MASSACHUSETTS DEPARTMENT OF ELEMENTARY AND SECONDARY
EDUCATION
Program Quality Assurance Services
PROGRAM REVIEW
CORRECTIVE ACTION PLAN
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 June 6, 2012.
Mandatory One-Year Compliance Date: 06/07/2013
Summary of Required Corrective Action Plans
Little People’s School, Inc.
CPR/Program Review Onsite Year: 2011-2012
Programs under review for the agency
A - Learning Prep School Day Program
Criterion #
8.8
8.8
Criterion Title
IEP - Progress Reports
493
9.1(a)
9.1(a)
10.1
IEP - Progress Re
18
Behavior Management
Student Separatio
19
Staffing for Instructional Groupings
Age Range
21
Partially
A
Implemented
A
CAP Status
In Process
In Process
Partially
A
Implemented
A
In Process
In Process
Partially Implemen
Staffing for Instru 500
10.2
Applies To
Partially Implemen
Partially
A
Implemented
A
In Process
In Process
Partially Implemen
20
10.2
A - Learning Prep
CPR Rating
Student Separation Resulting from
495
10.1
15602
Age Range
501
Partially
A
Implemented
A
In Process
In Process
Partially Implemen
MA Department of Elementary & Secondary Education, Program Quality Assurance Services
Little People’s School, Inc. PR Corrective Action Plan
1
11.3
11.3
Educational Administrator Qualifications Partially
A
Implemented
Educational Admi 504
A
11.4
In Process
Partially Implemen
22
11.4
In Process
Teachers (Special Education Teachers
and Regular Education Teachers)
Teachers (Specia 505
Partially
A
Implemented
A
In Process
In Process
Partially Implemen
23
11.5
11.5
506
11.6
11.6
24
11.9
15.1
15.1
16.7
Organizational St
26
Parental Involvem
Partially
A
Implemented
A
In Process
In Process
Partially
A
Implemented
A
In Process
In Process
Partially
A
Implemented
A
In Process
In Process
Partially Implemen
27
Preventive Health Care
523
In Process
Partially Implemen
Parental Involvement and Parents'
514
In Process
Partially Implemen
Organizational Structure
Advisory Group
16.7
Master Staff Ros
25
508
Partially
A
Implemented
A
Partially Implemen
Master Staff Roster
507
11.9
Related Services
Related Services Staff
Preventive Health
28
Partially
A
Implemented
A
In Process
In Process
Partially Implemen
PROGRAM REVIEW
CORRECTIVE ACTION PLAN
Corrective Action Plan Detail
Little People’s School, Inc.
CPR/Program Review Onsite Year: 2011-2012
PS Criterion #8.8 - IEP - Progress Reports
Program
Partially Implemented
Review Rating
Program
Review
Finding
Mandatory One-Year Compliance Date
06/07/2013
Student records and interviews indicate that while progress reports provide a comprehensive course
description, they do not specifically reflect progress made towards the benchmarks and goals for each
student as required.
MA Department of Elementary & Secondary Education, Program Quality Assurance Services
Little People’s School, Inc. PR Corrective Action Plan
2
* Indicates required field
District/Agency Corrective Action Plan
*
Title/Role(s)
of
Responsible
Person(s)
* Expected
Date of
Completion
Cynthia DeAngelis, Executive Director
11/30/2012
* Description LPS will ensure that progress reports will provide a comprehensive course description that
specifically reflects progress made towards the benchmarks and goals for each student as
required. LPS will conduct trainings on the appropriate reporting of student progress
which will include how to specifically reflect progress towards the benchmarks and goals
for each student. These trainings will be mandatory for all staff responsible for preparing
progress reports. The first term progress reports will be reviewed by the supervisor to
ensure the progress reports reflect progress made towards the benchmarks and goals for
each student. Supervisors will provide additional training if necessary.
* Evidence of
Completion of
Corrective
Action
LPS will submit the the sign in sheets for the Progress Report Training. LPS will submit to
DESE a sampling of Progress Reports prepared by staff for the first term, that
demonstrates compliance with progress reports that reflect student progress made towards
the benchmarks and goals.
* Description Progress Reports will be reviewed by supervisors before submission to ensure
of Internal documentation compliance. Additional training will be provided to staff when necessary.
Monitoring
Process
Complete
Cynthia DeAngeli
11/30/2012
LPS w ill ensure th
LPS w ill submit th
Progress Reports
On
For PQA Use Only
Corrective
Action Plan
Status
Plan
Status
Date
In Process
07/13/2012
Correction
Status
Not Corrected
Basis for As requested LPS has submitted a plan to ensure that progress reports specifically address
Status individual progress made toward the IEP goals and benchmarks for each student.
