MAMA PROGRAM, LLC 1st STAFF CONFERENCE SEPTEMBER 13, 2013 9 A.M. TO 2:00 P.M. SCHOOL YEAR 2013-2014 MAMA PROGRAM LLC FIRST STAFF CONFERENCE SY 2013-2014 9:00 am to 2:00 pm SEPT. 13, 2013 I. II. WARM-UP EXERCISE REVIEW OF SEIT RESPONSIBILITIES A. JOB SUMMARY B. SERVICE DELIVERY: INFORMATION DISCUSSED WITH PARENTS - SEIT INTRODUCTION OF SELF AND AGENCY - HOURS OF SERVICE/WEEK, MISSED SESSIONS - SCHOOL CALENDAR, HOLIDAYS, CLASS DAYS - SCHEDULE OF SESSIONS - PERMANENT STUDY PLACE - GOALS/OBJECTIVES DURING THE SESSION - REQUIRED PRESENCE AND SIGNATURE OF PARENTS ON SESSION NOTES - AGENCY QUESTIONNAIRE ON PARENTS FEEDBACK RE: CAREGIVER - PROGRESS REPORTS: QUARTERLY, ANNUAL, AGING OUT - COMMUNICATION ON PROGRESS AND CONCERNS - QUESTION AND ANSWER C. PAPER WORKS - BILLING - OTHERS D. COORDINATION E. MEETINGS - MONTHLY TEAM MEETING - CPSE MEETING F. SERVICE MODIFICATION: INCREASE OR DECREASE OF SERVICE HRS, ETC. G. CONFIDENTIALITY BREAKTIME i III. DOCUMENTATIONS A. SESSION NOTES: GUIDELINES AND SAMPLES B. CURRICULUM MAP: MINI WORKSHOP WHAT IT IS HANDS-ON C. CHILD’S PORTFOLIO: WORKSHEET, PICTURE, ETC. D. OTHERS: - WHITE CARDS - CALENDAR - CPSE SCHEDULE - 1ST & LAST ATTEND DATE - COMMUNICATION WITH PARENTS: NOTEBOOK (IF CHILD IS IN A DAY CARE OR SCHOOL), VERBAL, PHONE IV. BEHAVIOR MANAGEMENT : DEFINED - POSSIBLE CAUSES - WHAT WORKS/WHAT DON’T - SHARING EXPERIENCES - QUESTION AND ANSWER V. SEIT EDUCATIONAL DIRECTOR OBSERVATION VI. APPENDIX: A. IMPORTANT INFORMATION FOR THE S.E.I.T. B. IMPORTANT INFORMATION FOR THE PARENT VII. QUESTION AND ANSWER VIII. EVALUATION IX. DISTRIBUTION OF CERTIFICATES THANK YOU FOR YOUR ATTENDANCE AND PARTICIPATION ii INTRODUCTION This handbook has been especially prepared for the use of the Special Education Itinerant Teacher (thereafter to be referred as S.E.I.T) employed by MAMA Program, LLC. It provides relevant guidance and information that conforms to various guidelines served by New York State Education Laws and Regulations governing the provision of services for children with disabilities by the S.E.I.T. The S.E.I.T needs and is expected to read and to be thoroughly familiar with aforementioned state laws and regulations by checking www.vesid.nysed.gov/specialed/publications/ laws and -regs/200contents with occasional updates on them at www.vesid.nysed.gov/ specialed/ publications. To all MAMA Program, LLC S.E.I.T.s welcome and feel free to peruse this manual provided with different helpful information and resources to facilitate the discharge of your critical role of insuring excellent education for assigned special preschoolers to make them kindergarten ready to the best of your ability. MANAGEMENT iii TABLE OF CONTENTS I. II. III. INTRODUCTION STAFF CONFERENCE AGENDA SPECIAL EDUCATION ITINERANT TEACHER JOB DUTIES AND RESPONSIBILITIES SERVICE DELIVERY IV. CURRICULUM GUIDELINES AND ESSENTIALS SCHOOL CALENDAR GUIDELINES CURRICULUM MAP SESSION NOTES CHILD’S PORTFOLIO COMMUNICATION WITH CHILD’S PARENTS V. BEHAVIOR MANAGEMENT VI. ABSENCES VII. EDUCATIONAL DIRECTOR OBSERVATION VIII. RULES AND REGULATIONS GOVERNING THE S.E.I.T.’S CONDUCT IX. P. PP. PP. i ii - iii 1-4 PP. 4 - 8 PP. 8 - 10 PP. 10- 11 P. 12 PP. 12- 14 IMPORTANT PHONE NUMBERS AND CONTACT INFORMATION P. 14 X. APPENDIX A INFORMATION FOR THE S.E.I.T. PP. 15- 17 XI. APPENDIX B INFORMATION FOR PARENTS PP. 17-18 XII. APPENDIX C SAMPLE SESSION NOTES PP. 19-20 XIV. APPENDIX D QUARTERLY PROGRESS REPORT/ GUIDELINES P. 20 SPECIAL EDUCATION ITINERANT TEACHER JOB DUTIES AND RESPONSIBILITIES JOB SUMMARY: As defined in section 4410 (1) K of Education Law and Section 200.16 a SEIT is a certified Special Education Teacher providing an alternative educational service to a child with disability aged 3.0 to 5 years at home or in a variety of mainstream setting 1:1 or with a group of children. The group setting can be in a private or public early childhood learning centers and programs, public schools, hospitals. In the latter setting the S.E.I.T. provides service directly or indirectly in collaboration with different early childhood professionals to meet the special child’s I.E.P. objectives in a natural or least restricted environment. RESPONSIBILITIES ( Relevant details will be provided on the following pages for each noted responsibility) 1. SERVICE DELIVERY : For each assigned case a) Upon receipt of the assignment – Have the child’s I.E.P. package on hand. Read carefully the entire package focusing on the child’s evaluation, his/her strengths, needs and targeted I.E.P. goals and objectives b) Call the child’s parents (within 3 business days) to inform them about the assignment and arrange an appointment for the first session. c) First Session/Visit: Provide an orientation with regards to the following: Background introduction of SEIT to parent or to the mainstream agency Director Service schedule (frequency, duration and intensity of service to be provided) School calendar of sessions, holidays, etc. Missed session/s (by SEIT or student) and make-ups Description of what transpires during a session (requires parent’s presence during the session and securing his/her signature at the end of the session) Teaching strategies, tools, Behavior management techniques Feedback on the child’s progress and other concerns Needed support to reinforce emerging or acquired skill Cont. p. 2 The need for a space conducive to learning Observation visit by the Agency’s Educational Director (announced or unannounced) Meeting and getting acquainted with the case, making him/her feel comfortable 2. Paper works as follows must be submitted to the Agency according to following specific deadlines: a) Immediately after the first session submit in person or by fax First attend date/case (Monday, Tuesday or Wednesday but cannot be Thursday or Friday) Parent introduction