MASSACHUSETTS DEPARTMENT OF ELEMENTARY AND SECONDARY
EDUCATION
Program Quality Assurance Services
COORDINATED PROGRAM REVIEW
CORRECTIVE ACTION PLAN
Charter School or District: Woburn
CPR Onsite Year: 2011-2012
Program Area: Special Education
All corrective action must be fully implemented and all noncompliance
corrected as soon as possible and no later than one year from the issuance
of the Coordinated Program Review Final Report dated 01/25/2013.
Mandatory One-Year Compliance Date: 01/24/2014
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 8
IEP Team composition and attendance
SE 9
SE 14
Timeline for determination of eligibility and provision of
documentation to parent
Review and revision of IEPs
SE 18A
IEP development and content
SE 18B
Determination of placement; provision of IEP to parent
CPR Rating
Partially
Implemented
Partially
Implemented
Partially
Implemented
Partially
Implemented
Partially
Implemented
Partially
Implemented
Partially
Implemented
Criterion
SE 19
Criterion Title
Extended evaluation
SE 21
School day and school year requirements
SE 24
SE 25
Notice to parent regarding proposal or refusal to initiate or
change the identification, evaluation, or educational
placement of the child or the provision of FAPE
Parental consent
SE 26
Parent participation in meetings
SE 36
SE 43
IEP implementation, accountability and financial
responsibility
Procedures for approved and unapproved out-of-district
placements
Behavioral interventions
SE 44
Procedure for recording suspensions
SE 45
Procedures for suspension up to 10 days and after 10 days:
General requirements
Procedures for suspension of students with disabilities when
suspensions exceed 10 consecutive school days or a pattern
has developed for suspensions exceeding 10 cumulative
days; responsibilities of the Team; responsibilities of the
district
Appropriate special education teacher licensure
SE 37
SE 46
SE 51
CR 7
CR 7B
Information to be translated into languages other than
English
Structured learning time
CR 7C
Early release of high school seniors
CR 9
Hiring and employment practices of prospective employers
of students
Student handbooks and codes of conduct
CR 10A
CR 17A
CR 18
Use of physical restraint on any student enrolled in a
publicly-funded education program
Responsibilities of the school principal
CR 25
Institutional self-evaluation
CPR Rating
Partially
Implemented
Partially
Implemented
Partially
Implemented
Partially
Implemented
Partially
Implemented
Partially
Implemented
Partially
Implemented
Partially
Implemented
Partially
Implemented
Partially
Implemented
Partially
Implemented
Partially
Implemented
Partially
Implemented
Partially
Implemented
Partially
Implemented
Partially
Implemented
Partially
Implemented
Partially
Implemented
Partially
Implemented
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 indicated that Educational Assessments Part A (a school
history) and Part B (current teacher assessment) are not routinely conducted or kept in
the student records. In addition, classroom observations that were consented to are not
always conducted or found in the student records.
Description of Corrective Action:
* review of evaluation procedures and timelines with building principals, special education
and regular education teachers by 07/01/2013.
* review of expectations regarding the completion of Ed-A,B as well as classroom
observations by 07/01/2013
* training regarding completion of Ed A, B and Observations with Principals, Classroom
Teachers and Special Education Teachers by 10/2013
* Policy and Procedure manual updates by 09/01/2013
Title/Role(s) of responsible Persons:
Expected Date of
Team Chairperson
Completion:
Principals
01/24/2014
Regular and Special Education Teachers
Evidence of Completion of the Corrective Action:
* attendance at staff meetings and notes attached regarding the above mentioned subject
prior to 07/01/2013
* copies of handouts provided at each of the meetings
* Policy and Procedure Manuals in place in all buildings by 09/01/2013
Description of Internal Monitoring Procedures:
The internal monitoring process will include quarterly review on random sample of initial
and re-evaluation packets for students referred for evaluation to ensure all documents are
included in the file.
CORRECTIVE ACTION PLAN APPROVAL SECTION
Criterion:
SE 2 Required and optional assessments
Corrective Action Plan Status: Approved
Status Date: 04/09/2013
Basis for Partial Approval or Disapproval:
The Department accepts the district's proposed corrective actions: staff training on
completing required and optional assessments (Ed Assessments A & B, classroom
observations) consented to by parents, policy and procedure revisions, and an internal
record review of files to ensure ongoing compliance.
Department Order of Corrective Action:
Required Elements of Progress Report(s):
By 6/14/13, submit documentation (agendas, signed attendance sheets, training
materials) that staff training was conducted on the requirements for completing
evaluations consented-to by parents, specifically Ed Assessments A & B and classroom
observations. For the five student records that were found out of compliance during the
record review, submit copies of the completed assessments.
By 11/29/13, after implementation of all corrective actions, conduct an internal record
review at each level, including students in out-of-district placements. Report the number
of records reviewed and the number that contained all completed evaluation reports
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where parental consent was received. If any non-compliance identified, report the root
cause(s) and the district's plan to remedy the non-compliance.
*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):
06/14/2013
11/29/2013
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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 student records indicated that home assessments, speech language
assessments and achievement assessments do not always contain educationally relevant
recommendations or define in detail the student´s needs and offer explicit means of
meeting those needs.
Description of Corrective Action:
*On 11/03/12 a workshop was held in district regarding report writing and providing
specific recommendations based on findings. Sample reports were distributed to
teachers.
*Team Chairpeople will develop a template for Home Assessments to report on concerns
and make recommendations by 07/01/2013.
*Speech Therapists met on 11/15/12 to develop a template for writing speech reports
including providing recommendations based on findings.
Title/Role(s) of responsible Persons:
Expected Date of
Team Chairperson
Completion:
Special Educators
01/24/2014
Speech Therapists
Evidence of Completion of the Corrective Action:
* attendance for each of the above mentioned workshops with copies of handouts and
documents developed
* all documents to be held on file and accessible for all Chairpeople, special educators and
speech therapists, in the Special Education Office
Description of Internal Monitoring Procedures:
The internal monitoring process will consist of quarterly sampling of reports for review of
recommendations.
CORRECTIVE ACTION PLAN APPROVAL SECTION
Criterion:
SE 4 Reports of assessment results
Corrective Action Plan Status: Approved
Status Date: 04/09/2013
Basis for Partial Approval or Disapproval:
The Department accepts the district's proposed corrective actions to train staff regarding
the requirements of evaluation reports and conduct internal reviews of student records to
ensure that noncompliance has been remedied.
Department Order of Corrective Action:
Required Elements of Progress Report(s):
By 6/14/13, submit documentation (agendas, signed attendance sheets, training
materials) from the staff training that was conducted on 11/03/12 on the requirements of
evaluation reports and the inclusion of educational recommendations.
By 11/29/13, following training and implementation of all corrective actions, conduct an
internal review of evaluation reports from each level. Report the number of evaluation
reports reviewed and the number of reports that contained educationally relevant
recommendations. If any non-compliance identified, report the root cause(s) and the
district's plan to remedy the non-compliance.
*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
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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):
06/14/2013
11/29/2013
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COORDINATED PROGRAM REVIEW
CORRECTIVE ACTION PLAN
Criterion & Topic:
CPR Rating:
SE 8 IEP Team composition and attendance
Partially Implemented
Department CPR Findings:
A review of student records indicated that IEP Teams do not always obtain written
parental consent to excuse the attendance of a required IEP Team member. The district
does not always have a special education teacher of the student or a general education
teacher of the student attend the IEP Team meeting when the participation of a general
education teacher is required. In addition, please see SE 26.
Description of Corrective Action:
* Team Chairpeople met on 01/18/2013 and developed a plan for printing meeting
excusal forms for all meetings.
* Policy on attendance and attendance excusal added to the updated Policy and Procedure
manual by 09/01/2013
Title/Role(s) of responsible Persons:
Expected Date of
Team Chairperson
Completion:
Director of Special Education
09/01/2013
Evidence of Completion of the Corrective Action:
* attendance of chairperson meeting with attached agenda for discussion
* all files must have the attendance sheet and printed excusal form
* Policy and Procedure manual for all Chairpeople complete with instructions and blank
forms
Description of Internal Monitoring Procedures:
The process for internal monitoring will consist of quarterly monitoring of a random
sample of 5 files, to be sure all documents are in place.
CORRECTIVE ACTION PLAN APPROVAL SECTION
Criterion:
Corrective Action Plan Status: Approved
SE 8 IEP Team composition and
Status Date: 04/09/2013
attendance
Basis for Partial Approval or Disapproval:
The Department accepts the district's proposed corrective action of training Team
chairpersons on the requirements of Team composition, the procurement of written
parental consent to excuse the attendance of required Team members and its review of
records to ensure implementation of all corrective actions.
Department Order of Corrective Action:
Required Elements of Progress Report(s):
By 6/14/13, submit documentation of the training conducted on 1/18/2013 on the
requirements of IEP Team composition and attendance. Conduct a review of student
records after the 1/18/13 training and report: the number of student records reviewed
from each level, the number that contained signed attendance sheets of all required IEP
Team members and/or written excusals from parents excusing the absent Team member.
If any non-compliance is identified, report the root cause(s) and the district's plan to
remedy the ongoing non-compliance.
*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).
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Progress Report Due Date(s):
06/14/2013
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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 indicated that home assessments are not consistently
conducted within the required timelines for completing evaluations. Classroom
observations are not consistently conducted after receipt of parental consent. At all levels,
the district does not always conduct evaluations within 30 school working days nor
determine eligibility within 45 days after receipt of the parent's written consent to an
evaluation.
Description of Corrective Action:
*Team Chairpeople meet to develop home assessment protocol by 07/01/2013- protocol
to include method of conducting home assessment and method by which to report on
information found through the home assessment.
* Team Chairpeople will meet by 07/01/2013 to discuss the assignment of student
observation and the method by which the observation will be documented.
* Review the obligations of the information agreed to on the evaluation consent form with
the Special Education Staff as a whole by 07/01/2013.
* Updated Policy and procedure manual with process for eligibility timelines for all
Chairpeople by 09/01/2013
Title/Role(s) of responsible Persons:
Expected Date of
Team Chairpeople
Completion:
Special Education Staff
01/24/2014
Evidence of Completion of the Corrective Action:
* attendance and agenda for Chairperson meeting
* documents developed pertaining to home assessments and protocol will be made
available to all staff members
attendance taken at Chairperson meetings and notes form each meeting regarding home
assessments and observations
* Policy and Procedure Manuals in each building by 09/01/2013
Description of Internal Monitoring Procedures:
The internal monitoring process will consist of quarterly review of files for documentation.
CORRECTIVE ACTION PLAN APPROVAL SECTION
Criterion:
Corrective Action Plan Status: Approved
SE 9 Timeline for determination of
Status Date: 04/09/2013
eligibility and provision of documentation
to parent
Basis for Partial Approval or Disapproval:
The Department accepts the district's proposed corrective action of training Team
chairpersons on the requirements of 30 and 45 day timelines, the creation of procedures
to ensure that timelines are being met, as well as its internal review of the tracking data
to ensure implementation of all corrective actions. See SE 2 regarding classroom
observations.
Department Order of Corrective Action:
Required Elements of Progress Report(s):
By 6/14/13, submit the following documentation: Evidence (agendas, signed attendance
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sheets, training materials) that training was conducted for Team chairpersons on the
required 30 and 45 day timelines and the revised procedures for tracking 30 and 45 day
timelines.
By 11/29/13, submit the results of the district's timeline tracking data at all levels and
report: the number of evaluations conducted after the training, the number of records
that had assessments completed in 30 days and the number that had Team meetings
convened within 45 days after receipt of parental consent. If non-compliance is identified,
report the root cause of the ongoing non-compliance and the district's 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):
06/14/2013
11/29/2013
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COORDINATED PROGRAM REVIEW
CORRECTIVE ACTION PLAN
Criterion & Topic:
CPR Rating:
SE 14 Review and revision of IEPs
Partially Implemented
Department CPR Findings:
A review of student records indicated that at the middle and high school levels, annual
review IEP Team meetings are not consistently held on or before the anniversary date of
the IEP. In addition, the district has a practice of including bullying prevention and
intervention statements under additional information after the IEPs have been issued to
parents, rather than using the amendment process to add required and important
information to previously proposed and accepted IEPs.
