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
October 31, 2011
Ms. Joan Wallace-Benjamin, Executive Director
Home for Little Wanderers
Southeast Campus
Day and Residential Programs
271 Huntington Avenue
Boston, MA 02130
Re:
Mid-cycle Review and Verification of previous Program Review Corrective Action Plan
Dear Ms. Wallace-Benjamin:
Enclosed is the Department of Elementary and Secondary Education’s (“Department”) Mid-cycle
Report based upon the Mid-cycle review conducted in your private school program in August
2011. 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 May 16, 2008. 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.
While the Department found certain noncompliance issues to be resolved, others were partially
corrected, not addressed at all and/or new issues were identified by the Department’s onsite team.
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 3, 2012. The reasons for the “Provisional Approval” are clearly indicated on the
attached Mid-cycle Review Report.
As the Department previously informed you, in cases where a program fails to fully and
effectively implement a Corrective Action Plan which was proposed by your program and
approved by the Department, the Department must then prepare a Corrective Action Plan for the
program 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 program to fully implement new special education requirements.
Please provide the Department with your written assurance that the Department's requirements
Page 1 of 2
for corrective action will be implemented by your program within the timelines specified. Your
statement of assurance must be submitted to the Department's Onsite Chairperson by November
14, 2011.
Please be advised that the attached Department Approval Certificate must be
conspicuously posted in a public place within the program as required by 603 CMR 28.09.
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 781-338-3721.
Sincerely,
Audrey Macmillan, 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
John Hailer, Chairperson, Board of Directors
Kaitlyn Brosnan, Program Director
Encl.: Mid-cycle Review Report
Provisional Private School Approval Certificate, Expiration Date: February 3, 2012
Page 2 of 2
MASSACHUSETTS DEPARTMENT OF
ELEMENTARY AND SECONDARY EDUCATION
PRIVATE SCHOOL MID-CYCLE REVIEW
HOME FOR LITTLE WANDERERS
SOUTHEAST CAMPUS
Day and Residential Programs
MID-CYCLE REVIEW REPORT
Previous Program Review Corrective Action Plan Submitted on 6/30/08
Progress Reports Submitted on 8/4/08, 9/30/08, 12/10/08, 2/27/09
Mid-cycle Onsite Visit Conducted on 8/22/11
Date of this Report 10/31/11
Home for Little Wanderers Mid-cycle Review Report
Southeast Campus
October 31, 2011
Page 1 of 28
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


Selected Approved Private School Program Mid-cycle Review Criteria
2.2 Approvals,
Licenses,
Certificates of
Inspection

Documentation
Observation
Southeast Campus has all
current approvals, licenses and
certificates of inspection as
required.

Documentation
Observation
Southeast Campus has a
current license issued by the
Department of Early Education
and Care as required.
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
programs
only)
Home for Little Wanderers Mid-cycle Review Report
Southeast Campus
October 31, 2011
Page 2 of 28
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
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

Student Record
Review
A review of student records
confirms Southeast Campus
has on file a current IEP for
each enrolled Massachusetts
student that has been issued by
the responsible public school
district and consented to and
dated by the student’s
guardian.
Home for Little Wanderers Mid-cycle Review Report
Southeast Campus
October 31, 2011
Page 3 of 28
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
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
At the time of the 2008
Program Review two
Southeast Campus
teachers were not
properly licensed and
did not have approved
waivers.
By January 3rd, 2012
Southeast Campus must
submit to the Department an
updated Teacher Roster,
including the submission of
licenses and waivers for all
teachers.


11.4 Teachers
(Special
Education
Teachers and
Regular
Education
Teachers)
Comments Regarding
Corrective Action Plan
Implementation
Documentation
Staff Record
Review

The Teacher Roster and
copies of licenses that
Southeast Campus
submitted for the Midcycle demonstrates that
only three out of six
teachers are licensed in
the appropriate grade
level and subject area in
which they are
teaching.
18.05(11)(f);
28.09(5)(a);
28.09(7)(b, c);
34 CFR
300.321
Home for Little Wanderers Mid-cycle Review Report
Southeast Campus
October 31, 2011
Page 4 of 28
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

Southeast Campus
submitted ELAR sheets
for the remaining three
teachers reflecting
requests for waivers in
the appropriate grade
level and subject area in
which they are
teaching; these requests
all indicate “Ready for
Review”.
Home for Little Wanderers Mid-cycle Review Report
Southeast Campus
October 31, 2011
Page 5 of 28
Further Corrective Action
Ordered by the
Department of Elementary
and Secondary Education
and Timelines for
Implementation and
Further Progress
Reporting
Criterion
Number
and
Topic
11.5 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

