Preschool Individual Education Plan (Delaware)

Field	Description	Validation
Plan Type Required	The type of plan. Options include: Annual IEP Annual IEP/Reevaluation Eligibility Determination IEP Meeting IEP Revision IEP Revision/Reevaluation Eligibility Determination Initial Eligibility Determination Initial IEP Initial IEP/Initial Eligibility Determination PPPS Meeting Reevaluation Eligibility Determination	N/A
Meeting Date Read-only	The day the student's team met.	This field is populated from the Meeting Date selected on the Meeting Participants editor.
IEP Initiation Date Required	The first day of the student's plan.	N/A
IEP End Date	The last day of the student's plan.	N/A
Most Recent ESR Date Read-only	The date of the student's most recent Evaluation.	This field pulls in the date from the most recent, locked Evaluation when it exists.
Temporary Placement
Temporary Placement Date	The date of the temporary placement.	N/A
Agency Representative	The name of the agency representative in charge of the placement.	This field is limited to 150 characters.

Field	Description	Validation
Primary Disability Required	The student's first disability. Options include: 1000 Autism 1100 Deaf-Blind 1400 Developmental Delay 0200 Emotional Disability 0700 Hearing Impairment 0300 Learning Disability 0100 Mild Intellectual Disability 0400 Moderate Intellectual Disability 0603 Orthopedic Impairment 0601 Other Health Impairment 0900 Partially Sighted 1600 Pre-School Speech Delay 0500 Severe Intellectual Disability 1200 Speech and/or Language Impairment 1300 Traumatic Brain Injury 0800 Visually Impaired	N/A
Secondary Disability	The student's second disability, when applicable. The options available are the same as the Primary Disability options.	N/A
Tertiary Disability	The student's third disability, when applicable. The options available are the same as the Primary Disability options.	N/A
District of Residence	The student's district of residence.	This field pulls in from the student's Enrollment record when available but can be manually edited.
Attending Building	The building where the student attends school.	Upon Refresh, this field is pulled from the Enrollment tool but can be manually edited.
Grade	The student's grade.	Upon Refresh, this field is pulled from the Enrollment tool and cannot be modified. Database Location: enrollment.grade
District Information
District Number	The district number associated with the Enrolled school.	District Information > State District Number
District Name	The district name associated with the Enrolled school.	District Information > Name
District Address	The district address associated with the Enrolled school.	District Information > Address
District Phone	The district phone number associated with the Enrolled school.	District Information > Phone
District SPED Address	The district special education address associated with the Enrolled school.	District Information > SPED Address
District SPED Phone	The district special ed phone number associated with the Enrolled school.	District Information > SPED Phone

Field Name	Description	Database and UI Location (when Refreshed is clicked)
Last Name	The student's last name.	Demographics > Last Name identity.lastName
First Name	The student's first name.	Demographics > First Name identity.firstName
Middle Name	The student's middle name.	Demographics > Middle Name identity.middleName
Suffix	The student's suffix.	Demographics > Suffix Name identity.suffix
Birthdate	The student's birthdate.	Demographics > Birth Date identity.birthDate
Student ID	The student's ID number.	Enrollment > Student Number identity.studentNumber
Address	The student's address.	Households > Address Info address.number; address.street; address.tag; address.prefix; address.dir; address.apt; address.city; address.state; address.zip
Case Manager Information
Name	The first and last name of the team member.	Student Information > Special Ed Team Members
Title	The role of the team member.	Student Information > Special Ed Team Members
Phone	The phone number of the team member.	Student Information > Special Ed Team Members

Field	Description
Print Sequence	The order in which the parent/guardian displays.
Name	The name of the parent/guardian.
Address	The address of the parent/guardian.
Home Phone	The parent/guardian's home phone.
Work Phone	The parent/guardian's work phone.
Cell Phone	The parent/guardian's cell phone.
Email	The parent/guardian's email.
Home Primary Language	The language the parent/guardian speaks at home.

Field	Description	Validation
Print in Plan	Indicates this record prints.	This field defaults to unmarked.
Meeting Invite	The day of the meeting invitation.	This field populates from the locked Meeting Invitation document. All locked Meeting Invitation types display in this dropdown.
Meeting Date Read-only	The day of the meeting.	This field populates from the locked Meeting Invitation document.
Invitation Date Read-only	The day of the invitation.	This field populates with the last Meeting Date from the locked Meeting Invitation document.
Meeting Location Read-only	The location of the meeting.	This field populates with the Meeting Location from the locked Meeting Invitation document.
Meeting Time Read-only	The time of the meeting.	This field populates with the Meeting Time from the locked Meeting Invitation document.
Meeting Purpose Read-only	The purpose of the meeting.	This field populates with the Purpose(s) from the locked Meeting Invitation document.
Attendance
First Name	The first name of the team member.	This field populates from the Team Members on the selected Meeting Invitation.
Last Name	The last name of the team member.	This field populates from the Team Members on the selected Meeting Invitation.
Role Name	The role of the team member.	This field populates from the Team Members on the selected Meeting Invitation.

