Massachusetts Department of Elementary and Secondary Education 75 Pleasant Street, Malden, Massachusetts 02148-4906 Telephone: (781) 338-3700 TTY: N.E.T. Relay 1-800-439-2370 October 18, 2012 Barbary Salisbury, Executive Director Massachusetts Association for the Blind Ivy Street School Residential Program 200 Ivy St Brookline, MA 02446 Re: Mid-cycle Review and Verification of previous Program Review Corrective Action Plan Dear Ms. Salisbury: Enclosed is the Department of Elementary and Secondary Education’s (“Department”) Midcycle Report based upon the Mid-cycle review conducted in your private school program in September, 2012. 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 August 3, 2010. This report also includes a report on the status of implementation for new state or federal special education requirements enacted since your program’s last Program Review. We are pleased to indicate that the Department has found your program’s 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. You and your entire staff are to be congratulated for your efforts in implementing all necessary improvements. Your program will now receive an updated status of “Full Approval.” This approval shall remain in effect for three (3) years and 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 may change this approval status at any point during this three-year period if circumstances arise that warrant such a change. 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 next routine monitoring visit to occur sometime during the 2015-2016 school year, unless the Department determines that there is some reason to schedule this visit earlier. Please be advised that the attached Department Approval Certificate must be Page 1 of 2 conspicuously posted in a public place within the program as required by 603 CMR 28.09. Your staff's cooperation throughout these follow-up monitoring activities is appreciated. Should you require additional clarification of information included in our report, please do not hesitate to contact the Paul Bottome at 781-338-3737. Sincerely, Paul Bottome, 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 Craig Phannenstiehl, Chairperson, Board of Directors Ron Allen, Local Program Review Coordinator Encl.: Mid-cycle Review Report Full Private School Approval Certificate, Expiration Date: August 31, 2016 Page 2 of 2 MASSACHUSETTS DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION PRIVATE SCHOOL MID-CYCLE REVIEW Massachusetts Association for the Blind Ivy Street School Residential Program MID-CYCLE REVIEW REPORT Previous Program Review Corrective Action Plan Submitted on August 31, 2010 Progress Reports Submitted on January 21, 2011 Mid-cycle Onsite Visit Conducted on September 20-21, 2012 Date of this Report: October 18, 2012 Massachusetts Association for the Blind, Ivy Street School Residential Program October 18, 2012 Page 1 of 23 Criterion Number and Topic Implementation Status of Requirements or Corrective Action Plan Determined to be Substantially Implemented Method(s) of Verification Comments Regarding Corrective Action Plan Implementation Corrective Action Plan Determined to be Not Fully Implemented or Additional Issues Identified Findings Regarding Incomplete Implementation of Approved Corrective Action Plan or Identification of Additional Issues of Noncompliance Selected Approved Private School Program Mid-cycle Review Criteria 2.2 Approvals, Licenses, Certificates of Inspection 18.04(1); 28.09(2)(b)(5); 28.09(5) (b); 28.09(6) (b, c) Documentation Observations Ivy Street submitted copies of current licenses, approvals, and certificates of inspection. 2.3 EEC Licensure 102 CMR 3.00 (Residential Programs only) Documentation Ivy Street submitted a copy of their current EEC license. Massachusetts Association for the Blind, Ivy Street School Residential Program October 18, 2012 Page 2 of 23 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 Documentation Ivy Street submitted a Learning Time Worksheet and Block Schedules documenting that students are receiving the number of instructional hours and school days required for a 12 month program. Documentation At the time of the Program Review, the Student Roster submitted did not include all of the required elements. Additionally, parent signatures had not been obtained for four of the five records reviewed. 