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
November 22, 2006
Audrey Macmillan, Program Director
Protestant Guild, Inc.
The Learning Center
411 Waverly Oaks Road
Waltham, MA 02452
Re:
Onsite Follow-up Monitoring Report: Program Review Corrective Action Plan
Verification and Mid-cycle Review
Dear Ms. Macmillan:
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 November 15, 2004. 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.
While the Department of Education found most 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 May 22, 2007. The reasons for the “Provisional Approval” are clearly indicated
on the attached Corrective Action Plan Implementation Checklist.
As the Department previously informed you, in cases where a private school fails to fully and
effectively implement a Corrective Action Plan which was proposed by your school and
approved by the Department, the Department must then prepare a Corrective Action Plan for the
school 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 school to fully implement new special education requirements.
The Protestant Guild Learning Center Program Review Mid-cycle Report
November 22, 2006
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 private school within the timelines specified.
Your statement of assurance must be submitted to the Department's Onsite Chairperson by
December 8, 2006.
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 781-338-3746.
Sincerely,
Kevin Bobetich, Program Review Follow-up Chairperson
Program Quality Assurance Services
Darlene Lynch, Director
Program Quality Assurance Services
c:
David P. Driscoll, Commissioner of Education
Nina Marchese, Supervisor
Encl.: Follow-up Monitoring Report
Provisional Approval Private School Approval Certificate, Expiration Date: May 22,
2007
2
MASSACHUSETTS DEPARTMENT OF EDUCATION
PRIVATE SCHOOL MID-CYCLE PROGRAM REVIEW
Protestant Guild, Inc.
The Learning Center Day and Residential Programs
ONSITE VERIFICATION OF CORRECTIVE ACTION PLAN IMPLEMENTATION
AND/OR IDENTIFICATION OF ADDITIONAL FINDINGS REQUIRING CORRECTIVE ACTION
Action Plan Submitted on February 8, 2005
Progress Reports Submitted on August 30, 2005, and October 26, 2005
Onsite Visit Conducted on October 10, 2006
Date of this Report November 22, 2006
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 (NOW 7.1)
Program’s
Curriculum
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

See 7.1

Documentation
review

Documentation
review
The Learning Center has
current approvals, licenses,
and certificates of inspection
28.09(9)
2.2
Approvals,
Licenses,
The Protestant Guild Learning Center Program Review Mid-cycle Report
November 22, 2006
Page 1 of 21
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


Certificates of
Inspection
28.09 (2)(b)4-5
28.09(5)
28.09(6)
18.04(1)
for the day and residential
programs as required.
102 CMR 3.06
(4)(b)
2.3
DEEC
Licensure (Not
Applicable to
Day Schools)
3.2
Health Care
Manual
Corrective
Action Plan
Determined
to be Not
Fully
Implemented or
Additional
Issues
Identified

Documentation
review
The Learning Center
residential program has a
current full license from the
Department of Early
Education and Care for all
seven residences.

Documentation
review
The Learning Center has a
complete health care manual,
which has been approved by a
licensed physician.
18.05 (9)(d)
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

4.4
Advanced
Notice of
Program/
Facility Change
28.09(5)(c)
4.5
Immediate
Notification
18.03(10)
18.05(7)
28.09(12)
Corrective
Action Plan
Determined
to be Not
Fully
Implemented or
Additional
Issues
Identified


Documentation
review
The Learning Center has
developed and implements
procedures for notifying the
Department of all substantial
changes to the school.

Documentation
review,
Interviews
A review of form 2’s and
interviews with staff revealed
that the Learning Center now
notifies the Department of all
required incidents including
the hospitalization of a student
for any physical injury at
school or any previously
unidentified illness, as well as
any accidents or disorders that
occur while the student is
enrolled in the program.
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
Implementation Status of
Requirements
or
Corrective
Action Plan
Determined to
be Substantially
Implemented
Method(s) of
Verification
Comments Regarding
Corrective Action Plan
Implementation

5.2
(Formerly 5.3)
Policies and
Procedures for
Coordination/
Collaboration
with Public
School Districts
&
Content
requirements
policies/procedures for
Coordination/
Collaboration
with Public
School Districts

Corrective
Action Plan
Determined
to be Not
Fully
Implemented or
Additional
Issues
Identified

Documentation
review,
Student record
review
The Learning Center has
policies and procedures for
coordination and collaboration
with Public School Districts,
which have been approved by
the Department. The Learning
Center now has current
contracts for each student as
required.
28.06(2-3)
28.09(9)(c)&(d)
28.09(2)(b)7
Federal
Regulations:
300.349 and
300.400-.401
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
Implementation Status of
Requirements
or
Corrective
Action Plan
Determined to
be Substantially
Implemented
Method(s) of
Verification
Comments Regarding
Corrective Action Plan
Implementation

6.1
Daily
Instructional
Hours


Documentation
review
The Learning Center provides
an average of at least five and
a half hours of instruction
each school day for all
students.

