MASSACHUSETTS DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION Program Quality Assurance Services COORDINATED PROGRAM REVIEW CORRECTIVE ACTION PLAN Charter School or District: Saugus CPR Onsite Year: 2011-2012 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 09/20/2012. Mandatory One-Year Compliance Date: 09/20/2013 Summary of Required Corrective Action Plans in this Report Criterion SE 1 SE 2 SE 3 Criterion Title Assessments are appropriately selected and interpreted for students referred for evaluation Required and optional assessments SE 4 Special requirements for determination of specific learning disability Reports of assessment results SE 6 Determination of transition services SE 8 IEP Team composition and attendance SE 9A Elements of the eligibility determination; general education accommodations and services for ineligible students CPR Rating Partially Implemented Partially Implemented Partially Implemented Partially Implemented Partially Implemented Partially Implemented Partially Implemented Criterion SE 13 Criterion Title Progress Reports and content SE 15 Outreach by the School District (Child Find) SE 18B Determination of placement; provision of IEP to parent SE 19 Extended evaluation SE 24 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 Parental consent SE 25 SE 29 SE 32 Communications are in English and primary language of home Parent advisory council for special education SE 41 Age span requirements SE 43 Behavioral interventions SE 46 SE 55 Procedures for suspension of students with disabilities when suspensions exceed 10 consecutive school days or a pattern has developed for suspensions exceeding 10 cumulative days; responsibilities of the Team; responsibilities of the district Procedural requirements applied to students not yet determined to be eligible for special education FAPE (Free, appropriate, public education): Equal opportunity to participate in educational, nonacademic, extracurricular and ancillary programs, as well as participation in regular education Special education facilities and classrooms CR 3 Access to a full range of education programs CR 7 Information to be translated into languages other than English Student handbooks and codes of conduct SE 47 SE 48 CR 10A CR 13 CR 16 Availability of information and academic counseling on general curricular and occupational/vocational opportunities Notice to students 16 or over leaving school without a high school diploma, certificate of attainment, or certificate of completion CPR Rating Partially Implemented Partially Implemented Partially Implemented Partially Implemented Partially Implemented Partially Implemented Partially Implemented Partially Implemented Partially Implemented Partially Implemented Partially Implemented Partially Implemented Partially Implemented Partially Implemented Partially Implemented Partially Implemented Partially Implemented Partially Implemented Partially Implemented Criterion CR 17A CR 18 Criterion Title Use of physical restraint on any student enrolled in a publicly-funded education program Responsibilities of the school principal CR 20 Staff training on confidentiality of student records CR 21 Staff training regarding civil rights responsibilities CR 23 Comparability of facilities CR 25 Institutional self-evaluation CR 26A Confidentiality and student records CPR Rating Partially Implemented Partially Implemented Partially Implemented Partially Implemented Partially Implemented Partially Implemented Partially Implemented COORDINATED PROGRAM REVIEW CORRECTIVE ACTION PLAN Criterion & Topic: CPR Rating: SE 1 Assessments are appropriately selected and interpreted for Partially Implemented students referred for evaluation Department CPR Findings: The student record review and staff interviews determined that the district does not always select assessments that provide accurate aptitude and achievement levels for elementary students with severe cognitive disabilities. Description of Corrective Action: 1)The district will survey current assessments we have by building and by related service program. 2)Based on the data collected, the district will assess what is needed to ensure appropriate assessments determine disability, and for students with severe disabilities. 3)District will order the materials needed. 4) District will provide training opportunities for the process of determining assessments around suspected disability and eligibility determination. Title/Role(s) of responsible Persons: Expected Date of Executive Director of Pupil Personnel, School Psychologists Completion: 06/30/2012 Evidence of Completion of the Corrective Action: 1)There will be a variety of assessments when testing around suspected disability and for cognitive disabilities at different age levels. 2)Files will exhibit that staff are using two or more measures to determine SLD. 3)There will be completed trainings to support the needs of the district. Description of Internal Monitoring Procedures: The special education office will review the surveys, order the materials and plan the PD. File review to check appropriateness of assessments. CORRECTIVE ACTION PLAN APPROVAL SECTION Criterion: Corrective Action Plan Status: Approved SE 1 Assessments are appropriately Status Date: 12/03/2012 selected and interpreted for students referred for evaluation Basis for Partial Approval or Disapproval: The Department accepts the district's proposed corrective action that it will survey and assess its current assessment tools and will train staff on selecting and conducting the appropriate assessment(s) that will provide accurate aptitude and achievement levels for elementary students with severe cognitive disabilities. The Department also accepts the corrective action of conducting an internal record review of files to ensure that the noncompliance regarding this criterion has been remedied. Department Order of Corrective Action: Required Elements of Progress Report(s): Provide the results of the district's assessment analysis, as well as evidence of the staff training conducted, including attendance (with name and role), agenda and any training MA Department of Elementary & Secondary Education , Program Quality Assurance Services Saugus CPR Corrective Action Plan 4 materials. This progress report is due February 1, 2013. Conduct an internal record review, post the training, of elementary level files to determine whether assessments were conducted that provide accurate aptitude and achievement levels. Please provide an analysis of this review to include the number of records reviewed, and the number of records found to be non-compliant. For any records found to be non-compliant, please provide an analysis of the root cause(s) and any steps that the district has taken to remedy the non-compliance. This progress report is due April 12, 2013. *Please note that when 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 record review; b) Date of the review; c) Name of the person(s) who conducted the review, their role(s), and their signatures. Progress Report Due Date(s): 02/01/2013 04/12/2013 MA Department of Elementary & Secondary Education , Program Quality Assurance Services Saugus CPR Corrective Action Plan 5 COORDINATED PROGRAM REVIEW CORRECTIVE ACTION PLAN Criterion & Topic: CPR Rating: SE 2 Required and optional assessments Partially Implemented Department CPR Findings: The student record review demonstrated that the district does not always develop consent forms to assess students in all aspects of his/her disability for students with behavioral and learning disabilities. Additionally, the Educational Assessment A (which includes the student's history and progress in the general curriculum) and observations were not consistently found in student files. Description of Corrective Action: See SE1 Have IST and referral process better identify area of suspected disability and to determine assessments. Train staff to understand what assessments to assess certain educational disabilities. Observations and EdA/B: checklists will be created to ensure that documentation is submitted with the packets into the files. Training to remind staff that they need to be completed and turned in. Title/Role(s) of responsible Persons: Expected Date of Executive Director of Pupil Personnel, Educational Team Leaders Completion: 06/30/2012 Evidence of Completion of the Corrective Action: The staff will be using more than one measure to determine SLD and disability. Documentation will be in the file. Description of Internal Monitoring Procedures: Random monitoring of files over the course of the year. The office staff will make sure that the Ed A and Ed B forms are turned in with the packets, as noted on the cover sheets. CORRECTIVE ACTION PLAN APPROVAL SECTION Criterion: SE 2 Required and optional assessments Corrective Action Plan Status: Approved Status Date: 12/06/2012 Basis for Partial Approval or Disapproval: The Department accepts the district's proposed corrective action that it will develop a better referral/consent process for assessing students with behavioral and learning disabilities, will utilize Education Assessment Forms A and B, and will train staff accordingly. Department Order of Corrective Action: Required Elements of Progress Report(s): Please provide evidence of the staff training conducted, including attendance (with name and role), agenda and any training materials used. This progress report is due February 1, 2013. Conduct an internal record review, post the training, of files in which students with behavioral and learning disabilities were assessed in all aspects of the disability, as well as files in which Educational Assessment Forms A and B and observations were completed. MA Department of Elementary & Secondary Education , Program Quality Assurance Services Saugus CPR Corrective Action Plan 6 Please provide an analysis of this review to include the number of records reviewed, and the number of records found to be non-compliant. For any records found to be noncompliant, please provide an analysis of the root cause(s) and any steps that the district has taken to remedy the non-compliance. This progress report is due April 12, 2013. *Please note that when 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 record review; b) Date of the review; c) Name of the person(s) who conducted the review, their role(s), and their signatures. Progress Report Due Date(s): 02/01/2013 04/12/2013 MA Department of Elementary & Secondary Education , Program Quality Assurance Services Saugus CPR Corrective Action Plan 7 COORDINATED PROGRAM REVIEW CORRECTIVE ACTION PLAN Criterion & Topic: CPR Rating: SE 3 Special requirements for determination of specific learning Partially Implemented disability Department CPR Findings: According to the student record review, the written determination to designate whether a student has a specific learning disability (SLD) was not in student files or was not signed by all members of the IEP Team. Additionally, some records did not have complete documentation for the determination of the specific learning disability, including consented-to observations. The record review also showed that in some cases, IEP Teams made a finding of SLD without use of the required process. Description of Corrective Action: SLD training: District will provide training opportunities for the process of determining assessments around suspected disability and eligibility determination. Implement protocols for observation form completion. More than one measure of assessment to determine SLD available to staff (SE1) Title/Role(s) of responsible Persons: Expected Date of Executive Director of Pupil Personnel, Educational Team Leaders Completion: 03/29/2013 Evidence of Completion of the Corrective Action: SLD forms complete. Teachers using more than one measure to determine SLD. Description of Internal Monitoring Procedures: Random selection of files. Review of packets as they are submitted to office. CORRECTIVE ACTION PLAN APPROVAL SECTION Criterion: Corrective Action Plan Status: Approved SE 3 Special requirements for Status Date: 12/06/2012 determination of specific learning disability Basis for Partial Approval or Disapproval: The Department accepts the district's proposed corrective action that it will train staff regarding the process and procedures for SLD determination. Department Order of Corrective Action: Required Elements of Progress Report(s): Please provide evidence of the staff training conducted, including attendance (with name and role), agenda and any training