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
March 2, 2012
David Drake, Executive Director
Massachusetts Foundation for Learning Disabilities
White Oak Day Program
533 North Road
Westfield, MA 01085
Re:
Mid-cycle Review and Verification of previous Program Review Corrective Action Plan
Dear Mr. Drake:
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
February, 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 June 12, 2009. 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.
While the Department 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 April 30, 2012. The reasons for the “Provisional Approval” are clearly indicated on
the attached Mid-cycle Review Report. Due to the program's continued failure to implement
fully its’ approved Corrective Action Plan in areas involving health and safety and
implementation of IEP services, the Department views these findings as quite serious and is
prepared to take necessary steps in order for these areas to be satisfactorily addressed.
As the Department previously informed you, in cases where a program fails to fully and
effectively implement a Corrective Action Plan which was proposed by your program and
approved by the Department, the Department must then prepare a Corrective Action Plan for the
program which must be implemented without further delay. You will find these requirements for
corrective action and further progress reporting included in the attached report, together with any
steps that must be taken by the program to fully implement new special education requirements.
Page 1 of 2
Please provide the Department with your written assurance that the Department's requirements
for corrective action will be implemented by your program within the timelines specified. Your
statement of assurance must be submitted to the Department's Onsite Chairperson by March 15,
2012.
The program must demonstrate the specific steps to be taken to come into substantial compliance
with all identified areas requiring corrective action by April 30, 2012. 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 program’s intake are
necessary at that time.
Please be advised that the attached Department Approval Certificate must be
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 Onsite Team Chairperson at 781-338-3719.
Sincerely,
Amy B. Krukonis, 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
Dr. Peter Wolff, Chairperson, Board of Directors
Encl.: Mid-cycle Review Report
Provisional Approval, Private School Approval Certificate, Expiration Date:
April 30, 2012
Page 2 of 2
MASSACHUSETTS DEPARTMENT OF
ELEMENTARY AND SECONDARY EDUCATION
PRIVATE SCHOOL MID-CYCLE REVIEW
Massachusetts Foundation for Learning Disabilities
White Oak Day Program
MID-CYCLE REVIEW REPORT
Previous Program Review Corrective Action Plan Submitted on September 15, 2009
Progress Reports Submitted on February 1, 2010
Mid-cycle Onsite Visit Conducted on February 13, 2012
Date of this Report: March 2, 2012
Massachusetts Foundation for Learning Disabilities, White Oak Day Program Mid-cycle Review Report
March 2, 2012
Page 1 of 20
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

Selected Approved Private School Program Mid-cycle Review Criteria
2.2 Approvals,
Licenses,
Certificates of
Inspection

Documentation
Observations
White Oak Day Program
submitted copies of current
licenses, approvals and
certificates of inspections.
18.04(1);
28.09(2)(b)(5);
28.09(5)(b);
28.09(6)(b, c)
2.3 EEC
Licensure
Not Applicable
White Oak is a Day Program;
therefore this criterion is not
applicable.
102 CMR 3.00
(Residential
programs
only)
Massachusetts Foundation for Learning Disabilities, White Oak Day Program Mid-cycle Review Report
March 2, 2012
Page 2 of 20
Not Applicable
Criterion
Number
and
Topic
Implementation
Status of
Requirements
or
Corrective
Action Plan
Determined
to be
Substantially
Implemented
Method(s) of
Verification

8.5 Current
IEP & Student
Roster
28.09(5)(a)
Documentation
Student Records
Interviews
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
White Oak Day
Program submitted a
current IEP and
student roster that
did not include all of
the required
elements. The roster
also did not
accurately indicate
the date of the
current IEP that the
program is and/or
should be
implementing. In
addition, all IEP’s
were not consented
to by the
parents/guardian
and/or sending
school district. In
By March 30, 2012, White
Oak Day Program must submit
a current IEP and Student
Roster to include all of the
following:
o Each student’s initials
(not name);
o The school district
responsible for
preparing the student’s
IEP;
o The agency(ies)
supporting any part of
the student’s tuition;
o The portion of tuition
supported by such
agency(ies);
o The implementation
date of the current IEP;
o The date of expiration
Massachusetts Foundation for Learning Disabilities, White Oak Day Program Mid-cycle Review Report
March 2, 2012
Page 3 of 20
Criterion
Number
and
Topic
Implementation
Status of
Requirements
or
Corrective
Action Plan
Determined
to be
Substantially
Implemented
Method(s) of
Verification

