Jordan Valley IPLC Template

MTSS/CSIP
Date Time Location Facilitator Minute Taker Time Keeper
recorder

Today’s Meeting 8:15 Waldo Room

Next Meeting

Team Members
Present:

Solution Actions:
Previous Item Follow-Up: Fidelity of Evaluation:
(Prevent, Teach, Prompt, Reward, Goal with
(Precise Problem Statement - What, Who? By When? Implementatio Effectiveness of
Correction, Extinction, Adaptations, Timeline
When, Where, Who, Why) n Solution/Plan
Safety)
Emergency Support Situations Talk about a plan of how we call X Next monday Answer to ❏ Not started ❏ Goal Met
emergency support. Do we call X, Y, or talk to X. question ❏ Partially Imp ❏ Better
Z. or do we call for emergency support. ❏ Imp Fidelity ❏ Same
❏ Done ❏ Worse
❏ Not started ❏ Goal Met
❏ Partially Imp ❏ Better
❏ Imp Fidelity ❏ Same
❏ Done ❏ Worse
❏ Not started ❏ Goal Met
❏ Partially Imp ❏ Better
❏ Imp Fidelity ❏ Same
❏ Done ❏ Worse
 New Problems: Solution Actions:
By Goal with Fidelity Outcome
(Precise Problem Statement - What, (Prevent, Teach, Prompt, Reward, Who? Measure
When? Timeline Measure
When, Where, Who, Why) Correction, Extinction, Adaptations, Safety)
X: teaching Y how to praising and reinforce Teaching staff what that looks like and help staff X Today’s PD Z responding
students (especially Z). build a relationship with Z. and during to Y’s
the next commands
few weeks.

Curriculum for math- Touch Math for X and New curriculum to help build math functions. X
Y
Y

Curriculum for reading X will bring in her building with story X

curriculum to share with the group

Other Agenda Items:

Discussion/Decision/Task Who? By When?
(Administrative, Information, or Issue for Team to Address)