Child Outcomes Summary Form (North Dakota)

Tool Search: Special Ed Documents

The Child Outcomes Summary Form documents student preschool outcomes as they relate to state reporting. This document does not print.

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Child Outcomes Summary Information

The Child Outcome Summary Information editor documents the day the form was completed for the student.

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FieldDescription
Date Completed
Required
The day the child outcome summary form was completed.

Child Outcomes Summary Rating Information

The Child Outcomes Summary Rating Information editor...

This editor cannot be placed in a Not Needed status.

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Child Outcome Summary Rating Information List Screen

Column NameDescription
Padlock IconIndicates the user currently editing the record.
Date Rating CompletedThe day the summary rating was completed.
Type of RatingThe type of rating.

Child Outcome Summary Rating Information Detail Screen

Select an existing record or click New to open the detail screen.

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FieldDescriptionValidation
Type of Rating
Required
The type of child outcome rating used. Options include:
  • Entry Rating
  • Exit Rating
Ad hoc Inquiries: Student > Learner Planning > Learner Plans > Indicator 7 > ratingType (ndIndicator7.ratingType)
Date summary ratings were completed
Required
The day the rating was completed.Ad hoc Inquiries: Student > Learner Planning > Learner Plans > Indicator 7 > summaryCompleteDate (ndIndicator7.summaryCompleteDate)
Date Preschool Special Education Services began
*Required
The day preschool special education services began for the student.*This field is available and required when Entry Rating is selected as the Type of Rating.

Ad hoc Inquiries: Student > Learner Planning > Learner Plans > Indicator 7 > psSPEDServicesBegin (ndIndicator7.psSPEDServicesBegin)
Persons involved in deciding the ENTRY summary ratings
*Required
The name and role of the people involved in deciding the entry summary rating(s).*This field is available and required when Entry Rating is selected as the Type of Rating.
Anchor Tool used for the Entry Rating
*Required
The type of anchor tool used for the entry rating.*This field is available and required when Entry Rating is selected as the Type of Rating.
Date Preschool Special Education Services ended or For children who continue to receive preschool services after age 6, the date of their 6th birth date
*Required
The day the preschool special ed services ended for the student, or the day of the student's sixth birthday.*This field is available and required when Exit Rating is selected as the Type of Rating.

Ad hoc Inquiries: Student > Learner Planning > Learner Plans > Indicator 7 > psSPEDServicesEnd (ndIndicator7.psSPEDServicesEnd)
Persons involved in deciding the EXIT summary ratings
*Required
The name and role of the people involved in deciding the exit summary rating(s).*This field is available and required when Exit Rating is selected as the Type of Rating.
Anchor Tool and/or data sources that were used in the Exit rating process
*Required
The type of anchor tool used for the exit rating.*This field is available and required when Exit Rating is selected as the Type of Rating.

Student Information

The Student Information editor pulls demographic information regarding the student. This is mostly a read-only editor, with the exception of the Primary and Secondary Disability fields.

The Refresh button retrieves a fresh copy of data from the student's record.

FieldDescriptionDatabase and UI Location (when Refreshed is clicked)
Last NameThe student's last name.

Demographics > Last Name


identity.lastName

First NameThe student's first name.

Demographics > First Name


identity.firstName

Middle NameThe student's middle name.

Demographics > Middle Name


identity.middleName

SuffixThe student's suffix.

Demographics > Suffix Name


identity.suffix

AgeThe student's age.Demographics > Age
BirthdateThe student's birthdate.

Demographics > Birth Date


identity.birthDate

GenderThe student's gender.Demographics > Gender

identity.gender
AddressThe student's address.

Households > Address Information


address.number; address.street; address.tag; address.prefix; address.dir; address.apt; address.city; address.state; address.zip

Student NumberThe student's state ID number.

Demographics > State ID

RaceThe student's race.Demographics > Race/Ethnicity
EthnicityThe student's ethnicity.Demographics > Race/Ethnicity
Primary Language Spoken at HomeThe student's home language.Demographics > Home Primary Language
identity.homePrimaryLanguage
Special Education Information
Primary Disability
Required
The student's first disability. Options include:
  • AU: Autism
  • DB: Deaf-blindness
  • ED: Emotional Disability
  • D/HH: Deaf/Hard of Hearing
  • ID: Intellectual Disability
  • NCD: Non-Categorical Delay (Age 3-9 Only)
  • OHI: Other Health Impairments
  • OI: Orthopedic Impairments
  • SLI: Speech/Language Impairments
  • SLD: Specific Learning Disabilities
  • TBI: Traumatic Brain Injury
  • VI: Visual Impairments
N/A
Secondary DisabilityThe student's second disability. Options are the same as the Primary Disability field.N/A
Case Manager Information
NameThe first and last name of the team member.Student Information > Special Ed Team Members > Case Manager
TitleThe role of the team member.Student Information > Special Ed Team Members > Case Manager > Title
PhoneThe phone number of the team member.Student Information > Special Ed Team Members > Case Manager > Work Phone
Email AddressThe email address of the team member.Student Information > Special Ed Team Members > Case Manager > Work Email

Enrollment Information

The Enrollment Information editor is a read-only editor that retrieves district and school information for the student's enrollment location.