11.3
Educational
Administrator
Qualifications
28.09(5)(a);
28.09(7)(a);
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
several records the
Department
reviewed, the last
signed IEP was not
evident in the
student’s record.
for the student’s current
IEP;
o The date of parental
signature;
o The name of the school
district contact person
for each student; and
o For each unsigned IEP,
evidence/documentation
of efforts and/or steps
taken for the public
school district to obtain
signed IEPs.
By March 30, 2012, White
Oak Day Program must submit
the following:
o The name and
qualifications of the
Educational
Administrator who will

Documentation
Student Records
Interview

While White Oak
Day Program has an
Educational
Administrator who
possesses the
appropriate
qualifications to
Massachusetts Foundation for Learning Disabilities, White Oak Day Program Mid-cycle Review Report
March 2, 2012
Page 4 of 20
Criterion
Number
and
Topic
Implementation
Status of
Requirements
or
Corrective
Action Plan
Determined
to be
Substantially
Implemented

603 CMR
44.00
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
serve in this position,
interviews indicated
that while her role at
the program is to
supervise and mentor
teachers; she does
not attend IEP
meetings, and
therefore, is not able
to ensure that
services as written in
each students’ IEP
are delivered as
required.
serve in this position
and;
A copy of the updated
job description of the
Educational
Administrator which at
a minimum must
include the following:
supervision of
teachers, oversee IEP
development; attend
IEP meetings; perform
ongoing monitoring of
progress reports and
oversee
implementation of
each students’ IEP.

Massachusetts Foundation for Learning Disabilities, White Oak Day Program Mid-cycle Review Report
March 2, 2012
Page 5 of 20
o
Criterion
Number
and
Topic
Implementation
Status of
Requirements
or
Corrective
Action Plan
Determined
to be
Substantially
Implemented
Method(s) of
Verification

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
Documentation
Interviews
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
While White Oak
Day Program
submitted a current
teacher roster with
all required
elements, two
teachers remain
unlicensed and are
not on approved
waivers; five
teachers are teaching
outside of their
licensed grade level
and all required
licensing information
was not accurately
documented on the
teacher roster.
By March 30, 2012: White
Oak Day Program must submit
the following:
 Current teaching staff roster
that includes all professional
teaching staff in the private
school program and that
includes the following
information:
o The name, title and role of
each teacher in the program;
o Grade level being taught;
o Subject(s) being taught;
o Massachusetts teaching
license title, type, grade
level, number and
expiration date;
o Copy of ESE license or
most current ELAR activity
Massachusetts Foundation for Learning Disabilities, White Oak Day Program Mid-cycle Review Report
March 2, 2012
Page 6 of 20
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

sheet;
o In instances where teachers
do not hold Massachusetts
licensure for the area in
which they are employed, a
copy of a current
certification waiver is
provided or ELAR activity
sheet;
o In instances when general
education teaching staff are
providing special education
services, the name and
license of the special
educator providing
supervision; and
o Most recent date of
Professional Development
Plan for teachers with
Massachusetts Foundation for Learning Disabilities, White Oak Day Program Mid-cycle Review Report
March 2, 2012
Page 7 of 20
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

professional level licensure.
Massachusetts Foundation for Learning Disabilities, White Oak Day Program Mid-cycle Review Report
March 2, 2012
Page 8 of 20
Criterion
Number
and
Topic
Implementation
Status of
Requirements
or
Corrective
Action Plan
Determined
to be
Substantially
Implemented
Method(s) of
Verification

