Centennial Christian School
Individual Education Plan
Name:
Grade:
D.O.B.:
Parents/Guardians:
Address:
Phone:
Date:
Student Profile:
XXXX is a happy and social XXXX year old girl. She has spastic quadriplegia post herpes
encephalitis occurring in the infantile period. She has multiple medical issues including severe global
development delay, seizure disorder, precocious puberty, gastrotomy tube fed with a history of
aspiration pneumonias and reflux, chronic constipation, and scoliosis. XXXX experiences recurring
respiratory illnesses. She has also experienced progressive spasticity in her limbs resulting in
decreasing performance in both her legs and arms. XXXX was most recently referred to Sunny Hill
Health Centre for assessment, which was completed June 20, 2007. XXXX requires daily chest
physiotherapy exercises to improve her respiratory function. She is taking Baclofen for her
increasing spasticity to prevent further contracture deformities in her arms and legs. She requires full
assistance for daily living. She is confined to a wheelchair and is fed through a g-tube. XXXX has
some hearing loss and wears corrective lenses for her vision. She communicates through eye gaze,
facial expressions, reaching, and some vocalizations.
Goals and Skills:
1. Communication/Social Goals
Goal Statement: XXXXX will continue to develop her communication
skills with those around her.
Objective/Measurable Skill
 XXXX will greet others by
looking at them and/or smiling
and giving a high five sign with
her right hand if prompted.

XXXX will continue to use her
gaze to make choices between
objects and/or pictures. (refer
to scripted routine for choice
making)

XXXX will follow some routine
simple commands (“Push the
button”, “Arms up”)

XXXX will use facial
expressions, vocalizations,
gestures and body tone to
communicate with others.
(refer to personal dictionary for
feedback to XXXX)
Strategies (Activities, Resources, Materials)
 Provide verbal feedback to XXXX about
what we observe her doing, what we
think it means, and what we will do
about it. (refer to Personal Dictionary)
 Start a friendship club on a weekly basis
at break or lunch time, doing a craft,
game, or activity together
 Verbalize choices (she looks at the object
or picture for her selection)
 Peers also follow the above format for
choice making and personal dictionary
 Place materials/objects so that XXXX
can scan with her head down
 Use her big mack and step by step to:
 Say hello
 Say a joke, riddle
 Give messages to her peers (i.e.
dismissal, p.e., music, skilltesting question)
 Take attendance in the school
 Relay messages to the office
 Deliver messages from the office
to other teachers
 Give spelling tests
2. Fine Motor and Functional Participation Goal Area
Goal Statement: XXXXX will continue to develop her fine motor skills to
increase her active participation in all functional skills.
Objective/Measurable Skill

XXXX will participate by
using a switch with her right
hand to….
 Engage in leisure
activities
 Help others
 Have a voice
 Control her
environment

XXXX will raise her arms
and hands to use them to
reach, hold, and sweep
within functional activities.
Strategies (Activities, Resources, Materials)
 Use of SAM (switch adapted mouse) to
access computer activities
 Give spelling tests with the step-by-step
 Operate pencil sharpener with switch
 Operate All-Turn-It for various
classroom activities
 Various toys and objects that XXXX
enjoys looking at and touching
 Reading books with peers, through
repetitive phrases on her big mack
 Operating CD walkman with switch
3. Health and Gross Motor Skill Area
Goal Statement: XXXX will actively participate in routines throughout
the day to promote flexibility, mobility, and comfort.
Objective/Measurable Skill

XXXX will use her standing
frame to maintain and/or
gain strength and
range in her lower extremities
 XXXX will do daily
physiotherapy exercises to
improve her lower limb
movements.
 XXXX will do daily chest
physiotherapy for her
respiratory problems.
Strategies (Activities, Resources, Materials)
 Scheduled time each day in standing
frame
 Swimming
 Daily stretching and floor exercises
 Hamstring stretches
 Respiratory exercises