The Commonwealth of Massachusetts
Department of Education
350 Main Street, Malden, Massachusetts 02148-5023
Telephone: (781) 338-3700
TTY: N.E.T. Relay 1-800-439-2370
April 25, 2005
Charles Young, CEO
Institute for Developmental Disabilities, Crystal Springs School
38 Narrows Road, Box 372
Assonet, MA 02702
Re:
Onsite Follow-up Monitoring Report: Program Review Corrective Action Plan
Verification and Mid-cycle Review
Dear Mr. Young:
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 May 2, 2002. 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 Education 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 October 22, 2005. 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 May
10, 2005.
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 781-338-3746.
Sincerely,
Kevin Bobetich, Program Review Follow-up Chairperson
Program Quality Assurance Services
John D. Stager, Administrator
Program Quality Assurance Services
c:
David P. Driscoll, Commissioner of Education
Encl.: Follow-up Monitoring Report
2
MASSACHUSETTS DEPARTMENT OF EDUCATION
PROGRAM REVIEW
Institute for Developmental Disabilities-Crystal Springs Developmental Unit
ONSITE VERIFICATION OF CORRECTIVE ACTION PLAN IMPLEMENTATION
AND/OR IDENTIFICATION OF ADDITIONAL FINDINGS REQUIRING CORRECTIVE ACTION
Onsite Visit Conducted on January 19-20, 2005
Date of this Report January 20, 2005
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

1.2
Program &
Student
Description
Corrective
Action Plan
Determined
to be Not
Fully
Implemented or
Additional
Issues
Identified


Documentation
review,
Interviews,
Observations
Findings Regarding
Incomplete
Implementation of
Approved Corrective
Action Plan or
Identification of
Additional Issues of
Noncompliance
Further Corrective Action
Ordered by the
Department of Education
and Timelines for
Implementation and Further
Progress Reporting
Crystal Springs School
and BDU program is
serving students over the
age of twenty-two in its
approved program.
The School must submit a plan
to be approved by the
Department for the separation
of adults over the age of 22
from the approved program by
May 31, 2005.
The Crystal Springs Main
School and BDU
educational programs do
not have a complete
description of the
The Crystal Springs Main
School and BDU educational
programs must develop a more
comprehensive written
curriculum to include grade
Program
Capacity
28.09(2)(b)
(2,3,7)
1.3
Program’s
Curriculum
Documentation
review,
Interviews,
Observations
A review of the Crystal Springs
Main School and BDU
educational programs indicated
that staff qualifications as
described in the school’s

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

28.09(9)
Findings Regarding
Incomplete
Implementation of
Approved Corrective
Action Plan or
Identification of
Additional Issues of
Noncompliance
Further Corrective Action
Ordered by the
Department of Education
and Timelines for
Implementation and Further
Progress Reporting

program’s curriculum.
application are met.
2
levels, textbooks, equipment,
technology, materials, and
supplies needed for the
implementation of the goals
and services specified by the
students’ IEP’s and it’s
alignment with the
Massachusetts Curriculum
Frameworks. The School must
provide written evidence of
development of monthly
progress toward a
comprehensive curriculum to
the Department through
January of 2006.
Criterion
Number
and
Topic
2.2
Approvals,
Licenses,
Certificates of
Inspection
28.09 (2)(b) 4-5
28.09(5)
28.09(6)
18.04(1)
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,
Observations
The Crystal Springs Main
School and BDU educational
programs have current licenses,
approvals, and certificates of
inspection by the appropriate
state and local agencies.
Documentation
review
The Crystal Springs Main
School and BDU educational
programs have all current full
licenses from the Office of Child
Care Services to operate as a
residential school.
102 CMR 3.06
(4)(b)
2.3
OCCS
Licensure (Not
Applicable to
Day Schools)