Documentation
review
The Learning Center has a
policy and procedure for
verifying any hours a student
works during the school day.

Documentation
review,
Interviews
The Learning Center does
accept students of
kindergarten age but they do
not set a separate school year
and school day.
603 C.M.R.
27.00
6.2
School-to-work
(Instructional
hours)
603 CMR
27.02, 27.04
6.3
Kindergarten
(Instructional
hours)
Corrective
Action Plan
Determined
to be Not
Fully
Implemented or
Additional
Issues
Identified
603 CMR
27.03(5)
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
Implementation Status of
Requirements
or
Corrective
Action Plan
Determined to
be Substantially
Implemented
Method(s) of
Verification
Comments Regarding
Corrective Action Plan
Implementation

6.4
School Days per
Year


Documentation
review
The Learning Center has
submitted a school calendar
that includes a minimum of
216 school days per year as
required.
Documentation
review,
Interviews
The Learning Center policy
states that it does not release
high school seniors from
school prior to the end of the
school year.
Documentation
review,
Interviews,
Student record
review,
Personnel
record review
The Learning Center has taken
steps to provide all students
with essential learning
opportunities to prepare them
to reach the state graduation
standards. The Learning
Center utilizes a curriculum
called the Functional
Assessment and Curriculum
Tool (FACT), which is
utilized by teaching staff to
develop lessons and is updated
regularly.
28.09(9)
6.5
Early Release of
High School
Seniors
Not Applicable
603 CMR 27.05
7.1
Curriculum
Frameworks
28.09(9)(b)

Corrective
Action Plan
Determined
to be Not
Fully
Implemented or
Additional
Issues
Identified
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
Implementation Status of
Requirements
or
Corrective
Action Plan
Determined to
be Substantially
Implemented
Method(s) of
Verification
Comments Regarding
Corrective Action Plan
Implementation

7.3
State/District
Wide
Assessments


Documentation
review
The Learning Center has a
policy and procedure for
administering state/district
wide assessments. The
Learning Center has provided
a list of all students scheduled
to take the MCAS.

Documentation
review
The Learning Center has a
current IEP and student roster
for all students that includes
all required elements.
Documentation
review,
Student record
review
The Learning Center now has
a system in place for ensuring
appropriate parties receive
copies of IEP progress reports.
Progress reports are also
maintained in each student’s
record, and include the date
sent.
28.09(9)(d)
8.4
Current IEP &
Student Roster
28.09
8.8
IEPProgress reports
28.07(3)
20 U.S.C.
Chapter 33,
Section
1414(d)(1)(A)(v
iii)

Corrective
Action Plan
Determined
to be Not
Fully
Implemented or
Additional
Issues
Identified
IDEA
Regulations
300.347
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
Implementation Status of
Requirements
or
Corrective
Action Plan
Determined to
be Substantially
Implemented
Method(s) of
Verification
Comments Regarding
Corrective Action Plan
Implementation

8.9
IEP- Revisions
and Changes

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 Education
and Timelines for
Implementation and Further
Progress Reporting

Documentation
review
The Learning Center has a
complete policy and procedure
for IEP revisions and changes.
Documentation
review,
Interviews
The Learning Center ensures
that instructional groupings do
not exceed 8 students to one
certified teacher without and
aide.
34 CFR 300
10.1
Student:
Teacher Ratios
28.06(6)(d)&(g)
28.09(7)(e)
10.2
Age Range
Documentation
review,
Interviews


28.06(6)(f)
8
Interviews and a review of
the documentation
revealed that the student
teacher ratios varied
significantly from class to
class.
The Learning Center must
document how ratios are
determined throughout all
classes by January 15, 2007.
Based on interviews and
documentation review, the
Learning Center continues
to have instructional
groupings that exceed
forty-eight months in
seven out of twelve
classrooms and has not
obtained a waiver to
exceed the age span
requirements.
The Learning Center must
submit a plan to ensure
compliance with an age span
that does not exceed 48 months
in all classes by January 15,
2007.
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

28.09(7)
18.01(2)
11.1
Personnel
Policies


Documentation
review
The Learning Center
continues to have a written
personnel policy and
procedure manual that
includes all required elements.

