Timothy O. v. Paso Robles Unified School District ( 2016 )


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  •                    FOR PUBLICATION
    UNITED STATES COURT OF APPEALS
    FOR THE NINTH CIRCUIT
    TIMOTHY O., individually;            No. 14-55800
    AMY O., individually; L. O.,
    Timothy O. as guardian ad                D.C. No.
    litem for his minor,             2:12-cv-06385-JGB-JEM
    Plaintiffs-Appellants,
    v.                         OPINION
    PASO ROBLES UNIFIED
    SCHOOL DISTRICT,
    Defendant-Appellee.
    Appeal from the United States District Court
    for the Central District of California
    Jesus G. Bernal, District Judge, Presiding
    Argued and Submitted December 7, 2015
    Pasadena, California
    Filed May 23, 2016
    Before: Stephen Reinhardt, John T. Noonan,
    and Jacqueline H. Nguyen, Circuit Judges.
    Opinion by Judge Reinhardt
    2              TIMOTHY O. V. PASO ROBLES USD
    SUMMARY*
    Individuals with Disabilities Education Act
    The panel reversed the district court’s judgment in favor
    of the defendant school district in an action brought under the
    Individuals with Disabilities Education Act.
    The panel held that the school district violated the
    procedural requirements of the IDEA by failing to formally
    assess a student for autism, even though this was an area of
    suspected disability. As a result, the school district was
    unable to design an educational plan that addressed the
    student’s unique needs, and it denied him a free appropriate
    public education. The panel remanded for determination of
    an appropriate remedy.
    COUNSEL
    Marcy J.K. Tiffany (argued), Tiffany Law Group, Torrance,
    California, for Plaintiffs-Appellants.
    Diane Beall (argued), Kronick, Moskovitz, Tiedmann &
    Girard, Sacramento, California, for Defendant-Appellee.
    Sarah Erickson André, Michael P. Curtis, and Irene
    Tatevosyan, Nixon Peabody LLP, Los Angeles, California,
    for Amicus Curiae Learning Rights Law Center.
    *
    This summary constitutes no part of the opinion of the court. It has
    been prepared by court staff for the convenience of the reader.
    TIMOTHY O. V. PASO ROBLES USD                      3
    Maureen R. Graves, Fountain Valley, California, as and for
    Amicus Curiae California Association of Parent-Child
    Advocacy.
    Selene Almazan-Altobelli, Towson, Maryland, as and for
    Amicus Curiae Council of Parent Attorneys and Advocates.
    Jan E. Tomsky and Chad J. Graff, Fagen Friedman & Fulfrost
    LLP, Oakland, California, for Amicus Curiae California
    School Boards Association’s Education Legal Alliance.
    OPINION
    REINHARDT, Circuit Judge:
    The Center for Disease Control and Prevention estimates
    that nearly one in sixty-eight children has autism spectrum
    disorder, a neurodevelopmental disorder that is characterized,
    in varying degrees, by difficulty communicating and
    socializing and by restricted repetitive behavior, interests, and
    activities.1 The disorder is present from birth, or very early
    in development, and affects children’s ability to communicate
    ideas and feelings, to use their imagination, and to develop
    relationships with others. Every individual with autism
    spectrum disorder is unique, although the main characteristics
    in children—behavioral deficits in eye contact, responding to
    one’s name, joint attention behavior, pretend play, imitation,
    1
    See CDC Autism and Developmental Disabilities Monitoring Network,
    Prevalence of Autism Spectrum Disorder Among Children Aged 8
    Years (Mar. 28, 2014), http://www.cdc.gov/mmwr/preview/mmwrhtml/
    ss6302a1.htm?s_cid=ss6302a1_w.
    4              TIMOTHY O. V. PASO ROBLES USD
    nonverbal communication, and language development—are
    measurable by eighteen months of age.2
    Early diagnosis and intervention is critical for the
    education of children with autism. In fact, with early and
    appropriate intervention, as many as 25% of children with
    early autism will, at an early age, no longer meet the criteria
    for that disorder. For the remaining children, intervention in
    the child’s preschool years greatly increases the likelihood
    that the child will learn to verbally communicate. Indeed, the
    success of early intervention techniques has lowered the
    number of autistic children who will remain non-verbal
    throughout their lifetime to fewer than 10%, down from
    roughly 50% in the 1980s. Early intervention also minimizes
    the secondary symptoms and disruptive behavior, such as
    aggression, tantrums, and self-injury, that are displayed by
    children with the disorder. If left untreated, however,
    symptoms of autism spectrum disorder can become more
    severe and require extensive and expensive therapeutic
    interventions.3
    2
    See Amanda J. ex rel. Annette J. v. Clark Cty. Sch. Dist., 
    267 F.3d 877
    ,
    882–83 (9th Cir. 2007).
    3
    See Lynn Kern Koegal et al., The Importance of Early Identification
    and Intervention for Children with or at Risk for Autism Spectrum
    Disorders, 16.1 INT’L J. OF SPEECH-LANGUAGE PATHOLOGY 50, 51–52
    (2014). See also Gary E. Marchant & Jason S. Robert, Predictive Health
    Technologies: Genetic Testing for Autism Predisposition: Ethical, Legal
    and Social Challenges, 9 HOUS. J. HEALTH L. & POL’Y 203, 208–11
    (Spring 2009).
    TIMOTHY O. V. PASO ROBLES USD                            5
    Luke4 is a child with autism.5 Under the Individuals with
    Disabilities Education Act ( “IDEA” or “the Act”), 
    20 U.S.C. §§ 1400
    –1487, the defendant Paso Robles Unified School
    District (“Paso Robles”) became responsible for providing
    Luke with a free appropriate public education (“FAPE”)
    when he turned three years old. In order to ensure that
    children with disabilities receive an appropriate education
    tailored to their unique condition, the IDEA requires that
    when a school district is afforded reason to suspect that a
    child has a disability, it “conduct a full and individual initial
    evaluation” that ensures the child is assessed for “all areas of
    suspected disability,” using a variety of reliable and
    technically sound instruments. 
    20 U.S.C. §§ 1414
    (a)(1),
    (b)(2)–(3). At the time of Luke’s initial evaluation, Paso
    Robles was aware that Luke displayed signs of autistic
    behavior, and therefore, autism was a suspected disability for
    which it was required to assess him. It chose, however, not
    to formally assess him for autism because a member of its
    staff opined, after an informal, unscientific observation of the
    child, that Luke merely had an expressive language delay, not
    a disorder on the autism spectrum. We hold that, in so doing,
    Paso Robles violated the procedural requirements of the
    4
    In the caption, Luke is named “L.O.” In his brief on appeal, as in this
    opinion, he is referred to as Luke.
    5
    At the time this case was filed, “autism spectrum disorder” was not
    recognized as a single disorder, but rather, as subgroups associated with
    the severity of the person’s symptoms: Autistic Disorder, Asperger’s
    Disorder, Childhood Disintegrative Disorder, and Pervasive
    Developmental Disorder Not Otherwise Specified. Since the 2013
    revisions to the Diagnostic and Statistical Manual of Mental Disorders,
    however, these subgroups have been replaced by the umbrella term
    “autism spectrum disorder.” Throughout this opinion, the original
    subgroups will generally be referred to individually and collectively as
    “disorders on the autism spectrum” or “autism.”
    6              TIMOTHY O. V. PASO ROBLES USD
    IDEA and, as a result, was unable to design an educational
    plan that addressed Luke’s unique needs. Accordingly, we
    hold that Paso Robles denied Luke a free appropriate public
    education, and remand for the determination of an appropriate
    remedy.
    STATUTORY AND REGULATORY BACKGROUND
    The Individuals with Disabilities Education Act
    (originally the Education for All Handicapped Children Act),
    was designed to reverse a history of educational neglect for
    disabled children. Schaffer ex rel. Schaffer v. Weast,
    
