Massachusetts Department of Elementary and Secondary Education

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Massachusetts Department of
Elementary and Secondary Education
75 Pleasant Street, Malden, Massachusetts 02148-4906
Telephone: (781) 338-3700
TTY: N.E.T. Relay 1-800-439-2370
December 6, 2012
Elizabeth Folcarelli, Executive Director
Youth Opportunities Upheld, Inc.
Day and Cottage Hill Academy Residential Programs
81 Plantation Street
Worcester, MA 01604
Re:
Mid-cycle Review and Verification of previous Program Review Corrective Action Plan
Dear Ms. Folcarelli:
Enclosed is the Department of Elementary and Secondary Education’s (“Department”) Midcycle Report based upon the Mid-cycle review conducted in your private school programs in
November, 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 September 1, 2010. This report also includes a
report on the status of implementation for new state or federal special education requirements
enacted since your programs last Program Review.
We are pleased to indicate that the Department has found your programs approved Corrective
Action Plan to be substantially implemented and effective in remedying previously identified
noncompliance issues. Additionally, we have determined that your programs are 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 program’s next regularly scheduled Program Review
Page 1 of 2
several months before it is to occur. At this time we anticipate the next routine monitoring visit
to occur sometime during the 2015-2016 school year, unless the Department determines that
there is some reason to schedule this visit earlier.
Please be advised that the attached Department Approval Certificate must be
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
Michael Keegan, Chairperson, Board of Directors
Kristin Mayotte, Local Program Review Coordinator
Encl.: Mid-cycle Review Report
Full Private School Approval Certificate, Expiration Date: August 31, 2016
Page 2 of 2
MASSACHUSETTS DEPARTMENT OF
ELEMENTARY AND SECONDARY EDUCATION
PRIVATE SCHOOL MID-CYCLE REVIEW
Youth Opportunities Upheld, Inc.
Day Program
Cottage Hill Academy Residential Program
MID-CYCLE REVIEW REPORT
Previous Program Review Corrective Action Plan Submitted on October 4, 2010
Progress Reports Submitted on December 15, 2010; January 18, 2011; April 19, 2011
Mid-cycle Onsite Visit Conducted on November 27-28, 2012
Date of this Report: December 6, 2012
Youth Opportunities Upheld, Inc., Day and Cottage Hill Residential Programs, Mid-cycle Review Report
December 6, 2012
Page 1 of 11
Criterion
Number
and
Topic
Implementation
Status of
Requirements
or
Corrective
Action Plan
Determined
to be
Substantially
Implemented
Method(s) of
Verification
Comments Regarding
Corrective Action Plan
Implementation

Corrective
Action Plan
Determined
to be Not
Fully
Implemented
or
Additional
Issues
Identified
Findings Regarding
Incomplete
Implementation of
Approved Corrective
Action Plan or
Identification of
Additional Issues of
Noncompliance

Selected Approved Private School Program Mid-cycle Review Criteria
2.2 Approvals,
Licenses,
Certificates of
Inspection
18.04(1);
28.09(2)(b)(5);
28.09(5) (b);
28.09(6) (b, c)

Documentation
Youth Opportunities Upheld,
Inc. (“YOU, Inc.”) day and
residential programs have
current licenses, approvals and
certificates of inspection by
state and local agencies as
required.
2.3 EEC
Licensure
102 CMR 3.00
(Residential
Programs
only)

Documentation
YOU, Inc.’s Cottage Hill
Academy Residential Program
has a current, full license from
the Department of Early
Education and Care as
required.
Youth Opportunities Upheld, Inc., Day and Cottage Hill Residential Programs, Mid-cycle Review Report
December 6, 2012
Page 2 of 11
Further Corrective Action
Ordered by the
Department of Elementary
and Secondary Education
and Timelines for
Implementation and
Further Progress
Reporting
Criterion
Number
and
Topic
6.1 Daily
Instructional
Hours
603 CMR
27.04
&
6.4 School
Days Per Year
Implementation
Status of
Requirements
or
Corrective
Action Plan
Determined
to be
Substantially
Implemented


Method(s) of
Verification
Comments Regarding
Corrective Action Plan
Implementation
Documentation
YOU, Inc. day and residential
programs submitted
documentation that verifies the
required number of school
days and the required number
of instructional hours are being
offered to all students.
Documentation
Student Record
Review
Interviews
YOU, Inc. day and residential
programs have current IEP’s
for each enrolled
Massachusetts student that
have been issued by the
responsible public school
district and consented to and
Corrective
Action Plan
Determined
to be Not
Fully
Implemented
or
Additional
Issues
Identified
Findings Regarding
Incomplete
Implementation of
Approved Corrective
Action Plan or
Identification of
Additional Issues of
Noncompliance

603 CMR
27.05(2);
28.09(9)(a)
8.5 Current
IEP & Student
Roster
28.09(5)(a)

Youth Opportunities Upheld, Inc., Day and Cottage Hill Residential Programs, Mid-cycle Review Report
December 6, 2012
Page 3 of 11
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

