ASSESSMENT AND EVALUATION OF EXCEPTIONAL CHILDREN

INDIVIDUAL ASSESSMENT PLAN

INDIVIDUAL ASSESSMENT PLAN

Name: Birthdate: Assessment Coordinator: Reason for Referral: School Age:

Grade: Date of IAP:

Assessment Goals Document the medical, developmental, family, and educational history of Jasmine. Determine the changes in behaviour of the child and factors that possibly contributed to those changes. Determine the other professional services provided to the child. Determine the strengths and weaknesses of the child in the area of communication.

Assessment Questions 1. Find out the basic information of the child in the following area: A. General Information B. Medical History C. Developmental History D. Family History E. Education F. Behaviour G. Other Professional Help 1. What is the childs current level of performance in the following domains: A. Communication A.1. Oral language A.2. Written Language

Assessment Procedures 1. Parents/guardians of the child will fill up the Case History Record (to be provided by the school). 2. Interview with parents / guardians to validate the data provided in the CHR of the child. 3. Interview with the student 1. 2. 3. 4.

Person(s) Responsible SPED teacher Teacher Aide Parents/ Guardian Former Teacher

Date/ Time Case History Record- Due on July 17, 2012 Interview with parents and students- July 20, 2012, 2:00PM Interview with a former teacher: July 20, 2012, 4:00PM

1.Observation Record 2. Review of Anecdotal Record 3. Teacher Made Checklist in Oral and Written Language vis--vis the developmental milestone for oral and written language 4. Review record of written outputs (portfolio assessment) 5. Interview with parents/students 6. Interview with the schools speech therapist

1. 2. 3. 4.

SPED teacher Teacher Aide Parents Speech Pathologist

School Assessment: July 24,2012 8:00AM- 5:00PM Interview with Parents/students: July 20,2012, 2:00PM Interview with resident schools speech therapist July 20,2012, 1:00PM

This document contains confidential information. No part of this document may be reproduced, stored in a retrieval system, photocopied, recorded or otherwise without permission form parents/guardians and school administrators.

ASSESSMENT AND EVALUATION OF EXCEPTIONAL CHILDREN

INDIVIDUAL ASSESSMENT PLAN

Determine the strengths and weaknesses of the child in the area of adaptive functioning.

Determine the strengths and weaknesses of the child in the area of psychomotor development.

B. Adaptive Functioning B1. Self-Management B2. Self-Direction B3. Leisure skills B4. Home/School Living B5. Community Use B6. Health Safety B7. Work readiness C. Motor Functioning C1. Fine-motor C2. Gross-Motor C3. Balance and Body Coordination

1.Observation Record 1. SPED teacher 2. Review of Anecdotal Record 2. Teacher Aide 3. Teacher Made Checklist on 3. Parents Adaptive Functioning 4. Interview with the parents/guardian and the student 1.Observation Record 2. Review of Anecdotal Record 3. Teacher Made Checklist on Fine and Gross Motor Skills vis--vis the Developmental Milestone on Psychomotor Development. 4. Review record of outputs (portfolio assessment) 5. Interview with the parents/guardian and the student 6. Interview with occupational therapist 1.Observation Record 2. Review of Anecdotal Record 3. Administration of teacher made test attuned to the schools curriculum and grade level of the child. 4. Teacher made checklist vis--vis the cognitive developmental milestone 5. Interview with Parents 1. 2. 3. 4. SPED teacher Teacher Aide Parents Occupational Therapist

School Assessment: July 24,2012 8:00AM- 5:00PM Interview with Parents/students: July 20,2012, 2:00PM School Assessment: July 24,2012 8:00AM- 5:00PM Interview with Parents/students: July 20,2012, 2:00PM

Determine the strengths and weaknesses of the child in the area of cognitive development.

D. Cognitive D1. Reasoning D2. Comprehension D3. Other areas

1. SPED teacher 2. Teacher Aide 3. Parents

School Assessment: July 24,2012 8:00AM- 5:00PM Interview with Parents/students: July 20,2012, 2:00PM

This document contains confidential information. No part of this document may be reproduced, stored in a retrieval system, photocopied, recorded or otherwise without permission form parents/guardians and school administrators.

ASSESSMENT AND EVALUATION OF EXCEPTIONAL CHILDREN

INDIVIDUAL ASSESSMENT PLAN

Determine the strengths and weaknesses of the child in the area of socioemotional development. Identify the behaviour/s that hinders academic achievement and socialization with other people.

E. Socio-emotional E1. Attention E2. Relationship with peers family members, etc. E3. Home/ Classroom behavior

Determine the current level of performance of Jasmine in Mathematics. Determine the different factors that influence the performance of Jasmine in Mathematics.

1. What is the childs current level of performance in Mathematics? 2. What are the factors affecting the childs performance in Mathematics?