11.5 Related
Services Staff
28.09(7)(d)
Documentation
Interviews
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
While White Oak
employs related
service staff and
provided a
Massachusetts State
Board of
Registration for that
staff, a related
services roster with
all required elements
was not submitted as
required.
By March 30, 2012, White Oak
Day Program must submit the
following:
 A current staff roster for all
related services providers
that includes each
provider’s
o Name
o Title
o Role in the program
o ESE License number
and/or Massachusetts
State Board of
Registration number
o
Copy of ESE License
and/or
Massachusetts, State Board
of Registration.
Massachusetts Foundation for Learning Disabilities, White Oak Day Program Mid-cycle Review Report
March 2, 2012
Page 9 of 20
Criterion
Number
and
Topic
11.6 Master
Staff Roster
28.09(7)
Implementation
Status of
Requirements
or
Corrective
Action Plan
Determined
to be
Substantially
Implemented

.
Method(s) of
Verification
Documentation
Interviews
Comments Regarding
Corrective Action Plan
Implementation
At the time of the 2009
Program Review, White Oak
Day Program inaccurately
reported positions for the
Admissions Director, IT
Coordinator, Student Career
and College Advisor, as well
as the Woodshop Teacher.
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
During the Midcycle Review White
Oak Day Program
submitted a Master
Staff Roster that
does not accurately
reflect Full Time
Equivalents (FTE’s)
from the last
approved budget. In
addition, the Master
Staff Roster did not
accurately report
current licensure
status for staff.
By March 30, 2012, White
Oak Day Program must submit
the following:
 Copy of the last approved
Program Budget
 A current master staff roster
that includes each staff
person’s
o Name
o Program Job Title (define
all job titles, i.e., UFR
Program Function
Manager might be the
Education Director)
o Corresponding UFR title
number
o Licensure and/or
certification if appropriate
Massachusetts Foundation for Learning Disabilities, White Oak Day Program Mid-cycle Review Report
March 2, 2012
Page 10 of 20
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

o Full-time equivalent
(FTE)
o Qualifications (required
of all direct care workers,
including supervisors)
o All positions must be
included and indicated as
vacant when applicable.
19 Anti-Hazing
M.G.L. c. 269,
§§ 17 through
19
Documentation
Student Records
Interviews

White Oak Day
Program did not
submit copies of
student handbooks or
the disciplinary code
distributed to
students. In
addition,
documentation of
students’ receipt of a
Massachusetts Foundation for Learning Disabilities, White Oak Day Program Mid-cycle Review Report
March 2, 2012
Page 11 of 20
By March 30, 2012, White
Oak Day Program must submit
the following:
o Copies of student
handbooks or disciplinary
code distributed to students,
and
o Documentation of receipt of
a copy of the school
program's anti-hazing
Criterion
Number
and
Topic
Implementation
Status of
Requirements
or
Corrective
Action Plan
Determined
to be
Substantially
Implemented
Method(s) of
Verification

20 Bullying
Prevention and
Intervention
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) &s’
records
reviewed by
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
copy of the school
program’s antihazing disciplinary
policy was not
evident as required.
disciplinary policy approved
by the program's Board of
Director's for each of the 10
students’ the Department
reviewed onsite for the Midcycle Review.
By March 30, 2012, White
Oak Day Program must submit
a description of the process the
program followed to amend its’
student admissions
materials/handbook to include
an age-appropriate summary of
their Bullying Prevention and
Intervention Plan.

Documentation
Interviews

White Oak Day
Program did not
provide all required
documentation with
regard to their
Bullying Prevention
and Intervention
Plan.
Massachusetts Foundation for Learning Disabilities, White Oak Day Program Mid-cycle Review Report
March 2, 2012
Page 12 of 20
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
Department
(2). M.G.L. c.
71, s. 370(d)
Identified Areas of Non-Compliance from the Previous Program Review or Other Areas of Concern
8.8 IEP –
Progress
Reports
28.07(3);
34 CFR
300.320(a)(3)(i,
ii)
Student Records

