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
January 10, 2007
Lisa Weeden
Education Director
The League School of Greater Boston
300 Boston Providence Turnpike
Walpole, MA 02032
Re:
Onsite Follow-up Monitoring Report: Program Review Corrective Action Plan
Verification and Mid-cycle Review
Dear Ms.Weeden:
Enclosed is the Department's Program Review Follow-up Monitoring Report together with
findings regarding your private school’s Mid-cycle 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 September 13, 2004. 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 July 8, 2007. The reasons for the “Provisional Approval” are clearly
indicated on the attached Corrective Action Plan Implementation Checklist. In areas where the
private school has failed to implement fully its approved Corrective Action Plan, the Department
views these findings to be serious.
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
League School Mid-cycle Review Report
January 10, 2007
Page 1 of 2
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 24, 2007. The private school must demonstrate the specific steps to be taken to come
into substantial compliance with all identified areas requiring corrective action by May 15, 2007.
Pending the outcome of review of these steps, the Department will determine whether or not
sanctions in the form of “Probationary Approval” status and/or a closing of the private school’s
intake are necessary at that time.
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
Darlene Lynch, Director
Program Quality Assurance Services
c:
David P. Driscoll, Commissioner of Education
Nina Marchese, Supervisor
Encl.: Follow-up Monitoring Report
Provisional Approval Certificate, Expiration Date: July 8, 2007
2
MASSACHUSETTS DEPARTMENT OF EDUCATION
PRIVATE SCHOOL MID-CYCLE PROGRAM REVIEW
The League School of Greater Boston
ONSITE VERIFICATION OF CORRECTIVE ACTION PLAN IMPLEMENTATION
AND/OR IDENTIFICATION OF ADDITIONAL FINDINGS REQUIRING CORRECTIVE ACTION
Action Plan Submitted on December 10, 2004
Onsite Visit Conducted on October 17, 2006
Date of this Report January 10, 2007
Criterion
Number
and
Topic
Implementation Status of
Requirements
or
Corrective
Action Plan
Determined to
be Substantially
Implemented
Method(s) of
Verifica-tion
Comments Regarding
Corrective Action Plan
Implementation

1.3
Program’s
Curriculum
28.09(9)
(Now 7.1)
Documentation
review
2.2
Approvals,
Licenses,
Certificates of
Inspection
28.09 (2)(b)4-5
Documentation
review
Corrective
Action Plan
Determined
to be Not
Fully
Implemented or
Additional
Issues
Identified


The League School has
submitted current approvals
for building occupancy, fire
safety, health safety, local
school committee approval,
and approval from the

League School Mid-cycle Review Report
January 10, 2007
Page 1 of 37
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
See 7.1
The League School did not
provide asbestos and PCB
inspections as required.
The League School must
submit inspections for PCB’s
and asbestos by March 15,
2007.
Criterion
Number
and
Topic
Implementation Status of
Requirements
or
Corrective
Action Plan
Determined to
be Substantially
Implemented
Method(s) of
Verifica-tion
Comments Regarding
Corrective Action Plan
Implementation

Corrective
Action Plan
Determined
to be Not
Fully
Implemented or
Additional
Issues
Identified
Findings Regarding
Incomplete
Implementation of
Approved Corrective
Action Plan or
Identification of
Additional Issues of
Noncompliance
Further Corrective Action
Ordered by the
Department of Education
and Timelines for
Implementation and
Further Progress Reporting
The League School has not
developed a complete
policy and procedure for
Coordination/Collaboration
with School Districts, and
Student Protections that
meets state and federal
regulations.
The League School must
submit a complete policy and
procedure for
Coordination/Collaboration
with School Districts, and
Student Protections that meets
state and federal regulations to
the Department for approval
by March 15, 2007.

28.09(5)
28.09(6)
18.04(1)
Department of Early
Education and Care to operate
a residential facility.
102 CMR 3.06
(4)(b)
2.3
DEEC
Licensure (Not
Applicable to
Day Schools)
3.1 and 3.1 (a)
Policies and
Procedures
manual and it’s
contents
28.09(11)(b)

Documentation
review
The League School residential
program has a current full
license from the Department
of Early Education and Care
for both residences.
Documentation
review
The League School has
developed a complete policy
and procedure for Research,
Experimentation, Fund
Raising, Publicity, and
Observation that meets state
and federal regulations.

