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MUSCATINE COMMUNITY SCHOOL DISTRICT
Special Education Procedures
A Guide for MCSD Special Education Teachers
Office of Special Programs
10/24/2011
This Procedures Manual is intended to be a resource for Muscatine special education teachers. It is not intended to be all encompassing nor a final product. We encourage you to send your suggestions for improving this document to Jan Collinson, Director of Special Programs ([email protected]).
MCSD Special Education Procedures - Revised 10-24-2011 Page 2 of 39
Table of Contents Introduction ................................................................................................................................................................4
Questions and Concerns ............................................................................................................................................4
District Forms .............................................................................................................................................................5
Beginning / End of Year Checklists ..............................................................................................................................5
Beginning of the Year Checklist ..............................................................................................................................5
End of the Year Checklist .......................................................................................................................................5
Individual Student Caseload Report .............................................................................................................................6
Chapter 103 of Iowa Administrative Code - Corporal Punishment ...................................................................................6
Parent Contact Information Form ............................................................................................................................6
Seclusion Log .......................................................................................................................................................6
Administrative Designee .........................................................................................................................................6
Medicaid ...................................................................................................................................................................7
Records Access ........................................................................................................................................................7
Special Education Records Access List ...................................................................................................................7
Special Education Access Log ................................................................................................................................7
Translations ..............................................................................................................................................................7
Transportation Form ..................................................................................................................................................7
Procedures ..................................................................................................................................................................9
Additional Costs ........................................................................................................................................................9
Extended School Year Services ..................................................................................................................................9
Grants/Donations.......................................................................................................................................................9
Manifestation Determination .................................................................................................................................... 10
Para-educators ....................................................................................................................................................... 10
Report Cards.......................................................................................................................................................... 10
Progress Monitoring of IEP Goals ............................................................................................................................ 11
Requests From Outside Districts and/or Parents ........................................................................................................ 11
Student Attendance Center...................................................................................................................................... 11
Student Living Arrangements - Homeless, Foster, Move in or out of District ................................................................. 11
Files .......................................................................................................................................................................... 13
District Files ......................................................................................................................................................... 13
MCSD Special Education Procedures - Revised 10-24-2011 Page 3 of 39
Storage of Current IEP's .......................................................................................................................................... 13
Files of Discontinued Students ................................................................................................................................. 13
Spring Transition Procedures .................................................................................................................................. 14
AEA Staff and Services ............................................................................................................................................. 16
Web IEP ............................................................................................................................................................ 16
Count Date for Weighted Enrollment .................................................................................................................... 16
Guidelines Related to Health Plans and IEPS .......................................................................................................... 17
Appendix .................................................................................................................................................................. 20
Beginning of the Year Checklist ............................................................................................................................... 21
End of Year Checklist ............................................................................................................................................... 22
Special Education Records Access List ..................................................................................................................... 23
Special Education Access Log .................................................................................................................................. 24
IEP Student Suspension Checklist ............................................................................................................................ 25
Projected Spring Transition Roster .......................................................................................................................... 26
Individual Student Caseload Report (ISCR).............................................................................................................. 27
IEP Folder Contents ................................................................................................................................................. 28
Notice of School District Special Education Records Destruction ........................................................................... 29
Administrative Designee - Chapter 103................................................................................................................... 30
Parent Contact Information - Chapter 103 .............................................................................................................. 31
Seclusion Log - Chapter 103 .................................................................................................................................... 32
Student Seclusion Documentation - Chapter 103 ................................................................................................... 34
2009-2010 IEP MCSD Checklist for Medicaid .......................................................................................................... 35
Spanish Translation - Special Education .................................................................................................................. 36
Reading ITBS / ITED Aloud ....................................................................................................................................... 38
Building Specific Information .................................................................................................................................. 39
MCSD Special Education Procedures - Revised 10-24-2011 Page 4 of 39
Introduction
This Procedures Manual is intended to be a resource for Muscatine special education teachers. It is not intended to be all encompassing nor a final product. We encourage you to send your suggestions for improving this document to Jan Collinson, Director of Special Programs ([email protected]).
Questions and Concerns
If questions or concerns arise related to district procedures, they should be addressed initially at the building level. If questions cannot be answered at that level, please proceed through the levels, but always be focused on solving problems at the lowest level possible.
Mentor Teacher
Department Head (middle & high school)
AEA Staff (for IEP-related issues)
Building Administrator assigned to Special Education (middle & high school)
Building Administrator
Director of Special Programs
Superintendent
Members of Committee:
Bob Long Karin Ryan
Wendy Callery Monica Connor Jan Collinson
MCSD Special Education Procedures - Revised 10-24-2011 Page 5 of 39
District Forms
The forms described below are included in the Appendix.
Beginning / End of Year Checklists
The activities are required. Use of the checklists, included in the Appendix, is optional.
Beginning of the Year Checklist
1. Post new SE Access List on filing cabinets 2. Update Special Education Access Log in individual IEP folders. 3. Do the services described in the IEP, especially the LRE, match class schedules? 4. List of students with Review Dates and Re-evaluation dates shared with building administrator and AEA
staff 5. IEP accommodations to all staff working with students. 6. IEP testing accommodations to test administrators (if different than general education teachers) 7. Contact AEA to have your roster updated 8. Chapter 103 Forms (varies by student)
a. Parent Contact Information Form for students who may be involved in timeout, seclusion or restraint
b. Seclusion Log c. Administrative Designee
End of the Year Checklist
1. Hand deliver IEP's to next year's teacher at least 5 school days before the last day of current school year. 2. Transportation forms completed for all students who will require transportation for the next school year
completed no later than two weeks before the last day of the current school year. 3. All IEP's are implemented. 4. Extended school year services finalized with parents no later than March 20th. District forms turned into
Office of Special Programs no later than March 20th unless other arrangements have been made.
MCSD Special Education Procedures - Revised 10-24-2011 Page 6 of 39
Individual Student Caseload Report See District SE Plan for more detailed information
The IEP team is responsible for writing the IEP which determines the points assigned to a student. An ISCR will be completed and distributed for the following situations:
Initial IEP
IEP Review / Re-evaluation
Change of Responsibility Teacher
Student new to the district
Student moving from district
Student exiting special education services Amendment The teacher will complete an ISCR form within two weeks of IEP meeting, attach IMS Data Summary Sheet and distribute to:
Director of Special Programs
Building administrator or designee (If requested)
Chapter 103 of Iowa Administrative Code - Corporal Punishment • Regulates what school district employees may and may not do when restraining, confining, and detaining
students.
• Amended in 2008 to provide more detail regarding the allowable parameters when a student is physically restrained, confined, or detained.
• Corporal Punishment is defined as: “…the intentional physical punishment of a student.” This includes the use of unnecessary or unreasonable physical force, or Physical contact made with the intent to cause harm or pain. Corporal punishment by a district employee against a student is illegal.