letter Emergency home contact form Service assignment form b) For monthly billing (5th of each month) Original copy of session notes Original copy of monthly invoice (each individual case) Original copy of monthly summary invoice Copy of white card (no erasures or white out) Calendar Provider’s Schedule CPSE Schedule (SEIT is responsible for monitoring related service/s provision of a case assignment) Monthly Team Meeting (Contact with related service providers through another Agency) Only as needed: SEIT make-up session note/s, student absence note c) Quarterly: (November, February, May and August (for cases with a 12 months service) d) Age-out Reports (for children born in 2009): due first week of January e) As Needed: Request to Amend I.E.P. (Change of location/Increase or Decrease Hours of Service/Termination of Service/ Change from 10 months to 12 months/Additional Evaluation 3. Coordination of Related Services – at least once a month contact must be done with related service providers to discuss the student’s progress and concern, needed coordination to insure that required services are effective towards the attainment of the I.E.P. goals. 4. Participation and attendance to CPSE meetings when asked 5. Upholds need to maintain confidentiality of all information about assigned cases. Cont. p. 3 SERVICE DELIVERY PRESCHOOL SETTING (DAY CARE, EARLY LEARNING CENTERS) There are times when service for an assigned case is delivered in a school setting as authorized by the school district. This happens when the child is enrolled in: Headstart, day care, preschool, or early learning center. In this kind of arrangement, the SEIT’s role is primarily to provide modeling, assistance or support to the child as he/she participates or join classmates doing routine or scheduled activities such as the large group activity of singing greetings, calendar, weather, storytelling, active play, music and movement, etc. Or, to facilitate engagement with the materials and equipment available during choice or center time. The S.E.I.T. needs to be flexible and adjust/adapt his/her plan to what is going on in her student’s classroom. She can also at times volunteer to do a class activity that partly supports the attainment of his child’s I.E.P. which at the same time gives practical ideas that enhance or add to what the regular teaching staff know or implement. There are objectives in the child’s I.E.P. however, when the S.E.I.T. needs to pull out his/her special student to a quieter space (hallway, cubby area) for the planned activities during a given session. Request the site Director to allow you to work with your student in that space, explaining tactfully the need and importance of such a setting vis-à-vis certain specific targeted I.E.P. goals or objectives. HOME When a case is not enrolled in a preschool, sessions would usually be provided at the child’s home. Be sure to bring enough assorted and developmentally appropriate educational materials or tools for the different planned activities supportive of targeted objectives during a particular session. The session provided at home should be the same as if the student was receiving the service in school. The session done should consist of activities done by the S.E.I.T 1:1 with the student as well as discussion with the parent to suggest indirect learning strategies and recommendations on how to reinforce skills being taught. He/She can lend materials to the family but if the family has available materials use these home materials so that when the S.E.I.T. is not there his/her parents can provide help in using the toys appropriately. Cont. p. 4 During the first session and whenever needed, remind the child’s parent/s that all throughout the session one of the parents or a guardian must be present that the SEIT is not allowed to be left alone with the student. The same guideline applies to bringing the child outside to the library, a park or a yard, the guardian or parent has to be present. In addition, the S.E.I.T. is mandated to report any situation or concern in the home about unsafe condition/s such as uncovered outlets, peeling paint, windows without screens, etc. Inform the Executive Director or the Educational Director for any problem in this regard. CURRICULUM GUIDELINES AND ESSENTIALS SCHOOL YEAR CALENDAR MAMA Program, LLC has its own approved school calendar that its employed S.E.I.Ts must observe in the performance of their work. The calendar provides 180 school days for the regular school year (September to June) and six weeks for the summer program. Services for each child are scheduled according to the frequency and duration as determined during the convened CPSE and written I.E.P. of a specific child. Sessions can be done only during the approved official work hours, that is to say, 8:00 a.m. to 6:00 p.m. They cannot be scheduled outside these hours, during weekends, legal holidays, scheduled staff conference/s and recess. For the ten month program children must be seen on the first and last day. For the twelve month program the child must be seen during the first and last day of the summer program. If the school calendar for the summer session begins on July 1st and the child is not seen until July 7th, the child will only be eligible to receive five (5) weeks of service. If the Department of Education announces classes closure due to inclement weather conditions or other emergency situations, the S.E.I.T. should contact the Executive Director or the Educational Director whether or not to provide service that day and when to schedule a make-up session instead. GUIDELINES MAMA PROGRAM, LLC uses an eclectic curriculum whereby the S.E.I.T. is allowed to apply an individually preferred methodology such as the High Scope Curriculum, Creative Cont. p. 5 