    546 U.S. 49
    , 52 (2005) (citing H.R. Rep. No. 94-332, p. 2
    (1975)). At the time of its passage, the need for institutional
    reform was pervasive: millions of children with a multitude
    of disabilities were entirely excluded from public schools,
    and others, while present, could not benefit from the
    experience because of undiagnosed—and therefore
    unaddressed—disabilities. See 
    20 U.S.C. § 1400
    (c)(2).
    With the goal of remedying these systemic problems, the
    Act conditions the receipt of federal funds on States’
    maintenance of policies and procedures ensuring that a “free
    appropriate public education” is available to all children with
    disabilities between the ages of three and twenty-one. 
    Id.
    § 1412(a)(1)(A).6 A free appropriate public education
    requires the provision of “specially designed instruction, at
    6
    A “child with a disability” is one who has either intellectual
    disabilities, hearing impairments, speech or language impairments, visual
    impairments, serious emotional disturbance, orthopedic impairments,
    autism, traumatic brain injury, other health impairments, or specific
    learning disabilities, and who, by reason thereof, needs special education
    and related services. 
    20 U.S.C. § 1401
    (3)(A).
    TIMOTHY O. V. PASO ROBLES USD                               7
    no cost to the parents, to meet the unique needs of a child
    with a disability,” 
    id.
     § 1401(9) & (29), as well as
    transportation, developmental, corrective and other
    supportive services required to ensure that the child benefits
    from that special education, id. § 1401(26).
    Identification and Evaluation of Children with
    Disabilities
    In order to provide a free appropriate public education to
    all children with disabilities States must, of course, first
    identify those children and evaluate their disabling
    conditions. Accordingly, the IDEA requires that every State
    have procedures in place that are designed to identify children
    who may need special education services.                    Id.
    § 1412(a)(3)(A). Once identified, those children must be
    evaluated and assessed for all suspected disabilities so that
    the school district can begin the process of determining what
    special education and related services will address the child’s
    individual needs. See id. §§ 1412(a)(7), 1414(a)–(c).
    That this evaluation is done early, thoroughly, and
    reliably is of extreme importance to the education of children.
    Otherwise, many disabilities will go undiagnosed, neglected,
    or improperly treated in the classroom. See id. § 1400(c).
    For this reason, the IDEA requires that local school districts7
    must “conduct a full and individual initial evaluation” of a
    7
    Specifically, the statute requires that the initial evaluation be conducted
    by a “State educational agency, other State agency, or local educational
    agency.” A State educational agency is the State agency primarily
    responsible for the State supervision of public schools. 
    20 U.S.C. § 1401
    (32). Generally, a “local educational agency” is synonymous with
    the local school district. See 
    id.
     § 1401(19). Thus, for simplicity’s sake,
    this opinion will refer simply to “school districts,” or “the district.”
    8              TIMOTHY O. V. PASO ROBLES USD
    child “before the initial provision of special education and
    related services” to that child. Id. § 1414(a)(1)(A) (emphasis
    added).8 Furthermore, the IDEA and its accompanying
    regulations contain an extensive set of procedural
    requirements that are designed to ensure that this initial
    evaluation (as well as any subsequent reevaluations) achieves
    a complete result that can be reliably used to create an
    appropriate and individualized educational plan tailored to the
    needs of the child.
    First, the initial evaluation must be designed not only to
    determine whether the child has a disability, but also “to
    gather relevant functional, developmental, and academic
    information about the child,” that can be used to determine
    the child’s individual educational needs. 
    34 C.F.R. § 300.304
    (b)(1); 
    20 U.S.C. § 1414
    (a)(1)(C). The school
    district must, therefore, “ensure that– . . . the child is assessed
    in all areas of suspected disability.”                 
    20 U.S.C. § 1414
    (b)(3)(B) (emphasis added). Anything less would not
    provide a complete picture of the child’s needs.
    Second, the local school district must provide notice to
    the child’s parents that describes “any evaluation procedures”
    8
    Any parents who have reason to suspect their child may have a
    disability may request such an initial evaluation. 
    34 C.F.R. § 300.301
    (b).
    If the school district wishes to deny the request, it must provide written
    notice to the parents explaining that it refuses to conduct an initial
    evaluation and provide an explanation as to why it does not suspect the
    child has a disability and what records or evaluations it used as the basis
    for its decision. 
    34 C.F.R. § 300.503
    (a) & (b). A parent may then
    challenge this decision by requesting a due process hearing under
    
    34 C.F.R. § 300.507
     or filing a State complaint under 
    34 C.F.R. § 300.153
    . The school district may also initiate an evaluation sua sponte
    if it seeks and receives parental consent. 
    34 C.F.R. § 300.301
    (b).
    TIMOTHY O. V. PASO ROBLES USD                   9
    that the district proposes to conduct, as well as why it has
    made those decisions. 
    20 U.S.C. § 1414
    (b)(1) (emphasis
    added); 
    34 C.F.R. § 300.304
    (a). The statute further requires,
    inter alia, that in conducting the evaluation, school districts
    must:
    1. Use a “variety of assessment tools and
    strategies” without relying on “any single
    measure or assessment as the sole
    criterion for determining whether a child
    is a child with a disability or determining
    an appropriate educational program for
    the child,” 
    20 U.S.C. § 1414
    (b)(2)(A) &
    (B);
    2. Use “technically sound instruments that
    may assess the relative contribution of
    cognitive and behavioral factors, in
    addition to physical or developmental
    factors,” 
    id.
     § 1414(b)(2)(C); and
    3. Ensure that all assessments are conducted
    by trained and knowledgeable personnel,
    in accordance with instructions provided
    by the producer of the assessment, and for
    purposes which the assessments or
    measures are valid and reliable, id.
    § 1414(b)(3)(A).
    Upon completion of this full and individual initial evaluation,
    the school district shall provide a copy of the evaluative
    report to the child’s parents. Id. § 1414(b)(4)(B). If the
    parents disagree with the school district’s evaluation of their
    child, they have a right to “obtain an independent educational
    10           TIMOTHY O. V. PASO ROBLES USD
    evaluation” or “IEE” at public expense.              
    20 U.S.C. § 1415
    (b)(1); 
    34 C.F.R. § 300.502
    .
    Creation of an Individualized Education Program
    (“IEP”)
    The results of the initial evaluation are critical to the next
    step of the process: the creation of an individualized
    education program or “IEP.” The IEP is a written document
    that states the child’s present levels of academic achievement
    and functional performance, creates measurable annual goals
    for the child, describes the child’s progress toward meeting
    the annual goals, and explains the services that will be
    provided to the child to help him advance toward attaining his
    particular goals. 
    20 U.S.C. § 1414
    (d)(1)(A). It is created by
    a child’s “IEP Team”—which consists of the child’s parents,
    teachers, evaluators, and administrators, see generally
    Winkelman ex rel. Winkelman v. Parma City Sch. Dist.,
    
    550 U.S. 516
    , 524 (2007)—after the team has considered the
    child’s strengths, the parents’ concerns about the child’s
    education, and the results of the school district’s initial
    evaluation of the child, which (if done appropriately)
    provides a complete picture of the child’s specific academic,
    developmental, and functional needs. See 
    20 U.S.C. § 1414
    (d)(3)(A)(iii); 
    34 C.F.R. § 300.304
    (b)(1).
    Although the IDEA gives discretion to school districts to
    create and execute appropriate educational programs for
    children with disabilities, the IDEA requires that parents be
    afforded a significant and collaborative role in the
    development of a child’s IEP. Winkelman, 
    550 U.S. at 524
    .
    To that end, the IDEA contains a significant number of
    procedural safeguards that are designed to ensure that the
    child’s parents have sufficient information to understand and
    TIMOTHY O. V. PASO ROBLES USD                   11
    participate meaningfully in all aspects of that discussion. See
    M.M. v. Lafayette Sch. Dist., 
    767 F.3d 842
    , 851 (9th Cir.
    2014). It requires, among other things, that school districts
    provide copies of the initial evaluative report to the parents,
    
    20 U.S.C. § 1414
    (b)(4), thoroughly document all information
    used to evaluate the educational needs of the child, 
    34 C.F.R. § 300.306
    (c)(1), and provide parents with an opportunity to
    examine all of their child’s records. 
    20 U.S.C. § 1415
    (b)(1).
    It also requires that parents be given formal, written
    notice whenever the school district intends to change or
    refuses to change the identification, evaluation, or educational
    placement of their child. 
    Id.
     § 1415(b)(3). That notice must
    not only describe the action proposed or refused by the
    agency, but also explain why the agency proposes or refuses
    to take the action, as well as the records or assessments that
    the agency used as a basis for its decision. 
    34 C.F.R. § 300.503
    (a) & (b).
    Further, any parent who is dissatisfied with the
    identification, evaluation, or educational placement of the
    child must have the opportunity to present a formal
    complaint. 
    20 U.S.C. § 1415
    (b)(6). Whenever a complaint
    is filed, the school district must convene a meeting with the
    parents and members of the IEP Team during which the
    parents may discuss the complaint and give the school district
    the opportunity to resolve it. 
    Id.
     § 1415(f)(1)(B)(i). If the
    school district does not resolve the complaint to the
    satisfaction of the parents within thirty days, the parents have
    the right to an impartial due process hearing before an
    administrative law judge. Id. § 1415(f)(1)(B)(ii). Any party
    aggrieved by the findings and decision rendered at the
    12             TIMOTHY O. V. PASO ROBLES USD
    hearing may appeal to the state educational agency or may b
    ring a civil action in federal court. Id. § 1415(i)(2)(A).9
    FACTUAL BACKGROUND
    Luke, an autistic child, was five years old when this case
    was originally filed.        He displayed symptoms of a
    developmental disorder early in life, and in March 2009,
    when he was twenty-seven months old, he began to receive
    speech, language, and occupational therapy at the Tri-
    Counties Regional Center (“Tri-Counties”). Tri-Counties,
    like all regional centers in California, is a nonprofit private
    corporation that contracts with the Department of
    Developmental Services to provide early intervention services
    for at-risk infants and toddlers.10 California children under
    the age of three qualify for services at regional centers if they
    have a “developmental delay in one or more of the following
    five areas: cognitive development; physical and motor
    development, including vision and hearing; communication
    development; social or emotional development; or adaptive
    development” or if they suffer from “conditions of known
    etiology or conditions with established harmful
    developmental consequences.” Cal. Gov’t Code § 95014.
    After the age of three, local school districts become
    responsible for the education of children with disabilities.
    
