer to the LAUSD Field Trip Handbook for additional
information.
LAUSD Athletic Office must receive request and tournament sanction number to
ESC Operations before ESC Approval.
List will be listed on website.
District Nursing Services
Serop Hakimian, Field Coordinator
Carmen Montes, RN, School Nurse
Special Programs
121 N. Beaudry Ave Los Angeles, CA 90012
(213) 202-7580
The Role of the School Nurse
Safeguarding the Health of Students
Identifying Health Barriers to Learning
Strengthening and Facilitating the
Educational process
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The mission of Nursing Services is to
strengthen and facilitate the educational
process by improving and protecting the
health status of children and by identifying
and assisting in the removal or modification
of health-related barriers to learning. The
major focus is the prevention of illness and
disability and the early detection and
correction of health problems. Nursing
Services, therefore, contributes to student
achievement
DEFINITION OF A SCHOOL NURSE
C.E.C. 49426
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A school nurse is a registered nurse with a
Bachelors degree, who has completed the
additional requirements for, and possesses a
current credential in, school nursing.
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All school nurses are represented by UTLA
same contract as the teachers.
Welligent documentation
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Student health Records are all web-based and
documented in LAUSD Welligent System.
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School Administrator have access to Welligent
Health Manager for students at their schools.
Your school Nurse can help you .
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CPR/AED Training
District Nursing CPR/AED
Program
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Roybal Annex: 121 N Beaudry Ave Training
Center.
Registration through Learning Zone
Serving: Certificated, Classified, Students and
Parent/Community
Preparticipation Physical Evaluation
Medical Clearance of Students
Participating in Interscholastic
Athletics/Select Auxiliary Units
NEW-Bulletin - 4948.2
Policy
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Each student planning to participate in California
Interscholastic Athletic Federation competition or
cheerleading must undergo an annual
Preparticipation Physical Evaluation by a
qualified California licensed health care provider
prior to tryout, practice or actual competition.
Select auxiliary units and marching band must
undergo a physical evaluation at least once
prior to tryout, practice or participation and
annual Health History
PHYSICAL EXAMINATION FOR
INTERSCHOLASTIC ATHLETICS
The overall goal of the Preparticipation Physical
Evaluation (PPE) is to help maintain the health and
safety of the athlete and cheerleaders in training and
competition which is achieved by three primary
objectives:
Detect conditions that may be life threatening or
disabling
Detect conditions that may predispose to injury
Meet legal and administrative requirements
Athletic Physicals
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The Credentialed School Nurse Reviews the health
history and Physical Examination from the doctor
for participating in team sports, band and cheerleading.
Clearance must be done before practice begins.
Qualification of the Examiners
Qualification of an examiner to perform the PPE
is based on training and clinical expertise. In
general, the District accepts medical clearance
from California-licensed health care providers in
the following groups:
Physician (MD/DO)
Nurse Practitioner (NP)
Physicians Assistant (PA)
Timing and Frequency of the Evaluation
A full PPE must be conducted annually prior to
tryout, conditioning, practice, and competition in a
sport. The PPE should ideally be performed at
least 6 weeks prior to the start of practice. To
avoid potential difficulties of scheduling
evaluations in mid-summer during conditioning or
pre-season practice, evaluations may be performed
at the end of the previous school year.
Forms for Documenting
Evaluation
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The full PPE must be documented on the “Preparticipation
Physical Evaluation” form The California Interscholastic Federation
Sports Medicine Committee recommends the use of the PPE form
published in the “Preparticipation Physical Evaluation,” 4th Edition
(see references). The form includes health history, physical exam, and
clearance sections that are important for documentation of a full PPE.
*Any questions about the PPE form should be directed to the school
nurse. Electronically PPE clearance coming from a physician or
qualified provider, and the clearance is documented and interpreted
clearly on the document, and then we can accept it.
PROCEDURES AND
RESPONSIBILITIES
Athletic Director and Coaches:
Distribute the following to students planning to try out for competitive athletics and
cheerleaders:
Athletic
Record Card to be completed and signed on the back by the student and the
parent/guardian. Personal identifying information on the face of the card should be
completed by the student.
The Preparticipation Physical Evaluation form is to be completed and signed by a
California-licensed health care provider with the contact information of the clinic or office
where it was performed and stamped.
After removing the Insurance Certificate, take the completed Athletic Record Card and
the completed Preparticipation Physical Evaluation form to the school nurse. Medical
approval is valid for one year only.
File the Insurance Certificate with the athletic director.
Keep a record of students who have been medically approved, deferred, or disapproved.
PROCEDURES AND
RESPONSIBILITIES
School Nurse
Evaluate Preparticipation Physical Evaluation and review student health record,
if available.
