MASSACHUSETTS DEPARTMENT OF ELEMENTARY AND SECONDARY
EDUCATION
Program Quality Assurance Services
COORDINATED PROGRAM REVIEW
CORRECTIVE ACTION PLAN
Charter School or District: Leicester
CPR Onsite Year: 2012-2013
Program Area: Special Education
All corrective action must be fully implemented and all noncompliance
corrected as soon as possible and no later than one year from the issuance
of the Coordinated Program Review Final Report dated 08/17/2013.
Mandatory One-Year Compliance Date: 08/17/2014
Summary of Required Corrective Action Plans in this Report
Criterion
SE 18A
Criterion Title
IEP development and content
SE 55
Special education facilities and classrooms
CR 16
CR 23
Notice to students 16 or over leaving school without a high
school diploma, certificate of attainment, or certificate of
completion
Comparability of facilities
CR 25
Institutional self-evaluation
CPR Rating
Partially
Implemented
Partially
Implemented
Partially
Implemented
Partially
Implemented
Not Implemented
COORDINATED PROGRAM REVIEW
CORRECTIVE ACTION PLAN
Criterion & Topic:
CPR Rating:
SE 18A IEP development and content
Partially Implemented
Department CPR Findings:
Although the district has current policies and procedures to address student needs related
to bullying, teasing and harassment, staff interviews and student record review indicated
that IEP Teams do not consistently address the skills and proficiencies needed to avoid
and respond to bullying, harassment, or teasing for students whose disability makes him
or her vulnerable to bullying, harassment, or teasing.
Description of Corrective Action:
The District has scheduled to have a bullying and harassment training for all special
education staff on 10/11/13.
Title/Role(s) of Responsible Persons:
Expected Date of
Director of Special Education
Completion:
12/01/2013
Evidence of Completion of the Corrective Action:
The sign in sheet and agenda from this training will be sent to the DESE for review. A
statement will be provided to the DESE indicating the number of reviewed special
education files that were in compliance.
Description of Internal Monitoring Procedures:
The Director of Special Education has scheduled meetings with all of the special education
teams in the district to review the district policy and procedures for student with
disabilities involving bullying and harassment. The Director of Special Education will
perform a record review of 12 special education files.
CORRECTIVE ACTION PLAN APPROVAL SECTION
Criterion:
SE 18A IEP development and content
Corrective Action Plan Status: Approved
Status Date: 10/07/2013
Basis for Status Decision:
Department Order of Corrective Action:
Required Elements of Progress Report(s):
The district will provide evidence of staff training on its anti-bullying and harassment IEP
development procedures, which will include but not be limited to a training agenda,
attendance sheet and copies of the materials presented. Please submit this to the
Department on or before by November 15, 2013.
Please develop and submit a description of the district’s internal oversight and tracking
system to ensure that IEPs address the skills and proficiencies needed to avoid and
respond to bullying, harassment, or teasing for students vulnerable to bullying and
harassment. Identify the person(s) responsible for the oversight, including the date of the
system's implementation. Submit this information by November 15, 2013.
Submit the results of an administrative review of student records for consideration of
vulnerability to bullying and the documentation and provision in IEPs of skills and
proficiencies to address or avoid bullying, harassment and teasing. The district must
MA Department of Elementary & Secondary Education, Program Quality Assurance Services
Leicester CPR Corrective Action Plan
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include students whose disability makes him or her vulnerable to bullying, harassment, or
teasing in its record sample at each level. Only those IEPs developed following the
implementation of all corrective actions can be sampled for this internal record review.
Indicate the number of records reviewed at each level (2 minimum preschool, elementary,
middle, secondary and out-of-district), the number found to be compliant, an explanation
of the root cause for any continued noncompliance and a description of additional
corrective actions taken by the district to address any identified noncompliance. Please
submit this to the Department on or before by March 15, 2014.
*Please note when conducting administrative monitoring the district must maintain the
following documentation and make it available to the Department upon request: a) List of
student names and grade levels for the records reviewed; b) Date of the review; c) Name
of person(s) who conducted the review, with their role(s) and signature(s).
