02050810

advertisement

January 5, 2010

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

Neil Berger, Ph.D., Administrative Director

Kolburne School

343 New Marlborough Southfield Rd.

New Marlborough, MA 01230

Re: Mid-cycle Review and Verification of previous Program Review Corrective Action Plan

Dear Dr. Berger:

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 September 25, 2007. This report also includes the status of the program’s implementation of new state or federal special education requirements enacted since your program’s last Program Review.

While the Department of Elementary and Secondary Education found one previous area of noncompliance to be only partially corrected, we are pleased to indicate that the Department has found your program’s overall 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. Therefore, your program will receive an updated status of “Full Approval.” This approval shall remain in effect for three (3) years from the date of this letter and attached approval certificate. This approval will be contingent upon continued compliance with all regulations contained within 603 CMR 28.00

“Special Education Regulations” and 603 CMR 18.00 “Program And Safety Standards For

Approved Public Or Private Day And Residential Special Education School Programs.” The

Department of Elementary and Secondary Education may change this approval status at any point during this three-year period if circumstances arise that warrant such a change.

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.

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 this requirement 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 the special education requirements.

Please provide the Department with your written assurance that the Department's requirements 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 January

15, 2010 .

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 FY 2013, unless the Department determines that there is some reason to schedule this visit earlier.

Your staff's cooperation throughout these follow-up monitoring activities is appreciated. Should you require additional clarification of information included in our report, please do not hesitate to contact the Onsite Team Chairperson at 413-858-4591.

Sincerely,

Sandra K. Hanig, 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

Dominick Ferrusi, Local Program Review Coordinator, Kolburne School

Jeane Weinstein, Chairperson, Board of Directors, Kolburne School

Encl.: Mid-cycle Review Report

Full Private School Approval Certificate, Expiration Date: August 31, 2013

Criterion

Number and

Topic

MASSACHUSETTS DEPARTMENT OF

ELEMENTARY AND SECONDARY EDUCATION

PRIVATE SCHOOL MID-CYCLE REVIEW

Kolburne School

Intensive Residential Program

MID-CYCLE REVIEW REPORT

Implementation Status of

Requirements or

Corrective

Action Plan

Determined to be Substantially

Implemented

Previous Program Review Corrective Action Plan Submitted on November 14, 2007

Progress Reports Submitted on April 15, 2008

Mid-cycle Onsite Visit Conducted on November 19, 2009

Date of this Report January 5, 2010

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

Further Corrective Action

Ordered by the

Department of Elementary and Secondary Education and Timelines for

Implementation and Further

Progress Reporting

Kolburne School Mid-cycle Review Report

January 5, 2010

Page 1 of 14

Criterion

Number and

Topic

2.2

Approvals,

Licenses,

Certificates of

Inspection

18.04(1);

28.09(2)(b)(5);

28.09(5) (b);

28.09(6) (b, c)

2.3

EEC Licensure

102 CMR 3.00

(Residential

Schools only)

8.4

Program

Modifications and Support

Services for

Limited

English

Proficient

Students

Implementation Status of

Requirements or

Corrective

Action Plan

Determined to be Substantially

Implemented

Method(s) of

Verification

Documentation

Review

Documentation

Review

Documentation

Review

Comments Regarding

Corrective Action Plan

Implementation

Kolburne School submitted current copies of all appropriate approvals, licenses, and certificates of inspection for all school and residential buildings.

Kolburne School submitted a current EEC license for each of its residential buildings.

Kolburne School has a plan to implement necessary program modifications and support services to identify and effectively service limited

English proficient (LEP) students.