Description of Corrective Action:
*Team Meeting Protocol will be developed for all levels and will address all aspects of the
IEP including the bullying prevention protocol.
* Middle and High School Liaisons will meet with the Special Education Director prior to
07/01/13 and the topic of the meeting will be IEP meeting scheduling and IEP
development.
* Updated Policy and Procedure Manual will be made available for all Chairpeople and
Team Meeting/Parent Participation guidelines highlighted
Title/Role(s) of responsible Persons:
Expected Date of
Middle and High School Liaisons, Team Chairpeople
Completion:
01/24/2014
Evidence of Completion of the Corrective Action:
* attendance at Middle and High School Staff Meetings with agenda as well as handouts
provided to the staff
* Policy and Procedure Manuals in all buildings including all necessary documentation.
Description of Internal Monitoring Procedures:
The internal monitoring process will consist office staff will quarterly review files and
check for appropriate documentation.
CORRECTIVE ACTION PLAN APPROVAL SECTION
Criterion:
SE 14 Review and revision of IEPs
Corrective Action Plan Status: Approved
Status Date: 04/09/2013
Basis for Partial Approval or Disapproval:
The Department accepts the district's proposed corrective action of training special
education staff on the requirements of including bullying prevention and intervention
statements in IEPs, the implementation of tracking to ensure that annual reviews are
conducted prior to the expiration date of the previous IEP, and an internal review to
ensure ongoing compliance.
Department Order of Corrective Action:
Required Elements of Progress Report(s):
By June 14, 2013, the district will submit evidence (agendas, sign-in sheets) that training
was conducted on tracking annual review timelines and documenting individual skills and
proficiencies needed to avoid and respond to bullying, harassment, or teasing in
applicable IEPs.
Following staff training and implementation of all corrective actions, the district will
conduct two internal reviews. By November 29, 2013, report the number of IEPs
developed for students on the autism spectrum or whose disabilities affect their social
skills development from each level (Elementary, MS, HS). Report the number of those
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IEPs that contain the individual skills and proficiencies needed to avoid and respond to
bullying, harassment, or teasing. Conduct a second internal review of annual review
tracking data and report: The number of annual reviews conducted at each level
(Elementary, MS, HS) and the number that had IEPs developed on or before the
expiration date of the previous IEP. If ongoing non-compliance is identified, report the
root cause, a plan remedy it and the specific actions taken to ensure full compliance of
each student record.
*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):
06/14/2013
11/29/2013
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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:
A review of student records indicated that the IEP does not 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 or a disability that makes
them vulnerable to bullying, harassment, or teasing. The district uses template language
on all IEPs under the additional information section of the IEP stating that the student
"will participate in age appropriate anti-bullying activities." There is no indication in the
IEPs, summary notes or Notices of Proposed Action (N1) that the IEP Team considers the
specific and individual skills and proficiencies needed to avoid and respond to bullying,
harassment, or teasing for each student.
Description of Corrective Action:
On 10/22/13 the Team Chairpeople met with the Director and discussed the inclusion of
the bullying prevention in the IEP.
* Bullying prevention will be included in the team meeting checklist and if found to be a
concern for the student the team will develop goals and objectives to address the concern
and accommodations in PLEP B.
* Team Chairperson will address bullying in the N1 letter.
* Update Policy and Procedure Manual will incorporate Bullying as a consideration for the
IEP by 09/01/2013.
Title/Role(s) of responsible Persons:
Expected Date of
Team Chairpeople and Liaison’s
Completion:
01/24/2014
Evidence of Completion of the Corrective Action:
* attendance from the Chairperson meeting with agenda
* All IEP's will address the impact of bullying and either provide steps to provide children
with the tools necessary, or document that it was discussed and the team does not feel at
this time that the child is a target for bullying.
* Impact of Bullying will be added as a consideration, to the Policy and Procedure Manual,
when drafting an IEP, by 09/01/2013
Description of Internal Monitoring Procedures:
The internal monitoring process will consist of quarterly review of N1 letters for
documentation of bullying discussion and evidence of the discussion in the IEP.
CORRECTIVE ACTION PLAN APPROVAL SECTION
Criterion:
SE 18A IEP development and content
Corrective Action Plan Status: Approved
Status Date: 04/09/2013
Basis for Partial Approval or Disapproval:
The district proposed a comprehensive plan of corrective action and on November 1,
2012, submitted documentation (agenda, signed attendance sheets) that staff training
was conducted on the district's revised procedures for documenting and developing
individual skills and proficiencies needed to avoid and respond to bullying, harassment, or
teasing in IEPs.
Department Order of Corrective Action:
Required Elements of Progress Report(s):
By June 14, 2013, after the implementation of all corrective actions, the district will
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conduct an internal review of student records at each level (Elementary, MS, HS). Report
the number of recently developed IEPs of students who are on the autism spectrum or
whose disabilities affect social skills development and the number of those records that
contain documentation in IEPs that the Team has considered and specifically addressed
the individual skills and proficiencies needed to avoid and respond to bullying,
harassment, or teasing. For any records that are not in compliance, provide a description
of the root cause analysis of the non-compliance and the specific corrective actions taken
by the district to remedy any identified noncompliance in each student record. In addition,
for the three student records that were found out of compliance during the record review,
submit the required IEP pages and N1 notices.
*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):
06/14/2013
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COORDINATED PROGRAM REVIEW
CORRECTIVE ACTION PLAN
Criterion & Topic:
CPR Rating:
SE 18B Determination of placement; provision of IEP to parent
Partially Implemented
Department CPR Findings:
A review of student records indicated that after the IEP has been fully developed, the IEP
Team does not immediately determine the appropriate placement to deliver the services
on the student´s IEP or provide parents with a proposed placement along with the
proposed IEP and required notice. In some instances, the district takes several months to
provide parents with the proposed placement. In addition, for some out-of-district
placements, the district does not develop or propose the IEP, but rather relies on the outof-district placement to write, propose and send completed IEPs to the district which the
district then sends to the parent.
Description of Corrective Action:
* Chairperson meeting prior to 07/01/2013 to discuss the following- attendance will be
taken and agenda attached.
Team Chairpeople participate in all Out of District meetings for the purpose of
programming and goal development. Team Chairpeople are responsible for writing the
N1 letter and placement page for all OOD IEP's.
The district approves the IEP proposed by the individual school and send to the parent.
In district meetings, placement assurance will be provided through meeting flow chart
checklist that Chairpeople will complete during the course of the meeting with Placement
being the last point to address.
Chairpeople will be responsible for completing the checklist for OOD meetings as well and
return to the district to be filed.
All Out of District IEP's will be input into the district data base.
Title/Role(s) of responsible Persons:
Expected Date of
Team Chairpeople
Completion:
01/24/2014
Evidence of Completion of the Corrective Action:
All Out of District students' files reviewed to ensure completion of the IEP and the
Checklist developed from #18A
Description of Internal Monitoring Procedures:
The internal monitoring process will consist Director review of all Out of District IEP's prior
to mailing to the families.
CORRECTIVE ACTION PLAN APPROVAL SECTION
Criterion:
Corrective Action Plan Status: Approved
SE 18B Determination of placement;
Status Date: 04/09/2013
provision of IEP to parent
Basis for Partial Approval or Disapproval:
The Department accepts the district's proposed corrective action to train staff regarding
the requirements of determination of placement and provision of IEP to parents that
include revised tracking procedures, writing N1 notices and placement pages, as well as
the responsibilities of the district for developing IEPs for students in out- of-district
placements.
Department Order of Corrective Action:
Required Elements of Progress Report(s):
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By June 14, 2013, the district will submit documentation (agendas, sign-in sheets,
training materials) that training was conducted on the requirements for tracking and
providing proposed IEPs and placements to parents, writing N1 notices, completing a flow
chart checklist and ensuring that proposed IEPs, placements and paperwork for students
in out-of-district are completed as required.
By November 29, 2013, the district will conduct two internal reviews. Following training
and implementation of all corrective actions, conduct an internal review of the tracking
data and report the number of IEP Team meetings conducted at each level (Elementary,
MS, HS) and the number in which the proposed IEP and placement were provided
immediately. Conduct a second internal review of students placed in out-of-district
placements and report: The number of out-of-district Team meetings conducted, the
number that had proposed IEPs, placement pages and N1s provided within required
timelines. If any ongoing non-compliance is identified, report the root cause, a plan to
remedy it, and the specific actions taken to ensure full compliance for each record
reviewed. *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):
06/14/2013
11/29/2013
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COORDINATED PROGRAM REVIEW
CORRECTIVE ACTION PLAN
Criterion & Topic:
CPR Rating:
SE 19 Extended evaluation
Partially Implemented
Department CPR Findings:
A review of student records and interviews indicated that the district engages in
procedural misuse of the extended evaluation process. For general education students
who have been placed by community crises teams (an intervention utilized by the
guidance counselor for general education students in crises), the district obtains consent
from parents to conduct extended evaluations. The district is using this process in lieu of
conducting initial evaluations to determine eligibility for special education. The district
places these general education students in 45-day placements and identifies this as an
extended evaluation for a 45-day assessment, which is not an option supported by
regulation.
The district also uses extended evaluations instead of following disciplinary procedures to
remove students with disabilities from school for behavioral or attendance issues and
places these students into an Interim Alternative Educational Setting (IAES) for the
purpose of an evaluation without conducting manifestation determinations. See also SE
46.
Description of Corrective Action:
Workshop to be conducted with Team Chairpeople and Building Principals regarding the
Extended Evaluation Procedure prior to 07/01/13
Updated Policy and Procedure Manual for all Chairpeople to highlight chapter on Extended
Evaluations and include all necessary documentation.
Title/Role(s) of responsible Persons:
Expected Date of
Team Chairperson
Completion:
01/24/2014
Evidence of Completion of the Corrective Action:
Attendance will be taken at workshop and informative hand out distributed to all.
Policy and Procedure Manuals in all buildings by 09/01/2013
Description of Internal Monitoring Procedures:
The internal monitoring process will consist of Extended Evaluations being documented in
the same manner as initials and re-evaluations are in the office and reviewed quarterly for
compliance.
CORRECTIVE ACTION PLAN APPROVAL SECTION
Criterion:
SE 19 Extended evaluation
Corrective Action Plan Status: Partially
Approved
Status Date: 04/09/2013
Basis for Partial Approval or Disapproval:
The Department accepts the district's proposed corrective action to train staff on the
proper use and requirements for extended evaluations; however, the Department would
like guidance staff to be included in the training as guidance staff are responsible for the
misuse of the extended evaluation process in the programming of general education
students.
Department Order of Corrective Action:
The district will include guidance counselors in the training and will conduct an internal
review of extended evaluations to ensure that staff are using extended evaluations
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appropriately.
Required Elements of Progress Report(s):
By June 14, 2013, submit documentation (agendas, signed attendance sheets, training
materials) that training was conducted for administrators, Team chairs and guidance staff
on the proper use of extended evaluations.
By November 29, 2013, following training and after implementation of all corrective
actions, conduct an internal review. Report the number of extended evaluations
conducted by the district from each level and report the number of records in compliance.
For any records out of compliance, indicate the root cause with specific actions taken to
remedy the non-compliance.
