MASSACHUSETTS DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION COORDINATED PROGRAM REVIEW Collaborative: Shore Corrective Action Plan Forms Program Area: Special Education Prepared by: Maureen McCarthy, Interim Director of Student Services 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: May 28, 2013 COORDINATED PROGRAM REVIEW CORRECTIVE ACTION PLAN (To be completed by the collaborative) Criterion & Topic: SE 13 Progress Reports and Rating: Partially Implemented Content Department CPR Finding: Review of records and staff interviews indicated that progress reports are prepared quarterly; however there was no correspondence to indicate the reports were sent to the sending school districts and a number of the reports were prepared in a narrative format that does not include information about goals and benchmarks. Narrative Description of Corrective Action: Shore Educational Collaborative (SEC) will develop a letter or form to attach to students’ progress reports which will indicate to whom or to which districts and on what date those reports are sent out. SEC will also conduct a training, during its Professional Development time, on how to write narrative reports which will specifically address a student’s progress based on the goals, objectives and or benchmarks in a given area. Title/Role of Person(s) Responsible for Expected Date of Completion for Each Implementation: Director of Student Services and Corrective Action Activity: 11/1/12 the Educational Coordinators Evidence of Completion of the Corrective Action: The Department will receive a copy of the letter when developed and will also receive a copy of the meeting agenda, signed attendance sheets and training materials (if applicable) of the professional development provided to teachers regarding the writing of progress reports. Description of Internal Monitoring Procedures: These items have been placed on the calendar that has been developed for the CAP which will be reviewed weekly by the admin team (Director of Student Services and Educational Coordinators) during regularly scheduled meetings. 1 CORRECTIVE ACTION PLAN APPROVAL SECTION (To be completed by the Department of Elementary and Secondary Education) Criterion: SE 13 Status of Corrective Action: X Approved Partially Approved Disapproved Basis for Approval or Disapproval: The Collaborative indicated that it will develop a cover letter or form to attach to progress reports that includes to whom, which district and on what date the reports were sent out. In addition, the Collaborative indicated that it will conduct a training during Professional Development time on how to write progress reports that address the IEP goals, objectives and benchmarks Department Order of Corrective Action: Not applicable Required Elements of Progress Report(s): By November 16, 2012 provide the Department with a copy of the letter or form developed by the Collaborative. By February 28, 2013 provide the Department with the results of the internal administrative review conducted by the Collaborative. The progress report should contain the number of records reviewed, as well as the number of records found to be in compliance and/or noncompliance. If the collaborative finds that there are records out of compliance, provide the Department with an analysis of the root cause and the steps the Collaborative proposes to take to correct the non-compliance. Progress Report Due Date(s): November 16, 2012 and February 28, 2013 COORDINATED PROGRAM REVIEW CORRECTIVE ACTION PLAN (To be completed by the collaborative) Criterion & Topic: SE 22 IEP Implementation and Rating: Partially Implemented Availability Department CPR Finding: While the sending district is responsible for developing and revising a student’s IEP as well as placement in an out-of-district program, staff interviews indicated that in some cases students are accepted into the collaborative’s 45-day alternative program using an Extended Evaluation process. In addition, some of the students that are accepted by the program either have not been determined to be eligible for special education and/or the offense/behavior does not meet the criteria for placement in an Interim Alternative Educational Setting. Narrative Description of Corrective Action: SEC has requested guidance from the Department (in a letter dated 5/10/12) as to which paperwork the Department would prefer us to use and also as to whether or not the Collaborative may continue to accept students who are in the process of initial evaluation and/or students who may not have met the legal burden of “drugs, weapon, serious bodily harm.” SEC will abide by and implement the directives of the Department on these issues as soon as we receive notice of same. Title/Role of Person(s) Responsible for Expected Date of Completion for Each Implementation: Director of Student Services, Corrective Action Activity: TBD Educational Coordinators Evidence of Completion of the Corrective Action: Samples of the mandated paperwork will be submitted to the Department as soon after our receipt of the Department’s directive as possible. Description of Internal Monitoring Procedures: Upon receipt of the Department’s directive, the Admin Team (Director of Student Services and Educational Coordinators) will share with its member districts the new information and will begin implementation immediately. 