Documentation
review
The Learning Center has an
Educational Administrator
who is appropriately qualified
and ensures that the services
specified in each student’s IEP
are delivered.
28.09(7)
28.09(11)(a)
18.05(11)
11.3
Educational
Administrator
Qualifications
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

Documentation
review,
Interviews
10.4
Student: Child
Care Ratios
Corrective
Action Plan
Determined
to be Not
Fully
Implemented or
Additional
Issues
Identified
28.09(7)(a)
603 CMR
44.00 and 44.04
9
A review of the
documentation revealed
that the student: child care
ratios varied significantly
from residence to
residence.
The Learning Center must
document how ratios are
determined throughout all
residences by January 15,
2007.
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

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 Education
and Timelines for
Implementation and Further
Progress Reporting
Not all Learning Center
staff have a teaching
license appropriate to
meet the needs of the
specialized population of
the school. Although most
of the teachers have a
teaching license in
education and are enrolled
in programs to obtain
licensure in special
education they are not
currently on approved
DOE waivers to educate
students with special
needs. Additionally, the
Education Director is
ensuring that all students
receive the instruction
outlined in their IEPs.
The Learning Center must
update the Department of the
progress toward hiring
appropriately licensed teaching
staff on March 1, 2007, and
July 1, 2007.

Documentation
review

28.09(7)(b)(c)
18.05(11)(f)
10
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
review
All current teaching staff at
The Learning Center hold
initial licenses, and therefore
do not require a professional
development plan.

Documentation
review,
Interviews
The Learning Center related
services staff are appropriately
licensed or registered by their
respective state boards or
professional associations.
11.6
Master Staff
Roster

Documentation
review,
Interviews
The Learning Center has
submitted a Master Staff
Roster which includes all
positions.
28.09(7)
11.7
Job
Descriptions
18.05(11)(d)

Documentation
review,
Interviews
The Learning Center
maintains job descriptions for
all staff.
11.4(a)
Professional
Development
Plans
28.09(7)(b)(c)
18.05(11)(f)
11.5
Related
Services Staff
Corrective
Action Plan
Determined
to be Not
Fully
Implemented or
Additional
Issues
Identified
28.09(7)(d)
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
Implementation Status of
Requirements
or
Corrective
Action Plan
Determined to
be Substantially
Implemented
Method(s) of
Verification
Comments Regarding
Corrective Action Plan
Implementation

11.8
Salary Ranges


Documentation
review
The Learning Center
submitted salary ranges for all
staff positions.

Documentation
review,
Interviews
The Learning Center
submitted an organizational
chart and a description of the
lines of staff supervision
within the school.

Documentation
review,
Observations
The Learning Center has
developed guidelines for the
supervision of all students
within the school and the
community appropriate for the
student population.
18.05(11)(e)
11.9
Organizational
Structure
28.09(7)
28.07(c)
11.11
Supervision of
Students
28.09(7)
Corrective
Action Plan
Determined
to be Not
Fully
Implemented or
Additional
Issues
Identified
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
Implementation Status of
Requirements
or
Corrective
Action Plan
Determined to
be Substantially
Implemented
Method(s) of
Verification
Comments Regarding
Corrective Action Plan
Implementation

11.12
Accessibility of
Extracurricular
Activities

Corrective
Action Plan
Determined
to be Not
Fully
Implemented or
Additional
Issues
Identified

Documentation
review,
Interviews
The Learning Center provides
equal opportunity for all
students to participate in
intramural and interscholastic
sports.
Title VI: 42
U.S.C. 2000d;
34 CFR
100.3(a), (b);
Title IX: 20
U.S.C. 1681; 34
CFR 106.31,
106.41; Section
504: 29 U.S.C.
794; 34 CFR
104.4,104.37(a)
, (c); Title II: 42
U.S.C. 12132;
28 CFR 35.130;
NCLB: Title X,
Part C, Sec.
721; Mass.
Const. amend.
art 114; M.G.L.
c. 76, s. 5; 603
CMR 26.06
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
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
Annual InService
Training Plan
and Calendar
Corrective
Action Plan
Determined
to be Not
Fully
Implemented or
Additional
Issues
Identified
Further Corrective Action
Ordered by the
Department of Education
and Timelines for
Implementation and Further
Progress Reporting

Personnel
record review,
Documentation
review

28.09(7)(f)
18.05(11)(h)
12.2(i)
Staff
Evaluations
Findings Regarding
Incomplete
Implementation of
Approved Corrective
Action Plan or
Identification of
Additional Issues of
Noncompliance
Personnel
record review,
Interviews

18.05(11)(c)1.
14
Personnel record review
revealed that not all staff
receive all of the required
annual trainings, and parttime staff are receiving
only half the required
number of hours of annual
training. This includes
curriculum frameworks
training for residential
staff.
The Learning Center must
identify any current staff that
have not received the required
annual trainings and provide
them with all trainings by
March 1, 2007.
Personnel record review
and staff interviews
revealed that The
Learning Center has not
consistently evaluated all
staff on an annual basis as
stated in their personnel
policy.
The Learning Center must
develop a plan to ensure that all
staff have received an annual
evaluation according to the
school’s policy and submit it to
the Department by January 15,
2007.
The Learning Center must
submit a chart to the
Department that shows all staff
has received retraining by
April 1, 2007.
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

