Environment, Equipment, & Supervision Specifications

Partner shall provide PresenceLearning with the conditions described below to enable the provision of the applicable Services. PresenceLearning will not begin Services until all of the below criteria are met in order to ensure Student success:

1. Computer Set-Up

1. Each station must have a computer that meets the following specifications:
   1. If a PC or Mac:
      1. Dual core processor
      2. 2 GB RAM
      3. 11.6 inch display or larger
      4. Ability to support headset with microphone
   2. If a Chromebook:
      1. Access to an Ethernet connection
      2. Dual core processor
      3. 2 GB RAM
      4. Ethernet adapter
      5. Cable
2. A broadband internet connection with a minimum of 500 kbps (or higher) upload and download speeds. 1 mbps or higher preferred. If internet speeds are not sufficient to support PresenceLearning’s platform at any site, Partner may elect to purchase a suitable wireless 4G card for the price listed in Exhibit C.
3. Browser: Google Chrome or Mozilla Firefox.
4. Operating system: Windows 7 or later. Mac OS X 10.9 (or later) with Intel processor. If Chromebooks, latest version of Chrome OS.
5. Whitelist the following from all web filters:
   1. *.presencelearning.com
   2. *.amazonaws.com
   3. *.tokbox.com
   4. *.opentok.com
   5. *.firebaseio.com
   6. *.googleapis.com
   7. *.firebase.com
   8. *.gstatic.com
   9. *.godaddy.com
   10. *.youtube.com (optional)
   11. *.plsupport.screenconnect.com (optional)
   12. *.samesurf.com (optional, but required for screen share feature
   13. *.webtype.com (optional, but required for screen share feature)
6. At a minimum, open UDP port 3478 for *.tokbox.com and *.opentok.com. Preferably, open UDP ports 1025-65535 for *.tokbox.com and *.opentok.com.
7. Open TCP Port 443 is open to non-web and SSL traffic on *.tokbox.com and *.opentok.com
8. Configure web and/or content filtering to enable peer-to-peer services.
9. A phone with speaker-phone capability in the immediate vicinity of the computer where service is delivered, to be used as a backup means of communication.

2. Environment

1. A suitable non-noisy controlled space such as a resource room, classroom, computer room, library and/or home setting.
2. To the extent that Services are delivered online, ample lighting that shines either (i) from above the Student or (ii) directly on the face of the Student but not (iii) from behind the Student and directly into the webcam.
3. Privacy screens or other equipment may be necessary to guarantee privacy.

3. Supervision

To the extent that Services are delivered online:

1. A suitable number of Partner Primary Support Persons to provide the below services. Additional services may or may not be required.
   1. Transporting the Student to/from the telepractice session.
   2. Assisting the Student with technology set-up (e.g., attaching the headset to the computer).
   3. Ensuring that the conferencing connection with remote therapist is functioning. Contacting the therapist via phone if necessary.
   4. Remaining in the sessions to ensure that any technology glitches are reported and fixed
   5. Providing cues, prompts, and models for the Student upon therapist direction.
   6. Helping relay information between the school staff and the therapist related to scheduling, absences, or school functions.
2. The paraprofessional shall act under the direction of the PresenceLearning SLP or OT, except in the event of emergency.

4. Supervision of Clinical Assistants

In the event that Partner contracts with PresenceLearning to supervise clinical assistants such as speech language pathology assistants (each an ”SLPA”) or certified occupational therapy assistants (each a “COTA”), Partner shall ensure that each such SLPA and/or COTA shall:

1. meet state and/or American Speech Hearing Language Association (“ASHA”) or American Occupation Therapy Association (“AOTA”) guidelines for SLPAs or COTAs
2. have the appropriate level of education and training
3. have completed fieldwork according to state/ASHA or AOTA guidelines
4. follow ASHA or AOTA/state guidelines on duties and responsibilities
5. follow the treatment plans for Students set out by the supervising SLP or OT
6. not administer standardized or nonstandardized diagnostic tests
7. not participate in parent conferences, case conferences, IEP meetings, etc. without the presence of the supervising SLP or OT.
8. not represent him/herself as an SLP or OT
9. not counsel or consult with families/Students regarding status of service

In addition, Partner agrees that PresenceLearning clinicians shall:

1. participate in training of the SLPA or COTA
2. inform Students that SLPA or COTA will provide treatment
3. make all clinical decisions
4. prepare individualized treatment plans for each Student that the SLPA or COTA treats
5. Sign all formal documents and signed treatment notes of SLPA or COTA
6. Delegate tasks to SLPA or COTA while retaining legal and ethical responsibility for all Student services provided or omitted
7. Ensure that the SLPA or COTA only performs tasks within State or ASHA/AOTA approved guidelines for SLPAs or COTAs.
8. provide both direct and indirect supervision as required by state and/or ASHA or AOTA guidelines