OH: PR-03 Manifestation Determination. Ohio Form PR-03: Manifestation Determination IEPPLUS

Transcription

1 Ohio Form PR-03: Manifestation Determination IEPPLUS SunGard K-12 Education Copyright 2013 Page 1 of 11

2 TABLE OF CONTENTS OVERVIEW... 3 FORM INSTRUCTIONS... 3 FORM CREATION... 3 Step 1 Select a Student... 3 Step 2 Select Options... 4 NAVIGATION/TOOLBAR... 4 CODE TABLE SETUP... 6 DATA MAPPING... 7 REVISION HISTORY SunGard K-12 Education Copyright 2013 Page 2 of 11

3 OVERVIEW The Manifestation Determination Review is a form in which the LEA, parent(s)/guardian(s), and relevant members of the IEP team review all the relevant information in the student s file, teacher observations, and any additional information provided by the parent(s)/guardian(s). FORM INSTRUCTIONS FORM CREATION The form creation process includes the following steps: Step 1: Select a Student Step 2: Select Options STEP 1 SELECT A STUDENT 1. Click Student Management > Manage an Existing Student. 2. Use the Search window to find the student based on either, Last Name, First Name or Student ID. 3. Click Search. Then click the appropriate Name to select a student. 4. Once a student has been selected, the student s Name, ID, Birth date and Age will display. The Forms that can be created for a student will be listed. Click on the Manifestation Determination link. The Manifestation Determination Summary screen will display, listing any prior forms created for the student. The most recent form will display at the top of the list. To review an existing form, click the appropriate link. To create a new form, click the New icon. SunGard K-12 Education Copyright 2013 Page 3 of 11

4 STEP 2 SELECT OPTIONS 1. When the New button is selected (see screenshot above), the Form Wizard displays. This wizard is an automatic template that helps the user to easily setup the form (see screenshot below). There are 2 sections in which to choose from: 1) Create a Meeting, and 2) Select an existing Meeting. A. Create a Meeting: Select the 1 st radio button to use the date calendar or type in a date for the new meeting. Next, select a Type for the new meeting in the drop-down box. B. Select an existing Meeting: Select the 2 nd radio button to select an existing meeting from the drop-down box. C. Select a Letterhead: Select an existing Letterhead (optional). The Letterhead can also be selected in the Form Information, which is detailed in the Navigation/Toolbar section of this document. 2. Click the Create Form link. NAVIGATION/TOOLBAR Once the form has been created, it will display a toolbar on the left side of the screen, divided into the following areas: 1. Sections This displays the only section of the form ( Main ). 2. Maintenance These options will maintain Form Information, and Delete. SunGard K-12 Education Copyright 2013 Page 4 of 11

5 Form Information provides the ability to change the Form Name, Letterhead, and Meeting. Delete functionality is available depending on user security. 3. Validation These options will change the status (Ready for Review, Lock, and Finalize). 4. File Attachments Click the plus icon (+) to add an attachment. Click the minus icon to delete an attachment. 5. Archives Archives are permanent PDF copies of the form. Click Finalize in the Validation section to create an Archived copy. The form should be finalized and archived only after it has been fully completed and a copy has been sent home to the student s parents or guardians. The following options will display at the top and bottom of the form (see screenshot below). Save Information from each section should be saved before moving to another section. Return Click the Return icon to return to the Form Summary screen. Print Preview Print Preview will display the form in Adobe Acrobat. Mouse over the bottom of the form preview to see the toolbar illustrated below. Select the Print icon or click the Save icon to save a copy of the form to your computer. The plus (+) icon will enlarge the preview for ease of viewing. SunGard K-12 Education Copyright 2013 Page 5 of 11

6 CODE TABLE SETUP 1. Navigate to Maintenance > Manage Code Tables. 2. Select the name of the table from the drop down list (ex: Meeting Type ). 3. To add a code, choose the New icon from the top menu. 4. Enter the Description in the yellow box, then click on the Update link, and then click the Save icon from the top menu. 5. To add or edit an Alternate Code, first click Show Alternate Codes at the top of the page. Then click Edit on the applicable Code record to open the record for changes. SunGard K-12 Education Copyright 2013 Page 6 of 11