At the time of the
Mid-cycle Review,
White Oak Day
Program’s progress
reports did not
reflect the progress
on each individual
goal for each
student’s
implemented IEP. In
addition, the
Department found
Massachusetts Foundation for Learning Disabilities, White Oak Day Program Mid-cycle Review Report
March 2, 2012
Page 13 of 20
By March 30, 2012, White
Oak Day Program must submit
the following:
o Copies of most recent
quarter ending
progress reports for the
10 student records the
Department reviewed
onsite for the Midcycle Review; and
o Copies of dated
notification to the
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

that some student
progress reports
were based on
unsigned IEP’s and
discrepancies were
found with the dates
written and the dates
of notification to the
parents, school
district and/or
agencies who
received the progress
reports.
10.2 Age
Range
28.06(6)(f, g)

Further Corrective Action
Ordered by the
Department of Elementary
and Secondary Education
and Timelines for
Implementation and Further
Progress Reporting
Documentation
At the time of the Program
Review, the Department found
evidence of two classrooms
that exceeded the 48 month
timeframe and had not
requested any waivers at that
time.
Massachusetts Foundation for Learning Disabilities, White Oak Day Program Mid-cycle Review Report
March 2, 2012
Page 14 of 20
parents’, school
districts and/or
agencies who receive
the progress reports
that correspond to the
10 student records the
Department reviewed
onsite for the Midcycle Review.
Not Applicable
Criterion
Number
and
Topic
Implementation
Status of
Requirements
or
Corrective
Action Plan
Determined
to be
Substantially
Implemented
Method(s) of
Verification
Comments Regarding
Corrective Action Plan
Implementation

12.2 In-Service
Training Plan
and Calendar
28.09(7)(f);
28.09(9)(b);
28.09(10);
18.03(3);
18.05(9)(e)(1);

Corrective
Action Plan
Determined
to be Not
Fully
Implemented
or
Additional
Issues
Identified
Findings Regarding
Incomplete
Implementation of
Approved
Corrective Action
Plan or
Identification of
Additional Issues of
Noncompliance
Further Corrective Action
Ordered by the
Department of Elementary
and Secondary Education
and Timelines for
Implementation and Further
Progress Reporting

Documentation
White Oak Day Program now
submitted block schedules for
every classroom and requests
for 2 Alternate Compliance
Waivers that were applicable
to their current instructional
groupings which now indicate
all instructional groupings are
within the required age range.
At the time of the 2009
Program Review, White Oak
Day Program had submitted a
copy of the registered nurse’s
application to the Department
of Public Health to train
unlicensed staff to administer
medication.
For the Mid-cycle Review
Massachusetts Foundation for Learning Disabilities, White Oak Day Program Mid-cycle Review Report
March 2, 2012
Page 15 of 20
Not Applicable
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

18.05(10);
18.05(11)(h)
Title VI: 42
U.S.C. 2000d;
34 CFR 100.3;
EEOA: 20
U.S.C. 1703(f);
Title IX: 20
U.S.C. 1681;
34 CFR
106.31-106.42;
M.G.L. c. 76,
§ 5; 603 CMR
26.00, esp.
26.07(2, 3)
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

White Oak Day Program
submitted documentation of
unlicensed staff that are
trained to administer
medication during times the
nurse is not available to the
program.
Massachusetts Foundation for Learning Disabilities, White Oak Day Program Mid-cycle Review Report
March 2, 2012
Page 16 of 20
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
Student Records
At the time of the Program
Review, student record review
indicated that White Oak Day
Program did not require
parents to sign emergency
medical treatment consents
annually.

