ࡱ>  bjbj 3^ oBB8!4UagII"kkkfffffff$5ikg"gkk3g8kkff8b4,fk1V|2^ld>f1g0agdillil|,fil,f"ggagilB K: Child Outcomes Fidelity Self-Assessment Purpose: This form is a self-assessment intended to be usedby district andcounty personnel involved in the OSEP Child Outcomes Process (Indicators #3 Part C; #7 Part B). The numbered items listed in the self-assessment are stepsto implement thechild outcomes requirements as intended (or "with fidelity"). Directions: Birth to 3 county teams may use this form during their currently required annual self-assessment process. District teamsmay use the form duringthe beginning of their child outcomes sample and when reviewing their procedures on an annual basis. Use the Date and Comments sections to record the dates of your reviews and yourcomments regarding action steps needed toimprove yourpractices in each of the areas listed below. #1 Date: _____________________________________ #2 Date: ______________________________________ 1. Using HO #6.1 - Planning Form for OSEP Child Outcomes Process, a team process action plan is developed that includes decisions related to:Ongoing Assessment System Family Involvement County & LEA Data Management SystemChild Outcomes Summary Form Reporting Child Outcomes Data to the State Fidelity of the Process  2. The COSF is completed in its entirety for every child at entry within 60 calendar days.  #1 Date: _____________________________________ #2 Date: ______________________________________ 3. The COSF is rated through a team process including the childs parent(s), other family members, and primary caregivers.  4. Multiple sources of information on childrens level of functioning is gathered from: Parent interview Child observation Work samples At least one approved child assessment instrument   5. A system of on-going child assessment provides information to inform intervention and instruction on a regular basis.   6. Assessor(s) receive formal training on instruments used.   #1 Date: _____________________________________ #2 Date: ______________________________________ 7. Appropriate assessment procedures are used for children who are English Language Learners.  8. Accommodations/adaptations appropriate to the childs specific disability are provided in the assessment process.  9. The Decision Tree is used during the COSF rating process.  10. Child Outcomes entry data is reported to - Part B: Program Participation System (PPS) OR - Part C: Special Education Web Portal Child Outcomes Database.   #1 Date: _____________________________________ #2 Date: ______________________________________ 11. The COSF is completed in its entirety within 60 days of the childs exit.   12. Every child with entry data must have exit information reported. If the child has received six months or more of service, the exit date and exit ratings are reported. If the child received less then six months of service, the exit date only is reported.   13. Individual Child Outcomes Summary Form (COSF) records are stored securely following local procedures and policies. List your strategies here.  14. Local review of the Child Outcomes System occurs periodically and informs system fidelity.      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