Individualized Education Program

I.CHILD’S INFORMATION
Name: Male
Date of Birth: May 17,2011
Chronologic Age at Time of Assessment: 7 years and 1 month old
Date of Assessment: September 25,2018
IEP Date : January 2019
Annual IEP Due Date: March 2019

II.CHILD’S PROFILE
A.DEVELOPMENTAL PROFILE
Gross Motor: 7 years
Fine Motor: 6 years
Language:
Expressive: 5.0 years
Receptive: 6.0 years
Social- adaptive: 6.0 years
Problem Solving/ Cognitive: 6.0 years

B.MEDICAL CONCERNS
Asthma

C.CURRENT DIAGNOSIS
Autism Spectrum Disorder
-with accompanying mild language/speech impairment

D.BEHAVIORAL PATTERNS
Activity Level: hyperactivity
Adaptability: requires supervision
Mood: tantrums
Distractibility: easily distracted
Attention Span: short focus
Responsiveness: decrease social interaction

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III. ANNUAL GOALS and SHORT TERM OBJECTIVES
Area of Instruction: LANGUAGE AND COMMUNICATION SKILLS
Annual Goal: By the end of school year, the child will be able to improve speech sound
production and expressive language skills

Estimated Method of Remarks

Short Term Objectives
Duration Evaluation
1. To imitate selected CVC words 3 months Oral
retaining initial consonants Exercises
2. To learn to pronounce words 3 months Oral
properly using picture cards Exercises
3. To imitate words modelled by 3 months Oral
adults Exercises
4. To label common objects that he 3 months Oral/Practical
has demonstrated understanding Exercises
of
5. To use 5 consistent word 2 month Classroom
approximations to request needs Observation

Area of Instruction: BEHAVIOR SKILLS

Annual Goal: By the end of school year, the child will make measurable progress in areas of
behavioral functioning and social functioning

Estimated Method of
Short Term Objectives Remarks
Duration Evaluation
1. To wait quietly for teacher’s 3 months Written
direction Test/
Observation
2. To continue working when 3 months Written
frustrated Test/
Observation
3. To improve skills in performing 3 months Practical
simple step directions
4. To follow simple classroom rules 2 months Observation
5. To finish classwork on time 3 months Observation/
Practical

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Area of Instruction: SOCIO-EMOTIONAL SKILLS
Annual Goal: By the end of school year, the child will increase his interpersonal relation skills.
Estimated Method of Remarks
Short Term Objectives
Duration Evaluation
1. To learn to follow the rules while 3 months Observation
playing a simple game
2. To ask permission of others to 2 months Observation
borrow
3. To initiate conversation with peers 2 months Observation
4. To refrain from interrupting others 2 months Observation
in conversation
5. To respond appropriately when 2 months Observation
told he cannot borrow an item

IV. PROGRESS REPORT

Child’s progress report toward annual goal will be informed to the parents every end of
the school year. (Written Progress report & Parent conference as requested)

V.. Supplementary Aids and Related Services

Services/Related Services Hours per week

1. None -

VI. IEP TEAM

NAME POSITION SIGNATURE DATE

Dhalla Azita C. Lucero Mother _______________ ___________
Dianne Mari M. Domingo Teacher I _______________ ___________
Rosie C. Abad Principal III _______________ ___________