MASSACHUSETTS DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION Program Quality Assurance Services

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MASSACHUSETTS DEPARTMENT OF ELEMENTARY AND SECONDARY
EDUCATION
Program Quality Assurance Services
COORDINATED PROGRAM REVIEW
CORRECTIVE ACTION PLAN
Charter School or District: Nahant
CPR Onsite Year: 2010-2011
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 09/02/2011.
Mandatory One-Year Compliance Date: 09/02/2012
Summary of Required Corrective Action Plans in this Report
Criterion
SE 16
Criterion Title
Screening
SE 29
Communications are in English and primary language of
home
Procedures for approved and unapproved out-of-district
placements
Professional development
SE 37
SE 54
SE 56
CR 7
CR 11A
CR 17A
Special education programs and services are evaluated
Information to be translated into languages other than
English
Designation of coordinator(s); grievance procedures
Use of physical restraint on any student enrolled in a
publicly-funded education program
CPR Rating
Partially
Implemented
Partially
Implemented
Partially
Implemented
Partially
Implemented
Not Implemented
Not Implemented
Partially
Implemented
Partially
Implemented
Criterion
CR 18
Criterion Title
Responsibilities of the school principal
CR 20
CR 21
CR 25
Staff training on confidentiality of student records
Staff training regarding civil rights responsibilities
Institutional self-evaluation
CPR Rating
Partially
Implemented
Not Implemented
Not Implemented
Not Implemented
COORDINATED PROGRAM REVIEW
CORRECTIVE ACTION PLAN
Criterion & Topic:
CPR Rating:
SE 16 Screening
Partially Implemented
Department CPR Findings:
The documentation review and parent surveys determined that parents are not always
informed of the screening dates of the school district.
Description of Corrective Action:
1. Utilize new email to parents system for notification, which includes the Johnson School
Pre-School Program.
2. Publish multiple ads in the Harbor Review Newspaper, a paper that is published
monthly in Nahant and reaches almost every household.
3. Notify area preschools and private/parochial schools that may enroll Nahant children.
4. Posting on the school and district website.
Anticipated Results:
1. Total community notification of screening dates at the Johnson School.
Title/Role(s) of responsible Persons:
Expected Date of
Dr. Philip Devaux, Supt.
Completion:
Diane Mulcahy, Principal
09/02/2012
Joan Endicott, Special Education Director
Evidence of Completion of the Corrective Action:
1. Print copies of the emails.
2. Print copies of the newspaper ads.
3. Print copies of notifications to area schools.
4. Copies of website information.
Description of Internal Monitoring Procedures:
1. Assign dates for task completion.
2. Review response data.
CORRECTIVE ACTION PLAN APPROVAL SECTION
Criterion:
SE 16 Screening
Corrective Action Plan Status: Partially
Approved
Status Date: 10/04/2011
Basis for Partial Approval or Disapproval:
The district will institute multiple means of informing parents of the available screening
daes for three and four year old children within Nahant which the Department accepts as
corrective action. The district however, did not articulate clear timelines for the
implementation of the new email ssystem, the dates of ad publications and notifications to
preschools and private/parochial schools in Nahant or the dates of posting to the school
and district website. Further, it seems reasonable to expect that these actions can be
accomplished before September 9, 2012. Please provide specific timelines for
implementation.
Department Order of Corrective Action:
Required Elements of Progress Report(s):
Please provide the date of the implementation of the new email system and a sample
email. Please indicate the dates ads will be published in the Harbor Review Newspaper
and a sample ad. Please provide a list of the area preschools and private school that were
notified of screening opportunities and the date of notification. Please verify the date
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screening notifications wer eposted on the school and district website.
Progress Report Due Date(s):
12/20/2011
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COORDINATED PROGRAM REVIEW
CORRECTIVE ACTION PLAN
Criterion & Topic:
CPR Rating:
SE 29 Communications are in English and primary language of
Partially Implemented
home
Department CPR Findings:
The documentation review, student record review and staff interviews indicated that the
district does not have any limited English proficient students enrolled in the school or any
families in need of translations due to the primary language of the home being a language
other than English. However, the district was unable to document its procedures to ensure
communications would be translated when necessary.
