School Visitor Policy

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1200 First Street, NE | Washington, DC 20002 | T 202.442.5885 | F 202.442.5026 | dcps.dc.gov

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January2017

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SchoolVisitorPolicy

Chancellor’sDirective260.2

Version2.0

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Submittedby:AraceliJacobs,Manager,PolicyandLegalStrategy,OfficeoftheChiefOperating

Officer

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Approvedby:JohnDavis,InterimChancellor

CarlaWatson,ChiefOperatingOfficer

ScottBarash,GeneralCounsel

JaneSpence,InterimChief,OfficeoftheChiefofSchools

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_______________________________________________

Chancellor’sSignatureDate

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District ofColumbiaPublicSchools |January 2017 Page 2 of 15

SchoolVisitor’sPolicy

I.ExecutiveSummary...........................................................................................................................3

Introduction..................................................................................................................................................3

Purpose.........................................................................................................................................................3

Roadmap.......................................................................................................................................................3

II.SchoolVisitorProcedures.................................................................................................................4

A.SecurityProceduresforAllSchoolVisitors...............................................................................................4

B.ParentsandLegal/Court‐AppointedGuardians.......................................................................................4

C.VisitorsParticipatinginIEP/504Meetings/ObservationsofStudents

withDisabilities..........................5

D.AttorneysandLegalProfessionals............................................................................................................7

E.LawEnforcement,Investigators,andOtherGovernmentOfficials.........................................................8

III.ReleaseofStudentRecords.............................................................................................................9

AppendixI:FrequentlyAskedQuestions(FAQs).................................................................................11

Q1:Whatistheprocessaparentshouldfollowtoappointadesigneeforobservation?

.........................11

Q2:HowdoIdetermineifapotentiald esigneehasafinancialstakeinlitigation?..................................11

Q3:HowdoIuploadthedesigneeobservationformtoSEDS?.................................................................11

Q4:Arethirdpartypersonssuchasattorneysoreducationaladvocatesallowedtoobserveachildinthe

classroom?..................................................................................................................................................11

AppendixII:ObservationDesigneeForm...........................................................................................12

AppendixIII.DCPSAuthorizationtoReleaseEducationRecords(Student17andUnder)...................13

AppendixIV:DCPSAuthorizationtoReleaseEducationRecords(Adult/FormerStudent)...................14

AppendixV:ClassroomObserverConfidentialityAgreement.............................................................15

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District ofColumbiaPublicSchools |January 2017 Page 3 of 15

SchoolVisitor’sPolicy

I.ExecutiveSummary

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Introduction

DistrictofColumbiaPublicSchools(DCPS)seektoprovideaworld‐classeducatio n forallofitsstudents.

ThiscommitmentrequiresDCPStoregulateschoolbuildings,classroomsandotheraspectsoftheschool

community.Schoolsarepublicinstitutionsandshouldbeopentovisitsfromparentsandother

interestedpartiesto

theextentthatvisitsdonotcompromisestudentorstaffsafetyanddonotdisrupt

theeducationprocessorschool’soperation.Schoolbuildingswillcontinuetobeopentothepublicas

longasvisitorsdonotdisruptschoolinstruction,operation,oractivities;orcompromisethesafetyand

securityof

studentsandstaff.

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Purpose

Thisdirectiveexplainstheproceduresforschoolbuildingvisits.Theguidanceinthisdirectiveappliesto

theschoolbuildingandallexteriorgroundsoftheschool,includingtheplaygroundandanyother

buildingsandareasonDCPSproperty.Theschoolprincipalhasprimaryresponsibility forensuringvisitor

accessintheschool

buildingandvisitorconductaremonitoredandsupervisedwhileonschool

property.Theprincipalhastheauthoritytodenyaccesstoanyindividualseekingtoentertheschoolif

theprincipaldeterminesthatthevisitor’spresenceposesadangerordisruptiontoschoolactivities,

schoolinstruction,orstudentsandstaff.

