Name: _________________________                 Date: _________________________                                        

 

 

 

Procedural Safeguards and Mediation Self Study Examination

 

 

  1. All early intervention personnel who work directly with children ages birth to three must have a minimum of ____________ hours annually of professional development in areas relevant to intervention services, child development, community resources or services for children with disabilities

 

2.Families whose children receive early intervention services must receive and      understand procedural safeguards which informs them of:

 

    a) Rules and Regulations

                b) Consent

    c) Right to Decline Services

                d) Right to Examine Records

                e) Prior Notice

                 f) Surrogate Parents

                 g) Dispute Resolution

     h) All of the above

 

  1. Procedural Safeguards serve as ________________ and _________________

for the system as well as impartial procedures for ________________  _____________________.

 

  1. Who is the primary decision maker in developing the IFSP?

 

a) The Service Coordinator from the Base Service Unit

b) The family

c) The Program Supervisor

d) The Primary Interventionist

 

 

 

       5.  Written consent must be obtained when

 

a)      An initial evaluation and assessment is being conducted

b)      An at-risk child is being referred for tracking

c)      Determining eligibility for ITF waiver services

d)      When any early intervention services or services are being initiated or changed

e)      Any or all of the above applies

 

 

 

 

 

 

 

6. Full information in ____________________________ is necessary to obtain      

          consent.

 

 

7.      A parent can determine whether or not to accept or decline any service.  True or false

                                               

 

8.      Declining a service after first accepting that service may affect the provision

of other early intervention services.  True or false

 

 

9.      In accordance with the confidentiality procedures in federal regulations,

parents have a right to _________________ and _______________ records.

 

 

10.  __________________ _______________________ __________________ must

be given to the parent(s) prior to the county program proposing, refusing,

initiating or changing the identification, evaluation or placement of the child or the provision of services.

 

 

11.  In order to ensure the rights of a child receiving services, the county must

appoint a surrogate parent when

           

a) A parent cannot be identified.

b)      The child is in legal custody of a Children and Youth agency and a birth parent cannot be identified.

                  c)   The child is in legal custody of a Children and Youth agency

and parental rights have been terminated and no other parent can be identified.

d)      The birth parents are deceased.

e)   Any of the above circumstances applies.

 

 

  1.  A surrogate parent may represent a child in all matters pertaining to the

development and implementation of the IFSP.  True or False

 

 

 

 

  1. What are the three methods to resolve a dispute regarding identification, evaluation, placement, and/or provision of E.I. services?

a)       

b)       

c)       

 

 

  1. When requesting conflict resolution, parents may request a meeting with a ______________________  _____________________  in order to discuss and resolve issues related to the provision of services.

 

 

  1.  Conflict resolution is voluntary and may not delay the request for mediation or a due process hearing.  True or false

 

  1. Mediation shall be voluntary and

 

a) May not be used to deny or delay the request for a due process hearing

b) May be offered first to a parent who is requesting a due process       hearing

                              c) Is voluntary on the part of the parents

                  d) Must be conducted by a qualified, trained mediator                                                             

e) All of the above

 

 

  1. ODR stands for ________________________________________.

 

 

  1. Assigned mediators must be trained in ____________________________ and ____________________________________________.

 

 

  1.  Why would families choose mediation as a means to resolve a dispute regarding their child’s early intervention services?

a) Mediation promotes a positive relationship between al parties

b) Mediation helps all parties to understand each other’s point of                                      

                                view

                                 c)  Builds trust necessary to resolve possible future disputes

                                 d)  Less stressful, less expensive and less time consuming than a

                                      a hearing

    e) All of the above

 

 

 

 

 

 

  1. Mediation typically ends with

                                   a) A written conclusion

                                   b) No conclusion

                 c) Another meeting scheduled

 

  1. Due process hearings are coordinated by the __________________________.

 

 

  1. Hearing officers must be impartial and trained in ________________________ and/or __________________________________.

 

 

  1. Who is the final decision maker in a due process hearing?

 

  1. Legal counsel at a due process hearing may accompany parents.                         True or false

 

  1. Children may not continue to receive services during conflict resolution, mediation or due process.  True or false

 

 

Comments:

 

 

 

 

 

A BARC Early Intervention Department Director or Supervisor will review this document.  I understand that in order to receive a credit of two hours towards the State Mandated 0-3 annual professional development requirement, this self-study examination must be complete and accurate. 

 

________________________________  ___________________________________

                         (Signature)                                                     (Date)

 

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                                                         For Office Use Only

 

       Reviewed by: ________________________________________________________

 

       Title: _______________________________________________________________

 

       Date: _______________________________________________________________