• All SE teachers and paras receive training in the specifics of timeout. It is their responsibility to follow the laws, rules and regulations. Direct questions to Office of Special Programs or Director of Human Resources.
• The Iowa Department of Education is very clear in the documentation required for each occurrence of seclusion and/or physical restraint. In order to assure all steps are followed and documented, Muscatine School District has developed specific forms to be used by all employees.
Parent Contact Information Form
Complete only for students whose IEP includes use of OI, timeout, seclusion or restraint.
At initial IEP and, at a minimum, at annual reviews thereafter.
Seclusion Log
Kept on each student involved in OI, timeout, seclusion or restraint.
Completed at the time of the seclusion.
Administrative Designee
MCSD Special Education Procedures - Revised 10-24-2011 Page 7 of 39
If a student is in seclusion for forty minutes (K-12) or thirty minutes (ECSE) designee is responsible for determining the next steps. This could include remaining in seclusion, calling a parent, or trying a different intervention. The Designee should be familiar with all options available.
Responsibility of building administrator to maintain current list of staff in the building who could serve as the Administrative Designee.
Responsibility of teacher to know location and use appropriately.
Medicaid
There are specific IEP requirements for those students eligible for Medicaid (Title 19) and receive Medicaid billable services at school. You will be contacted by Office of Special Programs when it is determined that tracking and billing will occur. Teachers and paras will receive training in the appropriate procedures. Medicaid requirements are set by the federal government and must be strictly adhered to.
Records Access
Special Education Records Access List
School districts and area education agencies must maintain, for public inspection, a listing of the names and positions of employees who have access to personally identifiable information of students receiving special education. This form must be completed yearly and posted in all areas where special education records are stored (file cabinet drawer is preferred).
Special Education Access Log
This log records the names of those who access a student's special education record. It is must be kept in each file containing special education records. This should be updated at the beginning of each year.
Translations
Use for translating IEP's and related paper work
Use for requesting interpreter for IEP conferences a. Must be completed and approved in advance.
Not to be used for general translations (newsletters, etc.) not related to the IEP.
Transportation Form
Only completed for students who qualify for transportation based on their disability and it is in the IEP.
If student qualifies but families chooses to provide transportation form does not need to be completed o However, do mark on IEP if student is entitled, even though they may not be utilizing at this time.
Complete at Initial IEP or students new to the district
Student moves to new building because of district decision (programming, etc.) and will require transportation based on the disability, the sending teacher is responsible for completing the form.
Complete no later than two weeks prior to the last day of current school year for current students who will require transportation in the fall.
MCSD Special Education Procedures - Revised 10-24-2011 Page 8 of 39
The process:
Complete online form
Forward to building administrator
Building administrator will forward to Office of Special Programs
Office of Special Programs will forward to Supervisor of Transportation o Will only accept forms from Office of Special Programs o Will not accept incomplete forms
If you know a student will need transportation services prior to the IEP, it is advisable to contact Transportation to allow them time to look at possible routes. However, nothing will be finalized until Transportation receives the form.
MCSD Special Education Procedures - Revised 10-24-2011 Page 9 of 39
Procedures Additional Costs
Involvement of Office of Special Programs is required whenever extra costs are being considered. Examples include, but not limited to:
Para - new or renewal
ESYS beyond typical district offerings
Student specific equipment
Extended School Year Services
Extended School Year Services (ESYS) are special education and related services that meet the standards of the state and are provided to a child with a disability. These services go beyond the normal school year in accordance with the IEP and at no cost to the parents of the child. Because efforts are made to meet each eligible individuals needs during the school year, ESYS are the exception, not the rule. Typically, most students will not be entitled to ESYS following IEP team consideration.
Parents have the right to appeal the ESYS decision and exercise due process procedures so MCSD requires all ESYS decisions to be made and paperwork turned no later than March 20th, which allows 60 days for appeals.
o March 20th o ALL IEP-related paperwork completed o MCSD in-district forms completed unless other arrangements have been made with the Office of
Special Programs
Students qualify for ESYS as determined by state guidelines which are based on IDEA. It is a data-based decision. They are summarize below, but please see the DE website and/or AEA IEP manual for specific details related to qualification, paperwork and services.
o Goal Areas of Concern - First and foremost, there must be a goal area where there are
significant concerns regarding skill acquisition or maintenance of skills during a break in
services. These goal areas should represent skills essential to the progress of the student.
o Regression-based Standard - Regression refers to the failure to maintain an acquired skill in an
identified goal area of concern as a result of an interruption of special education instruction or
support services in an IEP goal area, to the extent that an unreasonable period of re-teaching as
determined by the IEP team will be required to regain previous competence.
o Rare and Unusual Circumstances Standard - Refers to situations where failure to provide a
service will result in the permanent loss or severely limit the pupil’s capacity and potential to
acquire skills needed for the student to benefit from FAPE.
Grants/Donations
MCSD Special Education Procedures - Revised 10-24-2011 Page 10 of 39
SE follows the same School Board policies and procedures as general education. In essence, all applications must have prior approval before being submitted. All donations become the property of MCSD.
Manifestation Determination
A manifestation determination is a procedure to determine if the behavior that precipitated removal that constitutes a change in placement is a manifestation of the student’s disabilities. A manifestation determination may be completed at any time, however it must be completed when a student with disabilities faces disciplinary actions that would result in removal of a student for:
More than ten consecutive days
Any removal for up to 45 school days because of a special circumstance
More than ten school days for separate incidents of behavior that constitute a pattern Please refer to IEP Manual for further details. The Office of Special Programs must be invited to the Manifestation Determination meeting. The Appendix includes the IEP Student Suspension Checklist, which is a suggested way for administrators and teachers to track suspensions for IEP students.
Para-educators
Para educators may be hired as a program para, student-specific para, or (rarely) building-wide SE para. They must meet district requirements as well as job-specific requirements.
Evaluation o Responsibility of a building administrator. Input may be sought from others, but the evaluation itself
cannot be delegated. o If a para is not performing the duties as expected or required, it is the responsibility of the teacher
to make that known to the building administrator.
Schedules o Responsibility of the building administrator, but may be delegated to others.
Please refer to Appendix 'Para-Educator Guidance' for further information.
Report Cards
IEP graphs are to be given to parents, at a minimum, when general education grade reports are given. This is recorded on Page G of the IEP. All schools in MCSD have 9 week grading periods.
If a student is enrolled in a self-contained class, the special education teacher is responsible for assigning grades. The curriculum is to be based on the student’s grade level, although modified as stated in the IEP. A minimum of one grade per week should be recorded in Power School in each subject area.
If a student is assessed using Iowa Alternate Assessment the IEP team may determine a separate report card is not appropriate. The IEP graphs will still be provided to the parents each quarter.
