Compliance

Utah Program Improvement Planning System (UPIPS)

Utah Program Improvement Planning System (UPIPS) Manual 2022–2028

Internal Audit: Auditing or Monitoring?
Utah State Board of Education Internal Audit

Monitoring and Corrections

Monitoring Tool

UPIPS Sign In
(PDF File

)

Noncompliance Corrections

State General Supervision Responsibilities under Parts B and C of Individuals with Disabilities Education Act (IDEA)
United States Department of Education

UPIPS Program Improvement Monitoring Visit Interview Questions 2024-2025

Contacts

Residential Treatment Centers (RTC)

The Utah State Board of Education (USBE) Special Education Services has the responsibility of monitoring compliance with federal and state requirements under the Individuals with Disabilities Education Act (IDEA) of 2004. This responsibility is administered within the framework of supporting positive results for students with disabilities.

In accordance with the USBE Administrative Rule R277-926: Certification of Residential Treatment Center Special Education Program, an Onsite Monitoring visit will be conducted at each RTC to determine compliance with this USBE Rule. All RTCs found compliant will be awarded a two-year certification.

When a Local Education Agency (LEA) places a student in an RTC, The RTC is responsible for providing a Free Appropriate Public Education (FAPE) to that student. The USBE certifies RTCs to provide the LEA with an assurance that the RTC has the systems and personnel in place able to provide a FAPE.

In order to become certified through the State of Utah, an RTC submits an application for initial or renewal certification, the application is reviewed and accepted, and an on-site visit is completed to verify the information submitted with the application. Several methods of data collection are utilized during the on-site visit including reviewing student records, interviewing school staff and parents, and conducting classroom observations in both general and special education settings. The results of that visit are presented in a report.

Visit Expectations

Nonpublic Schools Residential Treatment Centers (RTCs) Monitoring Visit Expectations Revised
Google Docs

Residential Treatment Center Certification Fee Structure

Contact

Dana Archuleta
RTC Certification and Program Support
Phone: (801) 538-7698 | Email

Model Forms

The Model Forms are updated, as necessary, in accordance with the Utah Special Education Rules. Forms are current as of the date on the form. Translations will be posted as they become available.

Form 1

Regular Education Interventions/At-Risk Documentation | Arabic | Portuguese | Spanish | Vietnamese

Form 2

Referral for Evaluation for Special Education Services | Arabic | Portuguese | Spanish | Vietnamese

Form 3

Form 3a

Prior Written Notice and Consent for Evaluation/Reevaluation | Arabic | Portuguese | Spanish | Vietnamese

Form 3b

Evaluation/Reevaluation Testing | Arabic | Portuguese | Spanish | Vietnamese

Form 4

Notice of Meeting | Arabic | Portuguese | Spanish | Vietnamese

Form 4a

Notice of Meeting to Adult Student | Arabic | Portuguese | Spanish | Vietnamese

Form 5

Group Evaluation Summary Reports and Written Prior Notice of Eligibility Determination

Form 5a

Group Evaluation Summary Report and Prior Written Notice of Eligibility Determination: Autism | Arabic | Portuguese | Spanish | Vietnamese

Form 5b

Group Evaluation Summary Report and Prior Written Notice of Eligibility Determination: Deafblindness | Arabic | Portuguese | Spanish | Vietnamese

Form 5c

Group Evaluation Summary Report and Prior Written Notice of Eligibility Determination: Developmental Delay | Arabic | Portuguese | Spanish | Vietnamese

Form 5d

Group Evaluation Summary Report and Prior Written Notice of Eligibility Determination: Emotional-Behavioral Disability | Arabic | Portuguese | Spanish | Vietnamese

Form 5e

Group Evaluation Summary Report and Prior Written Notice of Eligibility Determination: Hearing Impairment/Deafness | Arabic | Portuguese | Spanish | Vietnamese

Form 5f

Group Evaluation Summary Report and Prior Written Notice of Eligibility Determination: Intellectual Disability | Arabic | Portuguese | Spanish | Vietnamese

Form 5g

Group Evaluation Summary Report and Prior Written Notice of Eligibility Determination: Multiple Disabilities | Arabic | Portuguese | Spanish | Vietnamese

Form 5h

Group Evaluation Summary Report and Prior Written Notice of Eligibility Determination: Orthopedic Impairment | Arabic | Portuguese | Spanish | Vietnamese

Form 5i

Group Evaluation Summary Report and Prior Written Notice of Eligibility Determination: Other Health Impairment | Arabic | Portuguese | Spanish | Vietnamese

Form 5j

Specific Learning Disabilities (SLD)

Form 5ja

Group Evaluation Summary Report and Prior Written Notice of Eligibility Determination: Specific Learning Disabilities – Method A: Response to Intervention (RtI) | Arabic | Portuguese | Spanish | Vietnamese

Form 5jb

Group Evaluation Summary Report and Prior Written Notice of Eligibility Determination: Specific Learning Disabilities – Method B: Combination of RtI and Discrepancy Analysis | Arabic | Portuguese | Spanish | Vietnamese

Form 5jc

Group Evaluation Summary Report and Prior Written Notice of Eligibility Determination: Specific Learning Disabilities – Method C: Other Alternative Research-Based Method | Arabic | Portuguese | Spanish | Vietnamese

Form 5k

Group Evaluation Summary Report and Prior Written Notice of Eligibility Determination: Speech Language Impairment | Arabic | Portuguese | Spanish | Vietnamese

Form 5l

Group Evaluation Summary Report and Prior Written Notice of Eligibility Determination: Traumatic Brain Injury | Arabic | Portuguese | Spanish | Vietnamese

Form 5m

Group Evaluation Summary Report and Prior Written Notice of Eligibility Determination: Visual Impairment (Including Blindness) | Arabic | Portuguese | Spanish | Vietnamese