Documentation
Staff Record
Review
Southeast Campus submitted a
current Related Services Roster
and license and/or
Massachusetts State Board of
Registration license that shows
all Related Services Staff are
appropriately certified,
licensed or registered in their
professional areas as required.
Documentation
Staff Record
Review
Interview
Southeast Campus submitted a
current Master Staff Roster
that includes all required
elements for each position and
corresponds to the last
approved Program Budget as
required.
28.09(7)(d)
11.6 Master
Staff Roster
Comments Regarding
Corrective Action Plan
Implementation
Home for Little Wanderers Mid-cycle Review Report
Southeast Campus
October 31, 2011
Page 6 of 28
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
19 Anti-Hazing
M.G.L. c. 269,
§§ 17 through
19
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
Student Record
Review
Interview
Southeast Campus submitted
an anti-hazing disciplinary
policy, as well as evidence of
distribution to all its students
and training of the policy.
Home for Little Wanderers Mid-cycle Review Report
Southeast Campus
October 31, 2011
Page 7 of 28
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
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


Identified Areas of Non-Compliance from the Previous Program Review or Other Areas of Concern
2.2 Approvals,
Licenses,
Certificates of
Inspection

Documentation
18.04(1);
28.09(2)(b)(5);
28.09(5)(b);
28.09(6)(b, c)
4.5 Immediate
At the time of the 2008
Program Review Southeast
Campus did not submit a copy
of its local school committee
approval.
A review of documentation
conducted at the time of the
Mid-cycle Review indicates
that Southeast Campus is now
in possession of local school
committee approval as
required.

Documentation
At the time of the 2008
Home for Little Wanderers Mid-cycle Review Report
Southeast Campus
October 31, 2011
Page 8 of 28
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


Program Review Southeast
Campus’ Policies and
Procedures Manual did not
contain an Immediate
Notification section.
Notification
18.03(10);
18.05(7);
28.09(12)(a,b)
A review of documentation
conducted at the time of the
Mid-cycle Review indicates
Southeast Campus currently
has a policy in place regarding
Immediate Notification.
5.1 Student
Admissions
28.09(11);
18.05(1)(b)(117); 18.05(2);

Documentation
At the time of the 2008
Program Review the program’s
Policies and Procedures
Manual did not contain a
written admissions policy that
included the following: the
Home for Little Wanderers Mid-cycle Review Report
Southeast Campus
October 31, 2011
Page 9 of 28
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


18.05(3)(c)
Corrective
Action Plan
Determined
to be Not
Fully
Implemented
or Additional
Issues
Identified
type of services provided, a
description of parents’ rights,
activities related to daily living
skills, any specific treatment
strategy employed by the
facility, visiting hours and
other procedures related to
communication with students
and the facility, the name and
telephone number of a staff
person whom the parents may
contact on an ongoing basis, a
description of a procedure
which the parents or student
may use to register complaints
regarding the student’s
education and care at the
facility, and a copy of the
approved calendar.
Home for Little Wanderers Mid-cycle Review Report
Southeast Campus
October 31, 2011
Page 10 of 28
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


A review of documentation
conducted at the time of the
Mid-cycle Review indicates
Southeast Campus currently
has an Admissions policy that
includes all required criteria.
6.4 School
Days Per Year
603 CMR
27.05(2);
28.09(9)(a)

Documentation
Observation
At the time of the 2008
Program Review
documentation indicated that
Southeast Campus had
shortened the school day
during the summer months
without Department approval.
A review of documentation
and comprehensive classroom
observations conducted at the
time of the Mid-cycle Review
Home for Little Wanderers Mid-cycle Review Report
Southeast Campus
October 31, 2011
Page 11 of 28
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


indicates Southeast Campus is
adhering to an approved
schedule and meeting the
required number of
instructional hours.
8.4 Program
Modifications
and Support
Services for
Limited
English
Proficient
Students
M.G.L. c. 71A;
Title VI