MCSD Special Education Procedures - Revised 10-24-2011 Page 11 of 39
Teachers who are co-teaching or providing support to a student must work in collaboration with general education teachers to determine the appropriate grade.
o If the curriculum is modified for a student, it must be noted on the report card. The following requirements apply. This will depend on the capabilities of Power School. But the bullets below remain the same for a modified curriculum. The IEP must specifically address the modifications.
o Having an IEP or 504 does not automatically mean a modified grade should be used. If a student’s IEP addresses only math, than modifying language arts is not an IEP issue.
o GPA is not affected by a modified grade. If a student earns an A based on the IEP goals, that A is figured the same as an A earned by a non-IEP student.
Progress Monitoring of IEP Goals
All teachers are strongly urged to follow the guidance provided in the AEA Special Education Documentation Guide. AEA staff can also be a good resource. Beginning July 1, 2009, the use of a graph or other visual representation of student data and the targeted level of performance is required! (See IEP Manual)
MCSD requires that all goals be graphed no less than every two weeks.
Requests From Outside Districts and/or Parents
Meeting notices or verbal requests from other districts may come to individual buildings and/or teachers. Such notices are handled at the district level. The Office of Special Programs should be notified immediately.
All requests from outside districts must be handled through the district office.
If you, as a building administrator or teacher, are asked if a student could attend MCSD, you should not give a response, but rather direct them to the Office of Special Programs.
If you indicate to another district or parent that Muscatine can provide services, you could be encumbering funds which is a responsibility reserved to the Office of Special Programs.
Student Attendance Center
Students are assigned based on address and district boundaries.
Parent requests to attend a different building will follow district procedures. Do not ever indicate that a student may attend any school other than their home school until such approval has been gained from the district office.
A student may be assigned to a building other than their home school because of programming needs (BD, physical disabilities, hearing impaired, etc.). This is a decision made by the Office of Special Programs, with input from the IEP team.
Student Living Arrangements - Homeless, Foster, Move in or out of District
Teachers often know a student has changed living arrangements before anyone else. It is important to make both the building administrator and Office of Special Programs aware of changes as soon as you are aware of it. This could cause a change in IEP, the funding, transportation or other services. Changes in living arrangements include, but are not limited to:
MCSD Special Education Procedures - Revised 10-24-2011 Page 12 of 39
Change of address (within Muscatine)
Moved out of town
Homeless (shelters or other arrangements defined by the McKinney Vento Act)
Foster care
MCSD Special Education Procedures - Revised 10-24-2011 Page 13 of 39
Files District Files
There are three main files that a school district maintains. 1. The Cumulative file (Cum folder) which contains the same information for every student, including personal
information (date of birth, parents, etc.), grades, etc. 2. Teacher's 'working files' which contain information pertinent to the student's current functioning and
progress including work samples, testing protocols, progress monitoring data, 'unofficial' communication with parents, etc.
a. This information should be destroyed when no longer needed or after five years. On occasion, teachers may be asked to supply their personal working notes to agencies or individuals. In most cases they are not required to provide their working notes. If you have questions about what must and/or should be provided, contact the Office of Special Programs or Director of Human Resources.
b. These files may be kept in the classroom. c. Once a personal note has been shared orally or in written form it is no longer considered a
personal working note; it becomes an educational record, even if it is not placed in the student’s file. These notes are then accessible to the student’s parent(s) or guardian(s). Personal working notes are subject to subpoena in certain legal proceedings.
3. IEP Folders which contain information directly related to the student's IEP. Please refer to the AEA IEP Manual for detailed information of responsibilities and procedures related to IEP files. AEA staff will also help you maintain appropriate files. The IEP Folder Content Chart (see appendix) is from the AEA Procedures Manual. See the manual for further clarification and details.
Storage of Current IEP's
The current IEP and related special education records may be stored in a locked file cabinet in the student's classroom or in a separate area. The records will be:
Stored separate from the cum folders
Stored in locked or other secure location
Maintained in accordance with FERPA
Accessed only by authorized individuals
Files of Discontinued Students
MCSD must keep records for five years. They cannot be destroyed by a teacher. When a student is longer eligible for special education services (the student graduates, ages out at age 21 or is evaluated as no longer eligible):
ECSE - Grade 8 o Complete IEP file sent to Office of Special Programs no later than the end of that school year.
Grade 9- Transition o Complete IEP file sent to the Department Chair who will follow procedures outlined in the
statewide AEA Special Education Procedures Manual.
MCSD Special Education Procedures - Revised 10-24-2011 Page 14 of 39
Spring Transition Procedures
The following MCSD procedures are intended to help students and teachers make a smooth transition from ECSE to Kindergarten, fifth to sixth grade, eighth to ninth grade and twelfth to the transition program.
IEPs
Written before December 1st must be re-written with receiving team input in the spring (no later than two weeks prior to the end of the current school year).
Written after December 1st will require an amendment to update LRE, pages F and G by the sending team with receiving team input. Note: this is a guideline. Some IEP ‘s may need to be re-written.
Transition Activities
All SE Students will participate in the general education transition activities. If a student needs additional activities: o Sending teacher will contact receiving teacher or Department Chair to make arrangements o If subs or transportation costs are involved, please contact Office of Special Programs.
MHS o Registration procedures require that all 9th graders be registered by the same deadlines set for general
education students. If the parents have not completed the paperwork, the middle school responsibility teacher will submit a temporary ‘ghost’ schedule so that a slot will be saved.
o Special visits arranged on individual basis as needed. Eighth grade teacher will contact Dept Chair to make arrangements. Purpose is to confirm course registration, resolve schedule conflicts, finalize amendments (goals, services, etc.) and address student/parent questions.
Rosters
Receiving school will request roster to be sent.
Sending school will coordinate w/ Office of Special Programs prior to sending. It is suggested all buildings use the 'Projected Spring Transition Roster' provided in the appendix.
MCSD Special Education Procedures - Revised 10-24-2011 Page 15 of 39
Spring Transition Procedures
ECSE to K 5th to 6th 8th to 9th 12th to Transition
Sending Team
Contact principal prior to Spring Visit to discuss student and needs.
Contact school to set date/time for IEP
Send Meeting Notice
Bring updated IEP and draft of new (data, etc.)
Complete transportation form
Send roster to MS upon request. Coordinate w/ Office of Special Programs prior to sending. Note: o Entitlement areas o Students who may need
additional transition activities o Students who will need MS rep
at IEP
Contact school to set date/time for IEP
Send Meeting Notice
Bring updated IEP and draft of new (data, etc.)
Complete transportation form
Send roster to MHS upon request. Coordinate w/ Office of Special Programs prior to sending. Note: o Entitlement areas o Students who may need additional
transition activities o 'High Profile' students who will need
MHS rep at IEP
Coordinates date and time of IEP meeting convenient for MHS Dept. Chair, parent and current school
Hosts IEP meeting unless MHS states otherwise.
