2015 – 2016
MISSISSIPPI DEPARTMENT OF EDUCATION – OFFICE OF SPECIAL EDUCATION
ACCOUNTABILITY STANDARD 17.4
ON-SITE MONITORING DOCUMENT REVIEW AND INTERVIEW FORM
POLICIES/PROCEDURES/DISTRICT WIDE IMPLEMENTATION
Record
Review
Item
POLICIES /PROCEDURES/DISTRICT WIDE
IMPLEMENTATION
FAPE-A
Regulation
34 CFR or
SBP 7219
300.101
Revised September 2015
Record Review Question
Does the public agency
have policies that have
been approved by the local
school board and
procedures in effect that
address the provisions of a
Free Appropriate Public
Education (FAPE) for
students with disabilities?
Compliant
Evidence
The public agency has documented
policies approved by the school board
and procedures to guide
implementation.
Potential Source(s) of
Documentation
*Board Approved Policies
*Procedures Manual
YES
Policies and procedures are
nonexistent, insufficient, or inconsistent
with SBP 7219/IDEA.
NO
Page 1 of 8
2015 – 2016
MISSISSIPPI DEPARTMENT OF EDUCATION – OFFICE OF SPECIAL EDUCATION
ACCOUNTABILITY STANDARD 17.4
ON-SITE MONITORING DOCUMENT REVIEW AND INTERVIEW FORM
POLICIES/PROCEDURES/DISTRICT WIDE IMPLEMENTATION
Record
Review
Item
POLICIES /PROCEDURES/DISTRICT WIDE IMPLEMENTATION
FAPE-B
Regulation
34 CFR or
SBP 7219
300.101
Record Review
Question
Does the public agency
have policies that have
been approved by the
local school board and
procedures in effect that
address the provisions of
a Free Appropriate
Public Education (FAPE)
for students with
disabilities?
Compliant
Potential Source(s)
of Documentation
Students in alternate school placement or who
have been suspended for longer than 10 days
receive special education and/or related
services.
YES
Students receive comparable instructional
time as their non-disabled peers. (i.e. buses
arrive and pick-up at comparable times to nondisabled peers)
Students on shortened school day have
individual justifications for their placement on
their IEPs and have been agreed upon by
parents.
Students suspended for longer than 10 days
or who are in alternative school are not
receiving special education and/or related
services they would have received if not
suspended or expelled.
NO
NA
Revised September 2015
Evidence
Transportation schedules indicate arrival and
departure times that are not comparable to
non-disabled students.
Students on shortened days do not have
documentation or justification on their IEPs for
the shortened school day or no indication the
parent was involved in the decision.
There are no students in alternative school, no
students that have been suspended for 10
days or longer, or on a shortened school day.
Page 2 of 8
2015 – 2016
MISSISSIPPI DEPARTMENT OF EDUCATION – OFFICE OF SPECIAL EDUCATION
ACCOUNTABILITY STANDARD 17.4
ON-SITE MONITORING DOCUMENT REVIEW AND INTERVIEW FORM
POLICIES/PROCEDURES/DISTRICT WIDE IMPLEMENTATION
Record
Review
Item
POLICIES /PROCEDURES/DISTRICT WIDE IMPLEMENTATION
FAPE-C
Regulation
34 CFR or
SBP 7219
300.106
300.111(a)
300.111(c)
300.131(a)
Record Review
Question
Does the public agency
have extended school
year services available
as necessary to provide
FAPE?
Compliant
Evidence
There is documentation that students are
receiving ESY and related services as
needed.
YES
There are written procedures for determining
criterion for ESY as well as procedures for
data collection.
ESY services are not offered.
ESY services are provided, but there is no
evidence of the provision of related services.
Potential Source(s)
of Documentation
*ESY data for the
previous summer with
the following:
 Names of
students by
eligibility
category
 Services
provided
 Amount of time
provided
NO
ESY services are only offered to certain
eligibility categories rather than determined on
an individual basis.
FAPE-D
300.108
Revised September 2015
Does the public agency
have physical education
available to all students
with disabilities?
All students with disabilities receive physical
education.
YES
NO
If students are not receiving physical
education, there is a documented medical
reason.
There are students who do not receive
physical education and have no
documentation of a medical reason in the
student’s file.
*Random samples of
class schedules for
students in selfcontained placements.
*Files for students not
receiving physical
education
Page 3 of 8
2015 – 2016
MISSISSIPPI DEPARTMENT OF EDUCATION – OFFICE OF SPECIAL EDUCATION
ACCOUNTABILITY STANDARD 17.4
ON-SITE MONITORING DOCUMENT REVIEW AND INTERVIEW FORM
POLICIES/PROCEDURES/DISTRICT WIDE IMPLEMENTATION
Regulation
34 CFR or
SBP 7219
300.111(a)
300.111(c)
300.131(a)
POLICIES /PROCEDURES/DISTRICT WIDE IMPLEMENTATION
Record
Review
Item
CF-A
Revised September 2015
Record Review Question
Does the public agency
have Child Find (CF)
policies and procedures in
effect, including those
addressing special
populations, and
specifically state requests
for an evaluation may not
be limited by the number
per year or time of year a
request is received?
Compliant
Evidence
CF policies and procedures
CF policies are consistent with State
Board Policy 7219 and IDEA.
YES
Potential Source(s) of
Documentation
*Policy Manual
procedures (e.g.,
procedures manual)
CF procedures provide sufficient
guidance to implement CF policies
CF procedures are in effect to address
each of the special populations
CF activities addressed in policies and
procedures are not limited by a total
number per year.