Field	Description	Validation
1. What are the student's strengths? *Required	A description of the student's strengths.	*This field is required to Complete the editor.
2. What are the educational concerns of the parent (or student, if appropriate)? *Required	A description of the parent's educational concerns for their student.	*This field is required to Complete the editor.
3. What multiple data sources (including district or statewide assessments) are being used to create this IEP? *Required	A description of the data sources included in creating the IEP.	*This field is required to Complete the editor.
4. How does the child's disability affect the child's involvement and progress in the general education curriculum? *Required	A description of how the student's disability impacts their progress in the general education curriculum.	*This field is required to Complete the editor.
5. What are the child's other educational needs that result from the child's disability? *Required	A description of the student's educational needs based on their disability.	*This field is required to Complete the editor.
6.Braille? *Required	Indicates the student required Braille instruction. Options are Yes or No.	*This field is required to Complete the editor.
If the IEP team has determined that Braille instruction is not appropriate at this time, provide a specific explanation of why such services are inappropriate *Required	A description of why Braille instruction in not appropriate for the student.	*This field is available and required when No is selected for the Braille question.

Field	Description
Communication needs of the student	Options are Yes or No.
Braille instruction for students who are blind or visually impaired	Options are Yes or No.
Communication and language needs for students who are deaf/hard of hearing	Options are Yes or No.
Language needs for students with limited English proficiency	Options are Yes or No.
Positive behavior interventions, supports, and strategies for student whose behavior impedes learning	Options are Yes or No.
Need for assistive technology devices and services	Options are Yes or No.
Intervention supports and strategies for students who have difficulty accessing and/or using grade-level textbooks and other core materials in standard print formats	Options are Yes or No.
Evidence-based reading interventions, supports, and strategies for students with limited reading proficiency	Options are Yes or No.

Unique Needs/Present Levels/Annual Goals and Benchmarks List Screen

Column Name	Description
Padlock Icon	Indicates the person editing the record.
Sequence	The order of the record.
Area of Unique Need	The area where the student requires special education services, supplementary aids and supports, and program modification or supports.
Statement of Unique Need	The type of special education service, supplementary aids and support, and program modification or support.

Unique Needs/Present Levels/Annual Goals and Benchmarks Detail Screen

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

Unique Needs Detail Screen

Field	Description	Validation
Sequence Number Required	The order of the record.	This field automatically sequences for each new entry. Each sequence number must be unique.
Area of Unique Need Required	The area where the student requires special education services, supplementary aids and supports, and program modification or supports.	This field is limited to 100 characters.
Statement of unique need Required	The type of special education service, supplementary aids and support, and program modification or support.	This field is limited to 8000 characters.
Describe accommodations and/or modifications the student needs to benefit from his/her special education program Required	A description of the accommodation or modification.	This field is limited to 8000 characters.
Describe Present Levels of Educational Performance for the area/unique need above Required	A description of the student's current level of educational performance.	This field is limited to 8000 characters.
Measurable Annual Goals and Benchmarks (Table) The following columns display in the Measurable Annual Goals and Benchmarks table: Sequence Annual Goal Related Service Goal ESY This side panel displays when selecting an existing record or clicking the New button. The below fields display on the Measurable Annual Goal and Benchmarks side panel:
Annual Goal
Sequence Number	The order of the record.	This field automatically sequences for each new entry. Each sequence number must be unique.
ESY	This indicates that this area is part of an extended school year program.	When marked, the goal pulls into the ESY editor as read-only.
Related Service Goal	This indicates that this area is part of a related service goal.	When marked, the Related Service editor is required and cannot be placed in a Not Needed status.
Annual Goal	A description of the goal.	This field is limited to 8000 characters.
Benchmarks
Sequence Number Required	The order of the record.	N/A
Benchmark Required	The standard the student must achieve to make progress toward the annual goal.	This field is limited to 2000 characters.
Marking Period	The terms associated with the enrollment for the active IEP.	This pulls from Calendar Setup.
Progress The following fields display as read-only when a Progress Report document is created for this student's goals. Progress Date Progress Reported Optional Narrative

Specially Designed Instruction List Screen

Column Name	Description
Padlock Icon	Indicates the person editing the record.
Sequence	The order of the record.
Specially Designed Instruction	The service provided to the student.
Frequency/Duration	The amount of time the student requires the service.
Setting	The location of service.
Related Service	Indicates this is a related service.
Initiation Date	The first day of service.
End Date	The last day of service.