Send Meeting Notice
Bring updated IEP and draft of new (data, etc.)
Complete transportation form
Provide Office of Special Programs with list of students who are being considered for Transition by December 1st.
Preliminary Meeting (with parent input) no later than November 1
Receiving Team
Host meeting o Secure room, administrator,
general education teacher, AEA
Team writes / finalizes goals and services at meeting
Request rosters from sending schools
Host meeting o Secure room, administrator,
general education teacher, AEA
Team writes / finalizes goals and services at meeting
Request rosters from sending schools
Amendment meetings will be held at MHS.
Attendees: Student, Department Chair, Guidance Counselor, and 8th grade teacher.
March 1st - List of Transition Students to Office of Special Programs
Timeline / Deadlines
Two weeks prior to end of school year - all transition IEP's meetings held and IEP's completed.
Two weeks prior to end of school year - all transition IEP's meetings held and IEP's completed.
Two weeks prior to end of school year - all transition IEP's meetings held and IEP's completed.
Two weeks prior to end of school year - all transition IEP's meetings held and IEP's completed
Activities Student participate in general education activities (Spring Visit)
Special visits arranged on individual bases as needed.
Sending teacher contact receiving teacher
Student participate in general education activities
Special visits arranged on individual bases as needed.
Sending teacher contact receiving teacher or dept head.
Student participate in general education activities
Special visits arranged on individual bases as needed.
Sending teacher contact receiving teacher or dept head.
Arranged on individual basis
Other Sample IEP will be provided by middle school team
Sample IEP will be provided by high school.
MCSD Special Education Procedures - Revised 10-24-2011 Page 16 of 39
AEA Staff and Services
Muscatine is a part of the Mississippi Bend Area Education Agency. The primary offices are located in Bettendorf, Iowa. Muscatine has a local office staffed with a Sector Coordinator and other support staff including but not limited to an Educational Consultant, Psychologist, OT/PT, Social Worker and Speech / Language. Each building has an AEA team assigned to them, based on the needs of special programs in the building. AEA staff are members of the IEP team. The Bettendorf office offers additional services such as Assistive Technology, Autism and Media support. All services are available to all students with IEP's and those teachers serving them regardless if the service is based in Bettendorf or Muscatine. Contact your building AEA personnel for specific information.
Web IEP
Deb Chamberlin assigns passwords and provides training and assistance for all special education teachers. As IEP's are completed, a hard copy of the IEP and the IMS Data Summary Sheet is to be sent to Deb.
Count Date for Weighted Enrollment
The Process
The last Friday in October (This is after the official count date for the school district)
The process begins several weeks before the cut-off date. Deb Chamberlin (Muscatine AEA) will send rosters and ask you to review them for accuracy.
o If correct, you initial and return. o If corrections are necessary you must return the roster along with appropriate paperwork
necessary to make the corrections.
All new (initial) students must have an IEP start date on or before the count deadline and the IEP must be on Deb's desk before the end of the day on cut off day. No exceptions.
The Importance of Count
Districts are paid state funding based on the information collected from special education count. The funding is determined by the Weighting Matrix which is based on the services the student receives. If services change significantly, the AEA should be contacted to review the situation and make adjustments if necessary.
It is extremely important that all students are counted and their weighting levels are correct. A 'level 1 student' generates 1.72 times the amount of the general education student. A level 2 student generates 2.21 and a level 3 student generates 3.74.
For example: $5,546 was paid to the school district for every general education student on the District Count (typically done in September). A student with a weighting of 1 would have generated $9,539, level 2 $12,256 and a level 3 would generate $20,742.
This funding pays for all special education costs, including salaries of teachers, paras, classroom materials, transportation, training, material for specific students, summer programming, etc.
To not count a student, or to count them at a lower weighting is not acceptable.
AEA staff assigned to your building are available to help gather information for count as needed. They can hand deliver IEPs the AEA if necessary, but it is far better to plan ahead.
MCSD Special Education Procedures - Revised 10-24-2011 Page 17 of 39
Guidelines Related to Health Plans and IEPS
When does an Individual Health Plan (IHP) need to be a part of the IEP?
This document is intended to help IEP teams make that decision. It is not all-inclusive, but rather a guideline. According the AEA Special Education Procedures Manual (2010) the IEP team must decide if health needs are a concern for the student. This is accomplished by determining if the student has health needs that require intervention, procedures, or services in order to access education.
An IHP begins with a diagnosis related to the student’s physical and/or mental health issue.
There are numerous diagnoses given to students that may include but are not limited to, depression, ADHD, bi-polar, feeding concerns and seizure disorders. However, a diagnosis alone does not determine if a health plan is included as a part of the IEP or not. The team must determine if the impact of that diagnosis on the individual student affects their access to educational services. The severity of the disorder or if it co-exists with other diagnoses will affect the team’s decision. For example, a student may have a diagnosis of depression but it does not affect his/her education. However, a diagnosis of depression coupled with suicidal tendencies may require the student be constantly supervised throughout the school day, thus impacting their access to education and requiring an IHP. Example: 1. Services which may require IHP as part of IEP
a. Catheterization, skin integrity checks, blood pressure checks, insulin checks, etc. must be done at school in order to maintain student’s health.
b. Daily medication regimens performed at school (examples ADHD, Mental Health Diagnoses or other chronic illnesses) that are physician ordered and require ongoing observation, consultation and communication with staff and family.
c. Document in IEP i. Page B – check top two boxes (Health is concern AND will have health plan) ii. Page B - Note under ‘Other Info’ that a health plan exists for XXX condition iii. Page F – suggested wording from Documentation Manual Example: ‘A health plan will be
developed for Simone to address response to seizures and her feeding needs. The health plan will be developed by the school nurse, her classroom teacher, parents and the team representative. The plan may be found in the nurse’s office. The plan may be modified, as needed, without reconvening the IEP team.’
iv. Page F – if para or teacher will provide service, describe in separate box and code as PP. If nurse is required to provide service, describe in separate box and code as NR.
2. Services which may require IHP but NOT as part of IEP a. ADHD medication – No school personnel may require parents to obtain a prescription for medication
identified in the Controlled Substances Act as a condition of their child attending school or receiving an evaluation or services. Although the school can’t require a medication regimen, school staff is allowed to share with the parent observations and information about school performance and behavior. This
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also includes reactions to medications and consequences of sporadic compliance with physician driven prescriptions. Therefore, having a nurse present at the IEP is beneficial for all.
b. Asthma inhaler c. Document in IEP
i. Page B – check top box (Health is Concern and addressed in IEP) ii. Page B – ‘Other Information’ – state that student is diagnosed with … (or parent states student
has diagnosis of…). Currently takes medication/uses inhaler/has epi-pen in nurse’s office. d. Short term medication (antibiotics, first aid)
i. These typically are not noted in the IEP e. Sensory assistive devices (glasses; hearing aids)
A diagnosis is related to the student’s physical and/or mental health issue. This diagnosis may overlap with educational and other related services. ‘Mental health’ is often considered ‘behavior’ by the teacher,
and treated as such in the IEP.