Decision Furthermore, LPS has submitted a statement assuring the Department that it has
committed to providing the necessary training to all staff members in order to ensure
school wide compliance.
Department
Order of
Corrective
Action
Progress
Reports
Required
(Check all
Due Dates
that apply)
Progress Report Due Date(s)
25
09/19/2012
09/19/2012
29
10/19/2012
10/19/2012
19
11/30/2012
11/30/2012
MA Department of Elementary & Secondary Education, Program Quality Assurance Services
Little People’s School, Inc. PR Corrective Action Plan
3
Add Due Date
Required
Elements of
Progress
Report(s)
LPS must submit to the evidence that all staff who are responsible for writing progress
reports have received training on the appropriate reporting of student progress. This
documentation must include the name and job title of the person who conducted the
training, the date of the training, the time of the training, the agenda of the training and
the names and positions of all staff who participated in the training. For any staff who did
not participate, LPS must list the names and positions of those staff members and describe
how and when they will receive the training. Additionally, LPS must submit progress
reports for 5 students from each level (Elementary, Middle and High School) that were
issued to sending school districts, parents and other appropriate parties from the first
quarter of the 2012/2013 school year.
PQA Review Complete
PS Criterion #9.1(a) - Student Separation Resulting from Behavior Management
Program
Review
Rating
Partially Implemented
Mandatory One-Year Compliance Date
06/07/2013
Program
Review
Finding
A review of documentation and interviews indicated that the policies and procedures for Behavior Management
did not contain all of the required elements, specifically: guidelines for staff utilizing time-out space;
identification of the person responsible for implementing such procedures; a means of documenting the use of
time-out for an individual student, including length of time, reason for the intervention, who approved the
procedure, and who monitored the time out; and a statement assuring the time-out room will not be locked and
that any room or space used for the practice of separation must be physically safe and appropriate to the
population served by the facility.
* Indicates required field
District/Agency Corrective Action Plan
*
Title/Role(s)
of
Responsible
Person(s)
Cynthia DeAngelis, Executive Director, Laura Carney, Dean of Students H
* Expected
Date of
Completion
08/29/2012
* Description The revision of the policies and procedures for Behavior Management has taken place
during a series of actions for revision by the Dean of Students. Before the revision was
implemented there was a training for all staff with required elements including guidelines
for staff utilizing time-out space; identification of the person responsible for implementing
such procedures; a means of documenting the use of time-out for an individual student,
including length of time, reason for the intervention, who approved the procedure, and
who monitored the time out; and a statement assuring the time-out room will not be
locked and that any room or space used for the practice of separation must be physically
safe and appropriate to the population served by the facility.
MA Department of Elementary & Secondary Education, Program Quality Assurance Services
Little People’s School, Inc. PR Corrective Action Plan
4
* Evidence of
Completion of
Corrective
Action
There will be additional training at the orientation for all staff on August 27th to ensure all
staff understand the revised policy and procedures. The revised Policies and Procedures
for Behavior Management will be submitted to the DESE with the Behavior Management
Training agenda and sign in sheet. Upon approval of the revised Behavior Management
Policy, LPS will send the revised policy to all parents and LEAs of currently enrolled
students. The new policy will be inserted in the Policy and Procedure Manual. The new
policy will also be added to the admissions packet so all new students' parents and LEAs
will be aware of the Behavior Management Policy prior to admission to LPS.
* Description
of Internal
Monitoring
Process
For internal monitoring the Executive Director will review the time out logs to ensure that
the logs identify the names of the staff who approved/monitored the time out procedures.
Tje Executive Director will provide feedback to the appropriate staff, when necessary. With
this method LPS will be able to direct further training/monitoring to ensure on-going
compliance.
Complete
Cynthia DeAngeli
08/29/2012
The revision of th
There w ill be add
For internal monit
On
For PQA Use Only
Corrective
Action Plan
Status
Plan
Status
Date
In Process
07/13/2012
Correction
Status
Not Corrected
Basis for LPS has submitted a statement that the behavior management policy has been updated to
Status include all necessary elements that are outlined in criterion 9.1(a).