The League School must train
all staff on the new policy and
submit a sign in sheet and an
agenda to the Department by
May 15, 2007.
2
Criterion
Number
and
Topic
Implementation Status of
Requirements
or
Corrective
Action Plan
Determined to
be Substantially
Implemented
Method(s) of
Verifica-tion
Comments Regarding
Corrective Action Plan
Implementation

3.2
Health Care
Manual
18.05 (9)(d)
4.2
Public
Information and
Postings
29.09(6)(a,b,c,d
,e),
28.09(2)(b)(4)
4.4
Advanced
Notice of
Program/
Facility Change
28.09(5)(c)


Documentation
review
The League School now has a
complete health care manual,
which has been approved
annually by a licensed
physician.
Documentation
review, and
Observations
The League School now has
all public information and
postings available as required.
Documentation
review,
Observations
The League School has a
policy and procedure for
advanced notice of
program/facility change. The
school has not had to notify
the Department of any
changes.
3
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
See 16.6
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
Verifica-tion
Comments Regarding
Corrective Action Plan
Implementation

4.5
Immediate
Notification
18.03(10)
18.05(7)
28.09(12)
Corrective
Action Plan
Determined
to be Not
Fully
Implemented or
Additional
Issues
Identified


Documentation
review,
Student
Record Review
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 and student
record review revealed that
The League School has a
policy for immediate
notification, but it does not
include procedures for
notification of all required
parties and documentation
of the incident in student
records.
The League School must
submit a complete policy and
procedure for Immediate
Notification, which includes
procedures for notification of
all required parties and
documentation of the incident
in student records to the
Department for approval by
March 15, 2007.
The League School must train
all staff on the new policy and
procedure and submit a sign in
sheet and an agenda to the
Department by May 15, 2007.
4
Criterion
Number
and
Topic
Implementation Status of
Requirements
or
Corrective
Action Plan
Determined to
be Substantially
Implemented
Method(s) of
Verifica-tion
Comments Regarding
Corrective Action Plan
Implementation

5.1
Student
Admissions
28.09(11)
18.05(1) and (2)
Corrective
Action Plan
Determined
to be Not
Fully
Implemented or
Additional
Issues
Identified


Documentation
review
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
Although League School
has a consistent procedure
that is followed in regard to
student admissions, the
written policy does not
state that copies of the
school’s policies and
procedures must be
provided to the student,
parent, and the placing
public school district prior
to admission of the student
and that documentation
from a licensed physician
of a complete physical
examination is required.
The League School must
submit an updated and
complete policy and procedure
for Student Admissions that
includes a statement that
copies of the school’s policies
and procedures must be
provided to the student, parent
and the placing public school
district prior to admission of
the student and that
documentation from a licensed
physician of a complete
physical examination is
required to the Department for
approval by March 15, 2007.
The League School must train
all staff who have admissions
duties on the new policy and
submit a sign in sheet and an
agenda to the Department by
May 15, 2007.
5
Criterion
Number
and
Topic
Implementation Status of
Requirements
or
Corrective
Action Plan
Determined to
be Substantially
Implemented
Method(s) of
Verifica-tion
Comments Regarding
Corrective Action Plan
Implementation

5.2
Policies and
Procedures for
Coordination/
Collaboration
with Public
School Districts
&
Content
requirements
policies/procedures for
Coordination/
Collaboration
with Public
School Districts
Documentation
review,
Student record
review,
Interviews
The League School now has a
policy and procedure that
would allow all appropriate
students to participate in less
restrictive program options.
The League School provides
students with opportunities to
socialize with non-disabled
peers in the community during
recreational outings and
through employment.
28.06(2-3)
28.09(9)(c)&(d)
28.09(2)(b)7
Federal
Regulations:
300.349 and
300.400-.401
6
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 Education
and Timelines for
Implementation and
Further Progress Reporting
The League School does
not have complete policies
and procedures for
coordination and
collaboration with public
school districts that meet
state and federal
regulations.
See 3.1.
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
Implementation Status of
Requirements
or
Corrective
Action Plan
Determined to
be Substantially
Implemented


Method(s) of
Verifica-tion
Comments Regarding
Corrective Action Plan
Implementation
Corrective
Action Plan
Determined
to be Not
Fully
Implemented or
Additional
Issues
Identified
Findings Regarding
Incomplete
Implementation of
Approved Corrective
Action Plan or
Identification of
Additional Issues of
Noncompliance
Further Corrective Action
Ordered by the
Department of Education
and Timelines for
Implementation and
Further Progress Reporting
The League School has not
detailed how school-to–
work hours are verified and
how students are
supervised during schoolto-work activities.
The League School must
submit a complete policy and
procedure, which details how
school-to–work hours are
verified and how students are
supervised during school-towork activities to the
Department for approval by
March 15, 2007.