Form 5n

Group Evaluation Summary Report (No Disability Category) | Arabic | Portuguese | Spanish | Vietnamese

Form 6

Individualized Education Program (IEP) | Arabic | Portuguese | Spanish | Vietnamese (Complete Form)

Form 6a

Individualized Education Program (IEP): Present Levels of Academic Achievement and Functional Performance (PLAAFP) and Special Factors | Arabic | Portuguese | Spanish | Vietnamese

Form 6b

Individualized Education Program (IEP): Measurable Annual Goals | Arabic | Portuguese | Spanish | Vietnamese

Form 6c

Individualized Education Program (IEP): Services | Arabic | Portuguese | Spanish | Vietnamese

Form 6d

Individualized Education Program (IEP): Prior Written Notice | Arabic | Portuguese | Spanish | Vietnamese

Form 6e

Individualized Transition Plan | Arabic | Portuguese | Spanish | Vietnamese

Form 6f

Assessment

Form 6f1

Assessment Addendum: Participation in Statewide and Local Education Agency (LEA)-wide Assessments | Arabic | Portuguese | Spanish | Vietnamese

Form 6f2

Analysis of Assessment in the Utah's Accountability System | Arabic | Portuguese | Spanish | Vietnamese

Form 6g

Prior Written Notice for Extended School Year (ESY) Services | Arabic | Portuguese | Spanish | Vietnamese

Form 6h

Amendment to Individualized Education Program (IEP) | Arabic | Portuguese | Spanish | Vietnamese

Form 6i

Agreement-Individualized Education Program (IEP) Team Member Not Attending Meeting | Arabic | Portuguese | Spanish | Vietnamese

Form 7

Placement

Form 7a

Prior Written Notice and Consent for Initial Placement in Special Education | Arabic | Portuguese | Spanish | Vietnamese

Form 7b

Prior Written Notice of Change of Placement in Special Education | Arabic | Portuguese | Spanish | Vietnamese

Form 8

Prior Written Notice of Evaluation/Reevaluation and Review of Existing Data | Arabic | Portuguese | Spanish | Vietnamese

Form 9

Prior Written Notice of Refusal to Take an Action | Arabic | Portuguese | Spanish | Vietnamese

Form 9a

Written Prior Notice | Arabic | Portuguese | Spanish | Vietnamese

Form 10

Self-Contained Resource Attendance Management (SCRAM) | Arabic | Portuguese | Spanish | Vietnamese

Form 11

Notice to Parents and Students Regarding Age of Majority Rights That Transfer under Individuals with Disabilities Education Act (IDEA) | Arabic | Portuguese | Spanish | Vietnamese

Form 11a

Notice of Transfer of Parental Rights at the Age of Majority | Arabic | Portuguese | Spanish | Vietnamese

Form 12

Consent for Disclosure of Confidential Information | Arabic | Portuguese | Spanish | Vietnamese

Form 12a

Student Records Transfer Request Between Local Education Agencies (LEAs) | Arabic | Portuguese | Spanish | Vietnamese

Form 13

Observation Report: Specific Learning Disabilities (SLD) | Arabic | Portuguese | Spanish | Vietnamese

Form 14

Behavior Observation Report | Arabic | Portuguese | Spanish | Vietnamese

Form 15

Consent for Agency Invitation to Transition Meeting (Parent) | Arabic | Portuguese | Spanish | Vietnamese

Form 15a

Consent for Agency Invitation to Transition Meeting (Student who is an Adult) | Arabic | Portuguese | Spanish | Vietnamese

Form 16

Manifestation Determination | Arabic | Portuguese | Spanish | Vietnamese

Form 17

Record of Access | Arabic | Portuguese | Spanish | Vietnamese

Form 18

In-State Transfer Student Checklist | Arabic | Portuguese | Spanish | Vietnamese

Form 18a

Out-of-State Transfer Student Checklist | Arabic | Portuguese | Spanish | Vietnamese

Form 19

Health Insurance Portability and Accountability Act of 1996 (HIPAA) Release of Information | Arabic | Portuguese | Spanish | Vietnamese

Form 20

Revocation of Consent for Special Education and Related Services | Arabic | Portuguese | Spanish | Vietnamese

Form 21

Summary of Academic Achievement and Functional Performance for Exiting Student | Arabic | Portuguese | Spanish | Vietnamese

Form 22

Authorization to Access Confidential Student Record | Arabic | Portuguese | Spanish | Vietnamese

Form 23

Special Education File Transfer Log | Arabic | Portuguese | Spanish | Vietnamese

Form 24

Prior Written Notice and Consent for Test Administration Related to Special Education and Related Services | Arabic | Portuguese | Spanish | Vietnamese

Form 25

Consent for Sharing Information with Medicaid for Reimbursement for the Provision of School-Based Skills Development Services | Arabic | Portuguese | Spanish | Vietnamese

Form 26 (Optional)

Special Education and Related Services Paraeducator Training and Supervision | Arabic | Portuguese | Spanish | Vietnamese

Form 27 (Optional)

Implementation of Special Education and/or Related Services | Arabic | Portuguese | Spanish | Vietnamese

Form 28

Prior Medical History Intake | Arabic | Portuguese | Spanish | Vietnamese

Form 29

Behavior Intervention Plan (BIP) | Arabic | Portuguese | Spanish | Vietnamese

Form 30

Functional Behavior Assessment (FBA) | Arabic | Portuguese | Spanish | Vietnamese

To save the form, you need to right-click on the form and save target as or save link as to wherever you want on your computer. Then you can fill it out and save as (with student name and form number).

Contact

Emily Nordfelt
Program Evaluation and Reporting
Phone: (801) 538-7757 | Email