*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):
06/14/2013
11/29/2013
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COORDINATED PROGRAM REVIEW
CORRECTIVE ACTION PLAN
Criterion & Topic:
CPR Rating:
SE 21 School day and school year requirements
Partially Implemented
Department CPR Findings:
A review of student records and interviews indicated that the district does not identify an
extended day or year program if the student demonstrated or is likely to demonstrate
substantial regression in his or her learning skills and/or substantial difficulty in relearning
such skills. An extended school year is automatically recommended and determined based
on the student's placement rather than an individual student’s demonstrated substantial
regression of skills.
Description of Corrective Action:
Extended Year Services discussed as part of the IEP checklist
Workshops will be conducted with the special education department discussing
determining EYS, what services the child requires and how they will be delivered on or
before 07/01/2013
EYS to be included in updated Policy and Procedure Manual by 09/01/2013
Title/Role(s) of responsible Persons:
Expected Date of
Chairpeople
Completion:
09/01/2013
Evidence of Completion of the Corrective Action:
IEP meeting checklist (from 18A) will indicate if the team discussed the EYS and specifics
of programming for students.
Policy and Procedure Manual in each building by 09/01/2013
Description of Internal Monitoring Procedures:
The internal monitoring process will consist of an quarterly review of files to specifically
target EYS discussion and planning.
CORRECTIVE ACTION PLAN APPROVAL SECTION
Criterion:
Corrective Action Plan Status: Approved
SE 21 School day and school year
Status Date: 04/09/2013
requirements
Basis for Partial Approval or Disapproval:
The Department accepts the district's proposed corrective action to train staff on the
school day and school year requirements, the revision of policies for the procedure
manual on ESY and an internal review.
Department Order of Corrective Action:
Required Elements of Progress Report(s):
By June 14, 2013, submit documentation of training (agenda, signed attendance sheets,
training materials) on the requirements of extended school year and a revised policy on
ESY.
By November 29, 2013, the district will conduct an internal review and report the number
of IEPs developed, the number of records in compliance and if non-compliance is
determined, indicate the root cause with specific steps to remedy the non-compliance.
*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):
MA Department of Elementary & Secondary Education, Program Quality Assurance Services
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06/14/2013
11/29/2013
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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:
A review of student records indicated that the district does not consistently send a written
notice to the parents within five school days of receipt of the referral when the child is
referred for an evaluation to determine eligibility for special education.
Description of Corrective Action:
Review policy on referrals and five day turn around for all referrals at the monthly
Chairperson meeting before 07/01/2013
Provide each Chairperson with an updated Policy and Procedure Manual for reference by
09/01/2013
Title/Role(s) of responsible Persons:
Expected Date of
Chairpeople
Completion:
01/24/2014
Evidence of Completion of the Corrective Action:
Attendance and agenda provided for Chairperson Meeting
Manuals in place for all Chairpeople
Description of Internal Monitoring Procedures:
The internal monitoring process will consist of quarterly check on random sample of five
referrals, through on line data base, to review timelines.
CORRECTIVE ACTION PLAN APPROVAL SECTION
Criterion:
Corrective Action Plan Status: Approved
SE 24 Notice to parent regarding
Status Date: 04/09/2013
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:
The Department accepts the district's proposed corrective action to train staff on the
requirements of
sending notice within five school days of receipt of a referral to determine eligibility for
special education, including its plans to conduct quarterly monitoring.
Department Order of Corrective Action:
Required Elements of Progress Report(s):
By June 14, 2013, submit documentation (agenda, signed attendance sheets, training
materials), that training was conducted on the requirement to send parents written notice
within five days of receipt of a referral.
By November 29, 2013, following training and implementation of all corrective actions,
conduct an internal review of the district's tracking data of new referrals for eligibility.
Report the number of records reviewed and the number of records in compliance. If
ongoing non-compliance is identified, report the root cause, a plan to remedy it and the
steps taken to ensure full compliance.
*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
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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):
06/14/2013
11/29/2013
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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 indicated that the district does not always conduct evaluations
(such as home assessments, classroom observations, communication and developmental
assessments) after obtaining parental consent as part of an initial evaluation or reevaluation to determine special education eligibility.
Description of Corrective Action:
* Review parental consent to assessments and obligation to complete assessments in 30
school days with Chairperson by 07/01/2013
* document protocol for scheduling and obtaining assessments within 30 school days.
* review timeline in Policy and Procedure Manual
Title/Role(s) of responsible Persons:
Expected Date of
Chairpeople
Completion:
01/24/2014
Evidence of Completion of the Corrective Action:
* attendance and agenda from Chairperson meeting
* Policy and Procedure Manuals in each building by 09/01/2013
Description of Internal Monitoring Procedures:
The internal monitoring process will consist of review of file's prior to the team meeting to
be sure that all documentation is in place.
CORRECTIVE ACTION PLAN APPROVAL SECTION
Criterion:
SE 25 Parental consent
Corrective Action Plan Status: Approved
Status Date: 04/09/2013
Basis for Partial Approval or Disapproval:
The Department accepts the district's proposed corrective actions to train staff on the
requirements of parental consent and to conduct an internal review of records to ensure
ongoing compliance.
Department Order of Corrective Action:
Required Elements of Progress Report(s):
By June 14, 2013, submit evidence (agendas, signed attendance sheets, training
materials) that training was conducted on the district's responsibilities to complete all
evaluations consented to by the parents. For the five student records that were found out
of compliance during the CPR record review, submit the initials of each student, the name
of assessments and the dates of completion.
By November 29, 2013, following training and implementation of all corrective actions,
review a sample of student records from each level (Elementary, MS, HS) that required
home assessments, classroom observations, communication and developmental
assessments and report: the number of records in which parents consented to the
evaluations, and the number of student files that contained evaluation reports for all
assessments consented- to by the parents. If non-compliance is identified, report the root
cause, a plan to remedy it and the specific actions taken to ensure full compliance for
each file reviewed.
*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
MA Department of Elementary & Secondary Education, Program Quality Assurance Services
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person(s) who conducted the review, their roles(s), and their signature(s).
Progress Report Due Date(s):
06/14/2013
11/29/2013
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COORDINATED PROGRAM REVIEW
CORRECTIVE ACTION PLAN
Criterion & Topic:
CPR Rating:
SE 26 Parent participation in meetings
Partially Implemented
Department CPR Findings:
A review of student records evidenced that it is the district's practice to reschedule
multiple Team meetings until parents can attend without sending additional IEP Team
meeting notices. Student records demonstrated that the district does not document its
multiple attempts to facilitate or obtain the parents' participation in IEP Team meetings.
Interviews confirmed that the district does not conduct IEP eligibility meetings or IEP
Team meetings when parents do not attend. As a result, IEP Team meetings are delayed
up to nine months.
Description of Corrective Action:
* Review policy for scheduling and re-scheduling meetings for parent participation on or
before 07/01/2013
* add Parental attendance and re-scheduling guidelines to the Policy and Procedure
Manual by 09/01/2013.
Title/Role(s) of responsible Persons:
Expected Date of
Chairpeople or Liaisons
Completion:
01/24/2014
Evidence of Completion of the Corrective Action:
* attendance and agenda from Chairperson meeting regarding scheduling and
rescheduling team meetings for parent participation
* Updated Policy and Procedure Manuals in each building by 09/01/2013
Description of Internal Monitoring Procedures:
The internal monitoring process will consist of documenting and filing all "parental
absence" attendance sheets and meeting invitations with the IEP, in the child's main file.
Files will be reviewed quarterly for compliance.
CORRECTIVE ACTION PLAN APPROVAL SECTION
Criterion:
SE 26 Parent participation in meetings
Corrective Action Plan Status: Approved
Status Date: 04/09/2013
Basis for Partial Approval or Disapproval:
The Department accepts the district's proposed corrective actions to train staff regarding
the requirements of parent participation in meetings, revised policies for the procedures
manual, and a review of student records to ensure ongoing compliance.
Department Order of Corrective Action:
Required Elements of Progress Report(s):
By June 14, 2013, submit the revised procedures for Team chairpersons to document
their multiple attempts to facilitate or obtain the parents' participation in IEP Team
meetings. Submit documentation (agendas, sign in sheets, training materials) that
training was conducted on these procedures.
By November 29, 2013, following training and implementation of all corrective actions,
conduct a review of student records where parents did not attend IEP Team meetings
from each level (Elementary, MS, HS) and report: the number of records reviewed, the
number of records in compliance, and if non-compliance is identified, report the root
cause, a plan to remedy it, and the specific actions taken to ensure full compliance with
each student record.
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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):
06/14/2013
11/29/2013
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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 and interviews indicated that the district does not always
develop, propose and monitor the full implementation of the IEP of each out-of-district
placement. In addition, please see SE 18B.
Description of Corrective Action:
* Review the policy for participating in meetings for students in out of district placements
with Chairpeople and provide documentation of obligations
* Input all Out of District IEP's in to the district database
Title/Role(s) of responsible Persons:
Expected Date of Completion:
Chairpeople
01/24/2014
Evidence of Completion of the Corrective Action:
* attendance and agenda from Chairperson meeting discussing the above mentioned
content
Description of Internal Monitoring Procedures:
*The internal monitoring process will consist of having all IEP's for Out of District students
submitted to the Director complete with checklist developed as a part of (18A), to be
reviewed prior to sending to the family. All Out of District IEP's will be input into the
district data base and reviewed quarterly to monitor progress.
CORRECTIVE ACTION PLAN APPROVAL SECTION
Criterion:
Corrective Action Plan Status: Approved
SE 36 IEP implementation, accountability
Status Date: 04/09/2013
and financial responsibility
Basis for Partial Approval or Disapproval:
The Department accepts the district's proposed corrective actions to train staff regarding
the requirements of monitoring students in out-of-district placements and its review of
student records to ensure ongoing compliance.
Department Order of Corrective Action:
Required Elements of Progress Report(s):
By June 14, 2013, submit documentation (agendas, signed attendance sheets) that
training was conducted on the requirements for monitoring students in out of district
placements.
By November 29, 2013, following training and implementation of all corrective actions,
conduct a review of student records. Report the number of students in out-of-district
placements and the number of files that contain monitoring plans. If ongoing noncompliance is identified, report the root cause, a plan to remedy it, and specific actions
taken to ensure full compliance for each student record.
*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):
06/14/2013
11/29/2013
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COORDINATED PROGRAM REVIEW
CORRECTIVE ACTION PLAN
Criterion & Topic:
CPR Rating:
SE 37 Procedures for approved and unapproved out-of-district
Partially Implemented
placements
Department CPR Findings:
A review of student records and documents indicated that out-of-district monitoring
activities are not consistently documented and kept in the files of every eligible student
who has been placed out-of-district. In addition, written contracts with all public and
private out-of-district placements do not contain a statement that the district can conduct
unannounced site visits.
Description of Corrective Action:
* In written contracts with Out of District Schools, include language that would provide
the district with quarterly progress reports and behavior reports when necessary, as well
as document the districts right to unannounced site visits.
* review Policy and Procedure Manual for Out of District procedures
Title/Role(s) of responsible Persons:
Expected Date of
Team Chairpeople
Completion:
01/24/2014
Evidence of Completion of the Corrective Action:
* New written contract for schools.
Description of Internal Monitoring Procedures:
The internal monitoring process will consist of new contracts to be provided to each school
prior to 09/01/2013.
CORRECTIVE ACTION PLAN APPROVAL SECTION
Criterion:
Corrective Action Plan Status: Approved
SE 37 Procedures for approved and
Status Date: 04/09/2013
unapproved out-of-district placements
Basis for Partial Approval or Disapproval:
The Department accepts the district's proposed corrective actions of revising contracts to
require unannounced site visits and staff training on the requirements for monitoring
students in out-of-district placements. See also SE 36.
Department Order of Corrective Action:
Required Elements of Progress Report(s):
By September 6, 2013, conduct a review of all out-of-district contracts. Report the
number of students in out-of-district placements and the number of those contracts that
contain a statement ensuring that the district can conduct unannounced visits. Lastly, for
the five student records that were found out of compliance during the CPR record review,
submit copies of their monitoring plans and revised OOD contracts. See also SE 36.
