Elizabeth D. Kaplan Isle of Wight County Schools Student ID: 26164 Student Testing ID: 1015623105 Date of Birth: 07/22/2004 Special Education Department 820 West Main Street Smithfield, VA 23430 757-365-1616 Meeting Notice To: Tammy Kaplan Student's Name: Elizabeth D. Kaplan Letter Dates: 11/30/2020 Date Sent To Participants: 11/30/2020 This is to notify you that an IEP team meeting has been scheduled for the above student. Your participation and attendance at this meeting are very important. This IEP meeting must be scheduled at a mutually agreed upon time and place. The purpose of this meeting is to (check all that apply): X Review Current IEP ___ X Discuss Graduation ___ ___ Review Instructional Needs ___ Review Placement ___ Discuss Attendance Issues ___ Functional Behavioral Assessment ___ Review of Existing Data This meeting has been scheduled for: ___ Discuss Transition Services ___ Discuss Annual Goal Progress ___ Consider Termination of Services ___ Develop ESY IEP ___ Behavioral Intervention Plan ___ Discuss transition/post-secondary goals ___ Other: Date ____________ 12/08/2020 Time _____________ 10:30 AM Location __________________________________________________________________________________________________ Smithfield High School The following are invited to attend and participate in the IEP meeting: Special Education Teacher General Education Teacher Tammy Kaplan, Parent Principal/Designee School Counselor * If the purpose of the meeting includes the development of transition services needs (beginning at age 14 or younger) the student will be invited. If the purpose of the meeting is the consideration of needed transition services (beginning at age 16 or younger) the student and representatives of the following agencies will be invited: The parent/adult student or school division may invite individuals who have knowledge or special expertise regarding the student, including related services personnel, to participate. The determination of the knowledge or special expertise shall be made by the person/party extending the invitation. If you, the parent or adult student, are bringing other individuals to the meeting, please let us know. This will ensure that the meeting space will accommodate all team members. If you have any questions or would like additional information or assistance to help you prepare for this IEP meeting, please contact Marcie Spoonhoward at 357-3108, e-mail mspoonho@iwcs.k12.va.us. Meeting Notice Page 1 Special Education Department Elizabeth D. Kaplan Isle of Wight County Schools Student ID: 26164 Student Testing ID: 1015623105 Date of Birth: 07/22/2004 Special Education Department 820 West Main Street Smithfield, VA 23430 757-365-1616 Meeting Notice _________________________________________________________________________ Date of IEP meetings: Student: 12/08/2020 Elizabeth D. Kaplan To the Parent/Student Marcie Spoonhoward Please check your choice. Detach and return this section to __________________________________ Fax ___________________ X WILL ATTEND the IEP meeting as scheduled. CANNOT ATTEND the IEP meeting as scheduled. I understand the importance of attending. You may hold this meeting in my absence. Please consider rescheduling this meeting. (month/day/year)______________________ at (time/place)_______________________________________. Please contact me at _________________________ to determine a mutually agreeable date, time, and place for this IEP meeting. I can participate by an alternate method (Select an option below). Individual or Conference Telephone Call Other Other: I give permission to proceed without a meeting. No response - Will proceed with meeting. Would like my preferences, interests, concerns shared with the IEP team. I will provide my input to you by: ___ Mail, ___ Telephone, ___ other means ________________ prior to the meeting. I will need the following accommodations for this IEP meeting: Signature ________________________________ Date _________________ Date received by the school ________________ Meeting Notice Page 2 Special Education Department Elizabeth D. Kaplan Isle of Wight County Schools Student ID: 26164 Student Testing ID: 1015623105 Date of Birth: 07/22/2004 Special Education Department 820 West Main Street Smithfield, VA 23430 757-365-1616 Meeting Notice (Student) To: Elizabeth D. Kaplan Student's Name: Elizabeth D. Kaplan Letter Dates: 12/01/2020 Date Sent To Participants: 12/01/2020 This is to notify you that an IEP team meeting has been scheduled for the above student. Your participation and attendance at this meeting are very important. This IEP meeting must be scheduled at a mutually agreed upon time and place. The purpose of this meeting is to (check all that apply): X Review Current IEP ___ X Discuss Graduation ___ ___ Review Instructional Needs ___ Review Placement ___ Discuss Attendance Issues ___ Functional Behavioral Assessment ___ Review of Existing Data This meeting has been scheduled for: ___ Discuss Transition Services ___ Discuss Annual Goal Progress ___ Consider Termination of Services ___ Develop ESY IEP ___ Behavioral Intervention Plan ___ Discuss transition/post-secondary goals ___ Other: Date ____________ 12/08/2020 Time _____________ 10:30 AM Location __________________________________________________________________________________________________ Smithfield High School The following are invited to attend and participate in the IEP meeting: Special Education Teacher General Education Teacher Tammy Kaplan, Parent Principal/Designee School Counselor * If the purpose of the meeting includes the development of transition services needs (beginning at age 14 or younger) the student will be invited. If the purpose of the meeting is the consideration of needed transition services (beginning at age 16 or younger) the student and representatives of the following agencies will be invited: The parent/adult student or school division may invite individuals who have knowledge or special expertise regarding the student, including related services personnel, to participate. The determination of the knowledge or special expertise shall be made by the person/party extending the invitation. If you, the parent or adult student, are bringing other individuals to the meeting, please let us know. This will ensure that the meeting space will accommodate all team members. If you have any questions or would like additional information or assistance to help you prepare for this IEP meeting, please contact Marcie Spoonhoward at 357-3108, e-mail mspoonho@iwcs.k12.va.us. Meeting Notice (Student) Page 3 Special Education Department Elizabeth D. Kaplan Isle of Wight County Schools Student ID: 26164 Student Testing ID: 1015623105 Date of Birth: 07/22/2004 Special Education Department 820 West Main Street Smithfield, VA 23430 757-365-1616 Meeting Notice (Student) _________________________________________________________________________ Date of IEP meetings: Student: 12/08/2020 Elizabeth D. Kaplan To the Parent/Student Marcie Spoonhoward Please check your choice. Detach and return this section to __________________________________ Fax ___________________ X WILL ATTEND the IEP meeting as scheduled. CANNOT ATTEND the IEP meeting as scheduled. I understand the importance of attending. You may hold this meeting in my absence. Please consider rescheduling this meeting. (month/day/year)______________________ at (time/place)_______________________________________. Please contact me at _________________________ to determine a mutually agreeable date, time, and place for this IEP meeting. I can participate by an alternate method (Select an option below). Individual or Conference Telephone Call Other Other: I give permission to proceed without a meeting. No response - Will proceed with meeting. Would like my preferences, interests, concerns shared with the IEP team. I will provide my input to you by: ___ Mail, ___ Telephone, ___ other means ________________ prior to the meeting. I will need the following accommodations for this IEP meeting: Signature ________________________________ Date _________________ Date received by the school ________________ Meeting Notice (Student) Page 4 Special Education Department Elizabeth D. Kaplan Isle of Wight County Schools Student ID: 26164 Student Testing ID: 1015623105 Date of Birth: 07/22/2004 Special Education Department 820 West Main Street Smithfield, VA 23430 757-365-1616 Individualized Education Program (IEP) Cover Page Student's Name: Elizabeth D. Kaplan Student ID Number: 26164 Disability(ies) (if identified): Parent/Guardian Name: Home Address: Date: Grade: 9 DOB: 12/08/2020 07/22/2004 Age*: 16 Autism