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2021 GSFR General Checklist
2021 GSFR General Checklist
Revised 2021
Name of Student (Last, First):
Evaluation/Eligibility
Compliant Non-Compliant
Consent for Assessment indicates: Consent for Assessment does not indicate parent
• Parent’s signature and date signed. signature or date signed/received.
OR
• Parent’s signature and date the
district received the document.
SDE & Idaho SESTA Resources: 2018 Idaho Special Education Manual, Chapter 4, Section 3, p. 33-37
Updated 09/23/2021 1
Compliant Non-Compliant
Documentation includes: Documentation does not include:
• Consent for Assessment with parent • Written evidence of Consent for Assessment
signature and date signed OR
OR • Contact documentation indicating reasonable
• Consent for Assessment with parent attempts to seek consent
signature and date district received consent OR
OR • Written Notice provided to parent/adult student
• Contact documentation indicating attempts indicating new assessments were not required
made to seek consent for assessments for a 3-
year reevaluation with accompanying Written
Notice
OR
• Written Notice provided to parent/adult child
indicating new assessments were not
required.
SDE & Idaho SESTA Resources: 2018 Idaho Special Education Manual, Chapter 4, Section 3, p. 35 and Section 6, p. 42-44
□ Student (if and when □ Parent or □ School District □ General Education □ Special Education
appropriate) (34 CFR Guardian Administrator or Teacher Teacher
300.321(a)(7) and (300.321(b)(1)) (34 CFR 300.321(a)(1)) Designee (34 CFR 300.321(a)(2)) (34 CFR 300.321(a)(3))
(34 CFR 300.321(a)(4))
Compliant Non-Compliant
Eligibility Report includes documentation of Eligibility Report indicates
agreement or disagreement from all the individuals • Required team member(s) is/are missing.
indicated by box checked. Each team member role OR
must be identified next to the name of the person • Agreement or disagreement is not indicated for
who fulfilled that role. reach required team member.
Updated 09/23/2021 2
implications of evaluation results.
For SLD the following team members are required:
• School Psychologist
• Speech Language Pathologist when
considering oral expression and listening
comprehension
SDE & Idaho SESTA Resources: 2018 Idaho Special Education Manual, Chapter 4, Section 1, p. 31, p. 46
SDE & Idaho SESTA Resources: 2018 Idaho Special Education Manual, Chapter 4, Section 2, p. 31-33, Section 7, p. 44-62
Updated 09/23/2021 3
□ Developmental Delay □ Other Health Impairment □ Visual Impairment incl. Blindness
□ Emotional Behavioral Disorder □ Specific Learning Disability **complete SLD Checklist
Compliant Non-Compliant
Team lists or summarizes information from the Team does not have documentation that the student
Eligibility Report that matches state eligibility meets criteria.
criteria in the Idaho Special Education Manual OR
AND Team used only one measure to determine eligibility.
Team used more than one measure or assessment
to determine eligibility.
SDE & Idaho SESTA Resources: 2018 Idaho Special Education Manual, Chapter 4, Section 7, p. 44-62
SDE & Idaho SESTA Resources: 2018 Idaho Special Education Manual, Chapter 4, Section 7, p. 44-62
Updated 09/23/2021 4
The Eligibility Report includes a student specific The statement does not describe how specially
statement that clearly describes the changes to: designed instruction differs in content and/or
methodology and/or delivery of instruction.
• Content (knowledge/skills)
AND/OR Examples include:
• Methodology (strategies/approaches) • Assessments or scores are listed but no
AND/OR statement of instruction is described.
• Delivery (how instruction is provided)
SDE & Idaho SESTA Resources: 2018 Idaho Special Education Manual, Chapter 4, Section 7, p. 44-62
SDE & Idaho SESTA Resources: 2018 Idaho Special Education Manual, Chapter 4, Section 5, p. 37-42
Compliant Non-Compliant
The Individualized Education Program indicates: The Individualized Education Program:
• All required team members are present and • Does not indicate that all required team
attendance is documented; and members were present at the IEP meeting
• Each team member’s role is identified AND
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OR • Excusal Form for a required team member
• If a team member is not attending, an who did not attend the IEP meeting is
Excusal Form is signed by the parent prior to missing
the meeting.
SDE & Idaho SESTA Resources: 2018 Idaho Special Education Manual, Chapter 5, Section 1D, p. 67-70
Compliant Non-Compliant
The Individualized Education Program PLAAFP The PLAAFP or Annual Goal are missing one or more
statements address how the student’s disability components.