3
Findings Regarding
Incomplete
Implementation of
Approved Corrective
Action Plan or
Identification of
Additional Issues of
Noncompliance
Further Corrective Action
Ordered by the
Department of Education
and Timelines for
Implementation and Further
Progress Reporting
Criterion
Number
and
Topic
4.2
Public
Information and
Postings
28.09(6)(a, b, c,
d, e)
28.09(2)(b)(4)
4.4
Advanced
Notice of
Program/
Facility Change
28.09(5)(c)
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,
Observations
The Crystal Springs Main
School and BDU educational
programs maintains on site and
makes available for public
review all Public Information
and Postings including: a policy
that smoking is not allowed in
school buildings, and a
designated outdoor area for
smoking.
The Crystal Springs Main
School and BDU educational
programs provide advance
written notice of
program/facility changes to the
Department prior to
implementing any substantial
change to the program or
physical plant.

Documentation
review,
Observations
4
Findings Regarding
Incomplete
Implementation of
Approved Corrective
Action Plan or
Identification of
Additional Issues of
Noncompliance
Further Corrective Action
Ordered by the
Department of 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

4.5
Immediate
Notification
18.03(10)
18.05(7)
28.09(12)


Documentation
review,
Interviews
5
Findings Regarding
Incomplete
Implementation of
Approved Corrective
Action Plan or
Identification of
Additional Issues of
Noncompliance
Staff interviews and
review of documentation
indicate that the Crystal
Springs Main School and
BDU educational
programs have not
provided immediate
notification to the parent,
the public school district
special education
administrator, and any
State Agency involved in
the student care or
placement, for all
significant incidents. This
includes notification to the
Department by sending a
Form 2, and a telephone
call when necessary.
Further Corrective Action
Ordered by the
Department of Education
and Timelines for
Implementation and Further
Progress Reporting
The Crystal Springs Main
School and BDU educational
programs must submit an
updated policy to the
Department that includes
notification to the Department
by telephone and Form 2 by
May 31, 2005. In addition,
administrative staff must
receive training during the
Spring Area Meeting on
procedures for Immediate
Notification.
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
Documentation
review,
Interviews
The Crystal Springs Main
School and BDU educational
programs has a policy and
procedure for contents and
general arrangements for
executing contracts with placing
school districts, participation at
the TEAM and other key
meetings, and
reviewing/revising the IEP, as
well as school district
monitoring of student progress.

5.2
Policies and
Procedures for
Coordination/
Collaboration
with Public
School Districts
&
Content
requirements
policies/procedures for
Coordination/
Collaboration
with Public
School Districts
28.06(2-3)
28.09(9)(c)&(d)
28.09(2)(b) 7
Federal
Regulations:
300.349 and
300.400-.401
6


Findings Regarding
Incomplete
Implementation of
Approved Corrective
Action Plan or
Identification of
Additional Issues of
Noncompliance
Further Corrective Action
Ordered by the
Department of Education
and Timelines for
Implementation and Further
Progress Reporting
Staff interviews and
review of documentation
revealed that the Crystal
Springs Main School and
BDU educational
programs do not have an
updated written policy and
procedure for coordination
and collaboration with
public school districts
regarding IEP
development and
implementation and roles
in 3-year eligibility
determinations.
The Crystal Springs Main
School and BDU educational
director must update the
school’s written policies and
procedures for coordination and
collaboration with public
school districts regarding IEP
development and
implementation, roles in 3-year
eligibility determinations, and
consents and general
arrangements for executing
contracts within placing school
districts, and submit the
proposed policies to the
Department by May 31, 2005.
In addition, all educational
administrative and teaching
staff must receive training on
the new written policy and
procedure by July 1, 2005. The
submission of an attendance
sheet and agenda as well as the
trainer’s qualifications, must be
submitted by July 1, 2005.
Criterion
Number
and
Topic
6.1
Daily
Instructional
Hours
603 C.M.R.
27.00
6.2
School-to-work
(Instructional
hours)
603 CMR
27.02, 27.04
6.3
Kindergarten
(Instructional
hours)
603 CMR
27.03(5)
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,
Interviews,
Observations
The Crystal Springs Main
School and BDU educational
programs provide an average
annual minimum of 5 hours per
school day for elementary
students and 5 ½ hours per
school day for secondary
students.
The Crystal Springs Main
School and BDU educational
programs do not have
independent study or school-towork activities counted as
structured learning time.
The Crystal Springs Main
School and BDU educational
programs do not have a separate
school year or school day
schedule for kindergarten aged
students.

