E3-10FSP includes currentinformation relatingto vision, hearing,medical, and allareas ofdevelopment toinclude healthE3-26Medical necessityform wascompleted prior toany services beingreportedE3-20Family Trainingactivitiescorrespond tooutcomes on theFSP outcomespageE3-04For children who areseeking DDSN eligibility,and family training isidentified as a need, theEarly Interventionist has45 days from date ofeligibility date to completethe FSPE3-03Transition toother servicesor settings iscoordinatedE3-05Family ServicePlan (FSP) iscompletedannuallyE3-02There is a ServiceJustification form inthe file for any child5 years of age orolder being served inEarly InterventionE3-22If less than 2 hoursper month of Familytraining is identified onthe FSP there is anapproved ServiceJustification form inthe fileE3-11Outcomes are basedon identified needsand the team'sconcerns relating tothe child'sdevelopmentE3-24Service Notesdocumented why andhow the EarlyInterventionistparticipated inmeetings/appointmentson the child's behalfE3-12Outcomesare/have beenaddressed bythe EarlyInterventionistE3-07FSP six-monthreview wascompletedwithin 180 daysof the FSPE3-16Family Training isprovided according tothe frequencydetermined by the teamand as documented inthe Other Servicessection of the FSPE3-23If the Early Interventionistis unable to provideFamily training for anextended period of time(more than a month) wasthe family offered achoice of an alternateEarly InterventionistE3-25If applicabledocumentation inservice notesindicates that thecase was closedE3-19Family Trainingactivities shouldvary. Activitiesplanned must bebased on identifiedoutcomes on theIFSPE3-01ServiceAgreementsigned andpresent in fileE3-21Time spent/reportedpreparing for aFamily Training visitcorresponds with theactivity plannedE3-15Assessments arecompleted every180 days, or asoften as changeswarrantE3-14If the child's IFSPindicates the need formore than 4 hours permonth of Family Training,the service notes indicatethat inforamtion has beensent to the Office ofChildren's Services forapprovalE3-13FSP "OtherServices"reflects currentservicesE3-06TheParent/Caregiverwas provided acopy of the PlanE3-08The Choice ofEarlyInterventionProvider isoffered annuallyE3-17Family trainingsummary sheetsinclude goals andobjectives for eachvisit as well as follow-up objectives for thenext visitE3-10FSP includes currentinformation relatingto vision, hearing,medical, and allareas ofdevelopment toinclude healthE3-26Medical necessityform wascompleted prior toany services beingreportedE3-20Family Trainingactivitiescorrespond tooutcomes on theFSP outcomespageE3-04For children who areseeking DDSN eligibility,and family training isidentified as a need, theEarly Interventionist has45 days from date ofeligibility date to completethe FSPE3-03Transition toother servicesor settings iscoordinatedE3-05Family ServicePlan (FSP) iscompletedannuallyE3-02There is a ServiceJustification form inthe file for any child5 years of age orolder being served inEarly InterventionE3-22If less than 2 hoursper month of Familytraining is identified onthe FSP there is anapproved ServiceJustification form inthe fileE3-11Outcomes are basedon identified needsand the team'sconcerns relating tothe child'sdevelopmentE3-24Service Notesdocumented why andhow the EarlyInterventionistparticipated inmeetings/appointmentson the child's behalfE3-12Outcomesare/have beenaddressed bythe EarlyInterventionistE3-07FSP six-monthreview wascompletedwithin 180 daysof the FSPE3-16Family Training isprovided according tothe frequencydetermined by the teamand as documented inthe Other Servicessection of the FSPE3-23If the Early Interventionistis unable to provideFamily training for anextended period of time(more than a month) wasthe family offered achoice of an alternateEarly InterventionistE3-25If applicabledocumentation inservice notesindicates that thecase was closedE3-19Family Trainingactivities shouldvary. Activitiesplanned must bebased on identifiedoutcomes on theIFSPE3-01ServiceAgreementsigned andpresent in fileE3-21Time spent/reportedpreparing for aFamily Training visitcorresponds with theactivity plannedE3-15Assessments arecompleted every180 days, or asoften as changeswarrantE3-14If the child's IFSPindicates the need formore than 4 hours permonth of Family Training,the service notes indicatethat inforamtion has beensent to the Office ofChildren's Services forapprovalE3-13FSP "OtherServices"reflects currentservicesE3-06TheParent/Caregiverwas provided acopy of the PlanE3-08The Choice ofEarlyInterventionProvider isoffered annuallyE3-17Family trainingsummary sheetsinclude goals andobjectives for eachvisit as well as follow-up objectives for thenext visit

Baker's Indicator Bingo - Call List

(Print) Use this randomly generated list as your call list when playing the game. There is no need to say the BINGO column name. Place some kind of mark (like an X, a checkmark, a dot, tally mark, etc) on each cell as you announce it, to keep track. You can also cut out each item, place them in a bag and pull words from the bag.


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  1. E3-10 FSP includes current information relating to vision, hearing, medical, and all areas of development to include health
  2. E3-26 Medical necessity form was completed prior to any services being reported
  3. E3-20 Family Training activities correspond to outcomes on the FSP outcomes page
  4. 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
  5. E3-03 Transition to other services or settings is coordinated
  6. E3-05 Family Service Plan (FSP) is completed annually
  7. 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
  8. 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
  9. E3-11 Outcomes are based on identified needs and the team's concerns relating to the child's development
  10. E3-24 Service Notes documented why and how the Early Interventionist participated in meetings/appointments on the child's behalf
  11. E3-12 Outcomes are/have been addressed by the Early Interventionist
  12. E3-07 FSP six-month review was completed within 180 days of the FSP
  13. 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
  14. 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
  15. E3-25 If applicable documentation in service notes indicates that the case was closed
  16. E3-19 Family Training activities should vary. Activities planned must be based on identified outcomes on the IFSP
  17. E3-01 Service Agreement signed and present in file
  18. E3-21 Time spent/reported preparing for a Family Training visit corresponds with the activity planned
  19. E3-15 Assessments are completed every 180 days, or as often as changes warrant
  20. 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
  21. E3-13 FSP "Other Services" reflects current services
  22. E3-06 The Parent/Caregiver was provided a copy of the Plan
  23. E3-08 The Choice of Early Intervention Provider is offered annually
  24. E3-17 Family training summary sheets include goals and objectives for each visit as well as follow-up objectives for the next visit