Special Education (Sped) Program Standards Review Page 2
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1
2Division of Special Education
SPECIAL EDUCATION (SPED) PROGRAM STANDARDS REVIEW
III. Review of current Matrix of Services
1. There is a Matrix of Services form that correlates with each IEP.
Y
N
Date of Matrix: ___/___/___; Date(s) reviewed:___/___/___; ___/___/___; ___/___/___.
Y
N
2. The current Matrix form is less than 3 years old and is an Annual or Matrix Review after interim
(Refer to Section II #2)
Y
N
3. The IEP program(s) eligibility and the Matrix “Areas of Eligibility” match.
4. Each Matrix check mark ( √ ) is linked to a service on the IEP
Y
N
5. There are no changes/cross outs on the Matrix form.
Y
N
6. The domain ratings include "Special Considerations" points (when appropriate), are added
Y
N
correctly, and yield the correct cost factor. Domain Rating:____ Cost Factor:______
7. There is a Matrix of Services form that correlates with each FTE IEP.
Y
N
Comments:
IV. Review of Current ISIS Data
1. The exceptionality(ies) on the PF 17 screen match the IEP program eligibility(ies).
Y
N
(Refer to Section II #2)
2. The IEP conference date on the PF 17 screen matches the IEP conference date.
Y
N
(Refer to Section II #1)
3. The domain rating on the PF17 screen matches the current Matrix. Domain Rating ___
Y
N
(Refer to Section III #6)
Y
N
4. Consultation/Collaboration on the PF 17 screen matches the IEP.
(Refer to Section II #4)
Y
N
N/A
5. Student Case Management on the PF 14 screen matches the current FAB/BIP.
(Refer to Section II #10)
Y
N
N/A
6. Student Case Management on the PF 14 screen reflects the provision of counseling.
(Refer to Section II #4)
Y
N
7. The SST (Evaluation Referral) date on the PF16 screen is within 3 years.
Y
N
N/A
8. The Alt. Assessment date on the PF 18 screen matches the the IEP
(Refer to Section II #13)
Y
N
N/A
9. If the IEP indicates transportation, there's a "Y" in the ISIS "Q" screen.
(Refer to Section II #5)
Y
N
N/A
10. If the IEP indicates ESE/ESOL, the "J" screen corresponds with the IEP.
(Refer to Section II #3)
Comments:
Page 2 of 2
FM-7069 Rev. (09-10)
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