Information
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CRC Name
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CRC Address
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Site Visit Date
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Prepared by
Site Visit
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Start Time
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CRC/School Personnel Involved
School of Record Information
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School of Record
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Number of students enrolled at CRC from school of record
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Description of communication practice with School of Record
Attendance Review
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Student roster maintained on site?
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Explanation
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Headcount match student roster/attendance information?
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Explanation
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Description of attendance practices and procedures
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Description of how total number of educational hours per day are tracked
Education Plan Review
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Description of curriculum utilized
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Description of instructional delivery methods
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Adhere to School of Record's Education Plan?
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Explanation of differences
Special Education Review
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IEP documents kept on site?
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Description of how IEP service needs are communicated
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Description of how services are delivered
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Description of how IEP goals are tracked
General Review and Summary
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Other Items Discussed
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Technical Assistance or Guidance Provided by Sponsor
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Areas of Strength
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Compliance Concerns or Suggestions
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Overall Assessment
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Items Requiring Follow-up
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End Time