    20 U.S.C. § 1412
    . In California, however, children can also
    9
    To ensure that parents are aware of these rights, school districts are
    required to provide parents an explanation of these procedural safeguards.
    
    20 U.S.C. § 1415
    (c)(1)(C).
    10
    Cal. Dep’t Dev. Serv., Information About Regional Centers,
    http://www.dds.ca.gov/RC/Home.cfm.
    TIMOTHY O. V. PASO ROBLES USD                            13
    continue to receive services at private regional centers if they
    have “mental retardation, autism, epilepsy, cerebral palsy, or
    a condition that is similar to mental retardation or requires
    similar treatment.” 
    Cal. Welf. & Inst. Code § 4512
    . At least
    at the time of the events in this case, that meant that children
    with Autistic Disorder, but not any other disorder on the
    spectrum, were eligible for continued regional center
    services.11 In contrast, under the IDEA and the California law
    that supplements that Act, local school districts have at all
    times been required to provide special education services to
    a much broader category of children, including any child who
    manifests autistic-like behavior, regardless whether he or she
    has been formally diagnosed with Autistic Disorder. See
    
    34 C.F.R. § 300.8
    (c)(1); 
    Cal. Educ. Code § 56846.2
    (a).12
    11
    As noted supra note 3, at the time of the events in this case, “autism
    spectrum disorder” was not yet recognized as a single disorder. Although
    the California Department of Developmental Services did not take a
    formal position as to whether ‘autism’ in the California statute regarding
    regional centers referred to any disorder on the spectrum or merely
    Autistic Disorder, it filed briefs supporting the decisions of regional
    centers not to offer continued services to children with disorders other
    than Autistic Disorder. This ultimately resulted in the California Court of
    Appeal concluding, in an unpublished decision, that “autism” in this
    statute was synonymous with Autistic Disorder. See Brian S. v.
    Delgadillo, 
    2010 WL 2933624
     (Cal. App. 2010) (unpublished). It is not
    clear what effect, if any, the recent changes to the Diagnostic and
    Statistical Manual would have on this interpretation.
    12
    The IDEA requires that local school districts provide special education
    services to children with autism, but allows the States to define what
    qualifies as autistic for the purpose of special education. Some states, for
    example, follow the medical definition found in the Diagnostic and
    Statistical Manual. In California at the time of the events in this case, any
    child who displayed two of seven listed types of autistic-like behavior
    qualified as ‘autistic’ for the purpose of receiving special education
    through local school districts, regardless whether the child had been
    14             TIMOTHY O. V. PASO ROBLES USD
    After three months of Luke’s receiving services at Tri-
    Counties, his parents had a meeting with staff from Tri-
    Counties and Paso Robles to discuss what would happen
    when Luke turned three years old. During that meeting, Paso
    Robles scheduled a date on which it would conduct an initial
    assessment to determine whether Luke was a child with a
    disability and therefore qualified for special education and
    related services under the IDEA. Paso Robles’ notes of that
    meeting reflect that the group discussed how Luke seemingly
    had no health needs, but that there were concerns about his
    speech, and that Tri-Counties would perform a psychological
    assessment of Luke—presumably to test for Autistic
    Disorder—in order to determine whether he qualified for
    further regional center services.13
    On October 30, 2009, a few weeks before Luke’s third
    birthday, Paso Robles conducted Luke’s initial evaluation.
    formally diagnosed with any disorder on the spectrum.            5 C.C.R.
    § 3030(g) (2009).
    13
    Although Paso Robles’ records do not state precisely what Tri-
    Counties wanted to test Luke for, Autistic Disorder seems to be the only
    true possibility. If Luke had “no health needs,” he certainly would not
    qualify for further regional center services as a child with either epilepsy
    or cerebral palsy. Further, nothing in the record suggests that he displayed
    any signs of mental retardation “or a condition that is similar to mental
    retardation,” which are the only other conditions, aside from autism, that
    would have qualified him for continued regional center services. The
    conclusion that Tri-Counties wanted to perform a psychological
    assessment for Autistic Disorder, and, in fact, discussed that possibility
    with Paso Robles at the June 2009 meeting is also made clear by the fact
    that (1) Paso Robles conceded in the district court that it “was aware” that
    the Regional Center suspected Luke was autistic before it conducted its
    own assessment, and (2) Tri-Counties ultimately assessed Luke for autism
    but not for any other disabilities.
    TIMOTHY O. V. PASO ROBLES USD                  15
    According to the notice provided to Luke’s parents, Luke was
    to be assessed by Christie Youngdale, a resource specialist for
    Paso Robles, and Lisa Stinson, a speech and language
    therapist, for academic/pre-academic achievement, sensory-
    motor development, communication development, and health
    issues. He was not, the notice reflected, to be given any
    assessments under the category of “social/adaptive behavior,”
    the category covering disorders on the autism spectrum.
    Youngdale and Stinson observed Luke and tried to engage
    him in play, but their attempts to utilize standard assessment
    tools were unsuccessful because of his “compliance” issues.
    During the assessment, William Peck, a Paso Robles
    psychologist, stopped by and observed Luke for
    approximately thirty to forty minutes. Although the notice to
    Luke’s parents mentioned nothing about Peck’s involvement,
    Peck later testified that he came to observe in order to
    “consult with the staff in terms of possible handicapping
    conditions which may be – may have or may not have been
    present.” Specifically, he later admitted, “there was a
    possibility of looking at autism as a handicapping condition.”
    Rather than schedule a formal assessment for that condition,
    however, Peck merely observed Luke in order to advise Paso
    Robles’ staff whether it needed to conduct a full and formal
    test for autism. This was, apparently, his standard practice.
    Peck at no point explained the purpose of his visit to Luke’s
    parents. Indeed, during the observation, he did not
    communicate at all with either Luke or his parents, who were
    present while the tests were administered.
    From his cursory observation, during which he did not
    utilize any standard assessment tools, Peck concluded that
    there was no need for Paso Robles to formally assess Luke
    for any disorder on the autism spectrum because he saw Luke
    16             TIMOTHY O. V. PASO ROBLES USD
    use a “variety of facial expressions,” display emotions, and
    demonstrate his “skill at turn-taking.” In Peck’s opinion, this
    was uncharacteristic of a child with a disorder on the autism
    spectrum. Relying on this informal advice, Paso Robles
    concluded that Luke had only an expressive language
    impairment—not autism—and without taking any steps to
    assess Luke for autism or autistic-like behaviors, or to ensure
    that he would be so assessed, it scheduled an initial IEP
    meeting for early December 2009.14 At no point, however,
    did Paso Robles explain to Luke’s parents that it had thought
    about assessing Luke for autism, and indeed, had called Peck
    in to observe for that reason. Nor did it explain that it had
    decided not to formally assess Luke for autism based on
    Peck’s recommendation.
    On November 18, 2009, Tri-Counties performed a
    psychological assessment of Luke to determine whether he
    had Autistic Disorder and therefore qualified for continued
    regional center services after the age of three. Dr. Linda
    Griffin’s final report concluded that:
    Luke has some autistic symptoms which are a
    concern.      He has significantly delayed
    expressive language; he is also not exhibiting
    varied and frequent social pretend play, with
    the exception of transportation toys. He
    prefers to play alone much of the time. His
    joint attention to adult directed tasks is poor
    14
    On November 10, Paso Robles called Tri-Counties asking if it had
    assessed Luke. Tri-Counties told Paso Robles that it had not yet received
    consent from Luke’s parents to conduct an assessment. That same day,
    Paso Robles sent invitations to the IEP meeting, demonstrating its intent
    to proceed to the IEP meeting without an assessment for autism.
    TIMOTHY O. V. PASO ROBLES USD                           17
    generally speaking, however there are
    exceptions seemingly dependent on the nature
    of the activity . . . It is difficult to get his
    attention. . . . With the exception of his
    expressive language delay which is very
    pronounced, the severity of the other
    symptoms above are mild in my opinion;
    however, taken together, they stand in contrast
    to a child with only a language disorder.