Documentation
At the time of the 2008
Program Review Southeast
Campus’ Policies and
Procedures Manual did not
include written policies that
addressed the requirements of
providing students with
sheltered content instruction
and additional instruction in
English as a Second Language,
as well as students being
afforded the same opportunity
to access and participate in the
Home for Little Wanderers Mid-cycle Review Report
Southeast Campus
October 31, 2011
Page 12 of 28
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


program’s services, activities
and other benefits as all other
students.
A review of documentation
conducted at the time of the
Mid-cycle Review indicates
Southeast Campus currently
has developed a policy that
addresses all required
provisions for Limited English
Proficient students.
9.1(a) Student
Separation
Resulting from
Behavior
Management

Documentation
At the time of the 2008
Program Review Southeast
Campus’ Policies and
Procedures Manual did not
contain written policies and
procedures regarding student
Home for Little Wanderers Mid-cycle Review Report
Southeast Campus
October 31, 2011
Page 13 of 28
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


separation.
18.05(5)(i);
18.05(6, 7);
46.02(5)(b)
9.6 10+Day
Suspensions
34 CFR
300.530 – 537
18.05(7)
Corrective
Action Plan
Determined
to be Not
Fully
Implemented
or Additional
Issues
Identified
A review of documentation
conducted at the time of the
Mid-cycle Review indicates
Southeast Campus currently
has in place a policy regarding
the separation of a student.

Documentation
At the time of the 2008
Program Review Southeast
Campus’ Policies and
Procedures Manual did not
contain written procedures
addressing requests that the
student’s responsible school
district reconvene an IEP Team
meeting prior to a suspension
that constitutes a change in
Home for Little Wanderers Mid-cycle Review Report
Southeast Campus
October 31, 2011
Page 14 of 28
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


placement of a student with
disabilities.
A review of documentation
conducted at the time of the
Mid-cycle Review indicates
Southeast Campus currently
has in place a policy regarding
student suspension that meets
all required criteria.
9.7
Terminations
18.05(7);
28.09(12)(b)

Documentation
At the time of the 2008
Program Review
documentation indicated that
the Southeast Campus’
Policies and Procedures
Manual contained provisions
for planned terminations;
Home for Little Wanderers Mid-cycle Review Report
Southeast Campus
October 31, 2011
Page 15 of 28
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


however, the written
procedures did not contain the
following elements: the need
for an IEP review meeting and
provision of notice of this
meeting to all appropriate
parties ten (10) days in
advance of the intended date of
the meeting, and the purpose of
the meeting to develop a clear
and specific termination plan
for the student that shall be
implemented in no less than
thirty (30) days unless all
parties agree to an earlier
termination date.
A review of documentation
conducted at the time of the
Home for Little Wanderers Mid-cycle Review Report
Southeast Campus
October 31, 2011
Page 16 of 28
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


Mid-cycle Review indicates
Southeast Campus currently
has in place a policy regarding
student terminations that meets
all required criteria.
Home for Little Wanderers Mid-cycle Review Report
Southeast Campus
October 31, 2011
Page 17 of 28
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
11.5 Related
Services Staff
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
Staff Record
Review
28.09(7)(d)
At the time of the 2008
Program Review an approved
LICSW position was not filled
with an individual who was
properly licensed.
A review of documentation
and staff records conducted at
the time of the Mid-cycle
Review indicates all Related
Services Staff are appropriately
licensed and credentialed.
11.6 Master
Staff Roster
28.09(7)

Documentation
At the time of the 2008
Program Review the full-time
equivalent positions listed on
the last approved Program
Budget did not align with the
full time equivalent positions
Home for Little Wanderers Mid-cycle Review Report
Southeast Campus
October 31, 2011
Page 18 of 28
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
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
At the time of the 2008
Program Review the
Southeast Campus new
staff orientation training
By January 3rd, 2012
Southeast Campus must
submit to the Department:
o A list of all new staff


indicated on the Master Staff
Roster, with no explanation
provided to explain the
discrepancies.
A review of documentation
conducted at the time of the
Mid-cycle Review confirms
that Southeast Campus’
revised Master Staff Roster
now corresponds to the last
approved Program Budget as
required.
12.1 New Staff
Orientation
and Training
Staff Record
Review