FieldDescriptionAdditional Information
Resident DistrictThe student's district of residence. Upon Refresh, this field is pulled from the District Residency tool, but can be manually edited.
Resident PlantThe building associated with the student's residence.Upon Refresh, this field is pulled from the District Residency tool, but can be manually edited.
Serving DistrictThe student's district providing service.Upon Refresh, this field is pulled from the Enrollment tool but can be manually edited.
Serving District AddressThe address of the district building.Upon Refresh, this field is pulled from the District Residency tool, but can be manually edited.
Serving PlantThe building in which the student receives services.Upon Refresh, this field is pulled from the District Residency tool, but can be manually edited.
Serving Plant PhoneThe phone number of the building at which the student receives services.Upon Refresh, this field is pulled from the District Residency tool, but can be manually edited.
Special Education UnitThe name of the special education building.Upon Refresh, this field is pulled from the Enrollment tool but can be manually edited.
Special Education Unit AddressThe location of the special education building.Upon Refresh, this field is pulled from the District Residency tool, but can be manually edited.
PlacementThe placement description for the student's enrollment.Upon Refresh, this field is pulled from the District Residency tool, but can be manually edited.
GradeThe student's grade.

Upon Refresh, this field is pulled from the Enrollment tool and cannot be modified.


Database Location: enrollment.grade

District Information
District NumberThe district number associated with the enrolled school.District Information > State District Number
District NameThe district name associated with the enrolled schoolDistrict Information > Name
District AddressThe district address associated with the enrolled school.District Information > Address
District PhoneThe district phone number associated with the enrolled school.District Information > Phone
District SPED AddressThe district special education address associated with the enrolled school.District Information > SPED Address
District SPED PhoneThe district special ed phone number associated with the enrolled school.District Information > SPED Phone

Positive Social Emotional Skills

The Positive Social Emotional Skills editor documents the student's ability to relate to adults, relate to other students, and follow rules related to groups or interactions with others.

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Positive Social Emotional Skills List Screen

Column NameDescription
Padlock IconIndicates the user currently editing the record.
Outcome Area 1 Entry RatingThe entry outcome rating.
Outcome Area 1 Exit RatingThe exit outcome rating.

Positive Social Emotional Skills Detail Screen

Select an existing record or click New to open the detail screen.

FieldDescriptionValidation
Rating TypeThe type of rating. Options include:
  • Entry Rating
  • Exit Rating
This field defaults to the last type of record created on the Child Outcomes Summary Rating Information editor, but can be modified as needed.
Outcome 1 Entry Rating
*Required
The entry outcome rating. Options are 1-7:
  • 1: Child uses no immediate foundational skills across settings and situations.
  • 2: Child rarely uses immediate foundational skills across settings and situation.
  • 3: Child uses immediate foundational skills across settings and situations most or all of the time.
  • 4: Child rarely uses age-appropriate skills. More behavior is not age-appropriate than is age-appropriate.
  • 5: Child uses a mix of age-appropriate and not age-appropriate behavior and skills all of the time.
  • 6: Some concerns about child's functioning with regard to the outcome area.
  • 7: The child uses age-appropriate behavior and skills in all or almost all everyday situations.
*This field is available and required when Entry Rating is selected on the Child Outcomes Summary Rating Information editor.

Ad hoc Inquiries: Student > Learner Planning > Learner Plans > Indicator 7 > Positive Social-Emotional Skills > outcome1EntryRating (ndIndicator7SocialEmotional.outcome1EntryRating)
Sources of Information
*Required
A description of the sources of information for the entry rating.*This field is available and required when Entry Rating is selected on the Child Outcomes Summary Rating Information editor.
Supporting Evidence
*Required
A description of the supporting evidence for the entry rating. *This field is available and required when Entry Rating is selected on the Child Outcomes Summary Rating Information editor.
Outcome 1 Exit Rating
*Required
The exit outcome rating. Options are 1-7:
  • 1: Child uses no immediate foundational skills across settings and situations.
  • 2: Child rarely uses immediate foundational skills across settings and situation.
  • 3: Child uses immediate foundational skills across settings and situations most or all of the time.
  • 4: Child rarely uses age-appropriate skills. More behavior is not age-appropriate than is age-appropriate.
  • 5: Child uses a mix of age-appropriate and not age-appropriate behavior and skills all of the time.
  • 6: Some concerns about child's functioning with regard to the outcome area.
  • 7: The child uses age-appropriate behavior and skills in all or almost all everyday situations.
*This field is available and required when Exit Rating is selected on the Child Outcomes Summary Rating Information editor.

