MASSACHUSETTS DEPARTMENT OF ELEMENTARY AND SECONDARY
EDUCATION
Program Quality Assurance Services
COORDINATED PROGRAM REVIEW
CORRECTIVE ACTION PLAN
Charter School or District: Tisbury
CPR Onsite Year: 2012-2013
Program Area: Special Education
All corrective action must be fully implemented and all noncompliance
corrected as soon as possible and no later than one year from the issuance
of the Coordinated Program Review Final Report dated 04/23/2013.
Mandatory One-Year Compliance Date: 04/23/2014
Summary of Required Corrective Action Plans in this Report
Criterion
SE 2
Criterion Title
Required and optional assessments
SE 4
Reports of assessment results
SE 9
SE 13
Timeline for determination of eligibility and provision of
documentation to parent
Progress Reports and content
SE 18A
IEP development and content
SE 20
Least restrictive program selected
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
CPR Rating
Partially
Implemented
Partially
Implemented
Partially
Implemented
Partially
Implemented
Partially
Implemented
Partially
Implemented
Partially
Implemented
Criterion
SE 54
Criterion Title
Professional development
SE 55
Special education facilities and classrooms
CR 23
Comparability of facilities
CR 25
Institutional self-evaluation
CPR Rating
Partially
Implemented
Partially
Implemented
Partially
Implemented
Not Implemented
COORDINATED PROGRAM REVIEW
CORRECTIVE ACTION PLAN
Criterion & Topic:
CPR Rating:
SE 2 Required and optional assessments
Partially Implemented
Department CPR Findings:
Record review indicated that some Educational Assessment A forms, which include an
educational assessment by a representative of the school district with a history of the
student's educational progress in the general curriculum, and Educational Assessment B
forms, which include an assessment by a teacher with current knowledge regarding the
student's specific abilities in relation to learning standards of the Massachusetts
Curriculum Frameworks and the district's general education curriculum as well as an
assessment of the student's attention skills, participation behaviors, communication skills,
memory and social relations, were missing from the files.
Description of Corrective Action:
The Director will provide training for all special education staff and then develop and
distribute an assessment assignment sheet at the start of each evaluation that identifies
who is responsible for Educational Assessment A and B and the required date for
completion.
Title/Role(s) of responsible Persons:
Expected Date of
Donna Lowell-Bettencourt, Director of Student Support Services
Completion:
03/01/2014
Evidence of Completion of the Corrective Action:
Sign in sheets for the training and assessment assignments sheets will be evidence.
Description of Internal Monitoring Procedures:
The Director will monitor completion of Educational Assessment A and B through monthly
checks of two files at the elementary level and two files at the middle school level.
CORRECTIVE ACTION PLAN APPROVAL SECTION
Criterion:
SE 2 Required and optional assessments
Corrective Action Plan Status: Approved
Status Date: 05/20/2013
Basis for Partial Approval or Disapproval:
Department Order of Corrective Action:
Required Elements of Progress Report(s):
By September 30, 2013, submit evidence of training to general education and special
education staff on the requirements for completing Educational Assessment A and B
forms. Include the agenda, training date, signed attendance sheets indicating the
title/role of staff and the name and title of the presenter. In addition, complete the
missing educational assessments for those individual students identified by the
Department. Reconvene the IEP Teams to review the information and to determine
whether the individual student's current IEP is appropriate. Submit copies of the
educational assessments completed for the individual students identified by the
Department, as well as copies of the Team Meeting Invitation (N3) and Team Meeting
Attendance sheet (N3A) as evidence that IEP Teams reconvened to review the
assessment results.
By December 20, 2013, submit a report of the results of an internal review of records
conducted after the training to determine compliance. Include the number of student
records reviewed, the number of records in compliance, and for any records not in
MA Department of Elementary & Secondary Education, Program Quality Assurance Services
Tisbury CPR Corrective Action Plan
3
compliance, determine the root cause(s) of the non-compliance and the district's plan to
remedy the non-compliance.
*Please note when conducting internal monitoring, the district must maintain the
following documentation and make it available to the Department upon request: a) List of
student names and grade levels for the records reviewed; b) Date of the review; c) Name
of person(s) who conducted the review, with their role(s) and signature(s).
Progress Report Due Date(s):
09/30/2013
12/20/2013
MA Department of Elementary & Secondary Education, Program Quality Assurance Services
Tisbury CPR Corrective Action Plan
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COORDINATED PROGRAM REVIEW
CORRECTIVE ACTION PLAN
Criterion & Topic:
CPR Rating:
SE 4 Reports of assessment results
Partially Implemented
Department CPR Findings:
A review of the student records and staff interviews indicated that there have been
occurrences when summaries of assessments were not completed two days prior to the
Team meeting to be available to the parent in advance of the Team discussion, when
requested.
