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 1, 2013
Kim Pare
Executive Director
McAuley Nazareth Home for Boys, Inc.
77 Mulberry Street
Leicester, MA 01524
Re:
Mid-cycle Review and Verification of previous Program Review Corrective Action Plan
A - Day Program
B - Residential Program
Dear Ms. Pare:
Enclosed is the Department of Elementary and Secondary Education’s (“Department”) Midcycle Review Report based upon the Mid-cycle Review conducted in your private school
programs in September 2013. Because the Department determined that not all requirements
were found to be fully implemented during the 2011 Program Review for the Residential
Program, this Mid-cycle Review Report includes the Department's findings regarding the
implementation status and effectiveness of corrective steps taken in response to your previous
Program Review Report, as well as a report on the status of selected Mid-cycle Review criteria
and the implementation of 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. You will find the 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. Please provide the Department with your
written assurance that the Department’s requirements for corrective action will be implemented
by your programs within the timelines specified. Your statement of assurance must be submitted
to the Department’s Onsite chairperson by October 11, 2013.
We are pleased to indicate that the Department has found the Residential Program’s approved
Corrective Action Plan to be substantially implemented and effective in remedying previously
identified noncompliance issues. While further progress reporting is required, we have
determined that your Residential 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 programs 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 programs’ 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 2016-2017 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
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.
Sincerely,
Amy 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
Encl.: Mid-cycle Review Report
Full Approval Certificate, Expiration Date: August 31, 2017
Day Program
Residential Program
Page 2 of 2
MID-CYCLE REVIEW REPORT
McAuley Nazareth Home for Boys, Inc.
MCR Onsite Date: 09/24/2013
Programs under review for the agency:
A - Day Program
B - Residential Program
Mitchell D. Chester, Ed.D.
Commissioner of Elementary and Secondary Education
MID-CYCLE REVIEW REPORT
PS Criterion #1.2 - Program & Student Description, Program Capacity
Rating:
Implemented
Applies To:
B - McAuley Nazareth Residential Program
Basis for Findings:
At the time of the 2011 Program Review, documentation review of the residential program
description did not address how pre-vocational, vocational and career education were
implemented for the described student population.
In the Mid-cycle Review, a review of documentation and interviews indicated that the program
description addressed how pre-vocational, vocational and career education were
implemented for their student population.
PS Criterion #1.2 - Program & Student Description, Program Capacity
Rating:
Not Applicable
Applies To:
A - McAuley Nazareth Day Program
Basis for Findings:
This was not a 2011 Program Review finding, therefore this criterion is not applicable in the
Mid-cycle Review for this program.
PS Criterion #2.2 - Approvals, Licenses, Certificates of Inspection
Rating:
Implemented
Applies To:
All
Basis for Findings:
A review of documentation indicated that there were current approvals, licenses and
certificates of inspection for all buildings used by the students.
Massachusetts Department of Elementary & Secondary Education – Program Quality Assurance Services
McAuley Nazareth Home for Boys, Inc. Mid-cycle Review Report - October 1, 2013
Page 2 of 9
PS Criterion #2.3 - EEC Licensure (Residential Programs Only)
Rating:
Implemented
Applies To:
B - McAuley Nazareth Residential Program
Basis for Findings:
A review of documentation indicated that there was a current license from the Department of
Early Education and Care for all residential facilities.
PS Criterion #2.3 - EEC Licensure (Residential Programs Only)
Rating:
Not Applicable
Applies To:
A - McAuley Nazareth Day Program
Basis for Findings:
This program is a day program, therefore this criterion is not applicable.
PS Criterion #4.4 - Advance Notice of Proposed Program/Facility Change
Rating:
Not Implemented
Applies To:
All
Basis for Findings:
A review of documentation and interviews indicated each program was operating with at least
a 10% decrease in enrollment and notification 15 working days prior to such a change was
not provided to the Department as required.
Department Order of Corrective Action:
The Educational Administrator must ensure that the required prior approval of the Department
is obtained for proposed changes that effect the educational programs. The programs must
immediately address the submission of any necessary Form 1's.
Required Elements of Progress Reports:
McAuley Nazareth Day Program and Residential Program must submit Form 1s and all of the
related Form 1 required documentation for the 10% decrease in each program.
Progress Report Due Date(s):
11/12/2013
PS Criterion #6.1 - Daily Instructional Hours
Rating:
Implemented
Applies To:
All
Basis for Findings:
A review of documentation indicated that all students were scheduled to receive the required
number of instructional hours.
Massachusetts Department of Elementary & Secondary Education – Program Quality Assurance Services
McAuley Nazareth Home for Boys, Inc. Mid-cycle Review Report - October 1, 2013
Page 3 of 9
PS Criterion #6.4 - School Days Per Year
Rating:
Implemented
Applies To:
All
Basis for Findings:
A review of documentation indicated that the required number of school days was offered to
all students.
