NOTICE OF NONPUBLIC, NONSECTARIAN SCHOOL CERTIFICATION Date: Site Administrator: Nonpublic School: CDS Code: Site Address: City: Authorized Grade Levels: December 22, 2015 Cristina Vicencio Tobinworld II - Antioch 07-61648-7098304 2330 Country Hills Dr. #102 Antioch CA K to 12 94509 Approved Classrooms: 9 COED 2015 CERTIFICATION STATUS: Amended APPROVED EFFECTIVE DATES: December 17, 2015 through December 31, 2015 Authorized to Provide Special Education Instruction to Students Identified with the Following Primary Disabling Conditions: Autism Intellectual Disability-Mild to Moderate Specific Learning Disability Deaf Blindness Intellectual Disablity-Moderate to Severe Speech and Language Impairement Deafness Multiple Disabilities Tramatic Brain Injury Emotional Disturbance Other Health Impairment Visual Impairment Hearing Impaired Orthopedically Impaired Authorized to Provide the Following Related Services: Adaptive PE In Home and Hospital Physical Therapy Audiological Services Low Incidence Recreational Services Assistive Technology Services Language Speech Development and Remediation Behavior Intervention Design and Planning Music Therapy Specialized Driver Training Instruction Behavior Intervention Implementation Nonmedical Care Room and Board Social Worker Counseling and Guidance Orientation and Mobility Instruction Transcriber Services Early Education Occupational Therapy Vision Services Educational Interpreter Parent Counseling and Training Vocational Education / Career Development Health and Nursing Services Psychological Services Other Services Authorized: Nonmedical Care Room and Board Approved Sites: Residential Provider Certification is not an endorsement of the services offered by the nonpublic school (NPS), but states only that the NPS meets mininum legal standards. "Approved" or "Conditional" certifications authorize the NPS to accept students placed by local educational agencies (LEAs) under California Education Code Section 56366. MICHAEL MIGUELGORRY Michael Miguelgorry Interagency Nonpublic Schools and Agencies Unit Special Education Division