Description of Corrective Action:
The district's practice is to have the summaries of assessments available 2 days prior to
the Team meeting for all evaluation meetings including when the parent does not request
copies of the assessment summaries ahead of time. The district will create an assessment
assignment sheet which will include the due date of the summary of assessment needs to
be completed and available for parents which is at least two days prior to the Team
meeting. Training will be provided to all evaluators and special education staff regarding
the requirement that assessment summaries must be available two days prior to the
scheduled evaluation Team meeting if the parent requests. Speaking to some evaluators,
it had been their practice to date the reports on the date of the meeting even though they
were completed and made available prior to that date. This practice will no longer
continue and reports will be dated when they are completed and available.
Title/Role(s) of responsible Persons:
Expected Date of
Donna Lowell-Bettencourt, Director of Student Support Services
Completion:
03/01/2014
Evidence of Completion of the Corrective Action:
Training agenda and attendance sheet as well as assessment assignment sheets will be
evidence.
Description of Internal Monitoring Procedures:
The Director will randomly select three evaluation packets each month to monitor this
process and ensure compliance with this regulation.
CORRECTIVE ACTION PLAN APPROVAL SECTION
Criterion:
SE 4 Reports of assessment results
Corrective Action Plan Status: Approved
Status Date: 05/20/2013
Basis for Partial Approval or Disapproval:
Department Order of Corrective Action:
Required Elements of Progress Report(s):
By September 30, 2013, submit evidence of training to special education staff on these
requirements; include the agenda, training date, signed attendance sheets indicating the
title/role of staff and the name and title of the presenter.
By December 20, 2013, submit a report of the results of an internal review of records
conducted after the training to determine compliance; include the number of student
records reviewed, the number of records in compliance and for any records not in
compliance, determine the root cause(s) of the non-compliance and the district's plan to
remedy the non-compliance.
MA Department of Elementary & Secondary Education, Program Quality Assurance Services
Tisbury CPR Corrective Action Plan
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*Please note when conducting internal monitoring, the district must maintain the
following documentation and make it available to the Department upon request: a) List of
student names and grade levels for the records reviewed; b) Date of the review; c) Name
of person(s) who conducted the review, with their role(s) and signature(s).
Progress Report Due Date(s):
09/30/2013
12/20/2013
MA Department of Elementary & Secondary Education, Program Quality Assurance Services
Tisbury CPR Corrective Action Plan
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COORDINATED PROGRAM REVIEW
CORRECTIVE ACTION PLAN
Criterion & Topic:
CPR Rating:
SE 9 Timeline for determination of eligibility and provision of
Partially Implemented
documentation to parent
Department CPR Findings:
Record review indicated that within forty-five school working days of receiving the
parent's written consent to an initial evaluation or a re-evaluation, the district does not
always determine whether the student is eligible for special education and provide the
parent with either a proposed IEP and placement or a written explanation of the finding of
no eligibility.
Description of Corrective Action:
The Director will distribute timeline requirements and develop a plan to streamline the
handling of parental consent so that no time is lost prior to the beginning of the
evaluation process. Additionally, the Director will develop an assessment assignment
sheet that will alert Team of specific timeline dates for each student in the evaluation
process.
Title/Role(s) of responsible Persons:
Expected Date of
Donna Lowell-Bettencourt, Director of Student Support Services
Completion:
12/15/2013
Evidence of Completion of the Corrective Action:
Evidence will include timeline requirements information that is distributed and assessment
assignment sheet.
Description of Internal Monitoring Procedures:
Director will randomly pull a sampling of initial and reevaluation files at each level to selfassess improvement and compliance with this regulation.
CORRECTIVE ACTION PLAN APPROVAL SECTION
Criterion:
Corrective Action Plan Status: Approved
SE 9 Timeline for determination of
Status Date: 05/20/2013
eligibility and provision of documentation
to parent
Basis for Partial Approval or Disapproval:
Department Order of Corrective Action:
Required Elements of Progress Report(s):
By September 30, 2013, submit details of the plan to streamline the consent process and
evidence of training to special education staff on these requirements; include the agenda,
training date, signed attendance sheets indicating the title/role of staff and the name and
title of the presenter.
By December 20, 2013, submit a report of the results of an internal review of records
conducted after the training to determine compliance; include the number of student
records reviewed, the number of records in compliance and for any records not in
compliance, determine the root cause(s) of the non-compliance and the district's plan to
remedy the non-compliance.
MA Department of Elementary & Secondary Education, Program Quality Assurance Services
Tisbury CPR Corrective Action Plan
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*Please note when conducting internal monitoring, the district must maintain the
following documentation and make it available to the Department upon request: a) List of
student names and grade levels for the records reviewed; b) Date of the review; c) Name
of person(s) who conducted the review, with their role(s) and signature(s).