Description of Corrective Action:
When necessary, the district will employ a contract translator in the language requiring
translation.
Anticipated Results:
Timely translations in the primary language of home.
Title/Role(s) of responsible Persons:
Expected Date of
Dr. Philip Devaux, Supt.
Completion:
Diane Mulcahy, Principal
09/02/2012
Joan Endicott, SPED director
Evidence of Completion of the Corrective Action:
Completed translation documents.
Description of Internal Monitoring Procedures:
The SPED Director will process all requests for translation through the Office of the
Principal who will in turn process the request(s) to the Office of the Superintendent.
The SPED Director will provide a semi-annual summary of translations completed on
December 15 and June 15 of each calendar year.
CORRECTIVE ACTION PLAN APPROVAL SECTION
Criterion:
Corrective Action Plan Status: Partially
SE 29 Communications are in English and
Approved
primary language of home
Status Date: 10/04/2011
Basis for Partial Approval or Disapproval:
The district did not indicate how school personnel (teachers, IEP Team chairpersons, etc.)
were made aware of the procedures for the procurement of translated documents or
interpreters.
Department Order of Corrective Action:
Please ensure that school personnel responsible for the development and issuing of IEPs
and corresponding documentation are aware of the procedures for obtaining translated
documents or obtaining an interpreter at IEP Team meetings.
Required Elements of Progress Report(s):
Please provide evidence that school personnel responsible for correspondence to parents,
the development IEPs, and special education progress reports are aware of the
procedures for obtaining translated documents or obtaining an intepreter at IEP Team
meetings.
In addition, please document to the Department whether any translations were necessary
since the start of the school year.
Progress Report Due Date(s):
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12/20/2011
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COORDINATED PROGRAM REVIEW
CORRECTIVE ACTION PLAN
Criterion & Topic:
CPR Rating:
SE 37 Procedures for approved and unapproved out-of-district
Partially Implemented
placements
Department CPR Findings:
The student record review and documentation review determined that the district does
not have procedures for conducting the monitoring of out-of-district placements. The
student files for out-of- district placements did not contain documentation of the district’s
monitoring efforts.
Description of Corrective Action:
1. Establish a calendar of site visits in accordance with placement needs.
2. Complete a site visit monitoring protocol to be placed in the student file.
Anticipated Results:
1. Completion of scheduled monitoring visits on a specified calendar basis.
2. Reports filed in student files summarizing the monitoring findings.
Title/Role(s) of responsible Persons:
Expected Date of
Joan Endicott, Director of Special Education
Completion:
Dr. Philip Devaux, Supt.
09/02/2012
Evidence of Completion of the Corrective Action:
1. Annual calendar of site visits.
2. Completion of a site visit monitoring protocol.
3. Log of actual visits.
4. Documentation in students files of monitoring findings.
Description of Internal Monitoring Procedures:
The SPED Director will establish an annual calendar for out of district site visits.
The SPED director will maintain a written log of all out of district site visits.
CORRECTIVE ACTION PLAN APPROVAL SECTION
Criterion:
Corrective Action Plan Status: Approved
SE 37 Procedures for approved and
Status Date: 10/04/2011
unapproved out-of-district placements
Basis for Partial Approval or Disapproval:
Department Order of Corrective Action:
Required Elements of Progress Report(s):
Please provide the Department with the annual calendar for site vitis by December 20,
2011.
Please conduct a record review of out-of-district students to verify that individual
monitoring reports are contained in the student record. Please indicate the total number
of records reviewed, the number of records found in compliance and the name and title of
the review. If any records are found in continued noncompliance; please indicate the
cause of the noncompliance and the district's action(s) to remedy the continued
noncompliance. This progress report is due February 14, 2012.
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
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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):
12/20/2011
02/14/2012
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COORDINATED PROGRAM REVIEW
CORRECTIVE ACTION PLAN
Criterion & Topic:
CPR Rating:
SE 54 Professional development
Partially Implemented
Department CPR Findings:
The documentation review and staff interviews determined that the school district has not
provided professional development in the areas of accommodating students with diverse
learning needs and understanding diverse learning styles.