    She provisionally diagnosed Luke with Pervasive
    Developmental Disorder, Not Otherwise Specified (“PDD-
    NOS”), a disorder on the autism spectrum, and opined that
    potentially, with “therapeutic intervention[]” Luke might no
    longer meet the criteria for that disorder, but that “[i]t is very
    important that he receive appropriate interventions that
    address his areas of concern” because “mild symptoms may
    become more pronounced over time.”
    Tri-Counties sent a copy of Dr. Griffin’s report
    (hereinafter “Griffin Report”) to Paso Robles, which received
    it on December 2, 2009, two days before the initial IEP
    meeting. Despite its diagnosis and recommendation, the
    report was not discussed at the IEP meeting; nor did Paso
    Robles reevaluate its decision not to assess Luke for autism.15
    15
    Paso Robles argues that the Griffin Report was “considered,” at the
    IEP meeting, and indeed, the administrative law judge so found. The sole
    support for this statement is a single question asked at the administrative
    hearing. Peck, who was a member of the IEP Team, was asked “So did
    you consider that assessment at the 12/4/2009 IEP meeting?” and he
    responded “Yes.” Regardless whether Peck himself considered the Griffin
    Report at the meeting, there is no evidence that the assessment was
    discussed at the meeting as part of the collaborative process mandated by
    the IDEA. The IEP itself does not mention the Griffin Report, and another
    18            TIMOTHY O. V. PASO ROBLES USD
    Indeed, Paso Robles contends that Dr. Griffin’s diagnosis was
    insufficient to even create suspicion that Luke had a disorder
    on the autism spectrum because Peck’s earlier observation of
    Luke had dispelled any suspicion that Luke had such a
    disorder and because Dr. Griffin’s “provisional” diagnosis
    was not conclusive.
    The IEP that was created as a result of the meeting
    identified Luke’s disability as a “speech or language
    impairment,” and set several goals for Luke to achieve in
    those areas, including a goal that he would begin speaking in
    small phrases, have a limited vocabulary of fifteen to twenty
    words, and use other nonverbal means to communicate. Luke
    was offered group speech and language services for twenty-
    five minutes, seven times a month, as well as placement in a
    preschool classroom that met two days a week for 1.5 hours
    each day. The IEP contained no mention of any disorder on
    the autism spectrum or even any possibility of such a
    disorder.
    The 2009–2010 School Year
    Luke exhibited signs of extreme difficulty in his first year
    of school. He often refused to leave his mother’s side and,
    according to her, displayed other problems in his classroom
    behavior. In February, Youngdale suggested that Luke
    should be transferred to a more intensive program.
    Ultimately, however, neither Paso Robles nor Luke’s parents
    member of Paso Robles’ staff who testified at length about what was
    considered during the IEP meeting never once mentioned the Griffin
    Report. Further, Luke’s mother testified that she did not know that the
    school district had received a copy of the report because it was never
    mentioned during the meeting.
    TIMOTHY O. V. PASO ROBLES USD                  19
    called an IEP meeting to discuss such a change. Luke’s
    mother also expressed concerns about aggressive and
    obsessive behavior outside the school, and asked his other
    teacher, Stinson, whether Luke might be autistic. Without
    scheduling an assessment, Stinson assured Luke’s mother that
    he was not, but also suggested that Luke might make better
    progress in a more intensive program.
    In May, another IEP meeting was held. The team agreed
    that Luke would attend a more intensive preschool program
    in the next year, but that he would not receive extended
    school year services over the summer.
    The 2010–2011 School Year
    During the summer of 2010, Luke’s parents had him
    privately evaluated by a speech and language pathologist, an
    occupational therapist, and a neurologist. Subsequently, his
    parents determined that he would not return to Paso Robles
    for preschool, and that instead, he would be educated at home
    utilizing the private services of a behaviorist. In October
    2010, however, in part due to the cost of the private services,
    Luke returned to school.
    Luke’s IEP was amended to reflect that he would attend
    a preschool class taught by Noah Cooper. This class, which
    met three hours a day, had approximately eight students with
    mild to moderate language and social skill defects, some of
    whom had autism or exhibited autistic-like behavior. Luke
    began attending the class in November. While in Cooper’s
    class, Luke would occasionally whisper to his peers, but
    would immediately stop speaking when an adult approached.
    20             TIMOTHY O. V. PASO ROBLES USD
    At an IEP meeting in December 2010, staff expressed
    concern that Luke was not talking to either adults or peers
    and suggested that he might have “selective mutism.” Luke’s
    parents reported that he was having tantrums at home,
    including crying and aggressive behavior. According to
    Peck, it was apparent from these complaints that Luke
    displayed several types of autistic-like behavior, which would
    ordinarily qualify him to receive special education services
    for autism, but he did not mention that possibility at the IEP
    meeting because:
    [W]e didn’t have an assessment to address
    that disability. In other words, off the top of
    my head, I’m not going to be at an IEP
    meeting and say a kid has autism when I
    haven’t done an assessment specifically using
    instruments standardized and developed to
    make that particular determination. I’m just
    not going to make that diagnosis off the top of
    my head.
    Despite having previously expressed the view that Paso
    Robles did not need to assess Luke for disorders on the
    autism spectrum, Peck did not inform the IEP Team of his
    new concern or suggest that Luke should now be assessed for
    autism.16
    16
    Peck at no point explained why he was previously able to make a
    diagnosis “off the top of [his] head” as to why Luke did not have autism
    without doing an assessment, but because he could not know the answer
    without an assessment, would not advise the participants at the IEP
    meeting that he now believed that Luke might have such a disability.
    TIMOTHY O. V. PASO ROBLES USD                  21
    As the year progressed, Cooper continued to try to
    accommodate Luke’s refusal to speak, and Luke’s mother
    continued to communicate her concerns that Luke was
    demonstrating aggressive behavior at home. In January, her
    attorney sent a letter to Paso Robles informing the District
    that Luke had obtained legal representation and that his
    parents requested that the school fund an independent
    educational evaluation of Luke for autism. His parents also
    retained the services of Genevieve Sullivan, a behavior
    specialist, to observe Luke in class and had him privately
    assessed for autism by Dr. B.J. Freeman, a well-respected
    national expert on autism and autism-like disorders.
    Dr. Freeman diagnosed Luke with Autistic Disorder. She
    determined that Luke needed a positive behavior support plan
    to address his problems, including his refusal to talk. Luke’s
    mother testified that she told several members of Paso
    Robles’ staff, including Luke’s teacher, about this diagnosis.
    The next month, Paso Robles announced that it would finally
    do a formal and comprehensive evaluation of Luke,
    motivated by his parents seeking “some type of outside
    assessment.” Paso Robles did not complete the assessment
    for almost an entire year, until January 2012, after which
    Peck opined for the first time that Luke had autistic-like
    behavior.
    In the meantime, Luke’s parents arranged for him to
    receive behavioral therapy from Sullivan’s agency. Within
    a few short weeks, Luke began speaking to unfamiliar adults,
    and a few months later he was speaking in multi-word
    sentences to therapists, his parents, and non-family members
    who had never before heard him speak.
    22              TIMOTHY O. V. PASO ROBLES USD
    PROCEDURAL BACKGROUND
    On July 6, 2011, Luke’s parents filed a request for a due
    process hearing with the Office of Administrative Hearings,
    alleging in relevant part that Paso Robles violated the
    procedural and substantive requirements of the IDEA and the
    California Education Code by (1) failing to assess Luke in all
    areas of suspected disability, specifically autism; and
    (2) failing to appropriately address his behavioral issues, such
    as refusing to speak, tantrums, and non-compliance, during
    the 2010–2011 school year.17 They further alleged that, by
    violating these requirements, the school denied Luke a free
    appropriate public education during the 2009–2010 and
    2010–2011 school years. They requested, as a remedy for
    these violations, that Paso Robles pay for the private
    assessments and private behavioral services that Luke
    received, that it provide Luke with compensatory behavioral
    and speech services, and that it include the behavioral therapy