N/A
Documentation
review,
Interviews,
Observations
N/A
Documentation
review,
Interviews,
Observations
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 Education
and Timelines for
Implementation and Further
Progress Reporting
Criterion
Number
and
Topic
6.4
School Days per
Year
Implementation Status of
Requirements
or
Corrective
Action Plan
Determined to
be Substantially
Implemented


Method(s)
of Verification
Comments Regarding
Corrective Action Plan
Implementation
Documentation
review,
Interviews
The Crystal Springs Main
School and BDU educational
programs operate 220 full days,
and 17 two-thirds days every
calendar school year. The
Department requires 12-month
programs to have at least 216
days of instruction and five
emergency days for the school
year.
The Crystal Springs Main
School and BDU educational
programs do not have an early
release program for High School
Seniors.

28.09(9)
6.5
Early Release of
High School
Seniors
N/A
Corrective
Action Plan
Determined
to be Not
Fully
Implemented or
Additional
Issues
Identified
Documentation
review
603 CMR 27.05
8
Findings Regarding
Incomplete
Implementation of
Approved Corrective
Action Plan or
Identification of
Additional Issues of
Noncompliance
Further Corrective Action
Ordered by the
Department of 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

7.1
Curriculum
Frameworks
Findings Regarding
Incomplete
Implementation of
Approved Corrective
Action Plan or
Identification of
Additional Issues of
Noncompliance
Further Corrective Action
Ordered by the
Department of Education
and Timelines for
Implementation and Further
Progress Reporting
Staff interviews and
review of documentation
revealed that the Crystal
Springs Main School and
BDU educational
program’s personnel do
not have a full
understanding of the
connection between the
Massachusetts Curriculum
Frameworks and the
expectations of the state
for student performance as
well as the rights of
students with disabilities
to be full participants in
the general curriculum.
Additionally, the school
has not completely aligned
its curriculum with the
Massachusetts Curriculum
Frameworks.
The Crystal Springs Main
School and BDU educational
programs must submit written
monthly progress reports that
detail its efforts toward
completely aligning its
curriculum with the
Massachusetts Curriculum
Frameworks until January of
2006. The school personnel
and residential staff must
receive additional training on
the Massachusetts Curriculum
Frameworks to reflect a full
understanding of the
connection between the
Frameworks and the
expectations of the state for
student performance as well as
the rights with disabilities to be
full participants in the general
curriculum by May 31, 2005.
The submission of an
attendance sheet and agenda as
well as the trainer’s
qualifications, must be
submitted by May 31, 2005.

Documentation
review,
Interviews

28.09(9)(b)
9
Criterion
Number
and
Topic
7.3
State/District
Wide
Assessments
28.09(9)(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,
Interviews
The Crystal Springs Main
School and BDU educational
programs have a written
procedure outlining how the
school will ensure that all
enrolled students participate in
state and/or district wide
assessments in accordance with
the assessment participation
information provided on the
student’s IEP.
10
Findings Regarding
Incomplete
Implementation of
Approved Corrective
Action Plan or
Identification of
Additional Issues of
Noncompliance
Further Corrective Action
Ordered by the
Department of 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



Documentation
review,
Interviews
8.4
Current IEP &
Student Roster
28.09
8.7
IEP Implementation
28.09

Documentation
review,
Interviews,
Observations
The Crystal Springs Main
School and BDU educational
programs have implemented all
of the services in their students’
IEP’s.
11
Findings Regarding
Incomplete
Implementation of
Approved Corrective
Action Plan or
Identification of
Additional Issues of
Noncompliance
Further Corrective Action
Ordered by the
Department of Education
and Timelines for
Implementation and Further
Progress Reporting
Staff interviews and
review of documentation
revealed that the Crystal
Springs Main School and
BDU educational
programs files include
draft IEP’s, which have
not yet been issued by the
responsible public school
district and consented to
by the students’ parents.
The Crystal Springs Main
School and BDU educational
programs must ensure the
Department that the IEP &
Student Roster is current. A
copy of a current IEP &
Student Roster, to include the
entire roster, and comments for
the status of any unsigned
IEP’s for enrolled students
must be submitted to the
Department on May 31, 2005.
The Department will review
current IEP’s, and/or the
comments regarding unsigned
IEP’s on-site prior to July 1,
2005.
.
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
Documentation
review,
Interviews,
Observations
The Crystal Springs Main
School and BDU educational
programs consistently sends
copies of progress reports to the
parents and public schools.

8.8
IEP-Progress
Reports
28.07(3)
20 U.S.C.
Chapter 33,
Section
1414(d)(1)(A)(v
iii)
34 CFR
300.347
12


Findings Regarding
Incomplete
Implementation of
Approved Corrective
Action Plan or
Identification of
Additional Issues of
Noncompliance
Further Corrective Action
Ordered by the
Department of Education
and Timelines for
Implementation and Further
Progress Reporting
Staff interviews and
review of documentation
indicated that the Crystal
Springs Main School and
BDU educational
programs do not
consistently address the
student’s progress toward
the annual goals in the
IEP Progress Reports,
including information on
the extent to which such
progress is sufficient to
enable the child to achieve
the goals by the end of the
year.
The Crystal Springs Main
School and BDU educational
programs teachers’ must
receive training on writing IEPProgress Reports by June 15,
2005. The submission of an
attendance sheet and agenda as
well as the trainer’s
qualifications, must be
submitted by June 15, 2005.
The Department will review
IEP Progress Reports on-site
prior to August 1, 2005
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



Documentation
review,
Interviews,
Observations
8.9
IEP Revisions
and Changes
34 CFR 300
8.10
IEP- Less
Restrictive
Placement
28.09(9(c)

Documentation
review,
Interviews
The Crystal Springs Main
School and BDU educational
program have a written plan that
describes the mechanisms that is
in place for students to return to
a less restrictive educational
program.
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 Education
and Timelines for
Implementation and Further
Progress Reporting
Staff interviews and
review of documentation
revealed that the Crystal
Springs Main School and
BDU educational
programs implement IEP
revisions and changes for
students before parents
have approved them in
writing.
The Crystal Springs Main
School and BDU educational
program staff must submit an
updated policy for the issuance
of IEP revisions and changes to
the Department by June 15,
2005. The School must provide
training to educational staff on
the new policy for the issuance
of a new or revised IEP by
August 1, 2005. The
submission of an attendance
sheet and agenda as well as the
trainer’s qualifications, must be
submitted by August 1, 2005.
Criterion
Number
and
Topic
8.11
IEP-Transition
Planning
34 CFR
300.347(b)(1)
34 CFR
300.347(b)(2)
9.7
Terminations
18.05(7)
28.09(12)(b)
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

The Crystal Springs Main
School and BDU educational
programs receive input from the
parents regarding Transition
Planning, which is included in
the vision statement of the IEP.
Documentation
review,
Interviews
The Crystal Springs Main
School and BDU educational
programs have a written
termination policy and
procedure that meets all
Department requirements.
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 Education
and Timelines for
Implementation and Further
Progress Reporting
Criterion
Number
and
Topic
10.1
Student:
Teacher Ratios
28.06(6)(d)&(g)
28.09(7)(e)
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,
Interviews,
Observations
The Crystal Springs Main
School and BDU educational
programs have a student to
teacher ratio of approximately 2
students to 1 teacher. This
exceeds the Department’s ratio
of 8 students to one teacher, or
12 students with a teacher and
an aide. The Department
requires justification in writing
for why the school’s ratios
exceed the Department’s
requirements. This must
submitted to the Department by
May 10, 2005.