Documentation
review,
Interviews
The League School operates
school for at least five and a
half hours a day.
Documentation
review,
Student record
review,
Interviews
The League School has a
policy for school-to-work.

The League School must train
all staff on the new policy and
submit a sign in sheet and an
agenda to the Department by
May 15, 2007.
6.3
Kindergarten
(Instructional
hours)
603 CMR
27.03(5)
Not Applicable
Documentation
review,
Interviews
7
Criterion
Number
and
Topic
6.4
School Days per
Year
28.09(9)
6.5
Early Release of
High School
Seniors
Implementation Status of
Requirements
or
Corrective
Action Plan
Determined to
be Substantially
Implemented


Not Applicable
Method(s) of
Verifica-tion
Comments Regarding
Corrective Action Plan
Implementation
Corrective
Action Plan
Determined
to be Not
Fully
Implemented or
Additional
Issues
Identified

Documentation
review,
Interviews
The League School
Residential program operates
365 Days per year, and the
Day program operates 216
days per year.
Documentation
review
The League School does not
release high school seniors
early from school.
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
Verifica-tion
Comments Regarding
Corrective Action Plan
Implementation

7.1
Curriculum
Frameworks
28.09(9)(b)
Documentation
review,
Student record
review,
Interviews
The League School is in the
process of updating its
curriculum and is utilizing a
consultant.
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 Education
and Timelines for
Implementation and
Further Progress Reporting
A review of documentation
indicated that the League
School curriculum does not
address how students will
focus on their social,
pragmatic, and
communication skills.
The League School must
submit a plan to update the
curriculum so that it addresses
how students will focus on
their social, pragmatic and
communication skills to the
Department for approval by
March 15, 2007.
The League School has not
aligned its’ written
curriculum with the
Massachusetts Curriculum
Frameworks.
9
The League School must
continue to either align its’
written curriculum with the
Frameworks or take steps to
provide students with essential
learning opportunities that
prepare the students to reach
the state graduation standards.
Criterion
Number
and
Topic
Implementation Status of
Requirements
or
Corrective
Action Plan
Determined to
be Substantially
Implemented
Method(s) of
Verifica-tion
Comments Regarding
Corrective Action Plan
Implementation

7.2
Staff Training
28.09(9)(b)
Corrective
Action Plan
Determined
to be Not
Fully
Implemented or
Additional
Issues
Identified


Documentation
review,
Personnel
record review,
Interviews
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
Based on staff interviews,
not all direct care staff have
an understanding and
knowledge of the general
curriculum expectations
and learning standards of
the Massachusetts
Curriculum Frameworks.
In addition, students
enrolled in The League
School have social and
communication goals that
must be implemented in the
residential program and
therefore residential direct
care workers should receive
training directly related to
those goals.
The League School must train
all direct care staff to have an
understanding of general
curriculum expectations and
learning standards of the
Massachusetts Curriculum
Frameworks and submit a sign
in sheet and an agenda to the
Department by May 15, 2007.
Criterion
Number
and
Topic
7.3
State/District
Wide
Assessments
28.09(9)(d)
8.1
Implementation
-Educational
Services
28.04 and
28.09(8)
34 CFR 300.26
Implementation Status of
Requirements
or
Corrective
Action Plan
Determined to
be Substantially
Implemented



Method(s) of
Verifica-tion
Comments Regarding
Corrective Action Plan
Implementation
Corrective
Action Plan
Determined
to be Not
Fully
Implemented or
Additional
Issues
Identified

Documentation
review,
Student record
review,
Interviews
The League School now has
clear written procedures on
how staff will recommend to
the Team whether a student
will participate in on demand
testing or complete alternate
assessments. In addition, a
specific list of
accommodations is included
in student IEPs.
Documentation
review,
Student record
review,
Interviews
The League School now offers
vocational services to meet the
needs of the students and the
career education component
has been formally developed.
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
Criterion
Number
and
Topic
8.2
Implementation
-Related
Services
28.04 and
28.09(8)
34 CFR 300.24
8.5
Current IEP &
Student Roster
28.09
Implementation Status of
Requirements
or
Corrective
Action Plan
Determined to
be Substantially
Implemented


Method(s) of
Verifica-tion
Comments Regarding
Corrective Action Plan
Implementation
Findings Regarding
Incomplete
Implementation of
Approved Corrective
Action Plan or
Identification of
Additional Issues of
Noncompliance

Documentation
review
The League School now has a
description of how students’
communication and language
needs are met.
The school now has a
complete description of how
parents receive counseling and
training.

