NATURAL ENVIRONMENT OBSERVATION / ELPP DOCUMENTATION

CHILD’S NAME:DOBDOE:

EXAMINER:POSITION:

RESPONDENT:RELATIONSHIP TO CHILD:

EDUCATIONAL ENVIRONMENT (Preschool/Daycare/Home):

The Natural Environment Observation (NEO) is intended to document strengths and needs of the child based on an observation(s) and interviews in a natural, age-appropriate environment. The form should be completed by LEA personnel in conjunction with the parent(s), childcare provider, preschool teacher(s), or other service providers (ex.: OT, PT). NEOinformation is requiredfor DD eligibility andshould also be used to assist in documenting ELPP levelsforchildren with any disability within 45 days of the beginning of special education services.

Codes:Family Focus Interview (FFI) Natural Environment Observation (NEO), Early Learning Progress Profile (ELPP), Parent Report (PR) Teacher Report (TR) Observation (O) Related Services (RS) Assessment (A) Early Intervention Information (EI) Private Evaluations (PE) Medical Reports (MR) Curriculum Evaluations (CE) SLI Checklist (SC), Preschool Checklist (PC)
Communication Development
Does the child: / YES / NO / SOURCE(S)
1. / Understand and follow spoken directions? (LL.P.1.1)
2. / Express wants and needs? (LL.P.4.1, AL.P.1.1)
3. / Point to or name a variety of pictures/objects/actions? (LL.P.3.1, S.P.3.1)
4. / Respond to questions? (LL.P.4.2)
5. / Engage in conversations with peers/adults? (LL.P.4.3)
6. / Use two to five word phrases? (LL.P.4.4)
7. / Retell simple stories and events? (LL.P.4.6)
8. / Refer to self by name? (SE.P.1.1)

Concerns/Comments:

ADAPTIVE BEHAVIOR/DAILY LIVING ENVIRONMENT
Does the child: / YES / NO / SOURCE(S)
1. / Wash and dry hands without assistance? (HDL.P.1.1)
2. / Toilet independently? (HDL.P.1.2)
3. / Cover mouth and nose when sneezing and coughing? (HDL.P.1.6)
4. / Put on/take off simple clothing? (HDL.P.1.4)
5. / Follow mealtime routines? (HDL.P.2.1)
6. / Open a food or drink container? (HDL.P.2.2)
7. / Eat with a spoon/fork? (HDL.P.2.3)
8. / Drink from an open cup? (HDL.P.2.4)

Concerns/Comments:

SOCIAL/EMOTIONAL DEVELOPMENT
Does the child: / YES / NO / SOURCE(S)
1. / Participate in pretend play to dramatize stories and reenact real-life roles/experiences? (LL.P.4.6, CA.P.3.1)
2. / Initiate play with other children? (SE.P.2.1)
3. / Express positive and negative emotions in socially appropriate ways? (SE.P.2.2)
4. / Change locations and activities without distress? (SE.P.2.3)
5. / Accept limits? (S.E.P.3.2)
6. / Separate easily from his/her family? (SE.P.2.4)
7. / Sustain interaction with peers by cooperating, playing and interacting? (SE.P.3.1)
8. / Share and take turns with peers? (SE.P.3.2)
9. / Understand how actions affect others and begin to accept consequences of behavior? (SE.P.3.2)

Concerns/Comments:

MOTOR DEVELOPMENT
Does the child: / YES / NO / SOURCE(S)
1. / Use writing tools and art media appropriately to draw or write? (CA.P.1.1)
2. / Make purposeful marks such as lines, circles or letters? (LL.P.5.2)
3. / Kick a ball, jump, hop, skip, run with balance? (PD.P.1.1)
4. / Climb on playground equipment? (PD.P.1.1)
5. / Walk up and down stairs independently? (PD.P.1.1)
6. / Pick up small objects using pincer grasp? (PD.P.2.1;2.2)
7. / Fasten clothing (buttons, snaps or zippers) independently? (HDL.P.1.5)
8. / Participate in simple songs, finger plays and nursery rhymes? (CA.P.2.2, LL.P.4.5)

Concerns/Comments:

COGNITIVE DEVELOPMENT
Does the child: / YES / NO / SOURCE(S)
1. / Understand and follow rules and routines? (AL.P.1.3)
2. / Listen attentively to stories? (LL.P.1.2)
3. / Demonstrate appropriate book handling skills? (LL.P.6.1)
4. / Count 1-10? (M.P.1.2)
5. / Point to or name shapes? (M.P.2.1)
6. / Match and sort objects by specific characteristics (color, shape, size)? (M.P.3.1)
7. / Have experience with computers and other forms of technology? (T.P.1.1)
8. / State whether he/she is a boy or girl? (SE.P.1.2)
9. / Point to or name body parts? (SE.P.1.3)

Concerns/Comments:

ALSDE Approved June2013