PS Criterion #8.5 - Current IEP & Student Roster
Rating:
Implemented
Applies To:
All
Basis for Findings:
A review of documentation and student records indicated that there was a current IEP for
each enrolled Massachusetts student that had been issued by the responsible public school
district and consented to by the student's parent or student, when applicable, or
documentation indicating the program's efforts to obtain such.
PS Criterion #11.3 - Educational Administrator Qualifications
Rating:
Implemented
Applies To:
All
Basis for Findings:
A review of documentation indicated that the Educational Administrator possessed the
required qualifications to serve in this position.
PS Criterion #11.4 - Teachers (Special Education Teachers and Regular
Education Teachers)
Rating:
Implemented
Applies To:
All
Basis for Findings:
A review of documentation indicated that the teaching staff were appropriately licensed or had
been granted an appropriate waiver for the 2013-14 school year.
Massachusetts Department of Elementary & Secondary Education – Program Quality Assurance Services
McAuley Nazareth Home for Boys, Inc. Mid-cycle Review Report - October 1, 2013
Page 4 of 9
PS Criterion #11.5 - Related Services Staff
Rating:
Implemented
Applies To:
All
Basis for Findings:
A review of documentation indicated that the staff providing or supervising the provision of
related services were appropriately certified, licensed or registered in their professional areas.
PS Criterion #11.6 - Master Staff Roster
Rating:
Partially Implemented
Applies To:
All
Basis for Findings:
A review of documentation and interviews indicated the following for each program: position
titles did not reflect how the programs were operating; positions indicated on the master staff
roster differed from the last approved program budgets; and justifications for any
discrepancies from the last approved budgets were not indicated.
Department Order of Corrective Action:
Each program must ensure that there is a master staff roster that includes each staff person
and the following: corresponding UFR#s; UFR titles; full time equivalents (FTEs); position title;
vacancies and justification for any discrepancies from the last approved budget.
Required Elements of Progress Reports:
Each program must submit a revised master staff roster that includes all required elements,
all staff positions and provides justification for any discrepancy from the last approved budget.
Progress Report Due Date(s):
11/12/2013
PS Criterion #11.12 - Equal Access
Rating:
Implemented
Applies To:
All
Basis for Findings:
A review of documentation and staff interviews indicated that all students were provided with
equal access to services, facilities, activities and benefits regardless of race, color, sex,
gender identity, religion, national origin, sexual orientation, disability or homelessness.
Massachusetts Department of Elementary & Secondary Education – Program Quality Assurance Services
McAuley Nazareth Home for Boys, Inc. Mid-cycle Review Report - October 1, 2013
Page 5 of 9
PS Criterion #12.2 - In-Service Training Plan and Calendar
Rating:
Implemented
Applies To:
B - McAuley Nazareth Residential Program
Basis for Findings:
At the time of the 2011 Program Review, a review of staff records indicated that not all staff
were provided an average of 2 hours of in-service training per month.
In the Mid-cycle Review, a review of staff records now indicated staff are provided an average
of at least 2 hours of training each month.
PS Criterion #12.2 - In-Service Training Plan and Calendar
Rating:
Not Applicable
Applies To:
A - McAuley Nazareth Day Program
Basis for Findings:
This was not a 2011 Program Review finding, therefore this criterion is not applicable in the
Mid-cycle Review for this program.
PS Criterion #19 - Anti-Hazing
Rating:
Not Applicable
Applies To:
All
Basis for Findings:
A review of documentation indicated that these programs are not approved to serve
secondary-age students and the programs did not have student groups, student teams or
student organizations, therefore this criterion is not applicable.
Massachusetts Department of Elementary & Secondary Education – Program Quality Assurance Services
McAuley Nazareth Home for Boys, Inc. Mid-cycle Review Report - October 1, 2013
Page 6 of 9
PS Criterion #20 - Bullying Prevention and Intervention
Rating:
Partially Implemented
Applies To:
All
Basis for Findings:
A review of documentation and interviews indicated that each year the programs did not give
parents and guardians annual written notice of the student-related sections of the local
Bullying Prevention and Intervention Plan.
Department Order of Corrective Action:
The programs must ensure that all requirements of the Bullying Prevention and Intervention
Plan are implemented.
Required Elements of Progress Reports:
The programs must submit a description of how this year it will give parents and guardians
written notice of the student-related sections of the local Bullying Prevention and Intervention
Plan and how it will do that annually thereafter.
Progress Report Due Date(s):
11/12/2013
Massachusetts Department of Elementary & Secondary Education – Program Quality Assurance Services
McAuley Nazareth Home for Boys, Inc. Mid-cycle Review Report - October 1, 2013
Page 7 of 9