School: _____________________________________________________ Completed by: _______________________________________________ ITEM DELIVERABLE COMMENTS COMPLETED (date and initialed) Governance and Management Management contract, if applicable, has been fully executed by education corporation Board of Trustees (“Board”) and management entity. Copy of management contract signed by representatives of management entity and A permanent head of the school has been Written notice that the head of the school has been named within five (5) days of the hire date Staffing The number of teachers is adequate and their assignments match the staffing plan. Copy of complete staff roster including teaching assignments by grade level or specialty for all teachers No more than the maximum number of non-certified teachers have been hired ((lesser of 5 or 30% of teachers) + 5 teachers + 5 teachers of math, science, computer science, technology or career and technical education); and non-certified teachers meet the qualifications of Education Law § 2854(3)(a-1). Copies of teacher certifications, TEACH printouts or appropriate proof of compliance with statutory exemptions Fingerprint/scan supported criminal background checks have been Copies of Fingerprint Clearance Forms from OSPRA or TEACH printouts showing
The school has developed required policies relating to: Discipline (including students with disabilities); Complaints/grievances; FOIL; and Open Meetings Law; and has made appropriate policies available to students and their families in the Student and Family Handbook or similar publication. A school calendar and class schedules exist and provisions have been made for them to be available to every student (if applicable) and family. Copy of Student and Family Handbook (or similar publication) containing the specified policies AND/OR stand-alone policies including: FERPA: • Copy of procedures for locked storage/handling of student files in school or password protected student files if electronic); • Log on each file (or electronic access tracking); • List of persons with access; • List of records maintained (file schematic); • Confidentiality policy for school employees; and • Annual notification of rights, (and notice of intent to distribute directory information (if applicable)) FOIL: • Posted notice; • “Regulations;” • List of records; • Updated list of employees, positions, work locations and salaries; and • Website AND
School calendar and class schedules AND Written assurance that Student and Family Handbooks (containing such policies), school calendar, and class schedules have been distributed Student enrollment procedures have been documented. Summary of school enrollment statistics including number of currently enrolled students, and number of students on the waiting list Student records have been received or requested, and are in locked storage. Inspection at time of Prior Action Visit (If the records are electronic, the system is password protected with limited access.) OR Written assurance from the school that the records have been requested Student health and immunization records have been separated from academic records and are in locked storage in the office of the school nurse. (If the nurse works for an entity separate from the school, the school must maintain its own copies of records.) Copies of incoming student health records or written assurance from the school that they have been requested. Records made available to the school nurse and in locked storage (and, if applicable, copies retained by school) Electronic records are password protected with limited access. Student health policies are in place. Copies of school health policies including those for medication administration AND
Written assurance that they have been distributed to parents Operations The school has made arrangements to be staffed with a school nurse. AND The school has procedures for the administration of prescription and medications to students, and for provision of required health services. Written documentation of the school’s relationship with a registered nurse and/or physician AND Copies of procedures for medication administration and for the provision of required health services Each student has been properly immunized or exempted. Written assurance that each student has proper immunization records on file AND Students who have not been immunized or exempted will be barred from school after 14 days Appropriate provisions have been made for supplemental transportation of students, if any are to be provided. Copy of agreement with provider of supplemental transportation services AND Copies of fingerprint/scan supported background checks for employees of the supplemental transportation services provider Written plans for such life safety procedures as fire drills and emergency evacuation including school safety plans in accordance with Project SAVE Copy of draft SAVE Plan and proof that the plan has been submitted to NYSED for approval AND