Example… Diagnosis: Autism 1. Issue/Concern: Flight Risk
a. Educational Services: Addressed in BIP as behavior of concern. b. Health Services: Addressed in IHP as risk for physical injury.
i. Interventions could be the same - Access to adult during transitions, awareness of areas at high risk for flight, making other adults in the building aware of the student, etc.
2. Issue/Concern: Communication a. Educational Services: Focus on strategies to improve ways to communicate – PODD, picture schedule,
etc. b. Health Services: Focus on the impact of poor communication on environment than teaching student
strategies. For example, train adults to recognize signs of illness. c. Related Services: SLP – Investigate options to increase skills
3. Issue/Concern: Limited Food Preferences a. Educational Services: – Goal to increase the number of food student will eat b. Health Services: Develop plan to monitor what student eats in order to maintain healthy nutritional
status 4. Issue/Concern: Limited Muscle Tone
a. Educational Services: Accommodations student may need in classroom b. Health Services: How to move safely in building c. Related Services: OT/PT – Focus on increasing muscle tone
5. Issue/Concern: Personal Care (i.e. toileting, grooming, eating) a. Educational Services: Goal to increase tasks student can complete independently; train staff to assist
with care b. Health Services: Develop health care plan that outlines the “who, what, where and when” of the care.
In addition, the plan will also cover safety considerations/concerns and staff training if needed. c. Related Services: OT: To increase skill and independence in this area.
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When should the nurse be invited to the IEP?
Any time a formal medical diagnosis has been noted, regardless of severity, the teacher and nurse should discuss the need for a health plan prior to the meeting notice being sent. If a health plan will be a part of the IEP, the nurse is considered a member of the IEP team and must be on the meeting notice, in attendance at the IEP, and receive a copy of all communications. The student may have an IHP that is NOT a part of the IEP (for example: asthma, food allergies, cast care, mono diagnosis, etc). The nurse may choose to meet with the parent immediately before or after the IEP to avoid a second meeting date for the parent. In this case, the nurse is not considered a part of the IEP team.
When should the IHP be electronically attached to the IEP?
The special education nurses have the ability to electronically attach the IHP to the IEP when the IEP is being updated and before implementation. When the top two boxes are checked under “Health Needs” on page B and when health-related service box(es) are required on page F, the health plan should be electronically attached.
MCSD Special Education Procedures - Revised 10-24-2011 Page 20 of 39
Appendix
We are in the process of making all special education forms available on the district’s web site.
MCSD Special Education Procedures - Revised 10-24-2011 Page 21 of 39
Beginning of the Year Checklist
Item Notes
District
Post new SE Access List on filing cabinets
Update Special Education Access Log in individual IEP folders.
Do the services described in the IEP, especially the LRE, match class schedules? (Page F)
List of students with Review Dates and Re-evaluation dates submitted to Jan, building administrator, AEA staff
IEP accommodations to staff working with students.
IEP testing accommodations to test administrators (if different than general education teachers)
Check information with Power School: Legal name, DOB, Foster, Homeless
Chapter 103 Forms (varies by student)
Parent Contact Information Form for students who may be involved in timeout, seclusion or restraint
Seclusion Log
Administrative Designee
Submit new ISCR for any students new to your roster or who have dropped, moved out of district, etc.
Building
Personal Reminders
MCSD Special Education Procedures - Revised 10-24-2011 Page 22 of 39
End of Year Checklist
Item Notes
District
Hand deliver IEP's to next year's teacher at least 5 school days before the last day of current school year.
Transportation forms completed for all students who will require transportation for the next school year completed no later than two weeks before the last day of the current school year.
All IEP's are implemented.
Extended school year services finalized with parents no later than March 20th. District forms turned into Office of Special Programs no later than March 20th unless other arrangements have been made.
Building Make sure building check lists are completed
Personal Reminders
MCSD Special Education Procedures - Revised 10-24-2011 Page 23 of 39
Special Education Records Access List Post in all areas where Special Education Records are stored.
School districts and area education agencies must maintain, for public inspection, a listing of the names and positions of
employees who have access to personally identifiable information of students receiving special education.
Complete for staff who have a legitimate educational interest.
Position Names
Position Names
Building Administrators
Teachers
Counselors
Nurses
Secretaries / Clerical
District Administrators
AEA Consultant
AEA Psychologist
AEA Social Worker
MCSD Special Education Procedures - Revised 10-24-2011 Page 24 of 39
Special Education Access Log
Student ____________________________________________________ DOB _________________________
School districts and area education agencies must maintain, for public inspection, a listing of the names and positions of employees who have access to personally identifiable information of students receiving special education. A record must also be kept of persons who access the special education record, the date, and the purpose for the access. This record does not need to show access by parents, the student, or by those employees who were named on the district’s list.
Printed Name of Person Access this record
Date Purpose Comment
MCSD Special Education Procedures - Revised 10-24-2011 Page 25 of 39
IEP Student Suspension Checklist Student: _________________________ Grade: ______ Year: _____-_____
ACTION SUSPENSION DAYS
1 2 3 4 5 6 7 8 9 10 11 12
Record date of suspension.
Check IEP for behavior plan. Determine if plan is different from district discipline code, if so, follow IEP.
Hold meeting with student to provide due process rights. Give oral notice and opportunity for student to respond to charges.
Determine the type and length of suspension.
Provide oral notice to the parent of suspension.
Follow school or AEA board policy regarding written notice to parent of suspension.
Record suspension information in student record. (who, what, when, where and with whom)
Convene the IEP Team using proper notice procedures and conduct IEP review.
Notify district central office if applicable.
Contact AEA personnel as per district policy.
Meet with IEP Team to: plan and conduct assessment activities; develop behavior intervention plan; or review current behavior intervention plan. Provide parents with Parental Rights.
Important Dates to Record:
IEP Meeting Meeting Notice IEP Reviewed IEP Changed Reeval. Needed
__________ __________ __________ ___________ __________ __________ __________ __________ ___________ __________ __________ __________ __________ ___________ __________
MCSD Special Education Procedures - Revised 10-24-2011 Page 26 of 39
Projected Spring Transition Roster School ______________________________________ Teacher __________________ Date ________________ 1. It is the responsibility of the Receiving School to request a roster of students who will be attending in the fall. 2. It is the responsibility of the Sending School to review this roster with the Office of Special Programs prior to
sending the list.
Student Address Areas of Entitlement
Weighting Para - Yes / No
1:1 or Additional Support
Concerns?
Need / Reason for additional transitional activities
1.
2.
3.
4.