Progress Report Due Date(s):
11/15/2013
03/15/2014
MA Department of Elementary & Secondary Education, Program Quality Assurance Services
Leicester CPR Corrective Action Plan
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COORDINATED PROGRAM REVIEW
CORRECTIVE ACTION PLAN
Criterion & Topic:
CPR Rating:
SE 55 Special education facilities and classrooms
Partially Implemented
Department CPR Findings:
Interviews and facilities review indicated that at the Memorial School, physical therapy
sessions are conducted on a stage in a public and informal space; no other group of
students receives services in a non-classroom setting.
Description of Corrective Action:
Upon notification of this finding from the DESE, the district immediately moved the
location of physical therapist to an appropriate room to provide therapy sessions.
Title/Role(s) of Responsible Persons:
Expected Date of
Director of Special Education/Civil Rights Coordinator
Completion:
04/01/2013
Evidence of Completion of the Corrective Action:
The floor plan and room list from Memorial School will be sent to the DESE for review.
Description of Internal Monitoring Procedures:
On 8/21/2013, the Director of Special Education visited district buildings to ensure that all
therapies are being provided in an appropriate location. The Director of Special Education
also reviewed this information at the first cabinet meeting with all building principals in
attendance.
CORRECTIVE ACTION PLAN APPROVAL SECTION
Criterion:
SE 55 Special education facilities and
classrooms
Basis for Status Decision:
Corrective Action Plan Status: Approved
Status Date: 10/07/2013
Department Order of Corrective Action:
Required Elements of Progress Report(s):
A representative of the Department will visit the Memorial School to verify that the
location of PT therapy sessions has been moved to an appropriate room. Please propose a
date by November 15, 2014 for the DESE representative to visit the school.
Progress Report Due Date(s):
11/15/2013
MA Department of Elementary & Secondary Education, Program Quality Assurance Services
Leicester CPR Corrective Action Plan
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COORDINATED PROGRAM REVIEW
CORRECTIVE ACTION PLAN
Criterion & Topic:
CPR Rating:
CR 16 Notice to students 16 or over leaving school without a
Partially Implemented
high school diploma, certificate of attainment, or certificate of
completion
Department CPR Findings:
According to document review and interviews, the district is currently developing its
notice for students 16 or over who are leaving school without a high school diploma,
certificate of attainment, or certificate of completion; at the time of the onsite visit, no
students had left school without a diploma for the current school year.
Description of Corrective Action:
The High School Principal and Guidance Department will review and finalize the notice and
process for students 16 or over who are leaving school without a high school diploma,
certificate of attainment, or certificate of completion.
Title/Role(s) of Responsible Persons:
Expected Date of
High School Principal
Completion:
High School Guidance Department
12/01/2013
Evidence of Completion of the Corrective Action:
The district will send the finalized notice to the DESE for review, in native languages if
appropriate.
Description of Internal Monitoring Procedures:
This criterion was discussed at the first cabinet meeting with the High School principal
present to ensure that all district administrators are aware of the district procedure and
policy for students 16 or over leaving school without a high school diploma, certificate of
attainment, or certificate of completion.
CORRECTIVE ACTION PLAN APPROVAL SECTION
Criterion:
CR 16 Notice to students 16 or over
leaving school without a high school
diploma, certificate of attainment, or
certificate of completion
Basis for Status Decision:
Corrective Action Plan Status: Approved
Status Date: 10/07/2013
Department Order of Corrective Action:
Required Elements of Progress Report(s):
Submit a copy of the new district policy and the two notices to parents and students aged
16 years or older who are leaving school without a high school diploma, certificate of
attainment, or certificate of completion to the Department. The district's submission must
include 1) the written notice to parents and students ten days from a student’s fifteenth
consecutive unexcused absence and 2) the annual written notice to the last known
address of each such student who attended the district's high school within the past two
years. This progress report is due on or before November 15, 2014.
Progress Report Due Date(s):
11/15/2013
MA Department of Elementary & Secondary Education, Program Quality Assurance Services
Leicester CPR Corrective Action Plan
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COORDINATED PROGRAM REVIEW
CORRECTIVE ACTION PLAN
Criterion & Topic:
CR 23 Comparability of facilities
Department CPR Findings:
See SE 55.