Progress Report Due Date(s):
09/06/2013
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COORDINATED PROGRAM REVIEW
CORRECTIVE ACTION PLAN
Criterion & Topic:
CPR Rating:
SE 43 Behavioral interventions
Partially Implemented
Department CPR Findings:
A review of student records indicated that for students identified with disabilities other
than an emotional disability, the district removes students from their current placement
into day programs or IAES settings for behavioral infractions without first implementing
behavioral interventions and supports, or convening IEP Teams to consider positive
behavioral interventions or the need for functional behavioral assessments.
Description of Corrective Action:
Meet with building Principals, Guidance Counselors and Team Chairpersons regarding the
following content:
* Instructional Student Support process when a child exhibits a concerning behavior
* utilize the resources of the building; psychologists, counselors, ABA therapists to
observe the child in the setting
* acquire consent of the parent for completing a Functional Behavioral Analysis
Add IAES protocol to Policy and Procedure Manual with all pertinent documentation by
09/01/2013
Title/Role(s) of responsible Persons:
Expected Date of
Team Chairpersons
Completion:
Building Principals
01/24/2014
Guidance Councilors
Evidence of Completion of the Corrective Action:
*Attendance and agenda provided for a meeting to discuss procedure for moving a child
to an IAES.
* Policy and Procedure Manual in all buildings by 09/01/2013
Description of Internal Monitoring Procedures:
The internal monitoring process will consist of the Director signing off on all IAES settings
ensuring appropriate procedures were followed.
CORRECTIVE ACTION PLAN APPROVAL SECTION
Criterion:
SE 43 Behavioral interventions
Corrective Action Plan Status: Partially
Approved
Status Date: 04/09/2013
Basis for Partial Approval or Disapproval:
The Department accepts the district's proposed corrective actions to train staff on the
implementation of behavioral interventions and procedures for moving a student into an
IAES. However, the district did not include an internal review of student records to ensure
that behavioral interventions were being implemented.
Department Order of Corrective Action:
After revised procedures and training on the implementation of behavioral interventions,
the district will conduct an internal review of students who have been removed from their
current placements into day programs or IAES settings for behavioral infractions to
ensure that behavioral interventions and supports, or convening IEP Teams to consider
positive behavioral interventions or the need for functional behavioral assessments, were
first implemented prior to removing students to more restrictive placements.
Required Elements of Progress Report(s):
By June 14, 2013, submit the district's revised procedures for moving students into an
IAES and evidence of staff training (agendas, signed attendance sheets, training
MA Department of Elementary & Secondary Education, Program Quality Assurance Services
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materials) on the implementation of behavioral interventions.
By November 29, 2013, after training and implementation of all corrective actions,
conduct a review of student records. Report the number of students placed in IAES
settings for behavioral infractions and the number whose files documented the
implementation of positive behavioral interventions, supports, or functional behavioral
assessments, prior to placing the student in a more restrictive or IAES setting. If ongoing
non-compliance is identified, report the root cause, a plan to remedy it and specific
actions taken to ensure full compliance for each file reviewed.
*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):
06/14/2013
11/29/2013
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COORDINATED PROGRAM REVIEW
CORRECTIVE ACTION PLAN
Criterion & Topic:
CPR Rating:
SE 44 Procedure for recording suspensions
Partially Implemented
Department CPR Findings:
A review of student records and interviews indicated that in some instances, the district
removes special education students from school with parental consent for extended
periods of time for behavioral infractions, but does not count the removal time as a
suspension.
Description of Corrective Action:
*review protocol for all students regarding behavioral infractions as defined in the Policy
and Procedure Manual with Principals and Guidance Counselors
Title/Role(s) of responsible Persons:
Expected Date of
Director of Special Education
Completion:
Building Principals
01/24/2014
Guidance Councilors
Evidence of Completion of the Corrective Action:
* review behavior plans with staff
* document all absences based on behavioral infraction as a suspension
* plan a manifestation meeting for the student and plan for return
Description of Internal Monitoring Procedures:
The internal monitoring process will consist of Principals, Guidance Counselors and
Chairpeople notifying the Director in an instance of a behavioral infraction resulting in
disciplinary action for a Special Education Student.
CORRECTIVE ACTION PLAN APPROVAL SECTION
Criterion:
Corrective Action Plan Status: Approved
SE 44 Procedure for recording
Status Date: 04/09/2013
suspensions
Basis for Partial Approval or Disapproval:
The Department accepts the district's proposed corrective actions of conducting training
for principals, Team chairpersons and guidance counselors on the Policy and Procedures
Manual and required protocols for students with patterns of behavioral infractions, as well
as internal monitoring to ensure ongoing compliance.
Department Order of Corrective Action:
Required Elements of Progress Report(s):
By June 14, 2013, the district will submit its protocols for students with patterns of
behavioral infractions and documentation (agendas, signed attendance sheets, training
materials) that training was conducted on these procedures.
By November 29, 2013, after training and implementation of all corrective actions,
conduct an internal review and report the number of special education students removed
from school with parental consent for extended periods of time for behavioral infractions,
the number of suspensions reported for these students and the number that evidenced
that appropriate procedures were followed. If district procedures were not followed and
on-going non-compliance was identified, report the root cause, a plan to remedy it and
any specific actions taken to ensure full compliance for each student record.
*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
MA Department of Elementary & Secondary Education, Program Quality Assurance Services
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person(s) who conducted the review, their roles(s), and their signature(s).
Progress Report Due Date(s):
06/14/2013
11/29/2013
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COORDINATED PROGRAM REVIEW
CORRECTIVE ACTION PLAN
Criterion & Topic:
CPR Rating:
SE 45 Procedures for suspension up to 10 days and after 10
Partially Implemented
days: General requirements
Department CPR Findings:
A review of records and interviews indicate that the district places special education
students in 45-day interim alternative educational settings (IAES) as a placement for
behavioral infractions that are not articulated in federal regulation (possessing weapons,
drugs or committing serious bodily harm would allow the district to unilaterally place the
student in an IAES). After placing the student in the IAES, the district acquires parental
consent to conduct re-evaluations. In several cases, this resulted in removing students
from full inclusion placements into day programs or IAES settings, without conducting
manifestation determinations and examining whether the student could remain in less
restrictive environments with added supports, services or behavior plans.
In several cases, special education students remained at home at the request of the
parent without the district providing any educational services, followed by placing
students in an IAES for the purpose of conducting evaluations as evidenced by signed
parental consent to evaluate forms in the student records. These evaluations included
required assessments and optional assessments such as psychological, social, and
projective assessments. In some instances, these evaluations included functional
behavioral assessments. This process may take several months before the district returns
the student to school or changes the placement of the student to implement services. The
district does not provide parents with the written notice of procedural safeguards after
instituting these removals from the student's placement.
The district also places students with disabilities with disciplinary infractions of any length
(i.e. less than 10 days of suspension and more than 10 days of suspension) in an IAES for
the purpose of an evaluation which the district indicates is an "extended evaluation,"
though there was no evidence that parents consented to an evaluation prior to the
"extended evaluation." Lastly, the district will obtain parental consent for a second
"extended evaluation" to keep the student an additional 45 days or longer in the IAES
with the intention of obtaining additional evaluation information.
Description of Corrective Action:
* review policy on discipline related to behavior by 10/01/2013 with principals and team
chairperson
* document procedure for recommending a 45-day assessment placement for a student
with building principals and team chairperson
* document process for contacting and recommending a 45 day assessment placement
for a child and the "interim" as the placement is being determined
Title/Role(s) of responsible Persons:
Expected Date of
Chairperson
Completion:
Building Principals
01/24/2014
Director of Special Education
Superintendent
Evidence of Completion of the Corrective Action:
agenda from the meeting with principals and Chairpeople
procedure for 45-day assessments documented in the Policy and Procedure Handbook
all student specific documentation filed in the main file
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Description of Internal Monitoring Procedures:
The internal monitoring process will consist of review all 45 day placements for
appropriate documentation in the child's main file.
CORRECTIVE ACTION PLAN APPROVAL SECTION
Criterion:
Corrective Action Plan Status: Approved
SE 45 Procedures for suspension up to
Status Date: 04/09/2013
10 days and after 10 days: General
requirements
Basis for Partial Approval or Disapproval:
The Department accepts the district's proposed corrective actions to train principals,
guidance staff and Team chairpersons on procedures for placing students in IAES settings,
requirements for conducting behavior manifestation determinations, providing parents
with written notice of procedural safeguards, and ceasing the use of extended evaluations
for students who were never identified as eligible for special education. As part of the
CAP, the district will internally monitor students placed in 45 day placements to ensure
that all required procedures were followed. See also SE 43 and SE 44.
Department Order of Corrective Action:
Required Elements of Progress Report(s):
By June 14, 2013, submit evidence (agendas, signed attendance sheets, training
materials) that training was conducted for principals, guidance staff and Team
chairpersons on procedures for placing students in IAES settings, procedures for
conducting behavior manifestation determinations, the requirements for providing parents
with written notice of procedural safeguards, and ceasing the use of extended evaluations
for students who were never identified as eligible for special education. In addition, for
the three student records that were found out of compliance during the CPR record
review, submit the initials of each student and required documentation (evidence that the
district provided FAPE during students' extended absences, manifestation determination
documentation, N1 notices documenting actions taken by the district). See also SE 43
and SE 44.
By November 29, 2013, following training and implementation of all corrective actions,
the district will conduct an internal review of all students placed in 45-day interim
alternative educational settings (IAES). Report the number of student records reviewed,
the number in compliance and if any ongoing non-compliance is identified, report the root
cause, a plan to remedy it and the specific actions taken to ensure full compliance for
each student reviewed.
*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):
06/14/2013
11/29/2013
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COORDINATED PROGRAM REVIEW
CORRECTIVE ACTION PLAN
Criterion & Topic:
CPR Rating:
SE 46 Procedures for suspension of students with disabilities
Partially Implemented
when suspensions exceed 10 consecutive school days or a
pattern has developed for suspensions exceeding 10 cumulative
days; responsibilities of the Team; responsibilities of the district
Department CPR Findings:
The student record review indicated that the district does not convene the IEP Team
within 10 days of the student's removal from school to conduct manifestation
determinations to determine whether the behavior was caused by or had a direct and
substantial relationship to the disability or whether the behavior was the direct result of
the district´s failure to implement the IEP. The suspension or removal data kept by school
building administrators and/or guidance counselors is not routinely shared with IEP Team
chairpersons who are responsible for conducting manifestation determination meetings.
As a result, the district is not identifying or documenting the need to reconvene IEP
Teams to address the needs of students with behavioral issues or for students who are
subject to disciplinary action to examine the appropriateness of the IEP or placement.
Description of Corrective Action:
* guidance counselors to provide team chairperson with documentation of suspension
* team chairperson schedule a manifestation meeting
Title/Role(s) of responsible Persons:
Expected Date of
Building Principal
Completion:
Guidance Councilors
01/24/2014
Team Chairperson
Evidence of Completion of the Corrective Action:
* meeting invitations and attendance sheets along with notes for all manifestation
meetings in the main file
* plans developed for the student maintained in the main file
Description of Internal Monitoring Procedures:
The internal monitoring process will consist of quarterly reviewing files of children
suspended for proper documentation.
CORRECTIVE ACTION PLAN APPROVAL SECTION
Criterion:
Corrective Action Plan Status: Approved
SE 46 Procedures for suspension of
Status Date: 04/09/2013
students with disabilities when
suspensions exceed 10 consecutive
school days or a pattern has developed
for suspensions exceeding 10 cumulative
days; responsibilities of the Team;
responsibilities of the district
Basis for Partial Approval or Disapproval:
The Department accepts the district's proposed corrective actions of clarifying procedures
for the reporting and tracking of suspensions, staff training on the district's procedures for
suspension of eligible students that exceed 10 days and quarterly monitoring of student
records for suspended students.
