MASSACHUSETTS DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION Program Quality Assurance Services PROGRAM REVIEW CORRECTIVE ACTION PLAN All corrective action must be fully implemented and all noncompliance corrected as soon as possible and no later than one year from the issuance of the Program Review Final Report dated 7/13/2012. Mandatory One-Year Compliance Date: 7/12/2013 Summary of Required Corrective Action Stetson School, Inc CPR/Program Review Onsite Year: 2011-2012 Programs review for the agency A - Stetson Residential Program Criterion # Criterion Title CPR Rating Applies To CAP Status Partially Implemented A Approved Partially Implemented A Approved Partially Implemented A Approved Partially Implemented A Approved Partially Implemented A Approved Partially Implemented A Approved
PROGRAM REVIEW CORRECTIVE ACTION PLAN Corrective Action Plan Detail Stetson School, Inc CPR/Program Review Onsite Year: 2011-2012 Program Review Rating Partially Implemented Mandatory One-Year Compliance Date 07/12/2013 Program Review Finding Student record review indicates that written contracts for some enrolled students do not include all required language nor are they signed by the sending district. * Indicates required District/Agency Corrective Action Plan * of Responsible Person(s) * Expected Date of Completion * Description If Stetson does not receive a signed contract from a sending district upon the child's admission, a letter will be sent to the district requesting the signed contract. If the contract does not have the required five
elements, Stetson will send an amendment that includes the required elements and request that the amendment be signed. * Evidence of Completion of Corrective Action A tracking matrix, letters to school systems, and copies of the signed contracts will be used as evidence of completion of the corrective action. * Description of Internal Monitoring Process Stetson will create a matrix to contracts received, signatures, and contains the five required elements. Complete For PQA Use Only Corrective Action Plan Status Plan Status Date Correction Status Basis for Status Decision Stetson states that a letter will be sent to the district
evaluation. If an evaluation has not been completed, H.R. will follow up with the appropriate department head to ensure that the evaluation is completed. * Evidence of Completion of Corrective Action Copies of the updated procedure and one completed audit will be provided as evidence of completion of the corrective action. * Description of Internal Monitoring Process The annual will serve as our internal monitoring process. Complete For PQA Use Only Corrective Action Plan Status Plan Status Date Correction Status Basis for Status Decision Stetson will update the personnel records procedure to include an auditing procedure to ensure that all staff receive written
Department Order of Corrective Action Progress Reports Required (Check all Due Dates that apply) Required Elements of Progress Report(s) Stetson must submit the names of all program administrators and copies of each person's training sheets for all required trainings conducted prior to the submission of this progress report for the 2012-2013 school year. PQA Review Complete Program Review Rating Partially Implemented Mandatory One-Year Compliance Date 07/12/2013 Program Review Finding Student record review indicates that not all students have a record of hearing screenings at the levels required. * Indicates required field
required in Criteria 16.7. Complete For PQA Use Only Corrective Action Plan Status Plan Status Date Correction Status Basis for Status Decision Stetson will develop a matrix to all required hearing, vision and postural screenings. Stetson will create a form for the doctor to fill out at the annual physical at Barre Health Center to indicate all tests are conducted at the time of the annual physical visit. Department of Corrective Action Progress Reports Required (Check all Due Dates that apply) Required Elements of Stetson must submit a copy of