13.1
Educational
Facilities and
Materials
28.09(8)

Corrective
Action Plan
Determined
to be Not
Fully
Implemented or
Additional
Issues
Identified

Interviews,
Documentation
review,
Observations
The Learning Center has
increased the availability of
computers available for staff
and student use. There are
now computers in every
classroom and in common
areas for staff use. The school
constructed a Media Lab,
which accommodates ten
individual computers.
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
Implementation Status of
Requirements
or
Corrective
Action Plan
Determined to
be Substantially
Implemented
Method(s) of
Verification
Comments Regarding
Corrective Action Plan
Implementation

13.3
Comparability
of Facilities

Corrective
Action Plan
Determined
to be Not
Fully
Implemented or
Additional
Issues
Identified

Interviews,
Observations,
Documentation
review
The Learning Center facilities
are comparable for all
students.
Title VI: 42
U.S.C. 2000d;
34 CFR
100.3(b)(2);
Title IX: 20
U.S.C. 1681; 34
CFR
106.33,106.40(
b)(3); Section
504: 29 U.S.C.
794; 34 CFR
104.34(c);
Mass. Const.
amend. art. 114;
603 CMR
28.03(1)(b)
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
Implementation Status of
Requirements
or
Corrective
Action Plan
Determined to
be Substantially
Implemented
Method(s) of
Verification
Comments Regarding
Corrective Action Plan
Implementation

13.7
(Formerly
13.6)
Library/
Resource Room

Corrective
Action Plan
Determined
to be Not
Fully
Implemented or
Additional
Issues
Identified

Interviews,
Observations,
Documentation
review
The Learning Center now has
a library with educational
materials appropriate to the
ages, interests and needs of
students.
18.04(6)(b)
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
Implementation Status of
Requirements
or
Corrective
Action Plan
Determined to
be Substantially
Implemented
Method(s) of
Verification
Comments Regarding
Corrective Action Plan
Implementation

15.1
Parental
Involvement
and Parents’
Advisory Group


Interviews,
Documentation
review
The Learning Center has a
Parents’ Advisory Group that
advises the school on the
education, health, and safety
of the students.

Interviews,
Documentation
review
The Learning Center has
provided copies of translated
announcements and notices.
The Learning Center has a
person responsible for
monitoring and distribution of
translated documents.
18.05(4)(a)
15.3
Information to
be translated
into Languages
other than
English
Corrective
Action Plan
Determined
to be Not
Fully
Implemented or
Additional
Issues
Identified
Title VI;
EEOA: 20
U.S.C. 1703(f);
M.G.L. c. 76, s.
5; 603 CMR
26.02(2)
18
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

15.5
Parent Consent
28.07(1)(b)

Corrective
Action Plan
Determined
to be Not
Fully
Implemented or
Additional
Issues
Identified

Interviews,
Student record
review
The Learning Center has
signed consents for all
students which include
emergency medical care,
medications, restraints,
publicity, research, and
evaluation, field trips, and
in coordination with
responsible school districts,
the Parental Notification Law
pursuant to Chapter 71,
Section 32A concerning
curriculum that primarily
involves human sexual
education or human sexuality
issues in the student file which
are obtained annually.
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
Implementation Status of
Requirements
or
Corrective
Action Plan
Determined to
be Substantially
Implemented
Method(s) of
Verification
Comments Regarding
Corrective Action Plan
Implementation

15.8
Registering
Complaints


Documentation
review
The Learning Center has an
approved policy for registering
complaints and grievances.

Documentation
review
The Learning Center has an
approved policy and
procedure for Meningococcal
Disease and Vaccination.
18.05(1)(b)16
Title IX: 20
U.S.C. 1681; 34
CFR 106.8;
Section 504: 29
U.S.C. 794; 34
CFR 104.7;
Title II: 42
U.S.C. 12132;
28 CFR 35.107;
NCLB: Title X,
Part C, Sec.
722(g)(1)(J)(ii)
16.10
Meningococcal
Disease and
Vaccination
Corrective
Action Plan
Determined
to be Not
Fully
Implemented or
Additional
Issues
Identified
MGL, Chapter
76, s.15D
105 CMR
220.700
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
Implementation Status of
Requirements
or
Corrective
Action Plan
Determined to
be Substantially
Implemented
Method(s) of
Verification
Comments Regarding
Corrective Action Plan
Implementation

18.2
Student Records
28.09(10)
MGL c. 71, s.
34H
603 CMR 23.00

Corrective
Action Plan
Determined
to be Not
Fully
Implemented or
Additional
Issues
Identified

Student record
review
The Learning Center
maintains students records that
meet all state and federal
regulations.
Family
Educational
Rights and
Privacy Act
(FERPA)
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