Ad hoc Inquiries: Student > Learner Planning > Learner Plans > Indicator 7 > Positive Social-Emotional Skills > outcome1ExitRating (ndIndicator7SocialEmotional.outcome1ExitRating)
Sources of Information
*Required
A description of the sources of information for the exit rating.*This field is available and required when Exit Rating is selected on the Child Outcomes Summary Rating Information editor.
Supporting Evidence
*Required
A description of the supporting evidence for the exit rating. *This field is available and required when Exit Rating is selected on the Child Outcomes Summary Rating Information editor.
1b. Has the child shown any new skills or behaviors related to positive social-emotional skills (including positive social relationships) since the last outcomes summary?
*Required
Options are Yes or No.*This field is available and required when Exit Rating is selected on the Child Outcomes Summary Rating Information editor.

Ad hoc Inquiries: Student > Learner Planning > Learner Plans > Indicator 7 > Positive Social-Emotional Skills > outcome1NewSkillsBehavior (ndIndicator7SocialEmotional.outcome1NewSkillsBehavior)

Acquiring and Using Knowledge and Skills 

The Acquiring and Using Knowledge and Skills editor documents the student's thinking, reasoning, remembering, and problem-solving skills, as well as their ability to understand symbols and grasp concepts related to the physical and social worlds.

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Acquiring and Using Knowledge and Skills List Screen

Column NameDescription
Padlock IconThe user currently editing the record.
Outcome Area 2 Entry RatingThe entry outcome rating.
Outcome Area 2 Exit RatingThe exit outcome rating.

Acquiring and Using Knowledge and Skills Detail Screen

Select an existing record or click New to open the detail screen.

FieldDescriptionValidation
Rating TypeThe type of rating. Options include:
  • Entry Rating
  • Exit Rating
This field defaults to the last type of record created on the Child Outcomes Summary Rating Information editor, but can be modified as needed.
Outcome 2 Entry Rating
*Required
The entry outcome rating. Options are 1-7:
  • 1: Child uses no immediate foundational skills across settings and situations.
  • 2: Child rarely uses immediate foundational skills across settings and situation.
  • 3: Child uses immediate foundational skills across settings and situations most or all of the time.
  • 4: Child rarely uses age-appropriate skills. More behavior is not age-appropriate than is age-appropriate.
  • 5: Child uses a mix of age-appropriate and not age-appropriate behavior and skills all of the time.
  • 6: Some concerns about child's functioning with regard to the outcome area.
  • 7: The child uses age-appropriate behavior and skills in all or almost all everyday situations.
*This field is available and required when Entry Rating is selected on the Child Outcomes Summary Rating Information editor.

Ad hoc Inquiries: Student > Learner Planning > Learner Plans > Indicator 7 > Acquiring and Using Knowledge and Skills > outcome2EntryRating (ndIndicator7Knowledge.outcome2EntryRating)
Sources of Information
*Required
A description of the sources of information for the entry rating.*This field is available and required when Entry Rating is selected on the Child Outcomes Summary Rating Information editor.
Supporting Evidence
*Required
A description of the supporting evidence for the entry rating. *This field is available and required when Entry Rating is selected on the Child Outcomes Summary Rating Information editor.
Outcome 2 Exit Rating
*Required
The entry outcome rating. Options are 1-7:
  • 1: Child uses no immediate foundational skills across settings and situations.
  • 2: Child rarely uses immediate foundational skills across settings and situation.
  • 3: Child uses immediate foundational skills across settings and situations most or all of the time.
  • 4: Child rarely uses age-appropriate skills. More behavior is not age-appropriate than is age-appropriate.
  • 5: Child uses a mix of age-appropriate and not age-appropriate behavior and skills all of the time.
  • 6: Some concerns about child's functioning with regard to the outcome area.
  • 7: The child uses age-appropriate behavior and skills in all or almost all everyday situations.
*This field is available and required when Exit Rating is selected on the Child Outcomes Summary Rating Information editor.