Corrective
Action Plan
Determined
to be Not
Fully
Implemented or
Additional
Issues
Identified
Documentation
review,
Student record
review,
Interviews
The League School now has a
description of the assistive
technology devices available
to students.
Based on a review of student
records, all IEP’s are
consented to by the student’s
parent(s) or the student, are
signed, and indicate if the
parent(s) or student has
accepted or rejected the IEP.
12
.
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
Verifica-tion
Comments Regarding
Corrective Action Plan
Implementation

8.8
IEP-Progress
Reports
28.07(3)
20 U.S.C.
Chapter 33,
Section
1414(d)(1)(A)(v
iii)


Student record
review,
Interviews
8.7
IEP
Implementation
28.09

Documentation
review,
Student record
review,
Interviews
Corrective
Action Plan
Determined
to be Not
Fully
Implemented or
Additional
Issues
Identified
The League School now states
in the student Progress
Reports whether a student will
achieve goals by the end of the
year. Additionally, all
progress reports specify how
the student is doing across all
settings, when appropriate,
and who receives a copy of
IEP progress reports.
IDEA
Regulations:
300.347
13
Findings Regarding
Incomplete
Implementation of
Approved Corrective
Action Plan or
Identification of
Additional Issues of
Noncompliance
Based on a review of
student records, the service
delivery page on student
IEPs does not accurately
reflect the services students
receive. For example, the
type of personnel should be
specific, rather than
“League staff,” the
frequency and duration
needs to equal the number
of hours in the school week
and should not state,
“ongoing.”
Further Corrective Action
Ordered by the
Department of Education
and Timelines for
Implementation and
Further Progress Reporting
The League School must
develop a policy and
procedure to ensure that all
IEPs accurately reflect the
services the students receive
as indicated on the service
delivery page and submit to
the Department for approval
by March 15, 2007.
The League School must train
all staff on the new policy and
submit a sign in sheet and an
agenda to the Department by
May 15, 2007.
Criterion
Number
and
Topic
Implementation Status of
Requirements
or
Corrective
Action Plan
Determined to
be Substantially
Implemented
Method(s) of
Verifica-tion
Comments Regarding
Corrective Action Plan
Implementation

Corrective
Action Plan
Determined
to be Not
Fully
Implemented or
Additional
Issues
Identified

8.10
IEP- Less
Restrictive
Placement
28.09(9(c)
8.11
IEP-Transition
Planning
34 CFR
300.347(b)(1)
34 CFR
300.347(b)(2)
8.12
IEP –
Transition
Services
28.05(4)(c)

Documentation
review
The League School has
developed a policy and
procedure for IEP-Revisions
and Changes.

Documentation
review,
Student record
review,
Interviews
Transition plans are now
student specific and are
documented in student IEP’s
as appropriate.

Documentation
review,
Student record
review,
Interviews
The League School now
maintains documentation that
demonstrates how the school
works with the responsible
school district to make any
necessary referrals to
appropriate adult human
service agencies, including the
Department of Mental
Retardation.
9.4
Restraints
18.05(5)
603 CMR 46.00

Documentation
review,
Interviews
The League School has
submitted a restraint policy,
which has been approved by
the Department of Early
Education and Care.
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
9.6
Suspensions
Joint
Responsibilities
of the
public/private
school and the
responsible
school district
Implementation Status of
Requirements
or
Corrective
Action Plan
Determined to
be Substantially
Implemented


Method(s) of
Verifica-tion
Comments Regarding
Corrective Action Plan
Implementation
Corrective
Action Plan
Determined
to be Not
Fully
Implemented or
Additional
Issues
Identified

Documentation
review,
Interviews
The League School now has a
policy for 10+day suspensions
that contains all required
elements.
Federal
Requirements:
34 CFR
300.519-.529
9.7
Terminations
28.09(12)
18.05(7)

Documentation
review,
Interviews
The League School now has a
policy for terminations that
contains all required elements.
10.1
Student:Teacher
Ratios
28.06(6)(d)&(g)
28.09(7)(e)

Documentation
review,
Interviews
The League School has
provided evidence that the
instructional groupings are
appropriate for the student
population.
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
10.4
Student: Child
Care Ratios
28.09(7)
18.01(2)
Implementation Status of
Requirements
or
Corrective
Action Plan
Determined to
be Substantially
Implemented


Method(s) of
Verifica-tion
Comments Regarding
Corrective Action Plan
Implementation
Corrective
Action Plan
Determined
to be Not
Fully
Implemented or
Additional
Issues
Identified

Documentation
review,
Student record
review,
Interviews
The League School has
provided evidence that
student: child-care ratios are
appropriate for the student
population.
11.1
Personnel
Policies
28.09(7)
28.09(11)(a)
18.05(11)

