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SELPA Procedural Handbook
TABLE OF CONTENTS
Chapter 1 - Identification, Referral, and Assessment
Index
Chapter 1 Document
Chapter 2 - Early Childhood Education
Index
Chapter 2 Document
Appendix A - Transition Time Line
Appendix B - Parents' Rights
Chapter 3 - Identification and Assessment of English Language Learners
Index
Chapter 3 Document
Appendix A
Appendix A1 - Linguistically and Culturally Appropriate IEP Goals/Objectives (Sample)
Appendix A2 - Interpreters
Chapter 4 - Parental Rights and Notice of Procedural Safeguards
Index
Chapter 4 Document
Appendix A - Notice of Procedural Safeguards
Chapter 5 - Pupil Records
Index
Chapter 5 Document
Chapter 6 - Special Education Eligibility Criteria and IEP Guidelines
Index
Chapter 6 Document
Appendix A - Eligibility Forms
Chapter 7 - Individualized Education Program (IEP)
Index
Chapter 7 Document
Appendix A - School Based Mental Health Services Guidelines
Appendix B - School Based Mental Health Advisory Committee
Chapter 8 - Secondary Transition
Index
Chapter 8 Document
Appendix A - Legal Requirements and Best Practices, Q&A
Chapter 9 - Suspension and Expulsion/Due Process
Index
Chapter 9 Document
Appendix A - Disciplinary Steps Flowchart
Appendix B - Special Education Removals for Disciplinary Purposes Flowchart (Fagen, Friedmand and Fulfrost)
Chapter 10 - Referral Procedures for San Mateo County Office of Education Special Education Programs
Index
Chapter 10.1 Special Education Services, Roles, and Responsibilities
Chapter 10.2 SMCOE Referral Checklist
Chapter 10.3 Court and Community Schools Initial IEP Assessment Agreement Form and Letter
Chapter 11 - Non-Public School Placement
Index
Chapter 11 Document
Appendix A - Foster Youth/LCI Flowchart
Appendix B - Individual Services Agreement
Appendix C - Non-Public School/Non-Public Agency Master Contract
Appendix D - NPS Access to SEIS Procedures
Appendix E - NPA/Behaviorally Based Programs/Interventions Guidelines
Appendix F - Guidelines on LEA Roles & Responsibilities for Students Placed in NPSs
Chapter 12 - Surrogate Parent Procedures
Index
Chapter 12 Document
Appendix A - Appointment of Surrogate Parent Form
Chapter 13 - Low Incidence Purchasing
Index
Chapter 13 Document
Appendix A - Funding for Specialized Books, Materials, and Equipment
Appendix B - Request for Low Incidence Equipment/Materials
Appendix C - Request for Reimbursement for LIF Equipment
Appendix D - Request for Reimbursement for Repair of Equipment Purchased with Low Incidence Funds
Appendix E - Request for Low Incidence Funds
Appendix F - Return/Transfer of Low Incidence Equipment/Materials
Appendix G - Home Use of Low Incidence Equipment
Appendix G -A - Home Use of Low Incidence Equipment (Spanish version)
Appendix H - Purchase Order Request Form
Appendix I - Sample Invoice
Chapter 14 - Adopted Policies and MOUs
Index
Chapter 14.0 SELPA Policies and MOUs
Chapter 14.1 Fiscal Responsibility
Chapter 14.1.1 Administrative Regulations for Fiscal Responsibility
Chapter 14.2 Positive Behavioral Interventions
Chapter 14.3 Provision of Special Education Services to Students Enrolled in Charter Schools
Chapter 14.4 Dispute Resolution Process
Chapter 14.5 Housing Plan and Procedures
Chapter 14.6 Students in Licensed Children's Institutions (LCIs) and Foster Family Homes (FFHs)
14.6.1 Students in LCIs/FFHs Flowchart
Chapter 14.7 Federal Maintenance of Effort (MOE)
Chapter 14.8 Parentally-Placed Private School Students with Disabilities
Chapter 14.9 Small District Impaction Fund
Chapter 14.10 Extraordinary Cost Pool Unique Circumstances/Inordinate Suffering
Chapter 14.11 Program Transfer
Chapter 14.12 Program Transfer Application Form
Chapter 14.13 Program Transfer Assurances
Chapter 14.14 Program Transfer Timelines
Chapter 14.15 Student Movement between Districts
Chapter 14.16 Surrogate Parent
Chapter 14.17 Independent Educational Evaluations
Chapter 14.18 Classroom Observations
Chapter 14.19 Agreement between SELPA, Belmont-Redwood Shores SD and Charles Armstrong
Chapter 15 - Resources
Index
Chapter 15.1 Acronyms
Chapter 15.2 Assistive Technology
Chapter 15.3 Fading Process for Behavioral Intervention Services
Chapter 15.4 CAHSEE Exemption
Chapter 15.5 Extended School Year (ESY)
