Section F: Special Needs Guidelines

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1 Section F: Special Needs Guidelines TOPIC... PAGE Students with Special Needs (SSN) Guidelines BASCC Enrollment Guidelines for Students with Special Needs BASCC Special Needs Intake Form...55 BASCC Release of Information Form.58 Revised

2 THE SCHOOL BOARD OF BROWARD COUNTY Educational Programs Before and After School Child Care Students with Special Needs (SSN) Guidelines For On-Site Before and After School Child Care Revised UNDERLYING PREMISES The guidelines were developed by the Before and After School Child Care Department, Exceptional Student Education Department, and Equal Education Opportunities Department of the School Board of Broward County. These guidelines were based on the premises that: a) After school child care is not a part of the educational process; it is a service for parents/guardians and children; b) Opportunities that are available to typical students and their parents must be open to Students with Special Needs (SSN) and their parents, and vice versa; c) It is the responsibility of the schools, the Providers, and The School Board of Broward County to inform parents about after school child care opportunities. STUDENT ASSIGNMENT 1. Student Eligibility: All preschool, elementary, and middle school students, with after school child care programs at their school, including SSN students, enrolled in a Broward County Public School are eligible to participate in Before and After School Child Care programs. The district provides equal access to after school child care programs for students with disabilities, and accommodations are provided to meet the unique needs of students with disabilities. The district s procedures for after school child care include a process for identifying and implementing accommodations to meet students unique needs. 2. Pre-Enrollment Meeting: As student s needs will vary, within ten (10) school days from the date of application, a pre-enrollment meeting may be held, between the parent or guardian, and the provider, when requested by the program. The purpose of the pre-enrollment meeting is to determine staffing, special training needs for staff, special equipment, transportation, and other student needs. It is recommended that the following personnel also be in attendance: ESE specialist, ESE teacher, and a classroom teacher. An observation might also be necessary to best determine the needs of the student. A minimum of one after school child care site in each area (North, North Central, South, South Central) will be established for SSN students whose needs cannot be met at the student s school. 3. Transportation: Within ten (10) school days of enrollment in an After School Child Care program. The day school and the transportation department will arrange transportation to the program, where it is feasible to modify existing transportation services. F-52 Revised

3 STAFF TRAINING 1. Training Needs: Discussions between the provider and the parent or guardian at the preenrollment meeting will determine after school staff special training needs. Prior to student s enrollment, preferably within ten (10) days of the pre-enrollment meeting, training of after school child care staff, if necessary, will begin. 2. Trainers: Parental expertise may be considered in designing training activities. If training needs exceed the expertise of the provider or school staff, area and district personnel will be contacted for the program to provide support. Deaf/Hard of hearing impaired students may need a person trained in sign language. STUDENT/STAFF RATIOS Students will be included with their non-disabled peers to the fullest extent possible. Lower student/staff ratios, if needed, will be provided on a case-by-case basis. ELIGIBLE PRIVATE PROVIDERS Eligible Private Providers must adhere to these guidelines or it will be deemed a breach of RFP Requirements and may be cause for termination. If a parent feels that their child has been discriminated against and you or the parent needs additional information, contact the Equal Educational Opportunities Department of the School Board at Any concerns or questions should be directed to BASCC at F-53 Revised