Department Order of Corrective Action:
Required Elements of Progress Report(s):
MA Department of Elementary & Secondary Education, Program Quality Assurance Services
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By June 14, 2013, submit documentation (agendas, signed attendance sheets, training
materials) that training was conducted for principals, guidance staff and Team
chairpersons on the requirements of this criterion.
By November 29, 2013, following staff training and implementation of all corrective
actions, conduct an internal review of eligible students who have been suspended 10
days. Report the number of students suspended 10 days and the number of records in
compliance. If ongoing non-compliance is identified, report the root cause, a plan to
remedy it and the specific actions taken to ensure that each student file is in full
compliance.
*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):
06/14/2013
11/29/2013
MA Department of Elementary & Secondary Education, Program Quality Assurance Services
Woburn CPR Corrective Action Plan
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COORDINATED PROGRAM REVIEW
CORRECTIVE ACTION PLAN
Criterion & Topic:
CPR Rating:
SE 51 Appropriate special education teacher licensure
Partially Implemented
Department CPR Findings:
A review of documentation and interviews indicated that the district employs a staff
member with a speech language certification as a special needs classroom teacher who
designs and provides direct special education services for students in a language-based
special education classroom. This staff member does not hold licensure as a special needs
teacher.
Description of Corrective Action:
All employees will hold the proper certification for the role they lead in the district.
Title/Role(s) of responsible Persons:
Expected Date of
Director of Special Education
Completion:
Superintendent of Schools
01/24/2014
Evidence of Completion of the Corrective Action:
District ensure all staff are properly licensed.
Description of Internal Monitoring Procedures:
The internal monitoring process will consist of District monitoring of staff licenses and
renewals annually.
The internal monitoring process will consist of new staff hired only with proper
certification approved and on file with the Superintendent.
CORRECTIVE ACTION PLAN APPROVAL SECTION
Criterion:
Corrective Action Plan Status: Approved
SE 51 Appropriate special education
Status Date: 04/09/2013
teacher licensure
Basis for Partial Approval or Disapproval:
The Department accepts the district's proposed corrective action of ensuring that special
education teachers assigned to substantially separate special education classes are
appropriately licensed.
Department Order of Corrective Action:
Required Elements of Progress Report(s):
By June 14, 2013, the district will submit evidence that the self-contained language based
teacher holds a current license for special education.
Progress Report Due Date(s):
06/14/2013
MA Department of Elementary & Secondary Education, Program Quality Assurance Services
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COORDINATED PROGRAM REVIEW
CORRECTIVE ACTION PLAN
Criterion & Topic:
CPR Rating:
CR 7 Information to be translated into languages other than
Partially Implemented
English
Department CPR Findings:
The document review and staff interviews indicated that the district does not ensure that
major publications of the district (handbooks, codes of conduct, course of studies) are
translated into the major languages of the district. The district relies on Google
translations available on the district's website; however, this translation software is often
inaccurate and not accessible to all parents.
Description of Corrective Action:
* Identification of major languages in district using Rediker Software Student
Management System (by 2/25)
* Translation of major publications of the district (handbooks, course of studies) by
Catholic Charities (by 6/30)
* Dissemination of the translated documents to appropriate staff, as well as posting of the
translated documents online (by 9/1)
* Conduct training with administrators to ensure staff are aware of need to translate
major documents and that they know the appropriate contact person for obtaining the
translation of documents (by 9/1)
Title/Role(s) of responsible Persons:
Expected Date of
Assistant Superintendent for Curriculum
Completion:
09/01/2013
Evidence of Completion of the Corrective Action:
Copies of translated documents
Copy of agenda, attendance sheet and meeting notes from training with administrators
Description of Internal Monitoring Procedures:
Annual review of major languages of district to be conducted by Assistant Superintendent
of Curriculum (to be completed annually in October)
Annual review of major district publications to ensure that publications are available in
district major languages (to be completed annually in October)
CORRECTIVE ACTION PLAN APPROVAL SECTION
Criterion:
Corrective Action Plan Status: Approved
CR 7 Information to be translated into
Status Date: 04/09/2013
languages other than English
Basis for Partial Approval or Disapproval:
The Department accepts the district's proposed corrective actions to train staff regarding
the requirements of translated information and the procurement of translated handbooks
and courses of studies.
Department Order of Corrective Action:
Required Elements of Progress Report(s):
By June 13, 2014, the district will submit documentation that training was conducted for
administrators to ensure they know the appropriate contact person for obtaining the
translation of documents.
By September 6, 2013, submit copies of the translated documents (student handbook and
course of study).
Progress Report Due Date(s):
MA Department of Elementary & Secondary Education, Program Quality Assurance Services
Woburn CPR Corrective Action Plan
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06/14/2013
09/06/2013
MA Department of Elementary & Secondary Education, Program Quality Assurance Services
Woburn CPR Corrective Action Plan
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COORDINATED PROGRAM REVIEW
CORRECTIVE ACTION PLAN
Criterion & Topic:
CPR Rating:
CR 7B Structured learning time
Partially Implemented
Department CPR Findings:
A review of documents and staff interviews indicated that at the high school level, the
district requires students to participate in only two years of physical education. State law
requires physical education for all students at all grade levels every year.
Description of Corrective Action:
* Establishment of working group to review the CPR finding and to establish a plan for
corrective action. (by 3/1)
* Review of graduation requirements related to physical education participation by
working group (by 5/1)
* Development of new policy/practice for physical education participation by working
group (by 6/1)
* Establishment of plan for implementation of new policy/practice, including training for
school guidance counselors on enforcement of policy (by 6/30)
* communication to students/families about new policy/practice (by 6/30)
Title/Role(s) of responsible Persons:
Expected Date of
Assistant Superintendent
Completion:
High School Principal
09/01/2013
Wellness Department Head
Guidance Department head
Evidence of Completion of the Corrective Action:
* Copies of meeting agendas, attendance and notes related to correcting physical
education requirements
* Copy of student course of studies indicating the updated requirements for participating
in physical education
Description of Internal Monitoring Procedures:
Annual review of student course of studies
Annual review of a sampling of student transcripts to ensure compliance with
policy/practice
CORRECTIVE ACTION PLAN APPROVAL SECTION
Criterion:
CR 7B Structured learning time
Corrective Action Plan Status: Approved
Status Date: 04/09/2013
Basis for Partial Approval or Disapproval:
The Department accepts the district's corrective action of developing a new policy/practice
to ensure that all students receive physical education.
Department Order of Corrective Action:
Required Elements of Progress Report(s):
By June 14, 2013, submit the new policy regarding physical education.
By September 6, 2013, submit the updated course of studies.
Progress Report Due Date(s):
06/14/2013
09/06/2013
MA Department of Elementary & Secondary Education, Program Quality Assurance Services
Woburn CPR Corrective Action Plan
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COORDINATED PROGRAM REVIEW
CORRECTIVE ACTION PLAN
Criterion & Topic:
CPR Rating:
CR 7C Early release of high school seniors
Partially Implemented
Department CPR Findings:
A review of documentation and interviews indicated that seniors are released six days
earlier than permissible.
Description of Corrective Action:
* Establishment of working group to review district calendar, including release of seniors
(by 4/30)
* Revision of school calendar, including release date for seniors (by 6/30)
Title/Role(s) of responsible Persons:
Expected Date of
Superintendent
Completion:
High School Principal
01/24/2014
Evidence of Completion of the Corrective Action:
* submission of school calendar indicating release date for seniors and for all other
students
Description of Internal Monitoring Procedures:
* Annual review of school calendar by administration and approval by school committee
CORRECTIVE ACTION PLAN APPROVAL SECTION
Criterion:
Corrective Action Plan Status: Approved
CR 7C Early release of high school
Status Date: 04/09/2013
seniors
Basis for Partial Approval or Disapproval:
The Department will accept the district's revised calendar to ensure compliance for the
early release of high school seniors.
Department Order of Corrective Action:
Required Elements of Progress Report(s):
By June 14, 2013, the district will submit a revised school year calendar documenting that
high school seniors are not dismissed more than 12 school days before the regular
scheduled closing date of the high school.
Progress Report Due Date(s):
06/14/2013
MA Department of Elementary & Secondary Education, Program Quality Assurance Services
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COORDINATED PROGRAM REVIEW
CORRECTIVE ACTION PLAN
Criterion & Topic:
CPR Rating:
CR 9 Hiring and employment practices of prospective employers
Partially Implemented
of students
Department CPR Findings:
A review of documents and staff interviews indicated that the district does not require
prospective employers of students to sign statements that they comply with federal and
state laws prohibiting discrimination in hiring or employment practices.
Description of Corrective Action:
* Establishment of working group to develop a policy around prospective employers of
students to sign statements that they comply with federal and state laws prohibiting
discrimination in hiring or employment practices (by 4/1)
* Development of statement for prospective employers to sign (by 6/1)
* Training for appropriate staff in the use of the forms (by 8/30)
Title/Role(s) of responsible Persons:
Expected Date of
Assistant Superintendent for Business and Finance
Completion:
High School Principal
09/01/2013
Guidance Department Chair
Evidence of Completion of the Corrective Action:
* Copies of agendas, attendance and meeting minutes from working group
* Submission of copy of statement to be signed by prospective employers
* Copy of training agenda and attendance for staff
Description of Internal Monitoring Procedures:
Annual review by Assistant Superintendent for Business and Finance of records signed by
prospective employers
CORRECTIVE ACTION PLAN APPROVAL SECTION
Criterion:
Corrective Action Plan Status: Approved
CR 9 Hiring and employment practices of
Status Date: 04/09/2013
prospective employers of students
Basis for Partial Approval or Disapproval:
The Department accepts the district's corrective actions of developing statements for
prospective employers, establishing policies and procedures for procurement of these
statements from employers and training appropriate staff on the requirements of this
criterion.
Department Order of Corrective Action:
Required Elements of Progress Report(s):
By June 14, 2013, submit the district's newly developed policies and procedures, the form
and evidence (agendas, signed attendance sheets) that training was conducted on the
procurement of signed statements of compliance from prospective employers of students.
By November 29, 2013, conduct an internal review and report the number of students
involved in work-study, apprenticeship training programs and cooperative work
experiences, and the number of signed statements received by the district from these
prospective employers. If non-compliance is identified, report the root cause of the ongoing non-compliance and the steps taken by the district to ensure full compliance with
this criterion.
Progress Report Due Date(s):
06/14/2013
11/29/2013
MA Department of Elementary & Secondary Education, Program Quality Assurance Services
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COORDINATED PROGRAM REVIEW
CORRECTIVE ACTION PLAN
Criterion & Topic:
CPR Rating:
CR 10A Student handbooks and codes of conduct
Partially Implemented
Department CPR Findings:
A review of documents indicated that student handbooks do not contain procedures for
accepting, investigating and resolving complaints alleging discrimination or harassment;
and the disciplinary measures that the school may impose if it determines that
harassment or discrimination has occurred.
Description of Corrective Action:
* Establishment of working group to review student handbooks to ensure that all required
regulations/policies are provided to students, including procedures for accepting,
investigating and resolving complaints alleging discrimination or harassment; and the
disciplinary measures that the school may impose if it is determined that harassment has
occurred (by 5/1)
* Review of procedures and handbook with school attorney to ensure compliance (by 6/1)
* Revision of school handbooks for 2013-2014 school year (by 8/30)
Title/Role(s) of responsible Persons:
Expected Date of
Assistant Superintendent for Curriculum
Completion:
09/01/2013
Evidence of Completion of the Corrective Action:
* Copies of agendas, attendance and meeting notes of working group
* Evidence of review by school attorney
* Copies of school handbooks with appropriate procedures included
Description of Internal Monitoring Procedures:
* annual review of handbook by school committee and school attorneys to ensure that all
required policies/procedures/practices are included
CORRECTIVE ACTION PLAN APPROVAL SECTION
Criterion:
Corrective Action Plan Status: Approved
CR 10A Student handbooks and codes of
Status Date: 04/09/2013
conduct
Basis for Partial Approval or Disapproval:
The Department accepts the district's proposed plan to revise its student handbooks.