Documentation
review
The League School has a
written personnel policies and
procedures manual.
11.3
Educational
Administrator
Qualifications
28.09(7)(a)
603 CMR
44.00 and 44.04

Documentation
review,
Personnel
record review,
Interviews
The Educational
Administrator meets the
Department requirements for
the position.
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
Criterion
Number
and
Topic
Implementation Status of
Requirements
or
Corrective
Action Plan
Determined to
be Substantially
Implemented
Method(s) of
Verifica-tion
Comments Regarding
Corrective Action Plan
Implementation



Documentation
review,
Personnel
record review,
Interviews
11.4
Teachers
Special
Education
Teachers and
Regular
Education
Teachers
28.09(7)(b)(c)
18.05(11)(f)
Corrective
Action Plan
Determined
to be Not
Fully
Implemented or
Additional
Issues
Identified
11.4(a)
Professional
Development
Plans
28.09(7)(b)(c)
18.05(11)(f)

Documentation
review,
Personnel
record review,
Interviews
The League School develops
Professional Development
Plans for professionally
licensed teachers that are
signed by the staff and his/her
supervisor.
11.5
Related
Services Staff
28.09(7)(d)

Documentation
review,
Personnel
record review,
Interviews
The League School’s related
services staff are appropriately
licensed or registered by their
respective state boards or
professional associations.
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
Based on a review of
personnel records and staff
interviews, not all staff are
licensed or on approved
waivers.
The League School must
update the Department of the
progress toward hiring
appropriately licensed or
approved waivered teaching
staff on March 15, 2007 and
May 15, 2007.
Criterion
Number
and
Topic
Implementation Status of
Requirements
or
Corrective
Action Plan
Determined to
be Substantially
Implemented
Method(s) of
Verifica-tion
Comments Regarding
Corrective Action Plan
Implementation

11.6
Master Staff
Roster
28.09(7)
Documentation
review
11.7
Job
Descriptions
18.05(11)(d)
Documentation
review
Corrective
Action Plan
Determined
to be Not
Fully
Implemented or
Additional
Issues
Identified


The League School maintains
job descriptions for all staff.

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
The master staff roster
submitted by The League
School is not in the proper
format and does not
include the Uniform
Financial Report (UFR)
number and qualifications
of all staff as required.
The League School must
submit a master staff roster in
the appropriate format and
with all required elements to
the Department by March 15,
2007.
Some of the League
School’s job descriptions
do not indicate the UFR#
appropriate to the position.
The League School must
submit job descriptions
indicating the UFR#
appropriate to the position to
the Department by March 15,
2007.
Ex: Behavioral Coordinator
and Behavioral Specialist
are listed under tUFR#116,
which is reserved for
Teachers.
11.8
Salary Ranges
18.05(11)(e)

Documentation
review,
Personnel
record review,
Interviews
The League School submitted
salary ranges for all staff
positions.
18
Criterion
Number
and
Topic
11.9
Organizational
Structure
28.09(7)
28.07(c)
11.11
Supervision of
Students
28.09(7)
Implementation Status of
Requirements
or
Corrective
Action Plan
Determined to
be Substantially
Implemented


Method(s) of
Verifica-tion
Comments Regarding
Corrective Action Plan
Implementation
Corrective
Action Plan
Determined
to be Not
Fully
Implemented or
Additional
Issues
Identified
Findings Regarding
Incomplete
Implementation of
Approved Corrective
Action Plan or
Identification of
Additional Issues of
Noncompliance
Further Corrective Action
Ordered by the
Department of Education
and Timelines for
Implementation and
Further Progress Reporting
Observations at The
League School residences
revealed that students were
left in rooms unattended.
Interviews with staff did
not reveal how or when
students are able to earn
this privilege.
The League School must
develop a plan, which
indicates how students are
monitored and supervised at
all times in the residences and
submit to the Department by
March 15, 2007.

Documentation
review,
Interviews
The League School submitted
an organizational chart and a
description of the lines of staff
supervision within the school
Documentation
review,
Interviews
The League School now has a
specific staff schedule that
describes how staff provides
appropriate supervision to all
students.
19

Criterion
Number
and
Topic
11.12
Accessibility of
Extracurricular
Activities
Implementation Status of
Requirements
or
Corrective
Action Plan
Determined to
be Substantially
Implemented


Method(s) of
Verifica-tion
Comments Regarding
Corrective Action Plan
Implementation
Corrective
Action Plan
Determined
to be Not
Fully
Implemented or
Additional
Issues
Identified