Specially Designed Instruction Detail Screen

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

Specially Designed Instruction Detail Screen

Field	Description	Validation
Sequence Number Required	The order of the record.	This field automatically sequences for each new entry. Each sequence number must be unique.
Addresses Area(s) of Unique Need Required	The area where the student requires special education services, supplementary aids and supports, and program modification or supports.	This field populates with the Areas of Unique Need from the Unique Needs/Present Levels/Annual Goals and Benchmarks editor.
Addresses Goal(s)	A description of the goal.	This field populates with the Areas of Unique Need from the Unique Needs/Present Levels/Annual Goals and Benchmarks editor.
Related Service Checkbox	Indicates this is a related service.	N/A
Related Service *Required, Dropdown	The specific related service provided to the student. Options include: Audiological Services Counseling Services Interpreting Services Orientation and Mobility Services Occupational Therapy Parent Counseling and Training Psychological Services Physical Therapy Rehabilitation Counseling Services Recreational Services Speech/Language Pathology Services School Nurse Services Social Work Services Transportation Visual Impairment Services	*This field is available and required when the Related Service checkbox is marked.
Specially Designed Instruction Required	The service provided to the student. Options include: SDI for reading SDI for math SDI for writing SDI for behavior SDI for social/emotional skills SDI for executive functioning SDI for speech and/or language SDI for occupational therapy SDI for other	N/A
Specify Other *Required	A description of the other service provided to the student.	*This field is available and required when SDI for other is selected as the Specially Designed Instruction. This field is limited to 150 characters.
Setting Required	The location of service. Options are: General Education Setting Special Education Setting	N/A
Accommodations	Any accommodations related to the service.	N/A
Describe...	A description of how the specially designed instruction addresses the student's needs by adapting their instruction.	This field is limited to 8000 characters.
Duration and Frequency
Initiation Date Required	The first day of service.	This field populates with the Initiation Date from the Plan Header but can be modified as needed.
End Date Required	The last day of service.	This field populates with the End Date from the Plan Header but can be modified as needed.
Amount of time (in minutes) Required	The number of minutes the student receives the service.	N/A
Number times per Required	The number of times the student receives the service.	N/A
Frequency Required	The frequency of service. Options include: Class period per month Class periods per school day Class periods per school week Days per month Days per school week Sessions per month Sessions per school day Sessions per school week Times per marking period Times per month Times per school day Times per school week	N/A
Responsible Party Required	The person responsible for administering the service. Options include: Special education staff Regular education staff Regular and special education staff	N/A

Field	Description	Validation
Are there special transportation needs? Required	Indicates the student requires additional transport services. Options are Yes or No.	N/A
If yes, specify *Required	A description of the transportation service needs of the student.	*This field is available and required when Yes is selected for the Are there special transportation needs? question.
Is it necessary to place this student, who is transported from the school bus into the charge of a parent or other authorized responsible person?	Indicates the student must be placed in the care of a guardian or responsible person after transport. Options are Yes or No.	N/A

Field	Description	Validation
The student will adhere to School Code of Conduct	Options include: Interventions and supports are described under services/supports and/or in goals Behavior intervention and support plan (see attached) Other	Mark all that apply.
Specify Other Required	A description of what other supports the student may need to follow the school code of conduct.	*This field is available and required when Other is selected above. This field is limited to 8000 characters.

Field	Description	Validation
Is ESY needed? Required	Indicates ESY is needed. Options include: Yes No ESY offered, but declined by parent	N/A
Rationale for Decision Required	A description of the decision rationale.	This field is limited to 8000 characters.
If yes, describe ESY goal(s) *Required	A description of the ESY goals.	*This field is available and required when Yes is selected from the "Is ESY needed" dropdown. This field is limited to 8000 characters.
Specify Goals Read-only	A read-only view of the ESY Goal.	N/A

ESY Services List Screen

Column Name	Description
Padlock Icon	Indicates the person editing the record.
Sequence	The order of the record.
Service	The service provided to the student.
Type	The type of service.
Frequency	The amount of time the student requires the service.
Initiation Date	The first day of service.
End Date	The last day of service.