Visitorswhoposeathreatordisruptiontotheschool

environmentmaybedeniedaccessorbarred,subjecttotheprovisionsofDCPSSchoolBarringNotice

Procedures.ThisdirectiverescindstheChancellor’sDirective,SchoolVisitors,SchoolRecordsRelease

andBarringNoticeProcedures,issuedonFebruary19,2013,andfurtherrescindsany

otherdocument

issuedbyDCPStodateregardingpoliciesorproceduresforschoolvisitors.

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Roadmap

Thisdirectivewillprovidegeneralproceduresthatapplyforallschoolvisits,aswellasspecificguidelines

forparentsandlegal/court‐appointedguardians,professionals,lawenforcementofficials,and

attorneys.Thedirectivealsoincludesspecificinformationrelatedtothereleaseofstudentrecords.The

appendixattheendofthedocumentincludes

FAQsandallreferencedforms.

OriginatingOffice:

OfficeoftheChiefOperati ngOfficer

OfficeoftheGeneralCounsel

OfficeoftheChiefofSchools

Number:

260.2

Subject:SchoolVisitor’sPolicy

Authority:DCCode§22‐3102

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Date:January3,2017

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Rescinds:SchoolVisitors,SchoolRecordsRelease

andBarringNoticeProcedures;issuedonFebruary

19,2013

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

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District ofColumbiaPublicSchools |January 2017 Page 4 of 15

SchoolVisitor’sPolicy

II.SchoolVisitorProcedures

A.SecurityProceduresforAllSchoolVisitors

Allvisitorsandschoolstaffmustcomplywiththefollowingproceduresregardingschoolvisits:

1. Themainentranceoftheschoolbuildingshallbeusedforallexitsandentriestotheschool,

exceptincasesoffireoremergency.Anypersonfoundviolatingthisrulewillbeimmediately

reportedto

theprincipalorschoolsecurityofficer.

2. Thefollowingsignshallbepostedatthemainentrancetoallschoolbuildings:

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3. Allvisitorsmustimmediatelyreporttothesecuritydeskorstationtoidentifythemselvesand

receiveavisitor’sbadge.Properidentificationmustbepresentedinorder

toreceiveabadge.

Properidentificationincludesadriver’slicenseorothergovernment‐issuedpersonal

identificationcard,passport,oracurrentemployeeidentificationcardfromalocalorfederal

governmentagencyorprivateentity.

4. Allvisitorsmustsigntheschoolsecurityvisitor’slog.Thelogshallhaveappropriatecolumnsso

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thatvisitorscanprovidetheirname,agency/office,purposeofvisitorpersontheyarevisiting,

timesofentryanddeparture,andbadgenumberifapplicable.

5. Visitorsmustfollowtheinstructionsprovidedtothematthesecuritystation.Asdirectedbythe

principal,schoolsecuritymaylimittheareasand

timeduringwhichthevisitormayaccessthe

building,butnotinamannerthatwillunreasonablyinfringeupontherightsofaparentora

parent’sdesigneetoobserveorsupportachildintheclassroom.Thescopeanddurationofthe

visitwillcorrespondwiththepurposeofthe

visit.

6. Visitorsmustwearordisplaytheirvisitor’sbadgeatalltimeswhileonschoolpremises.

7. Allvisitorsmustsignoutonthevisitor’slogpriortoexitingthebuildingandreturntheirvisitor

badgetosecurity.

8. Allstaffmembersshallrelayconcernsregardingthepresenceor

conductofvisitorstoschool

securityortheprincipalimmediate lysothatfurtherappropriateactionmaybetaken.

B.ParentsandLegal/Court‐AppointedGuardians

Parentsandguardians‐includingeducationalsurrogateparentsappointedbytheOfficeoftheState

SuperintendentofEducation(OSSE)ortheFamilyCo urtoftheD.C.SuperiorCourt—shouldbegiven

widelatituderegardingaccesstotheschoolforthepurposesofmeetingwiththeirchild’steacheror

otherschoolstaff,orobserving

theirchild’sclass.Parentsandguardiansofprospectivestudentsshould

ALLVISITORS

Uponenteringthisbuildingyoumustreportimmediatelytothe

administrativeofficeandreceivepermissiontobeonthepremises.