Curriculum, Applied Behavioral Analysis (A.B.A.), etc. combined with some other approaches that he/she finds effective from her acquired graduate degree, his/her personal teaching experience and or information obtained from attended conferences and reading of field researches contained in professional journals. As he/she teaches an assigned student with whatever methodology he/she uses he/she must abide at all times by the following early childhood principles and effective practices: Children are active learners and they learn best through purposeful play and exploration All children are capable of learning, achieving and making developmental progress Every child is different. No two children are exactly the same in any way. Each child passes through the different phases of learning at different rates as affected by environmental and hereditary factors. The growth of various domains of a child (physical, social-emotional, intelligence, etc.) do not occur at the same time Educational activities/tools used must be developmentally appropriate and interesting to the child being served Punishment is not allowed at anytime in dealing with a child’s misbehavior Children respond well to positive reinforcement and/or token tangible rewards for a completed activity The S.E.I.T to be effective must know developmental characteristics of children and be aware of his/her student’s developmental level, strengths and weaknesses. The S.E.I.T. should be open to regular communication with his/her student’s parents and other service providers about his/her student’s progress, concerns and need for collaboration. CURRICULUM MAP The curriculum map like the travel direction map is an educational tool to be used by the S.E.I.T. to enable her to responsibly and carefully plan and track educational activities for every assigned case. In preparing an individual curriculum map, the S.E.I.T. must see to it that the written plan consciously aligns the achievement of targeted goals/objectives with NYS Preschool Core Standard of Learning and/or the NYS Prekindergarten Learning Standards which aim to have both the typical and the special child to be kindergarten ready. Thus, the S.E.I.T. as he/she prepares every curriculum map for assigned case/s Cont. p. 6 he/she must use activities and teaching strategies that would allow opportunity/ties not only for integration among disciplines but also periodic review and assessment. Likewise, the S.E.I.T. should see to it that his/her plan provides a balance of teacher-directed and student initiated activities thus avoiding redundant teaching. Finally, it should mention recommended family involvement (activities or tools to help achieve or reinforce targeted goals/ objectives). The S.E.I.T prepares a curriculum map for every assigned case on the form provided by this Agency. It must be submitted to the office by the 5th of the month of which it is to be implemented. Since it serves as a guide, it follows that whatever unrealized objective and activities of an ending month should be transferred to the curriculum map of the following month. The session notes for the month should always reflect the activities and assessment method /s written on the curriculum map. SESSION NOTES The session note contains information about the goals/objectives targeted to achieve during the session, the activities provided and the child’s response to said activities and lastly, the progress he/she has achieved for the targeted I.E.P. goals/objectives. The targeted goals objectives are copied as written on the I.E.P. folder to the session note form. Then, whatever noted targeted goals/objectives must be provided with a relevant and developmentally appropriate activity. An unfamiliar activity should be provided with a brief description of what it is, then opposite it would be written the child’s “response” to this given activity. The child’s response should be written using words that measure (ex. 3 out of 5 correct response, 85 % done with no prompt, done with more than 75 % mastery, correct responses of 10/26 items, 100 % hand over his hand verbal and physical support). Distinction should be made about “response” and “progress”. Response is what the child does to a given activity during the session noted in measurable term such as an activity of storytelling Mommy Loves Me and the case’s response of 80 % with no prompt to “what” questions asked. Progress, on the other hand, refers to a change from a previous stage/state to the present as far as your work with regards to the child’s particular I.E.P. goal/objective. Describing the child’s “Progress” in cumulative word/term would facilitate assessment of how far the student is in attaining a particular targeted goal or objective looking back from some previous sessions (when you have started to work on said same goal/objective) to the present session. This enables more efficient determination and Cont. p. 7 decision making of how much teaching effort yet is needed by the SEIT to advance his/her student appropriately to obtain the required mastery stated in his I.E.P. The numerical or quantifiable time frame or starting point enables visualizing how far/near the case is in attaining the targeted goal. The following is an example of a description provided with a timeframe - the goal/objective of “To identify familiar objects with 80 % mastery”, you can write “Compared to four sessions back to the present session (this is the time frame) Student A is observed as now capable of identifying familiar objects with 50%60% accuracy/mastery/without verbal or physical prompts.” Dates on the session notes should be continuous according to S.E.I.T. schedule submitted to the office. Missed sessions must be entered with the explanation such as “family emergency”, child’s medical appointment”, “SEIT