Individualized Education Program (IEP) for
s ReCee Manger
Granite ——
2500 South State Street Salt Lake City, UT 84115
SCHOO! DISTRICT
1. Student Information
‘Student i emeeeiiniaiat
Dos a
IEP Meeting 01/17/20
IEP Due ore
Elgiity Date 04/17/20
Next Re-Evaluation 01/16/23.
Completed By
Attending School Robert Frost Elementary
Home Language Enlish
Student Language English
Classification Specific Learning Disability
Grade 4th Grade
2. Present Levels of Academic Achievement and Functional Performance
For school age students, describe howslllmms disability affects her involvement and progress in the general
curriculum. For preschool age students, describe how the disabilty affects her participation in appropriate activities.
Reading ‘According to the level 4 DIBELS Next Oral Reading Fluency Benchmark assessment, completed on
42/9/2019, Sjaamgpscored 23 words correct per minute, 9 words on Retell, with 74% accuracy, 1
on Quality of Response and 2 on Daze. Benchmark expectations for level 4 are 103 words correct
per minute, 96% accuracy, and 26 for Retell
@mMAB's being progress monitored on a level 2 and scored an average of 44 words correct per
minute with 88% accuracy, 35 on Retell with a quality of 1 out of 4 on 1/8/2020.
(QB sored 2 1 on the 2019 RISE in English Language Arts which is below proficient.
reading comprehension affect her involvement and progress in the 4th grade general
‘education curriculum.
Math ‘According to the beginning-of-Year curriculum-based level 4 math assessment, (QAM scored
27% correct given on 8/23/2019.
eames bing progressed monitored on a level 3 and can recognize visual fractions, addition,
subtraction, and basic multiplication.
According to the 2019 RISE assessment, Rebecca scored a level 1 which is below proficient.
Rebecca's math skills affect her involvement and progress in the 4th grade general education math
curriculum.
3. The IEP Team considered the following Special Factors
Behavior [ ]teeeen needs behavioral — |X] [#ew joes notneed —_[ | Rstwwwuaig needs for
strategies because her behavioral strategies. behavioral strategies are
behavior impedes her learning addressed in her IEP.
and/or the learning of others.
Language [ ] Rebeeee has special language [X]Aetmmscioes nothave {| Sastmmpwets special
needs addressed in her IEP. special language needs. language needs are
because she is a limited addressed in her IEP.
English proficient student.
Braille [ ] Ratsserernceds Braille (Xe does noi need —{ OUNRMis needs for
instruction because she is blind Braille instruction. Braille instruction are
visually impaired. addressed in her IEP.Communication _[] etwampe has special [Xjeoueem does nol need any [ Smmmmmigneeds for
communication service needs special communication special communication
such as a student whois deaf sorvices services are addressed in
or hard of hearing. her IEP.
Assistive [ ] Rebeces needs assistive § — X]etmummexioes noinced |] Atstmamais needs for
Technology technology devices andior assistive technology devices assistive technology
services without which she andiorservices (o beneit devices and/or services
‘would not benefit from special from special education. ‘are addressed in her IEP.
education,4, Measurable Annual Goals
1. Gatmmms progress towards her annual goals will be measured using curriculum based assessment and work
samples,
2. siaetseeuis progress will be reported to her parents using progress reports.
3. gauuweenie progress will be reported as offen as progress is reported for children without disabilities.
4.1 UT Core Standards Mathematics: Grade 4 - Number and Operations in Base Ten
MME Wi!) when given a level 3 mixed operation assessment to include addition,
Annual Goal 1 subtraction, multiplication, division, fractions and decimals, score an average of 80% accuracy
measured over 3 progress-monitoring assessments.
4.2 UT Core Standards Reading: Grade 4 - Informational Text - Range of Reading and Level
of Text Complexity
etme Will, aft0F roading a lovel 3 oral-reading fluency passage, retell the passage using an
Annual Goal1 average of 26 words or more which includes 3 or more details within 1 minute on 3 progress-
monitoring assessments.
5. Services plus Adaptation Support
‘Special Education services iaaimmmga needs to achieve her annual goals and advance in the general curriculum:
Service Location Minutes/Frequency
Reading Comprehension Special Education Class 120 minutes Weekly
Math Basic Skills Special Education Class 120 minutes Weekly
Related Services SSEEEEE requires to benefit from her Special Education:
Service Location Minutes/Frequency
Program accommodations, modifications, and supports for school personnel and/or
‘supplementary aids in his/her general education programs: Frequency
‘Scheduling: Extended Response Time ‘As Needed
Setting Adaptation: Minimized Distractions As Needed
Setting Adaptation: Small Group Setting ‘As Needed
Use of a number line or visual aid As Needed
Procedure Change: Reading Test Aloud ‘As Needed
Setting Adaptation: Special Seating As Needed
[] Check if transportation will be provided as a related service.
[.] Check if mechanical restraint will be used during transportation. A mechanical restraint or device is used during
student transportation to keep a student from injuring or endangering him/herself or others.
Projected initiation of services: 01/17/20 Anticipated duration: 01/16/21
GoalView has calculated that ebeemris receiving an average of 48 minutes of special education services per day.6. Participation in State & District Assessment
Resources for All Students: These are features within each assessment that are allowed for all students who are
participating in the specific assessment (RISE, DIBELS, AIMSweb, etc.) itis recommended that the student have access
to the desired "Resource" throughout the year during classroom instruction so they may become familiar with the feature
prior to the administration of the assessment.