Description of Corrective Action:
1. Consultant work on Balanced Literacy with the focus on diverse learning needs and
diverse learning styles.
2. Monthly on-site study group to discuss best practice in regards to diverse learning
needs and diverse learning styles.
Anticipated Results:
1. Classroom instruction reflecting lessons designed with multiple alternatives.
Title/Role(s) of responsible Persons:
Expected Date of
Dr. Philip Devaux, Supt.
Completion:
Diane Mulcahy, Principal
09/02/2012
Joan Endicott, SPED Director
Evidence of Completion of the Corrective Action:
1. Teacher plan books.
2. Classroom observations.
Description of Internal Monitoring Procedures:
1. Agenda and attendance sheet for professional development activities to include time,
date and topics of the agenda.
2. Calendar of study group sessions.
3. Teacher plan books.
4. Classroom observations.
CORRECTIVE ACTION PLAN APPROVAL SECTION
Criterion:
SE 54 Professional development
Corrective Action Plan Status: Approved
Status Date: 10/04/2011
Basis for Partial Approval or Disapproval:
Department Order of Corrective Action:
Required Elements of Progress Report(s):
Please provide the Department with dates of the training activities and evidence of the
staff in attendance. This progress report is due February 14, 2012.
Progress Report Due Date(s):
02/14/2012
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COORDINATED PROGRAM REVIEW
CORRECTIVE ACTION PLAN
Criterion & Topic:
CPR Rating:
SE 56 Special education programs and services are evaluated
Not Implemented
Department CPR Findings:
The review of the district’s documentation determined that the district does not regularly
evaluate its special education programs and services.
Description of Corrective Action:
Semi-annual review of staffing pattern.
Semi-annual review of contracted services.
Semi-annual review of special education grant management.
Semi-annual review of outside placements.
Anticipated Results:
A completed annual evaluation.
Title/Role(s) of responsible Persons:
Expected Date of
Dr. Philip Devaux, Supt.
Completion:
Diane Mulcahy, Principal
09/02/2012
Joan Endicott, SPED Director
Evidence of Completion of the Corrective Action:
Written reports on Semi-annual reviews listed above.
Description of Internal Monitoring Procedures:
Special Education Director meets semi-annually with the superintendent and Johnson
School Principal to review written reports regarding staffing patterns, contracted services,
grants management and outside placements
CORRECTIVE ACTION PLAN APPROVAL SECTION
Criterion:
Corrective Action Plan Status: Partially
SE 56 Special education programs and
Approved
services are evaluated
Status Date: 10/04/2011
Basis for Partial Approval or Disapproval:
Please specify the district's intepretation of "semi-annual" meetings.
Department Order of Corrective Action:
Required Elements of Progress Report(s):
Please specify the dates of its meetings. Please demonstrate that the district has met to
evaluate its special education programming and provide any outcomes of its evaluation.
This progress report is due February 14, 2012.
Progress Report Due Date(s):
02/14/2012
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COORDINATED PROGRAM REVIEW
CORRECTIVE ACTION PLAN
Criterion & Topic:
CPR Rating:
CR 7 Information to be translated into languages other than
Not Implemented
English
Department CPR Findings:
The onsite team through documentation and staff interviews has determined that the
district does not translate important information and documents into other languages.
Description of Corrective Action:
When necessary, the district will employ a contract translator in the language requiring
translation.
Anticipated Results:
Timely translations as needed.
Title/Role(s) of responsible Persons:
Expected Date of
Dr. Philip Devaux, Supt.
Completion:
Diane Mulcahy, Principal
09/02/2012
Joan Endicott, SPED Director
Evidence of Completion of the Corrective Action:
Completed translation documents.
Description of Internal Monitoring Procedures:
The Special Education Director will process all requests for translation through the Office
of the Principal who will in turn process the request(s) to the Office of the Superintendent.
The SPED Director will provide a semi-annual summary report of translations completed
on December 15 and June 15 of each calendar year.
CORRECTIVE ACTION PLAN APPROVAL SECTION
Criterion:
Corrective Action Plan Status: Partially
CR 7 Information to be translated into
Approved
languages other than English
Status Date: 10/04/2011
Basis for Partial Approval or Disapproval:
The district did not indicate how school personnel were made aware of the procedures for
the procurement of translated documents or interpreters.
