Massachusetts Department of Elementary and Secondary Education

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Massachusetts Department of
Elementary and Secondary Education
350 Main Street, Malden, Massachusetts 02148-5023
Telephone: (781) 338-3700
TTY: N.E.T. Relay 1-800-439-2370
October 30, 2007
Ms. Sonya Esber, Executive Director
ARCHway Inc.
77 Mulberry Street
Leicester, MA 01524
Re:
Onsite Follow-up Monitoring Report: Program Review Corrective Action Plan
Verification and Mid-cycle Review
Dear Ms. Esber:
Enclosed is the Department's Program Review Follow-up Monitoring Report together with
findings regarding your private school’s Mid-cycle Program Review. This report contains the
Department's findings based on the onsite activities conducted in your school to verify the
implementation status and effectiveness of corrective steps taken in response to your Program
Review Report issued on August 1, 2005. This report also includes a report on the status of
implementation for new state or federal special education requirements enacted since your
school’s last Program Review.
While the Department of Elementary and Secondary Education found certain noncompliance
issues to be resolved, a previously identified finding concerning accessibility has not been
corrected. Therefore, the Department is issuing a “Provisional Approval” status effective from
the date of this letter and indicated on your approval certificate. Your “Provisional Approval”
will expire on February 29, 2008. The reasons for the “Provisional Approval” are clearly
indicated on the attached Corrective Action Plan Implementation Checklist.
As the Department previously informed you, in cases where a private school fails to fully and
effectively implement a Corrective Action Plan which was proposed by your school and
approved by the Department, the Department must then prepare a Corrective Action Plan for the
school which must be implemented without further delay. You will find these requirements for
corrective action and further progress reporting included in the attached report together with any
steps that must be taken by the school to fully implement new special education requirements.
Please provide the Department with your written assurance that the Department's requirements
for corrective action will be implemented by your private school within the timelines specified.
Your statement of assurance must be submitted to the Department's Onsite Chairperson by
November 16, 2007. The private school must demonstrate the specific steps to be taken to come
Page 1 of 2
into substantial compliance with all identified areas requiring corrective action by November 30,
2007.
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 781-338-3792.
Sincerely,
Stacey Klasnick, Mid-cycle Review Follow-up Chairperson
Program Quality Assurance Services
Darlene Lynch, Director
Program Quality Assurance Services
c:
Jeffrey Nellhaus, Acting Commissioner of Elementary and Secondary Education
Sister Mary Barry, President, Board of Directors
Encl.: Follow-up Monitoring Report
Provisional Private School Approval Certificate, Expiration Date: February 29, 2008
Page 2 of 2
MASSACHUSETTS DEPARTMENT OF ELEMENTARY AND SECONDARY
EDUCATION
PRIVATE SCHOOL MID-CYCLE PROGRAM REVIEW
ARCHway Inc.
ONSITE VERIFICATION OF CORRECTIVE ACTION PLAN IMPLEMENTATION
AND/OR IDENTIFICATION OF ADDITIONAL FINDINGS REQUIRING CORRECTIVE ACTION
Action Plan Submitted on October 24, 2005
Progress Reports Submitted on May 5, 2006 and August 29, 2006
Onsite Visit Conducted on October 2, 2007
Date of this Report October 30, 2007
Criterion
Number
and
Topic
Implementation Status of
Requirements
or
Corrective
Action Plan
Determined to
be Substantially
Implemented
Method(s) of
Verifica-tion
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

Selected Approved Private School Mid-cycle Review Criteria
2.2
Approvals,
Licenses,
Certificates of
Inspection
18.04(1);
28.09(2)(b)(5);
Documentation

All approvals, licenses, and
certificates of inspection are
current.
ARCHway Inc. Program Review Mid-cycle Report
October 30, 2007
Page 1 of 13
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
Verifica-tion
Comments Regarding
Corrective Action Plan
Implementation

Corrective
Action Plan
Determined
to be Not
Fully
Implemented or
Additional
Issues
Identified

28.09(5)(b);
28.09(6)(b, c)
2.3
EEC Licensure
102 CMR 3.00
(NA for Public
Day Schools)
7.4
High School
Diplomas and
Certificates of
Attendance
M.G.L. c. 69,
§ 1D;
Administrative
Advisory
SPED 2002-4REVISED:
Special
Education
Students in
Out-of-District
Placements-

Documentation
The EEC licensures are
current for the residential
program. It is not required for
the day program.