2 CORRECTIVE ACTION PLAN APPROVAL SECTION (To be completed by the Department of Elementary and Secondary Education) Criterion: SE 22 Status of Corrective Action: Approved Partially Approved X Disapproved Basis for Approval or Disapproval: The Collaborative did not respond to the finding as to how they will respond to school districts who request a 45 day placement that does not meet the regulatory requirements of a 45 day Interim Alternative Educational Setting (IAES)as defined by 34 CFR 300.530533. Department Order of Corrective Action: The Collaborative will develop policy, procedures, and entrance criteria for accepting a student into a 45 day placement. The procedures developed by the Collaborative must comply/align with the regulations and requirements of a 45 day IAES. The Collaborative may refer to 34 CFR 300.530-533 for guidance. Required Elements of Progress Report(s): By November 16, 2012 provide the Department with a draft of the policy and procedures along with the entrance criteria developed for accepting a student into a 45 day IAES. Upon receipt of the draft procedures the Department may require revisions. By February 28, 2013 provide the Department with the results of the internal administrative review conducted by the Collaborative. The progress report should contain the number of records reviewed, as well as the number of records found to be in compliance and/or noncompliance. If the collaborative finds that there are records out of compliance provide the Department with an analysis of the root cause and the steps the Collaborative proposes to take to correct the non-compliance. *Please note that when conducting internal monitoring the collaborative must maintain the following documentation and make it available to the Department upon request: a) List of student names and grade level 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): November 16, 2012 and February 28, 2013 3 COORDINATED PROGRAM REVIEW CORRECTIVE ACTION PLAN (To be completed by the collaborative) Criterion & Topic: SE 41Age Span Requirements Rating: Partially Implemented Department CPR Finding: Review of documentation indicated that the High School/Post Secondary Program at the Owen School has an instructional grouping that exceeds the 48 month age span requirement. Narrative Description of Corrective Action: The corrective action for this criteria was completed in March, 2012. The instructional group whose age span exceeded the 48 month limit was TEMPORARILY out of compliance because of our need to combine groups in response to a financial crisis in which professional staff were laid off. The two students whose ages exceeded the limit aged out of the program – one in January, 2012 and one in March, 2012. Title/Role of Person(s) Responsible for Expected Date of Completion for Each Implementation: Director of Student Services Corrective Action Activity: 8/30/12 Evidence of Completion of the Corrective Action: A class list for this program (with dates of birth for all students) will be submitted to the Department as soon as the list is finalized. Description of Internal Monitoring Procedures: This item is on the calendar that has been developed for the CAP which will be reviewed weekly by the admin team (Director of Student Services and Educational Coordinators) during regularly scheduled meetings. CORRECTIVE ACTION PLAN APPROVAL SECTION (To be completed by the Department of Elementary and Secondary Education) Criterion: SE 41 Status of Corrective Action: X Approved Partially Approved Disapproved Basis for Approval or Disapproval: The Collaborative indicated that the instructional group whose age span exceeded the 48 months was corrected in March of 2012. The collaborative indicated that the two students aged out of the program in 2012 and that a class list will be provided to the Department once it has been finalized. Department Order of Corrective Action: Not applicable Required Elements of Progress Report(s): By November 16, 2012 provide the Department with the class list with student initials and dates of birth. Progress Report Due Date(s): November 16, 2012 4 COORDINATED PROGRAM REVIEW CORRECTIVE ACTION PLAN (To be completed by the collaborative) Rating: Partially Implemented Criterion & Topic: SE 51 Appropriate special education teacher licensure Department CPR Finding: Review of documentation indicated that nine (9) of the teachers at the Owen School do not have either a current ESE license or an ESE approved waiver. Narrative Description of Corrective Action: Beginning with the 12-13 school year, SEC will employ only licensed teachers, therapists and clinicians. Proof of licensure will be submitted by candidates for hire and will be checked by our Human Resources Department before anyone is offered a position at the Collaborative. Title/Role of Person(s) Responsible for Expected Date of Completion for Each Implementation: Director of Student Services, Corrective Action Activity: Educational Coordinators, Human Resources staff Summer 2012 – all professional staff will be duly licensed for the 12-13 school year. Evidence of Completion of the Corrective Action: Copies of licenses or license information from the ELAR website will be submitted in the Public Day School Application due at the Department on October 1, 2012. Description of Internal Monitoring Procedures: This item is on the calendar developed for the CAP and will be worked on as each application for employment is received or as the ongoing review of the licensure status of returning employees is completed. CORRECTIVE ACTION PLAN APPROVAL SECTION (To be completed by the Department of