Department Order of Corrective Action:
Please demonstrate that school personnel are made aware of the process for requesting
translated documents ( such important notices and announcements).
Required Elements of Progress Report(s):
Please provide evidence that school personnel are aware of the procedures for obtaining
translated documents .
In addition, please document to the Department whether any translations were necessary
since the start of the school year.
Progress Report Due Date(s):
12/20/2011
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COORDINATED PROGRAM REVIEW
CORRECTIVE ACTION PLAN
Criterion & Topic:
CPR Rating:
CR 11A Designation of coordinator(s); grievance procedures
Partially Implemented
Department CPR Findings:
The onsite team through documentation review and staff interviews determined that the
district has not made staff aware of the names and contact information of the district’s
designated coordinators of Title IX and Section 504.
Description of Corrective Action:
1. Staff meeting to distribute written description of the names of the Title lX and Section
504 coordinators with a paragraph summary of duties and contact information.
2. Inclusion of the names and contact information of the district's designated coordinators
of Title lX and Section 504 in the faculty handbook and parent handbook.
Anticipated Results:
100% of the district staff will be aware of the names and contact information of the Title
lX and Section 504 coordinators.
Title/Role(s) of responsible Persons:
Expected Date of
Dr. Philip Devaux, Supt.
Completion:
09/02/2012
Evidence of Completion of the Corrective Action:
1. Paper documents
2. Date, time, place and agenda of the staff meeting.
3. Staff sign-up sheet.
4. Staff handbook entries.
5. Parent handbook entries.
Description of Internal Monitoring Procedures:
1. Sign-up sheet from all staff indicating attendance and/or receipt of the contact
information.
2. Agenda of the staff meeting.
3. Staff Handbook publication.
4. Parent handbook publication.
CORRECTIVE ACTION PLAN APPROVAL SECTION
Criterion:
Corrective Action Plan Status: Approved
CR 11A Designation of coordinator(s);
Status Date: 10/04/2011
grievance procedures
Basis for Partial Approval or Disapproval:
The district will train staff on the identity of the Title IX and 504 coordinators and their
responsibilities; and include the names and roles of these individuals in the handbooks.
Department Order of Corrective Action:
Required Elements of Progress Report(s):
Pleae provide a copy of the staff sign-up sheet and evidence that names of the Title IX
and 504 Coordinators are now available in the faculty and parent handbook.
Progress Report Due Date(s):
12/20/2011
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COORDINATED PROGRAM REVIEW
CORRECTIVE ACTION PLAN
Criterion & Topic:
CPR Rating:
CR 17A Use of physical restraint on any student enrolled in a
Partially Implemented
publicly-funded education program
Department CPR Findings:
The onsite team through documentation review and staff interviews found that the district
has not implemented annual staff training, identified staff authorized to serve as the
school wide resource to help ensure the proper administration of physical restraint, and
was unable to produce written procedures and policies governing the administering of a
physical restraint.
Description of Corrective Action:
1. Annual professional development for all staff regarding physical restraint.
2. Completion of written policies and procedures adopted by the School Committee.
3. Distribution of the policies and procedures to the staff.
Anticipated Results:
1. Completion of annual staff training in physical restraint training.
2. Adoption of policies and procedures governing the administration of physical restraint.
Title/Role(s) of responsible Persons:
Expected Date of
Dr. Devaux, Supt.
Completion:
Joan Endicott, SPED Director
09/02/2012
Evidence of Completion of the Corrective Action:
1. Time, date, and agenda and attendance sheet of the annual training.
2. Written policies and procedures.
Description of Internal Monitoring Procedures:
1. Calendar of physical restraint training.
2. Minutes of meetings to adopt policies and procedures.
CORRECTIVE ACTION PLAN APPROVAL SECTION
Criterion:
Corrective Action Plan Status: Approved
CR 17A Use of physical restraint on any
Status Date: 10/04/2011
student enrolled in a publicly-funded
education program
Basis for Partial Approval or Disapproval:
Department Order of Corrective Action:
Required Elements of Progress Report(s):
Please provide evidence that the school committee approved the district's procedures for
restraints and a copy of the district's policies that are consistent with the requirements of
state regulation. This progress report is due December 20, 2011.