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 6.1 Daily Instructional Hours 603 CMR 27.04 & 6.4 School Days Per Year 603 CMR 27.05(2); 28.09(9)(a) 8.5 Current IEP & Student Roster 28.09(5)(a) Massachusetts Association for the Blind, Ivy Street School Residential Program October 18, 2012 Page 3 of 23 Further Corrective Action Ordered by the Department of Elementary and Secondary Education and Timelines for Implementation and Further Progress Reporting Criterion Number and Topic Implementation Status of Requirements or Corrective Action Plan Determined to be Substantially Implemented Method(s) of Verification Comments Regarding Corrective Action Plan Implementation Corrective Action Plan Determined to be Not Fully Implemented or Additional Issues Identified Findings Regarding Incomplete Implementation of Approved Corrective Action Plan or Identification of Additional Issues of Noncompliance 11.3 Educational Administrator Qualifications 28.09(5)(a);(7)(a); Documentation Interviews For the Mid-cycle Review, Ivy Street submitted a Student Roster that contains all of the required elements. For any IEP’s that were not current, Ivy Street provided evidence of their efforts to obtain a current IEP. For those students whose records were reviewed by the Department, current IEP’s issued by the sending school district and consented to by the parent/guardian were found. Ivy Street submitted documentation indicating that the Educational Administrator is appropriately licensed as Massachusetts Association for the Blind, Ivy Street School Residential Program October 18, 2012 Page 4 of 23 Further Corrective Action Ordered by the Department of Elementary and Secondary Education and Timelines for Implementation and Further Progress Reporting Criterion Number and Topic Implementation Status of Requirements or Corrective Action Plan Determined to be Substantially Implemented Method(s) of Verification Comments Regarding Corrective Action Plan Implementation Corrective Action Plan Determined to be Not Fully Implemented or Additional Issues Identified Findings Regarding Incomplete Implementation of Approved Corrective Action Plan or Identification of Additional Issues of Noncompliance 603 CMR 44.00 such and performing the duties required for this position. Massachusetts Association for the Blind, Ivy Street School Residential Program October 18, 2012 Page 5 of 23 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 Documentation At the time of the Program Review and as a follow up to Probationary Approval it was determined that Ivy Street did not have teachers who were appropriately licensed or on approved waivers. 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 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 For the Mid-cycle Review, Ivy Street submitted a Teacher Roster and all required information showing all teachers are appropriately licensed or on approved waivers as required. Massachusetts Association for the Blind, Ivy Street School Residential Program October 18, 2012 Page 6 of 23 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 Documentation Ivy Street submitted a copy of their Related Services Staff Roster, as well as all licensing information for all related services staff members, showing they are appropriately certified, licensed or registered in their professional areas as required. Documentation Interviews At the time of the Program Review, the Master Staff Roster that Ivy Street submitted did not correspond to the last approved Program Budget. 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 11.5 Related Services Staff 28.09(7)(d) 11.6 Master Staff Roster 28.09(7) For the Mid-cycle Review, Massachusetts Association for the Blind, Ivy Street School Residential Program October 18, 2012 Page 7 of 23 Further Corrective Action Ordered by the Department of Elementary and Secondary Education and Timelines for Implementation and Further Progress Reporting Criterion Number and Topic Implementation Status of Requirements or Corrective Action Plan Determined to be Substantially Implemented Method(s) of Verification Comments Regarding Corrective Action Plan Implementation Corrective Action Plan Determined to be Not Fully Implemented or Additional Issues Identified Findings Regarding Incomplete Implementation of Approved Corrective Action Plan or Identification of Additional Issues of Noncompliance Ivy Street submitted a copy of their Master Staff Roster that now corresponds to the most recently approved Program Budget. 19 Anti-Hazing Documentation Student Record Review Ivy Street submitted a copy of the anti-hazing disciplinary plan and documentation of each student’s receipt of a copy of the school program’s antihazing disciplinary policy approved by the program’s Board of Directors. Documentation Ivy Street submitted a copy of their Bullying Prevention and Intervention Plan, as well as a description of how M.G.L. c. 269, §§ 17 through 19 20 Bullying Prevention and Intervention Massachusetts Association for the Blind, Ivy Street School Residential Program October 18, 2012 Page 8 of 23 Further Corrective Action Ordered by the Department of Elementary and Secondary Education and Timelines for Implementation and Further Progress Reporting Criterion Number and Topic Implementation Status of Requirements or Corrective Action Plan Determined to be Substantially Implemented Method(s) of Verification Comments Regarding Corrective Action Plan Implementation Corrective Action Plan Determined to be Not