Progress Report Due Date(s):
09/30/2013
12/20/2013
MA Department of Elementary & Secondary Education, Program Quality Assurance Services
Tisbury CPR Corrective Action Plan
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COORDINATED PROGRAM REVIEW
CORRECTIVE ACTION PLAN
Criterion & Topic:
CPR Rating:
SE 13 Progress Reports and content
Partially Implemented
Department CPR Findings:
Record review indicated that reports on the student's progress towards reaching the goals
set in the IEP were not completed or given to parents with the same frequency as parents
are informed of the progress of non-disabled students.
Description of Corrective Action:
Director of Student Support Services will meet with all special education staff to discuss
past practice and describe correct practice of issuing progress reports at each general
education reporting juncture that report progress toward annual goals.
Title/Role(s) of responsible Persons:
Expected Date of
Donna Lowell-Bettencourt, Director of Student Support Services
Completion:
02/01/2014
Evidence of Completion of the Corrective Action:
Agenda and sign in sheets will document staff training in corrective action. Progress
reports at the end of the school year and going forward will be monitored for
completeness by the Director.
Description of Internal Monitoring Procedures:
Periodic monitoring of progress reports will be undertaken to assure that all students
receive the appropriately timed reporting information that addresses every annual goal in
the IEPs.
CORRECTIVE ACTION PLAN APPROVAL SECTION
Criterion:
SE 13 Progress Reports and content
Corrective Action Plan Status: Approved
Status Date: 05/20/2013
Basis for Partial Approval or Disapproval:
Department Order of Corrective Action:
Required Elements of Progress Report(s):
By September 30, 2013, submit evidence of training to special education staff on these
requirements; include the agenda, training date, signed attendance sheets indicating the
title/role of staff and the name and title of the presenter.
By December 20, 2013, submit a report of the results of an internal review of records
conducted after the training to determine compliance; include the number of student
records reviewed, the number of records in compliance and for any records not in
compliance, determine the root cause(s) of the non-compliance and the district's plan to
remedy the non-compliance.
*Please note when conducting internal monitoring, the district must maintain the
following documentation and make it available to the Department upon request: a) List of
student names and grade levels for the records reviewed; b) Date of the review; c) Name
of person(s) who conducted the review, with their role(s) and signature(s).
Progress Report Due Date(s):
09/30/2013
12/20/2013
MA Department of Elementary & Secondary Education, Program Quality Assurance Services
Tisbury CPR Corrective Action Plan
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COORDINATED PROGRAM REVIEW
CORRECTIVE ACTION PLAN
Criterion & Topic:
CPR Rating:
SE 18A IEP development and content
Partially Implemented
Department CPR Findings:
Record review and interviews indicated that IEP Teams do not consider and specifically
address the skills and proficiencies needed to avoid and respond to bullying, harassment
or teasing for students identified with a disability on the autism spectrum, for students
whose disability affects social skills development or when the student's disability makes
him or her vulnerable to bullying, harassment or teasing.
Description of Corrective Action:
A training will be conducted on the skills and proficiencies needed to avoid and respond to
bullying, harassment, or teasing for those students identified with a disability on the
autism spectrum, for students whose disability affects social skills development, or whose
disability makes him or her vulnerable to bullying, harassment, or teasing. Following the
training, at each IEP meeting, the Team will discuss the specific skills and proficiencies
needed for the student to avoid and respond to bullying, harassment or teasing and will
address these in either an annual goal if applicable or the Additional Information section
of the IEP.
Title/Role(s) of responsible Persons:
Expected Date of
Donna Lowell-Bettencourt, Director of Student Support Services
Completion:
01/01/2014
Evidence of Completion of the Corrective Action:
Attendance sheet of the training as well as IEP goals and additional information sections
will be evidence.
Description of Internal Monitoring Procedures:
The Director of Student Support Services periodically review students' IEPs to ensure
skills and proficiencies to avoid and respond to bullying, harassment or teasing were
discussed by the team and addressed in either an annual goal or the Additional
Information section of the IEP.
CORRECTIVE ACTION PLAN APPROVAL SECTION
Criterion:
SE 18A IEP development and content
Corrective Action Plan Status: Approved
Status Date: 05/20/2013
Basis for Partial Approval or Disapproval:
Department Order of Corrective Action:
Required Elements of Progress Report(s):
By September 30, 2013, submit evidence of training to special education staff on these
requirements; include the agenda, training date, signed attendance sheets indicating the
title/role of staff and the name and title of the presenter. In addition, for those students
whose records were identified as non-compliant by the Department, the district must
reconvene the IEP Teams to consider and address the skills and proficiencies needed to
avoid and respond to bullying, harassment or teasing. Submit a copy of the IEP, and the
Team Meeting Attendance Sheet (N3A) to indicate that the IEP Teams have reconvened to
discuss the skills and proficiencies to avoid and respond to bullying, harassment, or
teasing.
MA Department of Elementary & Secondary Education, Program Quality Assurance Services
Tisbury CPR Corrective Action Plan
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By December 20, 2013, submit a report of the results of an internal review of records
conducted after the training to determine compliance; include the number of student
records reviewed, the number of records in compliance and for any records not in
compliance, determine the root cause(s) of the non-compliance and the district's plan to
remedy the non-compliance.