materials. This progress report is due February 1, 2013. Conduct an internal record review, post the training, of files in which students who were suspected of having a Specific Learning Disability were assessed. Please provide an analysis of this review to include the number of records reviewed, and the number of records found to be non-compliant. For any records found to be non-compliant, please provide an analysis of the root cause(s) and any steps that the district has taken to remedy the non-compliance. This progress report is due April 12, 2013. MA Department of Elementary & Secondary Education , Program Quality Assurance Services Saugus CPR Corrective Action Plan 8 *Please note that when 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 record review; b) Date of the review; c) Name of the person(s) who conducted the review, their role(s), and their signatures. Progress Report Due Date(s): 02/01/2013 04/12/2013 MA Department of Elementary & Secondary Education , Program Quality Assurance Services Saugus CPR Corrective Action Plan 9 COORDINATED PROGRAM REVIEW CORRECTIVE ACTION PLAN Criterion & Topic: CPR Rating: SE 4 Reports of assessment results Partially Implemented Department CPR Findings: According to the student record review, psychological assessment reports contained a description of the testing protocol and a diagnostic impression without an explanation of the results. Additionally, achievement and related services assessment reports did not consistently contain explicit recommendations for meeting student needs. Description of Corrective Action: The district will create a template for academic achievement assessments (currently WJIII print out only). Review report writing with the staff to explain what is required in the assessment. Once completed, terminate the use of electronic reports created by the scoring program. Title/Role(s) of responsible Persons: Expected Date of Executive Director of Pupil Personnel, School Psychologists Completion: 03/29/2013 Evidence of Completion of the Corrective Action: Consistent report format for all evaluations with an explanation of results and recommendations. Description of Internal Monitoring Procedures: Random selection of files. ETLs will monitor the evaluations as they are turned in. CORRECTIVE ACTION PLAN APPROVAL SECTION Criterion: SE 4 Reports of assessment results Corrective Action Plan Status: Approved Status Date: 12/06/2012 Basis for Partial Approval or Disapproval: The Department accepts the district's proposed corrective action that, for psychological assessments, it will train staff to include an explanation of testing results, as well as explicit recommendations for meeting student needs. Department Order of Corrective Action: Required Elements of Progress Report(s): Provide evidence of the staff training conducted, including attendance (with name and role), agenda and any training materials. This progress report is due February 1, 2013. Conduct an internal record review, post the training, of files in which psychological, achievement and related services assessments were conducted. Please provide an analysis of this review to include the number of records reviewed, and the number of records found to be non-compliant. For any records found to be non-compliant, please provide an analysis of the root cause(s) and any steps that the district has taken to remedy the non-compliance. This progress report is due April 12, 2013. *Please note that when 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 record review; b) Date of the review; c) Name of the MA Department of Elementary & Secondary Education , Program Quality Assurance Services Saugus CPR Corrective Action Plan 10 person(s) who conducted the review, their role(s), and their signatures. Progress Report Due Date(s): 02/01/2013 04/12/2013 MA Department of Elementary & Secondary Education , Program Quality Assurance Services Saugus CPR Corrective Action Plan 11 COORDINATED PROGRAM REVIEW CORRECTIVE ACTION PLAN Criterion & Topic: CPR Rating: SE 6 Determination of transition services Partially Implemented Department CPR Findings: According to the student record review, middle school student files for students ages 14 and over did not consistently contain transition plans. Description of Corrective Action: Train ETLs on how to use the TPFs correctly. Through CSPD the district will complete training on Transition Planning for staff at the middle school and high school level. Request put into the DESE CSPD project on 10/15/2012 for the training to be completed in March 2012. Title/Role(s) of responsible Persons: Expected Date of Executive Director of Pupil Personnel, ETLs, Guidance Completion: 03/29/2013 Evidence of Completion of the Corrective Action: TPF Forms embedded in IEPs; program Development Description of Internal Monitoring Procedures: TPF forms will be turned in with packets as noted in created cover sheets for files (SE 2). Random selection of files. CORRECTIVE ACTION PLAN APPROVAL SECTION Criterion: SE 6 Determination of transition services Corrective Action Plan Status: Approved Status Date: 12/06/2012 Basis for Partial Approval or Disapproval: The Department accepts the district's proposed corrective action that it will train staff on Transition Planning for students ages 14 and older. Department Order of Corrective Action: Required Elements of Progress Report(s): Provide evidence of the staff training conducted, including attendance (with name and role), agenda and any training materials. This progress report is due February 1, 2013. Conduct an internal record review, post the training, of middle school files for evidence of transition plans for students age 14 and over. Include the number of records reviewed and the number of records in non-compliance. For any records found to be non-compliant, please provide an analysis of the root cause(s) and any steps that the district has taken to remedy the non-compliance. This progress report is due April 12, 2013. *Please note that when 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 record review; b) Date of the review; c) Name of the person(s) who conducted the review, their role(s), and their signatures. Progress Report Due Date(s): 02/01/2013 04/12/2013 MA Department of Elementary & Secondary Education , Program Quality Assurance Services Saugus CPR Corrective Action Plan 12 COORDINATED PROGRAM REVIEW CORRECTIVE ACTION PLAN Criterion & Topic: CPR Rating: SE 8 IEP Team composition and attendance Partially Implemented Department CPR Findings: According to staff interviews and the student record review, the district does not ask for a parent's written agreement to excuse an IEP Team member when the attendance of the IEP Team member is not necessary because the member's area of the curriculum or related services is not being modified or discussed. Description of Corrective Action: Review the process on how and when to use the member excusal form with the ETLs. Train ETLs on who to put on the meeting invitation, as per MA regulations. To ensure appropriate usage of the member excusal forms. Title/Role(s) of responsible Persons: Expected Date of Executive Director of Pupil Personnel, ETLs Completion: 01/30/2013 Evidence of Completion of the Corrective Action: N3As will have appropriate people invited to meeting, as per MA regs. There will be an appropriate process to excuse a Team member at the meeting, prior to the start. Member excusal forms will be located in files. When used, noted in N1 and in additional information of IEP. Description of Internal Monitoring Procedures: Noted on cover sheet when packets are turned into the special education office. Reviewed by office staff and Executive Director when submitted. CORRECTIVE ACTION PLAN APPROVAL SECTION Criterion: Corrective Action Plan Status: Approved SE 8 IEP Team composition and Status Date: 12/06/2012 attendance Basis for Partial Approval or Disapproval: The Department accepts the district's proposed corrective action to train staff on the appropriate process and procedures when excusing a Team member from an IEP meeting. Department Order of Corrective Action: Required Elements of Progress Report(s): Provide evidence of the staff training conducted, including attendance (with name and role), agenda and any training materials. This progress report is due February 1, 2013. Conduct an internal record review, post the training, of files in which Team members were excused from an IEP meeting prior to its start. Please provide an analysis of this review to include the number of records reviewed, and the number of records found to be noncompliant. For any records found to be non-compliant, please provide an analysis of the root cause(s) and any steps that the district has taken to remedy the non-compliance. This progress report is due April 12, 2013. *Please note that when monitoring, the district must maintain the following MA Department of Elementary & Secondary Education , Program Quality Assurance Services Saugus CPR Corrective Action Plan 13 documentation and make it available to the Department upon request: a) List of student names and grade levels for the record review; b) Date of the review; c) Name of the person(s) who conducted the review, their role(s), and their signatures. Progress Report Due Date(s): 02/01/2013 04/12/2013 MA Department of Elementary & Secondary Education , Program Quality Assurance Services Saugus CPR Corrective Action Plan 14 COORDINATED PROGRAM REVIEW CORRECTIVE ACTION PLAN Criterion & Topic: CPR Rating: SE 9A Elements of the eligibility determination; general Partially Implemented education accommodations and services for ineligible students Department CPR Findings: According to the student record review, the district did not always document its next step(s) in the Notice of School District Refusal to Act (N2) when a student is not found eligible for special education. Description of Corrective Action: Train the ETLs on how to document the meeting in a N2 and what to include in the next steps. Sample letters will be provided to the ETLs to see what they should and should NOT be embedding in the letters. Title/Role(s) of responsible Persons: Expected Date of Executive Director of Pupil Personnel, ETL Completion: 01/30/2013 Evidence of Completion of the Corrective Action: N2s consistently on file. N2 letters have the meeting well documented and next steps noted. Description of Internal Monitoring Procedures: Step one) They will be reviewed by the Executive Director of Pupil Personnel before they get sent out in the mail Step two) Once improvement noted, random selection of letters to review to ensure they are accurate. CORRECTIVE ACTION PLAN APPROVAL SECTION Criterion: Corrective Action Plan Status: Approved SE 9A Elements of the eligibility Status Date: 12/06/2012 determination; general education accommodations and services for ineligible students Basis for Partial Approval or Disapproval: The Department accepts the district's proposed corrective action that it will train staff regarding the appropriate content of N2 letters. Department Order of Corrective Action: Required Elements of Progress Report(s): Provide evidence of the staff training conducted, including attendance (with name and role), agenda and any training materials. This progress report is due February 1, 2013. Conduct an internal record review, post the training, of files in which a determination of ineligibility was found and the Notice of School District Refusal to Act (N2) was sent to the parents. Please provide an analysis of this review to include the number of records reviewed, and the number of records found to be non-compliant. For any records found to be non-compliant, please provide an analysis of the root cause(s) and any steps that the district has taken to remedy the non-compliance. This progress report is due April 12, 2013. MA Department of Elementary & Secondary Education , Program Quality Assurance Services Saugus CPR Corrective Action Plan 15 *Please note that when 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 record review; b) Date of the review; c) Name of the person(s) who conducted the review, their role(s), and their signatures. Progress Report Due Date(s): 02/01/2013 04/12/2013 MA Department of Elementary & Secondary Education , Program Quality Assurance Services Saugus CPR Corrective Action Plan 16 COORDINATED PROGRAM REVIEW CORRECTIVE ACTION PLAN Criterion & Topic: CPR Rating: SE 13 Progress Reports and content Partially Implemented Department CPR Findings: According to the student record review and