1. Sample Safety Plan
    2. Juvenile Sex Offender’s and Sexually Aggressive Youth
      1. Background
      2. Plan elements
      3. Transition supervision




    SAMPLE





    Sample Safety Plan





    Juvenile Sex Offender’s and Sexually Aggressive Youth


     

    Date

    School

    Student

    Grade

     





    Background

    STUDENT qualifies for special education services under the eligibility classification emotional/behavioral disability. STUDENT receives specially designed instruction in personal I social behavior skills, reading, writing and math. STUDENT’s educational placement is being changed from SCHOOL to SCHOOL due to a Temporary Sexual Assault Protection Order between STUDENT and another student at SCHOOL.

     

    Offender status/disposition orders and parole conditions

     

    Educational placement

     





    Plan elements

    Responders:
    NAME, Principal
    NAME, Assistant Principal
    NAME, special education teacher
    NAME, School Resource Officer
    NAME, Counselor
    NAME, Campus Security Officer
     
    Additional responders
    In addition, any adults who are not named in this plan may be additional responders at times when supervision/line of sight must be provided. Examples of those adults may be other counselors, teachers, paraprofessionals, or school staff
     
    Staff response plan
    It is required that STUDENT is within sight of the supervising adult at all times.
     
    Communication plan
    If STUDENT leaves the line of sight of supervising adult, that adult will contact the office staff immediately so that PRINCIPAL or designee can respond immediately. If STUDENT remains out of sight for more than 3-5 minutes NAME will be contacted so that he can assist in locating and return STUDENT to the supervising adult. Also, if staff members witness any suspicious behavior on STUDENT 's part, that staff member should radio or call the office staff immediately.
     
    STUDENT and supervising adult will log in and out each day with the receptionist in the main office.
     
    Upon resolving any significant issue with STUDENT (i.e. failure to stay within the established line of sight), the supervising adult will confer with school administrators in person no later than the conclusion of that school day.
     
     





    Transition supervision

     

    To and from school

    STUDENT will be transported to and from school by Transportation. STUDENT will be under the supervision of the assigned supervising adult at all times.

     

    Before/after school

    STUDENT will arrive on campus and be escorted by the supervising adult to and from each of his classes; after school, STUDENT will be escorted off campus by the supervising adult. STUDENT will not be allowed to attend afterschool activities unless he is on a line of sight supervision by the supervising adult.

     

    Between classes/specials

    The assigned supervising adult will escort STUDENT from one class to another during "passing time."

     

    Restrooms visits

    If STUDENT needs to use the restroom during class time, the supervising adult will escort STUDENT to the restroom designated for his use by a school administrator. This will be strictly a one-person occupancy restroom. STUDENT will be prohibited from using a common/multiple user restroom. The supervising adult will remain with him during his visit and will escort him in his return to the classroom or appropriate activity area.

     

    Office visits

    If STUDENT has been summoned to the office or counseling office, the supervising adult will escort and remain with him during this visit.


     

    Classes and specialized circumstances (i.e. “specials”, lunchroom, PE, locker rooms, laboratories, etc.)


    The supervising adult will escort STUDENT to the restroom designated for his use by a school administrator to change for PE. This will be strictly a one-person occupancy restroom. STUDENT will be prohibited from using the locker room. The supervising adult will remain with STUDENT throughout PE activities.

     

    Emergency drills:

    STUDENT will participate in required emergency drills and will remain with his supervising adult during this exercise through the entire activity.

     


    Lunchroom/Recess Supervision:


    STUDENT will be served lunches each day in the school cafeteria and will remain with the supervising adult at all times.


     


    Notification plan (where and when appropriate as per FERPA, state law and collective bargaining agreement)

    Where and when appropriate as per FERPA, state law and collective bargaining agreement


     


    Immediate staff

    Staff will receive information in person from administration, counselor, or school psychologist regarding this safety plan.

     

    Peripheral staff

    Staff will be informed of the plan by an administrator as appropriate.

     

    School community

    SCHOOL staff will be informed that this student is supervised by an approved adult.

     

    Substitute notification-identify responsible parties:

     Bus drivers

     Visiting teacher(s)



    The plan will be included in the substitute file/ with alert Visiting paraprofessionals- Supervising teacher will review plan with all appropriate visiting paraprofessionals.

     Visiting paraprofessionals

     Other school staff



    Not applicable


     

    Consequences

    Any assaultive behavior or exceptional misconduct as defined in SRR 3240 will receive discipline in accordance with (IEP? School rules?) our school district policies, IEP & BIP guidelines and will be reported to parents in a timely manner and will be reported to the probation officer (if applicable).


     

    Notification in case of emergency and/or violation of plan.

     
     
    Parent/Guardian phone numbers
     
     
    Probation officer phone numbers
     
     
    Counselor/treatment provider phone numbers
     
     
    School Resource Officer/law enforcement phone numbers
     
     
    Notification in case of bullying or harassment
     
     
    Name Role
     
     
    Name Role
     
    I understand the elements of this plan and my role in protecting the safety and security of this student and the other students enrolled at this school.
     
     
    Student Parent/Guardian
     
     
     
     
     
     
     
    Reviewed and approved by:
     
     
    Area Deputy/Assistant Superintendent Date

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