Fillable Local Educational Agency Onsite Visit for Nonpublic School (California)

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Local Educational Agency Onsite Visit for Nonpublic School (California)

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Local Educational Agency
Onsite Visit for Nonpublic School
General Information
Name of Nonpublic School (NPS):
Street Address of NPS: City: State: ZIP:
Name of NPS Administrator: Title:
NPS Administrator Phone:
Email:
Name of Local Educational Agency (LEA) Placing Student at NPS:
Name of LEA and Agency Conducting Monitoring Visit:
Name of Person Conducting the Onsite Monitoring:
Date of Visit:
State Student Identifier (SSID):
Date of Birth:
Grade Level:
Date of Last Individualized Education Program (IEP):
Facility Monitoring
Walkthrough of the Facility
Does the general, overall facility (inside and outside) appear to be clean?
Does the general, overall facility (inside and outside) appear to be free of safety hazards?
Do classrooms and common areas appear to be safe and conducive to a positive classroom
learning environment?
Any areas of concern noted during facilities walkthrough (please describe below):
California Department of Education, Special Education Division
June 2020
Student Monitoring
Review of Services Provided Through the Individual Service Agreement
Are the services listed in the Individual Service Agreement (ISA) being provided?
If no, is there a plan to make up any missed services?
Review of Progress on IEP Goals
Have regular progress reports, consistent with the student's IEP, been sent to parents and to the
district?
If progress reports are not evident, is there a plan to begin providing them?
Is student making adequate progress on goals?
If not, is there a plan to ensure progress?
Review of Progress on Goals Specific to a Behavior Intervention Plan
Are there goals related to a Behavior Intervention Plan (BIP)?
Is the progress on goals specific to BIPs being reported?
California Department of Education, Special Education Division
If not, is there a plan to begin providing updates to the BIP related goals?
Is student making adequate progress on BIP related goals?
Observation of Student in Instructional Setting
Is the student groomed and dressed appropriately?
Does the instructional setting appear appropriate to meet the unique needs of the student?
Do staff demonstrate a caring, respectful attitude towards students?
Are accommodations and/or modifications implemented consistent with the IEP?
Is an appropriately modified or academically rigorous curriculum accessible to the student?
Is the student provided with appropriate assistive technology device(s) in accordance with the IEP?
Findings of the monitoring visit must be submitted to the California Department of
Education within 60 days of the visit. When this document is complete, email to the
Nonpublic Schools Unit at: npsa@cde.ca.gov.
Date emailed to the California Department of Education:
California Department of Education, Special Education Division
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Local Educational Agency Onsite Visit for Nonpublic School (California)

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Completed 1 October 2021

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