Department Order of Corrective Action:
Required Elements of Progress Report(s):
By September 6, 2013, the district will submit a copy of the updated student handbook
that will include procedures for accepting, investigating and resolving complaints alleging
discrimination or harassment; and the disciplinary measures that the school may impose
if it determines that harassment or discrimination has occurred. In addition, the district
will replace and post the revised version on the district's website.
Progress Report Due Date(s):
09/06/2013
MA Department of Elementary & Secondary Education, Program Quality Assurance Services
Woburn CPR Corrective Action Plan
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COORDINATED PROGRAM REVIEW
CORRECTIVE ACTION PLAN
Criterion & Topic:
CPR Rating:
CR 17A Use of physical restraint on any student enrolled in a
Partially Implemented
publicly-funded education program
Department CPR Findings:
The document review and staff interviews indicated that while special education staff
received training, general education staff did not receive training on the use of physical
restraint within the first month of the school year.
Description of Corrective Action:
* Review of required trainings for school staff (by 6/1)
* Development of professional development training for general education staff on the use
of physical restraint (by 8/1)
* Development of professional development training calendar, which includes training for
staff on the use of physical restraint (by 8/1)
* Provide training to all staff on the use of physical restraint (by 10/1)
Title/Role(s) of responsible Persons:
Expected Date of
Assistant Superintendent for Curriculum
Completion:
Director of Special Education
10/01/2013
Evidence of Completion of the Corrective Action:
* District professional development calendar
* Copies of agendas, meeting minutes and attendance sheets from staff training on the
use of physical restraint
Description of Internal Monitoring Procedures:
Annual submission by each school of agenda, meeting minutes and attendance sheets
identifying that staff have been trained on the use of restraints (to be submitted to the
Assistant Superintendent)
CORRECTIVE ACTION PLAN APPROVAL SECTION
Criterion:
Corrective Action Plan Status: Approved
CR 17A Use of physical restraint on any
Status Date: 04/09/2013
student enrolled in a publicly-funded
education program
Basis for Partial Approval or Disapproval:
The Department has accepted the district's proposal to provide staff training on the use of
physical restraint within the first month of the school year.
Department Order of Corrective Action:
Required Elements of Progress Report(s):
By September 6, 2013, submit documentation (agenda, signed attendance sheets,
training materials) that training was or will be conducted for general education staff on
the use of physical restraint within the first month of school.
Progress Report Due Date(s):
09/06/2013
MA Department of Elementary & Secondary Education, Program Quality Assurance Services
Woburn CPR Corrective Action Plan
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COORDINATED PROGRAM REVIEW
CORRECTIVE ACTION PLAN
Criterion & Topic:
CPR Rating:
CR 18 Responsibilities of the school principal
Partially Implemented
Department CPR Findings:
A review of student records, documents and staff interviews indicated that principals
obtain parent signatures for consent prior to implementing English as a Second Language
(ESL) services and Title 1 services thus delaying the provision of these services to
students. In addition, the schools do not have procedures to ensure that the Student
Assistance Teams (SAT) document attempted interventions and place this information in
the student record. Additionally, when an individual student is referred for an evaluation
to determine eligibility for special education, the schools do not ensure that the
documentation of the instructional support services for the student is provided as part of
the evaluation information reviewed by the IEP Team.
Description of Corrective Action:
* Review of Title I and ELL Handbook to ensure that procedures for implementing services
to students are clearly defined (by 7/1)
* Training for administrators (principals and assistant principals), ESL and Title I staff on
the implementation policies/practices (by 9/15)
* Review of IST policies and practices with principals, particularly around the use of
appropriate forms for documenting IST practices and the location of these records (by
10/15)
* Review of procedures (with administration and special education Chairpeople) for
submitting documentation when a referral for an evaluation to determine special
education eligibility has been made, including the submission of IST meeting notes and
student work samples (by 10/30)
Title/Role(s) of responsible Persons:
Expected Date of
Assistant Superintendent for Curriculum
Completion:
Director of Title I
01/24/2014
Special Education Director
Evidence of Completion of the Corrective Action:
* Copies of revised ELL and Title I handbooks indicating procedures for obtaining parent
consent and for implementing services
* Copies of agendas, meeting notes and attendance sheets documenting training of
administration and special education Chairpeople on the IST practices, including the
completion of IST forms, collection of data, location of student information, and
submission of required documents when a student is being referred for an eligibility
determination evaluation
Description of Internal Monitoring Procedures:
Annual review of procedures/practices around implementing ESL and Title I services with
administration
Annual sampling of student records to ensure that IST documentation (when appropriate)
is included
Annual sampling of student referral packets to ensure that appropriate IST documentation
is included
CORRECTIVE ACTION PLAN APPROVAL SECTION
Criterion:
CR 18 Responsibilities of the school
principal
Corrective Action Plan Status: Approved
Status Date: 04/09/2013
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Basis for Partial Approval or Disapproval:
The Department accepts the district's proposal to train administrators, ESL and Title I
staff on the requirements for program implementation. In addition, the district will review
Instructional Support Team procedures and forms, and conduct staff training on the
requirements to document interventions and supports provided to students prior to
referring a student for special education eligibility.
Department Order of Corrective Action:
Required Elements of Progress Report(s):
By June 14, 2013, submit a description of the revised IST policy and procedures to ensure
that documentation of interventions and supports are included in student records when
referring students for special education eligibility. Submit evidence (agendas, signed
attendance sheets, training materials) that training was conducted on documenting
instructional supports and services for students as part of the evaluation information
reviewed by the IEP Team.
By November 29, 2013, following training, conduct an internal review from each level and
report the number of evaluation requests received by the district from IST teams and the
number of those records that contained documented interventions and supports that were
considered part of the evaluation information and reviewed by the IEP Team. If any noncompliance is identified, report the root cause of the non-compliance and the steps taken
to remedy it.
Progress Report Due Date(s):
06/14/2013
11/29/2013
MA Department of Elementary & Secondary Education, Program Quality Assurance Services
Woburn CPR Corrective Action Plan
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COORDINATED PROGRAM REVIEW
CORRECTIVE ACTION PLAN
Criterion & Topic:
CPR Rating:
CR 25 Institutional self-evaluation
Partially Implemented
Department CPR Findings:
The document review and staff interviews indicated that the district does not annually
conduct an institutional self-evaluation of its K-12 programming to ensure that all
protected classes have equal access to the district's programs and services.
Description of Corrective Action:
* Establishment of a working group to develop an institutional self-evaluation of its K-12
programming (by 5/1)
* Identification of annual timeline for institutional self-evaluation review (by 6/1)
* Completion of annual institutional self-evaluation for the 2013 school year (by 8/30)
Title/Role(s) of responsible Persons:
Expected Date of
Assistant Superintendent
Completion:
Principals
08/30/2013
Evidence of Completion of the Corrective Action:
* Copies of minutes, meeting notes and attendance sheets from working group
* Copy of institutional self-evaluation form
* Copy of institutional self-evaluation review and recommendations for the 2013 school
year
Description of Internal Monitoring Procedures:
Annual review completed and recommendations presented to superintendent
CORRECTIVE ACTION PLAN APPROVAL SECTION
Criterion:
CR 25 Institutional self-evaluation
Corrective Action Plan Status: Approved
Status Date: 04/09/2013
Basis for Partial Approval or Disapproval:
The Department accepts the district's proposed plan to develop and conduct an
institutional self-evaluation.
Department Order of Corrective Action:
Required Elements of Progress Report(s):
By June 14, 2013, the district will submit a copy of the self-evaluation tool.
By September 6, 2013, the district will submit the results of its institutional K-12 selfevaluation to ensure that all protected classes have equal access to the district's
programs and services.
Progress Report Due Date(s):
06/14/2013
09/06/2013
MA Department of Elementary & Secondary Education, Program Quality Assurance Services
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MASSACHUSETTS DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION
COORDINATED PROGRAM REVIEW
Woburn Public Schools
Corrective Action Plan Forms
Program Area: English Learner Education
Prepared by: Gary Reese, Assistant Superintendent
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: August 20, 2014
MA Department of Elementary & Secondary Education, Program Quality Assurance Services
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COORDINATED PROGRAM REVIEW
CORRECTIVE ACTION PLAN
(To be completed by school district/charter school)
Criterion & Topic: ELE 5 Program Placement and
Structure
Rating: Partially Implemented
Department CPR Finding:
District documentation indicated the development of a content based ESL curriculum for high school
students. However, no ESL curriculum was available for review for the elementary and middle
grades. Regarding the ESL curriculum, the district should note that the Department has new
regulations in place which may affect the district’s corrective action plan (CAP). Please refer to:
http://www.doe.mass.edu/retell/ for more information.
Documentation and onsite interviews indicated that ELLs do not receive a sufficient amount of direct
ESL instruction as recommended in the Departments guidance document titled: “Guidance on
Using MEPA Results to Plan Sheltered English Immersion (SEI) Instruction and Make
Reclassification Decisions for Limited English Proficient (LEP) Students.” (Please refer to
http://www.doe.mass.edu/mcas/mepa/guidance.html - p. 5). This is more evident for ELLs at
beginning MEPA (Massachusetts English Proficiency Assessment) levels 1 and 2 in elementary
school. Also, the district did not specify the number of days per week that students receive ESL
instruction, and instead of specific minutes per session, per number of days a week, the district
reported a range. For example, for level 1 and 2 the district reported 1.5 – 2.5, hours of ESL
instruction provided to ELLs. ELLs in high school at levels 4 and 5, receive 45 minutes of ESL
instruction. Depending on the number of sessions of ESL instruction provided to these students per
week, per semester, students may receive hours of ESL instruction consistent with Department
guidance. Also, onsite interviews indicated that at the elementary schools (for example – at Shamrock
elementary) there are scheduling conflicts, which then prevent students from receiving ESL
instruction.
Please refer to ELE 15 for comments on Sheltered English Immersion (SEI) professional development
training.
The Department concluded that the district does not have a fully implemented SEI program. An ESL
curriculum for the early grades and middle school was not available for review, most content area
teachers have not received SEI Category Training, and the amount of hours of ESL instruction
provided to ELLs is inconsistent with Department guidance.
Narrative Description of Corrective Action: The district ELL teachers will be meeting as grade-level
groups to discuss and develop a formalized ELL curriculum that is in alignment with WIDA. ELL
teachers will go through webinar trainings through WIDA in order to facilitate this process.
The ELL staff held a meeting on September 9, 2013 to discuss ESL instruction guidelines, both in
terms of amount of service delivery, as well as groupings of students. Following this meeting, the
Assistant Superintendent for curriculum is meeting individually with each staff member to review her
schedule and determine level of compliance. Recommendations for additional staffing will be
presented in the 2014-2015 school year budget that is developed in the spring.
