Exit this survey Parent Verification Survey: Part C of IDEA Question Title * 1. Your Child's Age Question Title * 2. County Where You Live Alameda Alpine Amador Butte Calaveras Colusa Contra Costa Del Norte El Dorado Fresno Glenn Humboldt Imperial Inyo Kern Kings Lake Lassen Los Angeles Madera Marin Mariposa Mendocino Merced Modoc Mono Monterey Napa Nevada Orange Placer Plumas Riverside Sacramento San Benito San Bernardino San Diego San Francisco San Joaquin San Luis Obispo San Mateo Santa Barbara Santa Clara Santa Cruz Shasta Sierra Siskiyou Solano Sonoma Stanislaus Sutter Tehama Trinity Tulare Tuolumne Ventura Yolo Yuba Question Title * 3. Ethnicity African-American American Indian Asian-American Caucasian Hispanic Mexican-American Multiracial Other (please specify) Question Title * 4. I know how to get information about the early intervention services in my State (child find and referral, timely services, natural environments, transition, Individual Family Service Plan development, etc.). Yes No Question Title * 5. If yes, I can obtain the information from: (Please select all that apply) Website State Agency or Local Early Intervention Program Staff Agency Staff Parent Training Information center (e.g., Rowell Family Empowerment Center or Support For Families with Children with Disabilities) Advocacy Group Other (please specify) Question Title * 6. Within the last year, I received a copy of my rights under the Early Intervention Program for Infants and Toddlers with Disabilities for Part C of the Individuals with Disabilities Education Act (IDEA), the Federal special education law for providing early intervention services to infants and toddlers with disabilities and their families. Yes No Question Title * 7. If yes, who gave you this information? (Please select all that apply.) Service Coordinator Service Provider Parent Center Lead Agency Other (please specify) Question Title * 8. If yes, was an explanation of your rights provided, if needed? Yes No NA Question Title * 9. Within the past year, I have asked for: (Please select all that apply.) Mediation State Complaint Resolution Session Due Process Hearing Other Dispute Resolution, including facilitated Individualized Family Service Plans Question Title * 10. Each of the concerns that I have raised in the State Complaint was addressed in the decision letter/letter of finding. Yes No Question Title * 11. I have experienced or observed special education practices that I believe were not in compliance with Part C of IDEA. No Don't know Yes (Please Explain) Question Title * 12. Based on my experiences with the early intervention services in my State, I feel the areas that are most effective are: (Please select the top three.) Child Find and Referral (the process for finding children who qualify for services) Evaluation/Assessment Individualized Family Service Plans Timely Early Intervention Services Qualified Service Providers Services in the Natural Environment Other Community Based Services Transition from Part C to Part B (transition from the infant/toddler program to preschool or other community-based settings) Materials in Native Language No Improvement Needed Don't Know Other (please specify) Question Title * 13. Please explain briefly: Question Title * 14. Based on my experiences with the early intervention services in my State, I feel the areas that need most improvement are: (Select the top three.) Child Find and Referral (the process for finding children who qualify for services) Evaluation/Assessment Individualized Family Service Plans Timely Early Intervention Services Qualified Service Providers Services in the Natural Environment Other Community Based Services Transition from Part C to Part B (transition from the infant/toddler program to preschool or other community-based settings) Materials in Native Language No Improvement Needed Don't Know Other (please specify) Question Title * 15. Please explain briefly Question Title * 16. My child receives services in his/her natural environments (i.e., home, child care, and other community-based settings). Yes No Sometimes (Please explain) Question Title * 17. I know how to get the results of the U.S. Department of Education’s evaluation of my State’s performance under the federal early intervention laws and regulations (i.e., State’s Determination). Yes No Question Title * 18. My family is receiving the frequency and intensity of services as outlined in my infant’s or toddler’s Individualized Family Service Plan? Yes No (Please explain) Question Title * 19. I think that the early intervention system in my State is providing the services and family supports that my child and family need. Yes No (Please explain) Done