Appendix B: Sample PWN 7 Change in Service Provider
Date
Parent/Guardian Address Line 1 Address Line 2 Subject: Change of Service Provider – Johnny Doe (DOB 01/11/00) Dear Parent/Guardian, This notice is to inform you of the school LEA’s decision to change the service provider for the 2013-2014 school year. The LEA will be providing occupational therapy (OT) services via the occupational therapy department of the Desert/Mountain Special Education Local Plan Area (SELPA). The LEA was previously using a non-public agency (Horizon Therapies) to provide OT services. The LEA is making this change in service providers in order to provide quality OT services to our students. The Desert/Mountain SELPA Occupational Therapists (OT) and Certified Occupational Therapy Assistants (COTA) are a geographically local department who will be able to provide quality services to our students. Therapists from the previous provider were traveling from the Riverside area. The LEA does not have an in-house occupational therapist. The LEA has reviewed and evaluated the various options available as vendors to provide occupational therapy services to our students. We believe the Desert/Mountain SELPA occupational therapy department will fit the bill. The service provider on your child’s current IEP will be changed internally to reflect the change in service provider from NPA to DMSELPA for occupational therapy effective July 1, 2013. This letter serves as the LEA’s prior written notice which requires the LEA to notify parents whenever it is proposing to change, or refuse the identification, evaluation, or educational placement of your child or the provision of a free appropriate public education (FAPE) to your child. If you disagree with the LEA’s change in service provider, or if you have other questions about your rights under the IDEA, please consult the enclosed procedural safeguards. You may also contact the following agencies for assistance:
BP 1001 – Procedural Safeguards
Page 31
Desert Mountain Charter Special Education Local Plan Area (DMCS) (rev. 11/16)
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