Home for Little Wanderers Mid-cycle Review Report
Southeast Campus
October 31, 2011
Page 19 of 28
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
Further Corrective Action
Ordered by the
Department of Elementary
and Secondary Education
and Timelines for
Implementation and
Further Progress
Reporting

was not always
documented in
individual staff files.
18.05(11)(g, i);
28.09(7)(f)
A review of staff
records at the time of
the Mid-cycle Review
indicates Southeast
Campus continues to
inconsistently document
new staff orientation
training in individual
staff files.
Home for Little Wanderers Mid-cycle Review Report
Southeast Campus
October 31, 2011
Page 20 of 28
o
hired since
September 2011;
Sign-in sheets for all
orientation and
trainings conducted
to date during the
2011-2012 school
year.
By April 2nd, 2012
Southeast Campus must
submit to the Department:
o A list of all new staff
hired since January
2012;
o Sign-in sheets for all
orientations and
trainings conducted
from the date 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
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


last Corrective
Action submission.
12.2 InServices
Training Plan
and Calendar
Staff Record
Review

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;
At the time of the 2008
Program Review
required in-service
training topics that must
be provided annually to
all staff were not always
documented in
individual staff files.
A review of staff
records at the time of
the Mid-cycle Review
indicates Southeast
Campus staff are not
consistently receiving
Home for Little Wanderers Mid-cycle Review Report
Southeast Campus
October 31, 2011
Page 21 of 28
By January 3rd, 2012
Southeast Campus must
submit to the Department:
o A Training Calendar
for the 2011-2012
school year;
o A current Master
Staff Roster;
o Sign-in sheets for all
trainings conducted
to date during the
2011-2012 school
year.
By April 2nd, 2012
Southeast Campus must
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

18.04(8);
Section 504: 29

Further Corrective Action
Ordered by the
Department of Elementary
and Secondary Education
and Timelines for
Implementation and
Further Progress
Reporting
annual in-service
training an average of at
least two hours per
month.
submit to the Department:
o A Training Calendar
for the 2011-2012
school year;
o A current Master
Staff Roster;
o Sign-in sheets for all
trainings conducted
from the date of the
last Corrective
Action submission.

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)
13.4 Physical
Facility/Archit
ectural
Barriers
Findings Regarding
Incomplete
Implementation of
Approved Corrective
Action Plan or
Identification of
Additional Issues of
Noncompliance
Observation
At the time of the 2008
Program Review Southeast
Campus had four areas (the
library and classroom building,
another building housing two
classrooms, the time-out room,
and the building housing the
Home for Little Wanderers Mid-cycle Review Report
Southeast Campus
October 31, 2011
Page 22 of 28
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


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
Corrective
Action Plan
Determined
to be Not
Fully
Implemented
or Additional
Issues
Identified
nurse) that were not accessible
to students with limited
physical mobility. Southeast
Campus submitted a plan and
timetable for two of the four
buildings to become accessible
to students with limited
physical mobility.
A tour of the facilities and
comprehensive observations
conducted at the time of the
Mid-cycle Review confirms
that Southeast Campus has
made necessary modifications
to its facilities to accommodate
students with limited physical
mobility.
Home for Little Wanderers Mid-cycle Review Report
Southeast Campus
October 31, 2011
Page 23 of 28
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
15.1 Parental
Involvement
and Parents’
Advisory
Group
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
At the time of the 2008
Program Review Southeast
Campus’ Policies and
Procedures manual did not
contain a written plan for
involving parents.
18.05(4)(a)
A review of documentation
conducted at the time of the
Mid-cycle Review indicates
that Southeast Campus now
has a policy in place
addressing the various ways in
which parents are encouraged
to be involved in the program.
15.5 Parent
Consent and
Required

Documentation
Student Record
Review
At the time of the 2008
Program Review
parent consents were not being
Home for Little Wanderers Mid-cycle Review Report
Southeast Campus
October 31, 2011
Page 24 of 28
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


obtained annually for
restraints.
Notification
18.05(5)(c);
18.05(8);
18.05(9)(f)(1);
18.05 (9)(j);
M.G.L. c. 71, §
32A
16.3 Nursing
18.05(9)(b)
M.G.L c. 112
M.G.L. c. 71,
§§ 53, 53A,
and 53B
Corrective
Action Plan
Determined
to be Not
Fully
Implemented
or Additional
Issues
Identified

Documentation
Observation
A review of documentation
and student records conducted
at the time of the Mid-cycle
Review confirms Southeast
Campus is currently obtaining
all required consents on an
annual basis.
At the time of the 2008
Program Review Southeast
Campus’ Health Care Manual
did not include information
regarding the nurse’s shift,
schedule, or an explanation of
how the nurse’s availability is
sufficient for the needs of the
student population.
Home for Little Wanderers Mid-cycle Review Report
Southeast Campus
October 31, 2011
Page 25 of 28
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