11.3
Educational
Administrator
Qualifications
28.09(5)(a);
28.09(7)(a);
603 CMR
44.00

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

Documentation
Interviews
dated by the student’s
parent(s) as required.
YOU, Inc. day and residential
programs have a designated
Educational Administrator
who possesses the required
qualifications to serve in this
position.
Youth Opportunities Upheld, Inc., Day and Cottage Hill Residential Programs, Mid-cycle Review Report
December 6, 2012
Page 4 of 11
Further Corrective Action
Ordered by the
Department of Elementary
and Secondary Education
and Timelines for
Implementation and
Further Progress
Reporting
Criterion
Number
and
Topic
11.4 Teachers
(Special
Education
Teachers and
Regular
Education
Teachers)
Implementation
Status of
Requirements
or
Corrective
Action Plan
Determined
to be
Substantially
Implemented


Method(s) of
Verification
28.09(7)(d)

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
Interviews
18.05(11)(f);
28.09(5)(a);
28.09(7)(b, c);
34 CFR
300.321
11.5 Related
Services Staff
Comments Regarding
Corrective Action Plan
Implementation
Documentation
At the time of the 2010
Program Review, one teacher
at the YOU, Inc. Cottage Hill
Residential Program was not
appropriately licensed as a
special educator.
YOU, Inc. day and residential
programs now have teachers
who are appropriately licensed
or on approved waivers in
grade and subject areas as
required, which are
appropriate to meet the needs
of the student population.
At the time of the 2010
Program Review,
documentation review
indicated two clinicians at the
YOU, Inc. Cottage Hill
Youth Opportunities Upheld, Inc., Day and Cottage Hill Residential Programs, Mid-cycle Review Report
December 6, 2012
Page 5 of 11
.
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

Residential Program were not
licensed by the Massachusetts
State Board of Registration as
required. In addition, three
clinicians in the day program
were not licensed by the
Massachusetts State Board of
Registration as required.
11.6 Master
Staff Roster
28.09(7)

Documentation
YOU, Inc. day and residential
programs now have
appropriately certified,
licensed or registered related
services staff as required.
YOU, Inc. day and residential
programs maintain a Master
Staff Roster which includes all
staff positions within the
program and that corresponds
to the last approved Program
Youth Opportunities Upheld, Inc., Day and Cottage Hill Residential Programs, Mid-cycle Review Report
December 6, 2012
Page 6 of 11
Further Corrective Action
Ordered by the
Department of Elementary
and Secondary Education
and Timelines for
Implementation and
Further Progress
Reporting
Criterion
Number
and
Topic
Implementation
Status of
Requirements
or
Corrective
Action Plan
Determined
to be
Substantially
Implemented
Method(s) of
Verification
Comments Regarding
Corrective Action Plan
Implementation

Corrective
Action Plan
Determined
to be Not
Fully
Implemented
or
Additional
Issues
Identified
Findings Regarding
Incomplete
Implementation of
Approved Corrective
Action Plan or
Identification of
Additional Issues of
Noncompliance

Budget as required.
19 Anti-Hazing

Documentation
Student Record
Review

Documentation
Interviews
M.G.L. c. 269,
§§ 17 through
19
20 Bullying
Prevention and
Intervention
M.G.L. c. 71, s.
YOU, Inc. day and residential
programs submitted copies of
student handbooks distributed
to students and documented
students’ receipt of a copy of
the school program’s antihazing disciplinary policy
approved by the program’s
Board of Directors for every
secondary age student enrolled
full-time, and every student
group, and/or student team as
required.
YOU, Inc. day and residential
programs submitted a
description of how it amended
its student admissions
materials/handbook to contain
Youth Opportunities Upheld, Inc., Day and Cottage Hill Residential Programs, Mid-cycle Review Report
December 6, 2012
Page 7 of 11
Further Corrective Action
Ordered by the
Department of Elementary
and Secondary Education
and Timelines for
Implementation and
Further Progress
Reporting
Criterion
Number
and
Topic
Implementation
Status of
Requirements
or
Corrective
Action Plan
Determined
to be
Substantially
Implemented
Method(s) of
Verification
Comments Regarding
Corrective Action Plan
Implementation

Corrective
Action Plan
Determined
to be Not
Fully
Implemented
or
Additional
Issues
Identified
Findings Regarding
Incomplete
Implementation of
Approved Corrective
Action Plan or
Identification of
Additional Issues of
Noncompliance
Further Corrective Action
Ordered by the
Department of Elementary
and Secondary Education
and Timelines for
Implementation and
Further Progress
Reporting

an age-appropriate summary
of its Bullying Prevention and
Intervention Plan; a
description of how it was
distributed; and a description
of the professional
development plan developed
by the program for all staff and
provided evidence of its
implementation including
dates, format used, and sign-in
sheets indicating staff
attendance.
37H, as
amended by
Chapter 92 of
the Acts of
2010. M.G.L.
c. 71, s.
37O(e)(1) &
(2). M.G.L. c.
71, s. 370(d).
Identified Areas of Non-Compliance from the 2009-2010 Program Review or Other Areas of Concern
8.8 IEP –
Progress