sick” etc. All session notes wherever the child is seen must be signed by an authorized signatory either the parent or the teacher. CHILD’S PORTFOLIO Portfolio is a means to collect samples of children’s work. It can be a scrapbook, folder or any other form that allows the teacher to display the developmental progress attained by a child that would show his readiness for kindergarten based on the NYS learning standards for preschoolers as well as for viewing by the child, his/her parents, his/her teacher and other interested parties. Most of the works that go into a preschool child’s portfolio would be hands on (finger paint, collage, drawing, scribbling, etc.), captured photos of activities that the child is a participant, worksheets, tape recorded oral recount responding to a question for a storytelling, or his/her experience about an activity and the teacher writes down what the student said. Every work should have the date of the activity, objective of the activity and either one of the following notations: A for achieved, E for emerging and D for developing. The cumulative contents of a portfolio should be shown to the Educational Director during her observation as well as to the Department of Education Consultant or Auditor when asked as proofs of activities done with a child. Cont. p. 8 COMMUNICATION WITH CHILD’S PARENT/S It is highly important to maintain regular respectful communication with the parents of your special child about his/her progress and issues that need to be discussed with them affecting his/her learning or, whereby their support or cooperation is needed to strengthen or reinforce their child’s newly acquired skill. This needs to be done no matter wherever the sessions are being held – in school or in the home setting. If the sessions are done outside the home, communication can be done through a communication notebook or by phone. The regular communication supports quality service and indicates not only professionalism as SEIT but your respect and recognition for the family’s input and genuine interest in promoting the educational well-being of their child. BEHAVIOR MANAGEMENT It is a part of the S.E.I.T.’s role to assist his/her student develop initiative controlling himself/herself and taking responsibility for his/her own behavior. Behavior management is a strategy for managing undesirable behavior. You, as SEIT when you do your session would most likely experience occasional problematic behavior from assigned case/s. It can be one or a combination of the following: non-compliance, destructiveness or physical or verbal aggression to himself or to others. The troublesome behavior can be short-lived or occurring at intervals briefly or prolonged. The behavior problem manifested can be either minor or serious. In whatever way, the troublesome behavior need to be addressed - if not totally eliminated at least to prevent or minimize this. Ignoring it or being indifferent about it, can escalate or would give the wrong message that the misbehavior is alright or allowed. Consequently, teaching would then be negatively affected. Even if the misbehavior is beyond the control of the student, there are ways to contain the problem. It is highly important that the S.E.I.T. knows that she is limited to the application of positive behavior management techniques in dealing with behavior problem/s occurring during a session. Punishment and other traditional forms of controlling the child’s misbehavior negative are definitely not allowed . Managing the preschooler’s misbehavior involves teaching him/her to act in more socially acceptable way to communicate his/her need/s or express himself/herself in handling a particular situation Cont. p. 9 without resorting to crying, biting, screaming or making tantrums. He/She has to look at the message behind the inappropriate behavior to arrive at a possible solution. If he/she has language capability it is important for him/her to know that he/she has to use words or sentences to verbalize his/her need, feelings of anger, sadness or disappointment but in an appropriate manner. The following are practical remedies worth considering: 1. If challenging behavior is escape motivated sample prevention strategies can be: Modify given task’s length/expectations Modify materials Modify instructions/breakdown tasks Provide reinforcement Follow least preferred activity with most preferred activity Provide visual support 2. If challenging behavior is motivated by need of attention Provide praise/token or material reward Offer toys w/ choice Offer a desired reward for completing a given activity Provide choice of activity (2-3) Provide offers of assistance Schedule time with SEIT Use timer to make known provision of reinforcement 3. If challenging behavior is caused by transitioning difficulty Provide verbal warning (“5 more minutes. . .”, etc.) Provide countdown (count 1-20, etc.) State the ending activity and the activity to follow (“5 more minutes, then cleanup) Use visuals, photo to show the next activity When you use tangible rewards make this meaningful and of value to him/her like sticker, bubbles, hug, etc. accompanied with verbal praise. Always show excitement and enthusiasm when the child does the desirable behavior. Gradually, phase out the tangible reward with only the verbal praise remaining. To be effective the verbal praise and enthusiasm must be given sincerely. Cont. p. 10 4. Other possible causes of a child’s misbehavior that the SEIT can consider are the following: Ecological events - triggered by food such glutein, casein, chocolate and other sweet food; physiological – hunger, allergy, ear or eye problem, illness Activity not developmentally- appropriate Environment – noisy, messy, too stimulating SEIT’s preparedness for the session For