15
Findings Regarding
Incomplete
Implementation of
Approved Corrective
Action Plan or
Identification of
Additional Issues of
Noncompliance
Further Corrective Action
Ordered by the
Department of 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

28.06(6)(f)
10.4
Student: Child
Care Ratios
28.09(7)
18.01(2)


Documentation
review,
Interviews,
Observations
10.2
Age Range

Documentation
review,
Interviews,
Observations
The Crystal Springs Main
School and BDU educational
programs has Student: Child
Care Ratios during waking hours
of at least 3 to 1 and overnight
of at least 6 to 1.
16
Findings Regarding
Incomplete
Implementation of
Approved Corrective
Action Plan or
Identification of
Additional Issues of
Noncompliance
Further Corrective Action
Ordered by the
Department of Education
and Timelines for
Implementation and Further
Progress Reporting
Staff interviews and
review of documentation
revealed that the Crystal
Springs Main School and
BDU educational
programs have
instructional groupings
where the youngest child
and oldest child differ by
more than forty-eight
months. Additionally, the
school has adults who are
twenty-two or over within
classes and residential
facilities with students
under the age of 22.
The Crystal Springs Main
School and BDU educational
programs must submit a Form 1
to the Department for approval
to change instructional
groupings where the youngest
child and oldest child differ by
more than forty-eight months
by May 31, 2005.
Criterion
Number
and
Topic
11.1
Personnel
Policies
28.09(7)
28.09(11)(a)
18.05(11)
11.3
Educational
Administrator
Qualifications
28.09(7)(a)
603 CMR
44.00 and 44.04
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,
Interviews
The Crystal Springs Main
School and BDU educational
programs have developed
written personnel policies and
procedures.
Documentation
review
The Crystal Springs Main
School and BDU educational
programs have an educational
administrator that has
certification as a special
educator, a Master’s degree in
special education, and
administrative experience of
at least one year as a head
teacher.
17
Findings Regarding
Incomplete
Implementation of
Approved Corrective
Action Plan or
Identification of
Additional Issues of
Noncompliance
Further Corrective Action
Ordered by the
Department of 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

11.4
Teachers
Special
Education
Teachers and
Regular
Education
Teachers


Documentation
review,
Interviews
28.09(7)(b)(c)
18.05(11)(f)
18
Findings Regarding
Incomplete
Implementation of
Approved Corrective
Action Plan or
Identification of
Additional Issues of
Noncompliance
Further Corrective Action
Ordered by the
Department of Education
and Timelines for
Implementation and Further
Progress Reporting
Staff interviews and
review of documentation
revealed the Crystal
Springs Main School and
BDU educational
programs have not
ensured that all of the
teaching staff has a
teaching license
appropriate to meet the
needs of the population
being served.
The Crystal Springs Main
School and BDU educational
programs must submit an
updated staff roster May 31,
2005 that indicates the license
and/or waiver information for
all teaching staff. In instances
where there is a vacant teaching
position, the school must
update the Department when
the position is filled.
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

11.5
Related
Services Staff


Documentation
review,
Interviews
28.09(7)(d)
19
Findings Regarding
Incomplete
Implementation of
Approved Corrective
Action Plan or
Identification of
Additional Issues of
Noncompliance
Further Corrective Action
Ordered by the
Department of Education
and Timelines for
Implementation and Further
Progress Reporting
Staff interviews and
review of documentation
revealed the Crystal
Springs Main School and
BDU educational
programs have not
ensured that all staff
providing or supervising
the provision of related
services are appropriately
certified, licensed or
registered by their
respective state boards or
professional associations.
The Crystal Springs Main
School and BDU educational
programs must identify those
related services staff not
properly licensed on an updated
related services staff roster.
Additionally, the school must
develop and submit a plan to
the Department detailing how
the school will ensure related
services staff are appropriately
certified, licensed or registered
by their respective state boards
or professional associations and
how the school will fill vacant
positions with appropriately
certified, licensed, or registered
staff by June 15, 2005.
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



