Note for Items 25, 26, and 27: These items correspond with Section III of the Conference Summary/Action Notice: A: Initial Evaluation; B: Reevaluation Plan, C: Eligibility/Continued Eligibility; E: IEP Developed/Reviewed/Revised; F: Placement Options and Decisions (depending on the action the ARC is taking in a particular meeting). At least one action (A, B, C, E, and F) and corresponding subcategories must be documented for any ARC meeting. Look for: Conference Summary/Action Notice Directions: Mark “YES” if the box of an appropriate Action is checked (appropriate to the purpose of the ARC meeting); AND Includes a description of the action the ARC is proposing or refusing to take. Notes: For every annual review meeting, the ARC must document actions of IEP (E) and placement (F). (See also items #52, #53). Any additional discussion not documented by the checkboxes must be documented in the Conference Summary minutes. The Notice to Parent(s) (Conference Summary/ Notice of Action) includes documentation of Yes No 25. A description of the action proposed or refused; Comments: Item 26 Look for: Conference Summary/Action Notice Directions: Mark “YES” if documentation includes the reason for the action (state why the district is proposing or refusing to do something). At least one action (A, B, C, E, and F) and corresponding subcategories must be documented for any ARC meeting. (See ‘Note’ under Item 25.) Notes: Documentation of the reason for the action applies to any action the ARC takes (A, B, C, E, F). Any additional discussion not documented by the checkboxes must be documented in the Conference Summary minutes. The Notice to Parent(s) (Conference Summary/ Notice of Action) includes documentation of Yes No
Directions: Mark “YES” if documentation includes the amount of time the service will be provided to the child. This may be an approximation of time in terms of minutes, hours, or blocks of time, but may not be a range of time. Projected beginning and ending dates Directions: Mark “YES” if documentation includes the date (month and year) the related services are projected to start. Anticipated location(s) Directions: Mark “YES” if documentation includes the general education or special education environment in which the Related Services will be provided. Note: The ARC may decide, based on data, that specially-designed instruction alone will assist the child in making progress toward goals, objectives/benchmarks and that related services are not needed. 45. Related services (if NA, go to #46) Yes No NA Anticipated frequency of service; Anticipated amount of time (duration); Projected beginning and ending dates; Anticipated location(s). Comments: Item 46 Look for: Conference Summary/Action Notice form. Directions: Mark “YES” if documentation includes parent(s) concerns. Mark “NA” if the ARC documented that there were no concerns of the parent(s). Mark “NO” if the parent is not in attendance and there is no documentation of parent contact. Yes No NA 46. The ARC considers the concerns of the parent in the development of the IEP.
Item 50 Look for: IEP Directions: Mark “YES” if the student is age 16 and all requirements of item 49 are met. Mark “NA” if the child is not yet 16 as of the date of this record review. Skip to #51. Mark this item “NA” if the student is 17 or older. Yes No NA 50. By the student’s 16th birthday, all of the requirements above are met. Comments: Item 51a Look for: IEP, Transition page Directions: Mark “YES” if documentation shows that the child and the parent(s) were informed of the transfer of rights at least one year prior to the student’s 18th birthday. Mark “NA” if student is less than 17 years of age. Note: For more information and guidance regarding age of majority, see . Yes No NA 51. At least one year prior to the child reaching the age of majority, the IEP includes a statement that the child and parent have been informed of the child’s rights and that the rights will transfer to the child upon reaching the age of majority. Comments: Item 51b Look for: Conference Summary/Action Notice
Directions: Mark “YES” if ARC reviewed and discussed current classroom-based assessments and classroom-based observations. Note: Mark N/A only if ARC documents assessments and observations were not considered due to unavailability or if they did not exist. Yes No NA 67. The ARC considered current classroom-based, local or state assessments and classroom observations; and observations from teachers and related service providers. Comments: Item 68 Look for: Eligibility Determination Form, Consent for Services, IEP, and Conference Summary/Action Notice. Directions: Mark “YES” if review of the dates indicates evaluations were conducted prior to provision of services. Yes No 68. The ARC conducted a full and individual evaluation prior to implementing special education services. Comments: Item 69a Look for: Consent to Evaluate/Reevaluate, Conference Summary/Action Notice, Review of Records/Reevaluation Summary Form Directions: Mark “YES” if the ARC determined additional data is not needed for reevaluation AND the ARC documented the review of existing evaluation data. Mark “NA” for evaluations provided by the parent(s) if no evaluations are in existence Mark “NA” if child was not reevaluated this reporting year. Mark “NA” if full reevaluation was conducted.