The Commonwealth of Massachusetts
Department of Education
350 Main Street, Malden, Massachusetts 02148-5023
Telephone: (781) 338-3700
TTY: N.E.T. Relay 1-800-439-2370
February 10, 2005
Mr. James Bertram
Executive Director
Massasoit School
6 Columbian Street
Braintree, MA 02184
Re:
Onsite Follow-up Monitoring Report: Program Review Corrective Action Plan
Verification and Mid-cycle Review
Dear Mr. Bertram:
Enclosed is the Department's Program Review Follow-up Monitoring Report together with
findings regarding your private school’s Mid-Cycle Program Review. This report contains the
Department's findings based on the onsite activities conducted in your school to verify the
implementation status and effectiveness of corrective steps taken in response to your Program
Review Report issued on April 24, 2002. This report also includes a report on the status of
implementation for new state or federal special education requirements enacted since your
school’s last Program Review.
We are pleased to indicate that the Department of Education has found your school’s approved
Corrective Action Plan to be substantially implemented and effective in remedying previously
identified noncompliance issues. Additionally, we have determined that your school is in
substantial compliance with any new state or federal special education requirements enacted
since your last Program Review. The findings of the Department are included in the attached
Follow-up Monitoring Report. You and your entire staff are to be congratulated for your efforts
in implementing all necessary improvements. Your private school will now receive an updated
status of “Full Approval.” This approval shall remain in effect for three (3) years from the date of
this letter and attached approval certificate. This approval 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 of Education
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 school’s next regularly scheduled Program Review
several months before it is to occur. At this time we anticipate the Department's next routine
monitoring visit to occur sometime during the school year 2007-08, unless the Department
determines that there is some reason to schedule this visit earlier.
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 781-338-3711.
Sincerely,
Nina M. Marchese, M.Ed., Program Review Follow-up Chairperson
Program Quality Assurance Services
John D. Stager, Administrator
Program Quality Assurance Services
c:
David P. Driscoll, Commissioner of Education
Joseph Collins, Chairperson, Board of Directors
Jane Beckler, Local Program Review Coordinator
Encl.: Follow-up Monitoring Report
MASSACHUSETTS DEPARTMENT OF EDUCATION
PROGRAM REVIEW
MASSASOIT SCHOOL
ONSITE VERIFICATION OF CORRECTIVE ACTION PLAN IMPLEMENTATION
AND/OR IDENTIFICATION OF ADDITIONAL FINDINGS REQUIRING CORRECTIVE ACTION
Onsite Visit Conducted on January 12-14, 2005
Date of this Report February 10, 2005
Criterion
Number
and
Topic
Implementation Status of
Requirements
or
Corrective
Action Plan
Determined to
be Substantially
Implemented
Method(s) of
Verification
Comments Regarding
Corrective Action Plan
Implementation

1.3
Program’s
Curriculum
28.09(9)

Corrective
Action Plan
Determined
to be Not
Fully
Implemented or
Additional
Issues
Identified

Documentation
Interviews
Massasoit School provides a
description of the program’s
curriculum and general types
of staff qualifications that
have been established to meet
all special education and
related services included in
students’ Individualized
Education Programs. The
plan also includes
opportunities for students to
participate in daily
recreational and leisure
activities that are appropriate
to the ages, interests and needs
Findings Regarding
Incomplete
Implementation of
Approved
Corrective Action
Plan or
Identification of
Additional Issues of
Noncompliance
Further Corrective Action
Ordered by the
Department of Education
and Timelines for
Implementation and
Further Progress Reporting
Criterion
Number
and
Topic
Implementation Status of
Requirements
or
Corrective
Action Plan
Determined to
be Substantially
Implemented
Method(s) of
Verification
Comments Regarding
Corrective Action Plan
Implementation


of the students.
2.2
Approvals,
Licenses,
Certificates of
Inspection
28.09 (2)(b)4-5
28.09(5)
28.09(6)
18.04(1)
102 CMR 3.06
(4)(b)