    recommended by Dr. Freeman as part of Luke’s ongoing
    educational program. His parents also withdrew Luke from
    school in a letter dated July 15, 2011.
    17
    Plaintiffs raise both of these issues on appeal. Because we hold that
    Paso Robles denied Luke a free appropriate public education by failing to
    assess him for autism, we do not reach the second question
    presented—whether the school district denied Luke a free appropriate
    public education by failing to address his behavioral issues. The plaintiffs
    also presented a host of other issues before the administrative law judge,
    including whether Luke should have been made eligible for special
    education under the category of “autistic-like,” none of which is raised on
    this appeal. Amicus Curiae California Boards Association’s Education
    Legal Alliance asks us to hold that neither the IDEA nor California law
    entitles special education students to a particular diagnosis or “eligibility
    classification.” That question, however, is different from the question
    whether a school district must assess a child for all areas of suspected
    disability and, as noted, is no longer at issue in this case.
    TIMOTHY O. V. PASO ROBLES USD                   23
    A multi-day hearing was held in March and April of
    2012. On July 6, 2012, the administrative law judge (“ALJ”)
    denied all of Luke’s claims. Most relevant to the current
    appeal, the ALJ declined to address whether Paso Robles’
    October 2009 initial evaluation of Luke was deficient, and
    instead found that, “[b]ecause Dr. Griffin’s report was so
    thorough, the District saw no need to conduct further
    assessments of [Luke], and relied heavily on the report.”
    Without citing any authority, she held that Luke “failed to
    meet his burden of proof that the District should have
    assessed him in the areas of autism and behavior.” Even if
    Paso Robles was required to assess for autism, the ALJ found,
    that failure was harmless because Paso Robles relied heavily
    on Dr. Griffin’s assessment when creating Luke’s IEP. The
    ALJ also concluded that Paso Robles did not need to assess
    Luke for autism or behavioral functioning in the 2010–2011
    school year because Luke did not display any serious autistic-
    like behavior at school.
    Luke’s parents appealed the ALJ’s decision to the United
    States District Court for the Central District of California.
    The district court affirmed the ALJ’s decision, but adopted a
    different rationale. The district court concluded that Paso
    Robles “knew” that Tri-Counties suspected Luke might be
    autistic, but it did not need to formally assess Luke for autism
    because Peck observed him at his initial evaluation on
    October 30, 2009 and did not observe obvious characteristics
    of a child with autism. The district court also agreed with the
    ALJ that, even if Paso Robles was required to perform an
    assessment of Luke for autism, any failure to do so was
    harmless because Paso Robles “made appropriate
    recommendations” based on Dr. Griffin’s report which
    assessed Luke for autism. Further, the court asserted, Paso
    Robles did not need to reassess Luke in 2010 because Luke’s
    24           TIMOTHY O. V. PASO ROBLES USD
    parents never requested a reassessment, and because his
    teacher reasonably wanted to observe Luke for a longer
    period of time to determine what testing needed to be done.
    This appeal followed.
    STANDARD OF REVIEW
    This case requires us to review both the decision of the
    district court and that of the administrative law judge. We
    review de novo the question whether a school district’s
    proposed individualized education program provided a free
    appropriate public education. Amanda J., 267 F.3d at 887.
    In doing so, we may review a district court’s findings of fact
    only for clear error. Id. Further, we must offer “due weight”
    to the decisions of the state’s administrative bodies, a
    standard which is far less deferential than judicial review of
    other agency actions, but rather, requires us to refrain from
    substituting our “own notions of sound educational policy for
    those of the school authorities which [we] review.” Id.
    (quoting Rowley v. Bd. of Educ., 
    458 U.S. 176
    , 206 (1982)).
    ANALYSIS
    School districts may deny a child a free appropriate public
    education by violating either the substantive or procedural
    requirements of the IDEA. M.M., 767 F.3d at 852. A school
    district denies a child a free appropriate public education by
    violating the IDEA’s substantive requirements when it offers
    a child an IEP that is not reasonably calculated to enable the
    child to receive educational benefits. J.W. ex rel. J.E.W. v.
    Fresno Unified Sch. Dist., 
    626 F.3d 431
    , 432–33 (9th Cir.
    2010). The school district may also, however, deny the child
    a free appropriate public education by failing to comply with
    the IDEA’s extensive and carefully drafted procedures. See
    TIMOTHY O. V. PASO ROBLES USD                   25
    Doug C. v. Hawaii Dep’t of Educ., 
    720 F.3d 1038
    , 1043 (9th
    Cir. 2013). While some procedural violations can be
    harmless, procedural violations that substantially interfere
    with the parents’ opportunity to participate in the IEP
    formulation process, result in the loss of educational
    opportunity, or actually cause a deprivation of educational
    benefits “clearly result in the denial of a [free appropriate
    public education.]” Amanda J., 267 F.3d at 892.
    Luke’s primary contention on this appeal is that Paso
    Robles violated the IDEA’s essential procedural requirement
    that it conduct an initial evaluation to assess a child “for all
    areas of suspected disabilities” when it failed to formally
    assess him for autism or autistic-like behavior. We agree and
    reject the district court’s holding that, although Paso Robles
    was aware that Tri-Counties suspected Luke might be
    autistic, it did not need to assess him for autism because one
    of the District’s staff members, William Peck, informally
    observed Luke and did not see him exhibit any such behavior.
    The IDEA requires that, if a school district has notice that a
    child has displayed symptoms of a covered disability, it must
    assess that child in all areas of that disability using the
    thorough and reliable procedures specified in the Act. School
    districts cannot circumvent that responsibility by way of
    informal observations, nor can the subjective opinion of a
    staff member dispel such reported suspicion. Further, we
    reject the ALJ’s equivocal and unsupported statement that
    Paso Robles may not have needed to assess Luke for autism
    because it “knew” that Tri-Counties was going to assess him.
    There is no support for this finding in the record and, even if
    there were, Paso Robles took no steps to ensure that any
    assessment by Tri-Counties complied with the requirements
    of the IDEA imposed on the District. Under these
    circumstances, the potential Tri-Counties assessment could
    26          TIMOTHY O. V. PASO ROBLES USD
    not satisfy Paso Robles’ obligation to conduct an IDEA-
    compliant individual initial evaluation prior to developing
    Luke’s IEP and providing special education services to Luke.
    Finally, we hold that Paso Robles’ fundamental
    procedural violations denied Luke a free appropriate public
    education during the 2009–2010 and 2010–2011 school years
    because the District’s failure to assess Luke for all areas of
    suspected disability deprived his IEP Team of critical
    evaluative information about his developmental abilities as an
    autistic child. That deprivation made it impossible for the
    IEP Team to consider and recommend appropriate services
    necessary to address Luke’s unique needs, thus depriving him
    of critical educational opportunities and substantially
    impairing his parents’ ability to fully participate in the
    collaborative IEP process. In so holding, we reject the
    argument advanced by both the district court and the ALJ that
    any failure to assess Luke for autism was rendered harmless
    by Paso Robles’ reliance on the Griffin Report in creating
    Luke’s IEP. There is no evidence in the record that Dr.
    Griffin’s assessment was conducted with the intent of helping
    Luke’s IEP Team to develop an appropriate educational plan
    or to gather all the necessary information required by the
    IDEA for that purpose. Nor is there any evidence that the
    Griffin Report was actually considered by Luke’s team as
    part of the collaborative process mandated by the IDEA, or
    that the information it collected or its findings were
    incorporated into Luke’s IEP. In fact, all the evidence is to
    the contrary. Accordingly, we reverse the decision of the
    district court and remand for the determination of an
    appropriate remedy.
    TIMOTHY O. V. PASO ROBLES USD                   27
    I. Paso Robles Failed to Conduct an Assessment for
    Autism, as Required by the IDEA
    Under the IDEA, the school district must conduct a “full
    and individual initial evaluation,” one which ensures that the
    child is assessed in “all areas of suspected disability,” before
    providing that child with any special education services.
    