Corrective

Action Plan

Determined to be Not

Fully

Implemented or

Additional

Issues

Identified

Kolburne School Mid-cycle Review Report

January 5, 2010

Page 2 of 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 Elementary and Secondary Education and Timelines for

Implementation and Further

Progress Reporting

Criterion

Number and

Topic

M.G.L. c. 71A;

Title VI

8.5

Current IEP &

Student Roster

28.09(5)(a)

Implementation Status of

Requirements or

Corrective

Action Plan

Determined to be Substantially

Implemented

11.3

Educational

Administrator

Qualifications

28.09(5)(a);

28.09(7)(a);

603 CMR

44.00

Method(s) of

Verification

Comments Regarding

Corrective Action Plan

Implementation

Documentation

Review

Documentation

Review

Kolburne School has on file a current Individualized

Educational Program (IEP) for each Massachusetts student that has been issued by the responsible school district and consented to and dated by the student’s parent or guardian or has documented its repeated efforts to obtain a signed copy from the sending public school district.

The person designated by

Kolburne School to serve as the Educational Administrator holds a current Massachusetts license as a Special Education

Administrator (All Levels) and therefore, meets the requirements to serve in this role.

Corrective

Action Plan

Determined to be Not

Fully

Implemented or

Additional

Issues

Identified

Kolburne School Mid-cycle Review Report

January 5, 2010

Page 3 of 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 Elementary and Secondary Education and Timelines for

Implementation and Further

Progress Reporting

Criterion

Number and

Topic

11.4

Teachers

(Special

Education

Teachers and

Regular

Education

Teachers)

18.05(11)(f);

28.09(5)(a);

28.09(7)(b, c);

34 CFR

300.321

11.5

Related

Services Staff

28.09(7)(d)

11.6

Master Staff

Roster

Implementation Status of

Requirements or

Corrective

Action Plan

Determined to be Substantially

Implemented

Method(s) of

Verification

Documentation

Review

Comments Regarding

Corrective Action Plan

Implementation

Kolburne School submitted documentation verifying that all teaching staff are appropriately licensed or hold a current waiver.

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

Review

Documentation

Review

All staff providing or supervising the provision of related services for Kolburne

School are appropriately certified, licensed or registered in their professional area.

Kolburne School submitted a

Master Staff Roster that contains the name, program job title, corresponding UFR

Kolburne School Mid-cycle Review Report

January 5, 2010

Page 4 of 14

Further Corrective Action

Ordered by the

Department of Elementary and Secondary Education and Timelines for

Implementation and Further

Progress Reporting

Criterion

Number and

Topic

28.09(7)

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 title number, licensure and/or certification if appropriate, full-time equivalent (FTE), and qualifications for current staff.

The Master Staff Roster accurately corresponds to the last approved ESE Program

Budget as required.

Identified Areas of Non-Compliance During the 2007 Program Review or Other Areas of Concern

Further Corrective Action

Ordered by the

Department of Elementary and Secondary Education and Timelines for

Implementation and Further

Progress Reporting

1.2

Program and

Student

Description

28.09(2)(a)(2);

28.09(2)(b)(2, 3,

7)

4.4

Advanced

Notice of

Proposed

Documentation

Review

Kolburne School provided a written narrative that now fully describes the program’s philosophy, goals, objectives, student population, educational services, and related services.

Documentation

Review

Kolburne School now has written procedures regarding how it notifies and/or obtains approval from the Department

Kolburne School Mid-cycle Review Report

January 5, 2010

Page 5 of 14

Identified Areas of Non-Compliance During the 2007 Program Review or Other Areas of

Concern

Criterion

Number and

Topic

Program/

Facility Change

28.09 (5)(c)

5.1

Admissions

28.09(11);

18.05(1)(b)(1-

17); 18.05(2);

18.05(3)(c)

Implementation Status of

Requirements or

Corrective

Action Plan

Determined to be Substantially

Implemented

5.2(a)

Contracts

28.06(3)(f)

6.1

Daily

Instructional

Hours

603 CMR 27.04

Method(s) of

Verification

Comments Regarding

Corrective Action Plan

Implementation prior to changes in the program as required by the current Form 1.

Corrective

Action Plan

Determined to be Not

Fully

Implemented or

Additional

Issues

Identified

Documentation

Review

Student Record

Review

Documentation and Student

Record Review

Kolburne School’s written admissions policy no longer contains language that is discriminatory or provides for the acceptance of students who do not meet the school’s admissions criteria.

Contracts for all

Massachusetts students were reviewed when on site and found to be current and signed.