‘Assessment Definitions:
RISE: Readiness, Improvement, _ |ACT: College/Career Rea
‘Success, Empowerment Gr3-8. [Test
DLM: Dynamic Leaming Maps | EXPLORE: College/Career
(tera aesosnr Readiness Test
'UAA: Utah's Altemate Assessment |PLAN: College/Career Readiness
‘AIMSweb: AIMSweb benchmark — {Test
lassessment 'ASVAB: College/Career Readiness|
NAEP: National Assessment of [Test
Educational Progress ‘Approval of accommodations for all
[DIBELS: Benchmark Assessment |College/Career Readiness Tests
KEEP: Kindergarten Entry Exit _jare made through each individual |
Profile |publisher.
[Aspire: Utah Aspire Plus Gr 9-10 |
—
5
Participation Codes:
SA= Standard Administration
AA = Altemate Assessment
Reason(s) for student being assessed through AA:
‘Communication
Devices
‘Audi
‘Amplification
Breaks
(Calculation
Devices &
‘Computation
‘Tables
‘Change Order |
lf Activitiesu
Faectments Erinn |Eniotiee ied
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Directions-Oral 1) | ytd tl
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wt ‘ath
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rections: eplatn ents ene
Directions- U1 0 0
Soran lke | se |
Environment m1 Pa. Po
enone ‘towed | Alowed | Albwed
Extended Time 700%, |=
Graphic |
Organizer
Highoht [cao ema [emis
‘Human Reader L |
[Magnification |e [emis |endetet
Minimize Po ee
Minimise ales | Ns oo
[Seratch Paper [oaks | aubtea | aabtea
[SpellCheck era ore Entoldes
[Stik TaeoUGh plans [embeded [ended
[Textto-Spoech | aw [emacs [emished i
‘Accommodations: Features that are provided for students with disabilities who require the use of the accommodation to
hhelp them participate in the given assessment. In the graph below, you will see that USOE Verification/notification is
expected when choosing to provide an accommodation. This ensures that the student will be effectively provided the
necessary accommodation.
Participation Codes:
SA = Standard Administration
PA = Participation with Accommodations
‘AA= Alternate Assessment
Reason(s) for student being assessed through AA:
~~] SSS ES SS SS SSBraille/Screen
Reader: Student
with Blindness
Calculation Device |
‘and Computation
‘Table (Handheld
device only
‘considered an
‘accommodation
for grades 6-12)
Large Print Paper
\Sign Language
‘Standard Paper
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7, Regular Curriculum, Extra-Curricular & Non-Academic Activities
Except for special education class times noted in the services section of this IEP the student will participate in the regular
class, regular PE, extra-curricular and non-academic activities to the same extent as children without disabilities, or with
other exceptions (explain and specify below).
8. Transition Plan
Not Applicable
9. Special Requirements for Graduation
Not Applicable10. Notices & Participants
Extended School Year (ESY) services: Extended School Year (ESY) services are provided to a child with a disability
when the IEP team determines that without ESY services, the educational program would be of litle or no benefit to the
child, due to the lack of services during the break between the normal school year and the next. Data will be considered
in determining eligibility for ESY services for your child. The IEP team has determined that:
your child is NOT eligible for ESY services.
Placement Review [ ]? [ Jinitial placement [X]Maintain current placement { Change current placement
‘Written Prior Notice for Free Appropriate Public Education: The IEP team proposes to implement this program,
based on the student's needs as documented in the Present Level of Academic Achievement and Functional
Performance section of this document and representing the free, appropriate public education the student will be
provided.
Items Considered: [Reasons Refused: |
Dd Didn't refuse anything at this tim
Evaluation procedures, test, reports, and data considered as a basis for the refused action:
‘You have received and have protection under the Procedural Safeguards and Annual Notifications which were sent to
you upon the student's referral for evaluation and in conjunction with this meeting. You may request another copy of the
Procedural Safeguards and Annual Notifications from the special education teacher. If you have an questions regarding
this notice or the Procedural Safeguards and Annual Notifications, contact the special education teacher at the student's
school. Parent/guardian signature on this form indicates that parent/guardian has received a copy of this IEP and a copy
of your Procedural Safeguards and Annual Notifications which includes annual notices for Child Find, Carson Smith
Special Needs Scholarship, Destruction of Records and Medicaid.
Notice in Understandable Language:
Federal regulations require that parents and adult student be provided written prior notice in their native language or
ther mode of communication to make the information more understandable each time the LEA proposes or refuses to
initiate or change the identification, evaluation, or educational placement of your child/you or the provision of a froe
appropriate public education (FAPE) to your child/you, of upon conducting a manifestation determination.
{f the native language or other made of communication of the parent/adult student requires translation:
1 This notice was translated orally or by other means to the parentiadult student in his/her native language or other
mode of communication on: by:
[1 Parentiadult student verity to translator that he/she understand the content of this notice.
Note: Each teacher and service provider must be informed of his or her specific responsibilties related to implementation
of this IEP for Rebecca, and the specific accommodations, modifications, and supports that must be provided for her in
accordance with this IEP.