Decision
Department
Order of
Corrective
Action
Progress
Reports
Required
(Check all
Due Dates
that apply)
Progress Report Due Date(s)
25
09/19/2012
09/19/2012
29
10/19/2012
10/19/2012
19
11/30/2012
11/30/2012
Add Due Date
Required
Elements of
Progress
Report(s)
LPS must submit a copy of the updated behavior management policy that includes all
required elements. LPS must also submit evidence of staff training on the revised behavior
management policy that includes the name and job title of the person who conducted the
training, the date of the training, the time of the training, the agenda of the training and
the names and positions of all staff who participated in the training. For any staff who did
not participate, LPS must list the names and positions of those staff members and describe
how and when they will receive the training on the revised behavior management policies.
LPS must also submit copies of all time out logs for each level (Elementary, Middle and
High School) that includes all required elements listed in this criterion.
PQA Review Complete
MA Department of Elementary & Secondary Education, Program Quality Assurance Services
Little People’s School, Inc. PR Corrective Action Plan
5
PS Criterion #10.1 - Staffing for Instructional Groupings
Program
Review Rating
Partially Implemented
Mandatory One-Year Compliance Date
06/07/2013
Program
Review Finding
Observations, documentation and interviews indicate that at the high school level some classes have up to 8
students with 1 Licensed Educator, exceeding the program's approved ratio of 6:1.
* Indicates required field
District/Agency Corrective Action Plan
* Title/Role(s)
of Responsible
Person(s)
* Expected
Date of
Completion
Cynthia DeAngelis, Executive Director, Cynthia Manning, Principal
09/30/2012
* Description LPS will ensure that all classes will comply with the program's approved ratio of 6:1. All
classrooms will have a maximum of 6 students to 1 Licensed Educator.
* Evidence of LPS will submit the block schedules to DESE that will indicate the number of students per
Completion of classroom demonstrating compliance of a maximum of 6 students to 1 Licensed Educator,
Corrective per the DESE approved ratio of 6:1..
Action
* Description The Executive Director will review and approve all block schedules prior to
of Internal implementation to ensure the classroom assignments do not exceed the program's
Monitoring approved ratio of 6 students to 1 Licensed Educator.
Process
Complete
Cynthia DeAngeli
09/30/2012
LPS w ill ensure th
LPS w ill submit th
The Executive Dir
On
For PQA Use Only
Corrective
Action Plan
Status
Plan
Status
Date
In Process
7/13/2012
Correction
Status
Not Corrected
Basis for LPS submitted a statement noting that "all classes will comply with the program's
Status approved ratio of 6:1. All classrooms will have a maximum of 6 students to 1 licensed
Decision educator." Based on the current pending 2012 Reconstruction it is expected that LPS is
implementing new ratios of 8:1 instead of 6:1.
Department
Order of
Corrective
Action
Progress
Reports
Required
(Check all
Due Dates
Progress Report Due Date(s)
25
09/19/2012
09/19/2012
29
10/19/2012
10/19/2012
MA Department of Elementary & Secondary Education, Program Quality Assurance Services
Little People’s School, Inc. PR Corrective Action Plan
6
that apply)
19
11/30/2012
11/30/2012
Add Due Date
Required
Elements of
Progress
Report(s)
LPS must submit copies of block schedules that indicate the number of students and
licensed educators in all classrooms. LPS must also submit a listing of all students by grade
level and classroom. Additionally, the Department will conduct an onsite visit to verify that
a staff to student ratio of 8:1 is being maintained.
PQA Review Complete
PS Criterion #10.2 - Age Range
Program
Partially Implemented
Review Rating
Program
Review
Finding
Mandatory One-Year Compliance Date
06/07/2013
A review of documentation indicates that there were instructional groupings of students who were beyond the
48 month age span requirement and the program had not requested a waiver by the Department in this
regard.
* Indicates required field
District/Agency Corrective Action Plan
*
Title/Role(s)
of
Responsible
Person(s)
* Expected
Date of
Completion
Cynthia DeAngelis, Executive Director, Cynthia Manning, Principal
09/30/2012
* Description LPS will ensure that all instructional groupings of students shall not differ by more than
forty-eight months.
* Evidence of
Completion of
Corrective
Action
LPS will ensure that all classroom assignments comply with the forty-eight month age
span requirement. The block schedules will identify the birthdates of each student. LPS
will submit the block schedules to DESE demonstrating classroom assignments comply
with the 48 month age span requirement.
* Description The Executive Director will review and approve all block schedules prior to
of Internal implementation, to ensure the classroom assignments comply with the forty-eight month
Monitoring age span requirement.
Process
Complete
Cynthia DeAngeli
09/30/2012
LPS w ill ensure th
LPS w ill ensure th The Executive Dir
On
For PQA Use Only
Corrective Action
Plan Status
In Process
Plan
Status
Date
07/13/2012
Correction
Status
Not Corrected
Basis for Status LPS submitted a statement noting that "LPS will ensure that all instructional groupings
Decision of students shall not differ by more than forty-eight months."
