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Dave Kravitz

Dave Kravitz

Student Services Director

Home Hospital

Basics on Home Hospital

We find that with the ever changing counseling, site, and district-level staff, there is information that needs to be shared with the sites in order to maximize the effectiveness of the District Home Hospital (HH) program:

First question...Does the student have an IEP?

General Education:  Please send your paperwork by email to Home Hospital.

Special Education:  Please email Home Hospital for HH students who have an IEP.

As we near the end of the 2021-22 school year, please note that the last day to submit a request for Home Hospital services is Friday, May 6th to start receiving services by Thursday, May 12.

For General Education Students: 


The purpose of Home Hospital (HH) instruction is to help students maintain continuity of instruction during a temporary, short-term disability.  Any student with a temporary, short-term disability that makes attendance in regular school or an alternative education program impossible or inadvisable must receive individual instruction provided by the student’s school district (Education Code 58206.3[b][2]).

A temporary disability is a temporary physical, mental or emotional disability incurred while a pupil is enrolled in regular day classes or an alternative education program.  The student will be expected to return to regular day classes or an alternative education program without special intervention pursuant to Education Code 56026 (Education Code 48206.3).

Examples of temporary, short-term disabilities include, but are not limited to: broken limbs, hand injuries, or short term impairments following surgery or medical treatments.


  • Student must be a San Ramon Valley USD resident, or Inter-district permitted student, and enrolled in grades TK-12.
  • Student has an anticipated absence from regular school of from 3-6 weeks from the date on the Request for Home Teacher due to a temporary, short-term disability.
  • The licensed physician verifies in writing the student’s diagnosis and need for HH services.  Please note that just because a physician recommends/requests HH services, this does not mean that the district will automatically provide HH services.  Provision of HH services is at the discretion of the school district.
  • The referring physician must be responsible for continuing treatment and service while the student is out of regular school.

Referral Process

Parents request the Home-Hospital (HH) instruction by completing the Request for Home Teacher. The Request form must be completely filled out by the doctor and the parent in order to be considered, and must include the diagnosis and the length of time (3-6 weeks) the student is anticipated to be unable to attend school.  Many students with temporary health problems may still be able to attend regular school with modifications.  The modifications are determined through planning sessions with the family, counselor, and other school officials.  In some cases, a temporary modification of the school schedule is sufficient to accommodate the student’s needs, and home instruction is not necessary. 

Continuation of HH services is always subject to review by the district and must be authorized by the student’s physician.

Service Options

An eligible student for HH may receive 300 minutes of instruction per week by a credentialed teacher, (equal to one hour per school day per week).  It is the responsibility of the parent to be present in the home while the HH teacher is present or other family adult 21 years old and over.  It is also the parent/guardian’s responsibility to provide a quiet, appropriate learning environment for HH instruction in the home or other agreed upon location.  When the physician determines the student may return to regular school, the physician authorization must indicate the level of activity in addition to the limitations or instructions regarding the student’s care at regular school.

Facts for Parents, Counselors, Administrators, and Staff about Home Hospital

What it is:

  • HH instruction allows students who are severely restricted and unable to attend school to receive temporary, short-term instruction due to a temporary disability.  A temporary disability is a temporary physical, mental or emotional disability incurred while a pupil is enrolled in regular day classes or an alternative education program.  The student will be expected to return to regular day classes or an alternative education program without special intervention pursuant to Education Code 56026 (Education Code 48206.3).  HH instruction is a 3-6 week “band-aid, to help support a student academically.
  • The student will receive one hour of teacher instruction for each day school is in session, for a maximum of five hours per week.  The schedule of visits is arranged between the parent/guardian, the student, and the HH teacher.
  • The HH teacher will work to continue, as much as possible, the regular teacher class assignments. Not all HH teachers teach all subjects.

What it is NOT:

  • HH instruction is not an alternative education program for your student.  The purpose of HH instruction is to minimize the loss of instruction while a student is recovering from a temporary disability.  The severity of disability is determined through a physician diagnosis and educational alternatives are considered before HH is authorized.  The student will return to regular school or an alternative education program as soon as the student is healthy enough to do so as determined by a physician.
  • Within HH, instruction is not the same as instruction at the regular school.  The HH teacher is credentialed, but will not be “teaching” all subjects. HH teachers cannot be experts in all subjects such as math, ELA, foreign languages, science, etc. HH teachers act as a conduit between the student and the school (teachers and counselors) regarding homework, tests, questions the student has, etc.  Students and parents/guardians at the secondary level are expected to keep up with homework assignments on schoolloop.  The student could be behind schedule with completing assignments and tests when the student returns to regular school. 
  • A physician does not authorize HH.  Only Student Services can authorize HH instruction.  In completing the Request for Home Teacher, a physician must provide medical information so a valid and proper student placement can be considered.
  • HH instruction does not apply to students identified as individuals with exceptional needs pursuant to Education Code 56026 (Education Code 48206.3).

Additional Information:

  • The Request for Home Teacher completed by parents/guardian and the doctor must clearly state that the student requires home teaching and must have a return to school date of between 3-6 weeks from the date of the form/letter.
  • Home Teachers appreciate having counselors attend the HH meetings set up by the Student Services and most meetings will be set up in the counselor's office.
  • Immediately following General Ed HH meetings, an email will be sent to District attendance, the site attendance person, the Home Teacher, the parent/guardian, the Counselor, and all of the student's teachers. This email lists the beginning date of home teaching and the date of the student's return to school. District Attendance and the school registrar then code that time as HH in Infinite Campus. 
  • Counselors may be asked to assist HH students when teachers are reluctant to give HH students assignments.
  • When the student returns from HH, the student’s counselor is requested to schedule a transition meeting with the student to go over return-to-school restrictions, expectations, and any other needs the student may have.
Home Hospital Checklist

Does this student qualify for home instruction?

  • Temporary, short-term disability with established return-to-school date.  Examples are broken limbs, hand injuries, recovering from surgeries, concussions.
  • Student will be absent from school from 3-6 weeks from the date the Request for Home Teacher is submitted.  This does not include the days the student has been absent prior to the submission of the Request.
  • The doctor has completed the medical portion of the Request for Home Teacher form or attached a letter with clear instructions for home teaching and a firm return-to school date.

Have you considered the following alternatives to home hospital?

  • Modified school day (shortened day, late start, early dismissal, etc.)
  • Physical accommodations such as elevator access
  • Reduction of course load (change of AP to regular class, dropping non-academic classes)
  • Site level assessment such as a 504 Plan
  • Concurrent enrollment
  • Transfer to Venture