INDIVIDUALIZED EDUCATION PROGRAM (IEP)

School Year : 2014-2015_______________________________

Date of IEP Meeting : July 17, 2014_______________________

Childs Name: __Justin M. Acacia_______________________ Age: __4.4 years old___ Date of Birth: March 02, 2010

Family Information

Address: _Mataas Na Lupa, Lipa City___________________________ Contact Number/s: _09324266426__

Father: _Mr. Ariel Magnaye___________ Occupation: _n/a____________________ Company: n/a

Mother: _Mrs. Juvilyn Acacia__________ Occupation: Clerk_______________________ Company: _City Hall___

Guardian/Primary caregiver: _Mrs. Juvilyn Acacia ____________________ Relationship to the child: Mother_

BEHAVIOR
Year-End Goals
By the end of the school year, Justin will be
able to look at the person calling him 4
times out of 5 without any physical
prompt.
By the end of the school year, Justin will be
able to stay on task 90% of the time given
moderate physical assistance and verbal
cues.
By the end of the school year, Justin will be
able to lessen grabbing of things 80%-90%
given moderate physical assistance and
verbal cues.
Short-term Goals (First Semester) Year-end Remarks
By October, Justin will be able to look at the person calling
him 2 times out of 3 given moderate physical prompt.
By October, Justin will be able to stay on task for 70%-80%
of the time given maximal physical assistance and verbal
cues.
By October, Justin will be able to lessen grabbing of things
60%-70% given maximal physical assistance and verbal
cues.
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PERSONAL-SOCIAL
Year-End Goal Short-term Goals (First Semester) Year-end Remarks
By the end of the school year, Justin will By October, Justin will engage in a maximum of 7-8
engage in a maximum of 10 minutes of play minutes of play with his classmates during recess each
with his classmates during recess each day. day given verbal cues.
By the end of the school year, Justin will be By October, Justin will be able to lessen hitting by just
able to lessen hitting by just saying what saying what he wants 60%- 70% given maximal
he wants 80%- 90% given moderate physical assistance and verbal cues.
physical assistance and verbal cues.

By the end of the school year, Justin will be By October, Justin will be able to
able to

COGNITIVE
Year-End Goal Short-term Goals (First Semester) Year-end Remarks
By the end of the school year, Justin will be By October, Justin will be able to sort colored shapes
able to sort colored shapes independently correctly given moderate physical assistance and verbal
with 100% accuracy. prompts.
By the end of the school year, Justin will be By October, Justin will be able to complete a 4-5 puzzle
able to complete a 6-7 puzzle pieces pieces given moderate physical assistance and verbal
independently. cues.
By the end of the school year, Justin will be By October, Justin will be able to match the animal inset
able to match perfectly and puzzles given three trials with minimal physical prompts
independently the animal inset puzzles. and verbal cues.

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SELF-HELP

Year-End Goal Short-term Goals (First Semester) Year-end Remarks

By the end of the year, Justin will be able to
eat by himself using spoon and fork with
80%- 90% accuracy given verbal cues.
By the end of the school year, Justin will be
able to remove and put on clothes 80%-
90% given moderate physical assistance
and verbal cues.
By the end of the school year, Justin will be
able to use the toilet when he wants to
pee or poop 80%- 90% given moderate
assistance.
By October, Justin will be able to eat by himself using
spoon and fork with 60%- 70% accuracy given minimal
physical assistance and verbal cues.
By October, Justin will be able to remove and put on
clothes 60%- 70% given maximal physical assistance
and verbal cues.
By October, Justin will be able to use toilet when he
wants to pee or poop 60%- 70% given maximal
assistance.

FINE MOTOR

Year-End Goal Short-term Goals (First Semester) Year-end Remarks

By the end of the school year, Justin will be By October, Justin will be able to use tripod grasp
able to use tripod grasp given moderate through scribbling activity completing 4-5 pages with
to minimal physical assistance with 85%- maximal physical assistance and verbal cues.
90% accuracy.
By the end of the school year, Justin will be By October, Justin will be able to do lacing activity 2 out
able to do lacing activity 4 out 5 given of 3 given maximal physical prompts and verbal cues.
minimal physical prompts and verbal
cues.
By the end of the school year, Justin will be By October, Justin will be able to trace 2 lines and circles
able to trace 4 lines and circles out of 5 out of 3 accurately given minimal physical assistance.
accurately and independently.

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SPEECH/COMMUNICATION

Year-End Goal Short-term Goals (First Semester) Year-end Remarks

By the end of the school year, Justin will be By October, Justin will be able to say I want+ object
able to say I want+ object when when requesting desired objects given verbal reminder
requesting desired objects with 90%- with 80%-90% accuracy.
100% accuracy.

By the end of the school year, Justin will be By October, Justin will be able to follow 3 out of 4 three-
able to follow 4 out of 5 four-step step commands given moderate assistance.
commands given minimal assistance.
By the end of the school year, Justin will be By October, Justin will be able to say No every time he
able to say No every time he does not does not like something with 60%- 70% accuracy
like something with 80%- 90% accuracy. given verbal prompts.

Prepared by: Giselle Joy Lumbera Noted: Ms. Jane Valenzuela

Team Member Relationship to the Child Signature Date of 1st Review Date of 2nd Review
1. Mrs. Juvilyn Acacia Mother July October
2. Mrs. Juvilyn Acacia Mother/ Guardian July October
3. Aries Dimayuga Speech-Language Pathologist July October
4. Irish Dimaculangan Occupational Therapist July October
5. Giselle Joy Lumbera SPED Teacher July October
6. Dr. Joel Lazaro Developmental Pediatrician July October

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 Daily Living Skills

Toilet Training
Primary Self-Care Feeding
Peeing Spoon
Potty Training Fork

Intermediate Self- Care

Advance Self- Domestic

Care

Taking a bath Table setting

Showering Utensils
Using of shampoo and Table cover
soap

Fixing toys
Dressing Picking toys
Wearing clothes Keeping toys
Removing clothes

Shoe Lacing
Tying Page 5 of 5
Untying