Topic Area Question/Item Yes No N/A Reviewer Comments Procedural Is there evidence that the parent was provided the “Parent Safeguards document and an explanation of the rights was – Rights” State provided initially and when prior written notice and/or consent Selected was provided: Indicator #1: Parent Rights At Intake? Prior to Screening? With screening results, if screening was provided? If initial evaluation and assessment is determined to be not appropriate? Prior to initial evaluation and assessment? With eligibility determination? Prior to Initial IFSP meeting? Prior to initiating services on the IFSP (initial, IFSP reviews, annual, Transition)? Prior to IFSP reviews? Prior to Subsequent evaluations? Prior to Annual IFSP meetings? Prior to Transition Conference? Prior to discontinuing/exiting services if child no longer meets eligibility criteria?
Topic Area Question/Item Yes No N/A Reviewer Comments Procedural Safeguards Selected Indicator #1: Parent Rights Is there evidence that the parent was provided the “Parent Rights” document and an explanation of the rights was provided initially and when prior written notice and/or consent was provided: At Intake? Prior to Screening? With screening results, if screening was provided? If initial evaluation and assessment is determined to be not appropriate? Prior to initial evaluation and assessment? With eligibility determination? Prior to Initial IFSP meeting? Prior to initiating services on the IFSP (initial, IFSP reviews, annual, Transition)? Prior to IFSP reviews? Prior to Subsequent evaluations? Prior to Annual IFSP meetings? Prior to Transition Conference? Prior to discontinuing/exiting services if child no longer meets eligibility criteria? – State