MA Department of Elementary & Secondary Education, Program Quality Assurance Services
Little People’s School, Inc. PR Corrective Action Plan
7
Department
Order of
Corrective Action
Progress Reports
Required
(Check all Due
Dates that apply)
Progress Report Due Date(s)
25
09/19/2012
09/19/2012
29
10/19/2012
10/19/2012
19
11/30/2012
11/30/2012
Add Due Date
Required LPS must submit block schedules for all classrooms indicating the initials of students
Elements of with corresponding birth dates.
Progress
Report(s)
PQA Review Complete
PS Criterion #11.3 - Educational Administrator Qualifications
Program
Partially Implemented
Review Rating
Program
Review
Finding
Mandatory One-Year Compliance Date
06/07/2013
Documentation and staff interviews indicate that some of the job responsibilities of the Educational
Administrator are being delegated to and implemented by staff who are not appropriately qualified to serve in
this position.
* Indicates required field
District/Agency Corrective Action Plan
*
Title/Role(s)
of
Responsible
Person(s)
Director of Educational Team Facilitators, Eleanor Sullivan
* Expected
Date of
Completion
09/30/2012
* Description LPS has three Educational Administrators for 262 students, titled Educational Team
Facilitator. One Educational Team Facilitator will be designated as Director of Educational
Team Facilitators to ensure consistency in supervision of the provision of special education
services. The Director of Educational Team Facilitators will be a member of the
Administrative Management Team. The Director of Educational Team Facilitators and the
other two Educational Team Facilitators will supervise the provision of special education
services in the program and ensure that the services specified in each student's IEP are
delivered.
* Evidence of
Completion of
Corrective
Action
The three Educational Administrators are appropriately qualified to serve in this position.
Given the number of students and number of services specified in each student's IEP, the
Educational Administrators may delegate the responsibility of review of the progress notes
to Department Heads. Any delegation of the job responsibilities of the Educational
Administrator will only be to staff that are appropriately qualified to serve in this position.
The Department Heads or any other staff assigned responsibilities of the Educational
Administrator will possess licensure as a special educational administrator or possess all of
MA Department of Elementary & Secondary Education, Program Quality Assurance Services
Little People’s School, Inc. PR Corrective Action Plan
8
the following: License as a special educator, a minimum of a master's degree in special
education or a related field; and a minimum of one year of administrative experience. The
Department Head job description will include the above qualifications. LPS will submit the
Department Head job Descriptions, the names of the staff and the appropriate
documentation to DESE demonstrating the staff assuming responsibilites of the
Educational Administrator are qualified to serve in the position.
* Description
of Internal
Monitoring
Process
The Executive Director will ensure that the delegation of the job responsibilities of the
Educational Administrator will be to staff appropriately qualified to serve in this position
by approving the staff prior to the delegation of the responsibilities. The Executive Director
will require documentation indicating the staff have licensure as a special educational
administrator or possess all of the following: License as a special educator, a minimum of a
master's degree in special education or a related field; and a minimum of one year of
administrative experience.
Complete
Director of Educa
09/30/2012
LPS has three Ed
The three Educat
The Executive Dir
On
For PQA Use Only
Corrective
Action Plan
Status
Plan
Status
Date
In Process
07/13/2012
Correction
Status
Not Corrected
Basis for LPS has submitted a plan to ensure that the job responsibilities of the Educational
Status Administrator are only being implemented by staff members who are appropriately
Decision qualified to serve in this position.
Department
Order of
Corrective
Action
Progress
Reports
Required
(Check all
Due Dates
that apply)
Progress Report Due Date(s)
25
09/19/2012
09/19/2012
29
10/19/2012
10/19/2012
19
11/30/2012
11/30/2012
Add Due Date
Required
Elements of
Progress
Report(s)
LPS must submit the names and qualifications of the designated Educational
Administrator, as well as the names and job descriptions of all staff members who perform
some or all job functions on behalf of the Educational Administrator. This information
must be submitted by 9/19/2012. By 11/30/2012, LPS must submit copies of sign-in sheets
for all IEP meetings that occur during the first quarter of the 2012/2013 school year,
highlighting the person from LPS who served in the role of Educational Administrator.
PQA Review Complete
MA Department of Elementary & Secondary Education, Program Quality Assurance Services
Little People’s School, Inc. PR Corrective Action Plan
9
PS Criterion #11.4 - Teachers (Special Education Teachers and Regular Education Teachers)
Program Review
Rating
Partially Implemented
Mandatory One-Year Compliance Date
06/07/2013
Program Review
Finding
Documentation, a review of staff records and interviews indicate that two teachers are not appropriately
licensed or on approved waivers as required.