5.
6.
7.
8.
9.
MCSD Special Education Procedures - Revised 10-24-2011 Page 27 of 39
Individual Student Caseload Report (ISCR) Points are based on student need as documented in the IEP.
Student DOB Weight
Building Grade
Teacher Date
Mark ONE reason for ISCR Mark ALL that are
documented in the IEP.
Initial IEP FBA / BIP
IEP Review / Re-evaluation Health Plan
Change of Responsibility Teacher 1:1 Para
Student new to the district Alternate Assessment
Student moving from district
Student exiting special education services.
(Describe)
Other (Describe):
1. Teacher will complete within two weeks of IEP meeting
2. Attach IMS Data Summary Sheet
3. Distribute to:
_____ Director of Special Programs
_____ Building administrator (if requested)
Office Use Only:
Date Received
Additional Comments:
Medicaid
Eligible
Billing
Revised 3/18/10
MCSD Special Education Procedures - Revised 10-24-2011 Page 28 of 39
IEP Folder Contents
Legally Required Inclusions Recommended for Inclusion
Documentation of parental consents for all evaluations and re-evaluations
Documentation of general education interventions
Evaluation reports
Documentation of access by qualified parents, students, or employees of the district who may access the records for legitimate educational reasons
Documentation of parental consent for initial placement in special education
Parental requests for evaluations, independent evaluations or program changes
Documentation of consent to receive or share information with other agencies
Minutes of meetings or memoranda prepared for dissemination to other persons (not sole possessions records) to discuss the child’s program or placement
Individualized education plans (IEPs) that may include individualized health plans and / or behavior intervention plans.
Documents related to legal proceedings, including:
Request for pre-appeal
Pre-appeal minutes and agreements
Requests for mediation
Mediation agreements
Requests for due process hearings
Settlement agreements
Administrative law judge rulings
Court ruling
Notices sent to parents notifying them of IEP meetings Daily or weekly (or other periodic) progress charting
Documentation of attempts to contact parents to invite them to meetings if they did not attend
Periodic home-school communications, such as notebooks that travel back and forth in the student’s backpack or email messages
Prior written notice of proposals or refusals relating to the identification, evaluation, placement, or the provision of a free appropriate education (FAPE) for the child
Videos of the student. If the videos cannot be viewed without showing other students, parents do not automatically have a right to access the videos.
Progress reports on IEP goals Audio or videos of IEP meetings
Documentation of compliance with special education disciplinary procedures, such as functional behavior assessments (FBAs) and documentation of meetings to conduct manifestation determinations
Behavior/Disciplinary Record Summaries
Records of persons who accessed the special education record, the dates and the purposes of access.
Documentation of general education interventions
Documentation of parental consents for all evaluations and re-evaluations
Documentation of access by qualified parents, students, or employees of the district who may access the records for legitimate educational reasons
Evaluation reports (AEA and outside agencies) Parental requests for evaluations, independent evaluations or program changes
MCSD Special Education Procedures - Revised 10-24-2011 Page 29 of 39
Notice of School District Special Education Records Destruction
Date: __________ /___________ /__________
Re: _________________________________________________________________ (student name) Birthdate: __________ /___________ /__________ The Muscatine Community School District maintains a permanent record for all students which includes:
Basic demographics (name, date of birth, gender, race/ethnicity, disability status, last known telephone number and address)
Official transcript o Evidence of attendance o Grades/marks attained in all courses and all grade levels o Dates of enrollment o Grade level completed o Year completed
The Muscatine Community School District maintains a student’s special education records for at least five years after special education services end. After five years the special education records may be destroyed. We understand that parents/eligible students may request that records be destroyed prior to the date when the school may destroy records or may request that the file be released to them. We further understand that there may be reasons (e.g., social security documentation) that student records should be maintained by the school. I/ we understand that: ____________________________________________ (student name) Mark One:
was exited from special education services on __________ /___________ /__________;
will be exited from special education services no later than June of ________________________
Year Student Turns 21
Mark both before signing:
__________________________ ’s special education records will be destroyed no earlier than five years beyond the date listed above and
No further notice will be given.
Parent/Guardian/Eligible Student* Parent/Guardian/Eligible Student*
District Representative
* "Eligible student" means a student who has reached 18 years of age or is attending an institution of postsecondary education
Distribution: _____ Parent/Eligible Student _____ School IEP Folder _____ MCSD Director of Special Programs
MCSD Special Education Procedures - Revised 10-24-2011 Page 30 of 39
Administrative Designee - Chapter 103
It is the responsibility of every administrator to maintain a list of staff in the building who could serve as the Administrative Designee. If a student is in seclusion for forty minutes, or thirty minutes for preschoolers, that designee is responsible for determining the next steps. This could include remaining in seclusion, calling a parent, or trying a different intervention. The Designee should be familiar with all options available. Administrative designees could include other administrators in the building, teachers, a counselor or the nurse. Designees will NOT include AEA staff, paraeducators, secretarial or clerical staff, substitute teachers or substitute paras, or volunteers, or anyone involved in the current episode. If a staff member has been involved in the seclusion or restraint, they cannot serve as the designee, even if they are on that designee list. Administrators are encouraged to keep the list in an easily accessible area.
Designee
1
2
3
4
5
6
7
8
9
10
MCSD Special Education Procedures - Revised 10-24-2011 Page 31 of 39
Parent Contact Information - Chapter 103 Student ________________________________ Date ________________________________
School ______________________________________ Grade ___________________
Seclusion is a strategy that is used to decrease intense behaviors such as serious teacher defiance, tantrums,
property destruction, physical aggression toward others, or grossly inappropriate behaviors. The procedure is very much like
having your child sit in a chair or go to their room for a short period as a consequence for misbehavior.
The length of the seclusion varies with the student, the age and the behavior. The goal always is to return the student
to the instructional setting as soon as possible. However, if a student is still highly agitated and unable to return to the
classroom after 40 minutes (30 minutes for preschoolers), an administrator (or designee) will be contacted to help determine
what actions should be taken next. This could include extending the seclusion.
After the seclusion (or in extreme cases, a physical restraint) the staff will help the student to identify the problem
behavior and develop better alternatives to use in the future. Every effort will be made to teach your student the preferred
ways to behave and encourage those behaviors to avoid timeout. We are genuinely concerned and want to help your student
to be successful not only in school but also in life. We feel that seclusion will assist in achieving this goal.
Staff is required to attempt to notify you on the same day as the incident. We are also required to provide you with a
written copy of the documentation which shall be postmarked within three school days of the occurrence. You may elect, in
writing, to receive the communication via email or fax.
While seclusion has been used with good results for behavior much like your student’s, there are possible drawbacks:
Some students find isolation in a seclusion area reinforcing.
Some students require assistance from school staff when going to seclusion.
Sometimes the problem behavior initially gets worse before it gets better.