Kolburne School offers students an educational program of 1296 instructional hours per year. Each school day includes 30 minutes of transition time (15 minutes at the beginning and end of each day) and a 35 minute lunch

Kolburne School Mid-cycle Review Report

January 5, 2010

Page 6 of 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 Elementary and Secondary Education and Timelines for

Implementation and Further

Progress Reporting

Criterion

Number and

Topic

6.1(a)

Physical

Education

M.G.L. c. 71 ,

§ 3

6.4

School Days Per

Year

603 CMR

27.05(2);

28.09(9)(a)

8.8

IEP – Progress

Reports

28.07(3);

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 period as instructional learning time. IEP goals and objectives for transition and lunch periods were found in every IEP reviewed when on site.

Kolburne School submitted a written description of the physical education program offered to students.

Documentation

Review

Kolburne School has revised its schedule in summer months to ensure instruction is led by a licensed educator.

Corrective

Action Plan

Determined to be Not

Fully

Implemented or

Additional

Issues

Identified

Student Record

Review

The finding at the time of the

Program Review was that the format for progress reports on pre-vocational classes consisted of a checklist of

Kolburne School Mid-cycle Review Report

January 5, 2010

Page 7 of 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 Elementary and Secondary Education and Timelines for

Implementation and Further

Progress Reporting

Criterion

Number and

Topic

34 CFR

300.320(a)(3)(i, ii)

9.6

10+ Day

Suspensions

34 CFR 300.530

– 537

18.05(7)

11.9

Organizational

Structure

28.09(7)

Implementation Status of

Requirements or

Corrective

Action Plan

Determined to be Substantially

Implemented

Method(s) of

Verification

Documentation

Review

Documentation

Review

Comments Regarding

Corrective Action Plan

Implementation

Corrective

Action Plan

Determined to be Not

Fully

Implemented or

Additional

Issues

Identified

 activities that did not specifically address the student’s progress on IEP goals.

The same format for

Individualized Educational

Program (IEP) progress reports is now used for prevocational and academic classes. Progress reports now address student’s progress on

IEP goals as required.

Kolburne School has a policy on 10+ day suspensions that now includes all state and federal regulations as required, including procedures to conduct a manifestation determination.

Kolburne School submitted a copy of its current organizational chart that now includes lines of supervision.

Kolburne School Mid-cycle Review Report

January 5, 2010

Page 8 of 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 Elementary and Secondary Education and Timelines for

Implementation and Further

Progress Reporting

Criterion

Number and

Topic

12.1

New Staff

Orientation and

Training

18.05(11)(g, i);

28.09(7)(f)

12.2

In-Service

Training Plan and Calendar

28.09(7)(f);

28.09(9)(b);

28.09(10);

18.03(3);

18.05(9)(e)(1);

18.05(10);

18.05(11)(h)

Title VI: 42

U.S.C. 2000d;

34 CFR 100.3;

EEOA: 20

U.S.C. 1703(f);

Title IX: 20

Implementation Status of

Requirements or

Corrective

Action Plan

Determined to be Substantially

Implemented

Method(s) of

Verification

Documentation

Review

Documentation

Review and

Interview

Comments Regarding

Corrective Action Plan

Implementation

Kolburne School’s orientation program for new staff members now includes training in civil rights responsibilities as required.

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

Kolburne School has developed a system to maintain the status of each individual staff member’s participation in required trainings in a database.

Review of this document indicates that a number of staff members have not participated in required annual trainings in the previous 12 months as required.

Kolburne School must submit a narrative description of procedures to monitor and track staff member participation in required trainings to ensure each attends required annual trainings within a 12 month period. This narrative must include the title of each staff person who has a role in these revised procedures.

Kolburne School must submit a copy of the memo sent to all staff members informing them of their role in these revised procedures to monitor and track staff attendance at

Kolburne School Mid-cycle Review Report

January 5, 2010

Page 9 of 14

Criterion

Number and

Topic

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)

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 required annual trainings.