Onlythoseindividualswhohaveschoolrelatedbusinesswillbegranted

permissiontoremain.Anyunauthorizedentrantisinviolationof

Section22‐3302(b)oftheD.C.Codeand

willbecriminallyprosecuted.

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District ofColumbiaPublicSchools |January 2017 Page 5 of 15

SchoolVisitor’sPolicy

alsobegivenareasonableopportunitytovisittheschoolandtoobserveproposedclassesuponrequest.

However,aparentorguardian’spresenceintheschoolmustnevercauseadisruptiontothefunctionof

theschoolortheinstructionalprogramofanystudentorinanyway

compromisethesafetyorsecurity

oftheschool,students,orstaff.

Relativesorcaretakerswhoarenotthechild’sguardianwillbeallowedtovisittheschooliftheyare

accompaniedbyaparentorguardianoriftheyhavereceivedpermissioninadvancefromthechild’s

parentorguardian

andtheschoolprincipal.Ifarelativeorcaretakerappearsontheemergencycontact

listforastudent,therelativeorcaretakershouldbeallowedaccesstotheschooltodropthestudentoff

orpickthestudentup.

Intheeventthatacourtorder,decree,oragreementdescribesthe

rightsofparents,guardiansand/or

otherrelativeswithrespecttoachild,theaccessthattheschoolmayprovidetothechildmustbe

consistentwiththatorder,decree,oragreement.Thatcourtorder,decree,oragreementshouldbe

providedbytheparenttotheschoolassoonasreasonably

possible.Applicablecourtorders,decrees,

oragreementssupersedeallotherprovisionsofthisdirective.SchoolstaffshouldcontacttheDCPS

OfficeoftheGeneralCounsel(OGC)forguidanceoninterpretingthetermsofacourtorder,decree,or

agreement.

C.VisitorsParticipatinginIEP/504Meetings/ObservationsofStudentswith

Disabilities

Non‐schoolstaffmayvisitDCPStoparticipateinIEPmeetingsortoobservestudentswithdisabilitiesin

classroomsettings.Thesevisitsmustcomplywiththefollowingp rocedures:

IEP/504Meetings

Visitorsmaybeallowedentrytotheschoolforthepurposeofmeetingwithschoolstaffregardinga

studentwhois

receivingspecialeducationservicespursuanttotheIndividualsWithDisabilities

ImprovementinEducationActof2004(IDEA).Suchvisitorsmayinclude:educationaladvocates,

attorneys,guardianadlitemattorneys,evaluators,andparentdesignees.However,thesevisitorsshould

onlyremaininthebuildingforthepurposeanddurationoftheirscheduledIEP

meetingandshouldnot

beallowedtowalkunaccompaniedthroughtheschoolortoobservestudentsinclassunlessthe

circumstancesdescribedbelowinSectionC.2,ClassroomObservationsforStudentswithSpecialNeeds,

apply.Thefollowingguidelinesshallapplytovisitorsintheschoolforspecialeducationmatters:

a. All

SecurityproceduresinSection A,above,mustbeadheredto;

b. Uponarrivaltotheschool,theevaluator,educationaladvocate,outsideobserver,orsimilar

visitormustreporttotheprincipaloraprincipal’sdesignee;and

c. Individualswhohavebeenbarredfromaschoolthroughabarringnoticeorcourtorder

but

whoneedtoparticipateinanIEPmeetingmayparticipatebyphone.

ClassroomObservationsforStudentswithDisabilities



ObservationscanbeconductedbyparentsasstatedinSectionBabove.Parent’sdesigneesand

professionalscompletingevaluationsofastudentattheschoolwillalsobeallowedtoobservethechild

intheclassroom.Professionalevaluatorsconductinganassessmentmustpresentanauthorizationletter

fromtheparent.Theauthorization

lettershouldindicatewhatassessmenttheevaluatorisconducting,



D.C.Act20‐486



District ofColumbiaPublicSchools |January 2017 Page 6 of 15

SchoolVisitor’sPolicy

andincludetheparent’ssignaturegivingpermissiontoconducttheassessmentofthestudentatschool.

