Massachusetts Department of Elementary and Secondary Education 75 Pleasant Street, Malden, Massachusetts 02148-4906 Telephone: (781) 338-3700 TTY: N.E.T. Relay 1-800-439-2370 November 10, 2009 John Randall, Executive Director Amego, Inc. 115 Plymouth Street Mansfield, MA 02048 Re: Mid-cycle Review and Verification of previous Program Review Corrective Action Plan Dear Mr. Randall: Enclosed are the Department’s findings regarding your private school program’s recent onsite Mid-cycle Review. This Mid-cycle Review Report contains the Department's findings regarding the implementation status and effectiveness of corrective steps taken in response to your previous Program Review Report issued on December 28, 2007. This report also includes a report on the status of implementation for new state or federal special education requirements enacted since your program’s last Program Review. We are pleased to indicate that the Department of Elementary and Secondary Education has found your program’s approved Corrective Action Plan to be substantially implemented and effective in remedying previously identified noncompliance issues. Additionally, we have determined that your program is in substantial compliance with any new state or federal special education requirements enacted since your last Program Review. The findings of the Department are included in the attached Mid-cycle Review Report. You and your entire staff are to be congratulated for your efforts in implementing all necessary improvements. Your program will now receive an updated status of “Full Approval.” This approval shall remain in effect for three (3) years from the date of this letter and attached approval certificate. This approval will be contingent upon continued compliance with all regulations contained within 603 CMR 28.00 “Special Education Regulations” and 603 CMR 18.00 “Program And Safety Standards For Approved Public Or Private Day And Residential Special Education School Programs.” The Department of Elementary and Secondary Education may change this approval status at any point during this three-year period if circumstances arise that warrant such a change. The Department will notify you of your program’s next regularly scheduled Program Review several months before it is to occur. At this time we anticipate the Department's next routine monitoring visit to occur sometime during the FY 2013, unless the Department determines that there is some reason to schedule this visit earlier. Page 1 of 2 Your staff's cooperation throughout these follow-up monitoring activities is appreciated. Should you require additional clarification of information included in our report, please do not hesitate to contact the Onsite Team Chairperson at 781-338-3794. Sincerely, Dee Wyatt, Mid-cycle Review Chairperson Program Quality Assurance Services Darlene Lynch, Director Program Quality Assurance Services c: Mitchell D. Chester, Ed.D., Commissioner of Elementary and Secondary Education Encl.: Mid-cycle Review Report Full Private School Approval Certificate, Expiration Date: August 31, 3013 Page 2 of 2 MASSACHUSETTS DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION PRIVATE SCHOOL MID-CYCLE REVIEW AMEGO, INC. MID-CYCLE REVIEW REPORT Previous Program Review Corrective Action Plan Submitted on October 11, 2007 Progress Reports Submitted on February 15, 2008 and March 20, 2008 Mid-cycle Onsite Visit Conducted on September 17-18, 2009 Date of this Report November 10, 2009 Criterion Number and Topic Implementation Status of Requirements or Corrective Action Plan Determined to be Substantially Implemented Method(s) of Verification Comments Regarding Corrective Action Plan Implementation Corrective Action Plan Determined to be Not Fully Implemented or Additional Issues Identified Selected Approved Private School Program Mid-cycle Review Criteria Amego, Inc. Mid-cycle Review Report November 10, 2009 Page 1 of 14 Findings Regarding Incomplete Implementation of Approved Corrective Action Plan or Identification of Additional Issues of Noncompliance Further Corrective Action Ordered by the Department of Elementary and Secondary Education and Timelines for Implementation and Further Progress Reporting Criterion Number and Topic 2.2 Approvals, Licenses, Certificates of Inspection Implementation Status of Requirements or Corrective Action Plan Determined to be Substantially Implemented √ Method(s) of Verification Comments Regarding Corrective Action Plan Implementation Corrective Action Plan Determined to be Not Fully Implemented or Additional Issues Identified Documentation Review Amego, Inc. submitted current approvals, licenses and certificates of inspection for all buildings and residences used by the students. √ Documentation Review Amego, Inc. submitted a current license from the Department of Early Education and Care for all residential facilities. √ Documentation Review Amego, Inc. submitted a written plan that addresses how the program will effectively serve limited English proficient (LEP) students. 