Documentation
ARCHway Inc. has written
policies that describe how the
private school awards students
a certificate that recognizes
achievement, attendance,
course completion, or
participation that is included
in the Policies and Procedures
Manual.
ARCHway Inc. Program Review Mid-cycle Report
October 30, 2007
Page 2 of 13
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
Verifica-tion
Comments Regarding
Corrective Action Plan
Implementation

Participation
in MCAS
Testing and
High School
Graduation
Standards
8.4
Program
Modifications
and Support
Services for
Limited
English
Proficient
Students


Documentation
ARCHway Inc. has a written
plan for working with public
school districts to implement
necessary program
modifications and support
services to identify and
effectively serve limited
English proficient (LEP)
students such as sheltered
content instruction and
additional instruction in
English as a Second Language
that is included in the Policies
and Procedures Manual.

Documentation
Student Records
The current IEP and student
roster is complete and contains
all required elements.

Documentation
Progress reports include
M.G.L. c. 71A;
Title VI
8.5
Current IEP &
Student Roster
28.09(5)(a)
8.8
Corrective
Action Plan
Determined
to be Not
Fully
Implemented or
Additional
Issues
Identified
ARCHway Inc. Program Review Mid-cycle Report
October 30, 2007
Page 3 of 13
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
Verifica-tion
Comments Regarding
Corrective Action Plan
Implementation

IEP – Progress
Reports
State: 28.07(3);
Federal 20
U.S.C. Chapter
33, Section
1414(d)(1)(A)(
viii)
34 CFR
300.320(a)(3)(i,
ii
9.1(a)
Student
Separation
resulting from
Behavior
Management
18.05(5)(i);
46.02(5)(b)
11.3
Educational
Administrator
Qualifications
Corrective
Action Plan
Determined
to be Not
Fully
Implemented or
Additional
Issues
Identified

Student Records
written information on the
student’s progress toward the
annual goals in the IEP and
copies of the progress reports
are sent to parents and the
public school.

Documentation
Student Records
The private school has written
behavior management policies
and procedures regarding
student separation that is
included in the Policies and
Procedures Manual.

Documentation
Personnel
Records
The Educational
Administrator meets the
required qualifications.
28.09(5)(a);
ARCHway Inc. Program Review Mid-cycle Report
October 30, 2007
Page 4 of 13
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
Verifica-tion
Comments Regarding
Corrective Action Plan
Implementation

28.09(7)(a);
603 CMR
44.00
11.4
Teachers
(Special
Education
Teachers and
Regular
Education
Teachers)
18.05(11)(f);
28.09(5)(a);
28.09(7)(b, c)
11.5
Related
Services Staff
28.09(7)(d)

Corrective
Action Plan
Determined
to be Not
Fully
Implemented or
Additional
Issues
Identified

Documentation
Personnel
Records

Documentation
Personnel
Records
The teacher roster is complete
and all teachers are currently
licensed or waivered.
The related service roster is
complete and all related
service providers are currently
licensed or certified in their
respective areas. ARCHway
Inc. will ensure that any staff
members providing
educational interpreting for
students who are deaf or hard
of hearing in public schools,
approved special education
schools and collaborative must
ARCHway Inc. Program Review Mid-cycle Report
October 30, 2007
Page 5 of 13
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
Verifica-tion
Comments Regarding
Corrective Action Plan
Implementation

Corrective
Action Plan
Determined
to be Not
Fully
Implemented or
Additional
Issues
Identified

be registered through the
Massachusetts Commission
for the Deaf and Hard of
Hearing. This includes staff
members who are identified as
educational interpreters or oral
transliterators or someone who
fulfills that role but is not
identified as an interpreter.
11.6
Master Staff
Roster
28.09(7)
12.2(c)
Details about
Required
TrainingCPR
Certification
18.05(9)(e)
14.4
Visiting, Mail
and
Telephones

Documentation
The master staff roster is
complete and contains all
required elements.

