a Name of Student (Last, First) Individual Student General Supervision File Review Checklist ~ 2015-2016 Revised 2/24/2016 Reviewed by District School Date of Birth. Grade Category of Eligibility LEP Yes No Current Eligibility Report Date Current Annual IEP Date Secondary Transition Student Yes No Preschool Student Yes No Please refer to the directions or use hyperlinks for additional guidance on each Item. Select here for full general file review series. {Hyperlinks are underlined and in bold) Written Notice or Parental Consent for Initial Assessment was obtained prior to administrating assessments or evaluation on initial evaluation. oe 300.9and 300.300 an Documentation of consent OR reasonable attempts and input sought is present for 3-year re-evaluation. OR Documentation of written notice for a reevaluation aoe only ofa review of existing new data (nea tons ans s0o.soa). — was determined by a team (all required participants), including the arent. (ret 8.624 (ays) ‘comprehensive evaluation was conducted and al areas of concern identified on the Eligibility Report. (ems Eligibility Category Ci Autism Spectrum Disorder Cl Hearing Impairment Specific Learning Disability 0 Deaf-Blindness Di intellectual Disability Ci Speech/Language Impairment: Language (Deafness Multiple Disabilities Ci Speech/Language impairment: Speech (Developmental Delay orthopedic Impairment «C1 Traumatic Brain Injury Emotional Disturbance (Other Health Impairment 0 Visual Impairment including blindness Evaluations and Assessment show that the student meets the State eligi‘Name of Student (Last, First): He ke a < ihthe student's Native Language (frst language or home language) isnot English: | language proficiency score was obtained and appropriate assessments were _| selected based on the students level of proficiency. IEP Team Members in attendance: Cistudent if and | Ci parent or A schoot pstrict D special “| when Guardian ‘Administrator or Education Teacher | Education Teacher appropriate) (Wen 300.323(5)1) | Designee (wea soo.senfee2) | (eR a00.328((9) (Woen a00323ta}7) (W0EA 300.3256) 2)0)- ‘ EP includes appropriate Present Levels of Performance {PLOP) and Appropriate | corresponding Goals). Please see criteria checklist below: Each sil area wil have a corresponding goel(s). Checked boxes indicate criteria was met for each criter ‘Skil area: | 7) strength and needsof | C1 Baseline (restate the annvalgoalin | Cl References an Cooisabity atects the child Woe. measureable terms reflecting acceptable Idaho Standard | involvement inganeral ed, 3000328. student's current level) (IDEA (woza sooszo(ain) 300.324(0)) Goalfor | Ciconationeg. when | Ctargeted | Cherteriaortevet | Cprocedureeg.ona | Cischedule~ daily, Skill area sven -yorduring | stor ofpertormance | probe, asotserved,as | weekiy, monthy performance charted, on rubric 3003201160) 300320406)0) ‘Still area: | Ci strength and needs of | Claseline (restate the annual goalin | Cl References an isabiity affects the eit oe measureable terms reflecting acceptable idaho Standard | involvementin general ed, 000.3283) student's current level) (DEA (ioea 20032019590 300.324()(i) sae for | Ceonaitioneg. when | CI argoted | Cciteriaortevel | Cerocedureeg. Ona | C Schedule —iy, nae given... or During .. ‘Skill or of Performance probe, as observed, as weekly, monthly performance charted, on a rubric 300.320{a)(3)(i) . _ 300320101) Still area: | |Strength and needs of | C1 Baseline (restate the annual goal in | Cl) References an CO Disability affects the child (Dea measureable terms reflecting acceptable idaho Standard | involvementingeneral ed, 3000.324aY(i). student's current level) (IDEA (IDEA 300320(a)f2Ki) 300324(a))ime of Student (Last, First): 300.5202), = for | Ciconditioneg. when | Citargeted | Cicriterigortevel | Cprocedureeg.ona | Ci Schedule-daly, SRM ARES | ven a oF During Stil or cofPerformance | probe, as observed, az | weekty, monthly performence charted, on a rubric 3002018010 300.2206.36) J Skill ares: [Ti strength and needs of || Ci baseline (estate the annual goal in | Cl References an Ciisabtyatocts the child (DEA measureable terms reflecting acceptable Idaho Standard | involvementin general ed 000.2410). student's current level) (DEA (ea scone) 30024to)i) et for | Qeonditioneg.when | Clrargeted | Chariterinortevel | CiProcedureeg.Ona | Clschedule—daily, 2F8 | yen a, OF During Skil or ofPerformance | probe, as observed, as | weekiy, mostly performance charted, on a rubric 30032006) 3 checked boxes indicate criteria was met for each criteria: ‘Service 1 Service (DEA 3000,3204a)4)) Dspeciaized service Provider Futy | ChFeequeneyof | Ctocation | Chstart te | Tend date Instruction or Related | qualified staff iDEA 20038. | service 300320(}7) 300 320130) | 300320817) Service (DEA 3000320104) Service 2 | Di specialized service Provider Fully | Frequency of | Location | (i start date | [1 End date Instruction or Related | qualified staffiwen30018_| service 300.32019}(7) s00.20(90) | 30032087 Service (IDEA 300032014) Service 3 | D speciatzed Ciserice Provider Fuly | Clrrequency of | Ctocation | Ci start date | Cn date Instruction or Related | qualified staffipen 0048. | service 30082011(7) on.az0faya) | 00.3207) Service (1A 3000320(8)¢) Service 4 | D specialized Ciservice Provider Fully | Crrequencyof | Citocation | C start date | Clend date Instruction or Related | qualified staff beA3008. | service 300320(0K7) 300.3208)7) | 00:320(647) Service (DEA 300032049)(¢) Service 5 | 0 specialized Cisenvice Provider Fully | Crrequencyof | Citocation | Clstart date | (end date Instruction or Related | qualified staffioea soo. | service 3003208) sonsan(n) | 300320.) The IEP includes a description of the special education and related services being Provided to the student including: Please see crite ‘The IEP team has explained the extent, if any, to which a student will not _| participate in general eclucation and has provided a justification statement for that <| placement decision ven 00320105) «Name of Student (Last, First): The Least Restrictive Environmental Code Is reflective of the time documented on Ly IEP service grid, When applicable, ESV is addressed as a consideration and services are identified in the IEP joca 300300). ish CORNER : When behavior is a concern it is sddressed in the IEP. (positive behavior interventions or strategies, | goals, or an attached BIP) (10a a00.s29(c)(2000) si Comments dace ce i IEP fists accommodations/adaptations to be used | the ana education classroom for daily work or classroom testing {ineA 300.320(ay()i)-{i) & 200.220(6)(6)() - || Participation is addressed for each individual statewide assessment with specific ~ | accommodations listed for each separate test which are same or nearly the same as, those used in the classroom (10a 300.320(e)(6){0). Additional Comments: if you identified this student as either a Secondary Transition Student or a Preschool Student please fil out thefame of Student (Last, First): Secondary Transition Student (Ages 16-21) IEP File Review Checklist Please refer to the directions or use hyperlinks for additional guidance on each item. Select here for full secondary series. (Hyperlinks are underlined and in bold) Item Yes IEP includes appropriate measurable PostSecondary Goals covering education, training, and employment/career and as needed independent living. alt students must have two and may have upto faur postsecondary goals teviewer Comments 1: teviewer Comments 2.: Postsecondary Goals are reviewed and updated annually as needed. os Postsecondary Goals are developed based on information gathered through age appropriate assessment in transition including a functional vocational evaluation if needed. reviewer Comments ies (Services) in the IEP that will reasonably enable the student to meet his or her identified Postsecondary Goals: (Please see criteria chécklist 4, | below) You must include activities in any an all area(s) that will support the student to achieve their postsecondary goals. You must include a service n education, taining, employment/career, and community participation. Ifthe student is recoivng related service, the student must have 3 transition activity provided by the ‘elated service provider. iransition Services (acti Reviewer Commenis. ies) provided in the areas of: 2. 0 Postsecondary Education and Training b. O Employment/career .E} Comfnunity Participation 4. DorQ N/A Independent Living (can be marked as N/A stil be compliant) fe. DlorLiN/A __ Adult Services (can be marked os N/A and still be compliant) IEP includes a Course of Study (embedded or attached) to reach their Postsecondary Goals. Reviewer Comments Reviewer Comments: JEP annual goals assist the student to reach their identified Postsecondary Goals. ‘Student was invited to the IEP meeting as evidence by an invitation addressed to the 7, | student or documentation of verbal invitation dated prior to the date of the meeting. Reviewer Commerits 7.: Evidence that a representative of any participating agency was invited to the IEP 8. | Team meeting with the prior consent of the parent or student who has reached the age of majority. Reviewer Cominents 8. 9. IEP includes PLOP for Postsecondary Goals and transition activities. Reviewer Comments