4 Before and After School Child Care (BASCC) Enrollment Guidelines For Students with Special Needs Revised Parent/guardian requests after care services for a child with special needs: 1. A pre-enrollment conference takes place to determine what accommodations will need to be made to meet the child's needs. The following individuals need to be present at this meeting: the parent, or guardian of child, the child, if possible, the BASCC Supervisor, and the ESE specialist or teacher, if possible, for the day program. At this time an answer cannot be given to the parent or guardian, as all options for the best care need to be considered. 2. The After School Child Care Supervisor or Provider Designee and the ESE Specialist will discuss several options: Option #1- available for all programs The BASCC Program Supervisor or Provider Designee and ESE Specialist agree that the child's needs for after care can be met in an inclusive group within the after care program. This decision is based upon the level of support needed to meet the child s needs, as well as the available program resources. (Note: The IEP requirements for the school day do NOT need to be met for the aftercare time regarding educational support.) The After School Child Care Supervisor or Provider Designee will notify the parents that their child may register for the after care program. Option #2-available for all programs If the special needs of the child cannot be met at the program with Option #1, a referral for alternative program placement needs to be made. The BASCC Program Supervisor or Provider Designee will contact The Special Needs Department of the YMCA s Children s Advocacy Family Center to determine placement availability, as well as access to transportation prior to beginning the referral process. In the event the YMCA can meet the needs of this child according to the above conditions, the BASCC Program Supervisor or Provider Designee will fax the completed Special Needs Intake Form and Release of Information form to the YMCA and they will make the final decision to recommend a cluster or community agency program. Transportation to an ESE cluster site MAY be possible. The Special Needs Coordinator, YMCA and ESE Specialist at the school site will work together to find out if transportation is available. If all of the above requirements have been met for Option #2 and an appropriate program is available, THEN the YMCA will contact the parent or guardian with the after care options, and will also contact the After School Child Care Supervisor or Provider Designee with the results. If the YMCA is unable to meet the needs of the child, the Special Needs Intake must be reviewed by the BASCC Special Needs Committee. The Committee will review and make recommendations on how to proceed with after care options for the child. Cobi Baker, Director of Special Needs Programs, YMCA of Broward County, FL, Inc FAX: Ruth M. Rogge, FDLRS Program Specialist, (can arrange training) Dr. Deborah R. Gavilan, Coordinator, BASCC, Broward County School Board, Enrollment Guidelines for Students with Special Needs Revised F-54

5 Before and After School Child Care SPECIAL NEEDS INTAKE FORM Page 1 of 3 Name of Participant: Date of Birth: / / Age: Grade Name of Parent / Guardian: Home Phone: Emergency Phone: Work Phone: Cell Phone: Street Address: City / State / Zip Code: After School Provider and Program Location: Participant s School: Does the participant have an IEP (Individualized Education Program)? _ Yes _ No Does the participant have a 504 Plan? _ Yes _ No If NO to the above, is the participant being considered for testing? _ Yes _ No Please check the special education services received at school: _ Full-time _ Cluster Class _ Part-time _ Other Please indicate classroom staff to child ratios: Please indicate participant s IEP classification: _ Autism Spectrum Disorder _ Deaf or Hard of Hear _ Developmentally Delayed (Age 0-5) _ Dual-Sensory Impaired _ Educable Mentally Handicapped _ Emotional/Behavioral Disabilities _ Established Conditions (Age 0-2) _ Language Impaired _ Occupational Therapy _ Orthopedically Impaired _ Other Health Impaired _ Physically Therapy _ Profoundly Mentally Handicapped _ Speech Impaired _ Specific Learning Disabled _ Trainable Mentally Handicapped _ Traumatic Brain Injured _ Visually Impaired Please indicate the participant s primary diagnosis: _ Autism _ Asperger s Syndrome _ Blind or Visually Impaired _ Down Syndrome _ Cerebral Palsy _ Deaf or Hard of Hearing _ Spinal Bifida _ Mental Retardation _ Fragile X Syndrome _ Prader Willi Syndrome _ Pervasive Developmental Disorder NOS _ Emotional/Behavior Disorder _ Other: Please list any secondary diagnosis: COMPLETE MEDICATION INFORMATION IS NECESSARY IN A MEDICAL EMERGENCY. Please list ALL current medications and daily dosage: Name of Medication Reason for Medication Dosage Time Administered Please list any side effects to the above medications: F-55