Documentation
Interview
The written training plan for
CPR Certification identifies
the staff positions/titles of staff
to be trained, how many staff
in each position/title will be
trained, and the frequency of
CPR training and certification.

Documentation
ARCHway Inc. has written
visiting, mail and telephone
policies and procedures that
are included in the Policies
ARCHway Inc. Program Review Mid-cycle Report
October 30, 2007
Page 6 of 13
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
Verifica-tion
Comments Regarding
Corrective Action Plan
Implementation


and Procedures Manual.
(Residential
Schools Only)
18.03(9)(a) and
(b)
16.3
Nursing

Documentation

Documentation
Student Records

Documentation
18.05(9)(b)
16.11
Student
Allergies
18.05(9)(h)
16.12
No Smoking
Policy
M.G.L. c. 71, §
37H
Corrective
Action Plan
Determined
to be Not
Fully
Implemented or
Additional
Issues
Identified
The nurses meet the required
qualifications. The nurses’
shift schedule and explanation
of how the nurses’ availability
is sufficient for the needs of
the student population is
included in the Health Care
Manual.
ARCHway Inc. has a written
student allergies policy that is
included in the Health Care
Manual.
The private school has a
written no smoking policy
stating that the program
prohibits the use of any
tobacco products within the
school buildings, the school
facilities or on the school
grounds or on school buses by
any individual, including
ARCHway Inc. Program Review Mid-cycle Report
October 30, 2007
Page 7 of 13
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
Verifica-tion
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
Further Corrective Action
Ordered by the
Department of Elementary
and Secondary Education
and Timelines for
Implementation and Further
Progress Reporting

school personnel, that is
included in the Health Care
Manual.
Identified Areas of Non-Compliance During Previous Program Review or Other Areas of Concern

Documentation
Interview
ARCHway’s current
curriculum provides all
students with essential
learning opportunities.

Documentation
Student Records
The physical restraint policies
contain all required elements
such as notification
procedures for serious injury
to a staff or student, and are
included in the Policies and
Procedures Manual. The
private school has signed
copies of parent/guardian
consent forms for each
student.
7.1
Curriculum
Frameworks
28.05(4)(a,b);
28.09(9)(b)
9.4
Physical
Restraints
18.05(5); 603
CMR 46.00
ARCHway Inc. Program Review Mid-cycle Report
October 30, 2007
Page 8 of 13
Criterion
Number
and
Topic
Implementation Status of
Requirements
or
Corrective
Action Plan
Determined to
be Substantially
Implemented
Method(s) of
Verifica-tion
Comments Regarding
Corrective Action Plan
Implementation

9.5
3-5 Day
Suspensions
18.05(6)
9.6
10+ Day
Suspensions
34 CFR
300.530-537
9.7
Terminations
18.05(7);
28.09(12)(b)
11.1
Personnel
Policies and
Procedures
Manual
18.05(11);
18.05(11(c)(1);
28.09(7);
28.09(11)(a);
Corrective
Action Plan
Determined
to be Not
Fully
Implemented or
Additional
Issues
Identified


Documentation
Student Records

Documentation
Student Records

Documentation

Documentation
Personnel
Records
The 3-5 day suspension
policies contain all required
elements and are included in
the Policies and Procedures
Manual.
The 10+ day suspension
policies contain all required
elements and are included in
the Policies and Procedures
Manual.
The termination procedures
contain all required elements
and are included in the
Policies and Procedures
Manual.
The Personnel Policies and
Procedures Manual contain all
required elements. CORI
procedures are being initiated
and conducted every three
years and personnel files show
that performance evaluations
are being conducted annually.
ARCHway Inc. Program Review Mid-cycle Report
October 30, 2007
Page 9 of 13
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
Verifica-tion
Comments Regarding
Corrective Action Plan
Implementation

M.G.L. c. 71,
38R; ESE
Advisory on
CORI revised
5/7/07
12.1
Staff
Orientation
and Training
18.05(11)(g,i);
28.09(7)(f)
12.2
In-Service
Training Plan
and Calendar
28.09(7)(f);
28.09(9)(b);
28.09(10);
18.03(3);
18.05(9)(e)(1);
18.05(10);
18.05(11)(h)
Title VI:
42U.S.aC.
Corrective
Action Plan
Determined
to be Not
Fully
Implemented or
Additional
Issues
Identified


Documentation
Personnel
Records
Interview
All staff are receiving all
mandated trainings as
required.