Third‐partypersons(includingattorneysandeducationaladvocates)whoarenotevaluators,Hearing

Officer‐designatedexperts,parents,orparentdesignee(s)shallnotbeallowedtoobserveclassrooms

whilechildrenareinthe

classroom.Aparentofachildwithadisabilitymayappointadesigneeto

observethechild’scurrentorproposedspecialeducationalprogram.Thisdesigneemust:

a. Haveprofessionalexpertiseintheareaofspecialeducationbeingobserved;

b. Benecessarytofacilitateanobservationforaparentwitha

disability;or

c. Benecessarytoprovidelanguagetranslationassistancetoaparent.

Aparent‐appointeddesigneemaynotrepresentthechildorfamilyinlitigationrelatedtotheprovision

ofafreeandappropriatepubliceducation(FAPE)norcanthedesigneehaveafinancialinterestinthe

outcomeofsuch

litigation.Adesigneemustagreeinwritingthattheywillnotdisclosenoruseany

informationobtainedduringthecourseofanobservationforthepurposeofseekingorengagingclients

inlitigationagainsttheDistrictortheLEA.Inaddition:

a. AllsecurityproceduresinSectionA,above,must

beadheredto;

b. Allclassroomobservationsmustbescheduledpriortothedayofarrivalattheschool;

c. Priortothein‐classobservations,anyobservermustcompleteandprovidetotheprincipal

theConfidentialityAgreement(seeAppendix);

d. Inappointingaparent’sobserver,theLEAmayrequireadvancenoticeandforthe

designationtobeinwriting,bycompletingtheObservationDesigneeForm(seeAppendix)

;

e. Theparent,designee,orevaluatormustactinsuchamannerthatallowstheregularschool

programtocontinueduringtheobservationbyrefrainingfromengagingtheattentionofthe

teacherorotherstudent(s)throughconversationorothermeans;

f. Theparent,designee,orevaluatormaybeaccompaniedbyDCPS

personnelatthediscretion

ofDCPS;

g. Attorneyswhoarerepresentingtheparent’schildinlitigationrelatedtotheprovisionofa

freeandappropriateeducation(FAPE)shouldonlybeinthescho olbuildingtoattenda

student’sIEPmeeting,toretrievestudentrecords,ortospeakwithamember

oftheschool

staff.Attorneyshavenolegalrighttoobserveanyclassandshallnotbepermittedtodoso;

h. Inallinstancesofprofessionalsvisitingtheschoolforspecialeducationmatters,an

appointmentshouldbemadewiththerelevantschoolstaffpersonoranIEPmeetingshould

previouslyarrangedandnoticeissuedtoallrelevantattendees;

i. Schoolstaffareundernoobligationorrequirementtomeetwithanattorney,educational

advocate,orobserverortoallowthemaccesstotheschool,ifpriorarrangementshavenot

beenmadeandagreedupon;and



Thetimeallowedfortheobservationshallbesufficienttoallowtheparent,evaluator,orotherdesigneeto

evaluatethechild’sperformanceinacurrentprogramoraproposedprogramtosupportthechildandinthe

settingwheretheprogramorproposedprogramwouldnormallyoccur.



District ofColumbiaPublicSchools |January 2017 Page 7 of 15

SchoolVisitor’sPolicy

j. Otherprofessionals,notexplicitlydescribedabove,visitingtheschoolforspecialeducation

mattersshallhavenodirectinteractionwithstudents,includingthestudentwhoisthe

subjectoftheobservation.

D.AttorneysandLegalProfessionals

Undercertaincircumstances,attorneysandotherlegalprofessionalsmayhavereasontovisitschools.