6 Before and After School Child Care SPECIAL NEEDS INTAKE FORM Page 2 of 3 Participant s Name: Do medications need to be administered during the program? _ Yes _ No If yes, please complete Medication Authorization Form. Special Diet: Please list any allergies: In order to best meet the needs of the participant, please complete the following information completely and accurately. The participant is able to: Dress: _ Independently _ Needs Partial Assistance _ Needs Total Assistance Use the Bathroom: _ Independently _ Wears Pull-Ups or Diapers _ Needs Partial Assistance _ Needs Total Assistance PLEASE NOTE! PARENTS MUST PROVIDE DIAPER/PULL-UP SUPPLY AND ADEQUATE CHANGES OF CLOTHES. If the participant requires toileting assistance, do they indicate the need or show signs of the urge? _ Yes _ No Has the participant been included in a 1:20 staff to child ratio? _ Yes _ Sometimes _ No Does the participant need assistance to participate in activities? _ Yes _ Sometimes _ No Does the participant play with toys appropriately? _ Yes _ Sometimes _ No Does the participant require 1:1 care? _ Yes _ No If yes, please explain: Does the participant receive public school transportation? _ Yes _ No Has the participant ever required physical restraint? _ Yes _ No Has the participant ever become aggressive towards others? _ Yes _ Sometimes _ No Does the participant run away from a group or designated area? _ Yes _ Sometimes _ No Would the participant attempt to hide? _ Yes _ No Does the participant s siblings attend the program? _ Yes _ No Does the participant have seizures? _ Yes _ No If yes, please complete Seizure Action Plan. What is the participant s level of speech and communication (including language spoken at home): List any assistive technology or communication devices required? List any challenging behaviors (for example: hitting, kicking, biting, pinching, screaming, tantrums, eloping): Are there situations in which the participant is more likely to engage in the above behaviors? What is the response to these behaviors at home? What is the response to these behaviors at school? F-56

7 Before and After School Child Care SPECIAL NEEDS INTAKE FORM Page 3 of 3 Participant s Name: Participant s motivating rewards and reinforcers: Please list the participant s interests: Special training recommended for staff: Recommended Ratio at time of intake: _1:1 _1:4 _1:10 _1:20 other: (Not all programs provide these ratios) I agree to release the information from my child/ dependant s IEP (Individualized Education Program) and Behavior Treatment Plan (if applicable). _Yes _No THE PARENT / GUARDIAN S SIGNATURE BELOW INDICATES AGREEMENT WITH THE FOLLOWING LANGUAGE: I understand this In-Take interview is not a guarantee of my child s placement in the after school child care program. The purpose of the Intake Interview is to determine if this program is most appropriate for your child. I understand that this program is not designed for therapeutic or one-on-one care. I understand this after school program operates within the provisions of the American s with Disabilities Act, which provides protection to individuals with disabilities as well as to providers of care for these individuals. I understand and agree that if my child is determined to be a threat to the overall health and safety of him/herself or others, he/she may be expelled from the child care program. I understand that all children regardless of their diagnosis are subject to disciplinary procedures. Parent conferences, probationary periods and suspension are some of the steps that may be taken to ensure children and families are aware their after school placement is in jeopardy. In some cases, children may be subject to emergency suspension or expulsion, at the sole discretion of the after school provider, if the child s behaviors are beyond our staff s ability to control. I give permission for information from this intake interview to be shared with the Before and After School Child Care (BASCC) Special Needs Committee if special considerations need to be made for my child s after school placement. Name of Parent / Guardian Signature of Parent / Guardian Date After School Administrator (print name) Signature LIST other individuals present at intake: Print Name / Relationship to Participant Print Name / Relationship to Participant Print Name / Relationship to Participant Print Name / Relationship to Participant F-57

8 Before and After School Child Care Release of Information Form When the special needs of a child cannot be met in a typical child care program, it may be necessary to refer the family to an after school program that is specifically designed for children with disabilities. In an effort to find a program that may provide your child appropriate after school child care, your consent is needed to release information pertinent to his or her needs. has already gathered this information specific to your (Provider s Name) child s needs in the pre-enrollment conference that was conducted earlier. will share this information with the Before and After School Child Care (BASCC) Special Needs Committee in an effort to research the nearest available program, with your approval. By signing your name below, you give permission for exchange of information between and the BASCC Special Needs Committee. Parent Signature Date Print Parent Name Print Child s Name F-58

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