* Indicates required field
District/Agency Corrective Action Plan
*
Title/Role(s)
of
Responsible
Person(s)
* Expected
Date of
Completion
Executive Director, Cynthia DeAngelis, Program Director
09/30/2012
* Description LPS will ensure that all teachers are appropriately licensed or on approved waivers as
required.
* Evidence of
Completion of
Corrective
Action
For teachers/instructors/counselors providing special education services, such services
shall be provided, designed or supervisor by a special educator. The counselors providing
HSI are supervised by the Supervisor of Counseling and the curriculum is designed by a
Special Education Teacher. The Program Director will supervise the elective instructors.
The Program Director will be SPED certified or a special educator will design the
curriculum for the electives. There will also be a tracking mechanism to ensure that all staff
are appropriately licensed or on approved waivers. Evidence of the two teachers identified
as not appropriately licensed or on an approved waiver or catorgorized will be sent to
DESE to show compliance. LPS will submit the Teacher Roster to DESE and
corresponding documentation.
* Description
of Internal
Monitoring
Process
The internal monitoring of compliance with the appropriately licensed or on approved
waivers of teachers is and willl be monitored by the Executive Director and discussed with
the appropriate staff supervisors to ensure compliance. LPS will only hire Teachers that
are appropriately licensed or on approved waivers.
Complete
Executive Directo
09/30/2012
LPS w ill ensure th
For teachers/inst
The internal monit
On
For PQA Use Only
Corrective
Action Plan
Status
In Process
Plan
Status
Date
07/13/2012
Correction
Status
Not Corrected
Basis for As requested LPS submitted information that stated "that all teachers are appropriately
Status licensed or on approved waivers as required."
Decision
Department
Order of
Corrective
Action
The LPS statement "for teachers/instructors/counselors providing special education
services, such services shall be provided, designed or supervised by a special educator"
should be removed or amended to read "to the extent that teaching staff is providing
special education services, such services shall be provided, designed or supervised by a
special educator." Additionally, LPS must note that they will maintain an 8:1 student to
licensed educator ratio that is in the process of being approved through Reconstruction.
MA Department of Elementary & Secondary Education, Program Quality Assurance Services
Little People’s School, Inc. PR Corrective Action Plan
10
Progress
Reports
Required
(Check all
Due Dates
that apply)
Progress Report Due Date(s)
25
09/19/2012
09/19/2012
29
10/19/2012
10/19/2012
19
11/30/2012
11/30/2012
Add Due Date
Required
Elements of
Progress
Report(s)
LPS must submit an updated Teacher Roster for all UFR 115's, Special Education Teachers
and UFR 116's, Regular Education Teachers on the ESE required Teacher Roster Form that
can be found in the Document Library in WBMS. On the Teacher Roster, LPS must also
indicate the two staff who were not appropriately licensed or on approved waivers from the
Program Review, as well as any Special Education or Regulation Education Teachers (UFR
115's or 116's) that have been hired since the Program Review.
PQA Review Complete
PS Criterion #11.5 - Related Services Staff
Program Review
Rating
Partially Implemented
Mandatory One-Year Compliance Date
06/07/2013
Program Review
Finding
A review of documentation and interviews indicate that not all Speech and Language Pathologists are
appropriately licensed as required.
* Indicates required field
District/Agency Corrective Action Plan
*
Title/Role(s)
of
Responsible
Person(s)
* Expected
Date of
Completion
Executive Director, Cynthia DeAngelis, Program Director
09/30/2012
* Description LPS will ensure all Speech and Language Pathologists will be appropriately licensed.
* Evidence of
Completion of
Corrective
Action
LPS will submit to DESE all licenses, and or certifications, and or registrations of the
Speech and Language Pathologists, demonstating they are appropriately licensed to
provide Speech and Language services. LPS will only hire Speech and Language
Pathologists that are appropriately licensed. LPS will submit the Related Services Roster
and corresponding documentation.
* Description The internal monitoring of compliance with the appropriately licensure for SPL is and will
of Internal be monitored by the Executive Director. The Executive Director will approve the hiring of
Monitoring all SPLs to ensure they are appropriately licensed.