staff interviews, progress reports were not consistently translated for parents whose primary language was not English. Description of Corrective Action: The district will assess current status to translate documents. The district will develop protocols to have completed when a translation is needed. There will be a list of translators for the district to use. There will be a standard letter/language survey home asking parents what language documents they prefer, to be kept on file. Title/Role(s) of responsible Persons: Expected Date of Executive Director of Pupil Personnel, Executive Director of Completion: Curriculum and Instruction, principals 03/29/2013 Evidence of Completion of the Corrective Action: Completed standard letters on file for bilingual families. If parent requests translated documents, there will be translated documents in the file. Description of Internal Monitoring Procedures: Random selection of files. Review of language surveys when they come in and make sure that they are distributed to ensure translation. CORRECTIVE ACTION PLAN APPROVAL SECTION Criterion: SE 13 Progress Reports and content Corrective Action Plan Status: Partially Approved Status Date: 12/06/2012 Basis for Partial Approval or Disapproval: The Department accepts the district's proposed corrective action to develop protocols for when translation services are needed by families and that a standard home language survey documenting these translation needs be included in the file. The Department, however, would require evidence of these newly developed protocols, the home language survey, training for the appropriate staff regarding these protocols, and an internal record review, post the training, to monitor for compliance. Department Order of Corrective Action: Develop new procedures for providing translated progress reports and train staff on these procedures. Required Elements of Progress Report(s): Provide the Department with a copy of the newly developed protocols, as well as the home language survey form, used when translation services are requested by families. In addition, please provide evidence of the staff training conducted, including attendance (with name and role), agenda and any training materials. This progress report is due February 1, 2013. MA Department of Elementary & Secondary Education , Program Quality Assurance Services Saugus CPR Corrective Action Plan 17 Conduct an internal record review, post the training, of files in which translation services were requested by families. Please provide an analysis of this review to include the number of records reviewed, and the number of records found to be non-compliant. For any records found to be non-compliant, please provide an analysis of the root cause(s) and any steps that the district has taken to remedy the non-compliance. This progress report is due April 12, 2013. *Please note that when 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 record review; b) Date of the review; c) Name of the person(s) who conducted the review, their role(s), and their signatures. Progress Report Due Date(s): 02/01/2013 04/12/2013 MA Department of Elementary & Secondary Education , Program Quality Assurance Services Saugus CPR Corrective Action Plan 18 COORDINATED PROGRAM REVIEW CORRECTIVE ACTION PLAN Criterion & Topic: CPR Rating: SE 15 Outreach by the School District (Child Find) Partially Implemented Department CPR Findings: According to staff interviews, the district's outreach is not inclusive of other sources of referral for students in need of special education, such as community agencies and pediatrician offices. Description of Corrective Action: Create a template letter to send out to: -Community agencies -Pediatrician offices -Day care facilities -Nursery Schools The district will create a Child Find Brochure to send out with the letters. Title/Role(s) of responsible Persons: Expected Date of Executive Director of Pupil Personnel, Pre-school Coordinator Completion: 01/30/2013 Evidence of Completion of the Corrective Action: District will have a record of the letters sent out through the created tracking system. Through our referral tracking system, we will be able to note how many come through Child Find. Description of Internal Monitoring Procedures: As part of the tracking system, there will be a calendar set up for when to send out the notices over the course of the year. CORRECTIVE ACTION PLAN APPROVAL SECTION Criterion: Corrective Action Plan Status: Approved SE 15 Outreach by the School District Status Date: 12/06/2012 (Child Find) Basis for Partial Approval or Disapproval: The Department accepts the district's proposed corrective action to create a letter that is inclusive of other sources, such as community agencies, pediatrician offices, day care facilities and nursery schools for the purpose of outreach (child find) for students who may be in need of special education, or which would include students in need of special education. The Department also accepts the district's corrective action that it will create a tracking system for referral letters that come to the district. Department Order of Corrective Action: Required Elements of Progress Report(s): Please submit a copy of the district's newly devised letter that will serve the purpose as outreach (child find) for students who may be in need of special education or which would include students in need of special education and the list of agencies/sources to whom the letter was sent. In addition, please submit a detailed narrative of the district's newly created tracking system for referral letters that come to the district. This progress report is due February 1, 2013. Progress Report Due Date(s): 02/01/2013 MA Department of Elementary & Secondary Education , Program Quality Assurance Services Saugus CPR Corrective Action Plan 19 MA Department of Elementary & Secondary Education , Program Quality Assurance Services Saugus CPR Corrective Action Plan 20 COORDINATED PROGRAM REVIEW CORRECTIVE ACTION PLAN Criterion & Topic: CPR Rating: SE 18B Determination of placement; provision of IEP to parent Partially Implemented Department CPR Findings: According to staff interviews and the student record review, the district takes 10 days to propose an IEP from the date of the IEP Team meeting. However, IEP Teams at the high school level do not always give parents a summary of the decisions and agreements reached during the IEP Team meeting, including a completed IEP service delivery grid and a statement of the major goal areas associated with these services at the end of the meeting consistent with the Department's Memorandum on the implementation of 603 CMR 28.05(7): "Parent response to proposed IEP and proposed placement" nor does the high school issue the IEP and proposed placement within three to five days of the IEP Team meeting. Student record review and staff interviews determined that at the high school and middle school, special education students are moved to more restrictive settings because of behavioral concerns without obtaining signed consent from parents. Description of Corrective Action: New summary sheets created for Team meetings. Review of the timelines with the staff. Ongoing status reports tracking the data. Restructure current process noted below of putting students in more restrictive settings: -Referral for Restrictive Placement Process -IAES Process Title/Role(s) of responsible Persons: Expected Date of Executive Director of Pupil Personnel, ETLs Completion: 03/29/2013 Evidence of Completion of the Corrective Action: ETL status reports will document IEP data for all meetings. Time lines will be noted on the sheets. There will be a documented process of students being placed in a more restricted setting. Parent consent will be on file prior to movement. Description of Internal Monitoring Procedures: Monthly review of status reports. Completed summary sheets completed in file. Completed parental consents on file. Random selection of files. MA Department of Elementary & Secondary Education , Program Quality Assurance Services Saugus CPR Corrective Action Plan 21 CORRECTIVE ACTION PLAN APPROVAL SECTION Criterion: Corrective Action Plan Status: Partially SE 18B Determination of placement; Approved provision of IEP to parent Status Date: 12/06/2012 Basis for Partial Approval or Disapproval: While the Department accepts that the district will create new summary sheets for Team meetings, more detail will be required as to the restructuring of the process, as well as the documented process for students being placed in a more restricted setting. In addition, the Department will require that the district conduct a thorough training for staff regarding the district's newly developed procedures. Department Order of Corrective Action: Train staff on the newly-developed procedures. Required Elements of Progress Report(s): Provide evidence of the staff training conducted, including attendance (with name and role), agenda and any training materials on the use of the new summary sheets and procedures for obtaining parental consent prior to moving students to new settings. Submit copies of the new summary sheets.This progress report is due February 1, 2013. Conduct an internal record review, post the training, demonstrating that summary sheets are being completed and given to parents at the end of Team meetings and that parents are signing consent forms when a student has been placed into an Interim Alternative Educational Setting (IAES). Please provide an analysis of this review to include the number of records reviewed, and the number of records found to be non-compliant. For any records found to be non-compliant, please provide an analysis of the root cause(s) and any steps that the district has taken to remedy the non-compliance. This progress report is due April 12, 2013. *Please note that when 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 record review; b) Date of the review; c) Name of the person(s) who conducted the review, their role(s), and their signatures. Progress Report Due Date(s): 02/01/2013 04/12/2013 MA Department of Elementary & Secondary Education , Program Quality Assurance Services Saugus CPR Corrective Action Plan 22 COORDINATED PROGRAM REVIEW CORRECTIVE ACTION PLAN Criterion & Topic: CPR Rating: SE 19 Extended evaluation Partially Implemented Department CPR Findings: According to the student record review, the district does not appropriately document the extended evaluation process by using an extended evaluation form. Description of Corrective Action: Review the current process of Extended Evaluations with staff on the process: When to use it, the process, the timelines and the correct form. Title/Role(s) of responsible Persons: Expected Date of Executive Director of Pupil Personnel, ETLs Completion: 01/30/2013 Evidence of Completion of the Corrective Action: Extended Evaluation forms are completed correctly and in the file. The district abides by extended evaluation timelines. Description of Internal Monitoring Procedures: File Review Track use of Extended evaluations completed in the district. CORRECTIVE ACTION PLAN APPROVAL SECTION Criterion: SE 19 Extended evaluation Corrective Action Plan Status: Approved Status Date: 12/06/2012 Basis for Partial Approval or Disapproval: The Department accepts the district's proposed corrective action that it will train staff on the appropriate process and procedures regarding extended evaluations. Department Order of Corrective Action: Required Elements of Progress Report(s): Provide evidence of the staff training conducted, including attendance (with name and role), agenda and any training materials. This progress report is due February 1, 2013. Conduct an internal record review, post the training, of files in which extended evaluations were conducted. Please provide an analysis of this review to include the number of records reviewed, and the number of records found to be non-compliant. For any records found to be non-compliant, please provide an analysis of the root cause(s) and any steps that the district has taken to remedy the non-compliance. This progress report is due April 12, 2013. *Please note that when 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 record review; b) Date of the review; c) Name of the person(s) who conducted the review, their role(s), and their signatures. Progress Report Due Date(s): 02/01/2013 04/12/2013 MA Department of Elementary & Secondary Education , Program Quality Assurance Services Saugus CPR Corrective Action Plan 23 