Please provide evidence that all staff were trained on the district's policy and procedures
for conducting physical restraint. Please identify the staff members who received in-depth
training to conduct physical restraints and act as the school-wide resource for restraints.
In addition, please ensure that all staff who are employed after the start of the school
year, receive training on the district's restraint procedures. This progress report is due
February 14, 2012.
Progress Report Due Date(s):
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12/20/2011
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COORDINATED PROGRAM REVIEW
CORRECTIVE ACTION PLAN
Criterion & Topic:
CPR Rating:
CR 18 Responsibilities of the school principal
Partially Implemented
Department CPR Findings:
The onsite team through documentation review and staff interviews found that the district
has developed an accommodation plan for diverse learners. However, the instructional
staff were unfamiliar with this document. In addition, the district did not have policies and
procedures in place to address educational services for students in home or hospital
situations.
Description of Corrective Action:
1. Professional development and distribution of the accommodation plan.
2. School Committee adoption of policies and procedures.
Anticipated Results:
Familiarize staff with the accommodation plan.
Establish written policies and procedures.
Title/Role(s) of responsible Persons:
Expected Date of
Dr. Philip Devaux, Supt.
Completion:
Diane Mulcahy, Principal
09/02/2012
Joan Endicott, SPED Director
Evidence of Completion of the Corrective Action:
Time, date and agenda(s) for professional development.
School Committee minutes of policy and procedures adoption.
Description of Internal Monitoring Procedures:
1. Establish professional development timetable.
2. Draft, Revise and Adopt the policy and procedures in accordance with School
Committee guidelines.
CORRECTIVE ACTION PLAN APPROVAL SECTION
Criterion:
Corrective Action Plan Status: Partially
CR 18 Responsibilities of the school
Approved
principal
Status Date: 10/04/2011
Basis for Partial Approval or Disapproval:
The district did not provide specific timelines for the provision of the professional
development; and the adoption of home and hospital procedures.
Department Order of Corrective Action:
Required Elements of Progress Report(s):
Please provide evidence that the district has adopted procedures for providing services to
students who are restricted to the home or hospital because of severe medical needs.
Please demonstrate that the appropriate staff are trained on these procedures. Please
provide the dates of the staff training. This progress report is due by December 20, 2011.
Please provide evidence that all staff received the district's curriculum accommodation
plan and received training on its components. This progress report is due February 14,
2012.
Progress Report Due Date(s):
12/20/2011
02/14/2012
MA Department of Elementary & Secondary Education , Program Quality Assurance Services
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COORDINATED PROGRAM REVIEW
CORRECTIVE ACTION PLAN
Criterion & Topic:
CPR Rating:
CR 20 Staff training on confidentiality of student records
Not Implemented
Department CPR Findings:
The onsite team through documentation review and staff interviews found that the district
was unable to provide documentation that school personnel were trained on the
provisions of the Family Educational Rights and Privacy Act, M.G.L. c. 71, s. 34H, and 603
CMR 23.00 and on the importance of information privacy and confidentiality.
Description of Corrective Action:
Professional development program to train staff on the Family Educational Rights and
Privacy Act and 603 CMR including emphasis on the importance of information privacy
and confidentiality.
Anticipated Results:
!00% staff knowledge on the Family Educational Rights and Privacy Act and 603 CMR
including emphasis on the importance of information privacy and confidentiality.
Title/Role(s) of responsible Persons:
Expected Date of
Dr. Philip Devaux, Supt.
Completion:
Diane Mulcahy, Principal
09/02/2012
TBA, SPED Director
Evidence of Completion of the Corrective Action:
Time, date, agenda and attendance sheet for the professional development activities.
Description of Internal Monitoring Procedures:
Create a calendar of professional development events.
Sign-up sheet for staff to indicate completion.
CORRECTIVE ACTION PLAN APPROVAL SECTION
Criterion:
Corrective Action Plan Status: Partially
CR 20 Staff training on confidentiality of
Approved
student records
Status Date: 10/04/2011
Basis for Partial Approval or Disapproval:
The district did not provide the specific dates that training will occur.