15.5.1 ESY Programming Guidelines
1
5.5.2 ESY Regression/Recoupment Checklist
15.5.3 ESY Regression/Recoupment Worksheet
15.5.4 ESY Worksheet
15.5.5 What is ESY and What is Not ESY?
Chapter 15.6 Glossary of Terminology
Chapter 15.7 Grades, Report Cards and Transcripts for Students with Disabilities
Chapter 15.8 Guidelines for Transition from Elementary SD to High SD
Chapter 15.9 McKinney-Vento Homeless Act and Transportation Guidelines
Chapter 15.10 Promotion and Retention of Students with Disabilities
Chapter 15.11 Resolution Sessions
Chapter 15.12 Section 504
15.12.1 Section 504 Guidance
15.12.2 Section 504 Process Flowchart
15.12.3 IDEA and Section 504: A Comparison
15.12.4 Section 504/ADA Student Eligibility Form
15.12.5 Recommendations for Section 504 ADA Plans
15.12.6 Section 504 Sample Plan
15.12.7 A Sampling of Other Concerns
15.12.8 Section 504 Procedural Safeguards Notice
Chapter 15.13 Service Animals at School
Chapter 15.14 Residency and Responsibility Chart: Residential Placements
Chapter 15.15 CDE Response to Instruction and Interventions
Chapter 15.16 School-Based Speech and Language Guidelines
Chapter 15.17 Special Education Transportation Guidelines from CDE
Chapter 15.18 State Complaint Procedures Overview
Chapter 15.19 State Testing and Reporting (STAR)
15.19.1 Matrices of Test Variations, Accommodations and Modifications
15.19.2 CMA Participation Criteria and Definition of Terms
15.19.3 CAPA Participation Criteria Eligibility Form
15.19.4 CAPA Participation Criteria
15.19.5 Desired Results Developmental Profile (DRDP)
Chapter 15.20 Special Circumstance Instructional Assistance (SCIA)
Chapter 15.21 Transition Planning for Success
Chapter 15.22 Travel Reimbursement Guidelines for Out-of-County Residential Nonpublic Schools
Chapter 15.23 Websites
Chapter 16 - SELPA Forms (under construction)
Index
Chapter 16.1 Purpose and Scope
Chapter 16.2 IEP Forms
16.2.1 Eligibility (Form 1)
16.2.2 Individual Transition Plan (Form 1A)
16.2.3 Transition Services (Form 1B)
16.2.4 Present Levels of Academic Achievement and Functional Performance (Form 2)
16.2.5 Special Factors (Form 3A)
16.2.6 Statewide Assessments (Form 3B)
16.2.7 Annual Goals (Form 4A)
16.2.8 Annual Goals and Benchmarks (Form 4B)
16.2.9 Annual Goals and Objectives (Form 4C)
16.2.10 Offer of FAPE Services (Form 5A)
16.2.11 Offer of FAPE Educational Setting (Form 5B)
16.2.12 Signature and Parent Consent (Form 6A)
16.2.13 Signature/Parent Consent Medical Permission (Form 6B)
16.2.14 IEP Meeting Notes (Form 7)
16.2.15 IEP Amendments/Addendum Page (Form 8)
Chapter 16.3 Supplemental Forms
16.3.1 Referral for Special Education and Related Services (Form 21A)
16.3.2 Notice of Receipt of Referral for Special Education Assessment (Form 21B)
16.3.3 Assessment Plan (Form 22A)
16.3.4 Prior Written Notice Initial Assessment (Form 22B)
16.3.5 Notice of Meeting/individualized Education Program (Form 23)
16.3.6 Specific Learning Disability Team Determination of Eligibility (Form 9A)
16.3.7 Specific Learning Disability Report IEP Team Certification (Form 9B)
16.3.8 Manifestation Determination (Forms 25A & 25B)
16.3.9 Summary of Student's Academic Achievement and Functional Performance (Form 26A)
16.3.10 Summary of Student's Academic Achievement and Functional Performance (Form 26B)
16.3.11 Prior Written Notice for Initiation or Change in Identification, Evaluation, Placement or FAPE (Form 27)
16.3.12 Prior Written Notice for Revocation of Parental Consent for Special Education and Related Services, Sample Letter (Form 28)
16.3.13 Services Plan for Parentally-Placed Private School Students (Form 29)
16.3.14 Interim Placement (Form 30)
16.3.15 IEP Team Member Excusal Form (Form 31)
16.3.16 Triennial Reevaluation Determination Form (Form 32)
Chapter 16.4 Forms Manual
16.4.1 IEP Forms Manual (document)
Chapter 16.5 Additional SELPA Forms
16.5.1 CASEMIS Post Secondary Follow Up (Form 23)
16.5.2 IEP Team Member Input Form (Form 20)
16.5.3 Consent for Extension of 60-Day Timeline (Form 22)
16.5.4 Educational Benefit Checklist
Chapter 16.6 Behavior Forms
16.6.1 Behavior Support Plan
16.6.2 Behavioral Emergency/Incident Report Form
16.6.3 Behavioral Emergency/Incident Report Instructions
16.6.4 Determination of Need for Functional Analysis
16.6.5 Environmental Analysis Data Sheet
16.6.6 Medical and Psychological Review Data Sheet
16.6.7 Student Data and Assessment Checklist
16.6.8 Educational Review and History of Behavior Data Sheet
16.6.9 BIP: Goals and Objectives
16.6.10 BIP: Intervention Strategies
Chapter 16.7 Sample Letters
16.7.1 Prior Written Notice of Proposed Action Graduation from High School (Sample Letter)
16.7.2 Parent Revocation of Consent (Sample Letter)
16.7.3 Signed IEP Requirement (Sample Letter)
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