18.04(1); 28.09(2)(b)(5); 28.09(5) (b); 28.09(6) (b, c) 2.3 EEC Licensure 102 CMR 3.00 (Residential Schools only) 8.4 Program Modifications and Support Services for Limited English Proficient Students M.G.L. c. 71A; Title VI Amego, Inc. Mid-cycle Review Report November 10, 2009 Page 2 of 14 Findings Regarding Incomplete Implementation of Approved Corrective Action Plan or Identification of Additional Issues of Noncompliance Further Corrective Action Ordered by the Department of Elementary and Secondary Education and Timelines for Implementation and Further Progress Reporting Criterion Number and Topic 8.5 Current IEP & Student Roster Implementation Status of Requirements or Corrective Action Plan Determined to be Substantially Implemented √ Method(s) of Verification √ Corrective Action Plan Determined to be Not Fully Implemented or Additional Issues Identified Documentation Review, Student Record Review Amego, Inc. submitted a current IEP and Student Roster for all district-funded Massachusetts students enrolled in the program that contains all the required elements for this criterion Documentation Review The person designated as the Educational Administrator for Amego, Inc. possesses the required qualifications. 28.09(5)(a) 11.3 Educational Administrator Qualifications Comments Regarding Corrective Action Plan Implementation 28.09(5)(a); 28.09(7)(a); 603 CMR 44.00 Amego, Inc. Mid-cycle Review Report November 10, 2009 Page 3 of 14 Findings Regarding Incomplete Implementation of Approved Corrective Action Plan or Identification of Additional Issues of Noncompliance Further Corrective Action Ordered by the Department of Elementary and Secondary Education and Timelines for Implementation and Further Progress Reporting Criterion Number and Topic 11.4 Teachers (Special Education Teachers and Regular Education Teachers) 18.05(11)(f); 28.09(5)(a); 28.09(7)(b, c); 34 CFR 300.321 11.5 Related Services Staff Implementation Status of Requirements or Corrective Action Plan Determined to be Substantially Implemented √ Method(s) of Verification 28.09(7) Corrective Action Plan Determined to be Not Fully Implemented or Additional Issues Identified Findings Regarding Incomplete Implementation of Approved Corrective Action Plan or Identification of Additional Issues of Noncompliance Documentation Review All teachers at Amego, Inc. are appropriately licensed or have been granted a waiver for the 2009-2010 school year. √ Documentation Review √ Documentation Review All staff providing or supervising the provision of related services for Amego, Inc. are appropriately certified, licensed or registered in their professional areas. Amego, Inc. submitted a Master Staff Roster that contains the name, program job title, corresponding UFR title number, licensure and/or certification if appropriate, fulltime equivalent (FTE), and qualifications for current staff. 28.09(7)(d) 11.6 Master Staff Roster Comments Regarding Corrective Action Plan Implementation Amego, Inc. Mid-cycle Review Report November 10, 2009 Page 4 of 14 . Further Corrective Action Ordered by the Department of Elementary and Secondary Education and Timelines for Implementation and Further Progress Reporting Criterion Number and Topic Implementation Status of Requirements or Corrective Action Plan Determined to be Substantially Implemented Method(s) of Verification Comments Regarding Corrective Action Plan Implementation Corrective Action Plan Determined to be Not Fully Implemented or Additional Issues Identified Findings Regarding Incomplete Implementation of Approved Corrective Action Plan or Identification of Additional Issues of Noncompliance Identified Areas of Non-Compliance During the 2007 Program Review or Other Areas of Concern 3.2 Health Care Manual √ Documentation Review Amego Inc.’s Health Care Manual was approved by a physician on 8/28/09. √ Documentation Review Amego Inc. submitted the program’s written procedures for notifying the Department of substantial changes within the program that contains all elements of this criterion. 