Tammy Kaplan 501 Pagan Rd Smithfield, VA23430 Phone # (H): 7578761962 Phone # (W): Most recent Eligibility date Most Recent Re-evaluation Next Re-evaluation Date of Plan meeting 08/23/2010 Copy of Plan given to parent/student by (Name): Marcie Spoonhoward IEP Teacher/Manager: 11/20/2018 11/20/2021 12/08/2020 This IEP will be reviewed no later than this date Date parent notified of Plan meeting Date student notified of Plan meeting (if transition will be discussed) Date: Marcie Spoonhoward Phone Number: 12/07/2021 11/30/2020 12/01/2020 12/08/2020 357-3108 The Individualized Education Program (IEP) that accompanies this document is meant to support the positive process and team approach. The IEP is a working document that outlines the student's vision for the future, strengths and needs. The IEP is not written in isolation. The intent of an IEP is to bring together a team of people who understand and support the student in order to come to consensus on a plan and an appropriate and effective education for the student. No two teams are alike and each team will arrive at different answers, ideas and supports and services to address the student's unique needs. The student and his/her family members are vital participants, as well as teachers, specialists, outside service providers, and the principal. When all team members are present, the valuable information shared supports the development of a rich student profile and education program. Participants Involved: The list below indicates that the individual participated in the development of this Plan and the placement decision; it does not authorize consent. Parent or student (age 18 or older) consent is indicated on the "Prior Notice/Consent" page. Excused Name of Participant Title Special Education Teacher General Education Teacher Tammy Kaplan Parent Principal/Designee School Counselor * The student must be informed at least one year prior to turning 18 that the IDEA procedural safeguards (rights) transfer to him/her at age 18 and be provided with an explanation of those procedural safeguards. Date informed: 12/08/2020 If the parent did not attend, what method was used to ensure their participation: Individualized Education Program (IEP) Cover Page Page 5 Special Education Department Elizabeth D. Kaplan Isle of Wight County Schools Student ID: 26164 Student Testing ID: 1015623105 Date of Birth: 07/22/2004 Special Education Department 820 West Main Street Smithfield, VA 23430 757-365-1616 Secondary Transition I. Documentation of Transition Assessments Are the postsecondary goals based upon age-appropriate formal and informal transition assessments? Yes No If yes, identify these assessments in the Present Level of Academic Achievement and Functional Performance or indicate which age-appropriate transition assessments were conducted for development of measurable postsecondary goals and transition activities, as well as the date they were conducted: Formal and Informal Assessments (list name of assessment and date administered): II. Transition Goals Postsecondary Education Elizabeth expressed no interest in postsecondary education. Elizabeth communicated in writing that she had no interest. Describe how the student's courses of study support attainment of this postsecondary goal: Elizabeth will be enrolled in academic courses 2017-208 to meet the requirements for a standard diploma which include Math, English, Social Science, Science, and CTE courses that meet her interests. Activities Receive support with test-taking skills Agency Name: Local Education Agency (LEA) Postsecondary Training Elizabeth documented no interest in post secondary training. Describe how the student's courses of study support attainment of this postsecondary goal: Elizabeth will be enrolled in courses during the 2018-2019 school year that will lead to her earning a standard diploma which include: Math, English, History, Science, and CTE courses that meet her interests and preferences. Activities Receive support with time management skills Agency Name: Local Education Agency (LEA) Employment Elizabeth expressed in writing no interest in employment. Describe how the student's courses of study support attainment of this postsecondary goal: Elizabeth will be enrolled in courses during the 2017-2018 school year that will lead to her earning a standard diploma which include: Math, English, History, Science, and CTE courses that meet her interests and preferences. Secondary Transition Page 6 Special Education Department Elizabeth D. Kaplan Isle of Wight County Schools Student ID: 26164 Student Testing ID: 1015623105 Date of Birth: 07/22/2004 Special Education Department 820 West Main Street Smithfield, VA 23430 757-365-1616 Secondary Transition Activities Follow written/picture list of duties/chores Agency Name: Local Education Agency (LEA) Independent Living Considered, but not appropriate at this time X III. Transition Details Elizabeth answered in writing that she currently has no interest in part time employment and post secondary at this time. Secondary Transition Page 7 Special Education Department Elizabeth D. Kaplan Isle of Wight County Schools Student ID: 26164 Student Testing ID: 1015623105 Date of Birth: 07/22/2004 Special Education Department 820 West Main Street Smithfield, VA 23430 757-365-1616 Factors for IEP Team Consideration Student's Name: Elizabeth D. Kaplan Student ID Number: Meeting Date: 12/08/2020 26164 During the IEP meeting the following factors must be considered by the IEP team. Best practice suggests that the IEP team document that the factors were considered and any decision made relative to each. The factors are addressed in other sections of the IEP if not documented on this page. 1. Results of the initial or most recent evaluation of the student; WJ-III SS Broad Reading 104 Broad Math 75 Broad Writing 108 Oral Language 76 Listening Comprehension 70 Total Achievement 101 Elizabeth’s scores on the WJ-III fell in the average to low average range. DTVP SS Visual Motor Integration Quotient 103 General Visual Perception 104 Handwriting rubric Elizabeth scored an 11 out of 25 with a weakness noted in sizing, spacing and placement. RIAS SS Verbal Index 82 Nonverbal Index 95 Memory Index 89 2. The strengths of the student; Elizabeth's non-verbal working memory abilities fall in the above average range and is a relative strength for her. Math is a relative strength for Elizabeth when she applies her strategies on test and quizzes. She performs well in the Number Worlds program. She will work in the book on single concepts at a time, independently. Elizabeth enjoys drawing and coloring pictures and activities that include these skills. Elizabeth verbally communicates to her peers and adults (in her home environment) that she feels comfortable with. She has a diagnosis of selective mutism. Elizabeth will use alternative communication means (device, ipod, writing, etc) only with prompts/cues from a teacher. 3. The academic, developmental, and functional needs of the student; Elizabeth does not interact in general education classes. She will often draw and ignore teacher directions. 4. The concerns of the parent(s) for enhancing the education of their child; Parent is an active participant with her daughters educational planning. 5. The communication needs of the student; Elizabeth verbally communicates to her peers and adults (in her home environment) that she feels comfortable with. She has a diagnosis of selective mutism. Elizabeth will use alternative communication means (device, ipod, writing, etc) only with prompts/cues from a teacher. 6. The student’s needs for benchmarks or short-term objectives; Short term objectives are used when needed. 7. Whether the student requires assistive technology devices and services; Not at this time. 8. Factors for IEP Team Consideration Page 8 Special Education Department Elizabeth D. Kaplan Isle of Wight County Schools Student ID: 26164 Student Testing ID: 1015623105 Date of Birth: 07/22/2004 Special Education Department 820 West Main Street Smithfield, VA 23430 757-365-1616 Factors for IEP Team Consideration In the case of a student whose behavior impedes his or her learning or that of others, consider the use of positive behavioral interventions, strategies, and supports to address that behavior; Behavior is not an issue at this point. 9. In the case of a student with limited English proficiency, consider the language needs of the student as those needs relate to the student's IEP; English is her first language. 