Documentation
review,
Interviews
The League School provides
equal opportunity for all
students to participate in
intramural and interscholastic
sports.
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
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
Criterion
Number
and
Topic
Implementation Status of
Requirements
or
Corrective
Action Plan
Determined to
be Substantially
Implemented
Method(s) of
Verifica-tion
Comments Regarding
Corrective Action Plan
Implementation

12.1
Staff
Orientation
Training
18.05(11)(g)
Corrective
Action Plan
Determined
to be Not
Fully
Implemented or
Additional
Issues
Identified


Documentation
review,
Personnel
record review,
Interviews
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
Based on a review of
documentation, The
League School has not
made available the written
plan for new staff
orientation training. Staff
interviews revealed that
League School does not
provide orientation training
on all required topics prior
to direct care duties with
students.
The League School must
develop a written plan for staff
orientation to ensure an
understanding of the school’s
philosophy, organization,
program, practices and goals
and includes all required
training topics and submit that
written plan to the Department
by March 15, 2007.
The League School must
include the 3 most recently
hired staff and include
documentation on how these
staff were provided all
mandated orientation training
prior to their direct care
responsibilities with students
and submit it to the
Department by March 15,
2007.
Criterion
Number
and
Topic
Implementation Status of
Requirements
or
Corrective
Action Plan
Determined to
be Substantially
Implemented
Method(s) of
Verifica-tion
Comments Regarding
Corrective Action Plan
Implementation

12.2
Annual InService
Training Plan
and Calendar
28.09(7)(f)
18.05(11)(h)
Corrective
Action Plan
Determined
to be Not
Fully
Implemented or
Additional
Issues
Identified


Documentation
review,
Personnel
record review,
Interviews
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
Documentation review and
interviews with staff
revealed that The League
School is not providing all
staff with annual training in
reporting of abuse and
neglect, medication
administration,
transportation safety,
emergency procedures,
restraint procedures,
Curriculum alignment with
the Massachusetts
Comprehensive
Assessment System
(MCAS), procedures for
inclusion of all students in
MCAS testing and/or
alternate assessments, and
Civil Rights.
The League School must
provide all staff with all
annual in-service training and
document such training in the
personnel records. The
League School must submit a
random sample of 5 personnel
records to the Department by
May 15, 2007.
The Department will also
review a random sample of
personnel records during the
Fall application update.
Criterion
Number
and
Topic
12.2(a)
Details
Behavior
Management
and Restraint
Training
28.09(11)
18.05(5)
Implementation Status of
Requirements
or
Corrective
Action Plan
Determined to
be Substantially
Implemented


Method(s) of
Verifica-tion
Comments Regarding
Corrective Action Plan
Implementation
Corrective
Action Plan
Determined
to be Not
Fully
Implemented or
Additional
Issues
Identified

Documentation
review
The League School now has
behavior management and
restraint training procedures in
place that are approved and
meet the requirements of this
criterion.
23
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
Verifica-tion
Comments Regarding
Corrective Action Plan
Implementation

12.2(b)
Details Child
Abuse and
Reporting
18.05(9)(j)
Corrective
Action Plan
Determined
to be Not
Fully
Implemented or
Additional
Issues
Identified


Documentation
review
24
Findings Regarding
Incomplete
Implementation of
Approved Corrective
Action Plan or
Identification of
Additional Issues of
Noncompliance
The League School has not
updated its policy on child
abuse reporting to the
Disabled Persons
Protection Commission for
students 18 years old and
over. Additionally, the
policy does not include
procedures for all staff to
report abuse to the
appropriate agencies, since
all staff are mandated
reporters. The policy is
also missing a procedure
for notification to the
parent, the public school
district special education
administrator, the
Department of Education
and any other state agency
involved as required under
criterion 4.5.
Further Corrective Action
Ordered by the
Department of Education
and Timelines for
Implementation and
Further Progress Reporting
The League School’s child
abuse and reporting policy
must be updated to include
procedures for reporting
suspected abuse or neglect to
DPPC. The policy must also
detail that staff can report
51A’s directly to the
Department of Social
Services, and that the school
must notify all required
parties. This policy must be
submitted to the Department
for approval by March 15,
2007.
The League School must train
all staff on the new policy and
submit a sign in sheet and an
agenda to the Department by
May 15, 2007.
Criterion
Number
and
Topic
Implementation Status of
Requirements
or
Corrective
Action Plan
Determined to
be Substantially
Implemented
Method(s) of
Verifica-tion
Comments Regarding
Corrective Action Plan
Implementation

