Massachusetts Department of
Elementary and Secondary Education
75 Pleasant Street, Malden, Massachusetts 02148
Telephone: (781) 338-3700
TTY: N.E.T. Relay 1-800-439-2370
December 8, 2006
Ms. Pam O’Neill
Lake Grove at Maple Valley
6 Farley Road
Wendell, MA 01379
Re: Onsite Follow-up Monitoring Report: Program Review
Corrective Action Plan Verification and Mid-cycle Review
Dear Ms. O’Neill:
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 April 11, 2005. 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.
The Department will notify you of your school’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 2010, unless the Department determines that
there is some reason to schedule this visit earlier.
While the Department of Elementary and Secondary 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 June 8, 2007. 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
January 2, 2007.
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 781-338-3717.
Sincerely,
Betsy Holcombe, Program Review Follow-up Chairperson
Program Quality Assurance Services
Darlene Lynch, Director
Program Quality Assurance Services
c:
David P. Driscoll, Commissioner of Elementary and Secondary Education
Tom Moore, CEO, Lake Grove Schools
Encl.: Follow-up Monitoring Report
Provisional Private School Approval Certificate, Expiration Date: June 8, 2007
2
MASSACHUSETTS DEPARTMENT OF ELEMENTARY AND SECONDARY
EDUCATION
PRIVATE SCHOOL MID-CYCLE PROGRAM REVIEW
Lake Grove at Maple Valley
ONSITE VERIFICATION OF CORRECTIVE ACTION PLAN IMPLEMENTATION
AND/OR IDENTIFICATION OF ADDITIONAL FINDINGS REQUIRING CORRECTIVE ACTION
Action Plan Submitted on June 1, 2005
Onsite Visit Conducted on October 25-26, 2006
Date of this Report December 6, 2006
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 and
Student
DescriptionProgram
Capacity
28.09(2)(b)
(2, 3, 7)
2.2
Approvals,
Licenses,
Certificates of
Inspection
Corrective
Action Plan
Determined
to be Not
Fully
Implemented or
Additional
Issues
Identified
Findings Regarding
Incomplete
Implementation of
Approved Corrective
Action Plan or
Identification of
Additional Issues of
Noncompliance
Further Corrective Action
Ordered by the
Department of Elementary
and Secondary Education
and Timelines for
Implementation and
Further Progress Reporting


Documentation

Documentation
Program and student
descriptions were submitted.
All required current
approvals, licenses, and
certificates of inspection have
been submitted and
approved.

The program description
did not include staff
qualifications or the
mechanism of service
delivery for related
services.
An updated program
description containing all
required elements must be
submitted by January 15,
2007.
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

28.09 (2)(b)4-5
28.09(5)
28.09(6)
18.04(1)
102 CMR 3.06
(4)(b)
2.3
EEC Licensure
(Not Applicable
to Day Schools)


Documentation
All required current EEC
licenses have been submitted
and approved.

Documentation
The Policies and Procedures
Manual has been reviewed
and approved.

Documentation
3.1
Policies and
Procedures
Manual
28.09(11)(b)
3.2
Health Care
Manual
18.05(9)(d)
4.2
Public
Information and
Postings
28.09(6)(a, b, c,
d, e)
28.09(2)(b)(4)

Corrective
Action Plan
Determined
to be Not
Fully
Implemented or
Additional
Issues
Identified
The Health Care Manual
containing required topics
has been reviewed and
approved.
All required information has
been posted.
Observation
2
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

4.4
Advanced
Notice of
Program/
Facility Change
28.09(5)(c)
4.5
Immediate
Notification
18.03(10)
18.05(7)
28.09(12)
5.1
Student
Admissions
28.09(11)
5.2
Policies and
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




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
The policy for reporting
abuse and neglect does not
contain correct
information.
An updated abuse and neglect
policy containing all required
elements must be submitted by
February 15, 2007.