MA Department of Elementary & Secondary Education, Program Quality Assurance Services
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Title/Role of Person(s) Responsible for
Expected Date of Completion for Each
Implementation: Gary Reese, Assistant
Corrective Action Activity: April 2014 – ELL
Superintendent for Curriculum
Curriculum
ELE Teachers – elementary, middle and high school August 2014 – Student/staff schedules
 Evidence of Completion of the Corrective Action:
 Finalized ELL Curriculum for all grade level groupings, proficiency levels – that is in
alignment with WIDA standards and the Massachusetts Curriculum Frameworks – by April
2014
 Staff/Student schedules which reflect the appropriate service delivery time by instructional
grouping – by August 2014
Description of Internal Monitoring Procedures: Random selection of 15 student schedules to
determine compliance with instructional time regulations – October 2014 and annually thereafter
CORRECTIVE ACTION PLAN APPROVAL SECTION
(To be completed by the Department of Elementary and Secondary Education)
Status of Corrective Action:
Approved
Partially Approved
Criterion: ELE 5
Disapproved
Basis for Partial Approval or Disapproval: N/A
Department Order of Corrective Action: N/A
Required Elements of Progress Report(s):
By January 24, 2014, please provide:
1) A detailed plan that shows that the district is providing sufficient ESL instruction to all ELL students
during the 2013-2014 school year based on the Department's Guidance on using MEPA Results to Plan
Sheltered English Immersion (SEI) Instruction and make Reclassification Decisions for Limited
English Proficient (LEP) Students from September 2009 found at
http://www.doe.mass.edu/mcas/mepa/2009/guidance.doc
2)
Please complete district information in the attached spreadsheet labeled ELL List for each ELL
student in the district.
Progress Report Due Date(s): January 24, 2014
COORDINATED PROGRAM REVIEW
CORRECTIVE ACTION PLAN
(To be completed by school district/charter school)
Criterion & Topic: ELE 7 Parent Involvement
Rating: Partially Implemented
Department CPR Finding: A review of documentation, student records and interviews indicated that
the district does not ensure that major publications of the district (handbooks, codes of conduct, course
of studies, progress reports, report cards etc.) are translated in the major languages of the district. The
district relies on Google translations available on the district's website; however, this translation
software is often inaccurate and not accessible to all parents. See CR 7.
MA Department of Elementary & Secondary Education, Program Quality Assurance Services
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Narrative Description of Corrective Action: The district conducted a review of the primary
languages of its families. The two major languages in the district are Spanish and Portuguese.
We have identified individuals in the district that are able to provide translations in our two
major languages (Donna Janas, Portuguese; Cecilia Semler, Spanish). These two individuals
have been contracted to translate major documents for our families. For low incidence
primary languages, we will provide translations upon request.
Per a discussion with Lynn Summerill from the DESE regarding translation of the handbook,
Mrs. Summerill identified the key portions of the handbook that needed to be translated for
students, which include the code of discipline, discrimination and harassment
policy/procedure, student due process requirements, and promotion and graduation
requirements. These documents have been translated into our two primary languages.
The translators are currently working on translating our report cards and will work with the
teachers during progress report time to provide translated reports.
Title/Role of Person(s) Responsible for
Implementation: Gary Reese, Assistant
Expected Date of Completion for Each
Corrective Action Activity: 10/1 – Handbook
documents
Superintendent for Curriculum
11/30 – progress reports
Elementary, middle and high school principals
12/30 – report cards
 Evidence of Completion of the Corrective Action: Copies of Handbook documents – by
October 1
 Copies of progress reports – by November 30
 Copies of report cards – by December 30
Description of Internal Monitoring Procedures: March 2014 and annually thereafter – a random
selection of ten student files will be selected and reviewed to determine if translated
documents have been provided.
CORRECTIVE ACTION PLAN APPROVAL SECTION
(To be completed by the Department of Elementary and Secondary Education)
Criterion:
ELE 7
Status of Corrective Action:
Approved
Partially Approved
Disapproved
Basis for Partial Approval or Disapproval: The district’s implementation of criterion CR 7
(Information to be translated into languages other than English) was fully approved on July 29,
2013. The district submitted documentation that training was conducted for administrators on how
to obtain interpreters and translated documents (handbook codes of conduct, CR & grievance
procedures, graduation requirements etc.) in Portuguese and Spanish, the two high frequency
languages of the district. Training documentation (agendas, signed attendance sheets) and
statements of assurance were submitted describing the district’s plan to have progress reports and
report cards translated for the 2014 SY and a course of studies that will be published in Spanish
and Portuguese at the start of the 2015 school year. As a result of the district’s actions, the
Department has reviewed and approved the district’s plan to increase the district’s translated
documents for parents.
Department Order of Corrective Action: N/A
Required Elements of Progress Report(s): N/A
Progress Report Due Date(s): No further progress reports required.
MA Department of Elementary & Secondary Education, Program Quality Assurance Services
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COORDINATED PROGRAM REVIEW
CORRECTIVE ACTION PLAN
(To be completed by school district/charter school)
Rating: Partially Implemented
Criterion & Topic: ELE 9 Instructional
Grouping
Department CPR Finding: A review of documentation and interviews indicated that students are not
always grouped by proficiency levels. However, onsite interviews indicated that there is great variance
among schools. For instance, instructional groupings are dictated by school and staff scheduling
rather than student need and their English proficiency levels.
Narrative Description of Corrective Action: The ELL staff held a meeting on September 9,
2013 to discuss ESL instruction guidelines, both in terms of amount of service delivery, as
well as groupings of students. Following this meeting, the Assistant Superintendent for
curriculum is meeting individually with each staff member to review her schedule and
determine level of compliance. Recommendations for additional staffing will be presented in
the 2014-2015 school year budget that is developed in the spring (in order to appropriately
meet instructional grouping guidelines).
Title/Role of Person(s) Responsible for
Implementation: Gary Reese, Assistant
Superintendent for Curriculum
ELE Teachers – elementary, middle and high
school
Expected Date of Completion for Each
Corrective Action Activity: August 2014 –
student/staff schedules
Evidence of Completion of the Corrective Action: Staff/Student schedules which reflect the
appropriate service delivery time by instructional grouping
Description of Internal Monitoring Procedures: Random selection of 15 student schedules to
determine compliance with instructional time regulations – October 2014 and annually
thereafter
CORRECTIVE ACTION PLAN APPROVAL SECTION
(To be completed by the Department of Elementary and Secondary Education)
Criterion: ELE 9
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):
Provide a copy of the most recent ESL teacher schedules for all grade levels district wide. All
schedules should include the following for each block of time: 1. Names of the ELL students 2. Grade
level for each student 3. English proficiency level for each student.
Progress Report Due Date(s): January 24, 2014
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COORDINATED PROGRAM REVIEW
CORRECTIVE ACTION PLAN
(To be completed by school district/charter school)
Rating: Partially Implemented
Criterion & Topic: ELE 10 Parental
Notification
Department CPR Finding: A review of documentation and interviews indicated that parent
notification letters are not sent annually. In addition the parent notification asks parents for consent
before providing students with ESL services and services will not begin prior to obtaining parental
consent. Lastly, the district does not translate progress reports and report cards.
Narrative Description of Corrective Action: Parent notification form has been revised to
provide parents with an “opt-out” option, as opposed to an “opt-in” option for ELL services.
Services will begin once testing is completed and a child is identified as requiring ESL
services. This is also been made an annual notification form for notification of services.
For a description of progress towards meeting the goal of translated report cards, see ELE
criterion #7.
Title/Role of Person(s) Responsible for
Implementation: Gary Reese, Assistant
Expected Date of Completion for Each
Corrective Action Activity: 12/2013
Superintendent for Curriculum
ELE Teachers – elementary, middle and high
school
Elementary, Middle and High School Principals
Evidence of Completion of the Corrective Action:
 Copy of Parent Notification form
 Copy of training agenda and minutes from a training with the ELE teachers on September 9,
2013 regarding parent notification requirements and expectations.
Description of Internal Monitoring Procedures:
 October 2013 and annually thereafter – Ten student records will be randomly selected to
ensure that parent notification letters are included and that they contain the appropriate
language for parents to “opt-out” of services

Teachers will sign off annually that services for students started once the students had
been identified for services, not after the parents have accepted the services
CORRECTIVE ACTION PLAN APPROVAL SECTION
(To be completed by the Department of Elementary and Secondary Education)
Criterion: ELE 10
Status of Corrective Action:
Approved
Partially Approved
Disapproved
Basis for Partial Approval or Disapproval: The district has revised its parent notification letter,
including discontinuing the practice of requiring parent signatures to begin services, and monitoring
procedures that include reviews of student records.
Department Order of Corrective Action: N/A
Required Elements of Progress Report(s):
By January 24, 2014, submit the revised parent notification letter. Please note that the DESE has
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developed a template parent notification letter, available at
http://www.doe.mass.edu/ell/news12/TitleIII-ParentNotification.pdf.
By April 25, 2014, please submit the results of an administrative review of student records, from
elementary, middle and high school levels, for evidence of the following: 1) a revised annual parent
notification is in each file, and 2) services begin as soon as identification of student’s language needs
have been made & without requiring parental consent. This sample must be drawn from students
whose parental notification occurred after all corrective actions have been implemented. Identify the
number of records reviewed and the number of records in compliance. If the district identifies any files
without the revised parent notification and/or the student is not receiving services, report the specific
actions taken to remedy each identified student record, the root cause of the non compliance and a plan
to remedy it.
The district will maintain the following documentation and make it available to the Department
upon request: list of student names and grade levels for the records reviewed, date of the review,
name(s) of person(s) who conducted the review with roles and signatures.
Progress Report Due Date(s): January 24, 2014 & April 25, 2014
COORDINATED PROGRAM REVIEW
CORRECTIVE ACTION PLAN
(To be completed by school district/charter school)
Criterion & Topic: ELE 11 Equal Access to
Rating: Partially Implemented
Academic Programs and Services
Department CPR Finding: A review of documentation and interviews indicated the LEP
students enrolled do not have content teachers who have received training in all four
categories for sheltering content as required by the Department; therefore, LEP students do
not have equal access to a full range of academic opportunities. In addition parents are not
provided immediate access to ESL programming and Title I services unless the parent accepts
entrance into these programs.
Narrative Description of Corrective Action: The Woburn Public Schools will begin training
teachers this year using the RETELL model. We were able to offer two in-district RETELL
courses this school year, one focusing on skills for elementary level teachers and one for
secondary level teachers. Between these two courses, as well as other courses being offered
throughout the state, we had 56 teachers register for our first year of offering the RETELL
courses. This exceeds our target for the year established by the state. We have had additional
teachers interested in participating in the courses, but due to the state’s cap, they were not able
to register at this time.
Parent notification form has been revised to provide parents with an “opt-out” option, as
opposed to an “opt-in” option for ELL services. Services will begin once testing is completed
and a child is identified as requiring ESL services.
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Title/Role of Person(s) Responsible for
Implementation: Gary Reese, Assistant
Expected Date of Completion for Each
Corrective Action Activity: July 1, 2014
Superintendent for Curriculum
Ernie Wells and Eileen Mills, Elementary
Principals / RETELL Coordinators
Evidence of Completion of the Corrective Action:
 RETELL cohort list 2013-2014
 Course listing for Woburn Public Schools for 2013-2014 school year
 Copy of Parent Notification form
 Copy of training agenda and minutes from a training with the ELE teachers on
September 9, 2013 regarding parent notification requirements and expectations.
Description of Internal Monitoring Procedures:
 We will be maintaining a database of teachers that have achieved the SEI endorsement and will
review this annually to determine which teachers still need the endorsement.
 October 2013 and annually thereafter – Ten student records will be randomly selected to
ensure that parent notification letters are included and that they contain the appropriate
language for parents to “opt-out” of services
CORRECTIVE ACTION PLAN APPROVAL SECTION
(To be completed by the Department of Elementary and Secondary Education)
Criterion: ELE 11
Status of Corrective Action:
Approved
Partially Approved
Disapproved
Basis for Partial Approval or Disapproval: See ELE 10 and ELE 15.