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
review,
Interviews
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
The League School has not
provided all staff with
training in the nature of
medication, potential side
effects and any special
precautions or requirements
that need to be followed for
individual students.
The League School must train
all staff on the nature of
medication, potential side
effects, and any special
precautions or requirements
that need to be followed for
individual students, and
submit a sign in sheet and an
agenda to the Department by
May 15, 2007.
Criterion
Number
and
Topic
12.2(f)
Emergency
Procedures
Training
18.05(10)
Implementation Status of
Requirements
or
Corrective
Action Plan
Determined to
be Substantially
Implemented


Method(s) of
Verifica-tion
Comments Regarding
Corrective Action Plan
Implementation
Corrective
Action Plan
Determined
to be Not
Fully
Implemented or
Additional
Issues
Identified

Documentation
review
The League School now
conducts at least two
evacuation drills per shift at
each location annually. In
addition, a written log of each
evacuation drill detailing such
things as the date, time
elapsed, students, staff and
witnesses who participated is
being maintained.
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
13.3
Comparability
of Facilities
Implementation Status of
Requirements
or
Corrective
Action Plan
Determined to
be Substantially
Implemented


Method(s) of
Verifica-tion
Comments Regarding
Corrective Action Plan
Implementation
Corrective
Action Plan
Determined
to be Not
Fully
Implemented or
Additional
Issues
Identified

Interviews,
Observations
The League School facilities
are comparable for all
students.
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)
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
Criterion
Number
and
Topic
13.4
Physical
Facility/Archite
ct-ual Barriers
18.04(8)
Section 504: 29
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 104.349c);
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
Verifica-tion
Comments Regarding
Corrective Action Plan
Implementation
Corrective
Action Plan
Determined
to be Not
Fully
Implemented or
Additional
Issues
Identified

Observations
The League School now has a
residential facility that
provides individuals with
limited physical mobility the
opportunity to access all
program services as required
under Section 504 of the
Rehabilitation Act of 1973.
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 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
Verifica-tion
Comments Regarding
Corrective Action Plan
Implementation



Observations
13.5
Kitchen,
Dining,
Bathing/Toilet,
and Living
Areas
18.04(2),(3),
(4),(5)
Corrective
Action Plan
Determined
to be Not
Fully
Implemented or
Additional
Issues
Identified
14.3
Toileting
Procedures and
Individual Plans
18.03(8)

Documentation
review,
Student record
review,
Interviews
The League School now
documents toileting
procedures in the student
records. All staff are trained
on these procedures.
15.1
Parental
Involvement
and Parents’
Advisory Group
18.05(4)(a)

Documentation
review,
Interviews
The League School now has a
written plan for parental
involvement, including the
development of a Parent
Advisory Group that advises
the school on matters that
pertain to the education, health
and safety of the students in
the program.
29
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
Observation of the
residential facilities
revealed that The League
School does not have food
allergies posted for the
students enrolled in the
residential program.
The League School must post
student allergies in all
residences. The Department
will conduct an onsite visit by
February 15, 2007 to ensure
compliance.
Criterion
Number
and
Topic
15.3
Information to
be translated
into Languages
other than
English
Implementation Status of
Requirements
or
Corrective
Action Plan
Determined to
be Substantially
Implemented


Method(s) of
Verifica-tion
Comments Regarding
Corrective Action Plan
Implementation
Corrective
Action Plan
Determined
to be Not
Fully
Implemented or
Additional
Issues
Identified

Documentation
review,
Interviews
The League School has a
policy and procedure for
information to be translated
into languages other than
English.
Title VI;
EEOA: 20
U.S.C. 1703(f);
M.G.L. c. 76, s.
5; 603 CMR
26.02(2)
30
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
Verifica-tion
Comments Regarding
Corrective Action Plan
Implementation

15.5
Parent Consent
28.07(1)(b)
Corrective
Action Plan
Determined
to be Not
Fully
Implemented or
Additional
Issues
Identified


Documentation
review,
Student record
review,
Interviews
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
A review of student records
revealed that The League
School does not receive
annual consents for IEP
related matters, emergency
medical care, medications,
and restraints.
The League School must
obtain annual consents for IEP
related matters, emergency
medical care, medications, and
restraints. The League School
must develop a policy and
procedure to ensure that all
consents are obtained annually
and submit to the Department
for approval by March 15,
2007.
The League School must train
all staff on the new policy and
submit a sign in sheet and an
agenda to the Department by
May 15, 2007.
The League School must
submit a random sample of 5
student records to the
Department by May 15, 2007.
The Department will also
review a random sample of
personnel records during the
Fall application update.
31
Criterion
Number
and
Topic
Implementation Status of
Requirements
or
Corrective
Action Plan
Determined to
be Substantially
Implemented
Method(s) of
Verifica-tion
Comments Regarding
Corrective Action Plan
Implementation