Documentation
Interviews
The written policy and Form
1 are being appropriately
utilized by the School.
The Form 2 is being utilized
by the School.
Documentation
Interviews
Documentation
Documentation
The student admission policy
has been reviewed and
approved.
The School has submitted the
Policies and Procedures for
coordination and
collaboration with public
school districts.
3

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

5.2(a)
(Formerly 5.3)
Contents of
Coordination/
Collaboration
with Public
School Districts
28.06(2-3)
28.07(5)
28.09(9)(c)&(d)
28.09(2)(b)(7)
34 CFR
300.349 and
300.400-.401
6.1
Daily
Instructional
Hours
603 C.M.R.
27.00
6.2
School-to-work
603 CMR
27.02, 27.04
6.4
School Days per
Year
28.09(9)

Documentation
Interviews
Observation
The School has submitted the
policies and procedures for
coordination and
collaboration with public
school districts.
Further Corrective Action
Ordered by the
Department of Elementary
and Secondary Education
and Timelines for
Implementation and
Further Progress Reporting
There are missing policies
which include contracts
with sending districts,
revising IEPs (See
Criterion 8.9), transition,
and the granting of
diplomas and certificates
of attendance. There is no
Educational Administrator
to oversee the
implementation of this
Criterion (See
Criterion11.3).
The School must develop and
update policies and procedures
for coordination and
collaboration with public
school districts. These policies
and procedures must contain
all required elements and
submitted by February 15,
2007.
Documentation

There are no written
guidelines for school-towork opportunities.
School-to-work guidelines
must be developed and
submitted by February 15,
2007.
The School provides the
required hours of instruction.

Documentation

Findings Regarding
Incomplete
Implementation of
Approved Corrective
Action Plan or
Identification of
Additional Issues of
Noncompliance

Documentation

Corrective
Action Plan
Determined
to be Not
Fully
Implemented or
Additional
Issues
Identified
The School provides the
required days on the
submitted twelve-month
program calendar.
4
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

6.5
Early Release of
High School
Seniors
603 CMR 27.05
7.1
Curriculum
Frameworks
28.09(9)(b)
7.2
Staff Training
28.09(9)(b)
7.3
State/District
Wide
Assessments
28.09(9)(d)
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

The School submitted a
written policy for the early
release of high school
seniors.

Documentation
Interviews

Documentation

Documentation
Interviews
All staff receive annual
training in curriculum
expectations.

Documentation
Interviews
The School has submitted
written procedures for the
MCAS assessment process.
The School submitted a
written curriculum which
provides learning
opportunities for enrolled
students.
5

The list of participating
students and responsible
staff was not submitted.
There is no policy for the
administration of the
alternate assessment, as
needed.
The required list of
participating students and
responsible staff, and the
policy for the administration
of the alternate assessment
must be submitted by
February 15, 2007.
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

8.2
Implementation
Related
Services
28.04 and
28.09(8)
34 CFR
300.24
8.3
Implementation
Supplementary
Aids/ Services
34 CFR
300.28
8.4
Program
Modifications
for LEP
Students
8.5
(Formerly 8.4)
Current IEP &
Student Roster
28.09


Findings Regarding
Incomplete
Implementation of
Approved Corrective
Action Plan or
Identification of
Additional Issues of
Noncompliance
Further Corrective Action
Ordered by the
Department of Elementary
and Secondary Education
and Timelines for
Implementation and
Further Progress Reporting


Documentation

Corrective
Action Plan
Determined
to be Not
Fully
Implemented or
Additional
Issues
Identified
Documentation
A narrative describing
how each related service is
implemented by the
School has not been
submitted.
Documentation describing
how each related service is
implemented by the School
must be submitted by
February 15, 2007.
Not all IEPs are current or
consented-to. There is a
system to address expired
IEPs which is not
consistently utilized.
There is no Educational
Administrator to oversee
the implementation of this
Criterion (See Criterion
11.3).
A current IEP and student
roster must be submitted by
February 15, 2007.
A list of supplementary aids
and services has been
submitted and approved.
Documentation
The School will work with
LEAs to ensure appropriate
modifications and support
services.
Documentation
Student Records
An IEP and student roster has
been submitted.
6

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

8.6
(Formerly 8.5)
Education
Case Manager
28.09
8.7
(Formerly 8.6)
IEP
Implementation
28.09
8.8
(Formerly 8.7)
IEP
Progress
Reports
28.07(3)
20 U.S.C.
Chapter 33,
Section
1414(d)(1)(A)
(viii)
IDEA
Regulations:
300.347
8.9
(Formerly 8.8)
IEP- Revisions
& Changes
34 CFR 300

Corrective
Action Plan
Determined
to be Not
Fully
Implemented or
Additional
Issues
Identified
Findings Regarding
Incomplete
Implementation of
Approved Corrective
Action Plan or
Identification of
Additional Issues of
Noncompliance
Further Corrective Action
Ordered by the
Department of Elementary
and Secondary Education
and Timelines for
Implementation and
Further Progress Reporting

Documentation
All students are assigned an
Education Case Manager
which is listed on the face
sheet in each student record.