Department Order of Corrective Action:
Required Elements of Progress Report(s): See ELE 10 and ELE 15
Progress Report Due Date(s): January 24, 2014
COORDINATED PROGRAM REVIEW
CORRECTIVE ACTION PLAN
(To be completed by school district/charter school)
Criterion & Topic: ELE 12 Equal Access to
Nonacademic and Extracurricular Programs
Rating: Not Implemented
Department CPR Finding: A review of documentation and interviews indicated that the district does
not translate information on the opportunities for athletics, and course of studies, nor does the district
have a system to provide counseling service to LEP students in a language they understand.
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Narrative Description of Corrective Action: The Assistant Superintendent for Curriculum met
with the middle and high school principals on Friday, September 13th to review guideline and
expectations for translation of documents. A procedure was established to ensure that all
opportunities for athletics and other extracurricular activities are translated. In addition, as the
2014-2015 course of studies is being developed, it will be translated as well. This translation
will be done in the two primary languages for the district, Spanish and Portuguese.
A meeting with the guidance department at the high school was held on September 18, 2013.
A process for securing translators, when necessary, was developed with the counselors. This
includes accessing two currently licensed counselors in the building who can assist with
translating in Spanish (M. Marsh and K. Bolcome) as well as accessing a school psychologist
in the district for translation in Portuguese (D. Janas). We have also identified a list of other
translators that the counselors can access. These translators will sign a confidentiality
agreement with the district.
Title/Role of Person(s) Responsible for
Implementation: Gary Reese, Assistant
Expected Date of Completion for Each
Corrective Action Activity: June 30, 2014
Superintendent for Curriculum
Middle and High School principals
Middle and High School Guidance staff
Evidence of Completion of the Corrective Action:
 Copies of training meeting agendas and notes for meetings on September 13 and September 18
 Copies of translated documents, including program of studies (which will be available in the
spring 2014)
 Copy of procedure identified for guidance counselors for securing translators for
meetings with students so that the students have access to counseling services in a
language they understand
Description of Internal Monitoring Procedures:
 Annual review of athletics and extra-curricular postings with translations provided in both
Spanish and Portuguese

Annual review of program of studies to ensure that a translated document has been
made available to students
CORRECTIVE ACTION PLAN APPROVAL SECTION
(To be completed by the Department of Elementary and Secondary Education)
Criterion: ELE 12
Status of Corrective Action:
Approved
Partially Approved
Disapproved
Basis for Partial Approval or Disapproval: The district submitted procedures for securing
translators for counseling services. The district has the in-house capacity to meet the
counseling needs of students in the top two high frequency languages in the district, Spanish
and Portuguese. The district has also developed a list of outside translators that can be
contracted for the low incidence languages when needed. Please also see DESE comments to ELE
7. As a result of these actions, the district has demonstrated full implementation of this criterion.
Department Order of Corrective Action: N/A
Required Elements of Progress Report(s): N/A
Progress Report Due Date(s): No further progress reports are required.
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COORDINATED PROGRAM REVIEW
CORRECTIVE ACTION PLAN
(To be completed by school district/charter school)
Criterion & Topic: ELE 13 Follow-up Support
Rating: Partially Implemented
Department CPR Finding: A review of student records and interviews indicated that the district only
monitors Formerly English Language Learners (FELL) students for one year not two, at high school
level.
Narrative Description of Corrective Action: The district has a two year Formerly English
Language Learners (FELL) monitoring sheet. ELE teachers should have been working with
classroom teachers and school administration to monitor FELLs for two years. Procedures
were reviewed with the ELE teachers at a training on September 9, 2013.
Title/Role of Person(s) Responsible for Implementation:
Gary Reese, Assistant Superintendent for Curriculum
ELE Teachers – elementary, middle and high school
Expected Date of Completion for
Each Corrective Action Activity:
October 1, 2013
Evidence of Completion of the Corrective Action:
 Copy of training agenda and sign off sheet
 Copy of FELL monitoring sheet
Description of Internal Monitoring Procedures: In March 2014, and annually thereafter, the
district office will randomly select five student FELL files for review to ensure that
appropriate monitoring and documentation is occurring.
CORRECTIVE ACTION PLAN APPROVAL SECTION
(To be completed by the Department of Elementary and Secondary Education)
Criterion: ELE 13
Status of Corrective Action:
Approved
Partially Approved
Disapproved
Basis for Partial Approval or Disapproval: The district has developed revised monitoring procedures
and has conducted staff training on these procedures on 9/9/13. The district is also implementing
internal monitoring procedures that will consist of annual reviews of Formerly English Language
Learners (FELL) student records to ensure ongoing compliance.
Department Order of Corrective Action: See below.
Required Elements of Progress Report(s):
By January 24, 2014 submit a copy of the districts monitoring form and evidence of staff training
(agendas, signed attendance sheets).
By April 25, 2014, after implementation of the revised procedures and staff training, review 5 FELL
records from each level. Report the number of records that contain monitoring activities for two years.
If noncompliance is identified, report the specific actions taken with each student records to ensure full
compliance, report the root cause of the ongoing non compliance and submit a plan to remedy it.
The district will maintain the following documentation and make it available to the Department
upon request: list of student names and grade levels for the records reviewed, date of the review,
name(s) of person(s) who conducted the review with roles and signatures.
Progress Report Due Date(s): January 24, 2014 & April 25, 2014
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COORDINATED PROGRAM REVIEW
CORRECTIVE ACTION PLAN
(To be completed by school district/charter school)
Rating: Partially Implemented
Criterion & Topic: ELE 15 Professional
Development Requirements
Department CPR Finding: Documentation reviewed indicated that the district has had a multi-year
professional development plan that has been implemented since 2007-08 school year and subsequent
years to date. The district reported that none of the teachers had completed all four their Sheltered
English Immersion (SEI) Category Training. It is particularly evident at the high school level where
no teacher has completed any of the SEI professional development training categories. Also, at the
middle schools and the elementary grades very few teachers completed some of the SEI categories.
Therefore, English language learners (ELLs) are not receiving instruction from content area teachers
who have been trained in Sheltered English Immersion as required by Chapter 71A.
The district should note that the Department’s regulations and requirements concerning SEI training
have changed. Refer to: http://www.doe.mass.edu/retell/ for more information.
Narrative Description of Corrective Action: The Woburn Public Schools will begin training
teachers this year using the RETELL model. We were able to offer two in-district RETELL
courses this school year, one focusing on skills for elementary level teachers and one for
secondary level teachers. Between these two courses, as well as other courses being offered
throughout the state, we had 56 teachers register for our first year of offering the RETELL
courses. This exceeds our target for the year established by the state. We have had additional
teachers interested in participating in the courses, but due to the state’s cap, they were not able
to register at this time.
Title/Role of Person(s) Responsible for
Implementation: Gary Reese, Assistant
Expected Date of Completion for Each
Corrective Action Activity: July 1, 2014
Superintendent for Curriculum
Ernie Wells and Eileen Mills, Elementary
Principals / RETELL Coordinators
Evidence of Completion of the Corrective Action:
 RETELL cohort list 2013-2014
 Course listing for Woburn Public Schools for 2013-2014 school year
Description of Internal Monitoring Procedures:
We will be maintaining a database of teachers that have achieved the SEI endorsement and
will review this annually to determine which teachers still need the endorsement.
CORRECTIVE ACTION PLAN APPROVAL SECTION
(To be completed by the Department of Elementary and Secondary Education)
Criterion: ELE 15
Status of Corrective Action:
Approved
Partially Approved
Disapproved
Basis for Partial Approval or Disapproval:
The Department accepts the district’s plan to ensure that all core academic teachers with ELLs and
administrators that supervise core academic teachers of ELLs are endorsed. No further submission is
required at this time.
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Department Order of Corrective Action: N/A
Required Elements of Progress Report(s): None required
Progress Report Due Date(s): N/A
COORDINATED PROGRAM REVIEW
CORRECTIVE ACTION PLAN
(To be completed by school district/charter school)
Criterion & Topic: ELE 16 Equitable Facilities
Rating: Partially Implemented
Department CPR Finding: A facilities observation indicated that at the Malcolm White Elementary
School, ELE instruction was conducted in a conference room which at times was shared space and did
not have the instructional supplies and equipment comparable other instructional spaces in the overall
student population.
Narrative Description of Corrective Action: This finding is not accurate. On October 30, 2012,
copies of the Malcolm White floor plan, as well as photographs of the ELE classroom, were
sent to Lynn Summerill at the DESE. This is not a shared space. In addition, as the pictures
demonstrated, the teacher has sufficient instructional supplies and equipment (including
educational technology) comparable to the overall student population. We are including
copies of these pictures and floor plan again as an addendum to this document.
Title/Role of Person(s) Responsible for
Implementation: Gary Reese, Assistant
Expected Date of Completion for Each
Corrective Action Activity: September 30,
Superintendent for Curriculum
Eric Stark, Malcolm White Principal
2013
Evidence of Completion of the Corrective Action:
Floor plan of school
Photographs of classroom
Description of Internal Monitoring Procedures: Review facilities and material availability
annually with the ELE teachers to ensure that comparable facilities/ equipment/ instructional
supplies are made available to the ELE department.
CORRECTIVE ACTION PLAN APPROVAL SECTION
(To be completed by the Department of Elementary and Secondary Education)
Criterion: ELE 16
Status of Corrective Action:
Approved
Partially Approved
Disapproved
Basis for Partial Approval or Disapproval: The Department has reviewed the district’s submissions
and agrees that the facilities at the Malcolm White Elementary School are appropriate. ELE instruction
is not a shared space. The instructional supplies and equipment are appropriate and comparable with
other instructional spaces in the overall student population. No further action is required by the district.
Department Order of Corrective Action: N/A
Required Elements of Progress Report(s): N/A
Progress Report Due Date(s): No further progress reports are required
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COORDINATED PROGRAM REVIEW
CORRECTIVE ACTION PLAN
(To be completed by school district/charter school)
Rating: Partially Implemented
Criterion & Topic: ELE 18 Records of LEP
Students
Department CPR Finding: A review of student records indicated that the following required items
were frequently omitted: home language surveys, previous schooling information, parent notification
letters, progress reports, and FLEP monitoring plans.
Narrative Description of Corrective Action: Required elements for student folders were
reviewed with ELE staff on September 9, 2013. Staff were also asked to review their current
folders to ensure that previous documentation was included.
Title/Role of Person(s) Responsible for Implementation:
Gary Reese, Assistant Superintendent for Curriculum
ELE Teachers – elementary, middle and high school
Expected Date of Completion for
Each Corrective Action Activity:
June 30, 2014
Evidence of Completion of the Corrective Action:
 Staff training agenda and minutes from training on September 9, 2013
 Review of student records for current students
Description of Internal Monitoring Procedures: In March 2014, and annually thereafter, the
district office will randomly select ten student files for review to ensure that appropriate
documentation is included.
CORRECTIVE ACTION PLAN APPROVAL SECTION
(To be completed by the Department of Elementary and Secondary Education)
Criterion: ELE 18
Status of Corrective Action:
Approved
Partially Approved
Disapproved
Basis for Partial Approval or Disapproval: The district submitted a comprehensive CAP that
includes staff training, implementation of internal monitoring systems and internal reviews of student
records to ensure ongoing compliance.
Department Order of Corrective Action: N/A
Required Elements of Progress Report(s):
By January 24, 2014, submit evidence (agendas, signed attendance sheets) of the training conducted
on September 9, 2013.
By April 25, 2014, following implementation of staff training and implementation of all corrective
actions conduct an internal record review at each level and report: the number of ELL student records
reviewed, the number that contained all required elements (home language surveys, parent notification
letters, progress reports, and FELL monitoring plans). If any non compliance is identified, report the
specific actions taken to correct each student file, and identify and report the root cause of the ongoing
non compliance and a plan of action to remedy it.
The district will maintain the following documentation and make it available to the Department
upon request: list of student names and grade levels for the records reviewed, date of the review,
name(s) of person(s) who conducted the review with roles and signatures.
Progress Report Due Date(s): January 24, 2014 & April 25, 2014
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