Your student may briefly miss some school activities while in seclusion. Please complete the contact information below. It is important that you keep the school informed of any changes.
Daytime contact information for same-day notification (please select one)
Daytime
Phone
Parent Name
Number ( )
FAX To the attention of:
Number ( )
Contact information for written documentation (please select one)
US Mail
Name
Address
City, State, Zip
FAX To the attention of:
Number ( )
Parent / Guardian Signature Date
Note: This form is available
on NCR from
Office of Special Programs.
MCSD Special Education Procedures - Revised 10-24-2011 Page 32 of 39
Seclusion Log - Chapter 103 Student ____________________________________________________ Responsibility Teacher ______________________________________________
Date Time Supervising
Staff
Student
Behavior Leading
to Seclusion
Referring
Staff
Day of
Contact
3 Day
Contact
Administrative
Designee
In Out Total Phone / Email /
Fax Date Signature Time
Revised 02-2010
MCSD Special Education Procedures - Revised 10-24-2011 Page 33 of 39
MCSD Written Language Rubric 5 - Experienced 4 - Capable 3 - Developing 2 - Emerging 1 - Beginning
IDEAS
Main Idea
Clearly stated
Focus of entire writing. Supporting Details
Elaborate; provide insight into topic
Move beyond the obvious
Fresh / original
Move from general observations to specifics
Demonstrate writer’s knowledge or experience
Main Idea
Easily identified
Focus of majority of writing Supporting Details
Descriptive; clarify the topic
Primarily restates obvious
Some originality evident
Primarily general statement, lacking specificity
Demonstrate writer’s knowledge or experience.
Main Idea
Present
Not always focus of writing Supporting Details
General; describes topic.
Primarily restates obvious
Lack of originality
Primarily general statement, lacking specificity
Minimal evidence of writer’s knowledge or experience.
Main Idea
Not clear or multiple ideas
Lack of focus on one idea Supporting Details
Minimal connection to topic
Restates obvious
Lack of originality
General statements
No evidence of writer’s knowledge or experience.
Main Idea
Not present or multiple ideas
No evidence of focus Supporting Details
No connection to topic
Restates obvious
Lack of originality
General statements
No evidence of writer’s knowledge or experience.
ORGANIZATION
Organization Structure
Enhances and showcases the central idea or theme.
Catchy introduction
Summarizing conclusion Sequencing is…
Logical
Effective
Used throughout entirety
Organization Structure
Supports central idea or theme.
Clear introduction
Clear conclusion. Sequencing is…
Logical
Somewhat effective
Used in majority of writing
Organization Structure
Is evident with little confusion.
Introduction OR conclusion present
Sequencing is…
Somewhat logical
Somewhat effective
Used minimally
Organization Structure
Is somewhat developed.
Introduction OR conclusion weak or not present
Sequencing is…
Not logical
Detracting from content.
Inconsistent or minimal
Organizational Structure
Lacking / needs development
Introduction and conclusion are not included.
Sequencing is…
Not logical
Distracting from content
Not evident
LANGUAGE USE/FLUENCY - VOICE, EXPRESSION, SENTENCE LENGTH/STRUCTURE, TRANSITIONS, WORD CHOICE
Voice
Appropriate for audience
Enhances effect of writing Words**
Precise
Varied
Engaging Sentences**
Length & complexity varied
Well-structured; definite intent to enhance effectiveness
Transitions**
Varied
Effective
Enhances coherence of writing **Not assessed in 1st grade
Voice
Appropriate for audience
Effective Words
Clear
Varied
Appropriate Sentences
Length and complexity varied
Controlled definite intent Transitions
Varied
Logical
Voice
Generally appropriate for audience Words
Mostly clear, though meaning may be unclear at times.
Uses mostly specific and somewhat varied word choice.
Sentences
Length and complexity have some variety
Demonstrates adequate control of sentences
Transitions
Consistently uses simple and obvious transitions in response.
Voice
At times inappropriate for audience. Words
Reliance on generic words
Some unclear expression, making understanding difficult
Sentences
Repetitive sentence and/or long uncontrolled sentences.
Transitions
Little variety
May not support coherence of writing
Voice
Distracting or inappropriate for audience. Words
Vague, awkward which hinder understanding OR response too short to evaluate
Awkward, repetitive word choice. Sentences
Primarily simple and/or confusing sentence structure.
Transitions
Non-existent or poorly use
Detracts from writing.
CONVENTIONS & LEGIBILITY / PRESENTATION - AGE-APPROPRIATE SPELLING, CAPITALIZATION, PUNCTUATION, USAGE, LEGIBILITY
Above grade expectations of standard conventions of writing.
Above grade expectations of standard conventions with few and minor errors.
Meets grade expectations of most standard conventions with occasional errors that may interfere with understanding.
Below grade expectations of standard conventions with frequent errors that interfere with understanding.
Significantly below grade expectations of standard conventions with numerous errors that distract the reader and make text difficult to read.
Extremely Legible Legible Somewhat Legible Partially Legible Illegible
MCSD Special Education Procedures - Revised 10-24-2011 Page 34 of 39
Student Seclusion Documentation - Chapter 103 S
tud
ent
and
Sta
ff In
volv
ed
Student Date of Incident
Start Time End Time Duration Name of Administrator / Designee (if seclusion exceeds 40 minutes)
Staff Names
Bef
ore
Sec
lusi
on
Student actions which led to seclusion
Staff actions-include alternatives attempted before seclusion
Act
ion
s D
uri
ng
Sec
lusi
on
Student Actions Complied within reasonable time frame
Ignored directives of staff Physically aggressive toward staff Cried /upset
Self-injurious behaviors Verbally threatening toward staff Screamed/yelled
Destroyed property Abusive or profane language Slept
Other:
Staff Actions
Aft
er S
eclu
sio
n Student
Actions
Calm Compliant Agitated, but controlled
Staff Actions
Stu
den
t
Deb
rief
ing
Written Verbal
Behavior that resulted in seclusion Function of behavior Alternatives to use in the future
Sta
ff
Deb
rief
ing
Written Verbal With Student With Adult
List future approaches / interventions which may effectively reduce or eliminate occurrence of this behavior.
Ad
dit
ion
al
Info
rmat
ion
List staff involved if physical restraint If injuries occurred, list below: If property was damaged, list below:
Par
ent
Co
nta
ct
Time Staff
Method: Email Fax #
Phone #
Answered by:
Comments
Copies: 1) Seclusion File 2) Parent 3) Administrator Revised 2-2010
MCSD Special Education Procedures - Revised 10-24-2011 Page 35 of 39
2009-2010 IEP MCSD Checklist for Medicaid Student ________________________________________________________ Date _________________ Meeting Notice: Documents that appropriate personnel invited (nurse, psych, etc.)