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)(d)
18.05(9)(c)


Documentation
review,
Interviews
15.8
Registering
Complaints

Documentation
review
Corrective
Action Plan
Determined
to be Not
Fully
Implemented or
Additional
Issues
Identified
The League School has a
Health Care Manual that is
approved by a health care
consultant and now contains
all required policies and
procedures.
32
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
Based on a review of
documentation, The
League School has not
developed written
procedures for students
and/or parents to register
complaints based on
disability and sexual
harassment, which meets
the state and federal
requirements.
The League School must
develop a policy and
procedure for registering
complaints, which meets state
and federal requirements and
submit to the Department for
approval by March 15, 2007.
The League School must train
all staff on the new policy and
submit a sign in sheet and an
agenda to the Department by
May 15, 2007.
Criterion
Number
and
Topic
16.4
Emergency First
Aid
18.05(9)(e)
16.5
Administration
of Medication
18.05(9)(f)
Implementation Status of
Requirements
or
Corrective
Action Plan
Determined to
be Substantially
Implemented



Method(s) of
Verifica-tion
Comments Regarding
Corrective Action Plan
Implementation
Corrective
Action Plan
Determined
to be Not
Fully
Implemented or
Additional
Issues
Identified

Documentation
review
The League School now has a
policy for emergency first aid
which includes the secure
storage of first aid supplies,
procedures for first aid that are
kept with supplies, procedures
to be followed in case of a fire
or other emergency,
procedures for informing
parents of medical care
administered to their child,
and procedures to be followed
in case of fire or other
emergency.
Documentation
review
The League School now has a
policy for the administration
of medication, which includes
all of the required elements.
33
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
Verifica-tion
Comments Regarding
Corrective Action Plan
Implementation

16.6
Administration
of
Antipsychotic
Medication
18.05(9)(f)(9)
Documentation
review
The League School has a
policy for the administration
of antipsychotic medication.
34
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 Education
and Timelines for
Implementation and
Further Progress Reporting
Based on a review of
documentation, League
School’s policy on the
administration of
antipsychotic medication
does not include the
required procedures to
follow in order to obtain a
substituted judgment
decision from a court,
known as a Rogers
guardianship, in instances
where informed consent
can not be obtained.
The League School must
develop these procedures for
obtaining Rogers
guardianships for the
administration of antipsychotic
medication and submit it to
the Department for approval
by March 15, 2007.
The League School must train
all staff on the new policy and
submit a sign in sheet and an
agenda to the Department by
May 15, 2007.
Criterion
Number
and
Topic
Implementation Status of
Requirements
or
Corrective
Action Plan
Determined to
be Substantially
Implemented
Method(s) of
Verifica-tion
Comments Regarding
Corrective Action Plan
Implementation

Documentation
review,
Student record
review
16.7
Preventive
Health Care
18.05(9)(f)(9)
(h)
The League School now has a
policy on preventive health
care.
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 Education
and Timelines for
Implementation and
Further Progress Reporting
The League School’s
policy on preventive health
care does not include a
provision for family
planning information.
The League School must
develop a policy and
procedure for the inclusion of
family planning information in
the preventive health care
policy and submit to the
Department for approval by
March 15, 2007.
The League School must train
all staff on the new policy and
submit a sign in sheet and an
agenda to the Department by
May 15, 2007.
16.8
Receipt of
Medical
TreatmentReligious
Beliefs
18.05(9)(k)

Documentation
review
The League School now has a
policy on the receipt of
medical treatments in relation
to religious beliefs.
35
Criterion
Number
and
Topic
16.10
Meningococcal
Disease and
Vaccination
Implementation Status of
Requirements
or
Corrective
Action Plan
Determined to
be Substantially
Implemented


MGL, Chapter
76, s.15D
105 CMR
220.700
17.1
Transportation
Safety
28.09(11)(b)
18.2
Student Records
28.09(10)
Method(s) of
Verifica-tion
Comments Regarding
Corrective Action Plan
Implementation
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
Interviews with staff
indicated that The League
School has not provided all
staff with transportation
safety training.
See 12.2

Documentation
review
The League School has a
policy and procedure for
Meningococcal Disease and
Vaccination.

Documentation
review

Corrective
Action Plan
Determined
to be Not
Fully
Implemented or
Additional
Issues
Identified
Documentation
review,
Student record
review
The League School has now
updated all face sheets to
include all required elements.
MGL c. 71, s.
34H
603 CMR 23.00
Family
Educational
Rights and
Privacy Act
(FERPA)
36
37