Elementary and Secondary Education) Criterion: SE 51 Status of Corrective Action: X Approved Partially Approved Disapproved Basis for Approval or Disapproval: The Collaborative indicated that the all professional staff, both returning employees and new hires will be duly licensed for the 2012-2013 school year. The Collaborative will work on ensuring all professional staff will be licensed as each application for employment is received or as the ongoing review of the licensure status of returning employees is completed. The licenses will be provided as part of the Public Day School application due October 1, 2012. Department Order of Corrective Action: Not Applicable Required Elements of Progress Report(s): None Required Progress Report Due Date(s): Not Applicable 5 COORDINATED PROGRAM REVIEW CORRECTIVE ACTION PLAN (To be completed by the collaborative) Rating: Partially Implemented Criterion & Topic: SE 52 Appropriate certifications/licenses or other credentials -- related service providers Department CPR Finding: One Speech and Language Therapist does not have a current ESE license Narrative Description of Corrective Action: Beginning with the 12-13 school year, SEC will employ only licensed teachers, therapists and clinicians. Proof of licensure will be submitted by candidates for hire and will be checked by our Human Resources Department before anyone is offered a position at the Collaborative. Title/Role of Person(s) Responsible for Expected Date of Completion for Each Implementation: Director of Student Services, Corrective Action Activity: Educational Coordinators, Hunan Resources Director of Student Services, Educational staff Coordinators, Hunan Resources staff Evidence of Completion of the Corrective Action: Copies of licenses or license information from the ELAR website will be submitted in the Public Day School Application due at the Department on October 1, 2012. Description of Internal Monitoring Procedures: This item is on the calendar developed for the CAP and will be worked on as each application for employment is received or as the ongoing review of the licensure status of returning employees is completed. CORRECTIVE ACTION PLAN APPROVAL SECTION (To be completed by the Department of Elementary and Secondary Education) Criterion: SE 52 Status of Corrective Action: Approved X Partially Approved Disapproved Basis for Approval or Disapproval: The Collaborative indicated that the all professional staff, both returning employees and new hires will be duly licensed for the 2012-2013 school year. The Collaborative will work on ensuring all professional staff will be licensed as each application for employment is received or as the ongoing review of the licensure status of returning employees is completed. The licenses will be provided as part of the Public Day School application due October 1, 2012. Department Order of Corrective Action: Not Applicable Required Elements of Progress Report(s): None Required Progress Report Due Date(s): Not Applicable 6 COORDINATED PROGRAM REVIEW CORRECTIVE ACTION PLAN (To be completed by the collaborative) Criterion & Topic: SE 54 Professional Development Rating: Partially Implemented Department CPR Finding: Documentation and staff interviews indicated that training regarding state and federal special education requirements and related local special education policies and procedures had not been conducted. Narrative Description of Corrective Action: SEC will conduct training for all staff on state and federal special education requirements, as well as on local special education policies and procedures. The training will be followed up with ongoing discussions on this topic during the 12-13 school year as the staff meets for professional development or for small group meetings with their Coordinators. Title/Role of Person(s) Responsible Expected Date of Completion for Each Corrective for Implementation: Director of Action Activity: Full Staff training will take place on Student Services, Educational August 27 or 28, 2012 (staff orientation). Small group Coordinators, Consultant follow up will occur throughout the school 12-13 school year. Evidence of Completion of the Corrective Action: The Department will receive copies of the meeting agendas (August Orientation), signed attendance sheets and training materials, if applicable. Description of Internal Monitoring Procedures: Staff has already been notified that this training will take place. It is on the calendar developed for the CAP and is currently in the planning stages. CORRECTIVE ACTION PLAN APPROVAL SECTION (To be completed by the Department of Elementary and Secondary Education) Criterion: SE 54 Status of Corrective Action: X Approved Partially Approved Disapproved Basis for Partial Approval or Disapproval: The Collaborative indicated that it will provide training to staff in the area of state and federal special education requirements and related local special education policies and procedures. Department Order of Corrective Action: Not Applicable Required Elements of Progress Report(s): By November 16, 2012 the collaborative must submit a schedule of the dates and topics to be provided to staff on state and federal special education requirements and related local special education policies and procedures. By February 28, 2013 provide the Department with the following evidence that the training regarding state and federal special education requirements and related local special education policies and procedures was