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: According to the student record review and staff interviews, principals require that parents fill out a request for a special education evaluation, which delays the issuance of the consent to evaluate form beyond five days. The record review demonstrated that Notices of Proposed School District Action (N1) do not always document a meeting's events. The record review also demonstrated that N1 notices were not consistently issued with IEPs. The Notice of School District Refusal to Act (N2) forms were not consistently found in student records. See also SE 18B and SE 25. Description of Corrective Action: Create a Team of administrators and stakeholders to review current process. Create a process for IST and parent referrals to move smoothly within the 5 day timeline. ETLs will be trained on writing N1 Letters and N2 Letters. The staff will use the checklist to ensure that all documents are completed, sent and filed. Title/Role(s) of responsible Persons: Expected Date of Executive Director of Pupil Personnel, principals, ETLs Completion: 06/30/2013 Evidence of Completion of the Corrective Action: There will be a system in place for IST and parent referrals. Data will show that we are getting consents out within 5 school days of IST or parent referral. N1 and N2 letters will be fully completed and located in student files. Description of Internal Monitoring Procedures: N1 and N2 letters will be monitored and filed in the Special Education office. Initial evaluation consent data will show that we are within the 5 day timeline. Review of files to ensure compliance. CORRECTIVE ACTION PLAN APPROVAL SECTION Criterion: Corrective Action Plan Status: Approved SE 24 Notice to parent regarding Status Date: 12/06/2012 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: The Department accepts the district's proposed corrective action that it will create a referral system and train staff to ensure compliance, as well as conduct training on appropriate content for N1 and N2 forms. Department Order of Corrective Action: Required Elements of Progress Report(s): Please provide evidence of the staff training conducted, including attendance (with name MA Department of Elementary & Secondary Education , Program Quality Assurance Services Saugus CPR Corrective Action Plan 24 and role), agenda and any training materials. Submit a copy of the referral procedures. This progress report is due February 1, 2013. Conduct an internal record review, post the training, of files in which initial referrals for special education were made and either N1 or N2 letters were completed and sent out after the Team had convened. Please provide an analysis of this review to include the number of records reviewed, and the number of records found to be non-compliant. For any records found to be non-compliant, please provide an analysis of the root cause(s) and any steps that the district has taken to remedy the non-compliance. This progress report is due April 12, 2013. *Please note that when 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 record review; b) Date of the review; c) Name of the person(s) who conducted the review, their role(s), and their signatures. Progress Report Due Date(s): 02/01/2013 04/12/2013 MA Department of Elementary & Secondary Education , Program Quality Assurance Services Saugus CPR Corrective Action Plan 25 COORDINATED PROGRAM REVIEW CORRECTIVE ACTION PLAN Criterion & Topic: CPR Rating: SE 25 Parental consent Partially Implemented Department CPR Findings: The student record review demonstrated that the district does not consistently obtain consent when the district elects to conduct assessments to obtain current data as an outcome of a disciplinary proceeding. Conversely, when the district does obtain consent for assessments conducted during disciplinary proceedings, the assessments were not consistently found in student files. In addition, according to student records, students are moved to more restrictive placements without parental consent or, in some instances, parents are asked to provide their consent on a letter sent by the building principal instead of providing their consent to a change of placement on an IEP placement page. Description of Corrective Action: See also SE 18b. Restructure current process noted below of putting students in more restrictive settings: -Referral for Restrictive Placement Process -IAES Process Checklist for documents being turned into the file. Title/Role(s) of responsible Persons: Executive Director of Pupil Personnel, principals, ETLs Expected Date of Completion: 06/30/2012 Evidence of Completion of the Corrective Action: There will be a documented process of students being placed in a more restricted setting. Parent consent will be on file prior to movement. Checklists will be completed in the file and the appropriate documentation will be noted. Description of Internal Monitoring Procedures: Executive Director will monitor the placement of students and the checklist to ensure that documentation is on file. CORRECTIVE ACTION PLAN APPROVAL SECTION Criterion: SE 25 Parental consent Corrective Action Plan Status: Partially Approved Status Date: 12/06/2012 Basis for Partial Approval or Disapproval: While the Department accepts the district's proposed corrective action to restructure their process and procedures for obtaining consent for assessments conducted during disciplinary proceedings, the district will need to submit a detailed narrative of these newly revised procedures. The Department will also require the district to conduct training to staff regarding these procedures, including when a student is placed in a Interim Alternative Education Setting (IAES). MA Department of Elementary & Secondary Education , Program Quality Assurance Services Saugus CPR Corrective Action Plan 26 Department Order of Corrective Action: Submit a detailed narrative of the newly revised procedures and conduct training to staff regarding these procedures, including when a student is placed in a Interim Alternative Education Setting (IAES). Required Elements of Progress Report(s): Provide the Department with a copy of the newly developed procedures regarding this criterion. In addition, please provide evidence of the staff training conducted, including attendance (with name and role), agenda and any training materials. This progress report is due February 1, 2013. Conduct an internal record review, post the training, of files in which consent was obtained for either assessments conducted during disciplinary proceedings or when a student has been placed into an IAES. Please provide an analysis of this review to include the number of records reviewed, and the number of records found to be non-compliant. For any records found to be non-compliant, please provide an analysis of the root cause(s) and any steps that the district has taken to remedy the non-compliance. This progress report is due April 12, 2013. *Please note that when 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 record review; b) Date of the review; c) Name of the person(s) who conducted the review, their role(s), and their signatures. Progress Report Due Date(s): 02/01/2013 04/12/2013 MA Department of Elementary & Secondary Education , Program Quality Assurance Services Saugus CPR Corrective Action Plan 27 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: According to the student record review and staff interviews, the district does not consistently translate documents such as progress reports, assessment summaries, or notices to the parent when the primary language of the home is other than English. Description of Corrective Action: The district will assess current status to translate documents. The district will develop protocols to have completed when a translation is needed. There will be a list of translators for the district to use. There will be a standard letter/language survey home asking parents what language documents they prefer, to be kept on file. Title/Role(s) of responsible Persons: Expected Date of Executive Director of Curriculum and Instruction, Executive Completion: Director of Pupil Personnel 03/29/2013 Evidence of Completion of the Corrective Action: Completed standard letters on file for bilingual families. If parent requests translated documents, there will be translated documents in the file. Description of Internal Monitoring Procedures: Will be monitored by the principals in their buildings to ensure that we have the correct documentation needed and to ensure documents are being translated for their families. CORRECTIVE ACTION PLAN APPROVAL SECTION Criterion: Corrective Action Plan Status: Approved SE 29 Communications are in English and Status Date: 12/06/2012 primary language of home Basis for Partial Approval or Disapproval: The Department accepts the district's proposed corrective action to develop protocols for when translation services are needed by families and that a standard home language survey documenting these translation needs be included in the file. Department Order of Corrective Action: Required Elements of Progress Report(s): Provide the Department with a copy of the newly developed protocols, as well as the home language survey form, used when translation services are requested by families. In addition, please provide evidence of the staff training conducted, including attendance (with name and role), agenda and any training materials. This progress report is due February 1, 2013. Conduct an internal record review, post the training, of files in which translation services were requested by families. Please provide an analysis of this review to include the number of records reviewed, and the number of records found to be non-compliant. For any records found to be non-compliant, please provide an analysis of the root cause(s) MA Department of Elementary & Secondary Education , Program Quality Assurance Services Saugus CPR Corrective Action Plan 28 and any steps that the district has taken to remedy the non-compliance. This progress report is due April 12, 2013. *Please note that when 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 record review; b) Date of the review; c) Name of the person(s) who conducted the review, their role(s), and their signatures. Progress Report Due Date(s): 02/01/2013 04/12/2013 MA Department of Elementary & Secondary Education , Program Quality Assurance Services Saugus CPR Corrective Action Plan 29 COORDINATED PROGRAM REVIEW CORRECTIVE ACTION PLAN Criterion & Topic: CPR Rating: SE 32 Parent advisory council for special education Partially Implemented Department CPR Findings: The district provides assistance to the parent advisory council and has consistently supported the annual workshop on the rights of students and their parents and guardians under the state and federal special education laws. According to the PAC and special education staff, the district has not included the PAC in advising the district on matters that pertain to the education and safety of students with disabilities, or meeting regularly with school officials to participate in the planning, development, and evaluation of the school district´s special education programs. Description of Corrective Action: Increase in ongoing participation and collaboration for PAC. -They will be invited to participate on committees -They will be invited to work with the district when looking at developing new programs for students Monthly meeting with PAC president. Title/Role(s) of responsible Persons: Expected Date of Executive Director of Pupil Personnel, PAC Completion: 03/29/2013 Evidence of Completion of the Corrective Action: Increase in ongoing participation and collaboration for PAC as shown in their participation. Description of Internal Monitoring Procedures: Executive Director will work with the school communities to ensure that the PAC is involved. CORRECTIVE ACTION PLAN APPROVAL SECTION Criterion: Corrective Action Plan Status: Approved SE 32 Parent advisory council for special Status Date: 12/06/2012 education Basis for Partial Approval or Disapproval: The Department accepts the district's proposed corrective action to increase participation and collaboration with its PAC members by inviting them to participate on committees, as well as including them when developing new programs in special education. Department Order of Corrective Action: Required Elements of Progress Report(s): Please provide the Department with evidence that the district has increased its attempts to include PAC members to