FY-14 COUNTY APPLICTION FOR IDEA AND STATE ENTITLEMENT FUNDS
COUNTY ______REVIEWER ______DATE REVIEWED ______Approved:_____
ALLOCATIONS – MUST BE SELECTED AND UPDATED / YES / NO / COMMENTS
Applicant Information is completed and correct.
Allocations and totals are correct (Amounts match the Table amounts exactly):
· IDEA Part B (School Age )
· Coordinated Early Intervening Services – amount is entered if LEA proposes to reserve up to 15% of IDEA funds for CEIS
· Preschool - IDEA
· State Aid
Certification: Name of the district official submitting the plan is entered and matches the e-mail to which it was attached. (Special education director or superintendent).
EXPENDITURES FOR STUDENTS WHO ARE PARENTALLY PLACED IN PRIVATE SCHOOLS (REQUIRED) / YES / NO / COMMENTS
· Child count numbers equal (or exceed if some eligible students were not served) the December 1, 2012 child count totals and are reasonable given private school count.
· If No students eligible, or no private schools, No is checked.
· C. Federal entitlement amounts are accurate
Note: If worksheet indicates funds to be spent, Action Steps/Subtasks and Budget sheet must indicate the applicable amount of IDEA funds and how they will be spent.
DATA ANALYSIS / YES / NO / COMMENTS
Data Analysis information should include a variety of sources, link to goals and actions and include at a minimum:
Brief summary of data and needs related to SPP and ADA indicator and onsite monitoring findings, if any, including as applicable dropout, graduation, student achievement, least restrictive environment, discipline, disproportionality, evaluation timelines, secondary transition and post school outcomes and compliance with IDEA requirements. Include at least one focus area/priority strategic issue selected for improvement relative to focus schools identified for SWD gap through the ESEA Flexibility Request accountability system.
GOAL/OBJECTIVES/ACTIONS / YES / NO / COMMENTS
Goal provides a relevant purpose statement that addresses the provision of free appropriate public education (FAPE) for students with disabilities and/or exceptionalities. / Provided by template
OBJECTIVES:
Objective(s) should address at least the minimum focus area of improvement.
ACTION STEPS - SUBTASKS / YES / NO / COMMENTS
PERSONNEL
Action Step is linked to a Goal and provides a relevant purpose statement that reflects the Data Analysis and addresses the provision of free appropriate public education (FAPE) for students with disabilities and/or exceptionalities. / Provided by template
Budget information must be provided for each subtasks including applicable program/function code, object code matching the subtask and amount listed in column for the project (grant) in which funds are budget. This will be reviewed below in BUDGET section.
Subtasks for each type of personnel include:
Number of positions, if more than one
Type of position (e.g., special education teacher, aide)
Area of exceptionality (ies) to be served, if a teaching position
FTE for each position
SERVICES / YES / NO / COMMENTS
Action Step is linked to a Goal and provides a relevant purpose statement that reflects the Data Analysis and addresses the provision of FAPE for students with disabilities (or exceptionalities if applicable) and the specifics described below if Subtasks with the same criteria are not included:
· The type of each contracted service to be provided
· Tuition for out-of-state students is included, if applicable.
PROFESSIONAL DEVELOPMENT PLAN
Professional development plan activities benefit students with disabilities and/or exceptionalities, (e.g., PD provided to special education teachers or to teachers for the purpose of serving SWD).
Include subtasks indicating topics to be addressed by PD and audience. List only PD supported by entitlement funds.
Indicate how funds will be spent (stipends, substitutes, speaker’s fee, travel, registration)
MATERIALS, SUPPLIES AND EQUIPMENT / YES / NO / COMMENTS
Action Step is linked to a Goal and provides a relevant purpose statement that reflects Data Analysis and addresses the provision of FAPE for students with disabilities and/or exceptionalities and the specifics described below if Subtasks with the same criteria are not included.
· A general description of the items. Large amounts must be broken down by object code and specific description.
· Itemization of Equipment worksheet is completed for each item costing $5,000 or more.
STUDENTS PARENTALLY PLACED IN PRIVATE SCHOOLS / YES / NO / COMMENTS
Action Step is linked to a Goal and provides a relevant purpose statement that reflects Data Analysis and addresses the provision of equitable services through Services Plans for students with disabilities parentally placed in private schools within the district using the required proportionate of IDEA funding, and the specifics described below if Subtasks with the same criteria are not included
· The type of services to be provided
Note: Consultation process documentation must be updated and maintained by the LEA
FACILITIES / YES / NO / COMMENTS
Action Step is linked to a Goal and provides a relevant purpose statement that reflects Data Analysis and addresses the provision of FAPE for students with disabilities and/or exceptionalities and the specifics described below if Subtasks with the same criteria are not included.
A general description of the remodeling or construction to be completed.
Compliances Special Education – Construction section is completed in accordance with FY11 instructions and WVDE policies
OTHER AS SPECIFIED / YES / NO / COMMENTS
Action Step is linked to a Goal and provides a relevant purpose statement that reflects Data Analysis and addresses the provision of FAPE for students with disabilities and/or exceptionalities and the specifics described below if Subtasks with the same criteria are not included.
Provides a specific description to include how funds will be spent. (e.g., indirect cost, travel)
Indirect costs applied to federal funds only and within restricted rates.