Corrective
Action Plan
Determined
to be Not
Fully
Implemented or
Additional
Issues
Identified
Documentation
Observation
Massasoit School maintains
all current licenses, approvals
and certificates of inspection
by state and local agencies in a
place available for public and
employee review. The safety
and PCB inspections are now
available for review by
employees and the public.
The building occupancy
inspection expired on 1/5/05;
however, Massasoit has
submitted their payment and is
waiting for the town to
complete the inspection.
A copy of the building
occupancy to be submitted to
the Department by 3/15/05.
2
Findings Regarding
Incomplete
Implementation of
Approved
Corrective Action
Plan or
Identification of
Additional Issues of
Noncompliance
Further Corrective Action
Ordered by the
Department of 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

2.3
OCCS Licensure
(Not Applicable
to Day Schools)
3.1
Policies and
Procedures
Manual

Not
Applicable

Corrective
Action Plan
Determined
to be Not
Fully
Implemented or
Additional
Issues
Identified
Documentation
Interviews
Massasoit School maintains a
policies and procedures
manual on site that includes
all required policies. The
policies and procedures from
Massasoit have been updated
to reflect the current state
regulations at 603 CMR 18.00
and 603 CMR 28.00.
Massasoit now provides
written notice to parents of
enrolled students that policies
and procedures are available
upon request.
3
Findings Regarding
Incomplete
Implementation of
Approved
Corrective Action
Plan or
Identification of
Additional Issues of
Noncompliance
Further Corrective Action
Ordered by the
Department of Education
and Timelines for
Implementation and
Further Progress Reporting
Criterion
Number
and
Topic
3.2
Health Care
Manual
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

Documentation
Interviews
Massasoit School maintains a
written and current health care
policies and procedures
manual that contains all
required health-related
policies and procedures as
described in 603 CMR 28.00
and 603 CMR 18.00. The
policy on first aid supplies, no
smoking and toileting
procedures are now included,
as is the name and contact
information for the consultant
physician and emergency
contact information. This
manual is approved by a
health care consultant.
4
Findings Regarding
Incomplete
Implementation of
Approved
Corrective Action
Plan or
Identification of
Additional Issues of
Noncompliance
Further Corrective Action
Ordered by the
Department of Education
and Timelines for
Implementation and
Further Progress Reporting
Criterion
Number
and
Topic
4.4
Advanced Notice
of Program/
Facility Change
28.09(5)(c)
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

Documentation
Interviews
Massasoit School has not had
any substantial change to the
program or physical plant that
required written notification to
the Department to obtain
approval. Massasoit School
administrators are aware of
this requirement and will
provide notification as
necessary.
5
Findings Regarding
Incomplete
Implementation of
Approved
Corrective Action
Plan or
Identification of
Additional Issues of
Noncompliance
Further Corrective Action
Ordered by the
Department of Education
and Timelines for
Implementation and
Further Progress Reporting
Criterion
Number
and
Topic
4.5
Immediate
Notification
18.03(10)
18.05(7)
28.09(12)
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

Documentation
Interviews
Student
Records
Massasoit School provides
immediate notification to the
parent, the public school
district special education
administrator, any State
Agency involved in the
student care or placement and
the Department of Education
for all required serious
incidents. Appropriate
documentation is maintained
in the student records.
6
Findings Regarding
Incomplete
Implementation of
Approved
Corrective Action
Plan or
Identification of
Additional Issues of
Noncompliance
Further Corrective Action
Ordered by the
Department of Education
and Timelines for
Implementation and
Further Progress Reporting
Criterion
Number
and
Topic
5.1
Student
Admissions
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