Fully Implemented or Additional Issues Identified Findings Regarding Incomplete Implementation of Approved Corrective Action Plan or Identification of Additional Issues of Noncompliance Further Corrective Action Ordered by the Department of Elementary and Secondary Education and Timelines for Implementation and Further Progress Reporting the Bullying Prevention and Intervention plan was distributed to staff members and students. Additionally, Ivy Street submitted a description of the professional development plan developed by the program for all staff for the school year and evidence of its implementation. M.G.L. c. 71, s. 37H, as amended by Chapter 92 of the Acts of 2010. M.G.L. c. 71, s. 37O(e)(1) & (2). M.G.L. c. 71, s. 370(d). Identified Areas of Non-Compliance from the 2009-2010 Program Review or Other Areas of Concern 4.4 Advance Notice of Proposed Program/Facility change Documentation Interviews Observation At the time of the Program Review, Ivy Street had not notified the Department of substantial changes that required prior approval Massachusetts Association for the Blind, Ivy Street School Residential Program October 18, 2012 Page 9 of 23 Criterion Number and Topic Implementation Status of Requirements or Corrective Action Plan Determined to be Substantially Implemented Method(s) of Verification Comments Regarding Corrective Action Plan Implementation Corrective Action Plan Determined to be Not Fully Implemented or Additional Issues Identified Findings Regarding Incomplete Implementation of Approved Corrective Action Plan or Identification of Additional Issues of Noncompliance before such changes were made. 28.09 (5)(c) 4.5 Immediate Notification 18.03; 18.05(7); 28.09(12)(a,b) Documentation Interviews During the Mid-cycle Review, Ivy Street submitted a copy of the program’s written procedures for notifying the Department of substantial changes within the program. Additionally, Ivy Street has followed the proper procedures and has since submitted required Form 1’s. At the time of the Program Review and as a follow up to Probationary Approval documentation showed that while Ivy Street had a policy describing procedures Massachusetts Association for the Blind, Ivy Street School Residential Program October 18, 2012 Page 10 of 23 Further Corrective Action Ordered by the Department of Elementary and Secondary Education and Timelines for Implementation and Further Progress Reporting Criterion Number and Topic Implementation Status of Requirements or Corrective Action Plan Determined to be Substantially Implemented Method(s) of Verification Comments Regarding Corrective Action Plan Implementation Corrective Action Plan Determined to be Not Fully Implemented or Additional Issues Identified Findings Regarding Incomplete Implementation of Approved Corrective Action Plan or Identification of Additional Issues of Noncompliance followed regarding serious incidents involving students, a review of student records revealed that parents, school districts and other required notifications were not consistently provided and/or documented. During the Mid-cycle Review, Ivy Street submitted a copy of the program’s written procedures for notification to all appropriate parties of serious incidents. Additionally, student record reviews indicated that Ivy Street now maintains a record of all incidents and required notifications in each Massachusetts Association for the Blind, Ivy Street School Residential Program October 18, 2012 Page 11 of 23 Further Corrective Action Ordered by the Department of Elementary and Secondary Education and Timelines for Implementation and Further Progress Reporting Criterion Number and Topic Implementation Status of Requirements or Corrective Action Plan Determined to be Substantially Implemented Method(s) of Verification Comments Regarding Corrective Action Plan Implementation Corrective Action Plan Determined to be Not Fully Implemented or Additional Issues Identified Findings Regarding Incomplete Implementation of Approved Corrective Action Plan or Identification of Additional Issues of Noncompliance 5.2 (a) Contracts 28.06(3)(f) Documentation student’s record. As a follow up from Probationary Approval it was determined that written contracts between Ivy Street and the local educational agency funding the placement did not exist or were expired for four of the five records reviewed. During the Mid-cycle Review, a review of student records indicates that Ivy Street now obtains signed contracts with local funding sources for all students as required. Massachusetts Association for the Blind, Ivy Street School Residential Program October 18, 2012 Page 12 of 23 Further Corrective Action Ordered by the Department of Elementary and Secondary Education and Timelines for Implementation and Further Progress Reporting Criterion Number and Topic Implementation Status of Requirements or Corrective Action Plan Determined to be Substantially