    20 U.S.C. §§ 1414
    (a)(1)(A), 1414(b)(3)(B). The California
    Education Code, which incorporates the requirements of the
    IDEA into state law, similarly requires that the child be
    assessed “in all areas related to the suspected disability.” See
    
    Cal. Educ. Code § 56320
    (f). As described earlier, this
    requirement serves a critical purpose: it allows the child’s
    IEP Team to have a complete picture of the child’s
    functional, developmental, and academic needs, which in turn
    allows the team to design an individualized and appropriate
    educational plan tailored to the needs of the individual child.
    Our precedent establishes that a disability is “suspected,”
    and therefore must be assessed by a school district, when the
    district has notice that the child has displayed symptoms of
    that disability. In Pasatiempo by Pasatiempo v. Aizawa,
    
    103 F.3d 796
     (9th Cir. 1996), for example, we held that the
    “informed suspicions of parents, who may have consulted
    outside experts,” trigger the requirement to assess, even if the
    school district disagrees with the parent’s suspicions because
    “[t]he identification [and assessment] of children who have
    disabilities should be a cooperative and consultative process.”
    
    Id. at 802
    . Once either the school district or the parents
    suspect disability, we held, a test must be performed so that
    parents can “receive notification of, and have the opportunity
    to contest, conclusions regarding their children.” 
    Id.
    28             TIMOTHY O. V. PASO ROBLES USD
    Similarly, in N.B. v. Hellgate Elementary School District,
    
    541 F.3d 1202
     (9th Cir. 2008), we held that the requirement
    to assess may be triggered by the informed suspicions of
    outside experts. There, a young child was assessed by a
    professional for speech and language problems before the
    child began school. 
    Id.
     at 1205–06. The professional
    concluded that an “autistic component” was complicating the
    child’s performance, although the professional did not
    diagnose the child with a disorder on the autism spectrum.
    
