Massachusetts Department of Elementary and Secondary Education

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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
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