MASSACHUSETTS DEPARTMENT OF ELEMENTARY AND SECONDARY
EDUCATION
Program Quality Assurance Services
COORDINATED PROGRAM REVIEW
CORRECTIVE ACTION PLAN
Charter School or District: Oak Bluffs
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 04/13/2013.
Mandatory One-Year Compliance Date: 04/13/2014
Summary of Required Corrective Action Plans in this Report
Criterion
SE 4
Criterion Title
Reports of assessment results
SE 13
Progress Reports and content
SE 18A
IEP development and content
SE 24
SE 54
Notice to parent regarding proposal or refusal to initiate or
change the identification, evaluation, or educational
placement of the child or the provision of FAPE
Professional development
CR 25
Institutional self-evaluation
CPR Rating
Partially
Implemented
Partially
Implemented
Partially
Implemented
Partially
Implemented
Partially
Implemented
Not Implemented
COORDINATED PROGRAM REVIEW
CORRECTIVE ACTION PLAN
Criterion & Topic:
CPR Rating:
SE 4 Reports of assessment results
Partially Implemented
Department CPR Findings:
A review of the student records and interviews indicated that there have been occurrences
when reports of assessment results were not completed two days prior to the Team
meeting to be available to the parent in advance of the Team discussion, when requested.
Description of Corrective Action:
The district's practice is to have the summaries of assessments available 2 days prior to
the Team meeting for all evaluation meetings including when the parent does not request
copies of the assessment summaries ahead of time. The district will create an
assessment assignment sheet which will include the due date of the summary of
assessment needs to be completed and available for parents which is at least two days
prior to the Team meeting. Training will be provided to all evaluators and special
education staff regarding the requirement that assessment summaries must be available
two days prior to the scheduled evaluation Team meeting if the parent requests.
Speaking to some evaluators, it had been their practice to date the reports on the date of
the meeting even though they were completed and made available prior to that date.
This practice will no longer continue and reports will be dated when they are completed
and available.
Title/Role(s) of responsible Persons:
Expected Date of
Donna Lowell-Bettencourt, Director of Student Support Services
Completion:
03/01/2014
Evidence of Completion of the Corrective Action:
Training agenda and attendance sheet as well as assessment assignment sheets will be
evidence.
Description of Internal Monitoring Procedures:
The Director will randomly select three evaluation packets each month to monitor this
process and ensure compliance with this regulation.
CORRECTIVE ACTION PLAN APPROVAL SECTION
Criterion:
SE 4 Reports of assessment results
Corrective Action Plan Status: Approved
Status Date: 05/14/2013
Basis for Partial Approval or Disapproval:
Department Order of Corrective Action:
Required Elements of Progress Report(s):
By September 30, 2013, provide evidence of the training including the agenda, date(s)
the training was conducted and the sign-in sheet. Also provide a copy of the proposed
assessment assignment sheet.
By December 20, 2013, the district will conduct an internal review of student records.
Review the records of students who had a Team meeting subsequent to the training.
Include the number of records reviewed, the number of records in compliance and for all
records not in compliance indicate the root causes(s) of the noncompliance and provide
the specific corrective action taken with regard to each file.
MA Department of Elementary & Secondary Education, Program Quality Assurance Services
Oak Bluffs CPR Corrective Action Plan
2
*The district will maintain the following documentation and make it available to the
Department upon request: list student names and grade levels for the records reviewed,
date of the review, name(s) of person(s) who conducted the review with roles and
signatures.
Progress Report Due Date(s):
09/30/2013
12/20/2013
MA Department of Elementary & Secondary Education, Program Quality Assurance Services
Oak Bluffs CPR Corrective Action Plan
3
COORDINATED PROGRAM REVIEW
CORRECTIVE ACTION PLAN
Criterion & Topic:
CPR Rating:
SE 13 Progress Reports and content
Partially Implemented
Department CPR Findings:
Record review indicated that parents are not consistently receiving reports on the
student's progress towards reaching the goals set in the IEP at least as often as parents
are informed of the progress of non-disabled students.
Description of Corrective Action:
Director of Student Support Services will meet with all special education staff to discuss
past practice and describe correct practice of issuing progress reports at each general
education reporting juncture that report progress toward annual goals.
Title/Role(s) of responsible Persons:
Expected Date of
Donna Lowell-Bettencourt, Director of Student Support Services
Completion:
02/01/2014
Evidence of Completion of the Corrective Action:
Agenda and sign in sheets will document staff training in corrective action. Progress
reports at the end of the school year and going forward will be monitored for
completeness by the Director.