affects improvement and progress in the general
education curriculum. For preschool: participation Examples include:
in age appropriate activities. • Team listed only strengths or only needs
Updated 09/23/2021 6
AND includes: • Needs statement is written as what adults will
• Strengths describe what the student can do to teach the student, rather than what skill(s)
do the student needs to learn
• Needs describes the skill(s) student will • Strengths and needs are unrelated to goal area
learn • Baseline & annual goal criteria are same value
• Baseline describes current performance or do not align with each other
in the target skill • No condition included
• References acceptable Idaho Standards* • Target skill is not precise enough for replication,
not observable or measurable
Annual Goals are precise enough for replication • Criteria is missing or same as baseline
and are observable and measurable including: • Target skill and/or criteria listed as an increase
• Condition – circumstances that will be in percentile or percentage score and no
present observable, measurable skill was listed
• Target Skill – skill or behavior • No procedure
• Criteria – rate, frequency, accuracy • No schedule
• Procedure – manner progress is • No (or unrelated) grade level standard
measured • Grade-level standard listed is not at the
• Schedule – how often will progress be student’s current grade level at the time of the
measured IEP meeting
Other considerations:
• Target skill in the baseline matches the
target skill in the annual goal
• Each Goal is developed from a baseline
and reflect a reasonable amount of
progress for the year
SDE & Idaho SESTA Resources: 2018 Idaho Special Education Manual, Chapter 5, Section 2, p. 72-89
Updated 09/23/2021 7
concurrent with issuance of report cards).
SDE & Idaho SESTA Resources: 2018 Idaho Special Education Manual, Chapter 5, Section 2D, p. 74
Compliant Non-Compliant
EACH service on the Individualized Education Service areas are missing any components.
Program indicates all of the following:
• Special education or related service Examples include:
• Title of professional staff responsible • Any area left blank for any service.
• Frequency the service is delivered • Team indicates someone who is not a
• Where the service will be provided professional staff. (Examples: Behavior
• When the service will begin interventionist, paraprofessional, PCS aide, etc.)
• When the service will end • More than one frequency of service (daily,
weekly, monthly) or location is listed on one
*Note: professional holds certification from the line.
Idaho State Department of Education • End date is beyond IEP expiration.
SDE & Idaho SESTA Resources: 2018 Idaho Special Education Manual, Chapter 5, Section 2F, p. 76-82
Compliant Non-Compliant
A direct relationship is documented when: A relationship cannot be established between one or
• Services listed are related to needs more services listed and other components of the IEP.
identified in the IEP
AND Examples include:
• Clear relationship between all services listed • Student has mobility needs but doesn’t have
and PLAAFP, goals, and other considerations accommodations or services related.
identified in the IEP. • Services and goals are written for reading when
AND provided evidence relates only to behavioral
• Each identified area of need is addressed area.
through a special education and/or
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appropriate related service.
SDE & Idaho SESTA Resources: 2018 Idaho Special Education Manual, Chapter 5, Section E, p. 74-76
SDE & Idaho SESTA Resources: 2018 Idaho Special Education Manual, Chapter 5, Section 2H, p. 85-86
Compliant Non-Compliant
The Individualized Education Program indicates The team has not marked “Yes”, “No”, or “TBD”
ESY is addressed: OR
• By a marked “Yes”, “No”, or “TBD” with date
Updated 09/23/2021 9
included No documentation that team addressed ESY on or
OR before TBD date indicated on IEP.
• A statement indicating additional data is OR
required If marked ‘yes’, team did not provide rationale for one
AND or more of three areas.
• An amendment is developed once team OR
considers the data and makes Team marked ‘yes’ and left all questions blank.
determination.
SDE & Idaho SESTA Resources: 2018 Idaho Special Education Manual, Chapter 5, Section 2F, Part 4, p. 79-81
Compliant Non-Compliant
The Individualized Education Program indicates IEP states behavior does not impede learning but
behavior impedes learning and includes: behavior goals or a BIP are included.
• goals or OR
• attached BIP IEP states behavior does impede learning and does not
include goals related to behavior skill development or
Considerations include: BIP.
• positive behavior interventions
• supports
• other strategies
SDE & Idaho SESTA Resources: 2018 Idaho Special Education Manual, Chapter 5, Section 2F, Part 6, p. 82
Updated 09/23/2021 10
require accommodations or adaptations
SDE & Idaho SESTA Resources: 2018 Idaho Special Education Manual, Chapter 5, Section 2F, p. 77-78
Compliant Non-Compliant
The Individualized Education Program indicates: Statewide assessment participation is not addressed.
• participation for each individual assessment
AND/OR
• note/mark ‘Not tested at this grade level’ if
not applicable for the student’s grade level.
SDE & Idaho SESTA Resources: 2018 Idaho Special Education Manual, Chapter 5, Section 2G, p. 83-85
SDE & Idaho SESTA Resources: 2018 Idaho Special Education Manual, Chapter 5, Section 2L, p. 89 and Chapter 11,
Section 4, p. 156-160
Updated 09/23/2021 11
Item 21 Yes No N/A
Each LEA must provide evidence that planning for transitions related to
COVID-19 has been addressed at the individual student level.
Compliant Non-Compliant
Evidence of planning for transitions related to Evidence of planning for transitions related to COVID-
COVID-19 is: 19 is:
• Written; • Not present
• Included as part of the IEP; OR
AND • Not individualized to the student (Example:
• Individualized to the student School or District plan only is provided)
OR
OR • LEA cannot provide written assurance that their
LEA provides written assurance to the SDE that LEA did not and will not transition from regular
their LEA did not transition from regular schooling. schooling.
(Example: Online or Virtual Schools)
**If you identified this student as a Secondary Transition, Preschool Student, or as a student with a Specific
Learning Disability, please complete the relevant additional checklist.
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