Process
Complete
Executive Directo
09/30/2012
LPS w ill ensure a
LPS w ill submit to
The internal monit
On
For PQA Use Only
Corrective
In Process
Plan
07/13/2012
Correction
MA Department of Elementary & Secondary Education, Program Quality Assurance Services
Little People’s School, Inc. PR Corrective Action Plan
Not Corrected
11
Action Plan
Status
Status
Date
Status
Basis for LPS stated that they "will ensure all Speech and Language Pathologists will be
Status appropriately licensed."
Decision
Department
Order of
Corrective
Action
Progress
Reports
Required
(Check all
Due Dates
that apply)
Progress Report Due Date(s)
25
09/19/2012
09/19/2012
29
10/19/2012
10/19/2012
19
11/30/2012
11/30/2012
Add Due Date
Required
Elements of
Progress
Report(s)
LPS must submit a copy of the Related Services Roster for all Related Services Staff that
can be found in the Document Library of WBMS. LPS must only submit copies of licenses
and/or Massachusetts State Board of Registration certificates for those staff serving in the
role of Speech and Language Pathologist, as well as any Related Services Staff who have
been hired since the Program Review.
PQA Review Complete
PS Criterion #11.6 - Master Staff Roster
Program
Review
Rating
Partially Implemented
Mandatory One-Year Compliance Date
06/07/2013
Program
Review
Finding
Documentation and interviews indicate that the most recently approved staffing plan is not being accurately
implemented due to the job titles and functions of certain positions not being appropriately categorized based
on the Uniform Financial Report (UFR) definitions.
* Indicates required field
District/Agency Corrective Action Plan
*
Title/Role(s)
of
Responsible
Person(s)
Executive Director, Cynthia DeAngelis
* Expected
Date of
Completion
11/30/2012
* Description LPS has revised the Master Staff Roster with the Organizational chart that will efficiently
represent the approved DESE staffing plan. The revised Master Staff Roster accurately
reflects job titles and functions appropriately categorized per the UFR definitions.
Additionally, the lines of supervision are clearly delineated on the Organizational Chart
and all staff understand the lines of supervision.
* Evidence of At the orientation 08/27/2012 the revised Master Staff Roster and Organizational Chart
Completion of will be presented to all staff. LPS will revise all job descriptions to incorporate the
MA Department of Elementary & Secondary Education, Program Quality Assurance Services
Little People’s School, Inc. PR Corrective Action Plan
12
Corrective organizational changes; title changes, responsibilities, supervisor, supervisees, UFR
Action number and qualifications. All Staff will recieve a copy of their revised job descriptions.
Supervisors will meet with staff individually to discuss the changes in their jobs. LPS will
submit the Master Staff Roster, Organizational Chart and all revised Job Descriptions. LPS
will revise all policies and procedures that are impacted by these changes. LPS will submit
the revised policies and procedures to DESE for approval and then to parents and LEAs
when necessary.
* Description The internal monitoring of compliance with the assurance that the lines of supervision are
of Internal clear is and will be monitored by the Executive Director. The Executive Director will work
Monitoring with the CFO to ensure all positions are appropriately categorized per the UFR definitions.
Process
Complete
Executive Directo
11/30/2012
LPS has revised
At the orientation
The internal monit
On
For PQA Use Only
Corrective
Action Plan
Status
Plan
Status
Date
In Process
07/13/2012
Correction
Status
Not Corrected
Basis for LPS has stated that the Master Staff Roster has been revised to reflect the approved DESE
Status staffing plan. Additionally, LPS has stated that the "revised Master Staff Roster accurately
Decision reflects job titles and functions appropriately categorized per UFR definitions."
Department
Order of
Corrective
Action
Progress
Reports
Required
(Check all Due
Dates that
apply)
Progress Report Due Date(s)
25
09/19/2012
09/19/2012
29
10/19/2012
10/19/2012
19
11/30/2012
11/30/2012
Add Due Date
Required LPS must submit a copy of the most recently approved Program Budget and an updated
Elements of Master Staff Roster that corresponds to the 2012 Reconstruction. The Master Staff Roster
Progress can be found in the Document Library of WBMS.
Report(s)
PQA Review Complete
PS Criterion #11.9 - Organizational Structure
Program
Partially Implemented
Mandatory One-Year Compliance Date
MA Department of Elementary & Secondary Education, Program Quality Assurance Services
Little People’s School, Inc. PR Corrective Action Plan
06/07/2013
13
Review
Rating
Program
Review
Finding
A review of documentation and interviews shows that the organizational structure of the program does not
provide for the effective and efficient operation of the school, supervision of school staff, and supervision of
students as required. In particular, the lines of supervision are not clear or understood by most staff and staff
who are not appropriately qualified to serve in certain positions supervise other staff.
