IMPLEMENTATION OF POLICIES, PROCEDURES, AND PRACTICES Evidence Provided by District (Name & description of evidence, location of evidence, page number, date, policy) Evidence verifies compliance with NH Rules Evidence verifies compliance with NH Rules (Gray are for NHDOE use only) A. Record of Access; Confidentiality Requirements 34 CFR 300.614 Record of access. Each participating agency must keep a record of parties obtaining access to education records collected, maintained, or used under Part B of the Act (except access by parents and authorized employees of the participating agency), including the name of the party, the date access was given, and the purpose for which the party is authorized to use the records. Ed 1190.02 Confidentiality Requirements. (a) Each participating agency shall comply with 34 CFR 300.610 - 300.627, relative to confidentiality of information, including compliance with the Family Educational Rights and Privacy Act of 1974, 20 U.S.C. 1232G, (FERPA) and its implementing regulations in 34 CFR Part 99. Provide the evidence of a record of parties that have obtained access to the education records collected, maintained or used under Part B of the Act. Cite where the record of access can be found in the student file. Yes No Yes No B. Procedural Safeguards Ed 1120.03(b); 34 CFR 300.504(a) Provide the evidence that a copy of the procedural safeguards, available to the parents of a child with a disability, was given to the parent one time in the school year. Provide the documentation that the procedural safeguards was given to the parent one time in the school year. Yes No Yes No
Ed 1108.01(b)(2) For determination of eligibility, provide the evidence that the composition of the IEP team also included an individual knowledgeable the child as a result of having had personal contact with the child in the school or, if the child is below school age, at another setting. For preschool children, this may include an early intervention provider, childcare provider or other personnel who have knowledge of the child. Provide the individual who signed in on the meeting participant form who is considered to be knowledgeable about the child. Yes No NA—Only if current eligibility was not completed by this district Yes No NA—Only if current eligibility was not completed by this district 34 CFR 300.304(c)(1)(iv); Ed 1107.04(b) Provide the trained and knowledgeable personnel who administered the assessment. Provide the names and credentials of personnel who administered the assessments. The NHDOE will verify the evaluations entered into NHSEIS to document the summary of evaluation results. The reviewers will bring a printout from the NHSEIS system. Yes No NA—Only if current eligibility was not completed by this district Yes No NA—Only if current eligibility was not completed by this district 34 CFR 300.306(c)(1)(i); Ed 1108.01(a) Provide the evidence that the team drew upon, carefully considered and documented information from a variety of sources, including aptitude and achievement tests, parent input, and teacher recommendations, as well as information about the child’s physical condition, social or cultural background, and adaptive behavior. Provide the location in the file where the evaluation written summary report, which includes the required assessments per Table 1100.1of the NH Rules, is located. Yes No NA—Only if current eligibility was not completed by this district Yes No NA—Only if current eligibility was not completed by this district
34 CFR 300.323(c)(1); Ed 1109.03(a) If an initial IEP, provide the evidence that there was a meeting to develop an IEP for the student conducted within 30 days of a determination that the child needs special education and related services. Provide the location in the file where the following can be found: The eligibility determination date (date the parent gave consent). The date of the meeting to develop the IEP. The eligibility date and the IEP development date must be within 30 calendar days. Yes No NA—not an initial IEP Yes No NA—not an initial IEP 34 CFR 300.324(b)(1)(i); Ed 1109.03(d) Give the dates of the previous IEP that demonstrate evidence that the IEP was reviewed periodically but not less than annually. Provide the location(s) in the file of the current and previous IEP and the dates of those IEPs. Yes No NA—initial IEP or student moved from another district or state Yes No NA—initial IEP or student from another district or state 34 CFR 300.323(a); Ed 1109.03(1) Provide the evidence that an IEP was in place at the beginning of the school year. Please provide the start date for the 2015-2016 school year. Yes No NA—student was identified after beginning of school year or moved from another district or state Yes No NA—student was identified after beginning of school year or moved from another district or state F. IEP Team; Participants in the Special Education Process 34 CFR 300.321(a)(1); Ed 1103.01(a) Provide the evidence that the IEP Team included the parents of the child. Provide the page of the meeting participants’ form of the currently agreed upon IEP where the parent signed in as a meeting participant. If parent(s) was not present at meeting, provide the other methods to ensure parent participation or record of attempts to arrange a mutually agreed on time and place per 34 CFR 300.322. Yes No NA—an adult student Yes No NA—an adult student
Ed 1109.04(b)(3) Provide the written evidence documenting implementation of the IEP with regards to program modifications. Evidence may include the student’s schedule, progress reports, etc. If N/A, Question 48(d) must also be N/A because there is no statement of program modifications in the IEP. Yes No NA— no program modifications in IEP. Yes No NA—no program modifications in IEP. Ed 1109.04(b)(3) Provide the written evidence documenting implementation of the IEP with regards to supports for school personnel. Provide the evidence that supports for personnel have been implemented. Examples of evidence may include detailed notes specifically referencing the supports that have been provided for school personnel, logs that document the supports being provided, etc. If N/A, Question 48(e) must also be N/A because there is no statement of supports for personnel in the IEP. Yes No NA— no supports for personnel in IEP Yes No NA—no supports for personnel in IEP N. Definition of Individualized Education Program (Justification for Non-Participation) 34 CFR 300.320(a)(5); Ed 1109.01(a)(1) Provide the evidence of an explanation of the extent, if any, to which the child will not participate with nondisabled children in the regular class and in the activities described in the supports and services section of the IEP. Provide the page number of the currently agreed upon IEP where this explanation is located. Explanation must support why removal from regular class is critical to the students program. For preschool children, the regular class may include a Head Start classroom, childcare classroom, public or private preschool or kindergarten or other regular early childhood setting. It does not include preschool special education programs. Yes No Yes No