EmergencySafetyIntervention(ESI)ParentInformation

Ifanemergencysafetyinterventionwasusedwithastudent,weinviteand

stronglyencourageparentstoscheduleameetingtodiscusstheincidentandhowtopreventfutureuseofemergencysafetyinterventions.Aparentcanrequestandschedulethismeetingbygoingtothebackpageforthepersontocontactwhowillworktoschedulethismeetingwiththerequiredparticipants.Thismeetingwillbeschedulednolaterthan10-schooldaysfromwhentheparentmakestherequestunlesstheparentcannotmeetwithinthattimeframe.

PittsburgCommunitySchoolsUSD250

http://www.usd250.org/

RichProffitt,Superintendent620-235-3100

rproffitt@usd250.org

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Date

Dearparentorguardianof

Wearewritingtoinformyouthatanemergencysafetyinterventionhasbeenusedwithyourchildduetobehaviorthatpresentedareasonableandimmediatedangerofphysicalharmtoyourchildorothers.Anemergencysafetyinterventionistheuseofseclusionorphysicalrestraint.Detailsoftheincidentregardingyourchildareincludedintheformattachedtothisletter.Ifthisisthefirsttimeanemergencysafetyinterventionhasbeenusedonyourchildthisschoolyear,alsoattachedareprintedcopiesofthestandardsforwhenemergencysafetyinterventionmaybeused,aflyeronyourrightsunderemergencysafetyinterventionlaw,informationonyourrighttofileacomplaintwiththelocalboardofeducationthroughthelocaldisputeresolutionprocess,informationonyourrighttorequestadministrativereviewfromtheKansasStateBoardofEducation,andinformationtoassistyouinnavigatingtheseprocesses.Ifthisisasubsequentincidentthisschoolyear,thentheinformationisnotattached,andyouareencouragedtoaccesstheinformationatthewebsitelinkforlocalemergencysafetyinterventionresourcesbelow.Pleaseusetheformonthefollowingpagetoprovidefeedbackorcommentstotheschoolregardingtheincident.Youmaysubmittheformtomeatanytimebydeliveringittotheschooloremailingittome.Weinviteandstronglyencourageyoutoscheduleameetingtodiscusstheincidentandhowtopreventfutureuseofemergencysafetyinterventions.Pleaseusemyemailorphonenumberlistedbelowtoscheduleanemergencysafetyinterventionmeeting.LocalESIResources:http://www.usd250.org/emergency-safety-intervention-esiStateESIResources:www.ksdetasn.orgSincerely,________________________________(Signature)

(PrintedName)

(PhoneNumber)

(EmailAddress)

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Pleaseprovideuswithfeedbackorcommentsregardingtheincident.Youmayattachadditionalpagesifneeded:

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ContactInformation

LocalPittsburgCommunitySchoolsUSD250http://www.usd250.org/RichProffitt,Superintendent620-235-3100rproffitt@usd250.orghttp://www.usd250.org/emergency-safety-intervention-esiStateGeneralEmergencySafetyInterventionInformation:http://ksdetasn.org/tasn/emergency-safety-interventions-esi-resourcesEmergencySafetyInterventionQuestions:LauraJurgensenorJulieEhlerKansasStateDepartmentofEducationljurgensen@ksde.orgorjehler@ksde.org785-296-5522or785-296-1944ParentTrainingandInformationCenter:FamiliesTogetherhttp://familiestogetherinc.org/888-815-6364ProtectionandAdvocacySystem:DisabilityRightsCenterofKansashttp://www.drckansas.org/877-776-1541or785-273-9661