25 Jul This is an application assignment based on what you did in the previous assignment. Review ?Tamiya’s transition profile found below this assignment link.? You are ?going to compl
This is an application assignment based on what you did in the previous assignment.
Review Tamiya's transition profile found below this assignment link. You are going to complete your own Home Visit Planning Form as if you were going to visit Tamiya's family. Based on what her mother said in the video, fill out the home visit planning form found below this assignment link. You will not need to complete the last column that says Meeting Notes as that section is what you would fill in after the visit with the family.
Complete the document, save it to your computer, then upload it below. Be sure to check for spelling and grammar errors.
Handout 2.3
Page 1
CONNECT – 2010
http://community.fpg.unc.edu/connect-modules
Home Visit Planning Form
Child’s Name
Parent or Guardian Phone #
Address
Date of visit
Teacher/Provider
Materials for Home Visit
1. Transition Profile 2. Transition Plan from the Early Intervention program 3. Snapshots and/or video of classroom 4. Follow-up Home Visit Sheet (Classroom schedule, calendar, menu, pictures of other staff members) 5. Camera
Conversation Guide
Area Planning Notes Meeting Notes
1. Building rapport with the child and family
2. Family transition concerns and goals
3. Describe your program
4. Plan for next steps
- Childs Name:
- Parent or Guardian:
- Phone:
- TeacherProvider:
- Planning Notes1 Building rapport with the child and family:
- Meeting Notes1 Building rapport with the child and family:
- Planning Notes2 Family transition concerns and goals:
- Meeting Notes2 Family transition concerns and goals:
- Planning Notes3 Describe your program:
- Meeting Notes3 Describe your program:
- Planning Notes4 Plan for next steps:
- Meeting Notes4 Plan for next steps:
- Address:
- Date of visit:
,
Handout 2.2
Page 1
CONNECT – 2010
http://community.fpg.unc.edu/connect-modules
Child Transition Profile Sample This profile is to be completed by the sending provider and family member and given to the receiving teacher to support the child’s transition. This information does not replace a formal child assessment. However, it provides practical information that will help facilitate the child’s ability to engage and adapt to the new setting.
Child’s Name
Date of Birth Age
Parent / Guardian
Parent contact
phone number
Person(s) Name
completing profile Relationship to Child Phone
Name Relationship to Child Phone Name Relationship to Child Phone
Date completed
What are the child’s favorite activities, people, and places?
Has the child had opportunities to play with peers in community or other settings?
Tamiya
Tim and Rosemary
10/1/xx
Favorite people- Mom and Dad, aunts, uncles and grandparents
Favorite activities- singing, dancing
Places-home
Yes. At church and play dates with other children her age.
xxx-xxx-xxxx (home)
11/13/xx 3
Melanie B.
Rosemary
mother
EI Service Coordinator
xxx-xxx-xxxx (cell)
xxx-xxx-xxxx (office)
Handout 2.2
Page 2
CONNECT – 2010
http://community.fpg.unc.edu/connect-modules
Communication
What is the child’s primary language?
How does the child communicate with others (both adults and peers)? Check all that apply and explain.
some words sign language communication boards and/or devices
Does the child ask for assistance/express needs and wants? yes no sometimes (please explain)
Does the child follow verbal directions? yes, 1-step directions yes, 2-step directions no sometimes
What strategies are effective if child exhibits frustration during communication?
List strengths and areas of focus for communication.
Include any additional comments on the back of this form.
English
Have her take your hand and take you to what she wants.
The team’s focus has primarily been on motor skills and feeding.
She mostly will repeat words but doesn’t often ask for anything directly.
Handout 2.2
Page 3
CONNECT – 2010
http://community.fpg.unc.edu/connect-modules
Classroom Skills
Do you feel this child will use or require any supports to participate in classroom activities?
augmentative communication devices adaptive equipment other (e.g., pair with a friend or adult assistance)
Does the child show curiosity and enthusiasm for new activities? yes no sometimes (explain)
What helps the child adjust to new situations?
Social/Emotional
What comforts the child? (e.g., special toy, blanket, singing)
What frightens the child?
What types of play does the child engage in?
individual – only plays alone
parallel – plays next to a peer but does not interact
cooperative – plays with another child, sharing toys or conversation
Include any additional comments on the back of this form.
She will probably need lots of one on one attention from adults in the classroom. She doesn’t
interact well with other children and feels more comfortable with adults.
Most of the time she is very fearful of new activities. Once she is used to doing them then she
begins to enjoy them.
She is sometimes comforted by singing or a pacifier but often times she won’t be comforted at all.
New activities, new people, new places
Lots of close attention and comfort from an adult she trusts.
Handout 2.2
Page 4
CONNECT – 2010
http://community.fpg.unc.edu/connect-modules
Motor/Health
Does the child participate in self-care? hand washing toileting eating dressing
What support(s) does the child need to be successful in self-care?
Will the child need help moving around the building, playground or the classroom? yes (explain) no
Additional Concerns
What is the family or guardian most concerned about regarding the transition to preschool?
Include any additional comments on the back of this form.
Please include any artifacts that you think will help introduce your child to the receiving teacher and program staff at the preschool. This can include video clips, pictures, social stories, etc.
Tamiya does not do any self-care. She is spoon-fed some solids and very minimal liquid. She
must be tube-fed supplement drinks for her nutritional needs to be met.
She will need help on stairs.
Rosemary’s biggest priority is for Tamiya to be happy in a new situation. She knows Tamiya
will be okay and this placement will be good for her. But she is concerned and doesn’t want her
daughter to be terrified or scared.
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