ITEMIZATION OF EQUIPMENT / YES / NO / COMMENTS
Completed for items costing $5,000 or more using federal entitlement funds
Information on Itemization of Equipment Worksheet matches information on Action Step/Tasks for Materials, Supplies and Equipment, as applicable
BUDGET / YES / NO / COMMENTS
Funding and corresponding use of funds match Action Steps/Subtasks. Sufficient information is provided for reviewer to match the amount to the Action Step and Subtask.
For Professional Development Activities Use of Funds includes how funds will be spent (e.g., stipends, substitutes).
Program/function codes and object codes are provided for each item and are accurate.
Totals are correct for each budget section (e.g., Personnel, Services, etc.) as applicable. The use of funds also is completed for each amount.
IDEA, School Age funds used only for students with disabilities ages 3-21
IDEA Preschool Funds used only for students with disabilities ages 3-5
State aid used for students with disabilities and/or gifted, exceptional gifted ages 3-21
If the District has students parentally placed in private schools, the amount and use of IDEA funds (school age and preschool) are listed separately and match the required amount calculated under Compliances Special Education section.
If the district uses funds for Coordinated Early Intervening Services, the amount and use are listed separately and do not exceed 15% of IDEA school age allocation.
Indirect costs equal or are less than allowable calculated amounts per funding source. (see table provided by OSP)
Totals match the district’s Allocations
Required revisions to the WVEIS budget, if any, have been approved through the Budget Revision Process
MAINTENANCE OF EFFORT / YES / NO / COMMENTS
State/local MOE screen:
· Line 1 for both years entered correctly. This line already has excluded OPEB ARC amount reported by the county in prior years for FY 11 and OPEB if recorded correctly in object 217. Medicaid already has been subtracted in the MOE table if it was coded in WVEIS (shows in the online screen)
· Line 2 - If OPEB 217 was not coded but was included in 2xxxx for FY12, enter amount.
· Line 3 FY12 Medicaid amount has not prepopulated in the online screen (Special E MOE Table indicates NO in Medicaid column) , correct amount, if any, is entered. Coding was required for FY12 (00Y83) so check Project Financial Reports prior to entry.
· Line 4 – formula should calculate total
· Line 5 – check child count numbers (Dec. 1, 2011; Dec. 1, 2010)
· Line 6 – auto calculated
· Line 7 - Amount entered for Reduction in MOE, if applicable, has been approved by the OSP and documentation has been submitted. (Shows in Special Ed MOE table or otherwise has been approved)
· Lines 8 and 9 auto calculate.
· Increase shows for at least one test in increase/decrease column
· IF NOT, complete Local MOE screen:
· Compare Local screen numbers to online plan screen.
IF NO LOCAL TEST SHOWS INCREASE – Allowable explanation for specific reduction and documentation must be submitted, reviewed and approved by OSP.
ELIGIBILITY BUDGET AMOUNT / YES / NO / COMMENTS
Maintenance of Effort Assurance for FY14 (2013-2014)
Eligibility screen:
· Amount budgeted for FY14 is entered on Line 1. This should be state/local funds only (no Medicaid or other federal funding) budgeted for students with disabilities.
· Child Count number is correct
· Total budgeted for FY14 must meet or exceed the expenditure level of FY12, provided FY12 expenditures met MOE.
· If LEA proposes to reduce MOE in FY14, an acceptable explanation is entered in the text box and documentation to support reduction must be submitted.
EXCESS COST / YES / NO / COMMENTS
· Elementary and secondary total minimum amounts from online plan screen are entered correctly. Obtain these amounts from the former online plan, Special Education Compliances - Excess Cost screen, Part 1-A, Section D.3 and Part 1-B, Section D.3 respectively.)
· Each box for item 2 is checked YES
COORDINATED EARLY INTERVENING)SERVICES PLAN and REPORT
(REQUIRED, AS APPLICABLE) / YES / NO / COMMENTS
Districts having spent CEIS funds from, 2010-2011 and 2011-2012 and 2012-2013 have completed the Compliances Special Education section as requested for applicable years. Includes number receiving CEIS each year and number found eligible in the two years following receipt of services. (Column may be added to table, if applicable) / NA – No districts reserved CEIS Funds in prior years
DISTRICT PLANNING TO USE CEIS FUNDS IN FY 13 MUST COMPLETE THE CEIS PLAN
The need for the program, including the data analysis supporting the need.
A definition and entrance criteria for the students not yet identified as students with disabilities needing academic and/or behavioral support to succeed in the general education environment who will receive the CEIS and the method of identifying the students.
A brief description of the CEIS including a description of the targeted subjects or areas (e.g., reading, mathematics, behavior) the program and intervention(s),
professional development, curriculum materials and staffing. If CEIS professional development is outlined in the Strategic Plan Professional Development section, reference this section.
Targeted Schools and Grade Levels and estimated number of students to be served.
The method(s) of monitoring student progress and how student progress will be recorded and tracked, to determine whether the students subsequently are identified as students with disabilities and exit criteria, if any.
A description of how CEIS funds will be spent.
The plan must be linked to Data Analysis, a Goal and Action Step.
FACILITIES (If APPLICABLE) / YES / NO / COMMENTS
· Detailed description of need
· Line drawing is attached
· Description of impact on LRE placements for affected students
· Description of accessibility and consistency with Uniform Accessibility Standards
· Description of probable environmental affects
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West Virginia Department of Education
April 2013