18.05 (9) 4.4 Advance notice of Proposed Program/ Facility Change 28.09 (5)(c) 5.2 Policies and Procedures for Coordination/ Collaboration with Public School Districts & Contents for *As of the 2007-2008 academic year, the Department no longer requires a school to have a written policy addressing the coordination/collaboration with the public school districts. Criterion number 5.2 is now reserved. Amego, Inc. Mid-cycle Review Report November 10, 2009 Page 5 of 14 Further Corrective Action Ordered by the Department of Elementary and Secondary Education and Timelines for Implementation and Further Progress Reporting Criterion Number and Topic Implementation Status of Requirements or Corrective Action Plan Determined to be Substantially Implemented Method(s) of Verification Comments Regarding Corrective Action Plan Implementation Corrective Action Plan Determined to be Not Fully Implemented or Additional Issues Identified Coordination/ Collaboration with Public School Districts 7.1 Curriculum Frameworks 28.09(9)(b) 7.2 Staff Training 28.09 (9)(b) 8.2 Implementation Related Services 28.04 and 28.09(8) 34 CFR 300.24 √ Documentation Review Amego, Inc. provided a description of how the learning standards of the Massachusetts Curriculum Frameworks are incorporated into the program’s instruction. *As of the 2007-2008 academic year, schools need only to ensure that all academic staff are trained in aligning the curriculum with the Massachusetts Curriculum Frameworks. Criterion 7.2 is now reserved and incorporated into Criterion 12.2, Staff Training. *As of the 2007-2008 academic year, all of the elements of Criterion 8.2 have been incorporated into Criterion 1.2. Criterion number 8.2 is now reserved. Amego, Inc. Mid-cycle Review Report November 10, 2009 Page 6 of 14 Findings Regarding Incomplete Implementation of Approved Corrective Action Plan or Identification of Additional Issues of Noncompliance Further Corrective Action Ordered by the Department of Elementary and Secondary Education and Timelines for Implementation and Further Progress Reporting Criterion Number and Topic Implementation Status of Requirements or Corrective Action Plan Determined to be Substantially Implemented Method(s) of Verification Comments Regarding Corrective Action Plan Implementation Corrective Action Plan Determined to be Not Fully Implemented or Additional Issues Identified *As of the 2007-2008 academic year, the Department no longer requires this criterion. Criterion 8.7 is now reserved. 8.7 IEP Implementation 28.09 8.8 IEP – Progress Reports √ Documentation Review, Student Records Amego, Inc. provided a description of how the school documents that parents, school districts and/or agencies receive copies of progress reports. A review of student records indicated that progress reports are being sent to all appropriate parties on a quarterly basis. √ Documentation Review Amego, Inc. provided a copy of its written suspension policy and procedures that contains all elements of this criterion. 28.07(3) 20 U.S.C. Chapter 33, Section 1414(d)(1)(A)(vi ii) IDEA Regulations: 300.347 9.5 3-5 Day Suspensions 18.05(6) Amego, Inc. Mid-cycle Review Report November 10, 2009 Page 7 of 14 Findings Regarding Incomplete Implementation of Approved Corrective Action Plan or Identification of Additional Issues of Noncompliance Further Corrective Action Ordered by the Department of Elementary and Secondary Education and Timelines for Implementation and Further Progress Reporting Criterion Number and Topic 9.7 Terminations Implementation Status of Requirements or Corrective Action Plan Determined to be Substantially Implemented √ Method(s) of Verification √ Corrective Action Plan Determined to be Not Fully Implemented or Additional Issues Identified Documentation Review Amego, Inc. provided a copy of its written termination policy and procedures that contains all elements of this criterion. Personnel Records A review of personnel records indicated Amego, Inc. is conducting scheduled staff evaluations and is maintaining written copies of the evaluations. 