Documentation
Personnel
Records
Interviews
All staff participate in annual
in-service training on average
at least two hours per month.
All staff participate in annual
training on the following
topics:
 Reporting abuse and
neglect of students;
 Disciplinary and
Behavior
Management
Procedures used by
the program;
 Runaway policy;
 Emergency
ARCHway Inc. Program Review Mid-cycle Report
October 30, 2007
Page 10 of 13
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
Verifica-tion
Comments Regarding
Corrective Action Plan
Implementation

2000d; 34 CRF
100.3; EEOA:
20 U.S.C. 1703
(f); Title IX:20
U.S.C. 1681;
34 CFR
106.31-106.42;
M.G.L. c. 76,
5; 603 CMR
26.00, esp.
26.07(2,3)
Corrective
Action Plan
Determined
to be Not
Fully
Implemented or
Additional
Issues
Identified


procedures; and
Civil rights
responsibilities.
All teaching staff participate
in annual training on the
following topics:
 Curriculum
alignment with the
Massachusetts
Curriculum
Frameworks;
 Procedures for
inclusion of all
students in MCAS
testing and/or
alternative
assessments; and
 Student record
policies and
confidentiality issues.
All appropriate staff
participate in annual training
on the following topics:
 CPR training;
 Medication
ARCHway Inc. Program Review Mid-cycle Report
October 30, 2007
Page 11 of 13
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
Verifica-tion
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
Further Corrective Action
Ordered by the
Department of Elementary
and Secondary Education
and Timelines for
Implementation and Further
Progress Reporting
Students with limited
mobility do not have
access, free from barriers
to their mobility, to a
handicapped accessible
bathroom or to the
residence facility upstairs.
Accommodations can be
made for students to
reside downstairs if need
be, however; there is no
handicapped accessible
A written plan indicating when
and how the building will be
free from barriers to students
with limited mobility to access
the bathrooms. Please submit
the plan to the Department by
November 30, 2007.

administration;
Transportation safety;
and
 Student record
policies and
confidentiality issues.
At least two evacuation drills
per shift are conducted
annually and written logs are
kept for the past twelve
months for the building and
shift that includes date, time
elapsed, participants,
witnesses, etc.

12.2 (f)
Details about
Required
TrainingEmergency
Procedures
18.05(10);
28.09(11)
13.4
Physical
Facility/Archit
ectural
Barriers

Documentation
Interview
Documentation
Observation
Interview

18.04(8);
Section 504; 29
U.SC. 794; 34
CFR 104.21,
104.22; Title
II: 42 U.S.C.
ARCHway Inc. Program Review Mid-cycle Report
October 30, 2007
Page 12 of 13
Criterion
Number
and
Topic
Implementation Status of
Requirements
or
Corrective
Action Plan
Determined to
be Substantially
Implemented
Method(s) of
Verifica-tion
Comments Regarding
Corrective Action Plan
Implementation

Corrective
Action Plan
Determined
to be Not
Fully
Implemented or
Additional
Issues
Identified

bathroom downstairs or
upstairs. The Department
made this same finding in
the school’s August 1,
2005 Program Review
Final Report.
12132; 28 CFR
35.149, 35.150;
Mass. Const.
Amend. Art.
114
15.5
Parent
Consent
18.05(5)(c);
18.05(8);
18.05(9)(f)(1)
16.4
Emergency
First Aid and
Medical
Treatment
Findings Regarding
Incomplete
Implementation of
Approved Corrective
Action Plan or
Identification of
Additional Issues of
Noncompliance

Documentation
Student Records
The Policies and Procedures
Manual contains written
procedures for all required
elements for working with
school districts and obtaining
all parent consents.

Documentation
The emergency first aid policy
contains all required elements
and is included in the Policies
and Procedures Manual.
18.05(9)(e,f)
ARCHway Inc. Program Review Mid-cycle Report
October 30, 2007
Page 13 of 13
Further Corrective Action
Ordered by the
Department of Elementary
and Secondary Education
and Timelines for
Implementation and Further
Progress Reporting
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