Description of Internal Monitoring Procedures:
Periodic monitoring of progress reports will be undertaken to assure that all students
receive the appropriately timed reporting information that addresses every annual goal in
the IEPs.
CORRECTIVE ACTION PLAN APPROVAL SECTION
Criterion:
SE 13 Progress Reports and content
Corrective Action Plan Status: Approved
Status Date: 05/14/2013
Basis for Partial Approval or Disapproval:
Department Order of Corrective Action:
Required Elements of Progress Report(s):
By September 30, 2013, provide evidence of the training including the agenda, date(s)
the training was conducted and the sign-in sheet with staff person's title/role.
By December 20, 2013, the district will conduct an internal review of student records
subsequent to the training to determine compliance. Include the number of records
reviewed, the number in compliance and for all records not in compliance indicate the root
causes(s) of the noncompliance and provide the specific corrective action taken with
regard to each file.
*The district will maintain the following documentation and make it available to the
Department upon request: list student names and grade levels for the records reviewed,
date of the review, name(s) of person(s) who conducted the review with roles and
signatures.
Progress Report Due Date(s):
09/30/2013
12/20/2013
MA Department of Elementary & Secondary Education, Program Quality Assurance Services
Oak Bluffs CPR Corrective Action Plan
4
COORDINATED PROGRAM REVIEW
CORRECTIVE ACTION PLAN
Criterion & Topic:
CPR Rating:
SE 18A IEP development and content
Partially Implemented
Department CPR Findings:
A review of the student records indicated that not all IEPs address the skills and
proficiencies needed to avoid and respond to bullying, harassment, or teasing for those
students whose disability affects social skills development, or whose disability makes him
or her vulnerable to bullying, harassment, or teasing, as indicated by the IEP Team
evaluation. In the records reviewed of students identified with a disability on the autism
spectrum, not all IEP Teams considered and specifically addressed the skills and
proficiencies needed to avoid and respond to bullying, harassment, or teasing.
Description of Corrective Action:
A training will be conducted on the skills and proficiencies needed to avoid and respond to
bullying, harassment, or teasing for those students whose disability affects social skills
development, or whose disability makes him or her vulnerable to bullying, harassment, or
teasing. Following the training, at each IEP meeting, the Team will discuss the skills and
proficiencies needed for the student to avoid and respond to bullying, harassment or
teasing and will address these in the Additional Information section of the IEP.
Additionally, for students on the autism spectrum, skills and proficiencies needed to avoid
and respond to bullying, harassment or teasing will be specifically addressed in a Social
Skill Goal on the IEP.
Title/Role(s) of responsible Persons:
Expected Date of
Donna Lowell-Bettencourt, Director of Student Support Services
Completion:
01/01/2014
Evidence of Completion of the Corrective Action:
Attendance sheet of the training as well as IEP goals and additional information sections
will be evidence.
Description of Internal Monitoring Procedures:
The Director of Student Support Services periodically review students' IEPs to ensure
skills and proficiencies to avoid and respond to bullying, harassment or teasing were
discussed by the team and addressed in the Additional Information section of the IEP.
Additionally, the Director will meet with the Autism Specialist bi-monthly to review IEPs
and ascertain that appropriate goals that specifically address the skills and proficiencies
needed to avoid and respond to bullying, harassment or teasing are including in IEPs for
students on the autism spectrum.
CORRECTIVE ACTION PLAN APPROVAL SECTION
Criterion:
SE 18A IEP development and content
Corrective Action Plan Status: Approved
Status Date: 05/14/2013
Basis for Partial Approval or Disapproval:
Department Order of Corrective Action:
Required Elements of Progress Report(s):
By September 30, 2013, the district will providence evidence of training including the
agenda, date(s) the training was conducted and the sign-in sheet. In addition, for those
students whose records were identified by the Department, the district must reconvene
the IEP Teams to consider and address the skills and proficiencies needed to avoid and
respond to bullying, harassment or teasing. Submit a copy of the IEP and the Special
MA Department of Elementary & Secondary Education, Program Quality Assurance Services
Oak Bluffs CPR Corrective Action Plan
5
Education Team Meeting Attendance Sheet (N3A) for these students.
By December 20, 2013, the district will conduct an internal review of student records.
Review the records of students who had a Team meeting subsequent to the training.
Include the number of records reviewed, the number in compliance and for all records not
in compliance indicate the root causes(s) of the noncompliance and provide the specific
corrective action taken with regard to each file.
*The district will maintain the following documentation and make it available to the
Department upon request: list student names and grade levels for the records reviewed,
date of the review, name(s) of person(s) who conducted the review with roles and
signatures.