Student Record
Review
At the time of the 2010
Program Review, a review of
Youth Opportunities Upheld, Inc., Day and Cottage Hill Residential Programs, Mid-cycle Review Report
December 6, 2012
Page 8 of 11
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

9.1(a) Student
Separation
Resulting from

Findings Regarding
Incomplete
Implementation of
Approved Corrective
Action Plan or
Identification of
Additional Issues of
Noncompliance

Interviews
Reports
28.07(3);
34 CFR
300.320(a)
(3)(i, ii)
Corrective
Action Plan
Determined
to be Not
Fully
Implemented
or
Additional
Issues
Identified
Documentation
Student Record
Review
student records indicated
progress reports did not always
include information on the
student’s progress toward the
annual goals and benchmarks
in the IEP.
During the Mid-cycle Review,
a review of student records
and interviews indicate that
progress reports at YOU, Inc.
day and residential programs
now include information on
the student’s progress toward
the annual goals and
benchmarks in the IEP as
required.
At the time of the 2010
Program Review,
documentation review
Youth Opportunities Upheld, Inc., Day and Cottage Hill Residential Programs, Mid-cycle Review Report
December 6, 2012
Page 9 of 11
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

18.05(5)(i);
18.05(6, 7);
46.02(5)(b)
12.1 New Staff
Orientation
and Training

Findings Regarding
Incomplete
Implementation of
Approved Corrective
Action Plan or
Identification of
Additional Issues of
Noncompliance

Interviews
Behavior
Management
Corrective
Action Plan
Determined
to be Not
Fully
Implemented
or
Additional
Issues
Identified
Staff Record
Review
Interviews
indicated that the logs used to
track time out-of-class did not
include who approved a
student being out-of-class in a
“processing room” over 30
minutes and who monitored
the student during these times.
During the Mid-cycle Review,
documentation, student record
review and interviews indicate
time out logs now include who
approved a student being out
of class for over 30 minutes
and who monitored the student
during these times as required.
At the time of the 2010
Program Review, the
Department was unable to
verify through staff record
Youth Opportunities Upheld, Inc., Day and Cottage Hill Residential Programs, Mid-cycle Review Report
December 6, 2012
Page 10 of 11
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

18.05(11)(g, i);
28.09(7)(f)
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

reviews that all new staff
received the required trainings
prior to being assigned direct
care duties with students.
During the Mid-cycle Review,
staff record review and
interviews indicate at YOU,
Inc. day and residential
programs a tracking system
specific to new staff
orientation is in place to
ensure that all new staff
receive the required trainings
prior to being assigned direct
care duties with students.
Staff record review indicated
that the trainings are also
documented in all new staff
records.
Youth Opportunities Upheld, Inc., Day and Cottage Hill Residential Programs, Mid-cycle Review Report
December 6, 2012
Page 11 of 11
Further Corrective Action
Ordered by the
Department of Elementary
and Secondary Education
and Timelines for
Implementation and
Further Progress
Reporting
Commonwealth of Massachusetts
Department of Elementary and Secondary
Education
YOUTH OPPORTUNITIES UPHELD, INC.
Day Program
A PRIVATE SPECIAL EDUCATION PROGRAM OPERATED PURSUANT TO
603 CMR 18.00 AND 28.09
130 Elm Street, Millbury, MA 01527
Program Rate Based on: 54 Students
Approved Enrollment: 35 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
Full
Expires on: August 31, 2016
The current approval is a result of a Mid-cycle Review conducted in the 2012-2013 school year
and the next review is scheduled for the 2015-2016 school year.
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:
12/06/2012
Commonwealth of Massachusetts
Department of Elementary and Secondary
Education
YOUTH OPPORTUNITIES UPHELD, INC.
Cottage Hill Residential Program
A PRIVATE SPECIAL EDUCATION PROGRAM OPERATED PURSUANT TO
603 CMR 18.00 AND 28.09
83 Hospital Road, Baldwinville, MA 01436
Program Rate Based on: 19 Students
Approved Enrollment: 19 Students
Day Program
Summer Program
Residential Program
10 month program
11 month program
12 month program
APPROVED STUDENT:LICENSED EDUCATOR RATIO: 6:1
APPROVED STUDENT:LICENSED EDUCATOR:AIDE RATIO: Not Applicable
APPROVAL STATUS
Full
Expires on: August 31, 2016
The current approval is a result of a Mid-cycle Review conducted in the 2012-2013 school year
and the next review is scheduled for the 2015-2016 school year.
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:
12/06/2012
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