*Please note when conducting internal monitoring, the district must maintain the
following documentation and make it available to the Department upon request: a) List of
student names and grade levels for the records reviewed; b) Date of the review; c) Name
of person(s) who conducted the review, with their role(s) and signature(s).
Progress Report Due Date(s):
09/30/2013
12/20/2013
MA Department of Elementary & Secondary Education, Program Quality Assurance Services
Tisbury CPR Corrective Action Plan
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COORDINATED PROGRAM REVIEW
CORRECTIVE ACTION PLAN
Criterion & Topic:
CPR Rating:
SE 20 Least restrictive program selected
Partially Implemented
Department CPR Findings:
Record review indicated that if the student is removed from the general education
classroom at any time, the Non-Participation Justification statement in the IEP is
inconsistent in explaining why the removal is considered critical to the student's program
and the basis for the Team's conclusion that education of the student in a less restrictive
environment, with the use of supplementary aids and services, could not be achieved
satisfactorily.
Description of Corrective Action:
The Director of Student Support Services will provide training for all Team Chairs
regarding the writing of non-participation justification statements
Title/Role(s) of responsible Persons:
Expected Date of
Donna Lowell-Bettencourt, Director of Student Support Services
Completion:
12/01/2013
Evidence of Completion of the Corrective Action:
Training agenda and attendance sheet will be evidence.
Description of Internal Monitoring Procedures:
The Director will select six IEPs randomly per month to determine if the Non-Participation
Justification statement indicates why removal of the student from the general education
classroom is considered critical to a student's program.
CORRECTIVE ACTION PLAN APPROVAL SECTION
Criterion:
SE 20 Least restrictive program selected
Corrective Action Plan Status: Approved
Status Date: 05/20/2013
Basis for Partial Approval or Disapproval:
Department Order of Corrective Action:
Required Elements of Progress Report(s):
By September 30, 2013, submit evidence of training to special education staff on these
requirements; include the agenda, training date, signed attendance sheets indicating the
title/role of staff and the name and title of the presenter.
By December 20, 2013, submit a report of the results of an internal review of records
conducted after the training to determine compliance; include the number of student
records reviewed, the number of records in compliance and for any records not in
compliance, determine the root cause(s) of the non-compliance and the district's plan to
remedy the non-compliance.
*Please note when conducting internal monitoring, the district must maintain the
following documentation and make it available to the Department upon request: a) List of
student names and grade levels for the records reviewed; b) Date of the review; c) Name
of person(s) who conducted the review, with their role(s) and signature(s).
Progress Report Due Date(s):
09/30/2013
12/20/2013
MA Department of Elementary & Secondary Education, Program Quality Assurance Services
Tisbury CPR Corrective Action Plan
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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:
Record review indicated that the Notice of Proposed School District Action (N1) does not
always include all of the federally required elements on page 2 of the N1 form.
Specifically, the notice does not always indicate the evaluation procedure, test, record or
report used in the IEP Team's determination, any rejected options that were considered,
and the next steps that are recommended.
Description of Corrective Action:
The district will undertake the following corrective action: 1) Review IEP documents to
assure that the guiding questions are present in the N1 form; 2) Proofread all N1 forms
prior to mailing and edit as needed; 3) Provide discussion and professional development
at special education department meetings on proper criteria for narrative.
Title/Role(s) of responsible Persons:
Expected Date of
Donna Lowell-Bettencourt, Director of Student Support Services
Completion:
03/01/2014
Evidence of Completion of the Corrective Action:
Training agenda and sign in sheets and random sampling of records will be evidence of
Corrective Action.
Description of Internal Monitoring Procedures:
Director will complete a random sampling of N1s for evaluations and IEPs on a semiannual basis. Results of the sampling will be documented and used to determine whether
any additional training is needed.
CORRECTIVE ACTION PLAN APPROVAL SECTION
Criterion:
Corrective Action Plan Status: Approved
SE 24 Notice to parent regarding
Status Date: 05/20/2013
proposal or refusal to initiate or change
the identification, evaluation, or
educational placement of the child or the
provision of FAPE
Basis for Partial Approval or Disapproval:
Department Order of Corrective Action:
Required Elements of Progress Report(s):
By September 30, 2013, submit evidence of training to special education staff on these
requirements; include the agenda, training date, signed attendance sheets indicating the
title/role of staff and the name and title of the presenter.
By December 20, 2013, submit a report of the results of an internal review of records
conducted after the training to determine compliance; include the number of student
records reviewed, the number of records in compliance and for any records not in
compliance, determine the root cause(s) of the non-compliance and the district's plan to
remedy the non-compliance.
MA Department of Elementary & Secondary Education, Program Quality Assurance Services
Tisbury CPR Corrective Action Plan
13
*Please note when conducting internal monitoring, the district must maintain the
following documentation and make it available to the Department upon request: a) List of
student names and grade levels for the records reviewed; b) Date of the review; c) Name
of person(s) who conducted the review, with their role(s) and signature(s).
Progress Report Due Date(s):
09/30/2013
12/20/2013
MA Department of Elementary & Secondary Education, Program Quality Assurance Services
Tisbury CPR Corrective Action Plan
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COORDINATED PROGRAM REVIEW
CORRECTIVE ACTION PLAN
Criterion & Topic:
CPR Rating:
SE 54 Professional development
Partially Implemented
Department CPR Findings:
Review of documentation and interviews indicated that the district has not trained all
general education staff on state and federal special education requirements and related
local special education policies and procedures.
Description of Corrective Action:
At the start of each year, all general education staff will participate in a training on state
and federal education requirements and related local special education policies and
procedures. New staffs that begin after the start of the year will complete the training
within two weeks of their start date.
Title/Role(s) of responsible Persons:
Expected Date of
Donna Lowell-Bettencourt, Director of Student Support Services
Completion:
John Custer, Principal
11/01/2013
Evidence of Completion of the Corrective Action:
Evidence will be signed completion of training by each staff member.
Description of Internal Monitoring Procedures:
Principals will confirm with the Director of Special Education when all general education
staff have been trained annually.
CORRECTIVE ACTION PLAN APPROVAL SECTION
Criterion:
SE 54 Professional development
Corrective Action Plan Status: Approved
Status Date: 05/20/2013
Basis for Partial Approval or Disapproval:
Department Order of Corrective Action:
Required Elements of Progress Report(s):
By September 30, 2013, submit evidence of training to general education staff on these
requirements; include the agenda, training date, signed attendance sheets indicating the
title/role of staff and the name and title of the presenter.
Progress Report Due Date(s):
09/30/2013
MA Department of Elementary & Secondary Education, Program Quality Assurance Services
Tisbury CPR Corrective Action Plan
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COORDINATED PROGRAM REVIEW
CORRECTIVE ACTION PLAN
Criterion & Topic:
CPR Rating:
SE 55 Special education facilities and classrooms
Partially Implemented
Department CPR Findings:
Classroom observations and interviews indicated that the space allocated for occupational
therapy and physical therapy is a portable classroom which limits the ability to provide
therapies with specialized equipment. In addition, the portable classroom is only
accessible through another classroom, which may be in use at any given time. As a result,
this space for occupational therapy and physical therapy is not given the same priority as
general education classrooms in the allocation of space and does not minimize the
separation or stigmatization of special education students, or provide for privacy and
confidentiality.
Description of Corrective Action:
Beginning in September of 2013, for the 2013-14 school year, the location for delivery of
OT and PT services at the Tisbury School will change. The gymnasium and adjoining
stage area are available for this use, and OT and PT staff will have access to those spaces
to use required specialized equipment. Increasingly, the school faces issues related to
inadequate space. (A comprehensive facilities needs study was completed during the
2012-13 school year, and the administration and School Committee have begun the
process that will hopefully lead to new construction or renovation/addition in order to
meet the educational needs of all students moving forward.)
Title/Role(s) of responsible Persons:
Expected Date of
John Custer, Principal
Completion:
09/01/2013
Evidence of Completion of the Corrective Action:
Use of the gymnasium and adjoining stage area for delivery of required OT and PT
services to students.
Description of Internal Monitoring Procedures:
Currently, OT services are needed at the Tisbury School for parts of 2 days each week.
PT services are needed for parts of one day each week. Working with administration, OT
and PT staff will schedule services when the gymnasium and adjoining stage area are not
in use. Work will continue on a longer-term plan to address this and more space-related
issues that the school faces.
CORRECTIVE ACTION PLAN APPROVAL SECTION
Criterion:
Corrective Action Plan Status: Approved
SE 55 Special education facilities and
Status Date: 05/20/2013
classrooms
Basis for Partial Approval or Disapproval:
Department Order of Corrective Action:
Required Elements of Progress Report(s):
By September 30, 2013, submit a copy of the floor plan that highlights the space used for
occupational therapy and physical therapy. Indicate the surrounding classrooms. An onsite visit may also be conducted by the Department. In addition, submit the plans for the
new construction and renovation with projected dates.
Progress Report Due Date(s):
09/30/2013
MA Department of Elementary & Secondary Education, Program Quality Assurance Services
Tisbury CPR Corrective Action Plan
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COORDINATED PROGRAM REVIEW
CORRECTIVE ACTION PLAN
Criterion & Topic:
CPR Rating:
CR 23 Comparability of facilities
Partially Implemented
Department CPR Findings:
See SE 55.
Description of Corrective Action:
Beginning in September of 2013, for the 2013-14 school year, the location for delivery of
OT and PT services at the Tisbury School will change. The gymnasium and adjoining
stage area are available for this use, and OT and PT staff will have access to those spaces
to use required specialized equipment. Increasingly, the school faces issues related to
inadequate space. (A comprehensive facilities needs study was completed during the
2012-13 school year, and the administration and School Committee have begun the
process that will hopefully lead to new construction or renovation/addition in order to
meet the educational needs of all students moving forward.)
Title/Role(s) of responsible Persons:
Expected Date of
John Custer, Principal
Completion:
09/01/2013
Evidence of Completion of the Corrective Action:
Use of the gymnasium and adjoining stage area for delivery of required OT and PT
services to students.
Description of Internal Monitoring Procedures:
Currently, OT services are needed at the Tisbury School for parts of 2 days each week.
PT services are needed for parts of one day each week. Working with administration, OT
and PT staff will schedule services when the gymnasium and adjoining stage area are not
in use. Work will continue on a longer-term plan to address this and more space-related
issues that the school faces.
CORRECTIVE ACTION PLAN APPROVAL SECTION
Criterion:
CR 23 Comparability of facilities
Corrective Action Plan Status: Approved
Status Date: 05/20/2013
Basis for Partial Approval or Disapproval:
Department Order of Corrective Action:
Required Elements of Progress Report(s):
See SE 55.
Progress Report Due Date(s):
09/30/2013
MA Department of Elementary & Secondary Education, Program Quality Assurance Services
Tisbury CPR Corrective Action Plan
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COORDINATED PROGRAM REVIEW
CORRECTIVE ACTION PLAN
Criterion & Topic:
CPR Rating:
CR 25 Institutional self-evaluation
Not Implemented
Department CPR Findings:
Interviews and documentation indicate that the district does not evaluate all aspects of its
K-12 program annually to ensure that all students, regardless of race, color, sex, gender
identity, religion, national origin, limited English proficiency, sexual orientation, disability,
or housing status, have equal access to all programs, including athletics and other
extracurricular activities.
Description of Corrective Action:
The Martha's Vineyard Public Schools will initiate a complete review of its entire School
Committee policies and make the necessary additions and changes to existing policies in
order to be in compliance with state and federal statute and ensure all protective
categories are included in policies. A further update of this review will be submitted in the
first program report to be submitted in December 2013.
Title/Role(s) of responsible Persons:
Expected Date of
James Weiss, Superintendent
Completion:
Laurie Halt, Asst. Superintendent
11/01/2013
Evidence of Completion of the Corrective Action:
Once the policy manual is completed, all policies will be in compliance with state and
federal statute and all protective categories will be included. The evidence of completion
will be a revised policy manual that is up-to-date and in compliance with state and federal
statute.
Description of Internal Monitoring Procedures:
The Superintendent and Assistant Superintendent will monitor full implementation of a
revision to the School Committee Policy Manual. This project will be completed by
November 1, 2013.
CORRECTIVE ACTION PLAN APPROVAL SECTION
Criterion:
CR 25 Institutional self-evaluation
Corrective Action Plan Status: Approved
Status Date: 05/20/2013
Basis for Partial Approval or Disapproval:
Department Order of Corrective Action:
Required Elements of Progress Report(s):
By December 20, 2013, submit a copy of the institutional self-evaluation.
Progress Report Due Date(s):
12/20/2013
MA Department of Elementary & Secondary Education, Program Quality Assurance Services
Tisbury CPR Corrective Action Plan
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MASSACHUSETTS DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION
COORDINATED PROGRAM REVIEW
Charter School or District: Tisbury Public Schools
Corrective Action Plan Forms
Program Area: English Learner Education
Prepared by: ELL Director, Leah Palmer
CAP Form will expand to as many lines as necessary. Before completing and emailing to
pqacap@doe.mass.edu, please see separate Instructions for Completing Corrective Action Plans.
All corrective action must be fully implemented and all noncompliance corrected as soon as
possible and no later than one year from the issuance of the Coordinated Program Review Final
Report to the school or district.
Mandatory One-Year Compliance Date: December 16, 2014
COORDINATED PROGRAM REVIEW
CORRECTIVE ACTION PLAN
(To be completed by school district/charter school)
Criterion & Topic: ELE 10 Parental
Notification
Rating: Partially Implemented
Department CPR Finding: Review of student records indicates that the annual notification to parents
is not consistently maintained in the records. Parent notification letters do not contain an explanation
about declining to enroll the student in the program.
Narrative Description of Corrective Action: In September 2013 Martha’s Vineyard Public Schools
adopted MA DESE’s Parent notification form that explains a parent/guardian’s right to decline
enrollment in the ESL program. This form was sent home to all current ELL families in the 5 Martha’s
Vineyard Districts, including The Tisbury School. In addition to the letter, Martha’s Vineyard ELL
Program brochures (with additional information about declining enrollment) and an explanation of the
WiDA English proficiency levels are sent home. A copy of the letter, brochure, and proficiency level
explanation are placed in each student’s ELL file. The ELL Coordinator at the Tisbury School will
complete a file checklist for each student bi-annually, January and June, starting January 2014.
Checklists will be submitted as evidence at the end of March 2014 and June 2014. The ELL Director
will collect a copy of the checklists to document these biannual file reviews.
MA Department of Elementary & Secondary Education, Program Quality Assurance Services
Tisbury CPR Corrective Action Plan
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Title/Role of Person(s) Responsible for
Implementation: ELL Director, The Tisbury
School ELL Coordinator
Expected Date of Completion for Each
Corrective Action Activity:
 Ongoing biannual ELL file reviews,
starting January 2014. Checklists will
be submitted by March 31, 2104.
 Explanation of declining/opting out
ESL enrollment on parent notification,
completed September 2013.
Evidence of Completion of the Corrective Action:
 New parent notification forms, English and Portuguese
 ELL Program Brochure
 WiDA English Proficiency levels
 ELL File checklists for all ELLs and monitored FLEP students enrolled in the district. .
Description of Internal Monitoring Procedures: ELL Director will collect copies of the file
checklists completed by the ELL Coordinator at the Tisbury School biannually and check 5 sample
ELL files with the file checklist, starting January 2014.
CORRECTIVE ACTION PLAN APPROVAL SECTION
(To be completed by the Department of Elementary and Secondary Education)
Criterion: ELE 10 Parental
Notification
Status of Corrective Action:
Approved
Partially Approved
Disapproved
Basis for Partial Approval or Disapproval:
Department Order of Corrective Action:
Required Elements of Progress Report(s): By May 5, 2014, submit a copy of the revised parent
notification letter.
By October 8, 2014, submit the results of an internal review of the district’s English language learner
student records to determine that the student records contain a copy of the revised parent notification
letter. Indicate the number of records that were reviewed from each building, the number of records
that were in full compliance, an explanation of the root cause for any continued non-compliance and a
description of the specific corrective action taken by the district to address any identified noncompliance.
Progress Report Due Date(s): May 5, 2014; October 8, 2014
COORDINATED PROGRAM REVIEW
CORRECTIVE ACTION PLAN
(To be completed by school district/charter school)
Criterion & Topic: ELE 17 Program Evaluation
Rating: Not Implemented
Department CPR Finding: Documentation and interviews indicate that the district does not conduct
periodic evaluations of the effectiveness of its ELE program in developing students’ English language
skills and increasing their ability to participate meaningfully in the educational program.
MA Department of Elementary & Secondary Education, Program Quality Assurance Services
Tisbury CPR Corrective Action Plan
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Narrative Description of Corrective Action: Martha’s Vineyard Public Schools will implement
DESE’s District ELE Program Evaluation SY 2013-2014 starting January 2014. An ELE team of
educators will be formed by March 2014 to collect and analyze ELL data to determine areas of
strengths and challenges, set goals/targets, and monitor progress.
Title/Role of Person(s) Responsible for
Expected Date of Completion for Each
Implementation: ELL Director and ELE Team
Corrective Action Activity:
1. p. 3 Establish a Team from District
ELE Program Evaluation: ELE Team
formed by February 28, 2014
2. p.4-5 Gather and Organize data from
District ELE Program Evaluation
3. Collect data on ELLs in Martha’s
Vineyard Public Schools to be inputted
to the appendix of District ELE
Program Evaluation by Feb 28, 2014.
4. p.6 Analyze the Data Part A, by March
31, 2014
5. p. 7 Analyze the Data Part B, by April
30, 2014.
6. p. 8 Set the Target, by May 31st, 2014
7. p. 9-10 Action plan, by August 31st
8. Monitoring, throughout SY14-15
completed June 2015
Evidence of Completion of the Corrective Action:
Submitted documents from DESE’s District ELE Program Evaluation SY 2013-2014:
1) Establish a team, p. 3: ELL team of educators, attendance sheets and agendas from ELE Team
meetings,
2) Gather and Organize Data, p.4-5: data analysis, strengths, challenges, target/goals, action plan, and
monitoring,
3) Analyze the Data Part A, p.6 by March 31, 2014
3) Analyze the Data Part B, p. 7 by April 30, 2014.
4) Set the Target, p. 8 by May 31st, 2014
5) Action plan, p. 9-10 by August 31st
6) Monitoring, throughout SY14-15 completed June 2015
Description of Internal Monitoring Procedures: Formation of ELE team, names and titles, agendas
and attendance from ELE team meetings, Completion of data input on appendix form of District ELE
Program Evaluation, written goals, action plans for each goal, monitoring of goals, presentation to
Cabinet 1x per year about ELE program’s progress
CORRECTIVE ACTION PLAN APPROVAL SECTION
(To be completed by the Department of Elementary and Secondary Education)
Criterion: ELE 17 Program Evaluation
Status of Corrective Action:
Approved
Partially Approved
Disapproved
Basis for Partial Approval or Disapproval:
Department Order of Corrective Action:
Required Elements of Progress Report(s): By May 5, 2014, submit a copy of the names and roles of
those included as part of the ELE Team, along with the attendance sheets and meeting agendas from
the meetings conducted. Include an action plan developed of what will be included in the district’s
MA Department of Elementary & Secondary Education, Program Quality Assurance Services
Tisbury CPR Corrective Action Plan
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evaluation.