Documentation
review
11.6
Master Staff
Roster
28.09(7)
11.7
Job
Descriptions
18.05(11)(d)

Documentation
review
11.8
Salary Ranges

Documentation
review
18.05(11)(e)
The Crystal Springs Main
School and BDU educational
programs have written job
descriptions for all staff
positions.
The Crystal Springs Main
School and BDU educational
programs have an established
salary range, and benefits for all
positions.
20
Findings Regarding
Incomplete
Implementation of
Approved Corrective
Action Plan or
Identification of
Additional Issues of
Noncompliance
Further Corrective Action
Ordered by the
Department of Education
and Timelines for
Implementation and Further
Progress Reporting
Documentation review of
the Crystal Springs Main
School and BDU
educational programs
revealed that the Master
Staff Roster has personnel
that do not have the
appropriate job titles and
the corresponding UFR
title numbers.
The Crystal Springs Main
School and BDU educational
programs must provide the
Department with an updated
Master Staff Roster that
includes the appropriate job
titles and the corresponding
UFR title numbers for all staff
employed by the school by June
15, 2005
Criterion
Number
and
Topic
11.9
Organizational
Structure
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,
Interviews
28.09(7)
28.07(c)
11.11
Supervision of
Students
28.09(7)
Comments Regarding
Corrective Action Plan
Implementation
Documentation
review,
Interviews,
Observations
The Crystal Springs Main
School and BDU educational
programs have demonstrated
that its organizational structure
provides for the effective and
efficient operation of the school,
and supervision of the school
staff and students.
The Crystal Springs Main
School and BDU educational
programs have developed and
implemented a detailed plan that
describes how appropriate
supervision is provided to
students while they are engaged
in any school related activity on
and off school grounds.
21
Findings Regarding
Incomplete
Implementation of
Approved Corrective
Action Plan or
Identification of
Additional Issues of
Noncompliance
Further Corrective Action
Ordered by the
Department of Education
and Timelines for
Implementation and Further
Progress Reporting
Criterion
Number
and
Topic
11.12
Accessibility of
Extracurricular
Activities
Title VI: 42
U.S.C. 2000d;
34 CFR
100.3(a), (b);
Title IX: 20
U.S.C. 1681; 34
CFR 106.31,
106.41; Section
504: 29 U.S.C.
794; 34 CFR
104.4,104.37(a)
, (c); Title II: 42
U.S.C. 12132;
28 CFR 35.130;
NCLB: Title X,
Part C, Sec.
721; Mass.
Const. amend.
art 114; M.G.L.
c. 76, s. 5; 603
CMR 26.06
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,
Interviews,
Observations
The Crystal Springs Main
School and BDU educational
programs have extracurricular
activities that are accessible and
non-discriminatory.

22
Findings Regarding
Incomplete
Implementation of
Approved Corrective
Action Plan or
Identification of
Additional Issues of
Noncompliance
Further Corrective Action
Ordered by the
Department of Education
and Timelines for
Implementation and Further
Progress Reporting
Criterion
Number
and
Topic
12.1
Staff
Orientation
Training
18.05911)(g)
12.2
Annual InService
Training Plan
and Calendar
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,
Interviews
The Crystal Springs Main
School and BDU educational
programs written plan for staff
orientation includes a
description of education training
topics.
Findings Regarding
Incomplete
Implementation of
Approved Corrective
Action Plan or
Identification of
Additional Issues of
Noncompliance
Further Corrective Action
Ordered by the
Department of Education
and Timelines for
Implementation and Further
Progress Reporting
Documentation review
and interviews indicated
that the Crystal Springs
Main School and BDU
educational programs
have not provided all staff
with the required inservice training topics.
The Crystal Springs School and
BDU program must submit an
Annual In-Service Training
Plan and Calendar that includes
all of the required In-Service
Trainings, the staff attending
the trainings including
residential and educational
staff, the agenda, and the
trainer’s qualifications by May
31, 2005. The Department will
review training records of
residential and educational staff
prior to August 1, 2005.