Description of Corrective Action:
See SE55
Title/Role(s) of Responsible Persons:
Director of Special Education/Civil Rights Coordinator
CPR Rating:
Partially Implemented
Expected Date of
Completion:
04/01/2013
Evidence of Completion of the Corrective Action:
See SE55
Description of Internal Monitoring Procedures:
See SE55
CORRECTIVE ACTION PLAN APPROVAL SECTION
Criterion:
CR 23 Comparability of facilities
Corrective Action Plan Status: Approved
Status Date: 10/07/2013
Basis for Status Decision:
Department Order of Corrective Action:
Required Elements of Progress Report(s):
Please see the Department's required progress reporting element for SE 55.
Progress Report Due Date(s):
11/15/2013
MA Department of Elementary & Secondary Education, Program Quality Assurance Services
Leicester CPR Corrective Action Plan
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COORDINATED PROGRAM REVIEW
CORRECTIVE ACTION PLAN
Criterion & Topic:
CPR Rating:
CR 25 Institutional self-evaluation
Not Implemented
Department CPR Findings:
Documentation and staff interviews indicated that the district does not conduct an annual
institutional self-evaluation of all aspects of its K-12 program to ensure that all students
have equal access to all programs.
Description of Corrective Action:
The district will conduct an annual institutional self-assessment of its K-12 programs
through cabinet meetings with all building principals present to ensure that all students
have equal access to all programs in the district.
Title/Role(s) of Responsible Persons:
Expected Date of
District Administrators
Completion:
02/01/2014
Evidence of Completion of the Corrective Action:
The district will provide a copy of the cabinet meeting agenda to the DESE for review.
Description of Internal Monitoring Procedures:
The district will provide the DESE with a report from all building principals describing the
programs reviewed and a statement indicating if all students have equal access to all
programs.
CORRECTIVE ACTION PLAN APPROVAL SECTION
Criterion:
CR 25 Institutional self-evaluation
Corrective Action Plan Status: Approved
Status Date: 10/07/2013
Basis for Status Decision:
Department Order of Corrective Action:
Required Elements of Progress Report(s):
Provide a detailed description of how the district proposes to conduct its annual
institutional self-evaluation using cabinet meetings that include all building principals to
ensure programmatic access to all students in the district. Please note that the
Department recommends using a variety of data sources to assess whether all students
have access to all district programming. This progress report is due on or before
November 15, 2013.
Regardless of the methods used to determine student access, the district must keep
documentation of each year’s evaluation, the conclusions reached on the basis of the
evaluation, and the steps taken to resolve any identified problems. The district will submit
evidence of its institutional evaluation activities, including any conclusions and steps
taken to resolve identified issues with access. This progress report will be due on or
before March 15, 2014.
Progress Report Due Date(s):
11/15/2013
03/15/2014
MA Department of Elementary & Secondary Education, Program Quality Assurance Services
Leicester CPR Corrective Action Plan
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MASSACHUSETTS DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION
COORDINATED PROGRAM REVIEW
District: Leicester Public Schools
Corrective Action Plan Forms
Program Area: English Learner Education
Prepared by:
CAP Form will expand to as many lines as necessary. Before completing and emailing to
pqacap@doe.mass.edu, please see separate Instructions for Completing Corrective Action Plans.
All corrective action must be fully implemented and all noncompliance corrected as soon as
possible and no later than one year from the issuance of the Coordinated Program Review Final
Report to the school or district.