participate on committees and has included them when developing new programs in special education. Also provide evidence that the PAC is included in the evaluation of the district's special education programs. Evidence should include agendas from committee meetings with the PAC. This progress report is due February 1, 2013. Progress Report Due Date(s): 02/01/2013 MA Department of Elementary & Secondary Education , Program Quality Assurance Services Saugus CPR Corrective Action Plan 30 COORDINATED PROGRAM REVIEW CORRECTIVE ACTION PLAN Criterion & Topic: CPR Rating: SE 41 Age span requirements Partially Implemented Department CPR Findings: The document review determined that the age span between the youngest student and oldest student during one period of the high school student center, a substantially separate classroom setting, differed by 60 months. An age span waiver was not submitted by the district. Description of Corrective Action: Semester tracking of the ages of students in grid C classes by age. Train guidance counselors of the 48 month age span to ensure that students are not grouped inappropriately. Investigate with X2 to see if there is a way this can signal counselor when the age span is exceeded when scheduling students. Title/Role(s) of responsible Persons: Expected Date of Executive Director of Pupil Personnel, building principal Completion: 03/29/2013 Evidence of Completion of the Corrective Action: Student will be in like peer groups. Small group setting will not exceed the 48 month span. Description of Internal Monitoring Procedures: Semester reviews of small group classes to ensure compliance. CORRECTIVE ACTION PLAN APPROVAL SECTION Criterion: SE 41 Age span requirements Corrective Action Plan Status: Partially Approved Status Date: 12/06/2012 Basis for Partial Approval or Disapproval: The Department accepts the district's proposed corrective action that it will train staff regarding age span requirements, as well as create a tracking system to monitor age spans in classrooms so as not have any two students' ages exceed 48 months. However, the district must submit the current student roster for the substantially separate high school student center to ensure that the district in is full compliance with this criterion. Department Order of Corrective Action: The district will submit to the Department its most current student roster, including students' date of birth, for the substantially separate high school student center classroom. If the age span exceeds 48-months, the district will submit an age span waiver to the Department. Required Elements of Progress Report(s): Please provide evidence of the staff training conducted, including attendance (with name and role), agenda and any training materials. In addition, the district will submit the current student roster for the substantially separate high school student center to ensure that the district in is full compliance with this criterion. If the age span exceeds 48months, submit a copy of the approved waiver. This progress report is due February 1, 2013. Progress Report Due Date(s): 02/01/2013 MA Department of Elementary & Secondary Education , Program Quality Assurance Services Saugus CPR Corrective Action Plan 31 MA Department of Elementary & Secondary Education , Program Quality Assurance Services Saugus CPR Corrective Action Plan 32 COORDINATED PROGRAM REVIEW CORRECTIVE ACTION PLAN Criterion & Topic: CPR Rating: SE 43 Behavioral interventions Partially Implemented Department CPR Findings: The student record review demonstrated that files did not always contain evidence of completed student behavior plans or functional behavior assessments when students were either placed in a more restrictive setting for behavior, and in some instances, inappropriately placed in an Interim Education Alternative Setting (IAES) for disciplinary reasons that are not articulated in federal regulation. Description of Corrective Action: Restructure current process noted below of putting students in more restrictive settings: -Referral for Restrictive Placement Process -IAES Process The district will do the following when it comes to behavioral interventions in the schools: -Review supports in the buildings -Determine what the schools are lacking in regards to behavioral interventions -Create a plan to address the issue to ensure that students are supported in the school environment and interventions are tracked. Title/Role(s) of responsible Persons: Expected Date of Executive Director of Pupil Personnel, Superintendent Completion: 06/30/2012 Evidence of Completion of the Corrective Action: There will be a documented process of students being placed in a more restricted setting. Parent consent will be on file prior to movement. Layers of behavioral interventions for students. Students will not be placed in IAES for incorrect reasons. Description of Internal Monitoring Procedures: Monthly meetings with BMS and SHS to work on strategies to better support students and to create layers of interventions. CORRECTIVE ACTION PLAN APPROVAL SECTION Criterion: SE 43 Behavioral interventions Corrective Action Plan Status: Approved Status Date: 12/06/2012 Basis for Partial Approval or Disapproval: The Department accepts the district's proposed corrective action to restructure its procedures regarding IAES placements, including the review and implementing of behavioral plans and/or functional behavior assessments. The district will be required to formally train its staff on these newly devised procedures. Department Order of Corrective Action: Required Elements of Progress Report(s): Provide evidence of the staff training conducted, including attendance (with name and role), agenda and any training materials. Submit a copy of the newly-developed procedures. This progress report is due February 1, 2013. Conduct an internal record review, post the training, of files in which students were placed in an IAES and a behavior plan and/or a functional behavioral assessment should have MA Department of Elementary & Secondary Education , Program Quality Assurance Services Saugus CPR Corrective Action Plan 33 been completed. Please provide an analysis of this review to include the number of records reviewed, and the number of records found to be non-compliant. For any records found to be non-compliant, please provide an analysis of the root cause(s) and any steps that the district has taken to remedy the non-compliance. This progress report is due April 12, 2013. *Please note that when 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 record review; b) Date of the review; c) Name of the person(s) who conducted the review, their role(s), and their signatures. Progress Report Due Date(s): 02/01/2013 04/12/2013 MA Department of Elementary & Secondary Education , Program Quality Assurance Services Saugus CPR Corrective Action Plan 34 COORDINATED PROGRAM REVIEW CORRECTIVE ACTION PLAN Criterion & Topic: CPR Rating: SE 46 Procedures for suspension of students with disabilities Partially Implemented when suspensions exceed 10 consecutive school days or a pattern has developed for suspensions exceeding 10 cumulative days; responsibilities of the Team; responsibilities of the district Department CPR Findings: According to the student record review and staff interviews, the district unilaterally places middle and high school special education students in an interim alternative educational setting (IAES) for behaviors other than those identified by federal law, without parent consent, without changing the student's placement, and in some cases, without conducting a manifestation determination. Files did not consistently contain evidence of functional behavior assessments (FBAs) or behavior plans. According to staff interviews, the high school administration does not include in-house suspensions (regardless of the amount of time the student was removed from his or her program or whether the student received alternative or supplementary services while serving the in-house suspension) as part of the consideration of whether there is a pattern of removals for students suspended beyond 10 days. Districts are required to record and review in-house suspensions to ensure a pattern of removal is not occurring and to identify appropriate interventions. Please see Technical Assistance Advisory SPED 2012-2: Improving Data and Practices Regarding Disciplinary Removals of Students with Disabilities. Description of Corrective Action: Restructure current process noted below of putting students in more restrictive settings: -Referral for Restrictive Placement Process -IAES Process The district will do the following when it comes to behavioral interventions in the schools: -Review supports in the buildings -Determine what the schools are lacking in regards to behavioral interventions Create a plan to address the issue to ensure that students are supported in the school environment and interventions are tracked. Title/Role(s) of responsible Persons: Expected Date of Executive Director of Pupil Personnel, principals Completion: 06/30/2013 Evidence of Completion of the Corrective Action: There will be a documented process of students being placed in a more restricted setting. Parent consent will be on file prior to movement. Layers of behavioral interventions for students. Students will not be placed in IAES for incorrect reasons. Description of Internal Monitoring Procedures: Monthly meetings with BMS and SHS to work on strategies to better support students and to create layers of interventions. CORRECTIVE ACTION PLAN APPROVAL SECTION Criterion: SE 46 Procedures for suspension of Corrective Action Plan Status: Partially Approved MA Department of Elementary & Secondary Education , Program Quality Assurance Services Saugus CPR Corrective Action Plan 35 students with disabilities when Status Date: 12/06/2012 suspensions exceed 10 consecutive school days or a pattern has developed for suspensions exceeding 10 cumulative days; responsibilities of the Team; responsibilities of the district Basis for Partial Approval or Disapproval: While the Department accepts the district's proposed corrective action to restructure its procedures regarding suspensions or special education students and IAES placements, including the review and implementing of behavioral plans and/or functional behavior assessments, the district will be required to formally train its staff on these newly devised procedures. Furthermore, an internal record review of student files will be required to monitor for compliance. The district's corrective action does not address the tracking of in-house suspensions at the high school. Department Order of Corrective Action: The district must conduct staff training regarding its newly devised procedures for the suspending of special education students and IAES placements, including the review and implementing of behavioral plans and/or functional behavior assessments. The district must also conduct an internal record review of student files to monitor for compliance. Develop procedures for tracking in-house suspensions at the high school. Required Elements of Progress Report(s): Please provide evidence of the staff training conducted, including attendance (with name and role), agenda and any training materials. Also submit the procedures for tracking inhouse suspensions at the high school. This progress report is due February 1, 2013. Conduct an internal record review, post the training, of files in which students were suspended and placed in an IAES. Conduct a second review of students at the high school who have had in-house suspensions. Please provide an analysis of this review to include the number of records reviewed, and the number of records found to be non-compliant. For any records found to be non-compliant, please provide an analysis of the root cause(s) and any steps that the district has taken to remedy the non-compliance. This progress report is due April 12, 2013. *Please note that when 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 record review; b) Date of the review; c) Name of the person(s) who conducted the review, their role(s), and their signatures. Progress Report Due Date(s): 02/01/2013 04/12/2013 MA Department of Elementary & Secondary Education , Program Quality Assurance Services Saugus CPR Corrective Action Plan 36 COORDINATED PROGRAM REVIEW CORRECTIVE ACTION PLAN Criterion & Topic: CPR Rating: SE 47 Procedural requirements applied to students not yet Partially Implemented determined to be eligible for special education