10. In the case of a student who is blind or is visually impaired, provide for instruction in Braille and the use of Braille unless the IEP team determines after an evaluation of the student's reading and writing skills, needs, and appropriate reading and writing media, including an evaluation of the student's future needs for instruction in Braille or the use of Braille, that instruction in Braille or the use of Braille is not appropriate for the student; When considering that Braille is not appropriate for the child the IEP team may use the Functional Vision and Learning Media Assessment for Students who are Pre-Academic or Academic and Visually Impaired in Grades K-12 (FVLMA) or similar instrument; Student is not blind or visually impaired. She does wear corrective lenses. 11. In the case of a student who is deaf or hard of hearing, consider the student's language and communication needs, opportunities for direct communications with peers and professional personnel in the student's language and communication mode, academic level, and full range of needs, including opportunities for direct instruction in the student's language and communication mode. The IEP team may use the Virginia Communication Plan when considering the student's language and communication needs and supports that may be needed. Student is not deaf or hard of hearing. 12. Extended School Year (ESY) The IEP team considered the following in determining ESY eligibility: regression/recoupment of skills, degree of progress, emerging skills/breakthrough opportunities, interfering behaviors, nature and severity of the disability, and special circumstances or other factors. It is the consensus of the IEP team that Elizabeth does not meet eligibility requirements for ESY services. Factors for IEP Team Consideration Page 9 Special Education Department Elizabeth D. Kaplan Isle of Wight County Schools Student ID: 26164 Student Testing ID: 1015623105 Date of Birth: 07/22/2004 Special Education Department 820 West Main Street Smithfield, VA 23430 757-365-1616 Present Levels of Academic and Functional Performance Student's Name: Elizabeth Student's Number: 26164 Meeting Date: D. Kaplan 12/08/2020 The Present Level of Academic Achievement and Functional Performance summarize the results of assessments that identify the student's interests, preferences, strengths and areas of need. It also describes the effect of the student's disability on his or her involvement and progress in the general education curriculum, and for preschool children, as appropriate, how the disability affects the student's participation in appropriate activities. This includes the student's performance and achievement in academic areas such as writing, reading, math, science, and history/social sciences. It also includes the student's performance in functional areas, such as self-determination, social competence, communication, behavior and personal management. Test scores, if included, should be self-explanatory or an explanation should be included, and the Present Level of Academic Achievement and Functional Performance should be written in objective measurable terms, to the extent possible. There should be a direct relationship among the desired goals, the Present Level of Academic Achievement and Functional Performance, and all other components of the IEP. Student's Strengths Elizabeth's non-verbal working memory abilities fall in the above average range and is a relative strength for her. Math is a relative strength for Elizabeth when she applies her strategies on test and quizzes. She performs well in the Number Worlds program. She will work in the book on single concepts at a time, independently. Elizabeth enjoys drawing and coloring pictures and activities that include these skills. Elizabeth verbally communicates to her peers and adults (in her home environment) that she feels comfortable with. She has a diagnosis of selective mutism. Elizabeth will use alternative communication means (device, ipod, writing, etc) only with prompts/cues from a teacher. Student's Areas of Need Elizabeth does not interact in general education classes. She will often draw and ignore teacher directions. Elizabeth shows no interest in her general education classes. In her academic skills class she will listen to stories read aloud and answer comprehension questions. She will read silently and complete related activities. Elizabeth feels more comfortable in a smaller setting. Effect of disability on Student On November 20,2018, the IEP committee met and determined that Elizabeth remains a student with a disability. Specifically, Elizabeth is a student with Autism and displays behaviors associated with the disorder. She also displays a significant discrepancy between her verbal and nonverbal reasoning skills. She displays average nonverbal skills and below average verbal skills. A review of the Reynolds Intellectual Ability Scale (RIAS) conducted on July 6, 2010 indicated Elizabeth displays statistically significant discrepancy between her verbal and nonverbal reasoning skills. She displays average nonverbal reasoning abilities and below average verbal reasoning abilities. Elizabeth demonstrates above average nonverbal working memory, where as her verbal working memory falls in the significantly below average range. The Verbal Intelligence Index (VIX) standard score of 82, fell within the "Below Average" range. The Nonverbal Intelligence Index (NIX) standard score of 95, fell within the "Average" range. The Composite Memory Index (CMX) standard score of 89, fell within the "Below Average" range indicating similar development of skills in both verbal and nonverbal memory. A review of the Gilliam Autism Rating Scale, Second Edition (GARS-2) conducted on August 4, 2010 indicated that the probability of autism is very likely. Mrs. Kaplan, (parent) expressed that verbally reported that Elizabeth has a medical diagnosis of Autism evaluated by her pediatrician. Elizabeth does display significant behaviors related to deficits in social interactions, communication, and stereotyped behaviors. On 2/3/2016 Elizabeth was administered the Norris Educational Achievement Test (NEAT) Word Recognition sub-test and she scored a standard score lower than 65 with a percentile rank below the 1st percentile. Due to her deficits in decoding skills she qualifies for the read aloud accommodations in all subject areas. Elizabeth was administered the Picture Span task from the WISC-V which allowed her to respond non-verbally and provides comparable information. She scored a 105 on the task. Though she did show some difficulty with sequencing at the upper limits of her memory capacity she showed sufficient memory as compared to peers. Behavior and Socio/Emotional Performance: Elizabeth is selective mutism. She can be verbal when she is interested in a topic or displays strong feelings when she is around her peers. Elizabeth exhibits behaviors in class where she is often drawing instead of completing her independent assignments. Elizabeth becomes easily upset and frustrated and defiant when support is offered. She has difficulty concentrating and completing required tasks. Elizabeth often avoids making eye contact and is frustrated by changes in her routine. Elizabeth has difficulty with social situations. She needs to work on acknowledging an interaction initiated by others by giving an appropriate response, either verbally or non-verbally. Present Levels of Academic and Functional Performance Page 10 Special Education Department Elizabeth D. Kaplan Isle of Wight County Schools Student ID: 26164 Student Testing ID: 1015623105 Date of Birth: 07/22/2004 Special Education Department 820 West Main Street Smithfield, VA 23430 757-365-1616 Present Levels of Academic and Functional Performance Attention/Focus: Elizabeth has difficulty staying focused and on task during whole and small group instruction and when completing independent assignments. Academic Performance Elizabeth has no high school SOL scores. Her grades do not reflect what she can do. She does not participate in her classes. She will draw and do her own thing even with several prompts to join in. The more you push or try to include her the more she becomes withdrawn. Grades: Algebra I: 30 Academic Skills: 94 PE 10: 35 English 9: 50 American Reading Company: She is currently on white level which is grade 3. She will read silently and complete activities for the read. Then there are times when she refuses to complete the work. All her work is written and she has labored writing. Her spelling is phonetic and often incorrect. It is hit and miss with journal writing. She likes to make lists and easy answer journals. She does not use paragraphs but will use simple sentences. I-Ready