Thesevisitsmustcomplywiththefollowingprocedures:

AllAttorneysandLegalProfessionals

Allattorneysandlegalprofessionals(includingthosefromtheUnitedStatesAttorney’sOffice(USAO),

theOfficeoftheAttorney GeneraloftheDistrictof

Columbia(OAG),andPublicDefenderServiceand

anyprivateattorney)mustshowtheirbadgesandidentificationatthesecuritystation.Theymustthen

bedirectedtothemainofficetospeakwithaprincipaloradesignee.

Ifanyattorneyorlegalprofessionalwishestoreceiveeducationrecordsorany

informationcontainedin

educationrecords,theprincipaloradesigneemustcontactDCPS‐OGCtoreceiveclearancetorelease

suchrecordsorotherstudentdata.

GuardianadlitemAttorneys

Guardianadlitemattorneysmayobserveclassesiftheypresentacourtorderorotherreliable

documentationindicatingtheyarepermittedto

doso.Thevalidcourtorderorotherlegallybinding

documentmustdemonstratetheattorney’srelationshipasguardianadlitemforthechild. Thecourt

ordermustbesignedbyajudge,mustindicatethestudent’sname,andmustbedatedwithinone

calendaryearofthevisit.

Attorneysfrom

OAGorUSAO

IfanattorneyfromOAGorUSAOhascometoquestionastudent regardingamatter,theattorneymust

firstobtainconsentfromthestudent’sparentifthestudentisunder18.Theprincipaloradesigneecan

contactthestudent’sparenttoreceiveconsentfortheattorney

totalktothestudentortoallowthe

parenttimetocometoschooltoparticipateintheinterview,butisnotrequiredtodoso.Ultimatelyitis

uptotheattorneytoobtaintherequiredconsent.

IfanattorneyfromOAGorUSAOhascometothe

schooltoinvestigateamatterandwishestospeak

withschoolstaff,theprincipalandallschoolstaffshouldcooperateandansweranyquestions,aslong

asnounduedisruptionsarecausedtotheschoolenvironmentortoclassinstruction.

AttorneysServingaSubpoena

Ifanattorney(oranattorney’sinvestigator

orprocessserver)wantstoserveasubpoenaonDCPSora

DCPSemployeeintheircapacityasagovernmentemployee,theschoolstaffshallinformtheattorney

thatDCPS‐OGCacceptsserviceonbehalfofDCPS.Thestaffpersonshouldthenrequestthatthe

attorneytakethesubpoena to

DCPS‐OGCinCentralOffice.Iftheattorneyrefuses,schoolstaffshould

contactOGCforassistance.Ifnecessary,OGCwillauthorizeschoolstafftoacceptthesubpoenaand

thenimmediatelysendittoOGCforreview.

AttorneysfromthePublicDefenderServices(PDS)

ForattorneysfromthePublicDefenderService(PDS),

andprivateattorneys(andtheirinvestigatorsand

processservers),thefollowingguidelinesmustbefollowed:

SchoolstaffshouldcontactDCPS‐OGCforguidancebeforeengagingwithPDSand/orprivateattorneys

inanymatter.



District ofColumbiaPublicSchools |January 2017 Page 8 of 15

SchoolVisitor’sPolicy

Undernocircumstancesshouldsuchattorneyshaveanydirectinteractionwithstudents,unlessthe

attorneyisrepresentingthestudentincourtcase.Inthatinstance,theattorneymaybeallowedto

interactwiththestudentinamannerthatminimizesdisruptiontothestudent’sclassroominstruction.

Ifthestudent

isunder18,schoolstaffmustcontactaparent/guardiantoobtainconsentpriorto

allowingaccess.

SchoolemployeesarenotrequiredtospeakwithattorneysfromPDSunlessavalidsubpoenahasbeen

issuednamingtheemployeeasawitnessinacourtproceeding.Theseproceedingswill alwaysinvolve

the

governmentinsomecapacity.Ifasubpoenahasbeenissuedandtheissuingattorneyor

investigatorwishestospeakwiththeemployee,theprincipalora designeeshouldallowtheemployee

tospeakwiththeissuingattorney/investigatoraslongasitposesonlyminimaldisruptionstotheschool

environmentorto

classinstruction.

