Instructional Case Summary Sheet

Student Name: A Age: 10 Grade: __4th____ Date: __2/26/24__________

Tutor(s): __D.Moore___________________________________

Word Lists Passage Reading Fluency (rate in WPM & Comprehension

(WRI)San Diego Quick Check (WRC) prosody score) (% questions answered correctly)

Difficulty Timed Untimed WRC ORAL WPM SILENT

Level Flash % Total % (% read correctly) + Prosody WPM ORAL SILENT LISTENING
Score

1st 100

2nd 100 97 133+3 100

3rd 60 97 175 +3 88

4th 63

5th

6th

INDEPENDENT Ceiling __2nd____

INSTRUCTIONAL Zone/Range __3rd____
FRUSTRATIONAL Floor __4th (inferred from listening comp)__
 PA Assess Phonics Assess Other Diagnostic Assess
(e.g., TOWRE)

PA Test: Kilpatrick’s PAST (Form CORE Phonics Survey

A) Skill Score
Skill Score Short vowels/cvc words 12/15
Basic Syllables Level D 6/6 Consonant blends w/short vowels 10/15
Basic Syllables Level E 5/6 Short vowels,digraphs,-tch trigraph 15/15
Onset-Rime Level F 5/5 R-controlled vowels 13/15
Long vowel spelling 14/15
Onset-Rime Level G 5/5
Variant vowels 11/15
Basic Phoneme 10/10
Low-frequency vowel/consonant
Adv. Phoneme Level J 5/5 Spellings 2/15
Adv. Phoneme Level K 4/5 Multisyllabic words 11/24
Adv. Phoneme Level L 3/5
Adv. Phoneme Level M 2/5
Level E: segment/delete
multisyllabic words
(e.g., say carnation without car)
Level M: delete/substitute medial
consonants (e.g., say dusk without
/s/)

Spelling Writing Notes on Attention & Motivation

Inventory: WTW Primary Strengths Weaknesses Seems motivated and she works hard.
Score: 11/20 ● Good ● Spelling Always focused.
Stage Placement: Within Word imagination ● Uses only
Examples of Confusions: ow ● Uses periods
for oa, ow for ew, and ow for ou appropriate
sentence
structure and
Inventory: DSA Letter Name paragraph
Score: 44 formatting
Stage Placement: Within Word
Examples of Confusions:

Inventory: DSA Within Word

Score:1
Stage Placement: Within Word
Examples of Confusions: dge,
ow for ou, silent e, tch

Other comments:
 Instructional Goals

Word Knowledge Fluency Comprehension & Vocabulary Writing

Instructional level: 3rd
Listening Level: 4th
PA targets: Activities will Writing targets
include: include:
● delete/substitute medial Activities will include:
● Newsela ● Appropriate
consonants (e.g., say dusk without articles ● Newsela articles punctuation and
/s/)
correct spelling
Phonics targets: Activities will include:
● Vocabulary game: Know or No Activities will
● Low-frequency vowel/consonant include:
Spellings https://fcrr.org/sites/g/files/ ● Journal writing
upcbnu2836/files/media/PDFs/ with writing
Spelling targets: student_center_activities/ prompts
● dge, silent e, tch, ow for oa, ow 23_words_in_context/
for ew, and ow for ou 23_v034_word_express.pdf

Activities will include:

● Speech-to-print approach starting
with phoneme manipulations
● UFLI word mat

● UFLI lessons 59, 70, 71, 86,

91,115
Tier I Coordination/Recommendations:

Recommendations for home: