MASSACHUSETTS DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION Program Quality Assurance Services

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MASSACHUSETTS DEPARTMENT OF ELEMENTARY AND SECONDARY
EDUCATION
Program Quality Assurance Services
COORDINATED PROGRAM REVIEW
CORRECTIVE ACTION PLAN
Charter School or District: Uxbridge
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 12/11/2013.
Mandatory One-Year Compliance Date: 12/11/2014
Summary of Required Corrective Action Plans in this Report
Criterion
SE 2
Criterion Title
Required and optional assessments
SE 9
SE 13
Timeline for determination of eligibility and provision of
documentation to parent
Progress Reports and content
SE 20
Least restrictive program selected
SE 22
IEP implementation and availability
SE 25
Parental consent
SE 34
Continuum of alternative services and placements
CPR Rating
Partially
Implemented
Partially
Implemented
Partially
Implemented
Partially
Implemented
Partially
Implemented
Partially
Implemented
Partially
Implemented
Criterion
SE 35
Criterion Title
Assistive technology: specialized materials and equipment
SE 36
SE 49
IEP implementation, accountability and financial
responsibility
Related services
SE 54
Professional development
CR 10A
Student handbooks and codes of conduct
CR 12A
CR 20
Annual and continuous notification concerning
nondiscrimination and coordinators
Use of physical restraint on any student enrolled in a
publicly-funded education program
Staff training on confidentiality of student records
CR 21
Staff training regarding civil rights responsibilities
CR 22
Accessibility of district programs and services for students
with disabilities
Confidentiality and student records
CR 17A
CR 26A
CPR Rating
Partially
Implemented
Partially
Implemented
Partially
Implemented
Partially
Implemented
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 2 Required and optional assessments
Partially Implemented
Department CPR Findings:
A review of student records indicates that the district is using its own "Current
Performance Report" in lieu of the Educational Assessment Form B: Current Teacher
Assessment. The district's form omits the following assessment information: the student's
level of attention, communication abilities, memory and interpersonal skills as compared
to his or her peers.
Description of Corrective Action:
The Director reviewed with the team chairs the correct use of Educational Assessment of
Part A and B on 12/11/2013.
Title/Role(s) of Responsible Persons:
Expected Date of
Team Chairs and Director of Pupil Services
Completion:
04/30/2014
Evidence of Completion of the Corrective Action:
Completed forms in student folders who have had initial and re-evaluation meetings for
which this was required.
Sign in sheet for the Director's review of Ed. Assessment A and B.
Description of Internal Monitoring Procedures:
Will review all Ed. Assessments between January and April 2014.
CORRECTIVE ACTION PLAN APPROVAL SECTION
Criterion:
SE 2 Required and optional assessments
Corrective Action Plan Status: Approved
Status Date: 02/24/2014
Basis for Status Decision:
Department Order of Corrective Action:
Required Elements of Progress Report(s):
By March 28, 2014, provide a narrative description of the corrective actions taken for
each student identified in the Student Record Issues Worksheet and submit a copy of the
completed Educational Assessment Form B: Current Teacher Assessment and
accompanying N1 form.
By March 28, 2014, submit a narrative description of the district's revised procedures
related to the completion of Educational Assessment A and B, along with evidence of staff
training on these procedures, which will include but not be limited to a training agenda,
signed attendance sheet and copies of the materials presented.
By May 2, 2014, following implementation of the revised procedures and training, conduct
an internal review of 5 student records per level (preK, elementary, middle, hs & including
out-of-district) where parental consent was received for initial or re-evaluations. Submit a
detailed analysis of the internal review, including the number of student records reviewed
at each level; the number of records that contained observations as relevant;
comprehensive Educational Assessments A (a history of the student's educational
progress in the general curriculum); and B Current performance (teacher assessment that
MA Department of Elementary & Secondary Education, Program Quality Assurance Services
Uxbridge CPR Corrective Action Plan
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addresses attention skills, participation behaviors, communication skills, memory and
social relations with groups, peers and adults). If non-compliance is identified, report the
specific actions taken to correct each individual student file, identify and report the root
cause(s) of the ongoing non-compliance and a plan to remedy it.
*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 person(s) who
conducted the review, their roles(s), and their signature(s).
Progress Report Due Date(s):
03/28/2014
05/02/2014
MA Department of Elementary & Secondary Education, Program Quality Assurance Services
Uxbridge 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:
A review of student records indicates that, district-wide, assessments are not always
completed within 30 school working days of receipt of parental consent to an initial
evaluation or a re-evaluation. At the high school level, IEP Team meetings are not
consistently held within 45 school working days of receipt of parental consent.
Description of Corrective Action:
The team chairs reviewed the regulations regarding the 30 and 45 days with the
evaluators at sped management meetings.
Title/Role(s) of Responsible Persons:
Expected Date of
Team Chairs and Director of Pupil Services
Completion:
04/30/2014
Evidence of Completion of the Corrective Action:
Signed attendance sheet from team chair meetings.
Spreadsheet of all evaluations between January and April 2014 with day of consent, 30
days, 45 days and date of IEP meetings.
Description of Internal Monitoring Procedures:
Spreadsheet review with team chairs and director.
CORRECTIVE ACTION PLAN APPROVAL SECTION
Criterion:
Corrective Action Plan Status: Partially
SE 9 Timeline for determination of
Approved
eligibility and provision of documentation
Status Date: 02/24/2014
to parent
Basis for Status Decision:
The district's proposed corrective action does not include a root cause for the noncompliance or an internal method to track timelines to ensure timely completion of
assessments and convening meetings within 45 days of parental receipt of consent for
high school students.
Department Order of Corrective Action:
Develop a sample of student records from each school level (preK, elementary, middle,
HS) with initial and re-evaluations conducted between April 2013 and October 2013.
Conduct a root cause analysis by reviewing each record for the dates of completion of
consented-to assessments.
Develop a sample of high school student records with initial and re-evaluations conducted
between April 2013 and October 2013. Conduct a root cause analysis by reviewing each
high school record for the dates of convening the IEP meeting from the date of receipt of
parental consent.
The district's corrective actions should be based on patterns of noncompliance identified
from this record review. The district's proposal must also include a method to track the
timely completion of all assessments and for convening IEP teams within 45 days from
receipt of consent at the high school.
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Required Elements of Progress Report(s):
By March 28, 2014, submit the results of the root cause analysis why consented-to
assessments are not consistently completed within 30 days of receipt of parental consent.
Submit a narrative description of the district's corrective actions based on the root cause
analysis, ensuring the completion of assessments within 30 days of receipt of parental
consent. Provide evidence of the district's corrective actions, including any revised
procedures, staff training on these procedures, and oversight mechanism.
By March 28, 2014, submit the results of the root cause analysis why IEPs/placements are
not proposed within 45 days at the high school level. Submit a narrative description of the
district's revised procedures ensuring the proposal of IEPs/placements within 45 days of
receipt of parental consent, along with evidence of staff training on these procedures,
which will include but not be limited to a training agenda, signed attendance sheet and
copies of the materials presented.
By May 2, 2014, conduct a second internal record review of 5 student records per level
(elementary, middle & hs) where parental consent was received for initial or reevaluations following the implementation of all corrective actions. Submit a detailed
analysis of the second internal review, including the number of student records reviewed
at each level & the number of records that had assessments completed within 30 days
and IEP Teams convened within 45 days of receipt of parental consent.
If non-compliance is identified, report the specific actions taken to correct each individual
student file, identify and report the root cause(s) of the ongoing non-compliance and a
plan to remedy it. *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
person(s) who conducted the review, their roles(s), and their signature(s).
Progress Report Due Date(s):
03/28/2014
05/02/2014
MA Department of Elementary & Secondary Education, Program Quality Assurance Services
Uxbridge 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:
A review of student records and interviews indicate that at all levels, progress reports do
not include written information on the student's progress towards reaching the annual IEP
goals.
At the middle and high school levels, progress reports are not routinely written for all
Academic Support IEP goals. Also at the middle and high school levels, progress reports
are often inaccurate and state that students have met their IEP goals of passing general
curriculum courses with a C average or better when the report cards indicate that the
students have failed these courses.
Description of Corrective Action:
Director completed training with all staff responsible for writing IEP progress reports. The
training covered: how the progress reports need to speak to the goal and benchmarks of
the IEP; goals will be skills oriented and not grade based on an academic class; and
progress reports need to be written for all IEP goals at each progress report period.
Title/Role(s) of Responsible Persons:
Expected Date of
Team chairs and Director
Completion:
04/30/2014
Evidence of Completion of the Corrective Action:
Sign in sheet from training with agenda and training pages.
Copies of random progress reports.
Description of Internal Monitoring Procedures:
The director will review random progress reports to review specifically for the connectivity
to the goals and benchmarks.
CORRECTIVE ACTION PLAN APPROVAL SECTION
Criterion:
SE 13 Progress Reports and content
Corrective Action Plan Status: Approved
Status Date: 02/24/2014
Basis for Status Decision:
Department Order of Corrective Action:
Required Elements of Progress Report(s):
By March 28, 2014, submit a narrative description of the district's revised procedures
related to the completion of progress reports, along with evidence of staff training on
these procedures, which will include but not be limited to a training agenda, signed
attendance sheet and copies of the materials presented.
By May 2, 2014, conduct an internal record review of 5 student records per level
(elementary, middle & hs) to ensure that progress reports include written information on
the student's progress towards reaching all annual IEP goals, including Academic Support
IEP goals at the middle and high school levels. Report the number of records reviewed
and the number with progress reports for each IEP goal. If non-compliance is identified,
report the specific actions taken to correct each individual student file, identify and report
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the root cause(s) of the ongoing non-compliance and a plan to remedy it. *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 person(s) who conducted the
review, their roles(s), and their signature(s).
Progress Report Due Date(s):
03/28/2014
05/02/2014
MA Department of Elementary & Secondary Education, Program Quality Assurance Services
Uxbridge 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:
A review of student records, documentation and interviews indicate that at the high
school level students are not always placed in the least restrictive environment. General
Education Foundations ELA and math classes identified as full inclusion courses on IEP
service delivery grids are comprised of special education students and students with
Section 504 Accommodation Plans. The classes are taught by special education teachers
who do not hold licenses in specific content areas.
Description of Corrective Action:
With the start of the 13-14 school year, the high school has assigned licensed general
education teachers to the Foundation ELA and math classes. Also added were resource
level ELA and math classes.
Title/Role(s) of Responsible Persons:
Expected Date of
Director of Pupil Services, high school team chair and principal
Completion:
04/30/2014
Evidence of Completion of the Corrective Action:
Teacher schedules and copies of licenses.
Copy of high school course of studies regarding the noted classes to school year 13-14
Description of Internal Monitoring Procedures:
This action was completed before the school year began.
CORRECTIVE ACTION PLAN APPROVAL SECTION
Criterion:
SE 20 Least restrictive program selected
Corrective Action Plan Status: Approved
Status Date: 02/24/2014
Basis for Status Decision:
Department Order of Corrective Action:
Required Elements of Progress Report(s):
Progress Report Due Date(s):
MA Department of Elementary & Secondary Education, Program Quality Assurance Services
Uxbridge CPR Corrective Action Plan
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COORDINATED PROGRAM REVIEW
CORRECTIVE ACTION PLAN
Criterion & Topic:
CPR Rating:
SE 22 IEP implementation and availability
Partially Implemented
Department CPR Findings:
A review of student records, documents and interviews indicate that IEPs accepted by the
parents are not always implemented as written. District-wide issues include:
Physical therapy services are routinely cancelled.
Board Certified Behavior Analysts (BCBAs) are not providing weekly consultation to BCBA
paraprofessionals as required by IEPs of students on the autism spectrum.
IEPs state that students will be transported with non-disabled peers on regular
transportation vehicles with modifications that include seat belts, bus monitors, and door
to door pick up/drop off; however, the district is actually providing special transportation
on a minibus with only eligible students.
At the elementary level, students do not receive related services with the frequency as
identified in their IEP service delivery grids. While the service delivery grids at the
elementary level are based on a five-day cycle, several related service providers follow a
six-day middle school cycle. Due to schedule discrepancies, some students routinely miss
services which result in a reduction of direct service hours annually. The elementary level
is also unable to consistently implement the specific assistive technology requirements on
accepted IEPs.
At the middle and high school levels, IEP service delivery grids indicate that students will
receive special education instruction for an entire year; however, courses operate on a
trimester schedule. Special education instruction and services stop once the trimester
has ended. Since the district implements IEPs around the course schedule instead of a
student's disability and instructional need, the district does not accurately represent the
duration of services on the IEP service delivery grids and IEPs are not implemented as
written.
Description of Corrective Action:
1) The BCBA at the elementary was relived of the PK team chair position to allow her to
take responsibility for the majority of elementary students, thus allowing the other BCBA
to concentrate on middle and high school students. The district also purchased the ACE
curriculum for 20 students which would save time for the BCBAs in updating curriculum
for the ASD students.
2) Team chairs will review with all services providers the requirements regarding making
up missed sessions.
3) The director will review the differences between the regular and special transportation
with the team chairs.
4) Starting 14-15 school year, both the middle and high school will be on a 6 day cycle.
This will eliminate the missed sessions for the shared staff between those 2 buildings.
The Team chairs and other district wide service providers will determine how to write
service time so that the IEP service times will be fulfilled. This only impacts the OT.
5) Assistive Tech- see SE 35
6) This has been addressed by entering the dates on the services delivery grid when it is
known and indicating if the class is in semester one or two.
MA Department of Elementary & Secondary Education, Program Quality Assurance Services
Uxbridge CPR Corrective Action Plan
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Title/Role(s) of Responsible Persons:
Team chairs, BCBAs, middle and high school principal, PT
Expected Date of
Completion:
10/31/2014
Evidence of Completion of the Corrective Action:
1) Schedules of BCBAs and PO for ACE curriculum.
2) The PT will keep a log of missed sessions and when they were made up. Will develop
and submit procedures for making up missed sessions that would be included in the SPED
procedural manual.
3) Sign in sheet and handouts used for regular vs. special transportation .
4) Copies of middle and high school schedules and narrative to OT covering elementary
and 6 day cycle buildings.
5) See SE 35
6) Sample copies of high school services delivery grids.
Description of Internal Monitoring Procedures:
Director will review session logs kept by the BCBAs, PT and OT for the makeup of any
missed sessions. Director will review high school IEPs and ensure the service delivery
indicates classes that are not year long. Director will review all IEPs of students needing
special transportation.
CORRECTIVE ACTION PLAN APPROVAL SECTION
Criterion:
SE 22 IEP implementation and
availability
Basis for Status Decision:
Corrective Action Plan Status: Approved
Status Date: 02/24/2014
Department Order of Corrective Action:
Required Elements of Progress Report(s):
By March 28, 2014, following staff training and implementation of all corrective actions
the district will conduct the following four internal reviews:
1. Conduct an analysis of the BCBA, PT and OT service delivery logs. Report the number
of canceled related services sessions and the number of sessions made up and/or the
district's plans to make up missed services for eligible students. If continued noncompliance is identified, identify and report the root cause and the district's specific plan
to remedy it.
2. Conduct an internal review of related service teacher schedules and IEP related service
delivery grids from each school at the elementary level. Report by school the number
student records reviewed and the number of students actually receiving the duration and
frequency of related serviced as specified in their consented-to IEP service grids. If
continued non-compliance is identified, report the specific actions taken to ensure that
IEPs are implemented as written, identify and report the root cause of the ongoing noncompliance and provide a specific plan of action to remedy it.
3. Conduct an internal review of student IEP service grids at the middle and high school
levels. Report the number of records reviewed at each level and the number of records
whose IEP service grids align with student schedules (year long or trimester) and that
accurately reflect the duration of the academic courses of study students received. If
ongoing non-compliance is identified, report the specific actions taken to ensure that IEPs
MA Department of Elementary & Secondary Education, Program Quality Assurance Services
Uxbridge CPR Corrective Action Plan
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are implemented as written, identify and report the root cause of the ongoing noncompliance and a specific plan of action to remedy it.
4. Conduct an internal review of all students who have special transportation identified on
their IEP Transportation Services page. Report the number of students with IEPs requiring
special transportation to be provided on a regular transportation vehicle with
modifications and/or specialized equipment and precautions. Report the number of these
students who are transported on regular transportation vehicles with non-disabled peers.
If continued non-compliance is identified, report the specific actions taken to ensure the
IEP is implemented as written, identify and report the root cause of the ongoing noncompliance and a specific plan of action to remedy it.
*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 person(s) who
conducted the review, their roles(s), and their signature(s).
Progress Report Due Date(s):
03/28/2014
MA Department of Elementary & Secondary Education, Program Quality Assurance Services
Uxbridge CPR Corrective Action Plan
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COORDINATED PROGRAM REVIEW
CORRECTIVE ACTION PLAN
Criterion & Topic:
CPR Rating:
SE 25 Parental consent
Partially Implemented
Department CPR Findings:
A review of student records and interviews confirm that the district does not have
procedures in place for obtaining parental consent to a student's IEP, such as through
letters, written notices sent by certified mail, electronic mail (e-mail), telephone calls, or
home visits, when the parent fails or refuses to provide consent.
Description of Corrective Action:
A new procedure was put in place. Each building as well as central office has a red stamp
that is used for all 2nd and 3rd notices of unsigned IEPS. Team chair secretary and
Director's assistant will call home and send a copy of the unsigned IEP. Any IEPs that
need a 3rd notice will also be sent to BSEA.
Title/Role(s) of Responsible Persons:
Expected Date of
Team chairs, team chair secretary, Director and her assistant
Completion:
04/30/2014
Evidence of Completion of the Corrective Action:
Copies of IEPs with new red stamp and BSEA letters.
Description of Internal Monitoring Procedures:
Team chairs, Director and assistant will review the unsigned IEPs monthly.
CORRECTIVE ACTION PLAN APPROVAL SECTION
Criterion:
SE 25 Parental consent
Corrective Action Plan Status: Approved
Status Date: 02/24/2014
Basis for Status Decision:
Department Order of Corrective Action:
Required Elements of Progress Report(s):
By March 28, 2014, submit revised district procedures for obtaining parental consent to a
student's IEP when the parent fails or refuses to provide consent, along with evidence of
staff training on these procedures, which will include but not be limited to a training
agenda, signed attendance sheet and copies of the materials presented.
By May 2, 2014, following implementation of the revised procedures and training, conduct
an internal review of 5 student records per level (preK, elementary, middle, hs & including
out-of-district) for evidence that when parental consent is not received, the district has
documented its multiple attempts & contacts. Submit a detailed analysis of the internal
review, including the number of student records reviewed at each level; the number of
records that contained evidence of documented attempts to obtain consent. If noncompliance is identified, report the specific actions taken to correct each individual
student file, identify and report the root cause(s) of the ongoing non-compliance and a
plan to remedy it.
MA Department of Elementary & Secondary Education, Program Quality Assurance Services
Uxbridge CPR Corrective Action Plan
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*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 person(s) who
conducted the review, their roles(s), and their signature(s).
Progress Report Due Date(s):
03/28/2014
05/02/2014
MA Department of Elementary & Secondary Education, Program Quality Assurance Services
Uxbridge CPR Corrective Action Plan
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COORDINATED PROGRAM REVIEW
CORRECTIVE ACTION PLAN
Criterion & Topic:
CPR Rating:
SE 34 Continuum of alternative services and placements
Partially Implemented
Department CPR Findings:
Interviews and a review of student records indicate that the district is not able to meet
the needs of all students with disabilities as it does not provide a continuum of services at
the middle and high school levels; the district offers either full inclusion courses or
substantially separate special education classes only. The district's continuum offers the
least and most restrictive settings, but the continuum does not provide students with
opportunities for partial inclusion, such as through resource room settings, as appropriate.
Description of Corrective Action:
At the beginning of the 13-14 school year, the middle school began a resource math
which is co-taught by a licensed math teacher and a moderate special needs teacher. At
the beginning of the 13-14 school year the high school began an resource Integrated ELA
and Math classes that are taught by moderate special needs teachers.
Title/Role(s) of Responsible Persons:
Expected Date of
Team chairs, Director, middle and high school principals
Completion:
04/30/2014
Evidence of Completion of the Corrective Action:
High school program of studies, pertinent pages.
Middle school and high school student schedules with teacher licenses.
Description of Internal Monitoring Procedures:
Director's continued work with the buildings principals to ensure a continuum of services
across the district.
CORRECTIVE ACTION PLAN APPROVAL SECTION
Criterion:
SE 34 Continuum of alternative services
and placements
Basis for Status Decision:
Corrective Action Plan Status: Approved
Status Date: 02/24/2014
Department Order of Corrective Action:
Required Elements of Progress Report(s):
On March 28, 2014, provide teacher names & licensure data for the math teacher and
moderate special needs teacher in the co-taught MS math class and for the moderate
special needs teachers in the HS resource Integrated ELA and Math classes. The district
has provided copies of the class schedules for each in Additional Documents.
