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Joel I. Klein
Chancellor
Committee on Special Education Nine
333 Seventh Avenue
Fourth Floor
New York, New York 10001
(917) 339-1600 tel
(917) 339-1450 fax
MANHATTAN PRESCHOOL ASSESSMENT
CENTER
917-339-1632
Fax 718.559.4706
SOCIAL HISTORY REPORT
Child: TS Region 9
Parent: Lara P. and David S.
Home Language: English DOB: 3/15/06
Home Phone: 917-648-8993
Address: Confidential
Date of Interview: January 19th
, 2010
Interviewer: Rebecca Rothstein- Social Work Intern
Reason for Referral:
TS has been referred to the Committee on Preschool Special
Education by his parents due to concerns with sensory and
social emotional development. Mrs. P and Mr. S served as
the informants and consented to the evaluation process.
Interview took place at the school.
Birth History:
According to Mrs. P., the pregnancy was planned and she was
compliant with prenatal treatment. The gestation was full
term with no complications. TS was born at NYU via vaginal
delivery. Neo natal stay was routine.
Developmental Milestones:
According to Mrs. P. , TS walked at 15 months, toilet
trained at age 2.5, rolled over between the ages of 2-3
months, sat up without support at 5 months, crawled at 11
months, stood without support at 13 months and pulled self
to stand at 10 months.
Sensory Motor:
Both parents have concerns about TS’s sensory development.
During the interview, Mrs. P reported that TS is sensitive
to loud noises and that he flaps his hands when he becomes
excited or overstimulated. According to Mrs. P this happens
frequently.
Personal Skills:
Mrs.P indicated that TS us able to eat using a fork and
spoon. He is also toiled trained. According to Mrs.P, TS is
currently unable to dress himself.
Medical History:
Mrs. P indicated that TS is a healthy child with no history
of ear infections or high fevers. He was admitted to the
hospital in 2005 as a result of falling and hitting his
head. According to Mrs. P, no serious injuries were found.
Immunizations are up to date and TS is currently in good
health.
Learning Skills:
TS presently attends preschool. Mrs. P stated this is TS’s
first time attending school. Mrs. P and
Mr. S are not concerned about any learning difficulties at
this time. According to Mrs. P, TS is able to sit still and
listen to a story for ten minutes. Mrs. P stated TS is able
to count from one to twenty and is able to recognize
numbers and letters. He also knows colors and shapes.
Social Emotional:
Mrs. P described TS as a happy, gentle, and inquisitive
child. She reported that TS prefers to be with other people
rather than alone and that he enjoys visiting with his
cousins. The school TS attends has reported difficulties
with socialization and transitions to Mrs. P and Mr. S.
However, both parents have a different perception than that
of the school and Mrs. P said she and her husband have seen
great improvement this year. Mrs. P indicated that TS is
slightly more excitable compared to children his age and
that he does not engage in pretend play.
Family History:
TS resides with his mother and father. Mrs. P (age 40) has
a college education and is employed as a corporate planner.
Mr. S (age 47) also has a college education and is employed
as a construction executive. Due process and parental
rights were explained to Mrs. P and Mr. S.
Summary:
TS was referred to the Committee on Preschool Special
Education by his parents due to concerns with sensory as
well as social emotional development. Due process and
parental rights were explained to Mrs. P and Mr. S.

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TS

  • 1. Joel I. Klein Chancellor Committee on Special Education Nine 333 Seventh Avenue Fourth Floor New York, New York 10001 (917) 339-1600 tel (917) 339-1450 fax MANHATTAN PRESCHOOL ASSESSMENT CENTER 917-339-1632 Fax 718.559.4706 SOCIAL HISTORY REPORT Child: TS Region 9 Parent: Lara P. and David S. Home Language: English DOB: 3/15/06 Home Phone: 917-648-8993 Address: Confidential Date of Interview: January 19th , 2010 Interviewer: Rebecca Rothstein- Social Work Intern Reason for Referral: TS has been referred to the Committee on Preschool Special Education by his parents due to concerns with sensory and social emotional development. Mrs. P and Mr. S served as the informants and consented to the evaluation process. Interview took place at the school.
  • 2. Birth History: According to Mrs. P., the pregnancy was planned and she was compliant with prenatal treatment. The gestation was full term with no complications. TS was born at NYU via vaginal delivery. Neo natal stay was routine. Developmental Milestones: According to Mrs. P. , TS walked at 15 months, toilet trained at age 2.5, rolled over between the ages of 2-3 months, sat up without support at 5 months, crawled at 11 months, stood without support at 13 months and pulled self to stand at 10 months. Sensory Motor: Both parents have concerns about TS’s sensory development. During the interview, Mrs. P reported that TS is sensitive to loud noises and that he flaps his hands when he becomes excited or overstimulated. According to Mrs. P this happens frequently. Personal Skills: Mrs.P indicated that TS us able to eat using a fork and spoon. He is also toiled trained. According to Mrs.P, TS is currently unable to dress himself. Medical History: Mrs. P indicated that TS is a healthy child with no history of ear infections or high fevers. He was admitted to the hospital in 2005 as a result of falling and hitting his head. According to Mrs. P, no serious injuries were found. Immunizations are up to date and TS is currently in good health.
  • 3. Learning Skills: TS presently attends preschool. Mrs. P stated this is TS’s first time attending school. Mrs. P and Mr. S are not concerned about any learning difficulties at this time. According to Mrs. P, TS is able to sit still and listen to a story for ten minutes. Mrs. P stated TS is able to count from one to twenty and is able to recognize numbers and letters. He also knows colors and shapes. Social Emotional: Mrs. P described TS as a happy, gentle, and inquisitive child. She reported that TS prefers to be with other people rather than alone and that he enjoys visiting with his cousins. The school TS attends has reported difficulties with socialization and transitions to Mrs. P and Mr. S. However, both parents have a different perception than that of the school and Mrs. P said she and her husband have seen great improvement this year. Mrs. P indicated that TS is slightly more excitable compared to children his age and that he does not engage in pretend play. Family History: TS resides with his mother and father. Mrs. P (age 40) has a college education and is employed as a corporate planner. Mr. S (age 47) also has a college education and is employed as a construction executive. Due process and parental rights were explained to Mrs. P and Mr. S. Summary: TS was referred to the Committee on Preschool Special Education by his parents due to concerns with sensory as well as social emotional development. Due process and parental rights were explained to Mrs. P and Mr. S.