ESY Services Detail Screen

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

ESY Services Detail Screen

Field	Description	Validation
Sequence Number Required	The order of the record.	This field automatically sequences for each new entry. Each sequence number must be unique.
Service Required	The service provided to the student. AUDESY: Audiology COESY: Counseling Services INSTMA: Instruction - Math INSTREA: Instruction - Reading INSESY: Instruction INTESY: Interpreting Services OTESY: Occupational Therapy OMESY: Orientation and Mobility Services PARCOESY: Parent Counseling and Training PTESY: Physical Therapy PSESY: Psychological Services RECESY: Recreation REHABESY: Rehabilitation Counseling Services SNESY: School Nurse Services SWESY: Social Work Services STESY: Speech/Language Pathology Services TRANSESY: Transportation	N/A
Service Type Required	The type of service. AUDESY: Audiology COESY: Counseling Services INSTMA: Instruction - Math INSTREA: Instruction - Reading INSESY: Instruction INTESY: Interpreting Services OTESY: Occupational Therapy OMESY: Orientation and Mobility Services PARCOESY: Parent Counseling and Training PTESY: Physical Therapy PSESY: Psychological Services RECESY: Recreation REHABESY: Rehabilitation Counseling Services SNESY: School Nurse Services SWESY: Social Work Services STESY: Speech/Language Pathology Services TRANSESY: Transportation	N/A
Grade	The student's grade.	N/A
Setting Required	The location of service. Options are: General Education Setting Special Education Setting	N/A
Describe	A description of how the service addresses the student's needs by adapting their instruction.	This field is limited to 8000 characters.
Duration and Frequency
Initiation Date Required	The first day of service.	This field populates with the Initiation Date from the Plan Header but can be modified as needed.
End Date Required	The last day of service.	This field populates with the End Date from the Plan Header but can be modified as needed.
Amount of time (in minutes) Required	The number of minutes the student receives the service.	N/A
Number times per Required	The number of times the student receives the service.	N/A
Frequency Required	The frequency of service. Options include: Class period per month Class periods per school day Class periods per school week Days per month Days per school week Sessions per month Sessions per school day Sessions per school week Times per marking period Times per month Times per school day Times per school week	N/A

Field	Description	Validation
Educational Environments of Children with Disabilities Ages 3-5
Check ONE Required	(A) Children attending a regular early childhood program at least 10 hours per week and the program includes at least 50 percent children without disabilities (children not on IEPs) (A1) and receiving the majority of hours of special education and related services in the regular early childhood program (A2) and receiving the majority of hours of special education and related services in some other location (B) Children attending a regular early childhood program less than 10 hours per week and the program includes at least 50 percent children without disabilities (children not on IEPs) (B1) and receiving the majority of hours of special education and related services in the regular early childhood program (B2) and receiving the majority of hours of special education and related services in some other location (C) Children attending a special education program (NOT in any regular early childhood program) and the program includes less than 50 percent children without disabilities (children not on IEPs) (C1) specifically, a separate special education class (C2) specifically, a separate school (C3) specifically, a residential facility (D) Children attending NEITHER a regular early childhood program NOR a special education program (NOT included in row sets A, B, or C) (D1) receiving the majority of hours of special education and related services at home. Report the child in this category even if the child also received special education and related services in a service provider location or some other location that is not in any other category (D2) receiving the majority of hours of special education and related services at the service provider location or some other location not in any other category	Only one option from A-D can be selected.
An explanation must be provided about the extent, of any, to which the child will not participate with children without disabilities in an early childhood program Required	A description of how the student participates with non-disabled peers in the early childhood program.	This field is limited to 8000 characters.
Building Required	The location of the setting.	This field is limited to 150 characters.
Initiation Date Required	The first day of the setting.	N/A
End Date Required	The last day of the setting.	N/A
Educational Environments of Children with Disabilities K-12
Use the options below to determine the appropriate setting	A. Regular Setting includes pull-out related services and team classrooms. Student served inside the regular classroom greater than or equal to 80% of the day B. Services Provided Both in Separate Education Classes and Regular Setting Student served inside the regular classroom greater than or equal to 40% of the day and no more than 79% of the day C. Separate Special Education in an Integrated Setting Student served inside the regular classroom less than 40% of the day D. Separate School Student served in public or private separate day school facility for greater than 50% of the school day or a residential facility of student does not live at the facility E. Residential Facility where student resides during the school week F. Homebound or Hospital G. Correctional Facilities (only used by DSCYF and Prison Education) Students placed in a short-term detention or correctional facilities	Only one option can be selected.
An explanation must be provided about the extent, if any, to which the child will not participate with non-disabled children in the regular class *Required	A description of how the student participates with non-disabled peers in the regular classroom.	*This field is required when any selection is made in the K-12 section above. This field is limited to 8000 characters.
Building	The location of the setting.	This field is limited to 150 characters.
Initiation Date	The first day of the setting.	N/A
End Date	The last day of the setting.	N/A