Diagnostic Tests: She has refused to complete the tests. Still trying to get her to complete them. It is difficult to get to know what she comprehends or knows due to the fact that she will not communicate with me. She will show me her drawings if I ask her. She will hide the drawings at times as well. Functional Performance The services described in this IEP are designated for implementation in a school and/or remote location. The IEP services designated for implementation in a specific location will be available to Elizabeth Kaplan on the days Elizabeth Kaplan is administratively assigned by the school division to that location during the regular school year. The assignment of Elizabeth Kaplan to a location for IEP implementation may vary during the course of the school year based on the ability of the school division to offer services in the particular location. If, during the school year, the School Board, as a result of a health emergency or other concerns, changes the number of days per week that Elizabeth Kaplan is assigned to attend instruction at school, then the IEP services designated for delivery in a school location will be adjusted to align with the number of days that the Elizabeth Kaplan is assigned to attend instruction at school. If the School Board increases the number of days per week that Elizabeth Kaplan is assigned to attend school, then the IEP services designated for delivery in school will increase proportionately, and conversely the IEP services designated for remote instruction will decrease proportionately. The opposite situation may also occur if the School Board decreases the number of days per week that Elizabeth Kaplan is assigned to attend school. Despite any other statement in the IEP to the contrary, the IEP services will not be implemented, and the school division has no obligation to make-up any missed services, on days when the school division does not offer instruction, whether virtually or in-person, for reasons such as inclement weather, closures due to teacher unavailability, pandemics, health emergencies, the Elizabeth Kaplan’s illness, the Elizabeth Kaplan’s inability to participate for safety or health reasons, holidays, partial days, partial weeks, and teacher planning days. The IEP services will also not be provided during the summer months unless services are specified for Elizabeth Kaplan in the Extended School Year section of the IEP. By signing and granting consent to this IEP, the parent(s)/guardian(s) grant consent for the adjustment of IEP services between the school and remote locations based on the School Board’s: assignment of Elizabeth Kaplan to a location for IEP implementation; the School Board’s decision to open and close school buildings or classrooms; and/or the availability of specific services at a particular location. The parent(s)/guardian(s) are further granting consent to adjusting the means of delivery of instruction (in-person vs. telephonically or virtually), without holding an IEP meeting before implementing such a change in methodology. Nothing prevents the parent(s)/guardian(s) or school staff from requesting an IEP meeting to discuss amendments/revisions to the IEP. Services: Virtual (S)Reading @ 40 minutes per week (S)Writing @ 30 minutes per week (S) Math @ 30 minutes per week (S) Behavior @ 15 minutes per week Services: Hybrid (S)Reading @ 50minutes per week (S)Writing @ 40 minutes per week (S)Math @ 40 minutes per week (S) Behavior @ 20 minutes per week Present Levels of Academic and Functional Performance Page 11 Special Education Department Elizabeth D. Kaplan Isle of Wight County Schools Student ID: 26164 Student Testing ID: 1015623105 Date of Birth: 07/22/2004 Special Education Department 820 West Main Street Smithfield, VA 23430 757-365-1616 Diploma and Transition Status Student's Name: Elizabeth D. Kaplan Student ID Number: Date: 12/08/2020 26164 DIPLOMA/PROGRAM COMPLETION STATUS: Discuss at least annually, more often as appropriate. This student is a candidate for a(n): X Applied Studies Diploma Advanced Studies Diploma Certificate of High School Equivalency Exam Certificate of Program Completion GAD (General Achievement Diploma) Modified Standard Diploma* X Standard Diploma Not Discussed 06/16/2023 Projected Graduation/Exit Date:____________________ Comments: Is the student projected to graduate/exit school this year? X No Yes If yes, inform the student and parents that a Summary of Performance will be provided prior to graduating/exiting school. It has been determined that the student is eligible to use credit accommodations to obtain the Standard Diploma. No If yes, the signed participation criteria form and supporting documentation must be completed and made available upon request. Yes * The Modified Standard Diploma will not be an option for students with disabilities who enter the ninth grade for the first time after 2012 – 2013. NOTE: Special education and related services end upon receiving an Advanced Studies Diploma, or Standard Diploma. If the student receives a Modified Standard Diploma, Applied Studies Diploma, Certificate of Program Completion, a GAD or a Certificate of High School Equivalency Exam, the student remains entitled to a free appropriate public education through age 21. If the student will graduate with an Advanced or Standard Diploma during the term of the IEP, prior written notice must be completed. Summary of Performance Will the student be graduating with a Standard, Technical, or higher level diploma or exceeding the age of eligibility this year? X No Yes If yes, a Summary of Performance must be provided to the student prior to graduating or exceeding the age of eligibility. Interagency Release of Information Form Is there a current signed (by parent or adult student) release of confidential information on file with the school? X No Yes If no, discuss form for transition planning with student and family. Diploma and Transition Status Page 12 Special Education Department Elizabeth D. Kaplan Isle of Wight County Schools Student ID: 26164 Student Testing ID: 1015623105 Date of Birth: 07/22/2004 Special Education Department 820 West Main Street Smithfield, VA 23430 757-365-1616 Measurable Annual Goals and Objectives Student's Name: Elizabeth D. Kaplan Date: 12/08/2020 Student ID Number: 26164 # 1 Disability Autism Measurable Annual Goal: Math By 12/07/2021, Elizabeth D. Kaplan will after instruction, increase from 3rd to 4th grade level the ability to select and apply mathematical operations in a variety of contexts at 70% accuracy for problems within the domains listed in the objectives. The IEP team considered the need for short-term objectives/benchmarks. X Short-term objectives/benchmarks are included for this goal. (Required for students participating in the VAAP) Short-term objectives/benchmarks are not included for this goal. Does this annual goal help the student make progress towards a postsecondary goal? Yes No If YES, which Postsecondary goal? X N/A How will progress toward this goal be measured? (check all that apply) Checklist Criterion-referenced test Norm-referenced test X Tests and quizzes Classroom Participation Data Collection Observation Written Reports Report of Student Progress*: 3 weeks 9 weeks X Classwork Homework Special Projects Other X 4.5 weeks Other 6 weeks Progress of Goals: Progress on this goal will be reported using the following codes. M - The student has Mastered this annual goal. ES - The student demonstrates Emerging Skill but may not achieve this annual goal within the duration of this IEP. SP - The student is making Sufficient Progress to achieve this annual goal within the duration of this IEP. IP - The student is making Insufficient Progress to achieve this annual goal and may not do so within the duration of this IEP. NI - The student has Not been provided Instruction on this annual goal. *Progress reports will be provided at least as often as parents are informed of the progress of their children without disabilities. Short Term Objectives or Benchmarks Objective/Benchmark #: 1 Addition By 12/07/2021, Elizabeth D. Kaplan will solve addition problems for combining, joining or comparison situations with 80% accuracy. Proficiency (Baseline) Mastery Criteria: Measurable Annual Goals and Objectives Page 13 Special Education Department Elizabeth D. Kaplan Isle of Wight County Schools Student ID: 26164 Student Testing ID: 1015623105 Date of Birth: 07/22/2004 Special Education Department 820 West Main Street Smithfield, VA 23430 757-365-1616 Measurable Annual Goals and Objectives 80% accuracy Evaluation method: Other evaluation method: Objective/Benchmark #: 