Progress Report Due Date(s):
03/28/2014
MA Department of Elementary & Secondary Education, Program Quality Assurance Services
Uxbridge CPR Corrective Action Plan
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COORDINATED PROGRAM REVIEW
CORRECTIVE ACTION PLAN
Criterion & Topic:
CPR Rating:
SE 35 Assistive technology: specialized materials and equipment
Partially Implemented
Department CPR Findings:
Staff interviews confirm that IEPs are not always implemented as written at the
elementary level as the district is unable to consistently provide the assistive technology
indicated on accepted IEPs. Specifically, classrooms have outdated computers that do not
contain disk drives and teachers cannot run needed software, or the computer systems
are not compatible with the assistive technology software needed to implement IEPs.
Description of Corrective Action:
Newer computers were placed in the resource room that this SE references. Software
that was downloadable was purchased by the district which by-passed the need for disk
drives.
Title/Role(s) of Responsible Persons:
Expected Date of
Director, technology director and team chairs
Completion:
04/30/2014
Evidence of Completion of the Corrective Action:
Purchase Orders for the downloadable software.
Written documentation of the computer installations from the technology director.
Description of Internal Monitoring Procedures:
Team chairs will email the director and technology director as Assistive Technology is
required per IEPs. The Technology director and Director of Pupil Services will discuss the
needs for any purchases or reassignment of equipment.
CORRECTIVE ACTION PLAN APPROVAL SECTION
Criterion:
SE 35 Assistive technology: specialized
materials and equipment
Basis for Status Decision:
Corrective Action Plan Status: Approved
Status Date: 02/24/2014
Department Order of Corrective Action:
Required Elements of Progress Report(s):
By March 28, 2014, submit documentation (purchase orders, written documentation of
installations from the technology director) that computers and needed software were
placed in the resource rooms at the start of the 2013-2014 SY.
By May 2, 2014, following implementation of all corrective actions, conduct an internal
review of students at the elementary level whose IEPs who require assistive technology
(AT). Report the number of teachers with students whose IEPs require the use of specific
software needed to implement IEPs. Report the number of teachers who have access to
computers that are compatible and can run software needed to implement IEPs. If any
non-compliance is identified, report the specific actions taken to ensure that IEPs are
implemented as written. Identify and report the root cause of the ongoing non-compliance
and a plan of action to remedy it.
MA Department of Elementary & Secondary Education, Program Quality Assurance Services
Uxbridge CPR Corrective Action Plan
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*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 person(s) who
conducted the review, their roles(s), and their signature(s).
Progress Report Due Date(s):
03/28/2014
05/02/2014
MA Department of Elementary & Secondary Education, Program Quality Assurance Services
Uxbridge CPR Corrective Action Plan
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COORDINATED PROGRAM REVIEW
CORRECTIVE ACTION PLAN
Criterion & Topic:
CPR Rating:
SE 36 IEP implementation, accountability and financial
Partially Implemented
responsibility
Department CPR Findings:
A review of student records, documentation and interviews indicate that the district does
not oversee the full implementation of each in-district IEP it proposes which has been
consented to by a child's parents. See SE 22.
Description of Corrective Action:
See SE 22
Title/Role(s) of Responsible Persons:
Expected Date of
Team chairs and Director of Pupil Services
Completion:
04/30/2014
Evidence of Completion of the Corrective Action:
Review of random student files.
Description of Internal Monitoring Procedures:
Review of services at meetings between team chairs and Director.
CORRECTIVE ACTION PLAN APPROVAL SECTION
Criterion:
SE 36 IEP implementation, accountability
and financial responsibility
Basis for Status Decision:
Corrective Action Plan Status: Approved
Status Date: 02/24/2013
Department Order of Corrective Action:
Required Elements of Progress Report(s):
See progress reporting requirements for SE 22.
Progress Report Due Date(s):
03/28/2014
MA Department of Elementary & Secondary Education, Program Quality Assurance Services
Uxbridge CPR Corrective Action Plan
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COORDINATED PROGRAM REVIEW
CORRECTIVE ACTION PLAN
Criterion & Topic:
SE 49 Related services
Department CPR Findings:
See SE 22.
Description of Corrective Action:
See SE22
Title/Role(s) of Responsible Persons:
Team chairs and director
CPR Rating:
Partially Implemented
Expected Date of
Completion:
10/31/2014
Evidence of Completion of the Corrective Action:
See SE22
Description of Internal Monitoring Procedures:
See SE22
CORRECTIVE ACTION PLAN APPROVAL SECTION
Criterion:
SE 49 Related services
Corrective Action Plan Status: Approved
Status Date: 02/24/2014
Basis for Status Decision:
Department Order of Corrective Action:
Required Elements of Progress Report(s):
See progress reporting requirements for SE 22.
Progress Report Due Date(s):
03/28/2014
MA Department of Elementary & Secondary Education, Program Quality Assurance Services
Uxbridge 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:
A review of documents and interviews indicate that the district has not provided the
required in-service training for all locally hired and contracted transportation providers on
the needs of the eligible students they transport. Transportation providers do not receive
specific written information on the nature of any needs or problems that may cause
difficulties when transporting eligible students.
Description of Corrective Action:
The director will provide training to all contracted transportation providers on the needs of
the eligible students they transport. Each will receive written documentation regarding
the type of disabilities and the nature of any needs or problem that may cause difficulties
while transporting these students.
Title/Role(s) of Responsible Persons:
Expected Date of
Director of Pupil Services
Completion:
10/31/2014
Evidence of Completion of the Corrective Action:
The agenda, sign in sheets and written materials provided to the drivers.
Description of Internal Monitoring Procedures:
This training will take place yearly before the start of school.