Documentation
Student Records

Documentation
Student Records

Documentation
The written policy to address
IEP progress reports was
submitted.

A written policy for revisions
and changes on IEPs was
submitted.

7
Due to the lack of
progress reports in the
student files, this criterion
could not be verified.
Progress reports must be
consistently included in
student records by February
15, 2007.
Quarterly progress reports
were not in all student
files, as required. While
there is a system to track
progress reports, it is not
being consistently utilized.
The progress report form
that the School uses was
not submitted.
Progress reports must be
consistently included in
student records and the
progress report form that the
School uses must be submitted
by February 15, 2007.
The policy does not
address contacting the
LEA if an IEP requires
revision.
An updated policy containing
all required elements must be
submitted by February 15,
2007.
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

8.11
(Formerly
8.10)
IEP- Transition
Planning
34 CFR
300.347(b)(1)
34 CFR
300.347(b)(2)
8.12
(Formerly
8.11)
IEP- Transition
Services
28.05(4)(c)
9.3
Runaway
Students
18.03(10)
9.7
Terminations
18.05(7)
28.09(12)(b)
10.1
Student:Teacher
Ratios
28.06(6)(d)&(g)
28.09(7)(e)
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
Evidence of transition
planning for students
fifteen years and older was
not found in students’
records, as required.
The School must provide
evidence that transition
planning for students fifteen
years and older is occurring by
February 15, 2007. This
documentation must be
consistently maintained in
students’ records.
The recent changes in
IDEA regulations are not
reflected in the School’s
transition policy.
An updated policy containing
all required elements must be
submitted by February 15,
2007.
Training in the updated
runaway policy has not
been provided to all staff
for consistent
implementation.
Training in the updated
runaway policy needs to be
provided to all staff by
February 15, 2007.


Documentation
Student Records
A written policy for transition
services was submitted.

Documentation
Student Records

Documentation
Interviews
A recently revised written
policy to ensure more
supervision for runaway
students was submitted.

Documentation
A written termination policy
has been submitted and
approved.

Documentation
Observation


Student to teacher ratios are
consistently maintained in the
School.
8
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

10.4
Student: Child
Care Ratios
28.09(7)
18.01(2)
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
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
The position of
Educational Administrator
Is currently vacant.
Monthly updates of continued
efforts to hire an Educational
Administrator to implement
the special education program
must begin by January 15,
2007 and submitted monthly
thereafter until an Educational
Administrator is hired.


Documentation
Observation

Documentation
Documentation
Interviews
Observation
Student to child care ratios
are consistently maintained in
the residences.
A comprehensive manual of
personnel policies and
procedures has been
submitted and approved.
Lake Grove is making efforts
to obtain an Educational
Administrator.
9

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

11.4
Teachers
Special
Education
Teachers and
Regular
Education
Teachers
28.09(7)(b)(c)
18.05(11)(f)

11.4(a)
Professional
Development
Plans
28.09(7)(b)(c)
18.05(11)(f)
11.6
Master Staff
Roster
28.09(7)


Findings Regarding
Incomplete
Implementation of
Approved Corrective
Action Plan or
Identification of
Additional Issues of
Noncompliance
Further Corrective Action
Ordered by the
Department of Elementary
and Secondary Education
and Timelines for
Implementation and
Further Progress Reporting
The teachers are not
appropriately supervised
by a qualified special
education administrator
and are not always
teaching in their areas of
licensure. Not all teaching
waivers are current.
The updated roster of teaching
staff must include a qualified
supervisor, and all teachers
must be currently licensed or
on an approved waiver in the
areas in which they teach by
February 15, 2007.
Professional development
plans are not being
developed and
implemented, as required
of all professionally
licensed staff.
All professionally licensed
staff must have a written
professional development plan
by February 15, 2007.
There is no evidence that
the Speech and Language
provider has a current
DOE license.
The Speech and Language
provider must have evidence
of a current DOE license by
February 15, 2007.
Master Staff Roster does
not include staff
vacancies.
A Master Staff Roster which
includes vacancies must be
submitted by February 15,
2007.

