From the account in the Spec, I would estimate she's as far behind as the most needy of my students. She's going to need special class placement for a while if she's really going to catch up. She's unlikely to get that, though, because the waiting lists are incredibly long for those placements, and she's not on any lists. Her best bet is to get into a school with a caring LRT, and accept some of the help the family has been offered - such as free tutoring from a retired teacher. With any luck, her issues are more attentional than academic and she'll catch up somewhat before middle school next year.