Mandatory One-Year Compliance Date: April 3, 2015
COORDINATED PROGRAM REVIEW
CORRECTIVE ACTION PLAN
(To be completed by school district/charter school)
Criterion & Topic: ELE 5 Program Placement and
Rating: Partially Implemented
Structure
Department CPR Finding: Current hours of ESL instruction ELLs receive are insufficient at all levels
of English proficiency and are, therefore, inconsistent with Department guidelines. Please see the
“Transitional Guidance on Identification, Assessment, Placement, and Reclassification of English
Language Learners August 2013” as found on http://www.doe.mass.edu/ell/guidance_laws.html
Document review indicated that the district does not have an ESL curriculum used for direct ESL
instruction or a plan to develop one that is aligned to the Massachusetts Curriculum Frameworks and
the WIDA ELD Standards. See the Department’s WIDA English Language Development Standards
Implementation Guide (Part I) at http://www.doe.mass.edu/ell/wida/Guidance-p1.pdf
Narrative Description of Corrective Action: The district hired an ELL specialist who oversees and
provides services to the ELL students across the district. In January 2014, the ELL specialist reviewed
and analyzed the existing student caseload. Based upon the internal review and data collected, student
services were adjusted based upon individual need. Please see the attached handout demonstrating the
change in services since the ELL restructuring. The ELL specialist is a RETELL/SEI Course
Facilitator for the DESE and has attended WIDA trainings. ELE standards, differentiation and
formative assessments are implemented in the individualized tutoring and SEI classes.
Title/Role of Person(s) Responsible for
Implementation: ELL specialist
Expected Date of Completion for Each
Corrective Action Activity: Completed
MA Department of Elementary & Secondary Education, Program Quality Assurance Services
Leicester CPR Corrective Action Plan
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Evidence of Completion of the Corrective Action: Caseload review which consists of student
support hours.
Description of Internal Monitoring Procedures: Caseload will be reviewed three times per year,
October 2014, January 2015, and May 2015.
CORRECTIVE ACTION PLAN APPROVAL SECTION
(To be completed by the Department of Elementary and Secondary Education)
Criterion: ELE 5 Program Placement
and Structure
Status of Corrective Action:
Approved
Partially Approved
Disapproved
Basis for Partial Approval or Disapproval: N/A
Department Order of Corrective Action: N/A
Required Elements of Progress Report(s):
Please, complete district information for the school year 2014-2015 in the attached spreadsheet labeled
ELL List by school for each ELL student in the district.
Progress Report Due Date(s): September 30, 2014 and January 15, 2015
COORDINATED PROGRAM REVIEW
CORRECTIVE ACTION PLAN
(To be completed by school district/charter school)
Criterion & Topic: ELE 8 Declining Entry to a
Rating: Partially Implemented
Program
Department CPR Finding: Document review and interviews indicated that the district’s opt-out
process does not include all elements of support and follow-up required for opted-out students,
including language support, annual assessment of student, and annual notification to parent.
Narrative Description of Corrective Action: As of June 1, 2014, the district will ensure that student
documentation will be on file to show the steps the district has taken for opted out students which
includes the annual assessment of student, and annual notification to parent. The files will be reviewed
in October and May of each year to ensure compliance.
Title/Role of Person(s) Responsible for
Expected Date of Completion for Each
Implementation: ELL specialist
Corrective Action Activity: Complete
Evidence of Completion of the Corrective Action: File review checklist
Description of Internal Monitoring Procedures: The ELL specialist will conduct an internal audit on
ELL student files and review the findings with the ELL director on an annual basis.
CORRECTIVE ACTION PLAN APPROVAL SECTION
(To be completed by the Department of Elementary and Secondary Education)
Criterion: ELE 8 Declining Entry to
a Program
Status of Corrective Action:
Approved
Partially Approved
Disapproved
Basis for Partial Approval or Disapproval:
Department Order of Corrective Action: Please provide evidence of staff training on opt-out
procedures with requirements that the district offers to parents for ELL students. Please include the
agenda, training materials and sign-in sheets for training provided by September 30, 2014.
MA Department of Elementary & Secondary Education, Program Quality Assurance Services
Leicester CPR Corrective Action Plan
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Required Elements of Progress Report(s):
Please provide the results of a record review of a sample of ELL student records across all levels to
ensure that these files contain evidence that opt out procedures are appropriately offered to parents of
ELL students.
Please provide a detailed summary of the record review, including student’s grade level; method of
determination; and the results of the review. Include:
1) The number of records reviewed;
2) The number of records in compliance;
3) For all records not in compliance, determine the root cause(s) of the non-compliance; and
4) The district’s plan to remedy the non-compliance if applicable.
Please provide the results of the student record review by January 15, 2015.
