SDLA Compliance Resource
Submit One Districtwide PM 100 Annual Report of Hearing Testing
A June reporting control that reconciles school and charter results, October enrollment, screening failures, referrals, and completed follow-up before one district submission.
In Plain Language: Collect hearing-testing results from every district school and included charter school, reconcile them to the PM 100 instructions and October CALPADS enrollment, and submit one combined district form. Individual school forms are no longer accepted.
Why this matters
PM 100 is not merely a count of screenings. It connects enrollment, required testing, confirmed failures, referrals, and documented medical/audiological follow-up—and exposes missing handoffs.
Joint ownership
Report owner: district health-services lead/school nurse administrator. Data partners: registered school audiometrists, charter liaisons, CALPADS/enrollment staff, schools, and district administration.
Operational workflow
- 1. At year start, inventory testing sites, included charter schools, registered personnel, required grades, waivers, and data owners.
- 2. Maintain school-level screening, threshold, referral, and follow-up records throughout the cycle.
- 3. Obtain October enrollment counts and reconcile each site's totals and exceptions.
- 4. Combine all school and charter data into one current PM 100; perform cross-foot and missing-follow-up checks.
- 5. Obtain approval, submit by June 30 through the current DHCS channel, and retain delivery evidence.
What the district must reconcile
- October enrollment by grade
- Number screened under 17 CCR section 2951
- Pupils failing both threshold tests
- Referrals for medical/audiological evaluation
- Pupils examined, under treatment, or otherwise followed up
Evidence to retain
- Site/charter source files and certifications
- October CALPADS enrollment extract
- Waiver documentation and registered-personnel list
- Reconciliation and approval checks
- Submitted PM 100 and delivery confirmation
Official guidance and help
- DHCS Hearing Conservation ProgramCurrent form request, consolidation, waiver, and June 30 instructions
- DHCS PM 100Current official report and field instructions
Source review completed August 30, 2026. Verify current law, official health guidance, local health-department instructions, licensed-provider orders, individual pupil circumstances, and local policy before acting. This operational resource does not replace clinical judgment or emergency services.








































































