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
July 27, 2010
Mr. Mark Carlson
Executive Director
Beverly School for the Deaf
Adapt Day Program and Summer Program
6 Echo Avenue
Beverly, MA 01915
Re:
Mid-cycle Review and Verification of previous Program Review Corrective Action Plan
Dear: Mr. Carlson:
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 June 15, 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 and 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 Helen Murgida at 781-338- 3713.
Sincerely,
Helen M. Murgida, 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
Leonard Femino, Chairperson, Board of Directors
Stefani Waterman, Local Program Review Coordinator
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
BEVERLY SCHOOL FOR THE DEAF
ADAPT DAY PROGRAM AND SUMMER PROGRAM
MID-CYCLE REVIEW REPORT
Previous Program Review Corrective Action Plan Submitted on October 10, 2007
Progress Reports Submitted on November 9, 2007
Mid-cycle Onsite Visit Conducted on December 3 and 4, 2009
Date of this Report: July 27, 2010
Criterion
Number
and
Topic
Implementati
on 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 Program Mid-cycle Review Criteria
Beverly School for the Deaf Adapt Day and Summer Programs Mid-cycle Review Report
July 27, 2010
Page 1 of 10
Further Corrective Action
Ordered by the
Department of Elementary
and Secondary Education
and Timelines for
Implementation and Further
Progress Reporting
Criterion
Number
and
Topic
Implementati
on Status of
Requirements
or
Corrective
Action Plan
Determined to
be Substantially
Implemented
Method(s) of
Verifica-tion
Comments Regarding
Corrective Action Plan
Implementation

2.2 Approvals,
Licenses,
Certificates of
Inspection
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

Beverly School for the Deaf
submitted all current
approvals, licenses, and
certificates of inspection.
18.04(1);
28.09(2)(b)(5);
28.09(5) (b);
28.09(6) (b, c)
2.3 EEC
Licensure
Not Applicable
Beverly School for the Deaf
Adapt Program is approved as
a Day School Program
102 CMR 3.00
(Residential
Schools only)
8.4 Program
Modifications
and Support
Services for
Limited
English
Proficient
Students

Documentation
Beverly School for the Deaf
submitted a written policy on
how they will implement
necessary program
modifications and support
services for limited English
proficient students that meets
all the requirements stated in
the criterion.
Beverly School for the Deaf Adapt Day and Summer Programs Mid-cycle Review Report
July 27, 2010
Page 2 of 10
Further Corrective Action
Ordered by the
Department of Elementary
and Secondary Education
and Timelines for
Implementation and Further
Progress Reporting
Criterion
Number
and
Topic
Implementati
on 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

M.G.L. c. 71A;
Title VI
8.5 Current
IEP & Student
Roster

Documentation
The current IEP and student
roster is complete and contains
all required elements.

Documentation
The Educational
Administrator meets the
required qualification to serve
in this position.
28.09(5)(a)
11.3
Educational
Administrator
Qualifications
Personnel
Record Review
28.09(5)(a);
28.09(7)(a);
603 CMR
44.00

11.4 Teachers
(Special
Education
Teachers and
Regular
Education
Documentation
Personnel
Record Review
Interviews
Beverly School for the Deaf
documented that all teaching
staff have current teaching
licenses or are on an approved
waivers issued by the
Department to serve in a
teaching role.
Beverly School for the Deaf Adapt Day and Summer Programs Mid-cycle Review Report
July 27, 2010
Page 3 of 10
Further Corrective Action
Ordered by the
Department of Elementary
and Secondary Education
and Timelines for
Implementation and Further
Progress Reporting
Criterion
Number
and
Topic
Implementati
on 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

Teachers)
18.05(11)(f);
28.09(5)(a);
28.09(7)(b, c);
34 CFR
300.321
11.5 Related
Services Staff

Personnel
Record Review
28.09(7)(d)
11.6 Master
Staff Roster
28.09(7)
Documentation

Documentation
Beverly School for the Deaf
submitted documentation that
staff providing or supervising
the provision of related
services are appropriately
certified, licensed or registered
in their professional area. Note
that the program utilizes a
student supervised by her
clinical practicum as part of
her training for the purpose of
delivering speech and
language services to students.
Beverly School for the Deaf
submitted a master staff roster
and written narrative
describing previous
discrepancies on the
Beverly School for the Deaf Adapt Day and Summer Programs Mid-cycle Review Report
July 27, 2010
Page 4 of 10
Further Corrective Action
Ordered by the
Department of Elementary
and Secondary Education
and Timelines for
Implementation and Further
Progress Reporting
Criterion
Number
and
Topic
Implementati
on 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

organizational chart. The
executive director and
education director are not
overseeing programs other
than the Adapt Day and
Summer Programs.
Identified Areas of Non-Compliance During the 2007 Program Review or Other Areas of Concern
5.2(a)
Contracts
28.06(3)(f)
Formerly
criteria 5.2
Policies and
Procedures for
Coordination/
Collaboration
with Public
School
Districts