Determine the current level of performance of Jasmine in Language and Reading. Determine the different factors that influence the performance of Jasmine in Language and Reading. Determine the current

1. What is the childs current level of performance in English Reading / Language? 2. What are the factors affecting the childs performance in Language and Reading? 1. What is the childs current level of

1.Observation Record 2. Review of Anecdotal Record 3. Teacher made Behavior Checklist/ Rating Scale 4. Review of the childs behavioural performance with the use of a behaviour chart ( with two weeks reported data) 5. Interview with parents/ guardian 6. Interview with a former teacher 7. Interview with a classmate of the child. 1.Review of anecdotal Record 2. Work Sample analysis (review record) 3. Teacher-made test in Math (based on grade level and attuned in the Math curriculum on the said grade level) 4. Teacher made checklist on Math competencies for the said grade level. 5. Interview with the parents/guardian and the student 1.Review of anecdotal record 2. Review record on the Reading and Language performance of the child. 3. Oral Reading Test 4. Reading Comprehension Test 5. Scholastic 6. Interview with speech therapist (school-based) 7. Interview with the parents/guardian and the student 1. Review of Anecdotal Record 2. Work Sample Analysis

1. 2. 3. 4.

SPED teacher Teacher Aide Parents/ Guardian Former Teacher

School Assessment: July 24,2012 8:00AM- 5:00PM Interview with Parents/students: July 20,2012, 2:00PM Interview with a former teacher: July 20, 2012, 4:00PM

1. 2. 3. 4.

SPED teacher Teacher Aide Former Teacher Parents/Guardian

School Assessment: July 25,2012 8:00AM- 5:00PM School Assessment: July 25,2012 8:00AM- 5:00PM Interview with Parents/students: July 20,2012, 2:00PM Interview with a former teacher: July 20, 2012, 4:00PM School Assessment: July 25,2012 8:00AM- 5:00PM Interview with Parents/students: July 20,2012, 2:00PM Interview with a former teacher: July 20, 2012, 4:00PM

1. 2. 3. 4.

SPED teacher Teacher Aide Former Teacher Parents /Guardian

1. SPED teacher 2. Teacher Aide

School Assessment: July 25,2012

This document contains confidential information. No part of this document may be reproduced, stored in a retrieval system, photocopied, recorded or otherwise without permission form parents/guardians and school administrators.

ASSESSMENT AND EVALUATION OF EXCEPTIONAL CHILDREN

INDIVIDUAL ASSESSMENT PLAN

level of performance of performance in Writing? 3. Completion of teacher made 3. Former Teacher 8:00AM- 5:00PM Jasmine in writing. 2. What are the factors worksheets and writing exercises in 4. Parents/Guardian affecting the childs the Writing Workbook Interview with Parents/students: Determine the different 4. Interview with the parents/guardian July 20,2012, 2:00PM factors that influence the performance in Writing? and the student Interview with a former teacher: performance of Jasmine July 20, 2012, 4:00PM in Writing? Overview: On July 5, 2012, the child was enrolled in the learning center. The SPED teacher assigned to teach her and the parents agreed to conduct the assessment. However, the teacher should be given enough time for her to document the childs behaviour and academic performance; thus, this IAP is proposed.

ASSESSMENT TIME FRAME DATE

July 10 July 25, 2012 July 17,2012 July 20, 2012 July 24, 2012 July 25, 2012 July 26 30 July 31, 2012 August 1, 2012 August 2-6,2012 August 7,2012 August 7- March 2012 March 2012

ACTIVITIES
Observation Period -Documentation of the childs performance at home and school - Screening Completion of the Case History Record of the Child Interview with parents, other professionals (OT, Speech Therapist), former teacher Assessment of the child vis--vis the different developmental domains/milestones Assessment in different academic subjects Consolidation and interpretation of assessment results Accomplished Assessment Report Meeting with Parents for the discussion of the IEP of Jasmine IEP Development (good for one school year) Approval of the IEP of the child Implementation of the IEP with progress monitoring and periodic evaluation. Evaluation and revision of the IEP

PERSON/S RESPONSIBLE
Teacher Aide, SPED Teacher, Parents/Guardian Parents/ Guardian in coordination with the SPED teacher Parents, OT, Speech Therapist, former teacher of the child, teacher aide SPED Teacher, Teacher Aide, Occupational Therapist, Speech Therapist, Parents/Guardian SPED Teacher, Teacher Aide, Former Teacher SPED Teacher, Teacher Aide SPED Teacher SPED Teacher, Teacher Aide, Occupational Therapist, Speech Therapist, Parents/Guardian SPED teacher, teacher aide, Occupational Therapist, Speech Therapist, Parents/Guardian Parents / Guardians SPED teacher, teacher aide, Occupational Therapist, Speech Therapist, Parents/Guardian SPED teacher, teacher aide, Occupational Therapist, Speech Therapist, Parents/Guardian

For parental use: This assessment plan has been explained to me. I understand the need for assessing my child and the procedures to be used. I give my approval.
This document contains confidential information. No part of this document may be reproduced, stored in a retrieval system, photocopied, recorded or otherwise without permission form parents/guardians and school administrators.

ASSESSMENT AND EVALUATION OF EXCEPTIONAL CHILDREN

INDIVIDUAL ASSESSMENT PLAN

_______________________________ Parents Signature ______________________________ Date

This document contains confidential information. No part of this document may be reproduced, stored in a retrieval system, photocopied, recorded or otherwise without permission form parents/guardians and school administrators.