Ad hoc Inquiries: Student > Learner Planning > Learner Plans > Indicator 7 > Acquiring and Using Knowledge and Skills > outcome2ExitRating (ndIndicator7Knowledge.outcome2ExitRating)
Sources of Information
*Required
A description of the sources of information for the exit rating.*This field is available and required when Exit Rating is selected on the Child Outcomes Summary Rating Information editor.
Supporting Evidence
*Required
A description of the supporting evidence for the exit rating. *This field is available and required when Exit Rating is selected on the Child Outcomes Summary Rating Information editor.
2b. Has the child shown any new skills or behaviors related to acquiring and using knowledge and skills since the last outcomes summary?
*Required
Options are Yes or No.*This field is available and required when Exit Rating is selected on the Child Outcomes Summary Rating Information editor.

Ad hoc Inquiries: Student > Learner Planning > Learner Plans > Indicator 7 > Acquiring and Using Knowledge and Skills > outcome2NewSkillsBehaviors (ndIndicator7Knowledge.outcome2NewSkillsBehaviors)

Taking Appropriate Action to Meet Needs

The Taking Appropriate Action to Meet Needs editor documents the student's ability to take care of their basic needs, contribute to their own health and safety, and get from place to place and use tools. 

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Taking Appropriate Action to Meet Needs List Screen

Column NameDescription
Padlock IconThe user currently editing the record.
Outcome Area 3 Entry RatingThe entry outcome rating.
Outcome Area 3 Exit RatingThe exit outcome rating.

Taking Appropriate Action to Meet Needs Detail Screen

Select an existing record or click New to open the detail screen.

FieldDescriptionValidation
Rating TypeThe type of rating. Options include:
  • Entry Rating
  • Exit Rating
This field defaults to the last type of record created on the Child Outcomes Summary Rating Information editor, but can be modified as needed.
Outcome 3 Entry Rating
*Required
The entry outcome rating. Options are 1-7:
  • 1: Child uses no immediate foundational skills across settings and situations.
  • 2: Child rarely uses immediate foundational skills across settings and situation.
  • 3: Child uses immediate foundational skills across settings and situations most or all of the time.
  • 4: Child rarely uses age-appropriate skills. More behavior is not age-appropriate than is age-appropriate.
  • 5: Child uses a mix of age-appropriate and not age-appropriate behavior and skills all of the time.
  • 6: Some concerns about child's functioning with regard to the outcome area.
  • 7: The child uses age-appropriate behavior and skills in all or almost all everyday situations.
*This field is available and required when Entry Rating is selected on the Child Outcomes Summary Rating Information editor.

Ad hoc Inquiries: Student > Learner Planning > Learner Plans > Indicator 7 > Taking Appropriate Action to Meet Needs > outcome3EntryRating (ndIndicator7Needs.outcome3EntryRating)
Sources of Information
*Required
A description of the sources of information for the entry rating.*This field is available and required when Entry Rating is selected on the Child Outcomes Summary Rating Information editor.
Supporting Evidence
*Required
A description of the supporting evidence for the entry rating. *This field is available and required when Entry Rating is selected on the Child Outcomes Summary Rating Information editor.
Outcome 3 Exit Rating
*Required
The entry outcome rating. Options are 1-7:
  • 1: Child uses no immediate foundational skills across settings and situations.
  • 2: Child rarely uses immediate foundational skills across settings and situation.
  • 3: Child uses immediate foundational skills across settings and situations most or all of the time.
  • 4: Child rarely uses age-appropriate skills. More behavior is not age-appropriate than is age-appropriate.
  • 5: Child uses a mix of age-appropriate and not age-appropriate behavior and skills all of the time.
  • 6: Some concerns about child's functioning with regard to the outcome area.
  • 7: The child uses age-appropriate behavior and skills in all or almost all everyday situations.
*This field is available and required when Exit Rating is selected on the Child Outcomes Summary Rating Information editor.

Ad hoc Inquiries: Student > Learner Planning > Learner Plans > Indicator 7 > Taking Appropriate Action to Meet Needs > outcome3ExitRating (ndIndicator7Needs.outcome3ExitRating)
Sources of Information
*Required
A description of the sources of information for the exit rating.*This field is available and required when Exit Rating is selected on the Child Outcomes Summary Rating Information editor.
Supporting Evidence
*Required
A description of the supporting evidence for the exit rating. *This field is available and required when Exit Rating is selected on the Child Outcomes Summary Rating Information editor.
3b. Has the child shown any new skills or behaviors related to taking appropriate action to meet needs since the last outcomes summary?
*Required
Options are Yes or No.*This field is available and required when Exit Rating is selected on the Child Outcomes Summary Rating Information editor.

Ad hoc Inquiries: Student > Learner Planning > Learner Plans > Indicator 7 > Taking Appropriate Action to Meet Needs > outcome3NewSkillsBehaviors (ndIndicator7Needs.outcome3NewSkillsBehaviors)