Implemented Method(s) of Verification Comments Regarding Corrective Action Plan Implementation Corrective Action Plan Determined to be Not Fully Implemented or Additional Issues Identified Findings Regarding Incomplete Implementation of Approved Corrective Action Plan or Identification of Additional Issues of Noncompliance 8.8 IEP Progress Reports 28.07(3); 34 CFR 300.320(a)(3)(i,ii) Student Record Review At the time of the Program Review, Ivy Street was out of compliance regarding documenting to whom progress reports were being sent. During the Mid-cycle Review, a review of student records indicates that Ivy Street now keeps a copy of each student’s completed, dated progress reports that includes the required narrative, as well as evidence of when and to whom the school sent copies. Massachusetts Association for the Blind, Ivy Street School Residential Program October 18, 2012 Page 13 of 23 Further Corrective Action Ordered by the Department of Elementary and Secondary Education and Timelines for Implementation and Further Progress Reporting Criterion Number and Topic Implementation Status of Requirements or Corrective Action Plan Determined to be Substantially Implemented Method(s) of Verification Comments Regarding Corrective Action Plan Implementation Corrective Action Plan Determined to be Not Fully Implemented or Additional Issues Identified Findings Regarding Incomplete Implementation of Approved Corrective Action Plan or Identification of Additional Issues of Noncompliance 10.1 Staffing for Instructional Groupings 28.06(6)(d) 28.09(7)(e) Documentation Interviews At the time of the Program Review and during the follow up to Probationary Approval, Ivy Street was not in compliance regarding the proper supervision of students. During the Mid-cycle Review, Ivy Street submitted block schedules indicating their approved student to licensed educator ratios are maintained. Additionally, observations confirmed that the appropriate ratios are now maintained throughout the school day in all areas of Massachusetts Association for the Blind, Ivy Street School Residential Program October 18, 2012 Page 14 of 23 Further Corrective Action Ordered by the Department of Elementary and Secondary Education and Timelines for Implementation and Further Progress Reporting Criterion Number and Topic Implementation Status of Requirements or Corrective Action Plan Determined to be Substantially Implemented Method(s) of Verification Comments Regarding Corrective Action Plan Implementation Corrective Action Plan Determined to be Not Fully Implemented or Additional Issues Identified Findings Regarding Incomplete Implementation of Approved Corrective Action Plan or Identification of Additional Issues of Noncompliance the program. 10.2 Age Range 28.06(6)(f,g) Documentation Observation At the time of the Program Review, Ivy Street had 34 out of 40 classrooms outside of the 48 month age span requirement and a waiver had not been requested and approved as required. During the Mid-cycle Review, Ivy Street submitted block schedules that indicate the ages of all the students in each class are within the required 48 month age span. Interviews confirmed that Ivy Street staff members are aware that prior approval of Massachusetts Association for the Blind, Ivy Street School Residential Program October 18, 2012 Page 15 of 23 Further Corrective Action Ordered by the Department of Elementary and Secondary Education and Timelines for Implementation and Further Progress Reporting Criterion Number and Topic Implementation Status of Requirements or Corrective Action Plan Determined to be Substantially Implemented Method(s) of Verification Comments Regarding Corrective Action Plan Implementation Corrective Action Plan Determined to be Not Fully Implemented or Additional Issues Identified Findings Regarding Incomplete Implementation of Approved Corrective Action Plan or Identification of Additional Issues of Noncompliance 11.1 Staff Policies and Procedures Manual 18.05(11); 18.05(11)(c)(1); 28.09(7); 28.09(11)(a); M.G.L.c.71,§38r; ESE advisory on CORI revised 5/7/07 Documentation Interviews any request made for an age span waiver is required. At the time of the Program Review, a review of documentation revealed that the written staff policies and procedures did not specifically address the following as required: Procedures for obtaining Criminal Offender Record Information (CORI) on employees and others whose responsibilities bring them into direct and unmonitored contact with students as required. Additionally, the statement of equal employment did not include all protected Massachusetts Association for the Blind, Ivy Street School Residential Program October 18, 2012 Page 16 of 23 Further Corrective Action Ordered by the Department of Elementary and Secondary Education and Timelines for Implementation and Further Progress Reporting Criterion Number and Topic Implementation Status of Requirements or Corrective Action Plan Determined to be Substantially Implemented Method(s) of Verification Comments Regarding Corrective Action Plan Implementation Corrective Action Plan Determined to be Not Fully Implemented or Additional Issues Identified Findings Regarding Incomplete Implementation of Approved Corrective Action Plan or Identification of Additional Issues of Noncompliance categories as required. During the Mid-cycle Review, Ivy Street submitted the schools CORI policy which now includes all required elements, including that CORI’s will be conducted on staff at least every 3 years. Also a review of the equal employment statement now includes all protected categories as required. 