Special populations
include:
 Homeless children,
 Wards of the State,
 Private school
children,
 Children advancing
from grade to
grade, and
 Highly mobile
and/or migrant
children.
NO
CF activities addressed in policies and
procedures address handling CF at
times when school is not in session
CF procedures do not sufficiently
address the following special
populations:
 Homeless children
 Wards of the State
 Private school children
 Children advancing from grade
to grade
 Highly mobile and/or migrant
children
CF procedures are limited by the
number of requests or evaluations per
year.
Page 4 of 8
POLICIES /PROCEDURES/DISTRICT
WIDE IMPLEMENTATION
2015 – 2016
MISSISSIPPI DEPARTMENT OF EDUCATION – OFFICE OF SPECIAL EDUCATION
ACCOUNTABILITY STANDARD 17.4
ON-SITE MONITORING DOCUMENT REVIEW AND INTERVIEW FORM
POLICIES/PROCEDURES/DISTRICT WIDE IMPLEMENTATION
Record
Review
Item
CF-B
Regulation
34 CFR or
SBP 7219
300.131(c)
Revised September 2015
Record Review Question
Does the public agency
conduct sufficient CF
activities for all children
residing in their area and
children attending private
schools located in their
jurisdiction?
Compliant
YES
Evidence
Child Find activities are conducted at
least annually using multiple methods
and involving all required partners.
Potential Source(s) of
Documentation
*District Child Find Report
There is no documentation that Child
Find Activities are conducted annually.
NO
Child Find activities fail to use multiple
methods.
Page 5 of 8
2015 – 2016
MISSISSIPPI DEPARTMENT OF EDUCATION – OFFICE OF SPECIAL EDUCATION
ACCOUNTABILITY STANDARD 17.4
ON-SITE MONITORING DOCUMENT REVIEW AND INTERVIEW FORM
POLICIES/PROCEDURES/DISTRICT WIDE IMPLEMENTATION
Regulation
34 CFR or
SBP 7219
300.115(a)(b)
POLICIES /PROEDURES/DISTRICT WIDE IMPLEMENTATION
Record
view
Item
LRE-A
Revised September 2015
Record Review
Question
Does the public agency
have policies and
procedures in effect to
ensure that a
continuum of
alternative placements
is available to meet the
needs of children with
disabilities for special
education and related
services?
Compliant
Evidence
The public agency has documented
policies approved by the school board
and procedures for determining the
continuum of alternative placements
including instruction in:
YES





General Education
Special Classes
Special Schools
Child’s home
Hospitals or institutions
Make provisions for supplementary
services (such as resource room or
itinerant instruction) to be provided in
conjunction with general education
class placement.
Potential Source(s) of
Documentation
IEP – Special Education
and Related
Services Section
Description of
Specially-Designed
Services
Special
Considerations
Section
Placement
Consideration and
LRE
Determinations
The public agency does not have
policies and procedures for the
continuum of alternative placements to
meet the needs of children with
disabilities.
NO
No provision for supplementary
services to be provided in conjunction
with general education placement.
Page 6 of 8
2015 – 2016
MISSISSIPPI DEPARTMENT OF EDUCATION – OFFICE OF SPECIAL EDUCATION
ACCOUNTABILITY STANDARD 17.4
ON-SITE MONITORING DOCUMENT REVIEW AND INTERVIEW FORM
POLICIES/PROCEDURES/DISTRICT WIDE IMPLEMENTATION
Regulation
34 CFR or
SBP 7219
300.107(a)
POLICIES /PROCEDURES/DISTRICT WIDE
IMPLEMENTATION
Record
Review
Item
LRE-B
Revised September 2015
Record Review Question
Do students with
disabilities have an equal
opportunity for participation
in non-academic and
extracurricular services
and activities with the use
of supplementary aids and
services?
Compliant
YES
NO
Evidence
There is documentation that students
with disabilities participate in nonacademic and extracurricular activities
with their non-disabled peers. (e.g.
Students in self-contained classes eat
in the cafeteria with their non-disabled
peers.)
Potential Source(s) of
Documentation
*Lists of self-contained
classes/students
*Interview and/or site
verification with teacher
and/or administrator
There is not documentation that
students with disabilities participate in
non-academic and extracurricular
activities with their non-disabled peers.
(e.g. Students in self-contained classes
do not eat in the cafeteria with their
non-disabled peers.)
Page 7 of 8
2015 – 2016
MISSISSIPPI DEPARTMENT OF EDUCATION – OFFICE OF SPECIAL EDUCATION
ACCOUNTABILITY STANDARD 17.4
ON-SITE MONITORING DOCUMENT REVIEW AND INTERVIEW FORM
POLICIES/PROCEDURES/DISTRICT WIDE IMPLEMENTATION
Regulation
34 CFR or
SBP 7219
300.107(a)
POLICIES /PROCEDURES/DISTRICT WIDE
IMPLEMENTAION
Record
Review
Item
DIS-A
Record Review Question
Does the public agency
have discipline policies
that have been approved
by the local school board
and procedures in effect
that ensure compliance
with IDEA/SBP 7219 for
discipline of students with
disabilities?
Compliant
Evidence
The public agency has documented
policies approved by the local school
board and procedures for the discipline
of students with disabilities.
YES
Potential Source(s) of
Documentation
*Board approved Policies
and Procedures Manual
Policies or procedures are in effect,
sufficient, and consistent with IDEA and
SBP 7219.
The public agency does not have
documented policies approved by the
local school board and procedures for
the discipline of students with
disabilities.
NO
Polices or procedures are non-existent,
insufficient, or inconsistent with IDEA or
SBP 7219.
Revised September 2015
Page 8 of 8