Documentation
Student
Records
Massasoit School develops
and implements written
admissions criteria policies
and procedures that now
include providing policies and
procedures to the student (if
appropriate), parents and
sending school district before
the admission, and all required
consents are obtained from the
parent/guardian at the time of
admission.
7
Findings Regarding
Incomplete
Implementation of
Approved
Corrective Action
Plan or
Identification of
Additional Issues of
Noncompliance
Further Corrective Action
Ordered by the
Department of Education
and Timelines for
Implementation and
Further Progress Reporting
Criterion
Number
and
Topic
5.3
Contents of
Coordination and
Collaboration
with Public
School Districts
28.06(2-3)
28.07(5)
28.09(9)(c)&(d)
28.09(2)(b)7
Federal
Regulations:
300.349
and
300.400-401
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

Documentation
Interviews
Massasoit School has policies
and procedures that describe
the roles and responsibilities
of all staff as well as the
general communication and
collaboration procedures
including the admissions
process, executing contracts
with placing school districts,
written progress reports,
student-related developments
involving students’ behavioral
plans, preparations for
students approaching or
reaching ages 14, 16 and 18,
later education, and adult life,
consistent with IDEA
“transition” requirements and
state-of-age majority law and
school district monitoring of
student progress.
8
Findings Regarding
Incomplete
Implementation of
Approved
Corrective Action
Plan or
Identification of
Additional Issues of
Noncompliance
Further Corrective Action
Ordered by the
Department of Education
and Timelines for
Implementation and
Further Progress Reporting
Criterion
Number
and
Topic
6.1
Daily
Instructional
Hours
603 C.M.R.
27.00
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

Documentation
Interviews
Massasoit School provides an
average annual minimum of
five hours per school day for
elementary aged students and
five and a half hours per
school day for secondary aged
students.
6.4
School Days per
Year
28.09(9)

Documentation
Interviews
Massasoit School is an elevenmonth school program and is
in session 202 school days
while the requirement is for
198 school days.
7.1
Curriculum
Frameworks
28.09(9)(b)

Documentation
Interviews
Massasoit School has aligned
its curriculum with the
Massachusetts Curriculum
Frameworks.
9
Findings Regarding
Incomplete
Implementation of
Approved
Corrective Action
Plan or
Identification of
Additional Issues of
Noncompliance
Further Corrective Action
Ordered by the
Department of Education
and Timelines for
Implementation and
Further Progress Reporting
Criterion
Number
and
Topic
7.2
Staff Training
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

Documentation
Interviews
Massasoit School ensures,
through staff training, that all
staff including nonprofessional staff have an
understanding and knowledge
of the general curriculum
expectations and learning
standards of the Massachusetts
Curriculum Frameworks and
incorporates such knowledge
into the school’s educational
program.
10
Findings Regarding
Incomplete
Implementation of
Approved
Corrective Action
Plan or
Identification of
Additional Issues of
Noncompliance
Further Corrective Action
Ordered by the
Department of Education
and Timelines for
Implementation and
Further Progress Reporting
Criterion
Number
and
Topic
7.3
State/District
Wide
Assessments
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

Documentation
Interviews
Student
Records
Massasoit School has written
procedures that outline how
students will participate in
state and/or district wide
assessments. In addition,
Massasoit School now ensures
that all students’ IEP’s include
information describing how
Massasoit will provide for
MCAS testing
accommodations and/or
administer an alternate
assessment, when required.
11
Findings Regarding
Incomplete
Implementation of
Approved
Corrective Action
Plan or
Identification of
Additional Issues of
Noncompliance
Further Corrective Action
Ordered by the
Department of Education
and Timelines for
Implementation and
Further Progress Reporting
Criterion
Number
and
Topic
8.5
Current IEP &
Student Roster
28.09
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

Documentation
Interviews
Student
Records
Massasoit School has on file a
current IEP for each enrolled
Massachusetts student that has
been issued by the responsible
public school district and
consented to by the student’s
parent(s) (or student in
applicable situations) for each
student enrolled in the school.
Massasoit still implements a
system called the Client
Resolution System (CRS) that
is an IEP template that
includes all elements of the
IEP. With Team agreement,
the public school can issue the
IEP’s from CRS.
12
Findings Regarding
Incomplete
Implementation of
Approved
Corrective Action
Plan or
Identification of
Additional Issues of
Noncompliance
Further Corrective Action
Ordered by the
Department of Education
and Timelines for
Implementation and
Further Progress Reporting
Criterion
Number
and
Topic
8.7
IEP
Implementation
Implementation Status of
Requirements
or
Corrective
Action Plan
Determined to
be Substantially
Implemented