* Indicates required field
District/Agency Corrective Action Plan
*
Title/Role(s)
of
Responsible
Person(s)
* Expected
Date of
Completion
Executive Director, Cynthia DeAngelis
11/30/2012
* Description LPS has reorganized the program to demonstrate that its structure provides for the
effective and efficient operation of the school, supervision of school staff and the
supervision of students.
* Evidence of
Completion of
Corrective
Action
The reorganization provides for the effective and efficient operation of the school,
supervision of school staff and supervision of students. The lines of supervision are clear
and will be understood by all staff. The reorganization of the program will be presented to
staff at the orientation 8/27/2012, including the Organizational Chart and revised job
descriptions. LPS will also present any policies and procedures that were revised based on
the reorganization of the program. LPS will submit to DESE, the new Organizational
Chart, revised job descriptions, and the sign in sheet of the training on the reorganization,
Master Staff Roster, Teacher Roster, Related Services Roster, staff roster identifying all
direct care supervisors (criterion 11.10)
* Description
of Internal
Monitoring
Process
The internal monitoring of compliance with the effective and efficiency of the school is and
will be monitored by the Executive Director. The Executive Director will continue to review
the organizational structure to ensure it provides for the effective and efficient operation of
the school, supervision of school staff and supervision of students.
Complete
Executive Directo
11/30/2012
LPS has reorgani
The reorganizatio
The internal monit
On
For PQA Use Only
Corrective
Action Plan
Status
In Process
Plan
Status
Date
07/13/2012
Correction
Status
Not Corrected
Basis for LPS has submitted information stating that they have "reorganized the program to
Status demonstrate that its structure provides for the effective and efficient operation of the
Decision school, supervision of school staff, and the supervision of students." LPS also noted that
"the reorganization of the program will be presented to staff at the orientation 8/27/2012".
Department
Order of
Corrective
Action
MA Department of Elementary & Secondary Education, Program Quality Assurance Services
Little People’s School, Inc. PR Corrective Action Plan
14
Progress
Reports
Required
(Check all
Due Dates
that apply)
Progress Report Due Date(s)
25
09/19/2012
09/19/2012
29
10/19/2012
10/19/2012
19
11/30/2012
11/30/2012
Add Due Date
Required
Elements of
Progress
Report(s)
LPS must submit a copy of the new organizational chart that demonstrates the effective
and efficient operation of the school, supervision of school staff and supervision of
students. The organizational chart must include the program position titles for all staff.
LPS must also submit revised job descriptions for all positions, highlighting any changes
that have been made for all positions. Finally, LPS must submit evidence of staff training
on the revised job descriptions and organizational structure that includes the name and
job title of the person who conducted the training, the date of the training, the time of the
training, the agenda of the training and the names and positions of all staff who
participated in the training. For any staff who did not participate, LPS must list the names
and positions of those staff members and describe how and when they will receive the
training on the revised organizational structure and their updated job description.
Additionally, the Department will conduct an onsite visit to verify lines of staff supervision
are being implemented as represented by LPS.
PQA Review Complete
PS Criterion #15.1 - Parental Involvement and Parents' Advisory Group
Program
Review
Rating
Partially Implemented
Mandatory One-Year Compliance Date
06/07/2013
Program
Review
Finding
Documentation and interviews indicate that while the program has a Parent Council that organizes many social
events and opportunities for student involvement, they do not have a Parent Advisory Group that advises the
program on matters that pertain to the education, health and safety of the students as required.
* Indicates required field
District/Agency Corrective Action Plan
*
Title/Role(s)
of
Responsible
Person(s)
Executive Director, Cynthia DeAngelis, Gail O'Mara EMS Prin, Cynthia Man
* Expected
Date of
Completion
09/30/2012
* Description LPS will establish a Parent Advisory Group that advises the program on matters that
pertain to the education, health and safety of the students as required. The Principals are
designated as the staff person to support the Parent's Advisory Group.
* Evidence of
Completion of
Corrective
Action
The Principals will develop a written plan for involving parents and establish a Parents
Adviory Group that shall advise the school on matters pertaining to education, health and
safety of the students. LPS will submit to DESE, the Parent Advisory Group Manual that
includes, the parent involvement plan that describes outreach to parents and steps to be
taken to seek parental input on matters pertaining to student health, education and safety.
LPS will also submit the job description of the Principals and copies of the schedules and
MA Department of Elementary & Secondary Education, Program Quality Assurance Services
Little People’s School, Inc. PR Corrective Action Plan
15
agendas for the meetings.
