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 30, 2009
Suzanne Loughlin
Program Director
McLean Hospital
Arlington School
115 Mill Street
Belmont, MA 02478
Re:
Mid-cycle Review and Verification of previous Program Review Corrective Action Plan
Dear Ms. Loughlin:
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 August 16, 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.
Page 1 of 2
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 2012-2013 school year, unless the Department
determines that there is some reason to schedule this visit earlier.
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
Cynthia Kaplan, Ph.D., Administrative Director, Child and Adolescent Programs
Encl.: Mid-cycle Review Report
Full Private School Approval Certificate, Expiration Date: August 31, 2013
Page 2 of 2
MASSACHUSETTS DEPARTMENT OF
ELEMENTARY AND SECONDARY EDUCATION
PRIVATE SCHOOL MID-CYCLE REVIEW
MCLEAN HOSPITAL
ARLINGTON SCHOOL
MID-CYCLE REVIEW REPORT
Previous Program Review Corrective Action Plan Submitted on October 9, 2007
Mid-cycle Onsite Visit Conducted on November 2-3, 2009
Date of this Report November 30, 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
Arlington School Mid-cycle Review Report
November 30, 2009
Page 1 of 7
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
18.04(1);
28.09(2)(b)(5);
28.09(5) (b);
28.09(6) (b, c)
8.4
Program
Modifications
and Support
Services for
Limited English
Proficient
Students
M.G.L. c. 71A;
Title VI
8.5
Current IEP &
Student Roster
28.09(5)(a)
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
Arlington School submitted current
copies of licenses, approvals, and
certificates of inspection for all
buildings which the students access.
√
Documentation
Review
Arlington School submitted a
written plan that addresses how the
program will effectively serve
limited English proficient (LEP)
students.
√
Documentation
Review
Student Record
Review
Arlington School 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.
Arlington School Mid-cycle Review Report
November 30, 2009
Page 2 of 7
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
11.3
Educational
Administrator
Qualifications
28.09(5)(a);
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);
34 CFR
300.321
11.5
Related
Services Staff
28.09(7)(d)
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
The person designated as the
Educational Administrator for
Arlington School possesses the
required qualifications.
√
Documentation
Review
Arlington School submitted
documentation verifying that all
teaching staff are appropriately
licensed.
√
Documentation
Review
All staff providing or supervising the
provision of related services for
Arlington School are appropriately
certified, licensed or registered in
their professional areas.
Arlington School Mid-cycle Review Report
November 30, 2009
Page 3 of 7
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
11.6
Master Staff
Roster
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
Further Corrective
Action
Ordered by the
Department of
Elementary and
Secondary Education
and Timelines for
Implementation and
Further Progress
Reporting

Documentation
Review
28.09(7)
Arlington School submitted a Master
Staff Roster that contains the name,
program job title, corresponding
UFR title number, licensure and/or
certification if appropriate, full-time
equivalent (FTE), and qualifications
for current staff. The Master Staff
Roster accurately corresponds to the
last approved ESE Program Budget
as required.
Identified Areas of Non-Compliance During the 2007 Program Review or Other Areas of Concern
8.8
IEP –
Progress
Reports
28.07(3)
20 U.S.C.
Chapter 33,
Section
1414(d)(1)(A)(v
iii)
IDEA
Regulations:
√
Student Record
Review
A review of student records
indicates that Arlington School has
made considerable progress towards
providing sufficient details in
students’ IEP Progress Reports that
specifically addresses how the
student is progressing for each IEP
goal and benchmark. Arlington
School staff will continue to be
trained in reporting student’s
progress with additional detail and
the Educational Director will now
review and approve all progress
Arlington School Mid-cycle Review Report
November 30, 2009
Page 4 of 7
Since some of the
procedures Arlington
School will be
implementing were
more recently
implemented and staff
training will continue,
Arlington School must
submit copies of 5
students’ IEP Progress
Reports that reflect
progress made during
the 2nd quarter of the
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

Further Corrective
Action
Ordered by the
Department of
Elementary and
Secondary Education
and Timelines for
Implementation and
Further Progress
Reporting

300.347
reports before they are issued.
12.1
Staff
Orientation
Training
18.05(11)(g)

Documentation
Review
Personnel
Record Review
Arlington School submitted a copy
of the written orientation and
training program for all staff that
now includes all required topics.
12.2
Annual InService
Training Plan
and Calendar
√
Documentation
Review
Personnel
Record Review
Arlington School submitted the
2009-2010 In-Service Training Plan
and Calendar that contains all
elements of this criterion. A review
of personnel records indicates that
staff have now received current
training in the school’s Runaway
Policy, Transportation Policy, and
the procedures for MCAS as
required.
28.09(7)(f)
18.05(11)(h
Findings Regarding
Incomplete
Implementation of
Approved Corrective
Action Plan or
Identification of
Additional Issues of
Noncompliance
Arlington School Mid-cycle Review Report
November 30, 2009
Page 5 of 7
school year. The
submission must be
received by the
Department by
February 1, 2010.
Criterion
Number
and
Topic
15.5
Parent Consent
28.07(1)(b)
16.7
Preventive
Health care
18.05
(9)(f)(9)(h)
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
Further Corrective
Action
Ordered by the
Department of
Elementary and
Secondary Education
and Timelines for
Implementation and
Further Progress
Reporting

Documentation
Review
Student Records
Arlington School now has current
consents for Emergency Medical
Care and Restraints as well
notification to parents for Human
Sexual Education for all students as
required.
Student Record
Review
Arlington School now has on file a
copy of current physical and dental
exams and vision, hearing, and
postural screenings for students as
required.
Arlington School Mid-cycle Review Report
November 30, 2009
Page 6 of 7
.
Due to the
implementation of a
new tracking system,
Arlington School must
submit an updated
monitoring chart of all
enrolled students that
indicates the school
has current exams and
screenings on file or
documentation of
efforts to obtain such
documentation from
the parent/guardian.
The submission must
be received by the
Department by
February 1, 2010.
Criterion
Number
and
Topic
18.1
Confidentiality
of Student
Records
28.09(5)(a);
28.09(10);
23.07(1);
M.G.L. c. 71, §
34H
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

Student Record
Review
The educational and health records
at Arlington School now include a
Log of Access that contains all
required elements of this criterion.
Arlington School Mid-cycle Review Report
November 30, 2009
Page 7 of 7
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