more serious behavior problem the SEIT must gather data from different sources about what triggers the behavior problem shown by the child: the child’s record, interview with the student’s family, and if the child goes to a preschool, interview of the school teacher and lastly his/her own encounter and experience with him/her. Once he/she has gathered enough data he/she can look thoughtfully look into possible solutions to the behavior problem which can be any of the following: Child needs glutein-casein free diet Sensory integration (weighted vests, balls) Auditory Integration Hyperbaric oxygen therapy Vision therapy (visual schedule in picture) Problem solving Medication Lastly, the S.E.I.T. can contact the Executive Director or the Educational Director of the Agency so appropriate steps prior to a behavior management plan can be undertaken. ABSENCES Missed sessions whether due to the student or by the S.E.I.T. must be documented on the session note, white card and monthly calendar. On the first three forms, the absence must be written on the date that it occurred including the reason for it and how the information was transmitted (telephone, text message, personally, etc.). 1. Due to Student: The child’s parent or guardian must inform the S.E.I.T. in advance for a valid reason that would happen in the future such as a medical appointment; if it is Cont. p. 11 an emergency and/or urgent matter call must be made as soon as possible. 2. Due to S.E.I.T. (jury duty, urgent/unavoidable emergency): The S.E.I.T. must call MAMA Program, LLC as well as the child’s family in a timely manner. For prolonged absence by the S.E.I.T. the Agency may offer a substitute teacher but the parent has the right to refuse the offered substitute and opt instead for the regular S.E.I.T. to make-up for the missed session 3. Make-up for missed session: If missed session is because the S.E.I.T. was absent or unavailable make-up is allowed and encouraged. Make-up for missed sessions during the regular school year (September to June) can be made up only within that time frame. Missed sessions during summer can only be made up within the six week summer program. Note however, that make-up sessions cannot be performed in advance of the missed session date. Also, accrued missed sessions cannot be madeup outside the specified timeframes. Make-up sessions require separate session notes even if it is done on the same day as the regular session. 4. Excused Absence/s: Missed session on the part of the child due to the following are considered excused and may or may not be made-up: personal illness /hospitalization, illness of a family member that prevents the child to be brought to the location of the service, death in the family, religious observances, unusually severe weather, stoppage of transportation (due to strike), etc. EDUCATIONAL DIRECTOR OBSERVATION In your work as S.E.I.T. the Agency Educational Director will observe you two or three times during the school year. The unannounced observations are done as required by the Department of Education to insure that employed SEITs by the Agency provide continuing quality teaching and service to assigned cases relevant to the attainment of stated goals and objectives in the child’s I.E.P. packages as well as the Preschool Performance Standard set by the government. During her observation, the Educational Director would look at the S.E.I.T.’s student portfolio, affirm effective educational practices she has observed and would offer needed changes she believes are needed to enhance attainment of the child’s I.E.P. She would ask feedback from the student’s parents or classroom teacher. If needed/requested, she will perform additional observations. Aside from her observation work, she reviews your monthly session logs; assists you in aligning planned activities with Cont. p. 12 the preschool learning standards, in making your individual student’s curriculum map as well as doing needed paperwork if your student would need a behavior management plan. RULES AND REGULATIONS GOVERNING THE S.E.I.T.’s CONDUCT A. Code of Conduct: MAMA Program, LLC. Requires commitment to providing the highest possible quality services to assigned children and their families. It mandates all employed S.E.I.Ts. to exude utmost professionalism at all times. They must adhere to established guidelines as contained in this manual. They must perform their job duties and responsibilities fairly, honestly and legally. The Agency expects question or doubt regarding the legality of anything done in behalf of this Agency to be referred to either the Educational Director or to the Executive Director. B. SERVICE DELIVERY DOs and DONTs: 1) DOs: Introduce yourself to the parents and Director/Principal of the preschool and class teacher of your student on the first day of your work with your student. Discuss various matters that were noted on page 1 of this handbook. Be punctual and regularly observe prearranged session schedule. Inform parents/concerned preschool personnel whenever you are not able to provide service because of sickness or emergency You are required to observe the confidentiality policy Communicate professionally at all times using appropriate language and observing boundaries Turn off your cell phone during sessions and meetings Call 911 when you come to provide service at the child’s home and find a child unattended. Cont. p. 13 2) DONTs: Accept, solicit or offer anything of value from anyone doing business with MAMA Program, LLC if the gift or gratuity results from your employment connection with the Agency Make false or misleading statement to anyone in behalf of or as MAMA Program employee Be left or stay alone with your student. There should be at all times at home a family member or in the preschool or group