* Description
of Internal
Monitoring
Process
The Executive Director will review and approve the parent involvement plan. The
Executive Director will review the agendas for the meetings and recieve written feedback
form the Principals regarding the parental input on matters pertaining to student health,
education and safety.
Complete
Executive Directo
09/30/2012
LPS w ill establish
The Principals w i
The Executive Dir
On
For PQA Use Only
Corrective
Action Plan
Status
Plan
Status
Date
In Process
07/13/2012
Correction
Status
Not Corrected
Basis for LPS submitted information stating that they have designated the principals as the staff
Status members who will support the newly formed Parent Advisory Group. Additionally, LPS
Decision stated that the Parent Advisory Group will advise "the program on matters that pertain to
the education, health and safety of the students as required."
Department
Order of
Corrective
Action
Progress
Reports
Required
(Check all
Due Dates
that apply)
Progress Report Due Date(s)
25
09/19/2012
09/19/2012
29
10/19/2012
10/19/2012
19
11/30/2012
11/30/2012
Add Due Date
Required
Elements of
Progress
Report(s)
By 9/19/2012, LPS must submit their new policy on the creation of the Parent Advisory
Group, as well as their plan for involving parents in matters that pertain to the education,
health and safety of the students enrolled in the program. By 11/30/2012, LPS must
submit the schedule for the 2012-2013 school year Parent Advisory Group meetings, and
copies of any meeting agendas and sign-in sheets for meetings that have taken place, as
well as the job descriptions for the Elementary/Middle School Principal and the High
School Principal reflecting their responsibilities related to the Parent Advisory Group.
PQA Review Complete
PS Criterion #16.7 - Preventive Health Care
Program Review Partially Implemented
Rating
Mandatory One-Year Compliance Date
06/07/2013
Program Review A review of student records indicates that the program does not maintain either evidence of dental
Finding
examinations or any efforts to obtain such documentation as required.
* Indicates required field
District/Agency Corrective Action Plan
MA Department of Elementary & Secondary Education, Program Quality Assurance Services
Little People’s School, Inc. PR Corrective Action Plan
16
*
Title/Role(s)
of
Responsible
Person(s)
* Expected
Date of
Completion
Supervisor of Nurse, Nancy Conroy
09/30/2012
* Description LPS will, in cooperation with the student's parents and or human services agency, which is
responsible for payment, shall make provision for each student to receive an annual
comprehensive dental examination. LPS will require parents to submit evidence of the
annual dental exams before the start of each school year.
* Evidence of
Completion of
Corrective
Action
The LPS has a form for Health History that must be filled out by the parents each year. On
this form a statement has been added to include evidence from the parent of dental
examination. If upon reciept of the Health History form there is no indication of a recent
dental examination, LPS will send a letter to the parent and school district specifically
requesting documentation of a dental examination, A copy of this letter will be kept in the
students record. LPS will submit to DESE a copy of the Health History form and a sample
letter that will be sent to parents and LEAs requesting documentation of dental
examination.
* Description The internal monitoring of compliance with the requirement of maintaining evidence of
of Internal dental examinations and efforts to obtain such documentation will be by the School Nurse.
Monitoring
Process
Complete
Supervisor of Nu
09/30/2012
LPS w ill, in coope
The LPS has a fo
The internal monit
On
For PQA Use Only
Corrective
Action Plan
Status
Plan
Status
Date
In Process
07/13/2012
Correction
Status
Not Corrected
Basis for LPS has stated that they "will require parents to submit evidence of the annual dental
Status exams before the start of each school year." Additionally, if there is no evidence of a recent
Decision dental examination LPS stated that they "will send a letter to the parent and school district
specifically requesting documentation of a dental examination" and keep a copy of the
letter in the student's file.
Department
Order of
Corrective
Action
Progress
Reports
Required
(Check all
Due Dates
that apply)
Progress Report Due Date(s)
25
09/19/2012
09/19/2012
29
10/19/2012
10/19/2012
19
11/30/2012
11/30/2012
Add Due Date
MA Department of Elementary & Secondary Education, Program Quality Assurance Services
Little People’s School, Inc. PR Corrective Action Plan
17
Required
Elements of
Progress
Report(s)
LPS must submit a copy of the health history form and a sample letter sent to parents and
school districts requesting documentation of dental examination. In addition, LPS must
conduct a self-assessment and report on the number of students whose dental examination
information is outstanding at the time of submission to the Department, including next
steps the program will take to obtain such information.
PQA Review Complete
MA Department of Elementary & Secondary Education, Program Quality Assurance Services
Little People’s School, Inc. PR Corrective Action Plan
18