MASSACHUSETTS DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION Program Quality Assurance Services PROGRAM REVIEW CORRECTIVE ACTION PLAN Special Education Agency: Center for School Crisis Intervention and Assessment, Inc. Program Review Onsite Year: 2012-2013 Programs under review for the agency: The Center School Day Program 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 Program Review Final Report dated 05/16/2013. Mandatory One-Year Compliance Date: 05/16/2014 Summary of Required Corrective Action Plans in this Report Criterion PS 11.4 PS 12.2 Criterion Title Teachers (Special Education Teachers and Regular Education Teachers) In-Service Training Plan and Calendar PS 16.7 Preventive Health Care PR Rating Partially Implemented Partially Implemented Partially Implemented PROGRAM REVIEW CORRECTIVE ACTION PLAN Criterion & Topic: PR Rating: PS 11.4 Teachers (Special Education Teachers and Regular Partially Implemented Education Teachers) Department Program Review Findings: A review of documentation and interviews indicate that some teachers are teaching outside of their licensed grade level. Description of Corrective Action: Matching current teaching staff with classroom groupings inside their licensed grade levels; continue to post for teachers to fill vacancies; assist current teaching staff to pursue aggressive professional development plans to expand grades of currently held license(s). Title/Role(s) of Responsible Persons: Expected Date of Nicole LaChapelle, Director Completion: 09/12/2013 Evidence of Completion of the Corrective Action: Reduction of teachers teaching outside of licensed grade level with two exceptions: Jennifer Scarfuri has one of seven students outside her range of licensure and Kathleen Anderson will have licensure through 12th grade with the completion of a technology class this June. Ms. Anderson already has an application in for the additional grades for licensure with DESE. Once Ms. Anderson completes the class, the Director will ask for an expedited issuance of her Moderate Disabilities SPED 9-12 license. Description of Internal Monitoring Procedures: The Teacher Roster is a shared document that is reviewed by Director before hiring after Human Resources and Educational Administrators cross - referenced with the Student Roster to identify certification and licensed grade levels needed as job postings are created for a position. CORRECTIVE ACTION PLAN APPROVAL SECTION Criterion: Corrective Action Plan Status: Approved PS 11.4 Teachers (Special Education Status Date: 06/24/2013 Teachers and Regular Education Teachers) Basis for Partial Approval or Disapproval: Department Order of Corrective Action: Required Elements of Progress Report(s): For both the 09/23/2013 and the 12/11/2013 progress reports, Center School Day must submit a current teacher roster that includes all required elements and a copy of a current license and/or approved waiver for each teacher listed on the roster. Progress Report Due Date(s): 09/23/2013 12/11/2013 MA Department of Elementary & Secondary Education , Program Quality Assurance Services Center for School Crisis Intervention and Assessment, Inc. Corrective Action Plan 2 PROGRAM REVIEW CORRECTIVE ACTION PLAN Criterion & Topic: PR Rating: PS 12.2 In-Service Training Plan and Calendar Partially Implemented Department Program Review Findings: While interviews indicate all staff receive all required trainings, a review of staff records indicates that all required trainings are not documented. In addition, the Department is unable to verify that all staff receive an average of at least two hours of in-service training per month due to the absence of staff training documentation. Description of Corrective Action: Beginning June 20, 2013, all required training will be documented by adding the dates to the Professional Development Tracking Sheet School Year 2013-2014 (SY 13-14) that is stored in the Google Cloud. The Professional Development Manager will maintain the Tracking Sheet. Information will include all Center School employee names, UFR code, titles of training dates each employee received the training and length of training. The documentation including the employee signatures will be uploaded to the Professional Development SY 13-14 document folder. The original sign in sheet, ?Monthly In-service training sign off? the agenda and the credential of the presenter will be stored in the Professional Development Office training file cabinet. The agenda will identify the intended audience by UFR code to correspond with the dates entered on the Professional Development Tracking spreadsheet. Additional training, beyond requirements 12.2 (a-e), will be entered on the tracking sheet. The spreadsheet will verify by month and topic that all staff receive an average of at least two hours of in-service training per month. A new Professional Development Tracking Sheet will be started for each school calendar year. In the event that an employee misses a required training, the Professional Development Manager will arrange for a make-up session within one month of the original date. Title/Role(s) of Responsible Persons: Expected Date of Nicole LaChapelle, Director Completion: 08/01/2013 Evidence of Completion of the Corrective Action: Use of the Professional Tracking spreadsheet as seen in the document upload section of WBMS. Description of Internal Monitoring Procedures: The Center School Director conducts internal review of use and updating of Professional Tracking spreadsheet via sharing of the document on network drive as well as document is shared with all employees for self-monitoring and planning. CORRECTIVE ACTION PLAN APPROVAL SECTION Criterion: Corrective Action Plan Status: Approved PS 12.2 In-Service Training Plan and Status Date: 06/24/2013 Calendar Basis for Partial Approval or Disapproval: Department Order of Corrective Action: Required Elements of Progress Report(s): In the 09/23/2013 progress report, Center School Day must submit the in-service training plan calendar that includes all mandated training and specifically documents how staff are MA Department of Elementary & Secondary Education , Program Quality Assurance Services Center for School Crisis Intervention and Assessment, Inc. Corrective Action Plan 3 offered an average of at least 2 hours of training each month. Center School Day must also submit the attendance sheets showing staff participation that has been filed and recorded on the professional development tracking sheet. In the 12/11/2013 progress report, Center School Day must submit the tracking spreadsheet to include evidence of mandated training and any additional training. Center School Day must also submit evidence of having rescheduled training dates for any staff that had missed a training. Progress Report Due Date(s): 09/23/2013 12/11/2013 MA Department of Elementary & Secondary Education , Program Quality Assurance Services Center for School Crisis Intervention and Assessment, Inc. Corrective Action Plan 4 PROGRAM REVIEW CORRECTIVE ACTION PLAN Criterion & Topic: PR Rating: PS 16.7 Preventive Health Care Partially Implemented Department Program Review Findings: A review of student records indicates that all students do not have current physical and/or dental examinations and efforts of obtaining such documentation were not found. Description of Corrective Action: Upon admission and then quarterly, the Center School will seek current physical and/or dental examinations records from each student. Requests will be made in person at admission intake interview by the Director of Admissions and then quarterly by the school nurse. The attempts to obtain these records will be tracked on spreadsheet listing the date of attempt and outcome. Title/Role(s) of Responsible Persons: Expected Date of Nicole LaChapelle, Director Completion: 08/01/2013 Evidence of Completion of the Corrective Action: Uploaded spreadsheet with most current outcomes. Description of Internal Monitoring Procedures: School nurse will report out to the Director the number of records outstanding and obtained from the student body as a part of the shared information at Administration Meeting. CORRECTIVE ACTION PLAN APPROVAL SECTION Criterion: PS 16.7 Preventive Health Care Corrective Action Plan Status: Approved Status Date: 06/24/2013 Basis for Partial Approval or Disapproval: Department Order of Corrective Action: Required Elements of Progress Report(s): In the 09/23/2013 progress report, Center School Day must submit the spreadsheet indicating current physical/dental examinations and the dates of efforts to obtain such examinations. In the 12/11/2013 progress report, Center School Day must submit the results of the quarterly review conducted by the school nurse. Progress Report Due Date(s): 09/23/2013 12/11/2013 MA Department of Elementary & Secondary Education , Program Quality Assurance Services Center for School Crisis Intervention and Assessment, Inc. Corrective Action Plan 5