2015-2016 DVR PREPARATION WORKSHEET
School: _______________________________________ DVR Date(s):
School Team Members: 1.________
2.
________________________
Parent Volunteer Member:____________________________________________________________________
DVR Specialist:
Phone #:
Email:
________________________
# of Students with IEPs: _______ # of Students with 504 Plans:
DVR SCHEDULE OF ACTIVITIES
Activity
DVR Start Time
Administrator/Staff Interview
Parent Meeting
Classroom Observations and Implementation Activities
Document Review
Record Review
Summary Conference
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Time
8:00
8:30
8:30 – 9:30
9:30 – 12:00
On-going
On-going
Upon completion of review activities
A. PRELIMINARY TASKS TO BE COMPLETED BY SCHOOL
A
Send Parent Survey, Cover Letter and Parent Meeting Flyer at least three weeks before DVR
B
Send Parent Meeting Flyer a second time, if necessary
C
Distribute Staff Survey and Cover Letter at least three weeks before DVR
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E
Select private room with internet access for DVR team members to work all day
Select staff for Administrator/Staff Interview
F
Select one (1) additional private room to be used for Parent Meeting from 8:30 to 9:30 am
(Arrange for interpreter from school site if needed)
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H
I
J
In preparation for DVR classroom observation/implementation activities:
 Remind teachers to review the recommended classroom practices which are listed in the
“School Self Review Checklist”
 Inform all teachers that they may be interviewed regarding implementation of services and/or
accommodations documented in IEPs and Section 504 Plans
Display “Complaint Response Unit/Parent Resource Network” poster where parents can easily see it
CRU/PRN: 1-800-933-8133 (CURRENTLY BEING REVISED)
Display “Special Education Parent Training Calendar” where parents can easily see it, click Parent
Resources for Engagement and Student Success (PRESS) (CURRENTLY BEING REVISED)
Display: (1) “Guiding Principles for the School Community” and (2) “Student Expectations”
where parents and students can easily see them
BUL-6231.0 Discipline Foundation Policy: School-Wide Positive Behavior Support
(Attachments A and B from bulletin)
Los Angeles Unified School District
Division of Special Education
District Validation Review 2015-2016
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B. DOCUMENTS TO BE ASSEMBLED FOR THE DVR TEAM TO REVIEW
List of classrooms with teachers’ names and room numbers, school map and bell schedule
Completed Parent Surveys
Completed Staff Surveys
Parent Meeting Flyers, first distribution
Parent Meeting Flyers, second distribution if necessary
Completed “School Support Staff” form (Download from DVR training, click Data Form)
Service Tracking Logs
SESACs for SDP classes printed one week prior to DVR
Transportation Routing List for Special Education Students printed one week prior to DVR
(Not applicable for fiscally independent charter school)
“Special Education Student Listing” (IEP 100) report printed one week prior to DVR
(Select WellReports Manager icon, click IEP/IFSP Reports)
“30 Day Service Report (Single School)” (SER311L) report printed one week prior to DVR
(Select WellReports Manager icon, click STS Global Reports)
“NPS Students by School of Residence” (REP 105) report printed one week prior to DVR
(Select WellReports Manager icon, click IEP/IFSP Reports)
“School Roster of Staff Eligible to Interpret at IEP Team Meetings”
REF - 1596.7 Oral Interpretation at IEP Team Meeting (CURRENTLY BEING REVISED)
(Not applicable for fiscally independent charter school)
Completed “School Self Review Checklist, Students with Disabilities: 2015-2016” signed by Principal
REF: School Self Review Checklist, Students with Disabilities: 2015-2016
Complaint Response Unit/Parent Resource Network “Notification Letter” on school letterhead
REF 1341.13 Complaint Response Unit/Parent Resource Network for Parents of Students with
Disabilities
2 completed “Request for Reasonable Accommodations” forms
(Download from Welligent, click Communications Center icon, click Downloads)
Agendas, sign-ins, and evaluation forms documenting special education professional development
conducted this school year; if no professional development has been completed this school year, provide
evidence of planned professional development
Completed “Record of Special Education Expenditures: Program 12817” form (Attachment C)
MEM 6511.0 “2015-16 Allocation for Support of Special Education Programs (Programs 12817 and
12544)”
(Not applicable for fiscally independent charter school)
“Parent-Student Handbook” for 2015-2016 school year
(Handbook must contain District’s nondiscrimination statement and sexual harassment policy or similar
statement and policy)
“Are you Puzzled By Your Child’s Special Needs?” brochure
Stores Warehouse Supply and Equipment Catalog
“A Parent’s Guide to Special Education Services” booklet, Revised February 2014
Stores Warehouse Supply and Equipment Catalog
“The IEP and You” guide, Revised July 2012
Stores Warehouse Supply and Equipment Catalog
“The ITP and You” guide, Revised July 2012
Stores Warehouse Supply and Equipment Catalog
Parent Resources for Engagement and Student Success (PRESS) BROCHURE 1-800-933-8133
Los Angeles Unified School District
Division of Special Education
District Validation Review 2015-2016
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“Informal Dispute Resolution for IEP Disagreements” brochure
REF-1410.7 Special Education Dispute Resolution – The Three Options for Parents with IEP Disputes
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BUL-5003.3 Transportation Guidelines for Individualized Education Program (IEP) Teams
“Extended School Year (ESY) Services for Students with Disabilities” brochure
REF-5276.1 Guidelines for the IEP Team when Students with Disabilities Are Being Considered for ESY
Programs and Services
For 1 student with emergency behavior interventions:
 Completed “Behavioral Emergency Report for Individuals with Disabilities”
 Copy of IEP that addresses this behavioral emergency
BUL-6269.0 Multi-Tiered System of Behavior Support for Students with Disabilities
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C. INSTRUCTIONS FOR SELECTING STUDENT RECORDS
The list of 10% of your school’s Special Education Student Records (IEPs): Your DVR Team Lead will
share the list with you approximately one week prior to your DVR.
 Organize all sped files and cumulative records prior to the DVR
 Provide entire cum and green folder (DO NOT PHOTOCOPY IEP)
Provide a current initial assessment report written within the past 12 months by each Resource Specialist
Teacher at your school (if applicable)
Select 2 Section 504 Plans of students:
 Provide 504 Plans
 Provide students’ ID numbers (the ID number is not documented on the plan)
 Provide students’ schedules of classes
Los Angeles Unified School District
Division of Special Education
District Validation Review 2015-2016
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