CORRECTIVE ACTION PLAN APPROVAL SECTION
Criterion:
SE 54 Professional development
Corrective Action Plan Status: Approved
Status Date: 02/24/2014
Basis for Status Decision:
Department Order of Corrective Action:
Required Elements of Progress Report(s):
By March 28, 2014, submit evidence of training with all contracted transportation
providers on the needs of the eligible students they transport, including agenda, training
materials, and signed attendance sheets.
Progress Report Due Date(s):
03/28/2014
MA Department of Elementary & Secondary Education, Program Quality Assurance Services
Uxbridge CPR Corrective Action Plan
20
COORDINATED PROGRAM REVIEW
CORRECTIVE ACTION PLAN
Criterion & Topic:
CPR Rating:
CR 10A Student handbooks and codes of conduct
Partially Implemented
Department CPR Findings:
A review of the district's 2012-2013 Student Handbooks indicates that all handbooks omit
the following information:
1. Procedures for accepting, investigating and resolving complaints alleging harassment or
discrimination for protected categories other than handicapped.
2. Discipline procedures for students not yet determined eligible for special education.
3. Discipline procedures for students with Section 504 Accommodation Plans.
4. Nondiscrimination policy that includes gender identity.
Description of Corrective Action:
Each building handbook will be careful reviewed and the information in bullets 1, 2, 3, and
4 will be updated
Title/Role(s) of Responsible Persons:
Expected Date of
Director of Pupil Services and building administration
Completion:
04/30/2014
Evidence of Completion of the Corrective Action:
Updated handbooks
Description of Internal Monitoring Procedures:
Yearly review with the building administration and Director to ensure these components
remain up-to-date.
CORRECTIVE ACTION PLAN APPROVAL SECTION
Criterion:
CR 10A Student handbooks and codes of
conduct
Basis for Status Decision:
Corrective Action Plan Status: Approved
Status Date: 02/24/2014
Department Order of Corrective Action:
Required Elements of Progress Report(s):
By March 28, 2014, submit revised handbook procedures for the following areas:
1. Procedures for accepting, investigating and resolving complaints alleging harassment or
discrimination for protected categories other than handicapped.
2. Discipline procedures for students not yet determined eligible for special education.
3. Discipline procedures for students with Section 504 Accommodation Plans.
4. Nondiscrimination policy that includes gender identity.
In addition, report how the district has distributed the revised handbook information to all
staff, students and parents.
Progress Report Due Date(s):
03/28/2014
MA Department of Elementary & Secondary Education, Program Quality Assurance Services
Uxbridge CPR Corrective Action Plan
21
COORDINATED PROGRAM REVIEW
CORRECTIVE ACTION PLAN
Criterion & Topic:
CPR Rating:
CR 12A Annual and continuous notification concerning
Partially Implemented
nondiscrimination and coordinators
Department CPR Findings:
A review of documents indicates that at the high school level, while the district notifies
students and parents of the name and phone number of the Title IX grievance
coordinator, the district is omitting the office address from written materials.
Description of Corrective Action:
The particular page of the high school handbook will be updated to include the address on
the Title IX grievance coordinator.
Title/Role(s) of Responsible Persons:
Expected Date of
Director of Pupil Services and high school administration
Completion:
04/30/2014
Evidence of Completion of the Corrective Action:
Copy of handbook relating to this CR.
Description of Internal Monitoring Procedures:
Review of up dated handbook by the Director of Pupil Services and building administrators
CORRECTIVE ACTION PLAN APPROVAL SECTION
Criterion:
CR 12A Annual and continuous
notification concerning nondiscrimination
and coordinators
Basis for Status Decision:
Corrective Action Plan Status: Approved
Status Date: 02/24/2014
Department Order of Corrective Action:
Required Elements of Progress Report(s):
Progress Report Due Date(s):
MA Department of Elementary & Secondary Education, Program Quality Assurance Services
Uxbridge CPR Corrective Action Plan
22
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:
A review of documentation and interviews indicate that special education staff (teachers
and paraprofessionals) received training on the requirements of physical restraint;
however, the training did not occur within the first month of the school year. The district
did not provide physical restraint training for all other staff in the district.
Description of Corrective Action:
Within the first month of 13-14 school year the district implemented an on-line version of
training which covered all the required annual trainings. Each staff that completed the
training electronically signed reading and understanding each session and staff received a
certificate of completion.
Title/Role(s) of Responsible Persons:
Expected Date of
Director of Pupil Services and Curriculum Director
Completion:
04/30/2014
Evidence of Completion of the Corrective Action:
The director completed an internal review of the on-line training and noted 147 staff
completed the on-line training out of 313 staff including kitchen, day care, crossing
guards etc.
Description of Internal Monitoring Procedures:
Yearly requirement of all district staff to complete this training at the beginning of each
school year.
CORRECTIVE ACTION PLAN APPROVAL SECTION
Criterion:
CR 17A Use of physical restraint on any
student enrolled in a publicly-funded
education program
Basis for Status Decision:
Corrective Action Plan Status: Approved
Status Date: 02/24/2014
Department Order of Corrective Action:
Required Elements of Progress Report(s):
By March 28, 2014 submit evidence documenting the district's physical restraint training
for staff within the first month of school. This can include a link to the on-line training,
agendas, training materials, and samples of certificates of completion.
By March 28, 2014, the district will submit its explanation why all staff did not complete
physical restraining training within the first month of the school year, along with its plan
to ensure that all individuals have since completed the training.
By March 28, 2014, the district will submit its procedures to ensure that employees hired
after the school year begins receive training within a month of their employment.