Department CPR Findings: According to staff interviews and the student record review, when a student is suspended beyond 10 days and suspected of having a disability, the district makes all educational and legal protections available to the student. However, the district's policy does not include the requirement for an expedited evaluation in these situations. The student record review confirmed that the district does not expedite evaluations as required by federal law when a student is suspected of a disability and suspended beyond 10 days. Description of Corrective Action: Create a process highlighting when to complete an expedited evaluation for students. Train ETLs and principals. Title/Role(s) of responsible Persons: Expected Date of Executive Director of Pupil Personnel, ETLs, principals Completion: 01/30/2013 Evidence of Completion of the Corrective Action: Students who are in the pipeline for evaluation will have an expedited evaluation when suspended by 10 days. Description of Internal Monitoring Procedures: Will be monitored by the ETLs and the principals. They will collaboratively work together in regards to student behaviors and discipline. CORRECTIVE ACTION PLAN APPROVAL SECTION Criterion: Corrective Action Plan Status: Approved SE 47 Procedural requirements applied to Status Date: 12/06/2012 students not yet determined to be eligible for special education Basis for Partial Approval or Disapproval: The Department accepts the district's proposed corrective action to create a process and train staff regarding procedural requirements applied to students not yet determined eligible for special education. Department Order of Corrective Action: Required Elements of Progress Report(s): Please provide evidence of the staff training conducted, including attendance (with name and role), agenda and any training materials. Submit a copy of the district's process for expediting evaluations when a student suspected of have a disability is suspended beyond ten days. This progress report is due February 1, 2013. Conduct an internal record review, post the training, of files in which a student suspected of having a disability was suspended beyond ten days. Please provide an analysis of this review to include the number of records reviewed, and the number of records found to be non-compliant. For any records found to be non-compliant, please provide an analysis of the root cause(s) and any steps that the district has taken to remedy the non-compliance. This progress report is due April 12, 2013. *Please note that when monitoring, the district must maintain the following MA Department of Elementary & Secondary Education , Program Quality Assurance Services Saugus CPR Corrective Action Plan 37 documentation and make it available to the Department upon request: a) List of student names and grade levels for the record review; b) Date of the review; c) Name of the person(s) who conducted the review, their role(s), and their signatures. Progress Report Due Date(s): 02/01/2013 04/12/2013 MA Department of Elementary & Secondary Education , Program Quality Assurance Services Saugus CPR Corrective Action Plan 38 COORDINATED PROGRAM REVIEW CORRECTIVE ACTION PLAN Criterion & Topic: CPR Rating: SE 48 FAPE (Free, appropriate, public education): Equal Partially Implemented opportunity to participate in educational, nonacademic, extracurricular and ancillary programs, as well as participation in regular education Department CPR Findings: According to staff interviews, the middle school's scheduling prevents students with IEPs from receiving music class; students with IEPs receive their specialized services during that block. Description of Corrective Action: BMS states that students have options, and this is not an area for correction. Students do have access to music and other electives. The school rather pull students from electives instead of from the academic classes. Currently: -LC takes one period of a day -Instead of being pulled from academic classes, students are pulled from electives -Students get 2 full year electives (music and PE) -Plus, they get a total of 6 trimester encores (2 per term) Staff work collaboratively with families and students to ensure that they have the electives that they want Will review the current course selection process with students to have a more formal process for students and parents determining which electives the students will take. Title/Role(s) of responsible Persons: Expected Date of Executive Director of Pupil Personnel, building principal Completion: 01/30/2013 Evidence of Completion of the Corrective Action: The district will provide the protocol procedure for students choosing encores to illustrate that all students have access. Description of Internal Monitoring Procedures: There will be timelines set up for students/parents to review and complete the protocol to determine encores. Will be monitored by BMS staff. CORRECTIVE ACTION PLAN APPROVAL SECTION Criterion: Corrective Action Plan Status: Approved SE 48 FAPE (Free, appropriate, public Status Date: 12/06/2012 education): Equal opportunity to participate in educational, nonacademic, extracurricular and ancillary programs, as well as participation in regular education Basis for Partial Approval or Disapproval: The district will provide procedures for ensuring that middle school students with IEPs participate in music classes. Department Order of Corrective Action: Required Elements of Progress Report(s): MA Department of Elementary & Secondary Education , Program Quality Assurance Services Saugus CPR Corrective Action Plan 39 Please submit a copy of the district's revised policy regarding special education students and their access to music class. This progress report is due February 1, 2013. Submit a report of a review of middle school special education student records and indicate the number of records reviewed, the number in compliance and for any noncompliance found, indicate the specific corrective action taken with regard to each record. Submit this internal review by April 12, 2013. *Please note that when 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 record review; b) Date of the review; c) Name of the person(s) who conducted the review, their role(s), and their signatures. Progress Report Due Date(s): 02/01/2013 04/12/2013 MA Department of Elementary & Secondary Education , Program Quality Assurance Services Saugus CPR Corrective Action Plan 40 COORDINATED PROGRAM REVIEW CORRECTIVE ACTION PLAN Criterion & Topic: CPR Rating: SE 55 Special education facilities and classrooms Partially Implemented Department CPR Findings: According to observations, related services and other support for special education students are provided in an open module space at the Oakdale Elementary School. Description of Corrective Action: Will review the current classrooms in the building to determine appropriate spaces. For 2012-13, students are receiving services in a classroom when available. Will work with principal to think of creative locations in the small school. Title/Role(s) of responsible Persons: Expected Date of Executive Director of Pupil Personnel, building principal Completion: 01/30/2013 Evidence of Completion of the Corrective Action: Students will receive services in an appropriate setting Description of Internal Monitoring Procedures: Building principal will ensure that students are in an appropriate setting for services. CORRECTIVE ACTION PLAN APPROVAL SECTION Criterion: Corrective Action Plan Status: Approved SE 55 Special education facilities and Status Date: 12/06/2012 classrooms Basis for Partial Approval or Disapproval: The Department accepts the district's proposed corrective action to review current classrooms in the building to determine more appropriate spaces for related services. Department Order of Corrective Action: Required Elements of Progress Report(s): Submit a floor plan of the Oakdale Elementary School indicating where related services are provided for the 2012-2013 school year. Submit this by February 1, 2013. The Department will conduct an onsite inspection of the special education instructional space(s) at the Oakdale Elementary School prior to April 12, 2013 to verify that the appropriate changes have been made. Progress Report Due Date(s): 02/01/2013 04/12/2013 MA Department of Elementary & Secondary Education , Program Quality Assurance Services Saugus CPR Corrective Action Plan 41 COORDINATED PROGRAM REVIEW CORRECTIVE ACTION PLAN Criterion & Topic: CPR Rating: CR 3 Access to a full range of education programs Partially Implemented Department CPR Findings: According to the document review and staff interviews, the district does not provide an English Language Education program as defined by M.G.L. c. 71A to all limited-Englishproficient students enrolled in the district. Description of Corrective Action: Currently the district has teacher and a tutor grades K-5 to provide language acquisition services for students identified as ELL. There is a tutor identified for grades 6-12 to provide services for students. All students are instructed in English in the general education classroom with additional supports. Title/Role(s) of responsible Persons: Expected Date of Executive Director of Curriculum and Instruction, Executive Completion: Director of Pupil Personnel 01/30/2013 Evidence of Completion of the Corrective Action: The district will provide DESE with a description of the ELL programs offered in the Saugus Public Schools. Description of Internal Monitoring Procedures: The document will be completed and available to all of the schools. CORRECTIVE ACTION PLAN APPROVAL SECTION Criterion: Corrective Action Plan Status: Approved CR 3 Access to a full range of education Status Date: 12/06/2012 programs Basis for Partial Approval or Disapproval: The Department accepts the district's proposed corrective action that it will submit evidence of the ELL programs offered to ensure that it provides English Language Education as defined by M.G.L. c. 71A to all limited-English proficient students enrolled in the district. Department Order of Corrective Action: Required Elements of Progress Report(s): Please submit evidence of the ELL programs offered to ensure that the district provides English language education as defined by M.G.L. c. 71A to all limited-English proficient students enrolled in the district. This progress report is due February 1, 2013. Progress Report Due Date(s): 02/01/2013 MA Department of Elementary & Secondary Education , Program Quality Assurance Services Saugus CPR Corrective Action Plan 42 COORDINATED PROGRAM REVIEW CORRECTIVE ACTION PLAN Criterion & Topic: CR 7 Information to be translated into languages other than English Department CPR Findings: See CR 10A. Description of Corrective Action: SEE CR10A Title/Role(s) of responsible Persons: SEE CR10A CPR Rating: Partially Implemented Expected Date of Completion: 06/30/2013 Evidence of Completion of the Corrective Action: SEE CR10A Description of Internal Monitoring Procedures: SEE CR10A CORRECTIVE ACTION PLAN APPROVAL SECTION Criterion: Corrective Action Plan Status: Approved CR 7 Information to be translated into Status Date: 12/06/2012 languages other than English Basis for Partial Approval or Disapproval: See CR 10A Department Order of Corrective Action: Required Elements of Progress Report(s): See CR 10A Progress Report Due Date(s): 02/01/2013 MA Department of Elementary & Secondary Education , Program Quality Assurance Services Saugus CPR Corrective Action Plan 43 COORDINATED PROGRAM REVIEW CORRECTIVE ACTION PLAN Criterion & Topic: CPR Rating: CR 10A Student handbooks and codes of conduct Partially Implemented Department CPR Findings: The review of district documents determined that the district's code of conduct does not include students with Section 504 Accommodation Plans in its procedures assuring due process in disciplinary proceedings and appropriate procedures for the discipline of students with special needs. Staff interviews indicated that the high school handbook is currently being translated into Spanish; however, this could not be verified by document review. Description of Corrective Action: CR7 and 10A: The district will review current code of conduct for 504 and IDEA in the student handbooks for the elementary, middle school and high school. The district will determine updated changes that need to be complete to ensure that the community understands safeguards in these areas. The district will make sure that the handbooks are translated into Spanish for our