8.8
IEP – Progress
Reports
Method(s) of
Verification
Comments Regarding
Corrective Action Plan
Implementation
Corrective
Action Plan
Determined
to be Not
Fully
Implemented or
Additional
Issues
Identified

Documentation
Interviews
Student
Records
Massasoit School implements
all services on student IEP’s.
All students now have service
delivery pages included as part
of their IEP.
Documentation
Interviews
Student
Records
Massasoit School sends
quarterly progress reports to
the parents and public school.
Massasoit staff now ensures
that the progress reports
address the student’s progress
towards each IEP goal and
document whether or not the
student is expected to achieve
the goal by the end of the year.
Massasoit maintains copies of
such reports in student
records, including
documentation of persons or
agencies receiving such
reports.
13
Findings Regarding
Incomplete
Implementation of
Approved
Corrective Action
Plan or
Identification of
Additional Issues of
Noncompliance
Further Corrective Action
Ordered by the
Department of Education
and Timelines for
Implementation and
Further Progress Reporting
Criterion
Number
and
Topic
8.9
IEP- Less
Restrictive
Placement
28.09(9(c)
9.1
Policies and
Procedures
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

Documentation
Interviews
Massasoit School has a written
plan that ensures that there are
flexible procedures and
mechanisms that maximize
opportunities for enrolled
students to gain the capacity to
return to a less restrictive
educational program.
Documentation
Interviews
Massasoit School has a
comprehensive set of policies
and procedures dealing with
discipline and behavior
management. Observations
and interviews during the
Mid-Cycle review indicated
that these procedures are now
implemented consistently
among all staff.
14
Findings Regarding
Incomplete
Implementation of
Approved
Corrective Action
Plan or
Identification of
Additional Issues of
Noncompliance
Further Corrective Action
Ordered by the
Department of Education
and Timelines for
Implementation and
Further Progress Reporting
Criterion
Number
and
Topic
9.3
Runaway
Students
9.4
Restraints
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

Documentation
Interviews
Massasoit School revised the
policy on runaway students
that now appropriately
addresses the needs and
requirements of procedures to
follow for students under the
age of 18 who leave the school
without permission.
Documentation
Interviews
Massasoit School has updated
their restraint policy that is in
accordance with 603 CMR
46.00. Massasoit School
recently clarified “extended
restraint” for reporting
requirements so it is clear that
all staff are able to follow the
same reporting procedures.
15
Findings Regarding
Incomplete
Implementation of
Approved
Corrective Action
Plan or
Identification of
Additional Issues of
Noncompliance
Further Corrective Action
Ordered by the
Department of Education
and Timelines for
Implementation and
Further Progress Reporting
Criterion
Number
and
Topic
9.5
3-5 Day
Suspensions
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

Documentation
Interviews
Student
Records
Massasoit School has updated
its policy on 3-5 day
suspensions to meet the
requirements of 603 CMR
18.05(6).
9.6
10+ Day
Suspensions

Documentation
Interviews
Massasoit School has updated
its policy on 10+ day
suspensions to meet the
requirements of 34 CFR
500.519-529.
9.7
Terminations