Page A
If Health Services will be provided:
Nurse present or 'Agreement to Excuse' form and written input provided (attach to IEP)
If Behavioral Services will be provided:
AEA Psych or Soc. Worker present or 'Agreement to Excuse' form and written input provided (attach to IEP)
Page B
Behavior
Mark 'Yes, behavior is a concern and will be addressed in the attached Functional Behavioral Assessment and Behavior
Intervention Plan.'
Health Needs
Mark 'Yes, health is a concern and will be addressed in the health plan as a part of the student's health records located
in the nurse's office."
Other information essential for the development of this IEP: Note diagnosis if available. State how this (behavior or
health issues) will affect the school day and the services related to diagnosis that will be in IEP.
Describe the effect of this individual's disability on involvement and progress in the general education
curriculum and the functional implications of the student's skills: Note need for para professional.
Page F - Special Education Services: Mark all that apply to the services to be provided. Please refer to the Special Education Procedures Manual for specific
descriptions of services. (Elementary - 420 min) (Middle - 417 min) (MHS - 425 min)
Supplementary Aids and Services Must be marked if adult (para) services are required in BIP or Health Plan, whether
1:1 para or from any adults (ie: always have adult supervision in gen ed setting or escort throughout the day, seizure
monitoring, etc.)
TA Code (Academic Teacher Associate) - Mark for services educationally related such as extra time for class
assignments. These are not Medicaid billable services and must be listed in text box separate from PP services. Time is
academic only; exclude recess, lunch, etc.
PP Code (Para Professional) -Mark for services for health/behavior related services as documented in the BIP and/or
Health Plan. These are Medicaid billable services and must be listed in text box separate from TA services. Time could
include services provided before school day.
Services must be clearly described.
'Service - no LRE minutes' should be selected from the drop down box if services are provided in the general education setting. Used for most services such as seizure monitoring, safety monitoring on the playground, etc.
'Service - LRE minutes' should be selected for services provided in a pull-out setting where the student is removed from the general education setting. Example: Social skills, self-contained classroom.
Enter all possible staff positions that will be providing services. ie: "teacher &support staff" or 'nurse & trained staff.'
The Web IEP requires the name of the service provider. Name will not appear when the IEP is printed.
Time &frequency are required. Must reflect the maximum amount of time staff will provide services. Must be listed as specific number of minutes (a typical student day is 420 minutes). 'Daily as needed' is NOT acceptable.
Transportation Attendant: If attendant services are marked on 'G', have separate text box explaining the need for the
para (monitor for seizures, implement behavior plan, etc.). Maximum minutes are 120 per day and marked as 'Service -
no LRE minutes'. Use PP Code.
Support or Related Services: Must be marked if student receives special transportation (noted on G). Text box
explains if special route, if harness is necessary, etc.
Support or Related Services: Must be marked if professional services provided, as noted in BIP or Health Plan,
whether direct or consultative. Text box describes service. ie: nurse training staff on appropriate procedures or training
for staff on child-specific interventions listed in BIP.
Page G
Specialized Transportation: Check "yes" if Special Transportation is required. Mark if attendant services, specially
equipped vehicle or special routes needed.
MCSD Special Education Procedures - Revised 10-24-2011 Page 36 of 39
Spanish Translation - Special Education
Teacher Date Building
Written Translation
IEP (attached) # Pages Student
Other documents # Pages (Describe and attach)
Oral Translation
Oral translations must be arranged in advance by calling the Director of Special Programs.
This form is used to confirm those dates and times.
IEP Conference Student Grade
Date Time Location
Other Please describe:
Date Time Location
Request for Specific Translator
Requests for a specific translator MUST have prior approval. Supplemental Pay Form
must be completed in advance. Rate of pay is the district standard.
Translator Requested
Reason for Request
For Office Use Only
Translation approved Translation denied
Translator assigned
Signature Date
MCSD Special Education Procedures - Revised 10-24-2011 Page 37 of 39
Request for Transportation - To be used when IEP Requires Transportation Building principal will forward electronically to OSP to forward to Transportation
Student Information
Student School
Teacher Grad
e
Home Address
Today's Date Start Date (Allow a minimum of 5 days)
Check all that apply: Student can ride existing / regular route but driver should know student has
IEP.
Student requires SE route.
Student requires an attendant on
bus
Explain need for SE route and/or attendant:
Parent/Guardian Information (Required) Emergency Contact Information (Required)
Name
Name
Address
Address
Home Ph.
Phone
Alt. Ph.
Relationship to Student
Information for Driver - Please check all that apply & provide additional information Preschool: All preschoolers will have curb to curb
transportation Harness Speech issues Hearing Impaired Visually Impaired Seizures Wheelchair
Lift
Behavior Issues -Please be specific:
Additional Information -Please be specific:
Route Information - Route will be arranged within 5 school days.
Route #1 - To School: School:
Preferred Arrival Time: Morning Route Noon Route
Pick up Address if different than home:
Contact Name: Phone
Comment:
Route #2 - After School
School:
Dismissal Time:
Mark one: Noon Route After-School Route
Drop Off Address if different than home:
Contact Name Phone
Comment:
Mid-Day Routes: Some students may require daily transportation on a third route outside the before and after
school routes. These must be arranged on an individual basis with the Transportation Supervisor.
MCSD Special Education Procedures - Revised 10-24-2011 Page 38 of 39
Reading ITBS / ITED Aloud Protocol for ITBS Reading Comprehension Test Proctors for Students Who Will Be
Reading the Test Out Loud
*Please Note: Having a student read the reading comprehension test out loud is a deviation from the standard test directions for administration, and thus it is an accommodation. Therefore, this
procedure should only be used for children with testing accommodations established in an IEP or 504.
Thank you for taking the time to read these important guidelines for appropriately listening to students who will read aloud to you the reading comprehension test.
1.) The purpose of having a student read the test out loud to you is to make sure that they are actually reading the passages carefully, rather than skimming over them.
2.) We are not allowed to provide any help whatsoever to the students in reading the passages, questions, or answer choices in any way, under any circumstances. Your job is simply to listen to the students read the passages, questions, and answer choices out loud.
3.) You may (and should) read the directions to students exactly as stated in your “Directions for Administration” book.
4.) Before you get started testing, tell the student that you are not allowed to help them read the test in any way, but that you are just a listener, and that they need to read the whole passage out loud to you. Tell the students that if they get stuck on a hard part, that they should simply use the strategies for figuring out hard words that they would use if they were reading all by themselves, or skip the word and move on if they are really stuck.
5.) Most students who will be reading the test out loud will have the IEP accommodation of extended time for testing, so, as long as this is in place, it is not necessary to be concerned about watching a clock.
6.) Remember, for the reading comprehension test, you are simply a good listener!
MCSD Special Education Procedures - Revised 10-24-2011 Page 39 of 39
Building Specific Information
This section is intended for teachers to use for information specific to their building.