28.09(12) 18.05(7) 11.1 Personnel Policies and Procedures Manual Comments Regarding Corrective Action Plan Implementation 18.05(11); 18.05(11)(c)(1); 28.09(7); 28.09(11)(a); M.G.L. c. 71, § 38R; ESE Advisory on CORI revised 5/7/07 (Contains former Criterion 12.2(i)) Amego, Inc. Mid-cycle Review Report November 10, 2009 Page 8 of 14 Findings Regarding Incomplete Implementation of Approved Corrective Action Plan or Identification of Additional Issues of Noncompliance Further Corrective Action Ordered by the Department of Elementary and Secondary Education and Timelines for Implementation and Further Progress Reporting Criterion Number and Topic 11.7 Job Descriptions Implementation Status of Requirements or Corrective Action Plan Determined to be Substantially Implemented √ Method(s) of Verification Comments Regarding Corrective Action Plan Implementation Corrective Action Plan Determined to be Not Fully Implemented or Additional Issues Identified Documentation Review Amego, Inc. submitted job descriptions that have been revised since the 2008 Progress Report. 18.05(11)(d) *As of the 2007-2008 academic year, the Department no longer requires a school to have written salary ranges. Criterion number 11.8 is now reserved. 11.8 Salary Ranges 18.05(11)(e) *As of the 2007-2008 academic year, the Department is longer monitoring the plan for staff coverage. Criterion number 11.13 is not reserved. 11.13 Plan for Staff Coverage 18.03(1)(b)4 12.2 In-Service Training Plan and Calendar 28.09(7)(f); 28.09(9)(b); 28.09(10); √ Documentation Review, Personnel Records Amego, Inc. submitted the 2009-2010 In-Service Training Plan and Calendar that contains all elements of this criterion. A review of personnel records indicated staff have received all required trainings and training hours. Amego, Inc. Mid-cycle Review Report November 10, 2009 Page 9 of 14 Findings Regarding Incomplete Implementation of Approved Corrective Action Plan or Identification of Additional Issues of Noncompliance Further Corrective Action Ordered by the Department of Elementary and Secondary Education and Timelines for Implementation and Further Progress Reporting Criterion Number and Topic Implementation Status of Requirements or Corrective Action Plan Determined to be Substantially Implemented Method(s) of Verification Comments Regarding Corrective Action Plan Implementation Corrective Action Plan Determined to be Not Fully Implemented or Additional Issues Identified 18.03(3); 18.05(9)(e)(1); 18.05(10); 18.05(11)(h) Title VI: 42 U.S.C. 2000d; 34 CFR 100.3; EEOA: 20 U.S.C. 1703(f); Title IX: 20 U.S.C. 1681; 34 CFR 106.31106.42; M.G.L. c. 76, § 5; 603 CMR 26.00, esp. 26.07(2, 3) 12.2(d) Details Medication Training *As of the 2007-2008 academic year, the elements of 12.2(d) are now incorporated into 12.2. Criterion number 12.2(d) is now reserved. 18.05(9)(f)(3)(c) Amego, Inc. Mid-cycle Review Report November 10, 2009 Page 10 of 14 Findings Regarding Incomplete Implementation of Approved Corrective Action Plan or Identification of Additional Issues of Noncompliance Further Corrective Action Ordered by the Department of Elementary and Secondary Education and Timelines for Implementation and Further Progress Reporting Criterion Number and Topic 12.2(f) Emergency Procedures Training Implementation Status of Requirements or Corrective Action Plan Determined to be Substantially Implemented √ Method(s) of Verification 18.04; 28.09(8) (Contains former Criteria 13.6 and 13.8) 13.4 Physical Facility/ Architectural Barriers 18.04(8) Corrective Action Plan Determined to be Not Fully Implemented or Additional Issues Identified Documentation Review 18.05(10) 12.2 (i) Staff Evaluations 18.05(11)(c)1 13.2 Description of Physical Facility Comments Regarding Corrective Action Plan Implementation √ Observation √ Documentation Review Findings Regarding Incomplete Implementation of Approved Corrective Action Plan or Identification of Additional Issues of Noncompliance Further Corrective Action Ordered by the Department of Elementary and Secondary Education and Timelines for Implementation and Further Progress Reporting Amego, Inc. submitted a fire drill log that indicated at least two evacuation drills per shift have been conducted annually at all buildings to which students have access. *As of the 2007-2008 academic year, the elements of Criterion 12.2(i) are