Schoolemployeesarenotrequiredtospeakwithattorneysrepresentingparentsinprivatecustody

proceedingsthatdonotinvolvethegovernmentunlessavalidsubpoenahasbeenissuednamingthe

employeeasawitnessinaprivatecustodyproceeding.DCPS‐OGCcanacceptserviceofprivatecustody

subpoenas

onanemployee’sbehalfwiththeemployee’spermission.However,ifanemployeeisserved

withasubpoenainaprivatecustodymatter,theprincipalortheemployeeshouldcontactDCPS‐OGC

forguidance.Theprincipalshouldallowtheemployeetospeakwiththeissuingattorney/inv estigator as

longasitposesonly

minimaldisruptionstotheschoolenvironmentortoclassinstruction.Employees

mayalsobeentitledtoreceivewitnessappearancefeesinprivatecustodymatterssolongasnoofficial

governmentresources(includingthee mployee’sdutytime)areutilized.

E.LawEnforcement,Investigators,andOtherGovernmentOfficials

Schoolsshouldmakeeveryefforttocooperatewithlawenforcement,including:local,state,andfederal

policeofficers/investigators,investigatorsfromtheDCOfficeoftheInspectorGeneral(OIG),D.C.Child

andFamilyServicesAgency(CFSA),ortheDCPSInvestigationTeam.However,schoolvisitsshouldbe

conductedinamannerthatdoes

notdisrupttheschoolenvironmentorclassinstructionunless

absolutelynecessary.



District ofColumbiaPublicSchools |January 2017 Page 9 of 15

SchoolVisitor’sPolicy

III.ReleaseofStudentRecords

TocomplywiththeFamily EducationalRightsandPrivacyAct(FERPA),DCPSmustnotprovideaccessto

confidentialstudentrecords,ordiscussthecontentofsuchrecords,withoutwrittenauthorization

grantedbytheparent/guardian oradultstudent,orviacourtorder(seeAppendixforDCPS

AuthorizationtoReleaseRecords).The

principalshouldcallDCPS‐OGCwithanyquestionsrelatedto

FERPAoreducationrecordsaccess.

1. Forprivateattorneys/thirdparties,theschoolmustreceiveawrittenconsent(seeAppendixfor

DCPSAuthorizationtoReleaseRecords),signedwithinoneyearofthedateoftherecords

request.

2. Forguardianad

litemattorneysandsocialworkers,theschoolmustreceiveacourtorderor

otherdocumentthataffirmativelygrantsaccesstotherecords.

3. Forsocialworkersfromchildwelfareagencies,thesocialworkershouldhavevalididentifi cation

tosubstantiatetheirstatusasanemployeeofachildwelfareagency,alongwith

acourtorder,a

validauthorizationforreleaseofrecordsorotherdocumentthatexplicitlygrantsthemaccessto

therecordsofaparticularstudent(s).



District ofColumbiaPublicSchools |January 2017 Page 10 of 15

SchoolVisitor’sPolicy



Appendices

 



District ofColumbiaPublicSchools |January 2017 Page 11 of 15

SchoolVisitor’sPolicy

AppendixI:FrequentlyAskedQuestions(FAQs)

Q1:Whatistheprocessaparentshouldfollowtoappointa designeefor

observation?

A1:TheparentmustfillouttheObservationDesigneeFormandsubmitittotheirchild’sschool.This

formmustbecompletedandsubmittedbeforetheobservationisscheduledtotakeplace.

Q2:HowdoIdetermineifapotentialdesigneehasafinancialstakeinlitigation? 

A2:Ifaschoolisunsurethatapotentialobserverhasexpertiseinspecialeducationorhasafinancial

interestintheoutcomeoflitigation,thentheyshouldasktheparenttofillouttheObservationDesignee

Form(seeAppendix).ThisformshouldthenbeuploadedtoSEDSandtheschool

shouldcontacttheir

SchoolSupportLiaison(SSL)orOGCforassistance.

Q3:HowdoIuploadthedesigneeobservationformtoSEDS?