Documentation
Interviews
Student
Records
Massasoit School has updated
its written termination policy
to meet the requirements of
603 CMR 18.05(7) and 603
CMR 28.09(12)(b). Massasoit
now has one policy that
addresses planned and
emergency terminations for
students.
16
Findings Regarding
Incomplete
Implementation of
Approved
Corrective Action
Plan or
Identification of
Additional Issues of
Noncompliance
Further Corrective Action
Ordered by the
Department of Education
and Timelines for
Implementation and
Further Progress Reporting
Criterion
Number
and
Topic
10.1
Student:
Teacher Ratios
28.06(6)(d)&(g)
28.09(7)(e)
10.4
Student: Child
Care Ratios
28.09(7)
18.01(2)
11.1
Personnel
Policies
28.09(7)
28.09(11)(a)
18.05(11)
Implementation Status of
Requirements
or
Corrective
Action Plan
Determined to
be Substantially
Implemented


Method(s) of
Verification
Comments Regarding
Corrective Action Plan
Implementation

Documentation
Interviews
Massasoit School now has
teachers who are appropriately
certified or on approved
waivers issued by the
Department of Education, so
student: teacher ratios are
appropriately maintained.
Documentation
Interviews
Massasoit School has written
personnel policies and
procedures that meet the
requirements of 603 CMR
28.09(7), 603 CMR
28.09(11)(a) and 603 CMR
18.05(11).
Not
Applicable

Corrective
Action Plan
Determined
to be Not
Fully
Implemented or
Additional
Issues
Identified
17
Findings Regarding
Incomplete
Implementation of
Approved
Corrective Action
Plan or
Identification of
Additional Issues of
Noncompliance
Further Corrective Action
Ordered by the
Department of Education
and Timelines for
Implementation and
Further Progress Reporting
Criterion
Number
and
Topic
11.3
Educational
Administrator
Qualifications
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

Documentation
Interviews
Massasoit School has had a
vacancy in the Educational
Administrator position for
approximately one year.
Although the responsibilities
of this position are being
appropriately managed
through other administrators,
the Department is requiring
Massasoit School to send
progress reports to the
Department by the first of the
following months: April,
August and December that
shows what efforts have been
made to fill this position.
Documentation must include advertisements placed, dates,
number of applicants,
resumes, interviews held,
whether the position was
offered and other critical data
that provides a clear
understanding of the entire
18
interview and hiring process.
Findings Regarding
Incomplete
Implementation of
Approved
Corrective Action
Plan or
Identification of
Additional Issues of
Noncompliance
Further Corrective Action
Ordered by the
Department of Education
and Timelines for
Implementation and
Further Progress Reporting
Criterion
Number
and
Topic
Implementation Status of
Requirements
or
Corrective
Action Plan
Determined to
be Substantially
Implemented
Method(s) of
Verification
Comments Regarding
Corrective Action Plan
Implementation

11.4
Teachers
Special
Education
Teachers and
Regular
Education
Teachers
28.09(7)(b)(c)
18.05(11)(f)
11.5
Related Services
Staff
28.09(7)(d)
Corrective
Action Plan
Determined
to be Not
Fully
Implemented or
Additional
Issues
Identified


Documentation
Interviews
Massasoit School ensures that
all teaching staff are
appropriately certified or on
approved waivers issued by
the Department of Education.
Professional development
plans are now included in
personnel records of staff and
approved by his/her
supervisor.

Documentation
Interviews
Massasoit School now
implements the Wilson
reading program for students
as documented on their IEP’s.
The teacher who provides this
service is appropriately
certified as a Wilson
instructor.
19
Findings Regarding
Incomplete
Implementation of
Approved
Corrective Action
Plan or
Identification of
Additional Issues of
Noncompliance
Further Corrective Action
Ordered by the
Department of Education
and Timelines for
Implementation and
Further Progress Reporting
Criterion
Number
and
Topic
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
Comments Regarding
Corrective Action Plan
Implementation
Corrective
Action Plan
Determined
to be Not
Fully
Implemented or
Additional
Issues
Identified