*Please note that when conducting internal monitoring the district must maintain the following
documentation and make it available to the Department upon request: a) List of student names
and grade level for the record review; b) Date of the review; c) Name of person(s) who conducted
the review, their roles(s), and their signature(s).
Progress Report Due Date(s): September 30, 2014 and January 15, 2015
COORDINATED PROGRAM REVIEW
CORRECTIVE ACTION PLAN
(To be completed by school district/charter school)
Criterion & Topic: ELE 10 Parental Notification
Rating: Partially Implemented
Department CPR Finding: Student record review indicated that annual parent notification letters are
not consistently found in student files.
Narrative Description of Corrective Action: Annual parent notification letters will be entered into
the student files.
Title/Role of Person(s) Responsible for
Expected Date of Completion for Each
Implementation: ELL specialist
Corrective Action Activity: October 2014 and
May 2015
Evidence of Completion of the Corrective Action: File review checklist
Description of Internal Monitoring Procedures: The ELL specialist will conduct a file review in
October 2014 and May 2015 to demonstrate that annual parent notifications are in the student files.
CORRECTIVE ACTION PLAN APPROVAL SECTION
(To be completed by the Department of Elementary and Secondary Education)
Criterion: ELE 10 Parental
Notification
Status of Corrective Action:
Approved
Partially Approved
Disapproved
Basis for Partial Approval or Disapproval:
Department Order of Corrective Action: See ELE 18
Required Elements of Progress Report(s): Please provide the results of a record review of 10 ELL
student records to ensure that these files contain copies of the Parent Notification letter.
MA Department of Elementary & Secondary Education, Program Quality Assurance Services
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Please provide a detailed summary of the record review, including student’s grade level; method of
determination; and the results of the review. Include:
1) The number of records reviewed;
2) The number of records in compliance;
3) For all records not in compliance, determine the root cause(s) of the non-compliance; and
4) The district’s plan to remedy the non-compliance if applicable.
Please provide the results of the student record review by January 15, 2015.
*Please note that when conducting internal monitoring the district must maintain the following
documentation and make it available to the Department upon request: a) List of student names
and grade level for the record review; b) Date of the review; c) Name of person(s) who conducted
the review, their roles(s), and their signature(s).
Progress Report Due Date(s): September 30, 2014 and January 15, 2015
COORDINATED PROGRAM REVIEW
CORRECTIVE ACTION PLAN
(To be completed by school district/charter school)
Criterion & Topic: ELE 14 Licensure Requirements
Rating: Not Implemented
Department CPR Finding: The district reports on the documentation that ESL instruction is provided
to ELL students by tutors. Since the license information for the ESL tutors was not provided, there is no
indication showing that, ESL teachers/tutors that provide students with ESL instruction hold an
appropriate license or current waiver issued by the Massachusetts Department of Elementary and
Secondary Education.
The review of the documents submitted by the district indicated that the district does not have a policy
for assuring English language fluency and literacy of teachers in classrooms where English is the
language of instruction.
Narrative Description of Corrective Action: In January 2014, the district restructured the ELL
program. The ELL tutor positions were eliminated and a full time ELL specialist position was created.
Title/Role of Person(s) Responsible for
Expected Date of Completion for Each
Implementation: N/A
Corrective Action Activity: Completed
Evidence of Completion of the Corrective Action: ELL specialist position verification signed by
superintendent of schools.
Description of Internal Monitoring Procedures: N/A
CORRECTIVE ACTION PLAN APPROVAL SECTION
(To be completed by the Department of Elementary and Secondary Education)
Criterion: ELE 14 Licensure
Requirements
Status of Corrective Action:
Approved
Partially Approved
Disapproved
Basis for Partial Approval or Disapproval: N/A
Department Order of Corrective Action: N/A
MA Department of Elementary & Secondary Education, Program Quality Assurance Services
Leicester CPR Corrective Action Plan
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Required Elements of Progress Report(s):
Provide evidence of the licensure of the current ESL teacher(s) by the progress report due date.