7 Once the record is open, click the appropriate link to add a new Alternate Code or Edit an existing one. Clicking the Delete icon will remove an existing Alternate Code. When finished with the changes, click the Save icon. DATA MAPPING SunGard K-12 Education Copyright 2013 Page 7 of 11

8 A 4B 5 6A-D SunGard K-12 Education Copyright 2013 Page 8 of 11

9 7 8 9A 9D 9E 9F 9B 9C IEPPLUS OH: Report PR-03 Manifestation Determination A Letterhead Maintenance, Manage Letterheads 1 Child s Name Basic Information, Demographics, Name First Name, Middle Name, Last Name, Qualifier (ex: John James Jones, Jr.) 2 Date of Birth Basic Information, Demographics, Name, Birth Date 3 ID Number Basic Information, Demographics, Name, Student ID 4A Nature of Disability Student, Program, Classification/Disability As of the day of the Meeting 4B Nature of Disability: Text Free-form text box Box 5 Nature of Behavior Free-form text box 6A-D Checkboxes: Determination of Relationship of Behavior to Disability Yes/No Checkboxes: a. Did the IEP team review relevant information in the student's file and the student's IEP? b. Did the IEP team review relevant information presented by the parents and teacher observations? c. Did the IEP team determine that the conduct in question was caused by/or had a direct and substantial relationship to the child's disability? d. Was the child's conduct a direct result of the district's failure to implement the IEP? SunGard K-12 Education Copyright 2013 Page 9 of 11

10 7 Conclusion: Behavior Manifestation Related to Disability 8 Conclusion: Date of Manifestation Determination Review 9A Signatures: Team Drop- Down OH: PR-03 Manifestation Determination If checkboxes 6c or 6d = Yes, then the wording here is as follows: o Based upon the information considered, the IEP team determined that the behavior WAS a manifestation of the Child's disability. If checkboxes 6c or 6d = No, then the wording here is as follows: o Based upon the information considered, the IEP team determined that the behavior WAS NOT a manifestation of the Child's disability. Meeting, Date (mm/dd/yyyy) Ex: 8/1/2011, 12/31/2012, etc. Student, Summary, Meetings, Attendees, Team Team setup: Maintenance, Manage Teams, Team Ex: Evaluation Team, Annual Review Team, etc. 9B Signatures: Position Student, Summary, Meetings, Attendees, Position Ex: Special Education Teacher, Guidance Counselor, etc. 9C Signatures: Name Student, Summary, Meetings, Attendees, Name Ex: First, Middle, Last Name, Qualifier (ex: John J. Jones, Jr.) 9D 9E 9F Signatures: Invited Checkbox Signatures: Attended Checkbox Signatures: Attended/Excusal Reason Drop-Down Student, Summary, Meetings, Attendees, Invited Checkbox Student, Summary, Meetings, Attendees, Attended Checkbox Student, Summary, Meetings, Attendees, Attended/Excusal Drop-Down Ex: In Person, Via Teleconference Call, etc. SunGard K-12 Education Copyright 2013 Page 10 of 11

11 REVISION HISTORY 6/5/2013: Updated entire document s formatting to conform to standard SunGard QA documentation layouts. Added: Overview section, Form Instructions section, Navigation/Toolbar section, Code Table Setup section, table of contents, header, footer, and section breaks. Updated: Screenshots, and Data Mapping section & table. 4/12/2010: Addition of Room as a text field. 11/13/2009: State updated Invitation Letter format to match their other forms Removed existing letterhead, report header 1 & 2, logo to match SED forms. Removed SET, Added Intervention Specialist Response to Parent Invitation section revised language. Page 2: Name of Student is not Child s Name Change: Add Intervention Specialist Removed: Special Education Teacher SunGard K-12 Education Copyright 2013 Page 11 of 11