DepEd – National Capital Region

Division of City Schools – Valenzuela

Valenzuela South District
Serrano Elementary School
T. Serrano Avenue, Marulas, Valenzuela City

BEHAVIOR INTERVENTION REPORT

School Year: 2023-2024

School ID: 136827

Name of Learner: Alistair Kaiden C. IgnacioDate of Observation: October 27, 2023

LRN: 136827220099 Name of Teacher: Jacques Krystyn G. Ramos

Birthday: February 12, 2016

Age: 7

✔
Sex: Male Female

Diagnosis: Down Syndrome

Check the appropriate box:

✔
With Medical Assessment Results & Findings: Down Syndrome

Without Assessment

Educational Placement of SNED:

✔
Self-Contained Inclusion

Parents/ Guardian: Nerissa Raena C. Ignacio

Contact Number: 09435206742

Page 1 of 3
 DepEd – National Capital Region
Division of City Schools – Valenzuela
Valenzuela South District
Serrano Elementary School
T. Serrano Avenue, Marulas, Valenzuela City

BEHAVIOR MANIFESTATIONS & INTERVENTION

AT HOME IN SCHOOL OTHER SETTING
Antecedent/ Prior Aki doesn’t like to Aki just wants to Aki is hungry.
Behavior share toys with his sit and play.
(Triggers/ sibling.
Signals)
Observable Aki gets mad. Aki wouldn’t do his Aki gets angry.
Behavior work.
Results/ Aki will cry. He will turn his He’ll continue
Consequence of body from the getting angry but
Behavior table and face at wouldn’t do
the back. anything,
The parent/ The teacher will The family will
guardian will tell to explain to Aki that begin to look for a
Interventions the siblings to he needs to do place to eat.
Done share toys and finish his
because it’s for the tasks. The teacher
two of them. will also assist Aki
in doing his work.
Before playing, Provide interesting The family can
remind the two activities and bring snacks for
siblings that they integrate his likes Aki when going
Proactive have to share toys to daily tasks. out.
Strategies for with each other
Prevention and that it shows
kindness when
you share and
care.
Reactive Encourage Provide a line-up Buy or bring out
Strategies for activities that will of their tasks or snacks for a while.
Immediate need at least two schedule through
Intervention persons so they pictures, paste it
can get used to on the board, and
playing with each explain it to the
other. class before
discussion.

Targeted Behavior (Behavior to be decreased):

Page 2 of 3
 DepEd – National Capital Region
Division of City Schools – Valenzuela
Valenzuela South District
Serrano Elementary School
T. Serrano Avenue, Marulas, Valenzuela City

 Getting angry/ mad

 Refraining from doing his tasks
 Throwing things on the floor
 Not following instructions from the teacher
 Turning back when he doesn’t like to listen or follow.

Specific Objectives:

 Aki must be able to follow instructions from the teacher.

 Aki must be able to pay attention when the teacher is talking.
 Aki must learn to share toys with his sibling, classmates, friends, or
relatives.
 Aki must be able to pick up the things he threw on the floor and put it to the
proper place.
 Aki must accomplish his tasks in school.

Basic Intervention Report:

All necessary interventions are given to Aki. Kindly refer to page 2.

Prepared by: Conforme:

Jacques Krystyn G. Ramos ________________________

SPED Teacher Signature over Printed
Name
of Parent/ Guardian

Noted by:

Rosalinda G. Quilates, Ed. D.

Principal III

Page 3 of 3