Documentation
Interviews
Massasoit School maintains a
master list of all staff for every
position within the program
that includes the person’s job
title together with their
corresponding UFR title
numbers and full-time
equivalents (FTE’s).
Massasoit School must ensure
that the master staff roster
includes only FTE’s for staff
employed by Massasoit
School and does not include
positions and FTE’s that are
reported under Granite
Academy.
20
Findings Regarding
Incomplete
Implementation of
Approved
Corrective Action
Plan or
Identification of
Additional Issues of
Noncompliance
Further Corrective Action
Ordered by the
Department of Education
and Timelines for
Implementation and
Further Progress Reporting
Criterion
Number
and
Topic
11.9
Organizational
Structure
28.09(7)
28.07(c)
Implementation Status of
Requirements
or
Corrective
Action Plan
Determined to
be Substantially
Implemented



12.1
Staff Orientation
Method(s) of
Verification
Comments Regarding
Corrective Action Plan
Implementation
Corrective
Action Plan
Determined
to be Not
Fully
Implemented or
Additional
Issues
Identified

Documentation
Interviews
Massasoit School
demonstrates that its
organizational structure
provides for the effective and
efficient operation of the
school, supervision of school
staff and supervision of
students.
Documentation
Interviews
Massasoit School now has a
written plan to ensure that
newly hired staff are provided
training on all required topics
at the time of hire and that
staff are not assigned direct
care responsibilities with
students until they have
participated in all mandated
trainings through the
orientation program.
21
Findings Regarding
Incomplete
Implementation of
Approved
Corrective Action
Plan or
Identification of
Additional Issues of
Noncompliance
Further Corrective Action
Ordered by the
Department of Education
and Timelines for
Implementation and
Further Progress Reporting
Criterion
Number
and
Topic
12.2
Annual InService Training
Plan and
Calendar
28.09(7)(f)
18.05(11)(h)
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

Documentation
Interviews
Massasoit School develops
and implements a written plan
for staff orientation and
training that is consistent with
the needs of the student
population, appropriate to the
role of each staff member and
provides, on average, at least
two (2) hours per month of
relevant training for all staff.
Massasoit School ensures that
all staff receive training on all
required in-service training
topics including medication
administration, transportation
safety, evacuation policies and
emergency procedures,
restraint procedures and
curriculum alignment with the
Massachusetts Curriculum
Frameworks.
22
Findings Regarding
Incomplete
Implementation of
Approved
Corrective Action
Plan or
Identification of
Additional Issues of
Noncompliance
Further Corrective Action
Ordered by the
Department of Education
and Timelines for
Implementation and
Further Progress Reporting
Criterion
Number
and
Topic
12.2(a)
Behavior
Management and
Restraint
Training
28.09(11)
18.05(5)
12.2 (b)
Child Abuse
Reporting
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

Documentation
Interviews
Massasoit School ensures that
behavior management and
restraint training meet the state
requirements and that staff are
appropriately trained.
Documentation
Interviews
Massasoit School updated its
written procedures on child
abuse reporting. The policy is
now clear that all staff are
mandated reporters and that
administrators are available to
provide support to staff if such
a report needs to be filed,
however, colleagues and
administrators are not able to
screen out filings of child
abuse reporting on behalf of
another staff member.
23
Findings Regarding
Incomplete
Implementation of
Approved
Corrective Action
Plan or
Identification of
Additional Issues of
Noncompliance
Further Corrective Action
Ordered by the
Department of Education
and Timelines for
Implementation and
Further Progress Reporting
Criterion
Number
and
Topic
12.2 (d)
Medication
Training
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

Documentation
Interviews
Massasoit School now ensures
that all staff receive training
on medication, including
potential side effects.
12.2 (f)
Emergency
Procedures
Training

Documentation
Interviews
Massasoit School ensures that
the written fire logs of
evacuation drills detail the
names of students, staff and
witnesses who participated in
the evacuation drill.
12.2 (i)
Staff Evaluations

Documentation
Interviews
Personnel
Records
Massasoit School now has
procedures in place to ensure
that personnel are evaluated
annually.
24
Findings Regarding
Incomplete
Implementation of
Approved
Corrective Action
Plan or
Identification of
Additional Issues of
Noncompliance
Further Corrective Action
Ordered by the
Department of Education
and Timelines for
Implementation and
Further Progress Reporting
Criterion
Number
and
Topic
15.1
Parental
Involvement and
Parents’
Advisory Group
18.05(4)(a)
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