2 Fractions By 12/07/2021, Elizabeth D. Kaplan will identify fractions (1/2, 1/4, 3/4,) as parts of a whole using pictures with 70% accuracy. Proficiency (Baseline) Mastery Criteria: 70% accuracy Evaluation method: Other evaluation method: Objective/Benchmark #: 3 Intergers By 12/07/2021, Elizabeth D. Kaplan will add, subtract, multiply, and divide integers with 70% accuracy. Proficiency (Baseline) Mastery Criteria: 70% accuracy Evaluation method: Other evaluation method: Objective/Benchmark #: 4 Number Operations By 12/07/2021, Elizabeth D. Kaplan will know multiplication facts through 9 times 9 with 70% accuracy. with 70$ accuracy. Proficiency (Baseline) Mastery Criteria: 70% accuracy Evaluation method: Other evaluation method: Measurable Annual Goals and Objectives Page 14 Special Education Department Elizabeth D. Kaplan Isle of Wight County Schools Student ID: 26164 Student Testing ID: 1015623105 Date of Birth: 07/22/2004 Special Education Department 820 West Main Street Smithfield, VA 23430 757-365-1616 Measurable Annual Goals and Objectives # 2 Measurable Annual Goal: Reading: Comprehension By 12/07/2021, Elizabeth D. Kaplan will improve her reading comprehension skills from the 3rd grade level to the 4th grade level with least a 75% accuracy on teacher made assessments and checkpoint assessments. The IEP team considered the need for short-term objectives/benchmarks. X Short-term objectives/benchmarks are included for this goal. (Required for students participating in the VAAP) Short-term objectives/benchmarks are not included for this goal. Does this annual goal help the student make progress towards a postsecondary goal? Yes No If YES, which Postsecondary goal? X N/A How will progress toward this goal be measured? (check all that apply) Checklist Criterion-referenced test Norm-referenced test X Tests and quizzes Classroom Participation Data Collection Observation Written Reports Report of Student Progress*: 3 weeks 9 weeks X Classwork Homework Special Projects Other X 4.5 weeks Other 6 weeks Progress of Goals: Progress on this goal will be reported using the following codes. M - The student has Mastered this annual goal. ES - The student demonstrates Emerging Skill but may not achieve this annual goal within the duration of this IEP. SP - The student is making Sufficient Progress to achieve this annual goal within the duration of this IEP. IP - The student is making Insufficient Progress to achieve this annual goal and may not do so within the duration of this IEP. NI - The student has Not been provided Instruction on this annual goal. *Progress reports will be provided at least as often as parents are informed of the progress of their children without disabilities. Short Term Objectives or Benchmarks Objective/Benchmark #: 1 Reading Comprehension By 12/07/2021, Elizabeth D. Kaplan will use reading strategies (highlight, context clues, re-read paragraphs, and look back into passage) to answer questions correctly on grade level passages. Proficiency (Baseline) Mastery Criteria: 100% of the time Evaluation method: Measurable Annual Goals and Objectives Page 15 Special Education Department Elizabeth D. Kaplan Isle of Wight County Schools Student ID: 26164 Student Testing ID: 1015623105 Date of Birth: 07/22/2004 Special Education Department 820 West Main Street Smithfield, VA 23430 757-365-1616 Measurable Annual Goals and Objectives Other evaluation method: Objective/Benchmark #: 2 Reading Comprehension-context clues By 12/07/2021, Elizabeth D. Kaplan will use context clues to clarify meaning of unfamiliar words and phrases. Proficiency (Baseline) Mastery Criteria: 70% Evaluation method: Other evaluation method: Measurable Annual Goals and Objectives Page 16 Special Education Department Elizabeth D. Kaplan Isle of Wight County Schools Student ID: 26164 Student Testing ID: 1015623105 Date of Birth: 07/22/2004 Special Education Department 820 West Main Street Smithfield, VA 23430 757-365-1616 Measurable Annual Goals and Objectives # 3 Measurable Annual Goal: Reading: Decoding By 12/07/2021, Elizabeth D. Kaplan will increase her reading decoding skills by achieving at least 80% accuracy in word recognition on a third grade passage in 3 out of 4 attempts. The IEP team considered the need for short-term objectives/benchmarks. X Short-term objectives/benchmarks are included for this goal. (Required for students participating in the VAAP) Short-term objectives/benchmarks are not included for this goal. Does this annual goal help the student make progress towards a postsecondary goal? Yes X No If YES, which Postsecondary goal? N/A How will progress toward this goal be measured? (check all that apply) Checklist Criterion-referenced test Norm-referenced test Tests and quizzes Classroom Participation X Data Collection Observation Written Reports Report of Student Progress*: 3 weeks 9 weeks Classwork Homework Special Projects X Other: Informal Classroom Assessments X 4.5 weeks Other 6 weeks Progress of Goals: Progress on this goal will be reported using the following codes. M - The student has Mastered this annual goal. ES - The student demonstrates Emerging Skill but may not achieve this annual goal within the duration of this IEP. SP - The student is making Sufficient Progress to achieve this annual goal within the duration of this IEP. IP - The student is making Insufficient Progress to achieve this annual goal and may not do so within the duration of this IEP. NI - The student has Not been provided Instruction on this annual goal. *Progress reports will be provided at least as often as parents are informed of the progress of their children without disabilities. Short Term Objectives or Benchmarks Objective/Benchmark #: 1 Reading Decoding By 12/07/2021, Elizabeth D. Kaplan will apply phonetic strategies and break words apart to decode words while reading to increase her accuracy in 4 out of 5 trials. Proficiency (Baseline) Mastery Criteria: 80% accuracy Evaluation method: Measurable Annual Goals and Objectives Page 17 Special Education Department Elizabeth D. Kaplan Isle of Wight County Schools Student ID: 26164 Student Testing ID: 1015623105 Date of Birth: 07/22/2004 Special Education Department 820 West Main Street Smithfield, VA 23430 757-365-1616 Measurable Annual Goals and Objectives Other evaluation method: Measurable Annual Goals and Objectives Page 18 Special Education Department Elizabeth D. Kaplan Isle of Wight County Schools Student ID: 26164 Student Testing ID: 1015623105 Date of Birth: 07/22/2004 Special Education Department 820 West Main Street Smithfield, VA 23430 757-365-1616 Measurable Annual Goals and Objectives # 4 Measurable Annual Goal: Social /Focus Development By 12/07/2021, Elizabeth D. Kaplan will display productive school behaviors by following classroom routines during each class period with no more than 3 verbal reminders by her teacher. The IEP team considered the need for short-term objectives/benchmarks. X Short-term objectives/benchmarks are included for this goal. (Required for students participating in the VAAP) Short-term objectives/benchmarks are not included for this goal. Does this annual goal help the student make progress towards a postsecondary goal? Yes X No If YES, which Postsecondary goal? N/A How will progress toward this goal be measured? (check all that apply) Checklist Criterion-referenced test Norm-referenced test Tests and quizzes X Classroom Participation Data Collection X Observation Written Reports Report of Student Progress*: 3 weeks 9 weeks Classwork Homework Special Projects Other X 4.5 weeks Other 6 weeks Progress of Goals: Progress on this goal will be reported using the following codes. M - The student has Mastered this annual goal. ES - The student demonstrates Emerging Skill but may not achieve this annual goal within the duration of this IEP. SP - The student is making Sufficient Progress to achieve this annual goal within the duration of this IEP. IP - The student is making Insufficient Progress to achieve this annual goal and may not do so within the duration of this IEP. NI - The student has Not been provided Instruction on this annual goal. *Progress reports will be provided at least as often as parents are informed of the progress of their children without disabilities. Short Term Objectives or Benchmarks Objective/Benchmark #: 1 Attention/Focus By 12/07/2021, Elizabeth D. Kaplan will will begin assignments immediately and work for at least 15 minutes with no more than one verbal reminder. Proficiency (Baseline) Mastery Criteria: 15 minutes Evaluation method: Measurable Annual Goals and Objectives Page 19 Special Education Department Elizabeth