Reevaluation Report Documentation of Continued Eligibility South Carolina Public Charter School District Reevaluation Report and Documentation of Continued Eligibility CONFIDENTIAL Name: Date of Birth: Age: Date Reevaluation Completed: Date of Reevaluation Planning Meeting: Grade: School: Date of Continuation Determination: This report reflects information that existed at the time of reevaluation planning, as well as any new information gathered during the reevaluation process, including any and all information presented by the parent. Section I: Review of existing information: Listed below is each reevaluation procedure, assessment, record, or report this team has reviewed and used in determining whether additional information is necessary in order to conduct the reevaluation. REASON FOR REFERRAL AND EDUCATIONAL BACKGROUND SUMMARY OF RESEARCH-BASED ACCOMMODATIONS AND/OR INTERVENTIONS DEMOGRAPHIC, DEVELOPMENTAL, AND MEDICAL/HEALTH HISTORY ENGLISH LANGUAGE PROFICIENCY VISION HEARING SPEECH / LANGUAGE / COMMUNICATION COGNITIVE / PROCESSING ACADEMIC ACHIEVEMENT ADAPTIVE BEHAVIOR Student name, School name SOCIAL / EMOTIONAL / BEHAVIORAL MOTOR TRANSITION / VOCATIONAL Section II: Determination of need for additional information: After reviewing existing information, this team has determined that: No additional information is needed in order to conduct an evaluation/reevaluation. Existing information will be used to complete the evaluation/reevaluation and to determine eligibility/continued eligibility and educational needs. Proceed to Section VI. If no additional information is needed, the parents have the right to request an assessment to determine whether the child continues to be a child with an disability, and to determine the educational needs of the child (34 CFR § 300.305(d)). The LEA is not required to conduct the assessment unless requested to do so by the child's parents. Addition information is needed in order to determine eligibility/continued eligibility and educational needs. Proceed to Section III. Section III: Additional Information Needed for Reevaluation Plan: Need Evaluation Component / Area of Evaluation School records: Demographic, health, developmental and education history Documentation or assessment of English language proficiency: Medical records: Existing evaluations: Observation: Interview: Vision assessment Hearing assessment Documentation of academic interventions and results of progress monitoring: Functional behavioral assessment (determining what causes or maintains a behavior) Behavior log/Anecdotal records: Documentation of behavioral interventions and results of progress monitoring: Comprehensive developmental evaluation (cognition, communication, motor, activities of daily living, social/emotional maturity) Cognitive Processing (problem solving and processing) Adaptive behavior assessment (personal and functional skills necessary for independence) Behavior rating scales (social, emotional, behavioral functioning): Personality measure Preacademic, academic, or functional academic achievement OR developmental skills assessment Areas: ___ Preacademic skills ___Functional academic skills 2 Title of Team Member Responsible for Obtaining Parent/Caregiver School Psychologist School Psychologist School Psychologist Student name, School name ___Developmental skills assessment __Oral expression ___Listening comprehension ___Written expression ___Basic reading skill ___Reading fluency skills ___Reading comprehension ___Mathematics calculation ___Mathematics problem solving ___Other: Autism rating scale Written report of audiological evaluation Medical history documenting chronic middle ear infection Receptive and expressive communication skills in preferred mode Written report of visual examination Functional vision (use of vision in environment) Literacy media and braille skills Vision specific skills (developmental visual skills) Functional communication (communication skills in the school setting) Oral peripheral examination (structure and function of mouth) Articulation (production of sounds) Language (receptive, expressive, social) Speech fluency (rhythm, rate, fluency) Voice (pitch, intensity, quality, resonance) Language pragmatics (language in social situations) Documentation of physical functioning (for TBI) Behavior assessment (for TBI) Assessment of language processing and use, memory, attention, reasoning, abstract thinking, judgment, problem-solving skills, auditory perception, visual perception (for TBI) Visual-motor skills Fine motor skills (small muscle movements) Sensory functioning (processing information from the environment taken in by the senses) Self-care skills Gross motor skills (large muscle movements) Assessment of communication, adaptive, and social skills to determine need for applied behavior therapy or social behavior therapy Assessment