setting the responsible caregiver/teacher where you provide service. Close the door or go into another area of the house without family permission. Bring someone (your child/ren, family members, friends or other nonprofessional) when you do your work. Take picture of the child or any member of the child’s family without written permission from the parent/guardian. Drive your students in your personal vehicle. Bring food or drink into the classroom or home for your personal consumption Discuss with the student’s teacher/s and/or parents in front of him/her or in public places. C. S.E.I.T Personnel File* : To continue being assigned cases, S.E.I.T.s are required and are responsible to keep their personnel records complete, valid and up to date consisting of the following: Application for employment Resume/professional references (3) Employment agreement/Job Description Medical form (annually) Hepatitis B (Consent/Decline form I-9 form Social security card Passport Driver’s license W-4 NYS Special Education certificate License Graduate degree diploma Cont. p. 14 Fingerprint authorization waiver Fingerprint receipt Statewide Central Register Clearance Provider information form Orientation checklist Corporate compliance receipt Confidentiality agreement Signed notice and acknowledgment of pay rate (under section 195.1 of the NY State Labor Law) (annually) *Please check www.mamaprogram.com for updated list of required forms Important Phone Numbers and Contact Information Anatoliy Benyaminov, CEO Efigenia A. Ubaldo, Educational Director, M.A. Sp. Educ., S.A.S. 118-21 Queens Blvd Suite #415 Forest Hills. NY 11375 Phone: 718 310-3656 Fax: 1 (718) 989-3829 E-mail: mamaprogramllc@gmail.com www.mamaprogram.com Cont. p. 15 APPENDIX A INFORMATION FOR THE S.E.I.T. DATA ON THE STUDENT PROGRESS: SOURCES AND USES SOURCES 1) Individual curriculum map which serves as a guide on what goals/cumulative activities/assessment tools to do with one special child with regards to specific targeted I.E.P. goal/objective 2) Session note logs which would carryover plans written on the curriculum map with the child’s response and progress within several session dates about targeted goals/objectives 3) Monthly meeting with other service providers 4) Active and continuing communication with the specific child’s parents or if the student is in a mainstream setting with the student’s teacher about the progress or child’s response to recommended carry-over or reinforcement activities. USES The data from the cited tools above provide measurement/assessment of progress on how far an individual child is in attaining an I.E.P. goal/objective. Noted progress would indicate whether the case is ready to move to the next level or he/she needs additional activities to enrich his/her skill on the same. Also, how far is he/she towards attaining the targeted goal/objective. The progress or lack of progress on targeted behavior or skill can be use to discuss with other providers of services to this child as to what collaborated effort/s can be worked by all providers together. AGENCY GUIDELINE ON MAKE-UPS Make-up are done by the same SEIT at a future date within the school year calendar for missed session/s; or if the parent consents MAMA Program LLC can provide a substitute teacher. Appendix A. cont. p.16 REPORT FORMAT ON CHILD’S PROGRESS GIVEN TO PARENTS 1. Formal report is provided to parents on a quarterly basis as entered in the Quarterly Progress form Contents of the report are discussed on scheduled Parent Teacher Conference Day: – targeted objectives during the quarter, summary of progress attained by the child and conclusion/recommendation 2. Informal discussion is given from time to time as needed or requested by parents directly or in writing in a communication notebook. Action of S.E.I.T. when: He/She believes his/her student has achieved his/her goals on the I.E.P. – He/She discusses this concern together with justification. The Educational Director evaluates the justification and if appropriate would them make the S.E.I.T. fill in the proper form for the purpose When the child is not receiving the appropriate services – Same procedure as above. Communication With Other Service Providers It is required that once a month the S.E.I.T. must contact other service providers of an assigned case to discuss the child’s progress, individual and common concerns about him/her, goals being worked on and strategies being used, etc. Information from the meeting is shared with the child’s parents as well as documented on the form provided by the Agency. The written report is submitted to the Agency on the 5th of the month. Supports in place addressing the behavioral needs of the student 1. Information from various subjects taken from the Special Education degree 2. Agency - provided workshop and hand-outs 3. Different forms of support from the Agency’s Educational Director available at all times to by giving advice and observation of the problem child 4. Psychological evaluation of the child to enable him/her being given needed support based on result of the evaluation . Appendix A. cont. p. 17 Level of supervision from the preschool program and how the employment relationship is structured? Direct supervision under the Educational Director for educational aspects of the Program Directly under the Executive Director for administrative matters. Basis of age-appropriate activities to use for an assigned special child? Various sources - evaluation record and I.E.P. package especially the information discussing the child’s developmental age, and current performance of what he/she can do in the various domains, his/her weaknesses; knowledge and awareness of developmental characteristics of children at a given chronological age and unique characteristics of special children what works and does not work with them. APPENDIX B INFORMATION FOR PARENTS Your Child’s Evaluation Report Parents are entitled to a copy of the summary report on the evaluation done of their child Progress Report on Child 1. MAMA Agency, LLC ‘s S.E.I.T.s are required to make quarterly progress report discussing how a given case is doing with regards to the goals/objectives in his I.E.P. The date when the quarterly report is discussed with the student’s parent is included in the school calendar provided to the parent upon initiation of service. 