Department Order of Corrective Action:
Required Elements of Progress Report(s):
Please provide the dated agenda and signed attendance sheet for the staff training on
FERA and student record confidentiality requirements. This progress report is due
December 20, 2011.
Progress Report Due Date(s):
12/20/2011
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COORDINATED PROGRAM REVIEW
CORRECTIVE ACTION PLAN
Criterion & Topic:
CPR Rating:
CR 21 Staff training regarding civil rights responsibilities
Not Implemented
Department CPR Findings:
The onsite team through documentation review and staff interviews found that the district
was unable to provide documentation that school personnel were trained at least annually
on the provisions of civil rights responsibilities.
Description of Corrective Action:
1. Conduct inservice training for school personnel regarding civil rights responsibilities for
district personnel.
Anticipated Results:
Annual training of district personnel.
Title/Role(s) of responsible Persons:
Expected Date of
Dr. Philip Devaux, Supt.
Completion:
Diane Mulcahy, Principal
09/02/2012
Joan Endicott, SPED Director
Evidence of Completion of the Corrective Action:
1. Agenda of inservice program to include date, time and program.
2. Personnel sign-in sheet to document attendance and completion.
Description of Internal Monitoring Procedures:
1. Special Education Director to design the inservice program to be conducted during
professional development contractual time.
2. School Principal and Superintendent to approve the program and attend the training
session(s).
CORRECTIVE ACTION PLAN APPROVAL SECTION
Criterion:
Corrective Action Plan Status: Partially
CR 21 Staff training regarding civil rights
Approved
responsibilities
Status Date: 10/04/2011
Basis for Partial Approval or Disapproval:
The district did not provide the date and topics of the planned civil rights training.
Department Order of Corrective Action:
Required Elements of Progress Report(s):
Please provide the professional development dates, the topics examined/dated agenda
and the signed attendance sheets. This progress report is due December 20, 2011. The
district must ensure it trains staff on their responsibilities to prevent discrimination and
harassment based on protected classes of law.
Progress Report Due Date(s):
12/20/2011
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COORDINATED PROGRAM REVIEW
CORRECTIVE ACTION PLAN
Criterion & Topic:
CPR Rating:
CR 25 Institutional self-evaluation
Not Implemented
Department CPR Findings:
The onsite team through documentation review and staff interviews determined that the
district did not evaluate its K-6 program annually to ensure that all students, regardless of
race, color, sex, religion, national origin, limited English proficiency, sexual orientation,
disability, or housing status, have equal access to all programs, including athletics and
other extracurricular activities.
Description of Corrective Action:
The district basic instructional program consists of an academic classroom teacher and
part-time health and wellness teacher and is required of all students. There are no typical
programs such as art, music, library or technology offered. There are no athletics nor
after school activities. Annually, at an Administrative Team meeting there will be a review
of policies and programs to guarantee equal student access.
Anticipated Results:
Students, regardless of race, religion, color, sex, natural origin, limited English
proficiency, sexual orientation, disability or housing status will have equal access to all
programs.
Title/Role(s) of responsible Persons:
Expected Date of
Dr. Philip Devaux, Supt.
Completion:
Diane Mulcahy, Principal
09/02/2012
Evidence of Completion of the Corrective Action:
1. Agenda of Administrative Team meeting to include date, time and topics discussed.
2. Minutes of the Administrative Team meeting.
3. Policy manual.
Description of Internal Monitoring Procedures:
Superintendent will design the agenda with special attention to new or changing programs
as well as policies to be developed.
CORRECTIVE ACTION PLAN APPROVAL SECTION
Criterion:
CR 25 Institutional self-evaluation
Corrective Action Plan Status: Approved
Status Date: 10/04/2011
Basis for Partial Approval or Disapproval:
The Department accepts the district's corrective action. Please ensure that such a review
occurs on an annual basis.
Department Order of Corrective Action:
Required Elements of Progress Report(s):
Please provide a copy of the agenda of the administrative team's meeting and minutes.
Progress Report Due Date(s):
12/20/2011
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