conducted: (1) agendas and dates of the training, (2) training materials, (3) name of presenter, and (4)attendance sheet with the signature and name with the title/role of each attendee. In addition, provide a copy of the proposed 2013-2014 Professional Development calendar that indicates that the training regarding state and federal special education requirements and related local special education policies and procedure will be conducted. *Please note that when conducting internal monitoring the collaborative must maintain the following documentation and make it available to the Department upon request: a) List of student names and grade level 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): November 16, 2012 and February 28, 2013 7 COORDINATED PROGRAM REVIEW CORRECTIVE ACTION PLAN (To be completed by the collaborative) Criterion & Topic: SE 55 Special Education Rating: Partially Implemented Facilities and Classrooms Department CPR Finding: Observation and staff interviews at the Belmonte Middle School indicated that one student who is in a wheelchair eats lunch in the classroom by herself since there is a concern that bringing her to the cafeteria presents a safety issue should a need to evacuate the building arise. Narrative Description of Corrective Action: The building in which this program is placed is under renovation. Until renovations are complete, the classroom for this program will be provided at the Owen School in Chelsea, which is fully handicap accessible. Title/Role of Person(s) Responsible for Expected Date of Completion for Each Implementation: Director of Student Services, Corrective Action Activity: Educational Coordinators. August 29, 2012 Evidence of Completion of the Corrective Action: The Department will receive a copy of the class list for this program which will list student names and the location of the program. Description of Internal Monitoring Procedures: Students, parents and staff have been notified already that this class will be moving to the Owen School for an August 29, 2012 opening. CORRECTIVE ACTION PLAN APPROVAL SECTION (To be completed by the Department of Elementary and Secondary Education) Criterion: SE 55 Status of Corrective Action: Approved Partially Approved X Disapproved Basis for Approval or Disapproval: The Collaborative indicated that due to renovations at the Belmonte Middle School as of the 2012-2013 school year the program has been moved temporarily to the Owen School which is fully handicapped accessible. This change represents a change in placement for these students from a public school setting to a more restrictive setting in an Approved Public Day Program. Department Order of Corrective Action: The Collaborative must provide the Department with the justification, besides the renovation of a public school building, as to why these students were moved to a more restrictive setting. Required Elements of Progress Report(s): By October 1, 2012 provide the Department with the letter justifying why these students were moved to a more restrictive setting.. Also, provide the letter sent to the parents regarding the change in placement from the Belmonte Middle School to the Owen School along with correspondence from the school district reconvening the Team meeting to develop a new IEP. Progress Report Due Date(s): October 1, 2012 8 MASSACHUSETTS DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION COORDINATED PROGRAM REVIEW Collaborative: Shore Corrective Action Plan Forms Program Area: Civil Rights Prepared by: Maureen McCarthy, Interim Director of Student Services 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 collaborative. Mandatory One-Year Compliance Date: May 28, 2013 COORDINATED PROGRAM REVIEW CORRECTIVE ACTION PLAN (To be completed by the collaborative) Criterion & Topic: 7B: Structured Leaning Time Rating: Partially Implemented Learning time hours for programs housed in public school buildings are in excess of the required 900 and 990 hour; however review of the Learning Time Worksheets for the Owen School indicated discrepancies in the days of operation and learning time hours when compared to the information provided to and approved by the Department. Narrative Description of Corrective Action: The Learning Time Worksheets have been recalculated and submitted to the Department. For the 2012-2013 school year, the corrected, more precise Learning Time Worksheets will be submitted with the Day School Application which is due at the Department on October 1, 2012. Title/Role of Person(s) Responsible for Expected Date of Completion for Each Implementation: Director of Student Services Corrective Action Activity: August 29, 2012 Evidence of Completion of the Corrective Action: The Department will receive the Day School Application by October 1, 2012. Description of Internal Monitoring Procedures: This item is on the calendar developed for the CAP. Work on the application will begin in August, 2012. CORRECTIVE ACTION PLAN APPROVAL SECTION (To be completed by the Department of Elementary and Secondary Education) Criterion: CR 7B Status of Corrective Action: Approved X Partially Approved Disapproved Basis for Approval or Disapproval: The Collaborative indicated that the Learning Time Worksheets will be submitted as part of the Public Day School application process. Department Order of Corrective Action: Not Applicable. Required Elements of Progress Report(s): October 1, 2012 9 Progress Report Due Date(s): Not Applicable COORDINATED PROGRAM REVIEW