Kolburne School must submit a copy of the database print-out of staff trainings for the previous 12 months that clearly shows the names of all staff, lists the required trainings as found under this criterion and indicates if each staff has participated in the required training in the past 12 months.

If this document indicates staff members have not participated in a training or is overdue for a training, Kolburne School must submit a statement indicating the date each staff member is scheduled to attend the training.

These documents must be received at the Department by

February 12, 2010 .

Kolburne School Mid-cycle Review Report

January 5, 2010

Page 10 of 14

Criterion

Number and

Topic

13.4

Physical

Facility/

Architectural

Barriers

18.04(8);

Section 504:

29 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.

13.7

Library

18.04(6)(b)

Implementation Status of

Requirements or

Corrective

Action Plan

Determined to be Substantially

Implemented

Method(s) of

Verification

Documentation

Review

Documentation

Review

Comments Regarding

Corrective Action Plan

Implementation

Kolburne School submitted a written plan to assign a student’s residence to the accessible dormitory on campus if handicap accessibility is necessary.

Since the dormitory currently houses both male and female students, this is an appropriate plan available to all students at Kolburne

School.

Corrective

Action Plan

Determined to be Not

Fully

Implemented or

Additional

Issues

Identified

Kolburne School submitted a schedule indicating times individual classes are regularly scheduled to access the library and receipts for purchase of updated materials appropriate to service the needs of students enrolled.

Kolburne School Mid-cycle Review Report

January 5, 2010

Page 11 of 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 Elementary and Secondary Education and Timelines for

Implementation and Further

Progress Reporting

Criterion

Number and

Topic

15.8

Registering

Complaints and

Grievances

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

16.4

Emergency

First Aid and

Medical

Treatment

18.05(9)(e, f)

Implementation Status of

Requirements or

Corrective

Action Plan

Determined to be Substantially

Implemented

Method(s) of

Verification

Documentation and Student

Record Review

Documentation

Review

Comments Regarding

Corrective Action Plan

Implementation

Kolburne submitted a written policy and procedures for parents or students to file a grievance based on discrimination. Copies of these forms completed by parents and students were found in student records.

Corrective

Action Plan

Determined to be Not

Fully

Implemented or

Additional

Issues

Identified

Kolburne School submitted a written policy and procedures for Emergency First Aid and

Medical Treatment that now contains all required elements of this criterion, including procedures to be followed in the event a parent or guardian cannot be reached.

Kolburne School Mid-cycle Review Report

January 5, 2010

Page 12 of 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 Elementary and Secondary Education and Timelines for

Implementation and Further

Progress Reporting

Criterion

Number and

Topic

16.5

Administration of Medication

18.05(9)(f)(8)

Implementation Status of

Requirements or

Corrective

Action Plan

Determined to be Substantially

Implemented

Method(s) of

Verification

Documentation

Review

16.6

Administration of Antipsychotic

Medication

18.05(9)(f)(9)

16.7

Preventive

Health Care

18.05(9)(g)

M.G.L. c. 71, §

Comments Regarding

Corrective Action Plan

Implementation

Documentation

Review

The policy on administration of medication now contains all required elements, including procedures to obtain written authorization from a parent/guardian before medication can be administered and that this authorization will be renewed annually.

Kolburne School submitted a written policy and procedures for the administration of antipsychotic medication that now contains all required elements of this criterion.

Documentation

Review

Corrective

Action Plan

Determined to be Not

Fully

Implemented or

Additional

Issues

Identified

Kolburne School submitted a written policy and procedures for providing students with preventive health care that contains all required elements, including

Kolburne School Mid-cycle Review Report

January 5, 2010

Page 13 of 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 Elementary and Secondary Education and Timelines for

Implementation and Further

Progress Reporting

Criterion

Number and

Topic

57

M.G.L. c. 111, §

111

Implementation Status of

Requirements or

Corrective

Action Plan

Determined to be Substantially

Implemented

Method(s) of

Verification

Comments Regarding

Corrective Action Plan

Implementation conducting annual medical and dental examinations as well as vision, hearing and postural screenings.

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

Kolburne School Mid-cycle Review Report

January 5, 2010

Page 14 of 14

Download