A review of documentation
and onsite observations
conducted at the time of the
Mid-cycle Review confirms
that Southeast Campus has
revised its Health Care Manual
to include information
regarding the nurse’s shift,
schedule, and an explanation
of how the nurse’s availability
is sufficient for the needs of
the student population. The
program’s description of
nursing services is appropriate
to the current needs of the
student population.
16.7 Preventive

Documentation
At the time of the 2008
Home for Little Wanderers Mid-cycle Review Report
Southeast Campus
October 31, 2011
Page 26 of 28
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


Health Care
18.05(9)(g)
M.G.L. c. 71,
§ 57 M.G.L. c.
111, § 111.
Corrective
Action Plan
Determined
to be Not
Fully
Implemented
or Additional
Issues
Identified
Student Record
Review
Program Review The Health
Care Manual did not include a
written plan to address the
provision for each student to
receive an annual
comprehensive medical and
dental examination. A review
of student records indicated
that postural and visual
screenings for day students
were not consistently
documented in the students’
records.
A review of documentation
conducted at the time of the
Mid-cycle Review confirms
that Southeast Campus has
revised its Health Care Manual
Home for Little Wanderers Mid-cycle Review Report
Southeast Campus
October 31, 2011
Page 27 of 28
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


to include a written plan to
address the provision for each
student to receive an annual
comprehensive medical and
dental examination. In
addition, a review of student
records confirmed that
Southeast Campus is
consistently documenting
postural and visual screenings
for day students.
Home for Little Wanderers Mid-cycle Review Report
Southeast Campus
October 31, 2011
Page 28 of 28
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
Commonwealth of Massachusetts
Department of Elementary and Secondary
Education
HOME For LITTLE WANDERERS
A PRIVATE SPECIAL EDUCATION PROGRAM OPERATED PURSUANT TO
603 CMR 18.00 AND 28.09
SOUTHEAST CAMPUS
DAY PROGRAM
900 Ship Pond Road, Plymouth, MA 02360
Program Rate Based on: 30 Students
Approved Enrollment: 30 Students
Day Program
Summer Program
Residential Program
10 month program
11 month program
12 month program
APPROVED STUDENT:LICENSED EDUCATOR RATIO: 6:1
APPROVED STUDENT:LICENSED EDUCATOR:AIDE RATIO: Not Applicable
APPROVAL STATUS
PROVISIONAL
Expires on: February 3, 2012
The current approval is a result of a Mid-cycle Review conducted in the 2010-2011 school year
and the next review is scheduled for the 2013-2014 school year.
AUDREY MACMILLAN, EDUCATIONAL SPECIALIST, PROGRAM QUALITY ASSURANCE
SERVICES
NINA M. MARCHESE, SUPERVISOR, PROGRAM QUALITY ASSURANCE SERVICES
DARLENE A. LYNCH, DIRECTOR, PROGRAM QUALITY ASSURANCE SERVICES
DATE ISSUED:
10/31/11
Commonwealth of Massachusetts
Department of Elementary and Secondary
Education
HOME For LITTLE WANDERERS
A PRIVATE SPECIAL EDUCATION PROGRAM OPERATED PURSUANT TO
603 CMR 18.00 AND 28.09
SOUTHEAST CAMPUS
RESIDENTIAL PROGRAM
900 Ship Pond Road, Plymouth, MA 02360
Program Rate Based on: 32 Students
Approved Enrollment: 32 Students
Day Program
Summer Program
Residential Program
10 month program
11 month program
12 month program
APPROVED STUDENT:LICENSED EDUCATOR RATIO: 6:1
APPROVED STUDENT:LICENSED EDUCATOR:AIDE RATIO: Not Applicable
APPROVAL STATUS
PROVISIONAL
Expires on: February 3, 2012
The current approval is a result of a Mid-cycle Review conducted in the 2010-2011 school year
and the next review is scheduled for the 2013-2014 school year.
AUDREY MACMILLAN, EDUCATIONAL SPECIALIST, PROGRAM QUALITY ASSURANCE
SERVICES
NINA M. MARCHESE, SUPERVISOR, PROGRAM QUALITY ASSURANCE SERVICES
DARLENE A. LYNCH, DIRECTOR, PROGRAM QUALITY ASSURANCE SERVICES
DATE ISSUED:
10/31/11