families. Title/Role(s) of responsible Persons: Expected Date of Executive Director of Curriculum and Instruction, Executive Completion: Director of Pupil Personnel 06/30/2013 Evidence of Completion of the Corrective Action: Updated handbooks highlighting the safeguards under 504 and IDEA. Translated copies of the handbooks. Description of Internal Monitoring Procedures: Once it is revised and disseminated to the buildings, principals will ensure that the updated portions are given out to students and families. Signatures will be collected. CORRECTIVE ACTION PLAN APPROVAL SECTION Criterion: Corrective Action Plan Status: Approved CR 10A Student handbooks and codes of Status Date: 12/06/2012 conduct Basis for Partial Approval or Disapproval: The Department accepts the district's corrective action to update the elementary, middle, and high school handbooks so that the codes of conduct include students with Section 504 Accommodation Plans in its procedures, assuring due process in disciplinary proceedings, and includes appropriate procedures for the discipline of students with special needs. The Department also accepts that the district will make these handbooks available in Spanish, as well. Department Order of Corrective Action: Required Elements of Progress Report(s): Submit the updated portion(s) of the elementary, middle, and high school student handbooks that contains the code of conduct for students with Section 504 Accommodation Plans in its procedures, assuring due process in disciplinary proceedings, and includes appropriate procedures for the discipline of students with special needs. The district must also submit copies of their elementary, middle, and high school handbooks MA Department of Elementary & Secondary Education , Program Quality Assurance Services Saugus CPR Corrective Action Plan 44 that were translated into Spanish. Submit the procedures for ensuring that this information is provided to students, staff and parents/guardians. This progress report is due February 1, 2013. Progress Report Due Date(s): 02/01/2013 MA Department of Elementary & Secondary Education , Program Quality Assurance Services Saugus CPR Corrective Action Plan 45 COORDINATED PROGRAM REVIEW CORRECTIVE ACTION PLAN Criterion & Topic: CPR Rating: CR 13 Availability of information and academic counseling on Partially Implemented general curricular and occupational/vocational opportunities Department CPR Findings: According to staff interviews, the district currently cannot provide limited-Englishproficient students with the opportunity to receive guidance and counseling in a language they understand. Description of Corrective Action: The district will assess current status of who will need translators and translated documents to access the guidance counselors. The district will develop protocols when an ELL student needs to access information in his/her native language. There will be a list of translators for the district to use for when one needs to be scheduled for guidance meetings and to support document translation. There will be a standard letter/language survey home asking parents what language documents they prefer, to be kept on file. Title/Role(s) of responsible Persons: Expected Date of Executive Director of Pupil Personnel, Director of Guidance Completion: 06/30/2013 Evidence of Completion of the Corrective Action: Translated documents that are evidence of information related to program of studies, vocational and occupational opportunities. List of translators and mechanisms we are using to translate documents. There will be a completed language survey on file. Description of Internal Monitoring Procedures: Completed evidence of protocols for translators and translations. CORRECTIVE ACTION PLAN APPROVAL SECTION Criterion: Corrective Action Plan Status: Approved CR 13 Availability of information and Status Date: 12/06/2012 academic counseling on general curricular and occupational/vocational opportunities Basis for Partial Approval or Disapproval: The Department accepts the district's proposed corrective action to develop protocols that will allow ELL students access to guidance and counseling services in a language they understand. Department Order of Corrective Action: Required Elements of Progress Report(s): Please submit the district's newly developed protocols that will allow ELL students access to guidance and counseling services in a language they understand. Please include supporting evidence such as the list of translators and mechanisms that will coincide with MA Department of Elementary & Secondary Education , Program Quality Assurance Services Saugus CPR Corrective Action Plan 46 these protocols. This progress report is due February 1, 2013. Progress Report Due Date(s): 02/01/2013 MA Department of Elementary & Secondary Education , Program Quality Assurance Services Saugus CPR Corrective Action Plan 47 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: Although the district's policy as articulated in its handbook conforms with state law, the high school's submitted notice contains the following issues:1) the district's notice states that any student absent five (5) consecutive days will be dropped from the school, although interviews indicated that the district waits well beyond 15 consecutive days before acting; 2) the student is not sent the notice as required by law; 3) the requirement to provide the student and family with an opportunity to meet with a school representative is not directly and clearly stated in the notice; 4) required timelines and timeline extension are not stated in the notice; and 5) there is no evidence that the notice is sent annually for two years to families and students who have left without a diploma and not re-enrolled elsewhere, informing them of publically funded post-high school programs. Description of Corrective Action: Review and revise the district?s current procedures. Create a protocol that is in compliance with state laws in regards to notification to families and with providing them with opportunities. Create a tracking chart. Train guidance and staff of the laws that impact CR16. Title/Role(s) of responsible Persons: Expected Date of Executive Director of Curriculum and Instruction, principals, Completion: Executive Director of Pupil Personnel. 03/29/2013 Evidence of Completion of the Corrective Action: The school will have copies of notices that they send out for documentation, in addition to a tracking chart highlighting the data. Description of Internal Monitoring Procedures: Completed tracking chart. High school principal will meet quarterly to review the status of students dropping out to make sure that things are in place. CORRECTIVE ACTION PLAN APPROVAL SECTION Criterion: Corrective Action Plan Status: Approved CR 16 Notice to students 16 or over Status Date: 12/06/2012 leaving school without a high school diploma, certificate of attainment, or certificate of completion Basis for Partial Approval or Disapproval: The Department accepts the district's proposed corrective action to revise their procedures regarding notice to students 16 and over who leave school without a high school diploma, certificate of attainment, or certificate of completion in a manner that is compliant with this criterion. The Department also agrees that training the appropriate staff regarding these procedures should be part of the corrective action. MA Department of Elementary & Secondary Education , Program Quality Assurance Services Saugus CPR Corrective Action Plan 48 Department Order of Corrective Action: Required Elements of Progress Report(s): Please provide evidence of the staff training conducted, including attendance (with name and role), agenda and any training materials. Also submit evidence of the revised protocols including the form letter that will be sent to students, as well as evidence of specific students, if any, who have been required to receive the notice. This progress report is due February 1, 2013. Progress Report Due Date(s): 02/01/2013 MA Department of Elementary & Secondary Education , Program Quality Assurance Services Saugus CPR Corrective Action Plan 49 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: Administrative staff interviews indicated that the district implements staff training at least annually on the use of physical restraint consistent with regulatory requirements within the first month of school. However, school staff members did not consistently confirm that they had been trained. Submitted documentation verified only that district schools identify and train staff to serve as school-wide resources to help ensure the proper administration of physical restraint. Description of Corrective Action: Principals will ensure that all staff have been appropriately trained on the use of restraint consistent of regulatory requirements and on the district?s policy. Each building will identify crisis to be CPI trained and licensed in CPI. District sent three administrators to be CPI trained for the district. The three administrators will provide trainings across the trainings across the district to ensure compliance. Title/Role(s) of responsible Persons: Expected Date of Executive Director of Pupil Personnel, principals Completion: 01/30/2013 Evidence of Completion of the Corrective Action: Agendas and signatures of those attending the building training on regulatory requirements. List of trained individuals in each building. Documentation for the three staff trained in the district showing that they are certified trainers. Schedule of upcoming trainings that they will be completing. Description of Internal Monitoring Procedures: Agendas and signatures of those attending the building training on regulatory requirements. List of trained individuals in each building. Documentation for the three staff trained in the district showing that they are certified trainers. Schedule of upcoming trainings that they will be completing. CORRECTIVE ACTION PLAN APPROVAL SECTION Criterion: CR 17A Use of physical restraint on any student enrolled in a publicly-funded Corrective Action Plan Status: Approved Status Date: 12/06/2012 MA Department of Elementary & Secondary Education , Program Quality Assurance Services Saugus CPR Corrective Action Plan 50 education program Basis for Partial Approval or Disapproval: The Department accepts the district's proposed corrective action to have all staff appropriately trained on the use of physical restraint, as well as provide the Department with the information regarding their certified trainers. Department Order of Corrective Action: Required Elements of Progress Report(s): Please submit evidence that all district staff have been appropriately trained on the use of physical restraint and that these trainings were conducted by certified staff within the first month of the school year. Please include attendance (with name and role), agenda and any training materials used. Submit this documentation from each school building. This progress report is due February 1, 2013. Progress Report Due Date(s): 02/01/2013 MA Department of Elementary & Secondary Education , Program Quality Assurance Services Saugus CPR Corrective Action Plan 51 COORDINATED PROGRAM REVIEW CORRECTIVE ACTION PLAN Criterion & Topic: CPR Rating: CR 18 Responsibilities of the school principal Partially Implemented Department CPR Findings: According to staff interviews, consultative services are not consistently available to teachers as part of instructional practices and supports available to meet students in need. Description of Corrective Action: The district will continue to refine the Instructional Support Team protocols at all levels. The district will create a consistent process across all grade levels. School and district leadership will continue to collaborate with staff on effective tired systems of support for all students. District will continue to move towards a UDL model for the classroom setting. Title/Role(s) of responsible Persons: Expected Date of Executive Director of Curriculum and Instruction, Executive Completion: Director of Pupil Personnel 06/30/2013 Evidence of Completion of the Corrective Action: Principals will disseminate and educate staff on revised DCAPP. Updated protocols and procedures for IST. Teacher/administrator training on tiered systems of support and UDL. Description of Internal Monitoring Procedures: Monthly meetings with IST district-wide Team to review and revamp the current process. CORRECTIVE ACTION PLAN APPROVAL SECTION Criterion: Corrective Action Plan Status: