PART IV – REQUIRED STATISTICAL INFORMATION– please use this template as a working document and submit final numbers through the online version. The online version is similar and asks for the same information.
To meet state and federal requirements as outlined in the State Performance Plan (SPP) ( please provide the following information based on the Year End child count for FY2009. All data requested in the following four sections should be based on programmatic information for the 2008-2009 school year.
Sections A and B collect data to report on SPP Indicators #12 (Transitions from Early Intervention) and #6 (Inclusion Practices in Preschool). Indicator #12 is a compliance indicator and it is the goal of the state to reach 100% compliance.
Section B (Inclusion Practices in Preschool) will provide the state with consistent data for Indicator #6 on Least Restrictive Environments in Preschool.
All data collected for the purposes of the SPP will be reported in aggregate, as well as by district, in order to determine progress as outlined in the performance plan.
A. Transitions from Early Intervention1. Number of children referred from Early Intervention
(EI)in 2008-2009 school year.
- Of that number, the number of children referred at least 45 school working days in advance of their third birthday.
1a.______
2.Of the number provided in question 1a, indicate the number of children found:
a. ineligible for special education services
b. eligible for special education services
c. not able to follow up due to parent refusal
to consent, continue through the
eligibility determination, or return a signed
IEP.
d. referral recently received, still in process and within the 45 day timeline
e. parent delay in returning consent form, cancelling meeting dates but still in process
Note: 2a +2 b +2 c = number in 1a. / 2a. ____
2b. _____
2c. ______
2d.______
2e. ______
3.Of the number provided in question 2a, indicate the number of children who were determined ineligible on or before their third birthday. / 3.______
4.Of the number provided in question 2b, indicate the number of children who had an IEP developed and implemented:
a. Prior to their 3rd birthday
b. On their third birthday
c. After their third birthday / 4a.______
4b.______
4c.______
5. Of the number provided in question 4c, indicate the number of remaining children who had their IEP developed and proposed to the parent prior to
their third birthday: / 5. ______
6. Number of children remaining without an IEP developed and proposed to the parent prior to the child's
third birthday
Note: on the online version, if a number appears in 6, a pop-up box will appear asking for child specific reasons for each delay. / 6. The final number:______
(should be zero)
Name of Grant Program: Early Childhood Special Education Allocation Fund Code: 262
B. Inclusion Practices in Preschool
7.Other than EI, please estimate how many children were referred to special education by the following in 2008-2009 school year:
a. Child Care (Head Start, Child Care, and Family Child Care)
b. Public School Program
c. Parents
d. Other:______/ a.______
b.______
c.______
d.______
8.Number of preschool-aged children residing in the district with IEPs / 8. ______
9.Of the number provided in question 8, please indicate how many children had an IEP that called for Related Services only (should match # in code 48). / 9. ______
10.Of the number provided in question 8, indicate how many children served were from families experiencing homelessness / 10.______
11.Of the number provided in question 8, please provide the breakdown of the placements as determined by the IEP process and based on the MA Dept. of Ed. New Data Element: Special Education Placement, ages 3-5 for the Student Information for the Management System (SIMS) categories:
00 - Not a Special Education Student
01 - Not currently a Special Education student age 3-5 but was previously a Special Education student during the current school year
05 - 3-5 year old, General Education students serving as role models in Pre-K classes
30 - In the regular early childhoodprogram at least 80% of the time
32 - In the regular early childhood program at least 40% - 79% of the time
34 - In the regular early childhood program less than 40% of the time
36 - Substantially Separate Class
38 - Public Separate Day
42 - Private Separate Day
44 - Residential Facility
45 - Public Residential Institutional Facilities
46 - Home
48 - Service provider location (private clinicians’ offices, clinician’s office in school building, hospital facilities) / 00______
01______
05______
30______
32______
34______
36______
38______
42______
44 ______
45 ______
46 ______
48______
12.For children identified in Question 11, please indicate the number of children who received their special education services in the following settings:
- Head Start
- ChildCareCenter
- Family Child Care
- Public School
- Home
- Other:______
b______
c.______
d.______
e.______
f.______
13.Number of preschool-aged children in the public school preschool without IEPs. / 13. ______
14.Of the number provided in Question 13, indicate the number of children who were funded partially or totally with Community Partnerships for Children funds. / 14. ______
15.Does the district charge tuition for preschool services for children without IEPs?
If yes, please be prepared to upload the program’s rate schedule into the online version. / 15. Yes orNo
C. Kindergarten
16.Total number of children enrolled in the district’s kindergarten:
a.) Half-day program
b.) Full-day program / a. ______
b. ______
17.Of the number in question 17, indicate the number of kindergarten children
with IEPs that call for a:
a.) Half-day program
b.) Full-day program / a.______
b.______
18.Of the numbers provided in questions 17a and 17b, indicate the number of kindergarten children who received services in the following kindergarten settings:
10 (all ages) – Full inclusion, less than 21% outside general education
classroom
20 (all ages) – Partial inclusion, 21%-60% outside general education
classroom
40 (all ages) – Substantially separate, outside general education more than
60%
41 (all ages) – Public Separate Day
50 (all ages) – Private Separate Day
60 (all ages) – ResidentialSchool
70 (all ages) – Homebound/Hospital (Not home schooled)
90 (all ages) – Public Residential Facility / 10______
20______
40______
41______
50______
60______
70______
90______
D. Eligibility in Early Childhood
19. At the start of the school year, how many children in the preschool
program:
a.)do not have IEPs and are age eligible to be in the kindergarten program?
b.)have an IEP and are age eligible to be in the kindergarten program? / a.______
b.______
20.At the start of the school year, how many children in the kindergarten
program:
a.) do not have IEPs and are age eligible to be in the first grade?
b.) have an IEP and are age eligible to be in the first grade? / a.______
b.______