15.5 Parent
Consent and
Required
Notification
18.05(5)(c);
18.05(8);
18.05(9)(f)(1);
18.05 (9)(j);
M.G.L. c. 71, §
32A
16.7
Preventive
Health Care
18.05(9)(g)(1);
Corrective
Action Plan
Determined
to be Not
Fully
Implemented
or
Additional
Issues
Identified


White Oak Day Program then
submitted a copy of its 20092010 emergency medical
treatment form that would be
distributed at the beginning of
each academic year.
Student Records

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
While student record
review during the
Mid-cycle Review
revealed that White
Oak Day Program
now obtains
emergency medical
treatment consents
annually, the
Department found
evidence that
restraint consents are
not obtained
annually as required.
By March 30, 2012, White
Oak Day Program must submit
a sample of the annually
required consents that are
distributed at the beginning of
each academic year for the
upcoming 2012-2013 school
year.
At the time of the
Mid-cycle Review,
evidence of vision,
hearing and postural
screenings were not
By March 30, 2012, White
Oak Day Program must submit
the following:
o A current chart of all
currently enrolled
Massachusetts Foundation for Learning Disabilities, White Oak Day Program Mid-cycle Review Report
March 2, 2012
Page 17 of 20
Criterion
Number
and
Topic
Implementation
Status of
Requirements
or
Corrective
Action Plan
Determined
to be
Substantially
Implemented

105 CMR
200.100(B)(1);
105 CMR
200.400(B);
105 CMR
200.400(C);
G.L. c. 71, §
57; and
G.L. c. 111, §
111
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
found by the
Department in 6 out
of 10 student records
reviewed.
Massachusetts
students’ that includes
the date of the last
preventive health care
screenings (vision,
hearing and postural);
if N/A due to the age
of the student, White
Oak must indicate so
on the chart.
A current chart of all
currently enrolled
Massachusetts students
that includes the dates
of teach student’s last
physical and dental
exam.
If a physical or dental
exam is not current,
White Oak must

o
o
Massachusetts Foundation for Learning Disabilities, White Oak Day Program Mid-cycle Review Report
March 2, 2012
Page 18 of 20
Criterion
Number
and
Topic
Implementation
Status of
Requirements
or
Corrective
Action Plan
Determined
to be
Substantially
Implemented
Method(s) of
Verification

18.1
Confidentiality
of Student
Records
28.09(5)(a);
28.09(10);
23.07(1);
M.G.L. c. 71, §
34H
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

Student Records

White Oak Day
Program maintains
the medical records
separate from the
actual student record.
A separate log of
access was not
evident for such
records onsite as
required.
Massachusetts Foundation for Learning Disabilities, White Oak Day Program Mid-cycle Review Report
March 2, 2012
Page 19 of 20
provide evidence of
attempts the program
made to obtain such
documentation.
By March 30, 2012, White
Oak Day Program must submit
a copy of a log of access
specific to the medical records
to include the following
required elements:
o The name,
position and
signature of the
person releasing
the information;
the name, position
and, if a third
party, the
affiliation if any,
of the person who
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

is to receive the
information;
o
o
o
Massachusetts Foundation for Learning Disabilities, White Oak Day Program Mid-cycle Review Report
March 2, 2012
Page 20 of 20
The date of
access;
The parts of the
record to which
access was
obtained; and
The purpose of
such access.
Commonwealth of Massachusetts
Department of Elementary and Secondary
Education
Massachusetts Foundation for Learning Disabilities
White Oak Day Program
A PRIVATE SPECIAL EDUCATION PROGRAM OPERATED PURSUANT TO
603 CMR 18.00 AND 28.09
533 North Road Westfield, MA 01085
Program Rate Based on: 92 Students
Approved Enrollment: 92 Students
Day Program
Summer Program
Residential Program
10 month program
11 month program
12 month program
APPROVED STUDENT:LICENSED EDUCATOR RATIO: 8:1
APPROVED STUDENT:LICENSED EDUCATOR:AIDE RATIO: Not Applicable
APPROVAL STATUS
PROVISIONAL
Expires on: April 30, 2012
The current approval is a result of a Mid-cycle Review conducted in the 2011-2012 school year
and the next review is scheduled for the 2014-2015 school year.
AMY B. KRUKONIS, EDUCATIONAL SPECIALIST, PROGRAM QUALITY ASSURANCE
SERVICES
NINA M. MARCHESE, SUPERVISOR, PROGRAM QUALITY ASSURANCE SERVICES
DARLENE A. LYNCH, DIRECTOR, PROGRAM QUALITY ASSURANCE SERVICES
DATE
ISSUED:
03/02/12