11.9 Organizational Structure 28.09 Documentation Interviews At the time of the Program Review, interviews revealed that Ivy Street School administrators had not followed appropriate Massachusetts Association for the Blind, Ivy Street School Residential Program October 18, 2012 Page 17 of 23 Further Corrective Action Ordered by the Department of Elementary and Secondary Education and Timelines for Implementation and Further Progress Reporting Criterion Number and Topic Implementation Status of Requirements or Corrective Action Plan Determined to be Substantially Implemented Method(s) of Verification Comments Regarding Corrective Action Plan Implementation Corrective Action Plan Determined to be Not Fully Implemented or Additional Issues Identified Findings Regarding Incomplete Implementation of Approved Corrective Action Plan or Identification of Additional Issues of Noncompliance procedures regarding serious concerns from staff brought forward to them. Internal investigations and follow through of significant incidents that could potentially lead to disciplinary actions against staff members were incomplete. 12.1 New Staff Documentation During the Mid-cycle Review, interviews indicate that procedures are now in place and staff members have been trained to ensure the appropriate handling of staff complaints and concerns. At the time of the Program Massachusetts Association for the Blind, Ivy Street School Residential Program October 18, 2012 Page 18 of 23 Further Corrective Action Ordered by the Department of Elementary and Secondary Education and Timelines for Implementation and Further Progress Reporting Criterion Number and Topic Implementation Status of Requirements or Corrective Action Plan Determined to be Substantially Implemented Method(s) of Verification Comments Regarding Corrective Action Plan Implementation Corrective Action Plan Determined to be Not Fully Implemented or Additional Issues Identified Findings Regarding Incomplete Implementation of Approved Corrective Action Plan or Identification of Additional Issues of Noncompliance Orientation and Training 18.05(11)(g,i); 28.09(7)(f) Interviews Staff Record Review Review, and as a follow up to Probationary Approval, it was determined that new staff members were not receiving all mandated trainings as required. During the Mid-cycle Review, Ivy Street submitted a copy of written orientation and training for new staff, as well as the name of the person responsible for coordination and implementation of orientation training. Additionally, staff record review confirmed that new staff members are now receiving all mandated Massachusetts Association for the Blind, Ivy Street School Residential Program October 18, 2012 Page 19 of 23 Further Corrective Action Ordered by the Department of Elementary and Secondary Education and Timelines for Implementation and Further Progress Reporting Criterion Number and Topic Implementation Status of Requirements or Corrective Action Plan Determined to be Substantially Implemented Method(s) of Verification Comments Regarding Corrective Action Plan Implementation Corrective Action Plan Determined to be Not Fully Implemented or Additional Issues Identified Findings Regarding Incomplete Implementation of Approved Corrective Action Plan or Identification of Additional Issues of Noncompliance training prior to their direct care duties with students as required. 12.2 In-Service Training Plan and Calendar 28.09(7)(f); 28.09(9)(b); 28.09(10); 8.03(3); 18.05(9)(e)(1) 18.05(10) 18.05(11)(h) Title VI: 42 U.S.C. 200d; 34 CFR 100.3; EEOA: 20 U.S.C. 1703(f); Title IX: 20 U.S.C. 1681; Documentation Staff Record Review Interviews At the time of the Program Review, interviews revealed that while staff reported that they receive all mandated trainings annually as required, the program did not maintain evidence of staff attendance at such trainings as required. During the Mid-cycle Review, Ivy Street submitted evidence that all staff participate in annual inservice training for at least two hours per month Massachusetts Association for the Blind, Ivy Street School Residential Program October 18, 2012 Page 20 of 23 Further Corrective Action Ordered by the Department of Elementary and Secondary Education and Timelines for Implementation and Further Progress Reporting Criterion Number and Topic Implementation Status of Requirements or Corrective Action Plan Determined to be Substantially Implemented Method(s) of Verification Comments Regarding Corrective Action Plan Implementation Corrective Action Plan Determined to be Not Fully Implemented or Additional Issues Identified Findings Regarding Incomplete Implementation of Approved Corrective Action Plan or Identification of Additional Issues of Noncompliance including Department mandated trainings. Documentation of trainings is now maintained in staff records. 