    Id. at 1209
    . The child’s parents delivered these records to the
    school district’s special education director and discussed the
    evaluation with him, but the school district never arranged for
    the child to be assessed for autism. 
    Id.
     at 1205–06. Instead,
    it referred the child’s parents to a third party which would
    perform a free autism test for the parents. 
    Id. at 1206
    . The
    school district, like Paso Robles, later claimed that it did not
    arrange for the child to be tested because it did not suspect
    that the child had autism. 
    Id. at 1209
    . We held that the
    district’s assertion of ignorance was plainly contradicted by
    the record because the school was aware (due to the prior
    evaluation) that autism was a possibility. 
    Id.
     at 1209–10.
    Here, the record shows that Paso Robles had notice that
    Luke displayed symptoms of autism. Both the ALJ and the
    district court found that Paso Robles was aware, before its
    initial evaluation of Luke in October 2009, that Tri-Counties
    believed that he might have a disorder on the autism
    spectrum.18 Indeed, Peck admitted at the administrative
    18
    Paso Robles now asserts that there is no basis to conclude that Tri-
    Counties told the District that it suspected Luke had autism. While the
    notes from the June 2009 meeting between Luke’s parents, Tri-Counties,
    and Paso Robles do not specifically mention “autism,”they do establish
    that Tri-Counties wanted to give Luke a psychological examination to see
    TIMOTHY O. V. PASO ROBLES USD                            29
    hearing that autism was a suspected disability when he stated
    that he had been called to informally observe Luke’s initial
    evaluation because there was a possibility of looking at
    autism as a disabling condition.
    Despite this knowledge, when creating a plan for Luke’s
    initial assessment, Paso Robles did not include any of the
    standard assessments for autism. Rather, the notice sent to
    Luke’s parents reflected that he would not be given any
    assessment for social/adaptive behavior, which would be
    necessary in order to determine whether Luke had autistic-
    like symptoms. Instead, during the October 2009 initial
    assessment, Paso Robles attempted to assess Luke for several
    other disorders, but was unable to complete its tests of him
    because of Luke’s “compliance” issues. At no point during
    its examination did Paso Robles conduct or attempt to
    conduct any form of standard or reliable assessment for
    autism or autistic-like behavior.
    Moreover, even if Paso Robles had not had notice of
    Luke’s autistic symptoms at the time of the October 30, 2009
    initial assessment, it obtained such notice when it received
    the Griffin Report, which “provisionally” diagnosed Luke
    with a disorder on the autism spectrum and noted that he
    displayed troubling autistic behavior. Peck testified that he
    did not give much weight to Dr. Griffin’s assessment because
    it was only a “provisional” diagnosis. Regardless of Paso
    if he qualified for further regional center services, which he would qualify
    for only if he had mental retardation, epilepsy, cerebral palsy, or autism.
    The only plausible such disorder in Luke’s case was autism. In any event,
    Paso Robles conceded in the district court that it was aware that Tri-
    Counties suspected Luke was autistic before it conducted its own
    assessment.
    30           TIMOTHY O. V. PASO ROBLES USD
    Robles’ subjective opinion about the validity of Dr. Griffin’s
    diagnosis, however, the “informed suspicions of . . . [a]
    consulted outside expert[]”—here, Dr. Griffin, whose report
    stated that Luke displayed troubling autistic
    behavior—establishes the statutory requirement of suspicion
    thus necessitating a full assessment for autism. See
    Pasatiempo, 
    103 F.3d at 802
    . Paso Robles still did not do so,
    and instead, two days later, held an IEP meeting during which
    neither autism nor the Griffin Report were ever discussed.
    Further, neither the possibility of autism nor the
    recommendations of the Griffin Report were incorporated
    into Luke’s IEP.
    Even more troubling, by the time of the December 2010
    IEP, it was clear from parent and teacher complaints that
    Luke displayed autistic-like behavior at home and at school.
    Even then, Paso Robles did not suggest that Luke should be
    provided services to address his autistic-like behavior or even
    that Luke should be assessed for autism. This complete
    failure to assess Luke for all areas of suspected disability
    clearly and substantially violated the IDEA’s procedural
    requirements.
    A. Peck’s Informal Observation of Luke Could Not
    Satisfy Paso Robles’ Obligation to Assess for Autism
    Despite its clear notice of Luke’s autistic-like behavior,
    Paso Robles argues that autism was not a “suspected
    disability” either at the time of its October 2009 initial
    assessment or after it received Dr. Griffin’s assessment. The
    district court agreed, and held that while Paso Robles “knew
    that [Tri-Counties] suspected that [Luke] may be autistic,” it
    did not need to formally assess Luke because it had requested
    that its staff member, Peck, observe informally Luke’s
    TIMOTHY O. V. PASO ROBLES USD                     31
    assessment for other disorders and determine whether
    additional testing was needed. According to Peck, he saw
    Luke display behavior that was not characteristic of a child
    with autism, and therefore advised the district that no
    additional assessment was necessary. Specifically, the
    district court wrote, it was “not aware of any authority that
    supports that where the school district is on notice that a
    student may be on the autism spectrum, observes the student,
    and determines that he did not exhibit any characteristics of
    autism, that the district is still required to complete additional
    testing.”
    That conclusion, however, is directly contrary to the
    provisions of the IDEA and our precedent, which establish
    that if a school district is on notice that a child may have a
    particular disorder, it must assess that child for that disorder,
    regardless of the subjective views of its staff members
    concerning the likely outcome of such an assessment. That
    notice may come in the form of expressed parental concerns
    about a child’s symptoms, as in Pasatiempo, of expressed
    opinions by informed professionals, as in Hellgate, or even
    by other less formal indicators, such as the child’s behavior
    in or out of the classroom. A school district cannot disregard
    a non-frivolous suspicion of which it becomes aware simply
    because of the subjective views of its staff, nor can it dispel
    this suspicion through informal observation. Rather, such
    notice automatically triggers mandatory statutory procedures:
    the school district must conduct an assessment for all areas of
    the suspected disability using the comprehensive and reliable
    methods that the IDEA requires. In this case, it is particularly
    egregious that in conducting Luke’s initial evaluation which
    assessed him for other possible disorders, Paso Robles
    deliberately refused to include an assessment of the one
    suspected disability of which it had clear notice—autism.
    32           TIMOTHY O. V. PASO ROBLES USD
    Peck, of course, did not conduct an assessment for autism,
    let alone one that complied with the IDEA. Not only was his
    involvement in Luke’s initial evaluation not included within
    the original notice provided to Luke’s parents, but he did not
    use a variety of standard or reliable methods. 
    20 U.S.C. § 1414
    (b)(3)(A). Rather, he used only one, generally
    unreliable method—informal observation—or to use a phrase
    later employed by him, observation “off the top of my head.”
    While the record reflects that a complex form of structured
    observation may be used as a tool to identify autistic-like
    behavior, Peck was not certified at that time to perform that
    kind of testing, and in fact did not do so or even purport to
    have attempted to do so.
    To hold that Peck’s informal observation could overcome
    Paso Robles’ statutory obligation to formally assess Luke for
    a suspected disability would allow school districts to
    disregard expressed and informed concerns about a child’s
    disabilities on the basis of prejudicial stereotypes about what
    certain disabilities look like, rather than on the objective
    evidence and the thorough and reliable standardized testing
    that the IDEA requires. This result would be particularly
    devastating for children with autism because, as Dr. Freeman
    explained at the administrative hearing, the condition “can be
    very subtle” and manifest itself in many different ways. It
    would likely be missed by an informal observation, resulting
    in many children remaining undiagnosed, untreated, and
    unable to reach their full educational potential. The effect,
    moreover, would be felt most heavily by children from
    disadvantaged families without the sophistication or
    resources to obtain outside professional opinions.
    TIMOTHY O. V. PASO ROBLES USD                            33
    B. The Griffin Report Cannot Qualify as an Assessment
    that Satisfies Paso Robles’ Obligations Under the
    IDEA
    Although Paso Robles does not advance the argument on
    appeal, the ALJ equivocally expressed an alternate theory as
    to why Paso Robles did not need to assess Luke for autism.
    Without citing any legal or factual support, the ALJ said that
    “[t]he District knew that [Luke] was to be formally assessed
    by a psychologist through Tri-Counties,” and the Griffin
    Report “was so thorough, the District saw no need to conduct
    further assessments of [Luke].” There is no support in the
    record for this finding. The Griffin Report was conducted
    explicitly for the purpose of assisting Tri-Counties in
    determining whether Luke qualified for continued regional
    center services, not to gather information about him that
    could be used to determine his individual educational needs
    or to determine whether he qualified for special education
    under the IDEA. Further, Paso Robles took absolutely no
    steps to ensure that this assessment would occur or that it
    would be conducted and considered in a manner that
    complies with the IDEA. It also did not inform Luke’s
    parents that it intended to rely, or did in fact rely, on the
    Griffin Report in creating Luke’s IEP. Accordingly, the
    Griffin Report cannot qualify as an assessment that satisfies
    Paso Robles’ obligations under the IDEA.19
    19
    Amicus Curiae Learning Rights Law Center asks that we hold that
    school districts are never allowed to rely on the assessments performed by
    regional centers as a substitute for conducting their own. According to the
    amicus, the regional center’s assessment is performed strictly for the
    purpose of diagnosing a child to determine eligibility to receive continued
    regional center services, whereas, in contrast, school districts must
    perform assessments not only to diagnose children’s medical disability,
    but also to assess the child’s strengths and needs for educational planning,
    34            TIMOTHY O. V. PASO ROBLES USD
    As an initial matter, there is no support for the ALJ’s
    suggestion that Paso Robles did not assess Luke for autism
    because it “knew” that he was going to be assessed by Tri-
    Counties or for the finding that Paso Robles believed the
    Griffin Report to be comprehensive and thorough. To the
    contrary, the record clearly establishes that the reason Paso
    Robles did not assess Luke for autism was because it did not
    subjectively believe that he was autistic and because Peck had
    not observed any autistic-like behavior during his informal
    observation of Luke. Had Paso Robles truly intended to rely
    on Tri-Counties’ assessment of Luke, it surely would have
    taken steps to ensure that the assessment occurred when, on
    November 10, 2009, it learned that Tri-Counties had not yet
    received parental consent to conduct an assessment. Instead,
    Paso Robles sent invitations to Luke’s December IEP meeting
    that same day, signaling its intent to proceed without any
    assessment for autism by Tri-Counties or otherwise.
    Testimony from the administrative hearing, moreover, reveals
    that Paso Robles’ staff believed the Griffin Report to be
    unreliable and inaccurate and that the District therefore
    disregarded it entirely. Peck criticized Dr. Griffin’s
    methodology, and explained that he understood the
    “provisional” diagnosis to mean the results of the test were
    non-conclusive. Similarly, Stinson testified that she believed
    that Paso Robles could ignore the provisional diagnosis
    because the school district received a lot of reports of PDD-
    NOS when the child had only a severe language impairment.
    Moreover, even were we to accept the ALJ’s clearly
    erroneous factual findings, we would still be compelled to
    conclude that Paso Robles violated the IDEA because it took
    including helping in the creation of an IEP. We express no view on this
    question.
    TIMOTHY O. V. PASO ROBLES USD                   35
    absolutely no steps to “ensure” that the Tri-Counties
    assessment occurred or was conducted and considered in a
    manner that complies with the Act. See Hellgate, 
    541 F.3d at 1209
     (holding that a school district may not “abdicate” its
    responsibilities under the IDEA and that merely referring a
    child’s parents to a third party for testing violates the
    statutory requirement that the school district “ensure” that the
    child is assessed). Paso Robles did not explain to Luke’s
    parents that it intended to rely on Tri-Counties to assess Luke
    for autism or include an assessment for autism in Luke’s
    initial evaluation plan. See 
    20 U.S.C. § 1414
    (b)(1) & (c)(1).
    It also did not take any steps to ensure that the Tri-Counties
    assessment actually took place, nor did it give Luke’s parents
    notice that the Griffin Report would be considered in creating
    Luke’s IEP, as it would be required to do if it were part of
    Paso Robles’ initial evaluation.             See 
    20 U.S.C. § 1414
    (d)(3)(A)(iii) (requiring that the IEP Team consider
    “the results of the initial evaluation”); 
    34 C.F.R. § 300.503
    (prior notice requirement). Finally, as described below in
    Part II, the report was never discussed or considered by
    Luke’s IEP Team when creating his initial IEP.
    In short, the record clearly reflects that Paso Robles was
    on notice that Luke might have a disorder on the autism
    spectrum before it developed and provided him with special
    educational services. It was therefore required by the IDEA
    to ensure that an assessment for that disability was conducted
    using the sound and reliable methods that the Act demands
    and to consider the results of that assessment when creating
    Luke’s IEP and providing him special education services. It
    failed to do so, which in itself constituted a substantial
    procedural violation of the IDEA.
    36           TIMOTHY O. V. PASO ROBLES USD
    II. Paso Robles’ Violation of the IDEA’s Procedural
    Requirements Denied Luke a Free Appropriate
    Education
    Having concluded that Paso Robles violated the
    procedural requirements of the IDEA, we must determine
    whether the violations are “sufficient to support a finding that
    [Luke] was denied a [free appropriate public education].”
    Amanda J., 267 F.3d at 892. While some procedural
    violations of the IDEA may be harmless, such errors
    constitute a denial of a free appropriate public education if
    they seriously impair the parents’ opportunity to participate
    in the IEP formulation process, result in the loss of
    educational opportunity for the child, or cause a deprivation
    of the child’s educational benefits. Id.; see also M.L. v. Fed.
    Way Sch. Dist., 
    394 F.3d 634
    , 652 (9th Cir. 2005) (Gould, J.,
    concurring). A loss of an educational opportunity occurs, for
    example, when there is a “strong likelihood” that, but for the
    procedural error, an alternative placement “would have been
    better considered.” Doug C., 720 F.3d at 1047 (quoting M.L.,
    