Documentation
review,
Interviews
28.09(7)(f)
18.05(11)(h)
23
Criterion
Number
and
Topic
13.3
Comparability
of Facilities
Title VI: 42
U.S.C. 2000d;
34 CFR
100.3(b)(2);
Title IX: 20
U.S.C. 1681; 34
CFR
106.33,106.40(
b)(3); Section
504: 29 U.S.C.
794; 34 CFR
104.34(c);
Mass. Const.
amend. art. 114;
603 CMR
28.03(1)(b)
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,
Interviews,
Observations
The Crystal Springs Main
School and BDU educational
programs do not provide
separate facilities for members
of a specific group. The locker
room facilities in the
Rehabilitation Building are
comparable in size for females
and males.
24
Findings Regarding
Incomplete
Implementation of
Approved Corrective
Action Plan or
Identification of
Additional Issues of
Noncompliance
Further Corrective Action
Ordered by the
Department of Education
and Timelines for
Implementation and Further
Progress Reporting
Criterion
Number
and
Topic
15.1
Parental
Involvement
and Parents’
Advisory Group
18.05(4)(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,
Interviews
The Crystal Springs Main
School and BDU educational
programs have developed a
written plan for involving
parents. The School has a
Parents’ Advisory Group. The
Department will review the
progress of the Parents’
Advisory Group during the
annual update.
25
Findings Regarding
Incomplete
Implementation of
Approved Corrective
Action Plan or
Identification of
Additional Issues of
Noncompliance
Further Corrective Action
Ordered by the
Department of Education
and Timelines for
Implementation and Further
Progress Reporting
Criterion
Number
and
Topic
15.8
Registering
Complaints
18.05(1)(b) 16
Title IX: 20
U.S.C. 1681; 34
CFR 106.8;
Section 504: 29
U.S.C. 794; 34
CFR 104.7;
Title II: 42
U.S.C. 12132;
28 CFR 35.107;
NCLB: Title X,
Part C, Sec.
722(g)(1)(J)(ii)
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,
Interviews
The Crystal Springs Main
School and BDU educational
programs have developed and
made available to parents and
students a set of written
procedures that may be used to
register complaints regarding the
student’s education and care at
the school.

26
Findings Regarding
Incomplete
Implementation of
Approved Corrective
Action Plan or
Identification of
Additional Issues of
Noncompliance
Further Corrective Action
Ordered by the
Department of 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

18.2
Student Records
28.09(10)


Documentation
review,
Interviews
MGL c. 71, s.
34H
603 CMR 23.00
Family
Educational
Rights and
Privacy Act
(FERPA)
27
Findings Regarding
Incomplete
Implementation of
Approved Corrective
Action Plan or
Identification of
Additional Issues of
Noncompliance
Further Corrective Action
Ordered by the
Department of Education
and Timelines for
Implementation and Further
Progress Reporting
Documentation review of
student records revealed
that student records at the
Crystal Springs Main
School and BDU
educational programs
have face sheets that did
not contain the date
initially eligible for special
education (if known), and
the date of the most recent
special education
evaluations.
The Crystal Springs Main
School and BDU educational
programs must update their
face sheets to contain the date
initially eligible for special
education (if known), and the
date of the most recent special
education evaluations. The
Department will review student
records prior to August 1,
2005.