Documentation
Interviews
Observation
The roster of teaching staff
was submitted.
Documentation
Personnel
Records
Documentation


Documentation
Personnel
Records
11.5
Related
Services Staff
28.09(7)(d)
Corrective
Action Plan
Determined
to be Not
Fully
Implemented or
Additional
Issues
Identified
The roster of related services
staff was submitted.

Master Staff Roster was
submitted.

10
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

11.7
Job
Descriptions
18.05(11)(d)
11.8
Salary Ranges
18.05(11)(e)
11.9
Organizational
Structure
28.09(7)
28.07(c)
11.11
Supervision of
Students
28.09(7)
11.13
(Formerly
11.12)
Plan for Staff
Coverage
18.03(1)(b)4
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
Given the absence of an
Educational
Administrator, the School
has been unable to
demonstrate appropriate
supervision of teaching
staff.
Monthly updates of continued
efforts to hire an Educational
Administrator to implement
the special education program
must be submitted beginning
January 15, 2007.


Documentation
Job descriptions have been
submitted and approved.

Documentation
Salary ranges have been
submitted and approved.

Documentation
Interviews
Observation

Documentation
Observation
A detailed plan for
supervision of students has
been submitted and
approved.

Documentation
A written plan for staff
coverage has been submitted
and approved.
The chart of the
organizational structure has
been submitted.
11

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

12.2
Annual InService
Training Plan
and Calendar
28.09(7)(f)
18.05(11)(h)
12.2 (d)
Details
Medication
Training
18.05(9)(f)(3)
(c)
Corrective
Action Plan
Determined
to be Not
Fully
Implemented or
Additional
Issues
Identified


Documentation
Personnel
Records
Interviews

Documentation
The annual in-service
training plan and calendar
has been submitted and
approved.
Medication side-effects
training is being provided to
staff annually, as required.
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 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

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)
13.6
(Formerly
13.5)
Classroom
Space
18.04(6)(a)


Corrective
Action Plan
Determined
to be Not
Fully
Implemented or
Additional
Issues
Identified

Documentation
Observation
Observation
Facilities for all students are
equally comparable.
Classroom space is adequate
at both education sites.
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 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

15.1
Parental
Involvement
and Parents’
Advisory Group
18.05(4)(a)
15.3
Information to
be Translated
15.4
(Formerly
15.3)
Change of
Student’s Legal
Status
18.05(4)(b)
15.5
(Formerly
15.4)
Parent Consent
28.07(1)(b)
Corrective
Action Plan
Determined
to be Not
Fully
Implemented or
Additional
Issues
Identified


Documentation

Documentation

Documentation

Documentation
Interviews
Parent meetings are held on a
quarterly basis, and a survey
was provided to parents to
encourage input and ideas.
The School translates
information, as needed.
The School has a procedure
to ensure notification of a
change of a student’s legal
status which has been
submitted and approved.
All parent consents are being
used and updated annually.
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
Implementation Status of
Requirements
or
Corrective
Action Plan
Determined to
be Substantially
Implemented
Method(s) of
Verification
Comments Regarding
Corrective Action Plan
Implementation

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)
16.1
Health Care
Policy and
Procedure
Manual
18.05(9)(c)
18.05(9)(d)
16.5
Administration
of Medication
18.05(9)(f)
Corrective
Action Plan
Determined
to be Not
Fully
Implemented or
Additional
Issues
Identified


Documentation

Documentation

Documentation
Written procedures for
parents to register complaints
have been submitted and
approved.
The Health Care Manual
containing required topics
has been reviewed and
approved.
The written policy for the
administration of medication
has been submitted and
approved.
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 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

16.10
Meningococcal
Disease and
Vaccination
MGL, Chapter
76, s.15D
105 CMR
220.700
18.2
Student Records
28.09(10)
MGL c. 71, s.
34H
603 CMR 23.00
Family
Educational
Rights and
Privacy Act
(FERPA)


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
Student records do not
consistently include
progress reports, and not
all IEPs are currently
signed. Educational
Surrogate Parent
information is not always
noted on the face sheet.
The student records will have
all required information by
February 15, 2007.

Documentation
Documentation
Student Records
The written policy for
Meningococcal Disease and
Vaccination has been
submitted and approved.
Student records contain most
of the required information.
16