A3:TheformshouldbefaxedintoSEDSandthemiscellaneouscoversheetshouldbeentitled

“ObservationDesigneeForm.”

Q4:Arethirdpartypersonssuchasattorneysoreducationaladvocatesallowedto

observeachildintheclassroom?

A4:Anobservermusthaveprofessionalexpertiseintheareaofspecialeducationbeingobservedor

mustotherwisebenecessarytoassistaparentwithadisabilityorwithlanguagetranslation.Ifaschool

isunsureofwhetherapotentialobservershouldbeallowedintheclassroom,theyshouldfollowthe



procedureoutlinedinQuestion2.



Attorneysshouldgenerallyonlybeintheschoolbuildingtoattendastudent’sIEPmeeting,toretrieve

studentrecords,ortospeakwithamemberoftheschoolstaff.







District ofColumbiaPublicSchools |January 2017 Page 12 of 15

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AppendixII:ObservationDesigneeForm



ParentalAppointmentofObservationDesignee

I_______________________________________parent/guardianof________________________________

(Parent/Guardian’sName)   (Student’sNameandDateofBirth)



herebyappoint___________________________asmydesigneetoobservemychild’scurrentorproposedspecial

 (NameofDesignee)



specialeducationprogramat____________________________________________School.Iherebyrepresent

thathe/sheisneitherrepresentingmy

child’sinterestsinlitigationrelatedtotheprovisionofafreeand

appropriatepubliceducation,norhasanyfinancialinterestintheoutcomeofsuchlitigation.Ifurtherrepresent

thathe/shewillnotdiscloseoruseanyinformationobtainedduringthecourseofanobservationforthepurpose

ofseeking

orengagingclientsinlitigationagainsttheDistrictofColumbiaortheLocalEducationAgency(LEA).



Ifurtherassertthatthisdesignee(checkatleastone,andallthatapply):



___ hasprofessionalexpertiseintheareaofspecialeducation;



___ isnecessarytofacilitateanobservationforme

duetomydisability;and/or



___ isprovidinglanguagetranslationservicesforme.



_________________________

(Parent/Guardian’sName‐Print)



__________________________________________

(Parent/Guardian’sSignature)(Date)







District ofColumbiaPublicSchools |January 2017 Page 13 of 15

SchoolVisitor’sPolicy

AppendixIII.DCPSAuthorizationtoReleaseEducation

Records(Student17andUnder)



DCPSAuthorizationtoReleaseEducationRecords



I_______________________________________parent/guardianof________________________________

(Parent/Guardian’sName)(Student’sNameandDateofBirth)



herebyconsenttotheappropriateofficialatmychild’sschoolortheDCPSOfficeofDataandStrategytorelease

mychild’seducationrecordsto:



_____________________________________________________________________________

(Nameofrepresentative,agency,physician,orattorney)



_________________________________________________________________________________

(Addressandphonenumberofrepresentative,agency,physician,orattorney)



Thepurposeofthedisclosureis:



_________________________________________________________________________________



_____

____________________________________________________________________________.

(Describethespecificpurposefortherecordsdisclosure)



Bysigningbelow,Iauthorizethereleaseofthefollowingrecords:

_________________________________________________________________________________



_________________________________________________________________________________.

(Describespecificallywhichrecordsaretobereleasedincludinganyapplicabledaterange)



Bysigningbelow,1)IacknowledgeandunderstandthatIhavetheopportunitytoreviewtherecordstobe

disclosedandtherighttochallengethecontentsofsuchrecords;2)Iam18yearsofage;and3)Iamsigningthis

documentonbehalfofmychildbecause

he/sheisnot18yearsofage.NOTE:Thisreleaseisvalidonlyforthe

purposestated.TheDCPSmustobtainmywrittenauthorizationbeforereleasinganyfurtherinformationtoany

otherrequester.Thisauthorizationwillexpireoneyearfromthedateofsignature.