34 CFR106.31106.42; M.G.L. c. 76, § 5; 603 CMR 26.00, esp. 26.07(2)(3) 13.2 Description of Physical Facility 18.04; 28.09(8) Observation At the time of the Program Review, observations revealed that the off-site residences had several physical facilities issues that required immediate attention. During the Mid-cycle Review, observations indicate that Ivy Street has made significant improvements to the school and residential facilities and has a more thorough plan for Massachusetts Association for the Blind, Ivy Street School Residential Program October 18, 2012 Page 21 of 23 Further Corrective Action Ordered by the Department of Elementary and Secondary Education and Timelines for Implementation and Further Progress Reporting Criterion Number and Topic Implementation Status of Requirements or Corrective Action Plan Determined to be Substantially Implemented Method(s) of Verification Comments Regarding Corrective Action Plan Implementation Corrective Action Plan Determined to be Not Fully Implemented or Additional Issues Identified Findings Regarding Incomplete Implementation of Approved Corrective Action Plan or Identification of Additional Issues of Noncompliance 15.5 Parent Consent and Required Notification Student Record Review 18.05(5)(c); 18.05(8); 18.05(9)(f)(1); 18.05(9)(j); M.G.L.c.71,§ 32A 16.7 Preventative Health Care 18.05(9)(g)(1); 105 CMR 200.100(B)(1); Student Record Review the general ongoing cleanliness and maintenance of the facilities. At the time of the Program Review, Ivy Street did not have required annual parental consents as required. During the Mid-cycle Review, a review of student records verified that all consents are now obtained annually and maintained in each student’s record. At the time of the Program Review, Ivy Street did not consistently maintain records of annual physical and dental examinations, as well as ensure that vision, hearing, Massachusetts Association for the Blind, Ivy Street School Residential Program October 18, 2012 Page 22 of 23 Further Corrective Action Ordered by the Department of Elementary and Secondary Education and Timelines for Implementation and Further Progress Reporting Criterion Number and Topic Implementation Status of Requirements or Corrective Action Plan Determined to be Substantially Implemented Method(s) of Verification Comments Regarding Corrective Action Plan Implementation Corrective Action Plan Determined to be Not Fully Implemented or Additional Issues Identified Findings Regarding Incomplete Implementation of Approved Corrective Action Plan or Identification of Additional Issues of Noncompliance 105 CMR 200.400(B); 105 CMR 200.400(C) G.L. c. 71, § 57; and G.L. c. 111, § 111. and postural screenings were conducted as required. During the Mid-cycle Review, student records showed that the necessary records for physical and dental examinations are now being maintained and the necessary screenings are being conducted. Documentation of all exams and physicals or efforts to obtain such documentation was found in student records. Massachusetts Association for the Blind, Ivy Street School Residential Program October 18, 2012 Page 23 of 23 Further Corrective Action Ordered by the Department of Elementary and Secondary Education and Timelines for Implementation and Further Progress Reporting Commonwealth of Massachusetts Department of Elementary and Secondary Education Massachusetts Association for the Blind Ivy Street Residential Program A PRIVATE SPECIAL EDUCATION PROGRAM OPERATED PURSUANT TO 603 CMR 18.00 AND 28.09 200 Ivy St Brookline, MA 02446 Program Rate Based on: 11 Students Approved Enrollment: 22 Students Day Program Summer Program Residential Program 10 month program 11 month program 12 month program APPROVED STUDENT:LICENSED EDUCATOR RATIO: 4:1 APPROVED STUDENT:LICENSED EDUCATOR:AIDE RATIO: 7:1:1 APPROVAL STATUS Full Approval Expires on: August 31, 2016 The current approval is a result of a Mid-cycle Review conducted in the 2012-2013 school year and the next review is scheduled for the 2015-2016 school year. PAUL BOTTOME, EDUCATIONAL SPECIALIST, PROGRAM QUALITY ASSURANCE SERVICES NINA M. MARCHESE, SUPERVISOR, PROGRAM QUALITY ASSURANCE SERVICES DARLENE A. LYNCH, DIRECTOR, PROGRAM QUALITY ASSURANCE SERVICES DATE ISSUED: 10/18/12