Progress Report Due Date(s):
03/28/2014
MA Department of Elementary & Secondary Education, Program Quality Assurance Services
Uxbridge CPR Corrective Action Plan
23
COORDINATED PROGRAM REVIEW
CORRECTIVE ACTION PLAN
Criterion & Topic:
CPR Rating:
CR 20 Staff training on confidentiality of student records
Partially Implemented
Department CPR Findings:
A review of documents and interviews indicate that the district has not conducted staff
training on the confidentiality of student records.
Description of Corrective Action:
See CR 17A
Title/Role(s) of Responsible Persons:
Expected Date of
Director of Pupil Services and Curriculum Director
Completion:
04/30/2014
Evidence of Completion of the Corrective Action:
See CR 17A
Description of Internal Monitoring Procedures:
SE CR 17A
CORRECTIVE ACTION PLAN APPROVAL SECTION
Criterion:
CR 20 Staff training on confidentiality of
student records
Basis for Status Decision:
Corrective Action Plan Status: Approved
Status Date: 02/24/2014
Department Order of Corrective Action:
Required Elements of Progress Report(s):
By March 28, 2014 submit evidence documenting the district's confidentiality of student
records training for staff for the 2013-14 school year. This can include a link to the on-line
training, agendas, training materials, and samples of certificates of completion.
By March 28, 2014, provide evidence or the district's assurance that any individual who
has not received training has participated in the confidentiality of student records training
since the CAP submission.
Progress Report Due Date(s):
03/28/2014
MA Department of Elementary & Secondary Education, Program Quality Assurance Services
Uxbridge CPR Corrective Action Plan
24
COORDINATED PROGRAM REVIEW
CORRECTIVE ACTION PLAN
Criterion & Topic:
CPR Rating:
CR 21 Staff training regarding civil rights responsibilities
Partially Implemented
Department CPR Findings:
A review of documents and interviews indicate that the district has not provided staff with
annual civil rights training.
Description of Corrective Action:
See CR 17A
Title/Role(s) of Responsible Persons:
Expected Date of
Director of Pupil Services and Curriculum Director
Completion:
04/30/2014
Evidence of Completion of the Corrective Action:
See CR 17A
Description of Internal Monitoring Procedures:
See CR 17A
CORRECTIVE ACTION PLAN APPROVAL SECTION
Criterion:
CR 21 Staff training regarding civil rights
responsibilities
Basis for Status Decision:
Corrective Action Plan Status: Approved
Status Date: 02/24/2014
Department Order of Corrective Action:
Required Elements of Progress Report(s):
By March 28, 2014 submit evidence documenting the district's civil rights training for
staff for the 2013-14 school year. This can include a link to the on-line training, agendas,
training materials, and samples of certificates of completion.
By March 28, 2014, provide evidence or the district's assurance that any individual who
has not received training has participated in the civil rights training since the CAP
submission.
Progress Report Due Date(s):
03/28/2014
MA Department of Elementary & Secondary Education, Program Quality Assurance Services
Uxbridge CPR Corrective Action Plan
25
COORDINATED PROGRAM REVIEW
CORRECTIVE ACTION PLAN
Criterion & Topic:
CPR Rating:
CR 22 Accessibility of district programs and services for students Partially Implemented
with disabilities
Department CPR Findings:
A site visit indicated that while the district's only middle school, McCloskey Middle School,
has a handicap ramp on the side entrance of the school for individuals with limited
physical mobility, there are no handicapped doors, the doorbell is inoperable and office
staff cannot determine when a person is at the ramp entrance, making the building
inaccessible.
Description of Corrective Action:
The doorbell will be fixed and will ring in the main office.
Title/Role(s) of Responsible Persons:
Expected Date of
Director of Pupil Services, Middle School Principal and
Completion:
Superintendent
04/30/2014
Evidence of Completion of the Corrective Action:
Written email from the middle school principal and purchase orders and/or work orders
that the issue was corrected.
Description of Internal Monitoring Procedures:
none
CORRECTIVE ACTION PLAN APPROVAL SECTION
Criterion:
CR 22 Accessibility of district programs
and services for students with disabilities
Basis for Status Decision:
Corrective Action Plan Status: Approved
Status Date: 02/24/2014
Department Order of Corrective Action:
Required Elements of Progress Report(s):
By March 28, 2014, the district will submit evidence documenting the district's repair of
the McCloskey MS doorbell, thereby permitting individuals with physical mobility needs to
ring in the main office for entrance. This document may the purchase or work orders
showing that that the issue was corrected.
By May 2, 2014, the district will provide a date to visit the middle school by a DESE
representative for an onsite verification.
Progress Report Due Date(s):
03/28/2014
05/02/2014
MA Department of Elementary & Secondary Education, Program Quality Assurance Services
Uxbridge CPR Corrective Action Plan
26
COORDINATED PROGRAM REVIEW
CORRECTIVE ACTION PLAN
Criterion & Topic:
CPR Rating:
CR 26A Confidentiality and student records
Partially Implemented
Department CPR Findings:
Observations and interviews indicate that the district, at all levels, does not protect the
confidentiality of personally identifiable information. Staff involved in confidential
exchanges of information and evaluation reports must access communal printers located
in teacher rooms, central offices, libraries or computer labs, where parent volunteers and
students often frequent and access printed documents. Even though staffs have access to
a "secure print" code, this feature is frequently inoperable.
Description of Corrective Action:
The new copiers which were purchased by the district have individual codes for all staff.
