Baker's Indicator Bingo

Baker's Indicator Bingo Card
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This bingo card has a free space and 24 words: E3-08 The Choice of Early Intervention Provider is offered annually, E3-23 If the Early Interventionist is unable to provide Family training for an extended period of time (more than a month) was the family offered a choice of an alternate Early Interventionist, E3-02 There is a Service Justification form in the file for any child 5 years of age or older being served in Early Intervention, E3-17 Family training summary sheets include goals and objectives for each visit as well as follow-up objectives for the next visit, E3-06 The Parent/Caregiver was provided a copy of the Plan, E3-15 Assessments are completed every 180 days, or as often as changes warrant, E3-04 For children who are seeking DDSN eligibility, and family training is identified as a need, the Early Interventionist has 45 days from date of eligibility date to complete the FSP, E3-21 Time spent/reported preparing for a Family Training visit corresponds with the activity planned, E3-12 Outcomes are/have been addressed by the Early Interventionist, E3-25 If applicable documentation in service notes indicates that the case was closed, E3-11 Outcomes are based on identified needs and the team's concerns relating to the child's development, E3-20 Family Training activities correspond to outcomes on the FSP outcomes page, E3-19 Family Training activities should vary. Activities planned must be based on identified outcomes on the IFSP, E3-03 Transition to other services or settings is coordinated, E3-26 Medical necessity form was completed prior to any services being reported, E3-16 Family Training is provided according to the frequency determined by the team and as documented in the Other Services section of the FSP, E3-05 Family Service Plan (FSP) is completed annually, E3-14 If the child's IFSP indicates the need for more than 4 hours per month of Family Training, the service notes indicate that inforamtion has been sent to the Office of Children's Services for approval, E3-22 If less than 2 hours per month of Family training is identified on the FSP there is an approved Service Justification form in the file, E3-01 Service Agreement signed and present in file, E3-13 FSP "Other Services" reflects current services, E3-24 Service Notes documented why and how the Early Interventionist participated in meetings/appointments on the child's behalf, E3-07 FSP six-month review was completed within 180 days of the FSP and E3-10 FSP includes current information relating to vision, hearing, medical, and all areas of development to include health.

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