Progress Report Due Date(s):
09/30/2013
12/20/2013
MA Department of Elementary & Secondary Education, Program Quality Assurance Services
Oak Bluffs CPR Corrective Action Plan
6
COORDINATED PROGRAM REVIEW
CORRECTIVE ACTION PLAN
Criterion & Topic:
CPR Rating:
SE 24 Notice to parent regarding proposal or refusal to initiate or Partially Implemented
change the identification, evaluation, or educational placement of
the child or the provision of FAPE
Department CPR Findings:
The student record review indicated that page two of the Notice of Proposed School
District Action (N1) did not always address all of the required elements. Specifically, the
notices did not list the evaluations used in the IEP Team's determination, any rejected
options, and the next steps that are necessary.
Description of Corrective Action:
The district will undertake the following corrective action: 1) Review IEP documents to
assure that the guiding questions are present in the N1 form; 2) Proofread all N1 forms
prior to mailing and edit as needed; 3) Provide discussion and professional development
at special education department meetings on proper criteria for narrative.
Title/Role(s) of responsible Persons:
Expected Date of
Donna Lowell-Bettencourt, Director of Student Support Services
Completion:
03/01/2014
Evidence of Completion of the Corrective Action:
Training agenda and sign in sheets and random sampling of records will be evidence of
Corrective Action.
Description of Internal Monitoring Procedures:
Director will complete a random sampling of N1s for evaluations and IEPs on a semiannual basis. Results of the sampling will be documented and used to determine whether
any additional training is needed.
CORRECTIVE ACTION PLAN APPROVAL SECTION
Criterion:
Corrective Action Plan Status: Approved
SE 24 Notice to parent regarding
Status Date: 05/14/2013
proposal or refusal to initiate or change
the identification, evaluation, or
educational placement of the child or the
provision of FAPE
Basis for Partial Approval or Disapproval:
Department Order of Corrective Action:
Required Elements of Progress Report(s):
By September 30, 2013, the district will provide evidence of training including the
agenda, date(s) the training was conducted and the sign-in sheet.
By December 20, 2013, the district will conduct an internal review of student records
conducted after the training to determine compliance. Include the number of records
reviewed, the number in compliance and for all records not in compliance indicate the root
causes(s) of the noncompliance and provide the specific corrective action taken with
regard to each file.
MA Department of Elementary & Secondary Education, Program Quality Assurance Services
Oak Bluffs CPR Corrective Action Plan
7
*The district will maintain the following documentation and make it available to the
Department upon request: list student names and grade levels for the records reviewed,
date of the review, name(s) of person(s) who conducted the review with roles and
signatures.
Progress Report Due Date(s):
09/30/2013
12/20/2013
MA Department of Elementary & Secondary Education, Program Quality Assurance Services
Oak Bluffs CPR Corrective Action Plan
8
COORDINATED PROGRAM REVIEW
CORRECTIVE ACTION PLAN
Criterion & Topic:
CPR Rating:
SE 54 Professional development
Partially Implemented
Department CPR Findings:
Review of documentation and staff interviews indicated that the district does not ensure
that all general education staffs are trained on state and federal special education
requirements and related local special education policies and procedures.
Description of Corrective Action:
At the start of each year, all general education staff will participate in a training on state
and federal education requirements and related local special education policies and
procedures. New staffs that begin after the start of the year will complete the training
within two weeks of their start date.
Title/Role(s) of responsible Persons:
Expected Date of
Donna Lowell-Bettencourt, Director of Student Support Services
Completion:
Richard Smith, Principal
11/01/2013
Evidence of Completion of the Corrective Action:
Evidence will be signed completion of training by each staff member.
Description of Internal Monitoring Procedures:
Principals will confirm with the Director of Special Education when all general education
staff have been trained annually.
CORRECTIVE ACTION PLAN APPROVAL SECTION
Criterion:
SE 54 Professional development
Corrective Action Plan Status: Approved
Status Date: 05/14/2013
Basis for Partial Approval or Disapproval:
Department Order of Corrective Action:
Required Elements of Progress Report(s):
By September 30, 2013, submit evidence of training to the general education staff on
these requirements. Include the agenda, training date, signed attendance sheets
indicating the title/role of staff and the name and title of presenter.
Progress Report Due Date(s):
09/30/2013
MA Department of Elementary & Secondary Education, Program Quality Assurance Services
Oak Bluffs CPR Corrective Action Plan
9
COORDINATED PROGRAM REVIEW
CORRECTIVE ACTION PLAN
Criterion & Topic:
CPR Rating:
CR 25 Institutional self-evaluation
Not Implemented
Department CPR Findings:
Interviews and documentation indicate that the district does not evaluate all aspects of its
program annually to ensure that all students, regardless of race, color, sex, gender
identity, 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 Martha's Vineyard Public Schools will initiate a complete review of its entire School
Committee policies and make the necessary additions and changes to existing policies in
order to be in compliance with state and federal statute and ensure all protective
categories are included in policies. A further update of this review will be submitted in the
first program report to be submitted in December 2013.