______________________________________________________________________________________

(Parent/Guardian’sName‐Printed)(Parent/Guardian’s

Signature)



_________________________________________________________________________________________

(Parent/Guardian’sCurrentAddress)



_____________________________________________________________________________________

(Parent/Guardian’sContactNumber)(Date)



District ofColumbiaPublicSchools |January 2017 Page 14 of 15

SchoolVisitor’sPolicy

AppendixIV:DCPSAuthorizationtoReleaseEducation

Records(Adult/FormerStudent)



DCPSAuthorizationtoReleaseEducationRecords–AdultStudentorFormerStudent



I________________________________________________herebygiveconsenttotheappropriateofficialatmy

(Student’sNameanddateofbirth)



currentschoolorformerschool,ortheDCPSOfficeofDataandStrategytoreleasemyeducationrecordsto:



_________________________________________________________________________________

(Nameofrepresentative,agency,physician,orattorney)



_________________________________________________________________________________

(Addressandphonenumberofrepresentative,agency,physician,orattorney)



Thepurposeofthedisclosureis:



_________________________________________________________________________________



_________________________________________________________________________________.

(Describethespecificpurposefortherecordsdisclosure)



Bysigningbelow,Iauthorizethereleaseofthefollowingrecords:



_________________________________________________________________________________



_________________________________________________________________________________.

(Describespecificallywhichrecordsaretobereleasedincludinganyapplicabledaterange)



Bysigningbelow,1)IacknowledgeandunderstandthatIhavetheopportunitytoreviewtherecordstobe

disclosedandtherighttochallengethecontentsofsuchrecords;and2)Iam18years

ofage.

NOTE:Thisreleaseisvalidonlyforthepurposestated.TheDCPSmustobtainmywrittenauthorizationbefore

releasinganyfurtherinformationtoanyotherrequester.Thisauthorizationwillexpireoneyearfromthedateof

signature.

______________________________________________________________________________________

(Adult/FormerStudent’sName‐Printed)(Adult/FormerStudent’sSignature)



_________________________________________________________________________________________

(Adult/FormerStudent’sCurrentAddress)



_____________________________________________________________________________________

(Adult/FormerStudent’sContactNumber)(Date)



District ofColumbiaPublicSchools |January 2017 Page 15 of 15

SchoolVisitor’sPolicy

AppendixV:ClassroomObserverConfidentiality

Agreement



ClassroomObserverConfidentialityAgreement



I,___________________________________,willbeconductinganobservationof

(Observer’sName‐Printed)



____________________________________________andherebyaffirmthat:

(Student’sName‐Printed)



 IagreetopreservetheconfidentialityofanyandallpersonallyidentifiablestudentinformationthatIview

orhaveaccesstoduringthecourseofmyobservationofthe

above‐referencedstudentandthe

instructionprovidedathis/herschool;

 IagreethatIwillnotinterrupttheteacherduringinstructionaltimeorengageindisruptive,destructive,

orthreateningconduct;

 Iagreetorefrainfrominterruptinganyteacherduringinstructionaltimeandfromengaginginany

conductthat

isdisruptive,destructiveorthreatening;

 IfurtheragreethatImaynotdiscloseanyconfidentialandpersonallyidentifiableinformationaboutany

otherDCPSstudentobtainedbymeduringthecourseofmyobservation(s),asrequiredbylaw;

 IcertifythatIdonotrepresentthestudentincurrentlitigation

relatedtoprovisionofafreeappropriate

publiceducationandIhavenofinancialinterestintheoutcomeofsuchlitigation;

 IcertifyIwillnotdisclosenoruseanyinformationobtainedduringthecourseoftheobservationforthe

purposeofseekingorengagingclientsinlitigationagainst

theDistrictortheLEA;

 IfurtherunderstandthetermsofthisAgreementshallremainineffectduringandaftermyobservation.

Thisagreementisgiveninconsiderationformyabilitytoconductanobservationat



_______________________________________on_________________

(NameofSchool)   (DateofObservation)



___________________________________

(Observer’sName‐Printed)



____________________________________ __________________

(Parent/Guardian’sSignature)  (Today’sDate)