D. Kaplan Isle of Wight County Schools Student ID: 26164 Student Testing ID: 1015623105 Date of Birth: 07/22/2004 Special Education Department 820 West Main Street Smithfield, VA 23430 757-365-1616 Measurable Annual Goals and Objectives Other evaluation method: Objective/Benchmark #: 2 Social Development By 12/07/2021, Elizabeth D. Kaplan will appropriately acknowledge an interaction initiated by others by giving an appropriate response, either verbal or non-verbal in 4 out of 5 opportunities. Proficiency (Baseline) Mastery Criteria: 4 out of 5 opportunities Evaluation method: Other evaluation method: Objective/Benchmark #: 3 Task By 12/07/2021, Elizabeth D. Kaplan will seek assistance ask for help and or seek additional information when given visual prompts to do so in 4 out of 5 opportunities. Proficiency (Baseline) Mastery Criteria: 4 out of 5 opportunities Evaluation method: Other evaluation method: Measurable Annual Goals and Objectives Page 20 Special Education Department Elizabeth D. Kaplan Isle of Wight County Schools Student ID: 26164 Student Testing ID: 1015623105 Date of Birth: 07/22/2004 Special Education Department 820 West Main Street Smithfield, VA 23430 757-365-1616 Measurable Annual Goals and Objectives # 5 Measurable Annual Goal: Written Expression By 12/07/2021, Elizabeth D. Kaplan will improve her writing skills to obtain a score of 75% on assigned writing assignments. The IEP team considered the need for short-term objectives/benchmarks. X Short-term objectives/benchmarks are included for this goal. (Required for students participating in the VAAP) Short-term objectives/benchmarks are not included for this goal. Does this annual goal help the student make progress towards a postsecondary goal? Yes X No If YES, which Postsecondary goal? N/A How will progress toward this goal be measured? (check all that apply) Checklist Criterion-referenced test Norm-referenced test X Tests and quizzes Classroom Participation Data Collection X Observation X Written Reports Report of Student Progress*: 3 weeks 9 weeks Classwork Homework Special Projects Other X 4.5 weeks Other 6 weeks Progress of Goals: Progress on this goal will be reported using the following codes. M - The student has Mastered this annual goal. ES - The student demonstrates Emerging Skill but may not achieve this annual goal within the duration of this IEP. SP - The student is making Sufficient Progress to achieve this annual goal within the duration of this IEP. IP - The student is making Insufficient Progress to achieve this annual goal and may not do so within the duration of this IEP. NI - The student has Not been provided Instruction on this annual goal. *Progress reports will be provided at least as often as parents are informed of the progress of their children without disabilities. Short Term Objectives or Benchmarks Objective/Benchmark #: 1 Written Expression By 12/07/2021, Elizabeth D. Kaplan will demonstrate the ability to write a paragraph on topic with a topic sentence, 2 or more detail sentences and a conclusion sentence. Proficiency (Baseline) Mastery Criteria: 75% Evaluation method: Measurable Annual Goals and Objectives Page 21 Special Education Department Elizabeth D. Kaplan Isle of Wight County Schools Student ID: 26164 Student Testing ID: 1015623105 Date of Birth: 07/22/2004 Special Education Department 820 West Main Street Smithfield, VA 23430 757-365-1616 Measurable Annual Goals and Objectives Other evaluation method: Objective/Benchmark #: 2 Written Expression-Editing By 12/07/2021, Elizabeth D. Kaplan will be able to edit her writing for proper capitalization, and punctuation. Proficiency (Baseline) Mastery Criteria: 75% Evaluation method: Other evaluation method: Objective/Benchmark #: 3 Written Expression-graphic organizer By 12/07/2021, Elizabeth D. Kaplan will generate ideas before writing with the use of a graphic organizers such as a four square, web, and/or list. Proficiency (Baseline) Mastery Criteria: 100% of the time Evaluation method: Other evaluation method: Measurable Annual Goals and Objectives Page 22 Special Education Department Elizabeth D. Kaplan Isle of Wight County Schools Student ID: 26164 Student Testing ID: 1015623105 Date of Birth: 07/22/2004 Special Education Department 820 West Main Street Smithfield, VA 23430 757-365-1616 Services - Least Restrictive Environment - Placement Student's Name: Elizabeth D. Kaplan Student ID Number: Date: 12/08/2020 26164 Least Restrictive Environment (LRE): When discussing least restrictive environment and placement options, the following must be considered: - To the maximum extent appropriate, the student is educated with children without disabilities. - Special classes, separate schooling, or other removal of the student from the regular educational environment occurs only if the nature or severity of the disability is such that education in regular classes with the use of supplementary aids and services cannot be achieved satisfactorily. - The student's placement should be as close as possible to the child's home and unless the Individual Education Plan of the student with a disability requires some other arrangement, the student is educated in the school that he or she would attend if he or she did not have a disability. - In selecting the LRE, consideration is given to any potential harmful effect on the student or on the quality of services that he/she needs. - The student with a disability shall be served in a program with age-appropriate peers unless it can be shown that for a particular student with a disability, the alternative placement is appropriate as documented by the IEP. Free Appropriate Public Education (FAPE): When discussing FAPE for this student, it is important for the IEP Team to remember that FAPE may include, as appropriate: - Educational Programs and Services Proper Functioning of Hearing Aids Assistive Technology Transportation - Non-academic and Extracurricular Services and Activities Physical Education Extended School Year Services Length of School Day Services: Identify the service(s), including frequency, duration, and location, that will be provided to or on behalf of the student in order for the student to receive a free appropriate public education (see above). These services are the special education services and, as necessary, the related services, supplementary aids and services, assistive technology, supports for personnel, accommodations and/or modifications*, and extended school year services* the student will receive that will address area(s) of need as identified by the IEP team. Address any needed transportation and physical education services including accommodations and/or modifications. The student's services as described will be provided in accordance with scheduled delivery by staff. Services are not provided or compensated for on days the school is closed for any reason (holiday/weather) and may not be provided during a partial day. Service(s) Frequency Location Instructional Setting Duration (S) Math 100.00 Minutes / 1.00 Times Weekly SHS Special Ed 12/08/2020 06/18/2021 09/07/2021 12/07/2021 (S) Reading 120.00 Minutes / 1.00 Times Weekly SHS Special Ed 12/08/2020 06/18/2021 09/07/2021 12/07/2021 Special Education Services - Least Restrictive Environment - Placement Page 23 Special Education Department Elizabeth D. Kaplan Isle of Wight County Schools Student ID: 26164 Student Testing ID: 1015623105 Date of Birth: 07/22/2004 Special Education Department 820 West Main Street Smithfield, VA 23430 757-365-1616 Services - Least Restrictive Environment - Placement Service(s) Frequency Location (S) Writing 100.00 Minutes / 1.00 Times Weekly SHS Instructional Setting Special Ed (S) Behavior 45.00 Minutes / 1.00 Times Weekly SHS Special Ed Duration 12/08/2020 06/18/2021 09/07/2021 12/07/2021 12/08/2020 06/18/2021 09/07/2021 12/07/2021 * These services are listed on the "Accommodations/Modifications" page and "Extended School Year Services" page, as needed. Medical Limitations/Concerns: X No Yes Nursing Services Required: X No Yes Consent for Medicaid Billing: Transportation: Regular No X Yes Revoked Not Medicaid X Special Placement No single model for the delivery of services to any population or category of children with disabilities is acceptable for meeting the requirement for a continuum of alternative placements. All placement decisions shall be based on the individual needs of each student. The team may consider placement options in conjunction with discussing any needed supplementary aids and services, accommodations/modifications, assistive technology, and supports for school personnel. In considering