Title/Role(s) of responsible Persons:
Expected Date of
James Weiss, Superintendent
Completion:
Laurie Halt, Asst. Superintendent
11/01/2013
Evidence of Completion of the Corrective Action:
Once the policy manual is completed, all policies will be in compliance with state and
federal statute and all protective categories will be included. The evidence of completion
will be a revised policy manual that is up-to-date and in compliance with state and federal
statute.
Description of Internal Monitoring Procedures:
The Superintendent and Assistant Superintendent will monitor full implementation of a
revision to the School Committee Policy Manual. This project will be completed by
November 1, 2013.
CORRECTIVE ACTION PLAN APPROVAL SECTION
Criterion:
CR 25 Institutional self-evaluation
Corrective Action Plan Status: Approved
Status Date: 05/14/2013
Basis for Partial Approval or Disapproval:
Department Order of Corrective Action:
Required Elements of Progress Report(s):
By December 20, 2013, submit a copy of the institutional self-evaluation.
Progress Report Due Date(s):
12/20/2013
MA Department of Elementary & Secondary Education, Program Quality Assurance Services
Oak Bluffs CPR Corrective Action Plan
10
MASSACHUSETTS DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION
COORDINATED PROGRAM REVIEW
District: Oak Bluffs Public School District
Corrective Action Plan Forms
Program Area: English Learner Education
Prepared by: Leah Palmer, ELL Director
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: December 19, 2014
COORDINATED PROGRAM REVIEW
CORRECTIVE ACTION PLAN
(To be completed by school district/charter school)
Criterion & Topic: ELE 17
Rating: Not Implemented
Department CPR Finding: Documentation and interviews indicate that the district does not conduct
periodic evaluations of the effectiveness of its ELE program in developing students’ English language
skills and increasing their ability to participate meaningfully in the educational program.
Narrative Description of Corrective Action: Martha’s Vineyard Public Schools will implement
DESE’s District ELE Program Evaluation SY 2013-2014 starting January 2014. An ELE team of
educators will be formed by March 2014 to collect and analyze ELL data to determine areas of
strengths and challenges, set goals/targets, and monitor progress.
MA Department of Elementary & Secondary Education, Program Quality Assurance Services
Oak Bluffs CPR Corrective Action Plan
11
Title/Role of Person(s) Responsible for
Implementation: ELL Director and ELE Team
Expected Date of Completion for Each
Corrective Action Activity:
1. p. 3 Establish a Team from District
ELE Program Evaluation: ELE Team
formed by February 28, 2014
2. p.4-5 Gather and Organize data from
District ELE Program Evaluation
3. Collect data on ELLs in Martha’s
Vineyard Public Schools to be inputted
to the appendix of District ELE
Program Evaluation by Feb 28, 2014.
4. p.6 Analyze the Data Part A, by March
31, 2014
5. p. 7 Analyze the Data Part B, by April
30, 2014.
6. p. 8 Set the Target, by May 31st, 2014
7. p. 9-10 Action plan, by August 31st
8. Monitoring, throughout SY14-15
completed June 2015
Evidence of Completion of the Corrective Action:
Submitted documents from DESE’s District ELE Program Evaluation SY 2013-2014:
1) Establish a team, p. 3: ELL team of educators, attendance sheets and agendas from ELE Team
meetings,
2) Gather and Organize Data, p.4-5: data analysis, strengths, challenges, target/goals, action plan, and
monitoring,
3) Analyze the Data Part A, p.6 by March 31, 2014
3) Analyze the Data Part B, p. 7 by April 30, 2014.
4) Set the Target, p. 8 by May 31st, 2014
5) Action plan, p. 9-10 by August 31st
6) Monitoring, throughout SY14-15 completed June 2015
Description of Internal Monitoring Procedures: Formation of ELE team, names and titles, agendas
and attendance from ELE team meetings, Completion of data input on appendix form of District ELE
Program Evaluation, written goals, action plans for each goal, monitoring of goals, presentation to
Cabinet 1x per year about ELE program’s progress
CORRECTIVE ACTION PLAN APPROVAL SECTION
(To be completed by the Department of Elementary and Secondary Education)
Criterion: ELE 17
Status of Corrective Action:
Approved
Partially Approved
Disapproved
Basis for Partial Approval or Disapproval:
Department Order of Corrective Action:
Required Elements of Progress Report(s): By May 9, 2014, submit a copy of the names and roles of
those included as part of the ELE Team, along with the attendance sheets and meeting agendas from
the meetings conducted. Include an action plan developed of what will be included in the district’s
evaluation.