Documentation
Interviews
Massasoit School has
documented its efforts to
encourage and stimulate
parental involvement. They
consistently offer at least two
meetings each year to
encourage parental
involvement pertaining to the
education, health and safety of
the students.
25
Findings Regarding
Incomplete
Implementation of
Approved
Corrective Action
Plan or
Identification of
Additional Issues of
Noncompliance
Further Corrective Action
Ordered by the
Department of Education
and Timelines for
Implementation and
Further Progress Reporting
Criterion
Number
and
Topic
Implementation Status of
Requirements
or
Corrective
Action Plan
Determined to
be Substantially
Implemented


15.4
Parent Consent
16.6
Administration
of Antipsychotic
Medications

Method(s) of
Verification
Comments Regarding
Corrective Action Plan
Implementation
Corrective
Action Plan
Determined
to be Not
Fully
Implemented or
Additional
Issues
Identified

Documentation
Interviews
Student
Records
Massasoit School recently
updated their policy on
parental consent. Massasoit
School now requests parental
consent on all required
consents at the Team meeting
each year. Massasoit has
been documenting efforts
made to obtain consents in
student records. Massasoit
School also now has
procedures that will be
followed when consent is not
obtained on an annual basis.
Documentation
Interviews
Massasoit School has updated
its policy on the
administration of
antipsychotic medication that
addresses all requirements in
one policy.
26
Findings Regarding
Incomplete
Implementation of
Approved
Corrective Action
Plan or
Identification of
Additional Issues of
Noncompliance
Further Corrective Action
Ordered by the
Department of Education
and Timelines for
Implementation and
Further Progress Reporting
Criterion
Number
and
Topic
16.7
Preventive
Health Care
16.8
Receipt of
Medical
Treatment –
Religious Beliefs
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

Documentation
Interviews
Massasoit School has updated
its policy on the preventive
healthcare of students that
meets the requirements under
603 CMR 18.05(9)(f)(9)(h).
Documentation
Interviews
Massasoit School provided its
policy that in the absence of
an emergency epidemic or
disease declared by the
Massachusetts Department of
Public Health (DPH), the
receipt of medical treatment is
not required when the parents
object on the grounds that
such treatment conflicts with a
religious belief.
27
Findings Regarding
Incomplete
Implementation of
Approved
Corrective Action
Plan or
Identification of
Additional Issues of
Noncompliance
Further Corrective Action
Ordered by the
Department of Education
and Timelines for
Implementation and
Further Progress Reporting
Criterion
Number
and
Topic
17.1
Transportation
Safety
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

Documentation
Interviews
Massasoit School has
transportation procedures that
ensure vehicles are safe,
insured and operated by
qualified and trained
individuals and that students
are transported in a safe
manner that is responsive to
individual student’s needs and
provisions of their IEP’s.
Massasoit School now also
ensures that all staff receive
training in transportation
safety.
28
Findings Regarding
Incomplete
Implementation of
Approved
Corrective Action
Plan or
Identification of
Additional Issues of
Noncompliance
Further Corrective Action
Ordered by the
Department of Education
and Timelines for
Implementation and
Further Progress Reporting
Criterion
Number
and
Topic
18.2
Student Records
28.09(10)
MGL c. 71, s.
34H
603 CMR 23.00
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

Documentation
Interviews
Student
Records
Massasoit School now ensures
that all face sheets meet the
requirements; including
having a recent picture that is
dated and ensuring that all
elements of the face sheet are
complete.
Family
Educational
Rights and
Privacy Act
(FERPA)
29
Findings Regarding
Incomplete
Implementation of
Approved
Corrective Action
Plan or
Identification of
Additional Issues of
Noncompliance
Further Corrective Action
Ordered by the
Department of Education
and Timelines for
Implementation and
Further Progress Reporting