    394 F.3d at 657
     (Gould, J., concurring)). As we have
    previously held, to succeed on a claim that a child was denied
    a free appropriate public education because of a procedural
    error, the individual need not definitively show that his
    educational placement would have been different without the
    error. 
    Id.
    On more than one occasion, we have held that the
    provision of a free appropriate public education is
    “impossible” when the IEP Team fails to obtain information
    that might show that the child is autistic. See, e.g., Hellgate,
    
    541 F.3d at 1210
     (“The failure to obtain critical medical
    information about whether a child has autism ‘render[s] the
    accomplishment of the IDEA’s goals—and the achievement
    TIMOTHY O. V. PASO ROBLES USD                            37
    of a free appropriate public education—impossible.’”);
    Amanda J., 267 F.3d at 894 (“The IEP team could not create
    an IEP that addressed Amanda’s special needs as an autistic
    child without knowing that Amanda was autistic.”).20
    We reaffirm that holding today. As in Hellgate and
    Amanda J., any goals set forth in Luke’s IEP were likely
    inappropriate because they were made without sufficient
    evaluative information about Luke’s individual capabilities as
    an autistic child. Indeed, testimony from Paso Robles’ staff
    indicates that any ostensible progress that Luke made was
    likely attributable to an “underestimation of his abilities” at
    the outset.21 Further, this lack of information denied Luke
    20
    Weissburg v. Lancaster School District, 
    591 F.3d 1255
     (9th Cir.
    2010), cited by the amicus in support of the school district, does not
    undermine these cases. There, we noted that the IDEA does not give a
    student the legal right to a proper disability classification. Whether Luke
    should have been given a different eligibility classification, however, is
    not the basis of the plaintiffs’ appeal. Instead, the question is whether the
    IEP Team could have properly created an individualized education plan
    tailored to Luke’s particular needs without having before it the statutorily
    required assessment of him for autism.
    21
    Although not essential to our holding that Luke was denied a FAPE,
    some evidence in the record suggests that Luke did not actually make
    meaningful progress toward even the limited goals in his IEP. There were
    conversations between Luke’s parents and teachers during the 2009–2010
    school year to the effect that Luke was not making adequate progress
    toward his goals and required a more intensive program. Further, Luke’s
    assessment score dropped significantly between November 2009—when
    he was assessed by Dr. Griffin before he received any special education
    from Paso Robles—and January 2012—when he was assessed by Dr.
    Freeman. As Dr. Freeman explained, if Luke had made “meaningful
    progress,” the score would have remained the same or increased. A
    significant drop suggested that Luke was “not keeping pace.”
    38           TIMOTHY O. V. PASO ROBLES USD
    educational opportunities and substantially hindered his
    parents’ ability to participate in the IEP process.
    Here, there is strong reason to believe that alternative
    services would have at least been more seriously considered
    during the collaborative IEP process if the school district had
    formally assessed Luke for autism. See Doug C., 720 F.3d at
    1047. Because Luke was never formally so assessed, several
    members of Paso Robles’ staff treated him as if he had
    selective mutism, an anxiety disorder. Rather than engaging
    in positive interventions to encourage Luke to talk, the staff
    strove to create an environment that would minimize his
    supposed anxiety. As Luke’s private behaviorist explained,
    these actions should not have been taken in the case of an
    autistic child and may actually have reinforced Luke’s refusal
    to speak. Similarly, as Erika Castro, a Paso Robles speech
    therapist, testified, had she been aware that Luke had been
    diagnosed by Dr. Griffin as having a disorder on the autism
    spectrum, she would not have suggested that he was
    selectively mute. Indeed, because she was under the
    misperception that Luke’s refusal to speak was due to an
    anxiety disorder, she never suggested to Luke’s teacher that
    he needed to be seen and possibly be treated by a
    behaviorist—a recommendation that she might have
    otherwise made. Such a referral would likely have been of
    immense benefit with respect to Luke’s education, as
    evidenced by the tremendous improvement in his speech once
    he began receiving such services.
    Further, by failing to assess Luke for autism, Paso Robles
    deprived Luke’s parents of vital information necessary for
    them to meaningfully participate in the IEP process. It is
    clear from the record that Paso Robles considered assessing
    Luke for autism but decided not to do so after Peck’s
    TIMOTHY O. V. PASO ROBLES USD                        39
    informal and procedurally inadequate observation. It did not,
    however, explain this to Luke’s parents. Without this
    information, his parents—who were not represented by
    counsel at the time—had no reason to question the initial
    evaluation report and had no basis to request an independent
    educational evaluation.
    Paso Robles argues that it provided Luke with a free
    appropriate public education because its staff would have
    made the same recommendations as to the specialized
    services Luke required regardless whether he had been
    diagnosed as autistic. Peck, for example, testified that he
    would have made the same recommendations during the
    December 2009 IEP.22 This argument is plainly contradicted
    by the fact that Paso Robles’ staff treated Luke as if he were
    selectively mute, which they certainly would not have done
    if they had an assessment for autism. Even if true, however,
    this argument misses a central concern of our inquiry. The
    creation of an IEP is not a unilateral enterprise by the school
    district, but rather, a collaborative process that necessitates
    parents’ input. Regardless whether Paso Robles staff might
    have made identical recommendations in the absence of
    informed parental participation in the collaborative process,
    the failure to obtain necessary information about Luke’s
    disorder prevented an informed discussion with his parents
    22
    Regardless of the veracity of this statement, the record strongly
    suggests that Peck would at least have made different recommendations
    at the December 2010 IEP. As he admitted during the administrative
    hearing, he did not suggest that Luke had autism or needed treatment for
    autistic behavior during that meeting because he had not yet “done an
    assessment” for autism. We need not further comment on how his
    testimony that he would not do so “off the top of [his] head” comports
    with the role he played in 2009 when he ruled out the need for an autism
    assessment on the basis of a casual observation.
    40           TIMOTHY O. V. PASO ROBLES USD
    about his specific needs as an autistic child. Thus, Paso
    Robles’ violation of the statutory requirement deprived Luke
    of educational opportunities and substantially hindered his
    parents’ participation in the process. So that there may be no
    similar misunderstanding in the future, we will say it once
    again: the failure to obtain critical and statutorily mandated
    medical information about an autistic child and about his
    particular educational needs “‘render[s] the accomplishment
    of the IDEA’s goals—and the achievement of a
    FAPE—impossible.’” Hellgate, 
    541 F.3d at 1210
     (emphasis
    added) (quoting Amanda J., 267 F.3d at 894). Because the
    school district failed to conduct the statutorily mandated
    assessment of “all areas of suspected disability” it necessarily
    deprived Luke of a free appropriate public education.
    Finally, in so holding, we reject the argument of the ALJ
    and the district court that any failure by Paso Robles to assess
    Luke for autism was harmless because Paso Robles relied
    heavily on the Griffin Report when creating Luke’s IEP.
    There are three substantial problems with this argument:
    (1) there is no evidence that Paso Robles took any steps to
    ensure that the Griffin Report was conducted in a manner that
    complied with the IDEA’s procedural requirements, (2) the
    determination that Paso Robles relied on the Griffin Report
    is entirely unsupported by, indeed is contrary to, the evidence
    in the record, and (3) any reliance on the Griffin Report was
    without notice to or discussion with Luke’s parents, which
    would have substantially hindered their ability to fully and
    fairly participate in the IEP process, thus exacerbating the
    denial to Luke of a free appropriate public education.
    First, as discussed supra Section I.B, Paso Robles took
    absolutely no steps to “ensure” that the Tri-Counties
    assessment occurred or that it was conducted in a manner that
    TIMOTHY O. V. PASO ROBLES USD                 41
    complies with the procedural requirements of the Act. See
    Hellgate, 
    541 F.3d at 1209
    . Second, there is absolutely no
    evidence that the Griffin Report was actually discussed at
    Luke’s December 2009 IEP meeting or that it was relied on
    at any point during the development of the IEP. The only
    evidence that it was considered at all is a single statement
    made by Peck at the administrative hearing that he considered
    it during the initial IEP meeting. When asked “So did you
    consider that assessment at the 12/4/2009 IEP meeting?” he
    responded “Yes.” The fact that Peck “considered” the Griffin
    Assessment, however, does not suggest that it was relied
    upon when creating Luke’s IEP or that it was carefully
    considered by the entire IEP Team. Rather, the argument is
    directly contrary to the unrefuted evidence that Paso Robles
    considered the report to be unreliable: Peck read the report,
    believed the “provisional” diagnosis meant that the results
    were non-conclusive, disregarded it, and did not even
    mention it during the IEP meeting. Similarly, none of Paso
    Robles’ other staff members mentioned the Griffin Report
    when describing what the IEP Team discussed at the IEP
    meeting, and indeed, Luke’s mother testified that she did not
    even know that the school district had received a copy of the
    report because it was never mentioned. The IEP, of course,
    makes absolutely no mention of the report. Finally, Paso
    Robles has maintained throughout these proceedings that the
    Griffin Reportmobook was of so little significance as not
    even to warrant a suspicion of autism.
    Third, even if we were to accept the clearly erroneous
    factual finding that the report was “considered,” that
    consideration would have constituted a further procedural
    violation that would only have exacerbated the denial of a
    free appropriate public education to Luke. That is because
    any purported reliance on the Griffin Report would have
    42           TIMOTHY O. V. PASO ROBLES USD
    occurred without notice to Luke’s parents that the assessment
    was being considered in creating the IEP, as required by
    
    34 C.F.R. § 300.503
    (a) & (b). The notice requirement
    provides parents with information necessary to an
    understanding of the rationale behind the school district’s
    proposal, thus ensuring the “meaningful participation by
    parents and informed parental consent” that the IDEA was
    designed to afford. M.M., 767 F.3d at 851. If Paso Robles
    had given Luke’s parents written notice that the Griffin
    Report would be considered in drafting the IEP, it would have
    been required to explain to them why it disagreed with Dr.
    Griffin’s diagnosis and to state whether it was making any
    recommendations for Luke’s education based on her report.
    In the absence of such notice, however, Luke’s parents were
    left without critical information. Because they did not have
    Paso Robles’ relative sophistication, they could not be
    expected to understand how Tri-Counties’ test results could
    affect Luke’s special education eligibility or what services
    needed to be provided in light of Dr. Griffin’s diagnosis.
    Accordingly, they could not give informed consent or
    participate meaningfully in the creation of the IEP, a separate
    statutory violation in itself.
    Because we hold that the failure to assess Luke for autism
    constituted a substantial procedural violation of the IDEA that
    denied him a free appropriate public education during the
    2009–2010 and 2010–2011 school years, we need not address
    the separate question raised by him on this appeal: whether
    the school district’s failure to take appropriate steps to
    address his refusal to speak denied him a free appropriate
    education during those same years.
    TIMOTHY O. V. PASO ROBLES USD                  43
    CONCLUSION
    Well before creating an individual education plan for
    Luke, Paso Robles had notice that he might have a disorder
    on the autism spectrum. Under the IDEA, the school district
    had an affirmative obligation to formally assess Luke for
    autism using reliable, standardized, and statutorily proscribed
    methods. Paso Robles, however, ignored the clear evidence
    requiring it to do so, and instead determined that Luke was
    not autistic based on the view of a staff member who opined,
    after a casual observation, that Luke did not display signs of
    autism. This failure to formally assess Luke’s disability
    rendered the provision of a free appropriate education
    impossible and left his autism untreated for years while Paso
    Robles’s staff, because of a lack of adequate information,
    took actions that may have been counter-productive and
    reinforced Luke’s refusal to speak. We hold, therefore, that
    Paso Robles violated the IDEA and denied Luke a free
    appropriate public education during the 2009–2010 and
    2010–2011 school years. We reverse the decision of the
    district court and remand for a determination of the
    appropriate remedy.
    REVERSED AND REMANDED.