Documentation
Student
Record Review
Interviews
Beverly School for the Deaf
now has contracts signed by
both the LEA and program
director and all contracts
reviewed were consistent with
the requirements of 603 CMR
28.06(3)(f).
28.06(2-3)
28.09(9)(c)&(d)
28.09(2)(b)7
Beverly School for the Deaf Adapt Day and Summer Programs Mid-cycle Review Report
July 27, 2010
Page 5 of 10
Further Corrective Action
Ordered by the
Department of Elementary
and Secondary Education
and Timelines for
Implementation and Further
Progress Reporting
Criterion
Number
and
Topic
Implementati
on 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

Federal
Regulations:
300.349 and
300.400-.401
8.8 IEP –
Progress
Reports

Student
Record Review
28.07(3);
34 CFR
300.320(a)(3)(i,
ii)
9.1(a) Student
Separation
Resulting from
Behavior
Management
Documentation
Student records now include
documentation of persons or
agencies receiving progress
reports.
Interviews

Documentation
Student
Record Review
Beverly School for the Deaf
provided a copy if its written
student separation policy that
now includes all elements of
this criterion.
Interviews
18.05(5)(i);
18.05(6, 7);
46.02(5)(b)
Beverly School for the Deaf Adapt Day and Summer Programs Mid-cycle Review Report
July 27, 2010
Page 6 of 10
Further Corrective Action
Ordered by the
Department of Elementary
and Secondary Education
and Timelines for
Implementation and Further
Progress Reporting
Criterion
Number
and
Topic
10.1 Staffing
for
Instructional
Groupings
Implementati
on Status of
Requirements
or
Corrective
Action Plan
Determined to
be Substantially
Implemented


Method(s) of
Verifica-tion
Documentation
Interviews
Observations
18.05(11)(g, i)
28.09(7)(f)

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

28.06(6)(d);
28 09(7)(e)
12.1
New Staff
Orientation
and Training
Comments Regarding
Corrective Action Plan
Implementation
Documentation
Personnel
Record Review
Beverly School for the Deaf
has received ESE approval for
a staff ratio of 4:1.
Documentation submitted
indicates that the program now
maintains these approved
ratios for each instructional
grouping that meets all the
required elements in this
criterion.
Beverly School for the Deaf
now provides new staff
orientation and training for
volunteers and interns that
now includes all required
trainings under this criteria.
Formerly
criteria 12.2 (g)
Interns and
Volunteers
Beverly School for the Deaf Adapt Day and Summer Programs Mid-cycle Review Report
July 27, 2010
Page 7 of 10
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 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: 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
106.31-106.42;
M.G.L. c. 76,
§ 5; 603 CMR
26.00, esp.
26.07(2, 3)
Implementati
on 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

Documentation
Personnel
Record Review
Beverly School for the Deaf
now provides in-service
training for all staff that now
includes all required trainings
under this criteria.
Beverly School for the Deaf Adapt Day and Summer Programs Mid-cycle Review Report
July 27, 2010
Page 8 of 10
Further Corrective Action
Ordered by the
Department of Elementary
and Secondary Education
and Timelines for
Implementation and Further
Progress Reporting
Criterion
Number
and
Topic
15.5 Parent
Consent and
Required
Notification
Implementati
on Status of
Requirements
or
Corrective
Action Plan
Determined to
be Substantially
Implemented


Method(s) of
Verifica-tion
Documentation
Student
Record Review
18.05(1)(b)
(16);
Title IX: 20
U.S.C. 1681;
34 CFR 106.8;
Section 504: 29

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

18.05(5)(c);
18.05(8);
18.05(9)(f)(1);
18.05 (9)(j);
M.G.L. c. 71, §
32A
15.8
Registering
Complaints
and
Grievances –
Parents,
Students and
Employees
Comments Regarding
Corrective Action Plan
Implementation
Documentation
Interviews
Student
Record Review
Beverly School for the Deaf
submitted a copy of its
restraint consent form that is
provided to parents prior to
the utilization of this
technique. Student Record
review indicated the program
now keeps the signed consent
forms in each student’s record
as required.
Beverly School for the Deaf
submitted grievance
procedures for parents,
students, and employees that
now includes procedures for
parents and students
registering complaints
regarding the student’s
education and care at the
school, procedures for
students registering
complaints alleging
discrimination, and procedures
for employees registering
complaints alleging
Beverly School for the Deaf Adapt Day and Summer Programs Mid-cycle Review Report
July 27, 2010
Page 9 of 10
Further Corrective Action
Ordered by the
Department of Elementary
and Secondary Education
and Timelines for
Implementation and Further
Progress Reporting
Criterion
Number
and
Topic
Implementati
on Status of
Requirements
or
Corrective
Action Plan
Determined to
be Substantially
Implemented
Method(s) of
Verifica-tion
Comments Regarding
Corrective Action Plan
Implementation

U.S.C. 794; 34
CFR 104.7;
Title II: 42
U.S.C. 12132;
28 CFR 35.107
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

discrimination that meet all
the required elements in this
criterion.
Beverly School for the Deaf Adapt Day and Summer Programs Mid-cycle Review Report
July 27, 2010
Page 10 of 10
Further Corrective Action
Ordered by the
Department of Elementary
and Secondary Education
and Timelines for
Implementation and Further
Progress Reporting