the placement continuum options, check those the team discussed. Then, describe the placement selected in the PLACEMENT DECISION section below. Determination of the Least Restrictive Environment (LRE) and placement may be one or a combination of options along the continuum. Placement Continuum Options Considered: X Regular School Setting Private Day School Private Residential School Homebased Placement Correctional Education Program Public Separate School Public Residential School Homebound Placement Hospital Program Placement Decision: Regular School Setting Based upon identified services and the consideration of least restrictive environment (LRE) and placement continuum options, describe in the space below the placement. Additionally, summarize the discussions and decision around LRE and placement. This must include an explanation of why the student will not be participating with students without disabilities in the general education class(es), programs, and activities. Attach additional pages as needed. Explanation of Placement Decision: Services - Least Restrictive Environment - Placement Page 24 Special Education Department Elizabeth D. Kaplan Isle of Wight County Schools Student ID: 26164 Student Testing ID: 1015623105 Date of Birth: 07/22/2004 Special Education Department 820 West Main Street Smithfield, VA 23430 757-365-1616 Services - Least Restrictive Environment - Placement For the 2020-2021 school year, Elizabeth Kaplan’s parent opted for Elizabeth Kaplan to receive instruction on a face-to-face continuum. Such decision reflects consent for the adjustment of IEP services between the traditional school, hybrid and temporary remote locations based on the School Board’s current decision. Services will be maintained as reflected on the service page of the IEP during traditional instruction. Hybrid instruction represents a reduction of direct instruction from 5 days a week to 2 days a week. The temporary remote model represents a reduction of 32 hours per week to 9 hours per week. Services will be reduced proportionately. Special Education services are provided when schools are in session and Elizabeth Kaplan is in attendance on the date and time of scheduled service delivery. Related services, if indicated in the IEP, are provided when schools are in session and Elizabeth Kaplan is in attendance on the date and time of scheduled serviced delivery. Services - Least Restrictive Environment - Placement Page 25 Special Education Department Elizabeth D. Kaplan Isle of Wight County Schools Student ID: 26164 Student Testing ID: 1015623105 Date of Birth: 07/22/2004 Special Education Department 820 West Main Street Smithfield, VA 23430 757-365-1616 Accommodations/Modifications Student's Name: Elizabeth D. Kaplan Student ID Number: Date: 12/08/2020 26164 This student will be provided access to the general education, special education, other school services and activities including non-academic activities and extracurricular activities, and education related settings: X with no accommodations/modifications with the following accommodations/modifications Accommodations/Modifications provided as part of the instructional and testing/assessment process will allow the student equal opportunity to access the curriculum and demonstrate achievement. Accommodations/Modifications also provide access to non-academic and extracurricular activities and educationally related settings. Accommodations/Modifications based solely on the potential to enhance performance beyond providing equal access are inappropriate. Accommodations/Modifications may be in, but not limited to, the areas of time, scheduling, setting, presentation, and response. The impact of any accommodations/modifications listed should be discussed. Accommodations/Modifications (please list, as appropriate): Accommodation/Modification(s) Frequency Location Instructional Setting Duration m/d/y to m/d/y Extended time up to 50 percent Graded Assignments General Education 12/08/2020 - 06/18/2021 09/07/2021 - 12/07/2021 Read aloud, or audio, or text reader-RAC required for Reading Assessment Small group testing Quizzes, Tests, Checkpoints & SOL Math, Science, History, Reading, Writing Reading, Science, History, Writing, Resource Classes Math, Reading, Writing, Science, History General Education Setting 12/08/2020 - 06/18/2021 09/07/2021 - 12/07/2021 General Education Setting in school 12/08/2020 - 06/18/2021 09/07/2021 - 12/07/2021 Reading, Math, Science, History Reading, Math, Science, Writing, History General Education in school General Education in school 12/08/2020 - 06/18/2021 09/07/2021 - 12/07/2021 Reading, Math, Special Education in Science, History school Writing History and Science General Education in school 12/08/2020 - 06/18/2021 09/07/2021 - 12/07/2021 Assessment Accommodation Quizzes, and Test over 25 questions Behaviorally Related Preferential seating away from distractions Redirection when displaying off task behaviors Daily Daily 12/08/2020 - 06/18/2021 09/07/2021 - 12/07/2021 Classroom Accommodation Only Difficult assignments to be completed in special ed. setting Per teacher or student request Hard copy of notes to supplement those taken by student When notes are copied from board 12/08/2020 - 06/18/2021 09/07/2021 - 12/07/2021 Online Audio Version SOL Accom. Online Audio Version SOL Reading, Science, Writing, History Accommodations/Modifications Testing Environment 12/08/2020 - 06/18/2021 09/07/2021 - 12/07/2021 Page 26 Special Education Department Elizabeth D. Kaplan Isle of Wight County Schools Student ID: 26164 Student Testing ID: 1015623105 Date of Birth: 07/22/2004 Special Education Department 820 West Main Street Smithfield, VA 23430 757-365-1616 Participation in the State and Division-Wide Accountability/Assessment System Student's Name: Elizabeth Student ID Number: 26164 D. Kaplan Date: 12/08/2020 This student’s participation in state or division-wide assessments must be considered and discussed annually. During the duration of this IEP: Yes No N/A Will the student be at a grade level or enrolled in a course for which the student must participate in a state and/or division-wide assessment? If yes, continue to next question. Based on the Present Level of Academic Achievement and Functional Performance, is this student being considered for participation in the Virginia Alternate Assessment Program (VAAP), which is based on Aligned Standards of Learning? If yes, complete the “VAAP Participation Criteria”. Does the student meet the VAAP participation criteria? If yes, refer to the Aligned Standards of Learning for development of annual goals and short-term objectives or benchmarks. Based on the Present Level of Academic Achievement and Functional Performance, is this student being considered for participation in the Virginia Substitute Evaluation Program (VSEP)? If yes, complete the “VSEP Participation Criteria” for each content considered. Does the student meet the “VSEP participation criteria”? If yes, determine for specific content area. Based on the Present Level of Academic Achievement and Functional Performance, is this student being considered for participation in the Virginia Grade Level Alternative (VGLA)? If yes, complete the “VGLA Participation Criteria” for each content considered and attach justification statement. Does the student meet the VGLA participation criteria? If yes, determine for specific content area. Based on the Present Level of Academic Achievement and Functional Performance, is this student being considered for participation in the Virginia Modified Achievement Standards Test (VMAST)? If yes, complete the “VMAST Participation Criteria” for each content considered. Does the student meet the VMAST participation criteria? If yes, determine for specific content area. Note: The VMAST assessments will only be available to eligible students with disabilities during the 2012-2013 and 2013-14 school years. Beginning in 2014-2015, the VMAST will no longer be available as a separate alternate assessment. PARTICIPATION IN STATEWIDE ASSESSMENTS Assessment Type* (SOL, VGLA, VSEP, VMAST, VAAP, or Board of Education Approved Substitute) Reading X ______________________________________ SOL Not Enrolled in Course w/ EOC Assessment X Yes No If Yes, List Accommodation(s) Read aloud, or audio, or text reader-RAC required for Reading Assessment, Small group testing, Online Audio Version Math X ______________________________________ SOL Not Enrolled in Course w/ EOC Assessment X Yes No Small group testing, Online Audio Version Science X ______________________________________ SOL Not Enrolled in Course w/ EOC Assessment X Yes