2. Also from time to time telephonically or through a communication notebook whereby the SE.I.T. notes down partial update of his student’s progress on specific skills being worked on, his/her recommendations to reinforce/strengthen said skill, and concerns I need needing the child’s parent’s cooperation. Appendix B. cont. p. 18 Support from the Agency for Parents Provided Counseling and Training If ever the SEIT has such a parent – The S.E.I.T. discusses personally or write in the communication notebook practical help/advices/recommendations about certain activities on handling inappropriate behavior of their child. The SEIT does a follow-up with the parent about the applied activity or technique on his/her next visit. Encouraging Parent Participation and Involvement The S.E.I.T is required by MAMA Program, LLC to maintain continuing interactive communication with the parents directly, by phone or a communication notebook. He/she informs the parent about his/her student’s progress and concerns. He/She actively encourages his/her participation by giving her “homework” - activities or strategies on the skill being worked on or handling an existing behavior problem. When he/she comes for the next session he/she follows up on this. The S.E.I.T should always sincerely praise the parent’s effort even if the result was not successful. He/she can give alternative recommendations to have the parent try so she can be encouraged to persist and be patient. p. 19 APPENDIX C SAMPLE SESSION NOTE Goals/Objectives: Activities & Responses Identify basic shapes & primary colors with minimal prompting Shape & Color Sorter – ____ was able to label the colors w/ 80% mastery Engage in a task for short periods w/ assistance 80 % of the time w/ teacher/provider assistance Links - _____ was given a pattern card and asked to create the same pattern using links. He did the activity with 40% verbal & visual assistance Farm animals – SEIT modeled how to make a match or put 2 same pictures together. ______ was given 100 % assistance to find which picture out of 3 choices is the same as this SEIT was holding. He was able to say “same”about the matched pictures with verbal prompt. Hanukah as topic - ______ was able to answer questions while looking at SEIT about 50% of the time. SEIT encouraged eye contact during the discussion. Find 2 objects that are the same & comment/put them together Display communicative attending behavior by visually looking at the speaker and maintaining quiet behavior when listening Attempt to play with some assistance Pretend Play - ______ played in the kitchen area with a peer with 60% verbal prompt on what to say to his peer. Will identify 4 out of 5 emotions on flashcards, people and during other sitdown actvs. Count up to 10 objects w/ 1:1 correspondence 80 % of the time Flashcards depicting common emotions - ________ identified correctly 2/10 emotions from the cards Counting 10 tokens - ________ counted sequentially 10 tokens but provided correctly Progress ____ has improved his identification of colors/shapes since the last five sessions ____ was able to complete simple tasks over the last 3 sessions w/ over 70 % accuracy To date after 6 sessions of the activity “match same picture” ____ still unable to do it (even with one set) without prompt. During the previous month ______ was inconsistent complying with the instruction to look at this SEIT when responding to question/talk-ing; now he shows 5 % improvement doing eye contact. For about five sessions now, ______ went to play in the kitchen area and engaged himself with 50% limited dialogue with a peer playing there likewise. Compared to last session, _______ showed 20 % progress recognizing depicted feelings/emotions Over the course of 5 sessions _____ now counts with 80 % mastery Identify the parts of a whole Follow a two step command 1/3 1:1 correspondence on the flashcards depicting separately objects 1, 2 & 3 Identify basic body parts ______ He was able to draw a person and identified by pointing when asked nose, eyes, mouth, arms & feet. Verbal command - ______ he was able to respond with zero prompt to the command “ pick up the ball” and “throw the ball”. and shows 5% progress doing 1:1 correspondence. ________ he made progress of 70 % identifying body parts compared with 8 sessions ago _______ now able to follow 2step command 70 % progress compared fr. 3 sessions ago WRITTEN SAMPLE FORM SESSION NOTE MAMA PROGRAM, LLC. 118-21 Queens Blvd, suite #415, Forest Hills, NY 11375 SEIT SESSION NOTE Student’s Name: John Doe___ D.O.B. 02-09-08 Provider’s Name: Mary Kay NYC ID #: 228-344-567 I.E.P. Mandate: 5 hrs/wk * Only I.E.P goals can be printed. Dates/ time, titles, activities/ response and progress have to be to be hand written and cannot be printed Date: 8/1/13 Time: 4:30 pm to 6pm Service Location: home I.E.P. Goals/Objectives: Child will be able to write his first name with 80% accuracy; he will be able to sort objects by their color; he will be able to identify objects with 80 % accuracy Actvs/Responses: Practice writing of first name - Child was provided hand over his hand prompt tracing 3x his first name and with no help wrote correctly letter J 70 % legibly; Sorting assorted color blocks – Child