of child’s need for assistive technology (devices and services that assist the child in adapting to and/or accessing educational instruction and settings) Assessment of child’s need for orientation and mobility training (services for children with visual impairment that assist them in navigating the educational environment) Assessment of child’s interests and preferences regarding postsecondary outcomes for the purpose of determining transition needs Other: Hearing teacher Vision teacher Vision teacher Vision teacher Speech therapist Speech therapist Speech therapist Speech therapist Speech therapist Speech therapist Speech therapist School Psychologist and Speech therapist Occupational therapist Occupational therapist Occupational therapist Physical therapist O&M Specialist Section IV: Reevaluation Schedule: This is a reevaluation and will be completed by __________________________________. Section V: Review of Additional Data Collected: 3 Student name, School name Areas Current Levels of Performance (based on additional data) Section VI: Eligibility Determination: Does the child meet/continue to meet disability-specific eligibility according to South Carolina State Board of Education regulations 43-243 and 43-243.1? Yes No If Yes, does the child, by reason thereof, need/continue to need specially designed instruction in order to receive a free appropriate public education? Yes No If Yes, which disability category/categories: Specific Learning Disability Intellectual Disability Emotional Disability Developmental Delay Speech or Language Impairment Traumatic Brain Injury Autism Other Health Impairment Orthopedic Impairment Vision Impairment Deaf and Hard of Hearing Deafblindness Multiple Disabilities (Also check above all disabilities for which the child qualifies) Not Eligible for services under IDEA Additional Criteria for Initial Determination of a Specific Learning Disability Not applicable for reevaluation or other disability category 1. Does the child achieve adequately for his or her age or to meet state-approved, grade-level standards in one or more of the following areas, when provided with learning experiences and instruction appropriate for the child’s age or state-approved gradelevel standards? If no, indicate in which areas the child does not meet standards. Listening comprehension Oral expression Written expression Basic reading skill Reading fluency skills Reading comprehension Mathematics calculation Mathematics problem solving. Yes No 2. Does the child make sufficient progress to meet age or state-approved, grade-level standards in one or more of the following areas when using a process based on the child’s 4 Yes No Student name, School name response to scientific, research-based interventions; or, does the child exhibit a pattern of strengths and weaknesses in performance, achievement, or both, relative to age, state-approved grade-level standards, or intellectual development, that is determined to be relevant to the identification of a specific learning disability, using appropriate assessments? If no, indicate the areas below. Listening comprehension Oral expression Written expression Basic reading skill Reading fluency skills Reading comprehension Mathematics calculation Mathematics problem solving. Indicate which method(s) was used to make this determination: Response to Intervention Strengths and weaknesses 3. Are the evaluation findings primarily the result of a visual, hearing, or motor disability; mental retardation; emotional disturbance; cultural factors; or environmental or economic disadvantage. Yes No Section VII: Educational Needs for all Eligible Students (initial evaluation and reevaluation): NA if student was not determined to be eligible Description of Educational Needs (an analysis of the educational relevance of the evaluation results, strengths and weaknesses, and a description of the adverse educational impact, including how the disability affects involvement and progress in the general education curriculum (or for preschool children, in appropriate activities)): Recommended Specially Designed Instruction (recommendations to the IEP team to assist in the development of the IEP’s present levels of performance and annual goals. Specify the areas in which the child requires specially designed instruction (i.e. math, gross motor, social skills, etc.)): Necessary Related Services (specify the related services needed in order for the child to benefit from special education (i.e. occupational therapy, physical therapy, counseling, audiology services, interpreting services, etc.)): Other Information Needed to Develop the IEP (determined through the evaluation process and from parental input, including any recommended supplementary aids and services for the child and program modifications or supports for school personnel, if needed): QUANTITATIVE RESULTS 5