By October 8, 2014, submit a copy of the ELE Program Evaluation.
Progress Report Due Date(s): May 5, 2014; October 8, 2014
COORDINATED PROGRAM REVIEW
CORRECTIVE ACTION PLAN
(To be completed by school district/charter school)
Criterion & Topic: ELE 18 Records of LEP
Students
Rating: Partially Implemented
Department CPR Finding: Review of records indicates that parent notification letters, progress
reports and report cards are not consistently maintained in the student record. Translated report cards
and parent notification letters were also not included in the student records when requested by parents.
Narrative Description of Corrective Action: Martha’s Vineyard Public Schools’ ESL teachers will
bring 2 sample ELL files to the ELL Team meeting January 16th 2014. The ELL Coordinators will walk
through the steps of checking the ELL files with the ELL file checklist. The Tisbury ESL teacher will
complete the student checklist for translations of parent notification letters and report cards by
February 28th 2014. ESL teachers will complete their first file review by March 31st and submit a copy
of the documents to the ELL Director. The ESL teacher at the Tisbury School will complete a ELL File
Record Keeping form for each student bi-annually, by February 15th and June 15th .ELL File Record
Keeping documents will be submitted as evidence by March 31, 2014 and June 15, 2014. The ELL
Director will collect a copy of the ELL File Record Keeping documents to document these biannual
file reviews.
MA Department of Elementary & Secondary Education, Program Quality Assurance Services
Tisbury CPR Corrective Action Plan
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Title/Role of Person(s) Responsible for
Implementation: ELL Director and The Tisbury
School’s ESL teacher
Expected Date of Completion for Each
Corrective Action Activity:
 List of attendance for File Review ELL
Team meeting, January 16, 2014.
 List of students with parent notification
and report card translation, February 28,
2014.
 ELL and Monitored FLEP Martha’s
Vineyard PS ELL File Record Keeping
documents, March 31, 2014.
 Progress reports added to files by
March 31, 2014
 3 sample ELE File checklists completed
by ELL Director, March 3, 2014.
 Ongoing biannual Martha’s Vineyard
Public Schools ELL File Record
Keeping, completed by February 15th
and June 15th-, documented on Martha’s
Vineyard Public Schools ELL File
Record Keeping.
 Ongoing yearly, list of students whose
parents/guardians requested translation
and evidence that translations were
completed and put in ELL files.
Evidence of Completion of the Corrective Action:
 Student name checklist showing translation of report cards and parent notifications were
provided to parents/guardians whom requested translations.
 ELL Progress Reports in ELE files by March 31, 2014, documented on Martha’s Vineyard PS
ELL File Record Keeping Document.
 Attendance sheet for the ELL file checklist workshop during the ELL team meeting, January
16th 2014.
 Martha’s Vineyard ELL File Record Keeping checklists submitted biannually by February 15th
and June 15th.
 Checklists from 3 sample files checked by ELL director biannually, ELL Record Check List.
 Evidence of ELL Progress Reports and Report Cards located in ELL files on Martha’s
Vineyard Public Schools ELL File Record Keeping document.
Description of Internal Monitoring Procedures: ELL Director will collect copies of the Martha’s
Vineyard Public Schools ELL File Record Keeping documents completed by the ESL teacher at The
Tisbury School biannually and check 3 sample ELE files with the file checklist, by March 31st, 2014.
CORRECTIVE ACTION PLAN APPROVAL SECTION
(To be completed by the Department of Elementary and Secondary Education)
Criterion: ELE 18 Records of LEP
Students
Status of Corrective Action:
Approved
Partially Approved
Disapproved
Basis for Partial Approval or Disapproval:
Department Order of Corrective Action:
Required Elements of Progress Report(s): By May 5, 2014, submit a copy of the ELL file checklist
and samples of translated report cards and parent notification letters.
MA Department of Elementary & Secondary Education, Program Quality Assurance Services
Tisbury CPR Corrective Action Plan
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By October 8, 2014, submit the results of an internal review of the district’s English language learner
student records to determine that the student records contain all required information. Indicate the
number of records that were reviewed from each building, the number of records that were in full
compliance, an explanation of the root cause for any continued non-compliance and a description of the
specific corrective action taken by the district to address any identified non-compliance.
Progress Report Due Date(s): May 5, 2014; October 8, 2014
MA Department of Elementary & Secondary Education, Program Quality Assurance Services
Tisbury CPR Corrective Action Plan
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