sorted correctly 3 basic colors with no prompt and 2 other colors with 50 % prompt; flashcards of familiar objects (animals and home objects) – child identified correctly 10/26. Progress: Compared to 4 sessions ago Child shows 10 % progress writing his first name; emerging ability to sort simple objects; 10 % progress verbally identifying familiar objects Provider’s Signature: _______________________________ Parent or verifying Witness( specify title) signature:__________________________________________ Title Date: 8/5/13 Time: 4:30 pm to 6 pm Service Location: home Goals/Objectives: Child will be able to respond to “wh” questions, engage in appropriate conversation with a peer at playtime; stay focused during group activities. Actvs/Responses:Child at circle time was out of focus 50 % of the time during storytime, he needed reminder to mind his own body and not bother the classmates on his left and right side ; he was provided 70 % verbal prompt to question asked about today’s weather; at the housekeeping area was given 100 % verbal prompt to question asked by a peer as they were role playing working together as a family and he was the father “what food should he prepare for breakfast?” Progress: Compared to last month, Child shows some progress responding to “wh” questions although he still needs 50 % verbal prompting; shows 1% progress staying focused during group activities and following instruction. Provider Signature: ________________________________, M.S. Sp. Education Parent or verifying Witness( specify title) signature:__________________________________________ TITLE APPENDIX D QUARTERLY PROGRESS REPORT FORM/GUIDELINES Student’s Name :________________________________________________________ NYC ID #: _________________________________ Date of Birth:_______________________________ Date of Report :____________________________Chronological Age of Student : _________________ Provider’s Name : ________________________________________________________________________ School District : _____________________: IEP Dates of Service :___________to_______________ (Write on the box above all required information) I. Goal(s)/ Objective(s) : Write here the goals/objectives you as SEIT have targeted to work on during the inclusive date of the quarterly period. II. Summary of Progress toward Goal(s) and Objective(s) : (Write here relevant information as follows: For the 1st, 2nd and 3rd Quarterly Progress Report – provide brief explanation pertaining to the progress regarding the short term objectives targeted during the quarter. For the last quarterly progress report: One paragraph brief background information about the child and the service being provided to him/her: # of hours, ,where, when and anything unusual occurring that affect the provision of service (e.g. frequent missed sessions, family circumstance such as lack of a quiet private space, etc.) One paragraph summary of child’s attained progress from 1st to 3rd quarter One paragraph with reqards to progress attained for this last quarter III. Conclusions and Recommendations : Based on the above information of the child’s progress and delays with regards to the attainment of the goals worked on for the whole school year write your summation of the child’s status S.E.I.T Provider Signature: _______________________________________ Date :________________ WRITTEN SAMPLE FORM SESSION NOTE MAMA PROGRAM, LLC. 118-21 Queens Blvd, suite #415, Forest Hills, NY 11375 SEIT SESSION NOTE Student’s Name: John Doe___ D.O.B. 02-09-08 Provider’s Name: Mary Kay Date: 8/1/13 NYC ID #: 228-344-567 I.E.P. Mandate: 5 hrs/wk Time: 4:30 pm to 6pm Service Location: home I.E.P. Goals/Objectives: Child will be able to write his first name with 80% accuracy; he will be able to sort objects by their color; he will be able to identify objects with 80 % accuracy Actvs/Responses: Practice writing of first name - Child was provided hand over his hand prompt tracing 3x his first name and with no help wrote correctly letter J 70 % legibly; Sorting assorted color blocks – Child sorted correctly 3 basic colors with no prompt and 2 other colors with 50 % prompt; flashcards of familiar objects (animals and home objects) – child identified correctly 10/26. Progress: Compared to 4 sessions ago Child shows 10 % progress writing his first name; emerging ability to sort simple objects; 10 % progress verbally identifying familiar objects Provider’s Signature: _______________________________ Parent or verifying Witness( specify title) signature:__________________________________________ Title Date: 8/5/13 Time: 4:30 pm to 6 pm Service Location: home Goals/Objectives: Child will be able to respond to “wh” questions, engage in appropriate conversation with a peer at playtime; stay focused during group activities. Actvs/Responses:Child at circle time was out of focus 50 % of the time during storytime, he needed reminder to mind his own body and not bother the classmates on his left and right side ; he was provided 70 % verbal prompt to question asked about today’s weather; at the housekeeping area was given 100 % verbal prompt to question asked by a peer as they were role playing working together as a family and he was the father “what food should he prepare for breakfast?” Progress: Compared to last month, Child shows some progress responding to “wh” questions although he still needs 50 % verbal prompting; shows 1% progress staying focused during group activities and following instruction. Provider Signature: ________________________________, M.S. Sp. Education Parent or verifying Witness( specify title) signature:__________________________________________ Title * Only I.E.P goals can be printed. Dates/ time, titles, activities/ response and progress have to be to be hand written and cannot be printed