No Read aloud, or audio, or text reader-RAC required for Reading Assessment, Small group testing, Online Audio Version Test Participation in the State and Division-Wide Accountability/Assessment System Special Education Department Accommodations** Page 27 Elizabeth D. Kaplan Isle of Wight County Schools Student ID: 26164 Student Testing ID: 1015623105 Date of Birth: 07/22/2004 Special Education Department 820 West Main Street Smithfield, VA 23430 757-365-1616 Participation in the State and Division-Wide Accountability/Assessment System History/Social Science X ______________________________________ SOL Not Enrolled in Course w/ EOC Assessment X Yes No Read aloud, or audio, or text reader-RAC required for Reading Assessment, Small group testing, Online Audio Version Writing X ______________________________________ SOL Not Enrolled in Course w/ EOC Assessment X Yes No Read aloud, or audio, or text reader-RAC required for Reading Assessment, Small group testing, Online Audio Version * ** An IEP team may not exempt a student from participation in a content area assessment, only determine how the student will be assessed. Accommodation(s) must be based upon those the student generally uses during classroom instruction and assessment. For the accommodations that may be considered, refer to “Accommodations/Modification” page of the IEP. Participation in the State and Division-Wide Accountability/Assessment System Special Education Department Page 28 Elizabeth D. Kaplan Isle of Wight County Schools Student ID: 26164 Student Testing ID: 1015623105 Date of Birth: 07/22/2004 Special Education Department 820 West Main Street Smithfield, VA 23430 757-365-1616 Consent Student's Name: Elizabeth D. Kaplan Student ID Number: Date: 12/08/2020 26164 Placement Decision The school division proposes to implement this IEP. This proposed IEP will allow the student to receive a free appropriate public education in the least restrictive environment. This decision is based upon a review of current records, current assessments and the student's performance as document in the Present Levels of Academic Achievement and Functional Performance. Other options considered, if any, and the reason(s) for rejection is attached, or can be found in the Placement Decision section of this IEP. Additionally, other factors, if any, that are relevant to this proposal are attached. Parents and adult student rights are explained in the Procedural Safeguards. If you, the parent (s) and adult student, need another copy of the Procedural Safeguards or need assistance in understanding this information, please contact Marcie Spoonhoward e-mail mspoonho@iwcs.k12.va.us at 757357-3108 or at e-mail . Parent(s) initials here indicate that the parent(s) has read the above prior notice and attachments, if any, before giving permission to implement this IEP and the placement decision. Parent/Adult Student Consent: Indicate your response by checking the appropriate space and sign below. X I give permission to implement this IEP and the placement decision. I do not give permission to implement this IEP and the placement decision. X I have received a copy of my rights as a parent of a child eligible for special education services. I have been given information on assessment participation for students with disabilities. Parent Signature or Adult Student Signature (if appropriate) Date Transfer of Rights at the Age of Majority (Age 18): Indicate the date that the student and parent were informed of the transfer of parental rights under IDEA to the adult student at the age of 18. This must occur at least one year prior to the age of 18. Date School Official Signature I was informed of the parental rights under IDEA and that these rights transfer to me at age 18. Date Student Signature I was informed of the parental rights under IDEA that transfer to my child at age 18. Date Parent Signature Consent Page 29 Special Education Department Elizabeth D. Kaplan Isle of Wight County Schools Student ID: 26164 Student Testing ID: 1015623105 Date of Birth: 07/22/2004 Special Education Department 820 West Main Street Smithfield, VA 23430 757-365-1616 Prior Notice Actions proposed or refused by Isle of Wight County Schools: x Rationale for why actions were proposed or refused: x Other options considered: xx Reasons why options were rejected: x Prior Notice Page 30 Special Education Department Elizabeth D. Kaplan Isle of Wight County Schools Student ID: 26164 Student Testing ID: 1015623105 Date of Birth: 07/22/2004 Special Education Department 820 West Main Street Smithfield, VA 23430 757-365-1616 Prior Notice Description of any assessment data or reports used to make the decision: x Other factors relevant to proposal or refusal: x Follow-up meeting date, if appropriate: Note: The parents of a child with a disability have protection under Your Family's Special Education Rights--Virginia Procedural Safeguards Notice of the Individuals with Disabilities Education Act. A copy of Your Family's Special Education Rights--Virginia Procedural Safeguards Notice has already been given to you OR is enclosed with this document. Should you need an additional copy of Your Family's Special Education Rights--Virginia Procedural Safeguards Notice, please contact the Special Education Office. To obtain assistance in understanding the provisions of this notice, contact the Office of Special Education at: Marcie Spoonhoward e-mail mspoonho@iwcs.k12.va.us at 757357-3108 or at e-mail Prior Notice Page 31 Special Education Department Elizabeth D. Kaplan Isle of Wight County Schools Student ID: 26164 Student Testing ID: 1015623105 Date of Birth: 07/22/2004 Special Education Department 820 West Main Street Smithfield, VA 23430 757-365-1616 NOTICE OF PARENTAL RIGHTS CONCERNING THE USE OF PUBLIC BENEFITS OR INSURANCE The school division must obtain your written consent before using any public or private benefits or insurance, and must provide annual notice of your rights related to the use of public benefits or insurance. Local educational agencies may request the use of Medicaid or other public benefits or insurance programs in which a child participates to provide or pay for services required under IDEA, Part B, as permitted under the public benefits or insurance program. The IDEA requires that public agencies obtain one-time parental consent before accessing the child's or the parent's public benefits or insurance for the first time. The one-time parent consent must specify: 1. The personally identifiable information that may be disclosed. 2. The purpose of the disclosure. 3. The agency to which the disclosure may be made. 4. That the parent understands and agrees that the public agency may access the parent's or child's public benefits or insurance to pay for services under Part B of the IDEA. Local educational agencies must also provide written notification to the child's parent before accessing the child's or the parent's public insurance for the first time, prior to obtaining the one-time parental consent, and annually thereafter. Parents have the right to withdraw their consent to disclosure of their child's personally identifiable information to the agency responsible for the administration of the state's public benefits or insurance program at any time. Withdrawal of consent or refusal to provide consent to disclose personally identifiable information does not relieve the public agency of its responsibility to ensure that all required services are provided at no cost. Local educational agencies: 1. May not require parents to sign up for or enroll in public benfits or insurance programs in order for their child to receive FAPE under IDEA Part B; 2. May not require parents to incur an out-of-pocket expense such as the payment of a deductible or co-pay amount incurred in filing a claim for services provided pursuant to this part, but the local educational agency may pay the cost that the parents otherwise would be required to pay; 3. May not use a child's benefits under a public benefits or insurance program if that use would: a. Decrease available lifetime coverage or any other insured benefit; b. Result in the family paying for services that would otherwise be covered by the public benefits or insurance program and that are required for the child outside of the time the child is in school; c. Increase premiums or lead to the discontinuation of benefits or insurance; or d. Risk loss of eligibility for home and community-based waivers, based on aggregate health-related expenditures Notification of Parental Rights Concerning the Use of Public Benefits or Insurance Special Education Department Page 32