Approved CR 18 Responsibilities of the school Status Date: 12/06/2012 principal Basis for Partial Approval or Disapproval: The Department accepts the district's proposed corrective action to refine the IST protocols and procedures, as well as train staff on the district's revised DCAP and tiered system of support. Department Order of Corrective Action: Required Elements of Progress Report(s): Please provide evidence of the staff training conducted, including attendance (with name and role), agenda and any training materials. In addition, please provide the district's newly developed and updated IST protocols, as well as a copy of the revised DCAP. This progress report is due February 1, 2013. Progress Report Due Date(s): 02/01/2013 MA Department of Elementary & Secondary Education , Program Quality Assurance Services Saugus CPR Corrective Action Plan 52 COORDINATED PROGRAM REVIEW CORRECTIVE ACTION PLAN Criterion & Topic: CPR Rating: CR 20 Staff training on confidentiality of student records Partially Implemented Department CPR Findings: Staff interviews with district administrators indicated that the district implements all-staff training at least annually on maintaining the confidentiality of student records consistent with regulatory requirements. However, school staff members did not consistently confirm that they had received training. Submitted documentation verified training of administrative personnel only. Description of Corrective Action: Principals will ensure that policies related to physical restraint, confidentiality of student records, civil rights and harassment are covered. Title/Role(s) of responsible Persons: Expected Date of Executive Director of Pupil Personnel, Curriculum and Completion: Instruction, School Principals 01/30/2013 Evidence of Completion of the Corrective Action: Agenda and attendance sheet. Description of Internal Monitoring Procedures: Once it is completed, the Agendas and Attendance sheets will be on file. CORRECTIVE ACTION PLAN APPROVAL SECTION Criterion: Corrective Action Plan Status: Approved CR 20 Staff training on confidentiality of Status Date: 12/06/2012 student records Basis for Partial Approval or Disapproval: The Department accepts the district's corrective action to train all staff on the confidentiality of student records and provide evidence of the training to the Department. Department Order of Corrective Action: Required Elements of Progress Report(s): Please provide evidence of the staff training conducted, including attendance (with name and role), agenda and any training materials. This progress report is due February 1, 2013. Progress Report Due Date(s): 02/01/2013 MA Department of Elementary & Secondary Education , Program Quality Assurance Services Saugus CPR Corrective Action Plan 53 COORDINATED PROGRAM REVIEW CORRECTIVE ACTION PLAN Criterion & Topic: CPR Rating: CR 21 Staff training regarding civil rights responsibilities Partially Implemented Department CPR Findings: Interviews with district administrators indicated that the district implements all-staff training at least annually regarding civil rights responsibilities consistent with regulatory requirements. However, school staff members did not consistently confirm that they had received training. In addition to a variety of training materials, submitted district documentation consisted of signed attendance sheets from 2008-2009 only. Description of Corrective Action: Principals will ensure that policies related to physical restraint, confidentiality of student records, civil rights and harassment are covered. Title/Role(s) of responsible Persons: Expected Date of Executive Director of Pupil Personnel, Curriculum and Completion: Instruction, School Principals 01/30/2013 Evidence of Completion of the Corrective Action: Agenda and attendance sheet. Description of Internal Monitoring Procedures: Once it is completed, the Agendas and Attendance sheets will be on file. CORRECTIVE ACTION PLAN APPROVAL SECTION Criterion: Corrective Action Plan Status: Approved CR 21 Staff training regarding civil rights Status Date: 12/06/2012 responsibilities Basis for Partial Approval or Disapproval: The Department accepts the district's corrective action to train all staff regarding civil rights responsibilities and provide evidence of the training to the Department. Department Order of Corrective Action: Required Elements of Progress Report(s): Please provide evidence of the staff training conducted, including attendance (with name and role), agenda and any training materials. This progress report is due February 1, 2013. Progress Report Due Date(s): 02/01/2013 MA Department of Elementary & Secondary Education , Program Quality Assurance Services Saugus CPR Corrective Action Plan 54 COORDINATED PROGRAM REVIEW CORRECTIVE ACTION PLAN Criterion & Topic: CPR Rating: CR 23 Comparability of facilities Partially Implemented Department CPR Findings: According to observation of the Veterans' Elementary School, the English Language Learners' instructional space is located in an open Physical Therapy room that is clearly not intended for academic use (for example, lacking access to bulletin boards, Smart Boards, reference materials). No other academic student service is provided in a nonacademic classroom. Description of Corrective Action: As of this year, the classroom is located in a space rill provide adequate instructional space for the group. Currently, in the room there is the following: ? White board ? Instructional table and chairs for small groups ? ELL instructional materials By the end of the year it will be outfitted with the following: ? Epson Projector Title/Role(s) of responsible Persons: Executive Director of Curriculum and Instruction, principal Expected Date of Completion: 06/30/2013 Evidence of Completion of the Corrective Action: The room will be fully furnished. Pictures will be sent. Description of Internal Monitoring Procedures: The principal will ensure adequate space and materials for ELL instruction that is consistent with other groups in the building. CORRECTIVE ACTION PLAN APPROVAL SECTION Criterion: CR 23 Comparability of facilities Corrective Action Plan Status: Disapproved Status Date: 12/06/2012 Basis for Partial Approval or Disapproval: It is not clear whether the new space for ELL students at the Veterans Elementary School is now appropriate. Department Order of Corrective Action: Develop a plan to move the ELL instructional space to an appropriate location. Required Elements of Progress Report(s): Submit a copy of the floor plan of Veterans Elementary School with the location of the ELL instructional space indicated. Submit this progress report by February 1, 2012. An on-site observation will be conducted prior to April 12, 2013. Progress Report Due Date(s): 02/01/2013 04/12/2013 MA Department of Elementary & Secondary Education , Program Quality Assurance Services Saugus CPR Corrective Action Plan 55 MA Department of Elementary & Secondary Education , Program Quality Assurance Services Saugus CPR Corrective Action Plan 56 COORDINATED PROGRAM REVIEW CORRECTIVE ACTION PLAN Criterion & Topic: CPR Rating: CR 25 Institutional self-evaluation Partially Implemented Department CPR Findings: According to document review, the district did not submit evidence that an institutional self-evaluation is conducted annually. Description of Corrective Action: As part of the annual school improvement and district and strategic planning process, the district will evaluate all aspects of the K-12 program to ensure equal access for all students. We will develop a cross-district team to examine systems and processes. As a level 3 district, we will complete the DESE self assessment tool for districts, as provided by DSAC to determine strategies for all. We will research options for a self-assessment tool with regard for equal access to all programs, including extracurricular and sports, and develop this tool to meet the needs of our district. This will be used annually to ensure compliance. This self-assessment will inform any necessary changes that need to me made in this regard, if there are any. Title/Role(s) of responsible Persons: Expected Date of Executive Director of Curriculum and Instruction, Executive Completion: Director of Pupil Personnel 08/15/2013 Evidence of Completion of the Corrective Action: We will have a tool that we can implement annually. Description of Internal Monitoring Procedures: The cross-district meetings led by the Executive Director of Curriculum and Instruction will provide monitoring and progress in this area. CORRECTIVE ACTION PLAN APPROVAL SECTION Criterion: CR 25 Institutional self-evaluation Corrective Action Plan Status: Approved Status Date: 12/06/2012 Basis for Partial Approval or Disapproval: The Department accepts the district's corrective action to develop and implement a selfassessment system to ensure that K-12 programming is accessible to all students. Department Order of Corrective Action: Required Elements of Progress Report(s): Submit a copy of the institutional self-evaluation. Progress Report Due Date(s): 02/01/2013 MA Department of Elementary & Secondary Education , Program Quality Assurance Services Saugus CPR Corrective Action Plan 57 COORDINATED PROGRAM REVIEW CORRECTIVE ACTION PLAN Criterion & Topic: CPR Rating: CR 26A Confidentiality and student records Partially Implemented Department CPR Findings: According to an observation of the high school and interviews with high school special education teachers, a computer printer used by special education staff teachers to print IEPs, notices, and other documents containing confidential student information is located in an unattended room available to students. Document review determined that the district's notice for students aged 16 or older who are leaving school without a diploma states that the district will withhold the transfer of a student's record because of unmet obligations. However, state and federal laws and regulations do not give districts the authority to deny students' access to their own records. Description of Corrective Action: High School Printers: The district will review the current location of confidential printers for special education staff at the high school. The district will then purchase printers, if needed, and locate them in the high school for the special education staff to use to ensure confidentiality. 16 or older: The district will ensure that the high school is trained and understands the laws so that students have access to their records. Title/Role(s) of responsible Persons: Expected Date of Executive Director of Curriculum and Instruction, Executive Completion: Director of Pupil Personnel 01/30/2013 Evidence of Completion of the Corrective Action: The staff will have access to confidential printers. Updated district notice on accessing records. Description of Internal Monitoring Procedures: The building principal will ensure that all staff have convenient access to a working confidential printer. MA Department of Elementary & Secondary Education , Program Quality Assurance Services Saugus CPR Corrective Action Plan 58 Principal will ensure that the updated notice is being used within the building. CORRECTIVE ACTION PLAN APPROVAL SECTION Criterion: Corrective Action Plan Status: Approved CR 26A Confidentiality and student Status Date: 12/06/2012 records Basis for Partial Approval or Disapproval: The Department accepts the district's corrective action to relocate printers used to print documents and information pertaining to special education students to a location that will ensure confidentiality. The district also accepts the district's proposal to revise the letter sent to students 16 and older. Department Order of Corrective Action: Required Elements of Progress Report(s): Please submit a narrative description, including a floor plan, that illustrates where the new printers for special education purposes have been relocated. In addition, please provide evidence of the staff training conducted, including attendance (with name and role), agenda and any training materials, including a copy of the revised letter mentioned above. This progress report is due February 1, 2013. An onsite observation will be conducted at the high school regarding confidentiality of student information and the printers. The observation will be conducted prior to April 12, 2013. Progress Report Due Date(s): 02/01/2013 04/12/2013 MA Department of Elementary & Secondary Education , Program Quality Assurance Services Saugus CPR Corrective Action Plan 59