By October 31, 2014, submit a copy of the ELE program evaluation.
Progress Report Due Date(s): May 9, 2014; October 31, 2014
MA Department of Elementary & Secondary Education, Program Quality Assurance Services
Oak Bluffs CPR Corrective Action Plan
12
COORDINATED PROGRAM REVIEW
CORRECTIVE ACTION PLAN
(To be completed by school district/charter school)
Criterion & Topic: ELE 18
Rating: Partially Implemented
Department CPR Finding: Reviews of records for English language learners showed that not all
required documents are included in the files. Specifically, translated report cards and parent
notification letters are missing from the student records.
Narrative Description of Corrective Action: Martha’s Vineyard Public Schools’ ESL teachers will
bring 2 ELE files to the ELL Team meeting January 16th 2014. The ESL teachers will walk through the
steps of checking the ELL files with the Martha’s Vineyard ELL File Record Keeping document. The
Oak Bluffs ESL teacher will complete the student checklist for translations of parent notification letters
and report cards by February 28th 2014. ESL teachers will complete their first file review by March
31st , 2014 and submit a copy of the documents to the ELL Director. The ESL teachers at The Oak
Bluffs School will complete the ELL File Record Keeping form for each student bi-annually, by
February 15th and June 15th. ELL File Record Keeping documents will be submitted as evidence by
March 31, 2014 and June 15, 2014. The ELL Director will collect a copy of the ELL File Record
Keeping documents to document these biannual file reviews.
Title/Role of Person(s) Responsible for
Expected Date of Completion for Each
Implementation: ELL Director and ESL teacher at Corrective Action Activity:
the Oak Bluffs School
 List of attendance for File Review ELL
Team meeting, January 16, 2014.
 List of students with parent notification
and report card translation, February 28,
2014.
 ELL and Monitored FLEP Martha’s
Vineyard PS ELL File Record Keeping
documents, March 31, 2014.
 Progress reports added to files by
March 31, 2014
 3 sample ELE File checklists completed
by ELL Director, March 31, 2014.
 Ongoing biannual Martha’s Vineyard
Public Schools ELL File Record
Keeping, completed by February 15th
and June 15th-, documented on Martha’s
Vineyard Public Schools ELL File
Record Keeping.
 Ongoing yearly, list of students whose
parents/guardians requested translation
and evidence that translations were
completed and put in ELL files.
MA Department of Elementary & Secondary Education, Program Quality Assurance Services
Oak Bluffs CPR Corrective Action Plan
13
Evidence of Completion of the Corrective Action:
 ELL Progress Reports in ELE files by March 31, 2014, documented on Martha’s Vineyard PS
ELL File Record Keeping Document.
 Attendance sheet for the ELL file checklist workshop during the ELL team meeting, January
16th 2014.
 Martha’s Vineyard ELL File Record Keeping checklists submitted biannually by February 15th
and June 15th.
 Checklists from 3 sample files checked by ELL director biannually, ELL Record Check List.
 Evidence of ELL Progress Reports and Report Cards located in ELL files on Martha’s
Vineyard Public Schools ELL File Record Keeping document.
Description of Internal Monitoring Procedures: ELL Director will collect copies of the Martha’s
Vineyard Public Schools ELL File Record Keeping documents completed by the ESL teacher at Oak
Bluffs School biannually and check 3 sample ELE files with the file checklist, by March 31st, 2014.
CORRECTIVE ACTION PLAN APPROVAL SECTION
(To be completed by the Department of Elementary and Secondary Education)
Criterion: ELE 18
Status of Corrective Action:
Approved
Partially Approved
Disapproved
Basis for Partial Approval or Disapproval:
Department Order of Corrective Action:
Required Elements of Progress Report(s): By May 9, 2014, submit a copy of the ELL file checklist
and samples of translated report cards and parent notification letters.
By October 31, 2014, submit the results of an internal review of the district’s English language learner
student records to determine that the student records contain all required information. Indicate the
number of records that were reviewed from each building, the number of records that were in full
compliance, an explanation of the root cause for any continued non-compliance and a description of the
specific corrective action taken by the district to address any identified non-compliance.
Progress Report Due Date(s): May 9, 2014; October 31, 2014
MA Department of Elementary & Secondary Education, Program Quality Assurance Services
Oak Bluffs CPR Corrective Action Plan
14