Determine whether the health care provider’s approval is in accord with what is
documented on the PPE (Appendix A). If necessary, contact the health care
provider to clarify any recommendation or restriction. If after contacting the
private health care provider there are unresolved questions regarding the
clearance, consult with the local district school physician.
File the completed PPE with the student’s health record in the school Health
Office. Enter into Welligent under Mass Screening in “type of event”.
The school nurse will give the list of the students who are cleared for sport
participation upon request by the Athletic Director and/or coach.
DETERMINING CLEARANCE FOR
ATHLETIC PARTICIPATION
*The most important decision in the PPE is determining clearance for athletic
participation. Clearance can be divided into four categories:
Clearance
without restriction;
Clearance with recommendation for further evaluation or treatment (such as
rechecking blood pressure in one month);
“Not cleared” clearance status to be reconsidered after completion of further
evaluation, treatment or rehabilitation;
Not cleared for certain types of sports or for all sports.
If the athlete cannot play the sport of choice, the health care provider should
consider alternatives that allow some form of participation.
Clearance Policy for Student Athletes
with Impaired Vision
Background
All sports-related activities including practice and actual competition carry a small risk of inadvertent eye
injury. The consequences of any eye injury are greatly magnified in student- athletes with reduced vision in
one or both eyes, regardless of the cause. In these children, an injury to the better eye can create a permanent
visual disability.
Purpose
To prevent/reduce potential for permanent visual disability due to injury in student athletes with impaired
vision.
Policy
The American Academy of Ophthalmology defines “functionally one-eyed athletes” as those with a bestcorrected visual acuity less than 20/40 in the worse eye. As part of the routine school/sports physical, all
student-athletes should be screened with a distance Snellen (or equivalent) visual acuity for each eye. If the
best-corrected distance vision, wearing prescribed eyeglasses or contact lenses as needed, is worse than
20/40 in either eye, the child MUST use safety eyewear while participating in any sports-related activity. The
safety eyewear can be in the form of eyeglasses, goggles, or a face shield that covers the eyes, but in all cases
should be manufactured with polycarbonate safety glass (many prescription eyeglasses are not made of
polycarbonate glass and do not provide adequate protection against eye injury).
RETURN TO ATHLETIC
PARTICIPATION
Minor Illness or Injury
A student absent from athletic practice or competition for
an extended period of time due to illness or injury must
present a written statement from the treating Californialicensed health care provider indicating a recommendation
for return to athletic participation and any modifications or
accommodations that may need to be implemented.
The student shall be referred to the school nurse who will
determine eligibility and notify the Athletic Director and/or
coach.
RETURN TO ATHLETIC
PARTICIPATION
Serious Illness or Injury
The student returning with written approval from
the California-licensed health care provider following
a serious injury or illness including, but not limited to,
concussion, fracture, ruptured kidney, spleen or liver,
extensive lacerations, torn ligaments, etc., must be
referred to the school nurse for reevaluation prior to
resuming practice and competitive athletics.
HEALTH CLEARANCE FOR
CHEERLEADERS
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Cheerleaders are not covered by the California
Interscholastic Federation (C.I.F.) regulations.
However, these activities often include strenuous
activities or skills that warrant a pre-participation
physical evaluation. Students who wish to
participate in cheerleading will obtain a PPE
annually prior to tryout, practice and competition.
The coach or instructor shall distribute and collect
the necessary forms; the school nurse shall review
the Health History and the PPE as in section II.B.
HEALTH CLEARANCE FOR AUXILARY
UNITS
DRILL TEAM, FLAG TEAM, DANCE
TEAM
AND
MARCHING
 Students
who wish
to participate
in selectBAND
auxiliary units
and marching band activities will obtain a PPE at least
once prior to tryout, practice and competition. The coach
or instructor shall distribute the necessary forms, and the
school nurse shall review the forms. Annual physical
clearances are not required, but the students, their
families and coaches should report any interim health
issue that will affect participation to the school nurse.
The school nurse reviews the current Student Health
History each year to determine District clearance to
participate.
Contact Information
District Nursing Services
Special Program
121 N. Beaudry Ave Los
Angeles, CA 90012
213.202.7580
Selected Games
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These are the factors that determine Selected
Games (rivalry, community safety issues, and
anticipated large attendance)
All Selected Games must be approved by school
police and Athletics Office
Injury Tracking
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Forms should be submitted to Athletics Office
within 72 hours with ISTAR tracking number
Make sure there is immediate contact with
parent/guardian and school nurse is notified.
Follow up with the status of injuries and
additional medical procedures that may have
taken place.
No athlete returns until you have been provided
medical clearance by a doctor and reviewed by
school nurse.
Food Services
David Binkle
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Providing Meals for Athletes
MISIS
Robert Storaker/Jen Kessler
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Overview of software
Available Training
Questions and concens