Progress Report Due Date(s): September 30, 2014
COORDINATED PROGRAM REVIEW
CORRECTIVE ACTION PLAN
(To be completed by school district/charter school)
Criterion & Topic: ELE 17 Program Evaluation
Rating: Not Implemented
Department CPR Finding: Document review demonstrated that the district does not conduct periodic
evaluations of its ELE program effectiveness.
Narrative Description of Corrective Action: In the spring of each year, the district will conduct an
annual review of its ELE program effectiveness by reviewing ACCESS scores, progress data, and
changes in service.
Title/Role of Person(s) Responsible for
Expected Date of Completion for Each
Implementation: ELL specialist and Director of
Corrective Action Activity: Complete
Special Education
Evidence of Completion of the Corrective Action: ELL program summary.
Description of Internal Monitoring Procedures: Upon completion of the annual review, the district
will maintain copies of the ELE program effectiveness findings.
CORRECTIVE ACTION PLAN APPROVAL SECTION
(To be completed by the Department of Elementary and Secondary Education)
Criterion: ELE 17 Program
Evaluation
Status of Corrective Action:
Approved
Partially Approved
Disapproved
Basis for Partial Approval or Disapproval:
Department Order of Corrective Action: Please provide a copy of the district’s format that will be
used to evaluate the ELE program and improve its services. An optional form may be accessed at:
http://www.doe.mass.edu/ell/resources.html. Please provide to the DESE by September 30,
2014.
Required Elements of Progress Report(s): Please provide a copy of the district’s completed
evaluation procedures by January 15, 2015.
Progress Report Due Date(s): September 30, 2014 and January 15, 2015
COORDINATED PROGRAM REVIEW
CORRECTIVE ACTION PLAN
(To be completed by school district/charter school)
Criterion & Topic: ELE 18 Records of ELL Students
Rating: Partially Implemented
Department CPR Finding: Record review indicated home language surveys, report cards, initial and
annual parent notification are not consistently in student records.
MA Department of Elementary & Secondary Education, Program Quality Assurance Services
Leicester CPR Corrective Action Plan
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Narrative Description of Corrective Action: By October of each school year, the ELL specialist will
complete a file review to confirm that home language surveys, report cards, initial and annual parent
notification are in each student records.
Title/Role of Person(s) Responsible for
Expected Date of Completion for Each
Implementation: ELL specialist
Corrective Action Activity: Complete
Evidence of Completion of the Corrective Action: File review checklist
Description of Internal Monitoring Procedures: Internal review at the start of each school year. The
ELL specialist will review the file review checklist with the Director of Special Education.
CORRECTIVE ACTION PLAN APPROVAL SECTION
(To be completed by the Department of Elementary and Secondary Education)
Criterion: ELE 18 Records of ELL
Students
Status of Corrective Action:
Approved
Partially Approved
Disapproved
Basis for Partial Approval or Disapproval:
Department Order of Corrective Action: Please provide evidence of staff training on the required
elements of ELL students files. These items include:
a) home language survey;
b) results of identification and proficiency tests and evaluations, including MEPA and MELA-O
until SY 2011/2012
c) ACCESS for ELLs test from SY 2012/2013;
d) MCAS or other tests chosen by the Board of Education and the district;
e) information about students’ previous school experiences;
f) copies of parent notification letters,
g) progress reports, in the native language, if necessary;
h) report cards, in the native language, if necessary;
i) evidence of follow-up monitoring, if applicable;
j) documentation of a parent’s consent to “opt-out” of ELL education, if applicable;
k) waiver documentation, if applicable
Please include the agenda, training materials and sign-in sheets for training provided by September 30,
2014.
Required Elements of Progress Report(s): Please provide the results of a record review of 10 ELL
student records to ensure that these files contain copies of the required items.
Please provide a detailed summary of the record review, including student’s grade level; method of
determination; and the results of the review. Include:
1) The number of records reviewed;
2) The number of records in compliance;
3) For all records not in compliance, determine the root cause(s) of the non-compliance; and
4) The district’s plan to remedy the non-compliance if applicable.
Please provide the results of the student record review by January 15, 2015.
Progress Report Due Date(s): September 30, 2014 and January 15, 2015
MA Department of Elementary & Secondary Education, Program Quality Assurance Services
Leicester CPR Corrective Action Plan
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