Field	Description	Validation
I acknowledge that I have received a copy of the Procedural Safeguards. My due process rights under these Procedural Safeguards have been explained to me	Indicates the parent has received the Procedural Safeguards document. Options are Yes or No.	N/A
I agree with the program described in this document	Indicates the parent agrees with the proposed program for their student. Options are Yes or No.	N/A
I agree with the placement decision as noted above and discussed at this meeting	Indicates the parent agrees with the proposed placement for their student. Options are Yes or No.	N/A
At least one year before the age of majority (18), the student has been informed that rights will transfer to him/her unless a legal guardian has been appointed	Indicates the student has been informed that their rights will transfer to them unless a legal guardian is appointed. Options are Yes or Not Applicable.	N/A
If Parent Does Not Attend
Name	The name of the case manager.	This field populates with the Case Manager name from the Team Members tool.
Position	The role of the case manager	This field populates with the Case Manager role from the Team Members tool.
Method of Contact	The form of communicating with the parent. Options include: In Person Via Email Via Mail Via Phone Other	N/A
Specify Other *Required	The other form of communication.	*This field is available and required when Other is selected as the Method of Contact.

Field	Description	Validation
YES, I give the school permission to share this student's education and health-related information with Medicaid, including billing information	Indicates the person gives permission to the school to share the student's information with Medicaid.	N/A
NO, I do not give the school permission to share this student's education and health-related information with Medicaid	Indicates the person does NOT give permission to the school to share the student's information with Medicaid.	N/A
Signed by	The person signing the Medicaid consent. Options include: Student (if over 18 years of age) Parent Guardian Custodian	Only one option can be selected.

Field

Description

Validation

YES, I give the school permission to share this student's education and health-related information with Medicaid, including billing information

Indicates the person gives permission to the school to share the student's information with Medicaid.

N/A

NO, I do not give the school permission to share this student's education and health-related information with Medicaid

Indicates the person does NOT give permission to the school to share the student's information with Medicaid.

N/A

Signed by

The person signing the Medicaid consent. Options include:

Student (if over 18 years of age)
Parent
Guardian
Custodian

Only one option can be selected.

Prior Written Notice List Screen

Column Name	Description
Padlock Icon	Indicates the person editing the record.
Date Notice Provided	The date of the notice.
Description of why the School District is Proposing or Refusing to Take the Action	Displays the first 100 characters of the description from the detail screen.

Prior Written Notice Detail Screen

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

Prior Written Notice Detail Screen

Field	Description	Validation
Print Student PWN	Indicates the Prior Written Notice prints.	N/A
1. Description of the Action the School District Proposes or Refuses to Take Required	A description of the proposed action.	This field is limited to 8000 characters.
2. Explanation of Why the School District is Proposing or Refusing to Take the Action Required	An explanation of why the school is proposing or refusing to take action.	This field is limited to 8000 characters.
3. Description of Each Evaluation Procedure, Assessment, Record, or Report the School District Used in Deciding to Propose or Refuse the Action Required	A description of the evidence used to decide to propose or refuse action.	This field is limited to 8000 characters.
4. Description of Any Other Choices the IEP Team Considered and the Reasons Why Those Choices Were Rejected Required	A description of the choices considered and rejected by the IEP team.	This field is limited to 8000 characters.
5. Description of Other Reasons Why the School District Proposed or Refused the Action Required	Any other reasons why the school proposed or refused action.	This field is limited to 8000 characters.
This Notice is provided to you on Required	The date on which the notice was provided.	N/A
I waive the waiting period of 10 school days before implementation of the proposed action described in section 1 and agree that the proposed action described in section 1 can be implemented as soon as possible.	Indicates the person waives the waiting period before the implementation of the proposed action.	N/A

Preschool Individual Education Plan (Delaware)

Plan Header

Enrollment Information

Student Information

Parent/Guardian Information

Meeting Participants

Data Considerations

Other Factors to Consider

Unique Needs/Present Levels/Annual Goals and Benchmarks

Unique Needs/Present Levels/Annual Goals and Benchmarks List Screen

Unique Needs/Present Levels/Annual Goals and Benchmarks Detail Screen

Specially Designed Instruction

Specially Designed Instruction List Screen

Specially Designed Instruction Detail Screen

Transportation

Discipline

Participation in Twelve Month Program

ESY