Safe Steps Accommodation Plan
Special Education Services
Temporary Section 504 Plan
Medical Accommodation & Support Agreement
Active Period Temporary (6-8 Weeks)
STUDENT NAME
___________________________
GRADE / AGE
Grade K / 6 Years Old
EFFECTIVE DATES
___ / ___ to ___ / ___
MEDICAL CONDITION
Bilateral wrist injuries (recovering in braces / casts)
CASE MANAGER
___________________________
1. Personal Care & Safety
- • Toileting Support: Provide direct assistance with managing clothing (zippers, buttons, pants pulling) and basic hygiene. Respect privacy while ensuring absolute physical safety.
- • Mealtime Supervision: Supervise all snack and lunch periods. Designated staff or peer helper to assist in opening containers, peeling fruit, and managing heavy lunchboxes.
- • Dry Hand Hygiene: Absolutely no water-based hand washing that risk wetting braces or casts. Supervise the use of hand wipes or dry hand sanitizer exclusively.
2. Physical Safety & Activity Exemptions
- • Material Handling: A designated buddy or staff member must carry student's backpack, binder, lunchbox, and library books during transitions.
- • Recess & PE Restrictions: 100% exempt from running games, climbing playground equipment, and contact sports. Must be stationed in a designated safe, supervised zone. See Page 2 for approved structured activities (e.g., Bubble Blowing, Shadow Tag, Lawn Bowling).
- • Physical Reminders: Since the student is 6 years old, she requires frequent, gentle verbal redirections regarding safety rules (e.g., "Keep your hands up," "No leaning on your wrists").
3. Academic & Classroom Modifications
- • Verbal / Scribe Responses: Eliminate fine-motor output expectations. Accept verbal reasoning, oral storytelling, or dictation to a teacher/aide for worksheets and handwriting tasks.
- • Assistive Technology: Utilize speech-to-text tools or audio recording options on tablet/computer for student responses when a human scribe is unavailable.
- • Classroom Seating: Seat student in a low-traffic location away from pathways to prevent accidental bumping of her injured wrists by peers.
Official School Document - Educational Support Services Page 1 of 2
Actionable Guide
Teacher Action Checklist
Daily checklist & low-motor engagement resources
Implementation Required Daily
Daily Checklist Tasks
Morning & Transitions Ensure transition buddy carries backpack and folders. Verify braces are dry and properly aligned at arrival. Seat student away from doorways / high-traffic paths.
Meals & Physical Safety Supervise hygiene (wipes/sanitizer only - NO WATER). Assign dedicated adult/peer to open food at lunch/snack. Ensure playground monitors enforce no-contact zone.
Low-Motor Engagement Directory (School & Home)
Recess & Lunch Alternatives (Structured & Safe)
Set up a designated "Safe Play Zone" at a picnic table, shade circle, or low-impact blacktop corner. Approved low-risk activities include:
Bubble Blowing: Blow bubbles for friends to pop.
Shadow Tag: Tagging only shadows with feet.
I-Spy Scavenger Hunt: Verbal tracking games.
Foam Bowling: Kick a soft ball at plastic pins.
Board Game Helper: Scribe / roll-assistance.
Chalk Art: Thick chalk drawing with buddy.
Hands-Free Learning (Class & Home)
Keep the student engaged in lessons without requiring manual grip or weight bearing on her wrists:
Audiobooks & Educational Podcasts
Verbal Spelling / Math Flashcards
Giant Soft Blocks (built with a helper)
Interactive Oral Quizzes & Drama
Team Signatures & Commitment
PARENT/GUARDIAN SIGNATURE
Date: ____ / ____ / ________
CLASSROOM TEACHER SIGNATURE
Date: ____ / ____ / ________
SCHOOL ADMINISTRATOR SIGNATURE
Date: ____ / ____ / ________
Official School Document - Educational Support Services Page 2 of 2
Safe Steps Advocacy Cards
Safe Steps Advocacy Cards
Cut, laminate, and ring-bind or tape to her desk! Designed for student empowerment.
6-Year-Old Friendly
How to Use: Print on cardstock and cut along the dashed borders. Punch holes in the corners and attach to a lanyard or carabiner, or tape them directly to her desk. Practice the short phrases together!
Keep Me Dry!
Please clean my hands with wipes or sanitizer only. My braces must stay totally dry!
No Water Wash
Hands Off!
My wrists are healing and can get hurt easily. Please do not touch, pull, or bump them.
Protect My Wrists
Helper Needed!
Can you please help me carry my things or open my snack today? Thank you!
Help Me Out
Scribe, Please!
I will tell you my answers and great ideas. Can you please write them down for me?
Verbal Answers Only
Safe Play Zone!
I need a safe spot to play. Let’s sit together, tell stories, play I-Spy, or try board games!
Recess Support
Take a Rest!
Sometimes my arms get tired. I need to take a break and sit quietly to rest my wrists.
Wrist Rest Break
Cutout Cards - Student Support Package Always advocate for yourself! 🌟