incorporated into Criterion 11.1. Criterion number 12.2(i) is now reserved. Amego, Inc. moved its administrative support staff and adult clients to a new location in Attleboro, MA. The Mansfield location is now adequate in size for the number, size, and needs of its students. Amego, Inc. designated the residence located at 15 Melcher Street, Plainville, MA as the site to provide physical accessibility for the students. Renovations are currently underway and set for Amego, Inc. Mid-cycle Review Report November 10, 2009 Page 11 of 14 Amego, Inc. must send photographs of the renovations made at 15 Melcher Street, Plainville, MA to the Department by December 14, 2009. Criterion Number and Topic Implementation Status of Requirements or Corrective Action Plan Determined to be Substantially Implemented Method(s) of Verification Comments Regarding Corrective Action Plan Implementation Corrective Action Plan Determined to be Not Fully Implemented or Additional Issues Identified Section 504: 29 U.S.C. 794; 34 CFR 104.21,104.22; Title II: 42 U.S.C. 12132; 28 CFR 35.149, 35.150; Mass. Const. amend. art. 114 13.6 Classroom Space 18.04(6)(a) 13.8 Indoor Space 18.04(7)(a) 16.1 Health care Policy and completion by December 1, 2009. In the interim, the school submitted a plan, which is approved by the Department. *As of the 2007-2008 academic year, the requirements involving classroom space are now incorporated into 13.2. Criterion number 13.6 is now reserved. *As of the 2007-2008 academic year, the requirements involving indoor space are now incorporated into 13.2. Criterion number 13.8 is now reserved. *As of the 2007-2008 academic year, the Health Care Manual requirements are incorporated Amego, Inc. Mid-cycle Review Report November 10, 2009 Page 12 of 14 Findings Regarding Incomplete Implementation of Approved Corrective Action Plan or Identification of Additional Issues of Noncompliance Further Corrective Action Ordered by the Department of Elementary and Secondary Education and Timelines for Implementation and Further Progress Reporting Criterion Number and Topic Implementation Status of Requirements or Corrective Action Plan Determined to be Substantially Implemented Method(s) of Verification Comments Regarding Corrective Action Plan Implementation Corrective Action Plan Determined to be Not Fully Implemented or Additional Issues Identified Procedure Manual 18.05(9)(d) 18.05(9)(c) 16.3 Nursing 18.05(9)(b) M.G.L c. 112 M.G.L. c. 71, §§ 53, 53A, and 53B 16.4 Emergency First Aid into Criterion 3.2. Criterion number 16.1 is now reserved. √ Documentation Review Amego, Inc. currently has a Massachusetts licensed Registered Nurse who is available to sufficiently meet the needs of the students. √ Documentation Review Amego, Inc. provided a copy of its written Emergency First Aid and Medical Treatment policy and procedures that contains all elements of this criterion. √ Documentation Review Amego, Inc. provided a copy of its written Administration of Medication policy and procedures that contains all elements of this criterion. √ Documentation Review Amego, Inc. provided a copy of its written Preventive Health Care policy and procedures that 18.05(9)(e) 16.5 Administration of Medication 18.05(9)(f)(8) 16.7 Preventive Health Care Amego, Inc. Mid-cycle Review Report November 10, 2009 Page 13 of 14 Findings Regarding Incomplete Implementation of Approved Corrective Action Plan or Identification of Additional Issues of Noncompliance Further Corrective Action Ordered by the Department of Elementary and Secondary Education and Timelines for Implementation and Further Progress Reporting Criterion Number and Topic Implementation Status of Requirements or Corrective Action Plan Determined to be Substantially Implemented Method(s) of Verification Comments Regarding Corrective Action Plan Implementation Corrective Action Plan Determined to be Not Fully Implemented or Additional Issues Identified 18.05(9)(g) M.G.L. c. 71, § 57 M.G.L. c. 111, § 111. contains all elements of this criterion. Amego, Inc. Mid-cycle Review Report November 10, 2009 Page 14 of 14 Findings Regarding Incomplete Implementation of Approved Corrective Action Plan or Identification of Additional Issues of Noncompliance Further Corrective Action Ordered by the Department of Elementary and Secondary Education and Timelines for Implementation and Further Progress Reporting