CORRECTIVE ACTION PLAN (To be completed by the collaborative) Criterion & Topic: 10A Student handbooks and Rating: Partially Implemented codes of conduct Department CPR Finding: Staff interviews and review of documentation indicated that there is no Code of Conduct or Handbook for the Early Learning Center program located at the Owen School. Narrative Description of Corrective Action: SEC will develop an Code of Conduct and Handbook for our Early Learning Center programs. Title/Role of Person(s) Responsible for Expected Date of Completion for Each Implementation: Director of Student Services, Corrective Action Activity: May 15, 2013 Educational Coordinators, ELC Staff Evidence of Completion of the Corrective Action: SEC will submit to the Department the completed Code of Conduct and Handbook for ELC. Description of Internal Monitoring Procedures: This item is on the calendar developed for the CAP and will be addressed throughout the coming school year until completed. CORRECTIVE ACTION PLAN APPROVAL SECTION (To be completed by the Department of Elementary and Secondary Education) Criterion: CR 10A Status of Corrective Action: Approved X Partially Approved Disapproved Basis for Partial Approval or Disapproval: The Collaborative indicated that it will develop a Code of Conduct for the ELC, but the response did not indicate that it will be distributed to teachers and parents prior to the first day of school. Department Order of Corrective Action: The Collaborative must indicate as part of the progress report requirements when and to whom the Code of Conduct was distributed Required Elements of Progress Report(s): By November 16, 2012 provide the Department with a copy of the ELC Code of Conduct as well as the date(s) and to whom it was distributed. Progress Report Due Date(s): November 16, 2012 10 COORDINATED PROGRAM REVIEW CORRECTIVE ACTION PLAN (To be completed by the collaborative) Criterion & Topic: 26 A Confidentiality and Student Rating: Partially Implemented Records Department CPR Finding: Staff interviews indicated that some student information at the Owen School is kept in an office that does not have either a locked file cabinet or other space to secure confidential information. Narrative Description of Corrective Action: SEC will ensure that all teachers and administrators have a locked cabinet or space in which to secure confidential student information. Title/Role of Person(s) Responsible for Expected Date of Completion for Each Implementation: Director of Student Services, Corrective Action Activity: August, 2012 Educational Coordinators, Maintenance Staff Evidence of Completion of the Corrective Action: SEC will submit to the Department written assurances from appropriate staff that locks have been installed in each location that requires them. Description of Internal Monitoring Procedures: This item is on the calendar that has been developed for the CAP and will be reviewed at regular intervals by the Admin Team. CORRECTIVE ACTION PLAN APPROVAL SECTION (To be completed by the Department of Elementary and Secondary Education) Criterion: CR 26A Status of Corrective Action: X Approved Partially Approved Disapproved Basis for Partial Approval or Disapproval: The Collaborative indicated that it will ensure that all teachers and administrators have a locked cabinet or space in which to secure confidential student information. Department Order of Corrective Action: Not Applicable Required Elements of Progress Report(s): By November 16, 2012 PQA staff will conduct an onsite visit to ensure that the corrective action has been implemented. Progress Report Due Date(s): November 16, 2012 11 MASSACHUSETTS DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION COORDINATED PROGRAM REVIEW Collaborative: Shore Corrective Action Plan Forms Program Area: Approved Public Day Program Standards Prepared by: Maureen McCarthy, Interim Director of Student Services 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 collaborative. Mandatory One-Year Compliance Date: May 28, 2013 COORDINATED PROGRAM REVIEW CORRECTIVE ACTION PLAN (To be completed by the collaborative) Criterion & Topic: APD 6.1 Daily Instructional Rating: Partially Implemented Hours Department CPR Finding: Review of the Learning Time Worksheets for the Owen School indicated discrepancies in the days of operation and learning time hours when compared to the information provided to and approved by the Department. Narrative Description of Corrective Action: The Learning Time Worksheets have been recalculated and submitted to the Department. For the 2012-2013 school year, the corrected, more precise Learning Time Worksheets will be submitted with the Day School Application which is due at the Department on October 1, 2012 Title/Role of Person(s) Responsible for Expected Date of Completion for Each Implementation: Director of Student Services Corrective Action Activity: August, 2012 Evidence of Completion of the Corrective Action: The Department will receive the Day School Application by October 1, 2012. Description of Internal Monitoring Procedures: This item is on the calendar developed for the CAP. Work on the application will begin in August, 2012 CORRECTIVE ACTION PLAN APPROVAL SECTION (To be completed by the Department of Elementary and Secondary Education) Criterion: APD 6.1 Status of Corrective Action: X Approved Partially Approved Disapproved Basis for Approval or Disapproval: The Collaborative indicated that the Learning Time Worksheets will be