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NNPS January 15 manifestation determination: decision and committee fields
SELECTED SOURCE EXCERPTS - PRIVATE IDENTIFIERS REMOVED
The form selects a disability relationship and no IEP-implementation failure. Listed members and blank signature lines do not independently
verify attendance.
Original document-date field | Original PDF page 3
Document Date
01/15/2026
Original decision, conclusion and selected staff committee rows; family rows omitted | Original PDF page 3
Decision:
YES NO
o #1 Was the conduct in question caused by the child's disability, or did the conduct in question have a direct and
substantial relationship to the child's disability?
Was the conduct in question a direct result of the school district's failure to implement the IEP/504 Plan?
oO
Conclusion:
After the review of information and consideration of Decision questions 1-2 (above), the committee has determined:
The behavior of the student was a manifestation of the child's disability. Refer to the IEP Team. The FBA / BIP must be
conducted if none exist and if they exist, review the BIP and modify as necessary to address the behavior.
(1___ The behavior of the student was not a manifestation of the child's disability, and relevant disciplinary procedures applicable
to students without disabilities may be applied. Send to the Office of Student Leadership. Determine whether FBA / BIP are
needed or whether existing BIP needs modification.
Committee Members:
Role Name Signature Date
Central Office Vivian Vitullo
Representative - SPED
Principal or designee __Delrose Adkinson
Principal or designee Stephanie Bean
Special Education Tonya Faulk
Supervisor
Special Ed Teacher Andreana Blackwell
School Psychologist Lauren Fredrickson
Gen Ed Teacher PK. Shonda Dawson
Audit Newport News | Reviewed October 26, 2026 | Selected redacted source passages
1/1 | Supplied dates/attribution are not independently authenticated transmission records.
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