This enables the staff to print from their classrooms and the items will only print when the
individual's code is inputted.
Title/Role(s) of Responsible Persons:
Expected Date of
Director of Pupil Services, building principals and Business
Completion:
Manager
04/30/2014
Evidence of Completion of the Corrective Action:
Copy of instruction from these copiers that they are capable of printing only with the input
of staff codes.
Description of Internal Monitoring Procedures:
Review with all administrators of the importance and necessity of confidential
places/methods for printing for staff.
CORRECTIVE ACTION PLAN APPROVAL SECTION
Criterion:
CR 26A Confidentiality and student
records
Basis for Status Decision:
Corrective Action Plan Status: Approved
Status Date: 02/24/2014
Department Order of Corrective Action:
Required Elements of Progress Report(s):
By March 28, 2014, submit evidence documenting the purchase orders for new copiers,
along with the instruction from these copiers demonstrating the capability of printing only
with the input of staff codes.
During the DESE representative's onsite visit, the district will provide a demonstration of
the new copiers' secure printing capability, to verify the district's protection of confidential
material. Please have a sample of copiers identified across the district for the onsite
demonstration.
Progress Report Due Date(s):
03/28/2014
MA Department of Elementary & Secondary Education, Program Quality Assurance Services
Uxbridge CPR Corrective Action Plan
27
MASSACHUSETTS DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION
COORDINATED PROGRAM REVIEW
UXBRIDGE PUBLIC SCHOOLS
Corrective Action Plan Forms
Program Area: English Learner Education
Prepared by: Uxbridge Public Schools/ Carol Riccardi-Gahan
CAP Form will expand to as many lines as necessary. Before completing and emailing to
pqacap@doe.mass.edu, please see separate Instructions for Completing Corrective Action Plans.
All corrective action must be fully implemented and all noncompliance corrected as soon as
possible and no later than one year from the issuance of the Coordinated Program Review Final
Report to the school or district.
Mandatory One-Year Compliance Date: April 22, 2015
COORDINATED PROGRAM REVIEW
CORRECTIVE ACTION PLAN
(To be completed by school district/charter school)
Criterion & Topic: ELE 5 Program Placement and
Rating: Partially Implemented
Structure
Department CPR Finding: According to “SEI Program Description” forms submitted by the district,
ELL students at all proficiency levels should receive sufficient amount of ESL instruction with the
exception of level two students who should receive 1.5 hours of direct ESL instruction a day. However,
student and teacher schedules provided by the district don’t reflect the hours of ESL instruction stated
on the “SEI Program Description” form and demonstrates that current hours of ESL instruction ELLs
receive are insufficient at all levels of English proficiency. Please see the “Transitional Guidance on
Identification, Assessment, Placement, and Reclassification of English Language Learners August
2013” as found on http://www.doe.mass.edu/ell/guidance_laws.html
Documents submitted by the district do not include an ESL curriculum used for direct ESL instruction
or a plan to develop one that is aligned to the Massachusetts Curriculum Frameworks and the WIDA
ELD Standards. See the Department’s WIDA English Language Development Standards
Implementation Guide (Part I) at http://www.doe.mass.edu/ell/wida/Guidance-p1.pdf
MA Department of Elementary & Secondary Education, Program Quality Assurance Services
Uxbridge CPR Corrective Action Plan
28
Narrative Description of Corrective Action:
#1 Attached are excel sheets representing our numbers from September 2013-Spring 2014. As you can
see our numbers in September indicate we were able to provide most LEP student with the required
hours of direct ESL instruction. We employ 1.5 ESL certified teachers and no tutors. Uxbridge is a
small district with under 20 LEP students. Some of our ESL population, especially at the upper grades,
appears transient.
#2 Attached you will find two ESL curriculum that we will use as drafts for our own curriculum. From
September – January of School year 2014-2015, our 2 ESL teachers will review these curriculums and
create an Uxbridge ESL curriculum that coincides with the Common Core and WIDA.
Title/Role of Person(s) Responsible for
Expected Date of Completion for Each
Implementation: Carol Riccardi-Gahan
Corrective Action Activity: January 2015
Evidence of Completion of the Corrective Action: Final curriculum and updated charts for students
and amount of direct instruction with current ACCESS or WIDA scores.
Description of Internal Monitoring Procedures: #2 The Director of Pupil Services will meet
monthly with the ESL teachers to discuss and review the progress on the curriculum development
progress. #1. As well as review the hours of direction instruction the LEP students are receiving and
whether they are incompliance. Any issues of non-compliance for direct hours of instruction will have
a plan development.
CORRECTIVE ACTION PLAN APPROVAL SECTION
(To be completed by the Department of Elementary and Secondary Education)
Criterion: ELE 5
Status of Corrective Action:
Approved
Partially Approved
Disapproved
Basis for Partial Approval or Disapproval: N/A
Department Order of Corrective Action: N/A
Required Elements of Progress Report(s):
1) Please provide a detailed plan that shows that the district is providing sufficient ESL instruction to
all ELL students during the 2014-2015 school year based on the Department's Transitional
Guidance on Identification, Assessment, Placement, and Reclassification of English Language
Learners found at http://www.doe.mass.edu/ell/TransitionalGuidance.pdf
2) Please complete district information in the attached spreadsheet labeled ELL List by school for
each ELL student in the district.
Progress Report Due Date(s): October 10, 2014
MA Department of Elementary & Secondary Education, Program Quality Assurance Services
Uxbridge CPR Corrective Action Plan
29
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