submitted as part of the Public Day School application process. Department Order of Corrective Action: Not Applicable. Required Elements of Progress Report(s): Submission of Learning Time Worksheets with the Public Day School reapproval request. Progress Report Due Date(s): October 1, 2012 12 COORDINATED PROGRAM REVIEW CORRECTIVE ACTION PLAN (To be completed by the collaborative) Criterion & Topic: APD 8.8 IEP-Progress Reports Rating: Partially Implemented Department CPR Finding: Review of records and staff interviews indicated that progress reports are prepared quarterly; however there was no correspondence to indicate the reports were sent to the sending school districts and a number of the reports were prepared in a narrative format that does not include information about goals and benchmarks. Narrative Description of Corrective Action: Shore Educational Collaborative (SEC) will develop a letter or form to attach to students’ progress reports which will indicate to whom or to which districts and on what date those reports are sent out. SEC will also conduct a training, during its Professional Development time, on how to write narrative reports which will specifically address a student’s progress based on the goals, objectives and or benchmarks in a given area. Title/Role of Person(s) Responsible for Expected Date of Completion for Each Implementation: Director of Student Services Corrective Action Activity: 11/1/12 and the Educational Coordinators Evidence of Completion of the Corrective Action: The Department will receive a copy of the letter when developed and will also receive a copy of the meeting agenda, signed attendance sheets and training materials (if applicable) of the professional development provided to teachers regarding the writing of progress reports. Description of Internal Monitoring Procedures: These items have been placed on the calendar that has been developed for the CAP which will be reviewed weekly by the admin team (Director of Student Services and Educational Coordinators) during regularly scheduled meetings. CORRECTIVE ACTION PLAN APPROVAL SECTION (To be completed by the Department of Elementary and Secondary Education) Criterion: APD 8.8 Status of Corrective Action: X Approved Partially Approved Disapproved Basis for Partial Approval or Disapproval: The Collaborative indicated that it will develop a cover letter or form to attach to progress reports that includes to whom, which district and on what date the reports were sent out. In addition, the Collaborative indicated that it will conduct a training during Professional Development time on how to write progress reports that address the IEP goals, objectives and benchmarks. Department Order of Corrective Action: Not Applicable Required Elements of Progress Report(s): By November 16, 2012 provide the Department with a copy of the letter or form developed by the Collaborative. By February 28, 2013 provide the Department with the results of the internal administrative review conducted by the Collaborative. The progress report should contain the number of records reviewed, as well as the number of records found to be in compliance and/or noncompliance. If the collaborative finds that there are records out of compliance provide the Department with an analysis of the root cause and the steps the Collaborative proposes to take to correct the non-compliance. *Please note that when conducting internal monitoring the collaborative must maintain the following documentation and make it available to the Department upon request: a) List of student names and grade level 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): November 16, 2012 and February 28, 2013 13 COORDINATED PROGRAM REVIEW CORRECTIVE ACTION PLAN (To be completed by the collaborative) Criterion & Topic: APD 18.1 Confidentiality of Rating: Partially Implemented Student Records Department CPR Finding: Staff interviews indicated that some student information at the Owen School is kept in an office that does not have either a locked file cabinet or other space to secure confidential information.. Narrative Description of Corrective Action: SEC will ensure that all teachers and administrators have a locked cabinet or space in which to secure confidential student information. Title/Role of Person(s) Responsible for Expected Date of Completion for Each Implementation: Director of Student Services Corrective Action Activity: August, 2012 and the Educational Coordinators Evidence of Completion of the Corrective Action: SEC will submit to the Department written assurances from appropriate staff that locks have been installed in each location that requires them. Description of Internal Monitoring Procedures: This item is on the calendar that has been developed for the CAP and will be reviewed at regular intervals by the Admin Team. CORRECTIVE ACTION PLAN APPROVAL SECTION (To be completed by the Department of Elementary and Secondary Education) Criterion; APD 18.1 Status of Corrective Action: X Approved Partially Approved Disapproved Basis for Approval or Disapproval: The Collaborative indicated that it will ensure that all teachers and administrators have a locked cabinet or space in which to secure confidential student information. Department Order of Corrective Action: Not Applicable Required Elements of Progress Report(s): By November 16, 2012 PQA staff will conduct an onsite visit to ensure that the corrective action has been implemented. Progress Report Due Date(s): November 16, 2012 14