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 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 New Directions Day Program has 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) Not Applicable New Directions is a day program; therefore this criterion is not applicable.
11.6 Master Staff Roster 28.09(7) Documentation Interviews New Directions Day Program maintains a Master Staff Roster which includes all staff positions within the program and that corresponds to the last approved Program Budget. Refer to Criterion 4.4 below. 19 Anti-Hazing M.G.L. c. 269, §§ 17 through 19 Documentation Student Record Review New Directions Day Program submitted copies of student handbooks distributed to students and documented students’ receipt of a copy of the school program’s 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. 20 Bullying Documentation New Directions Day Program
Identified Areas of Non- from the 2009-2010 Program Review and Other Areas of Concern 4.4 Advance Notice of Proposed Program/ Facility Change 28.09 (5)(c) Documentation Interviews At the time of the Review, documentation and interviews indicate that New Directions Day Program eliminated the Psychologist/Doctorate position (UFR#122) without notifying or obtaining approval from the Department as required. This position remains an approved position as indicated on the last approved Program Budget. By December 21, 2012, New Directions Day Program must submit a copy of the program’s written procedures for notifying the Department of substantial changes within the program. Submit a Form 1 notifying the Department of the substantial change within the program, specific to the elimination/reallocation of UFR# 122.
procedures outlined in the policy. Interviews and observations at the Mid-cycle Review indicate that staff and administration are trained on the new policy and the procedures are being implemented according to the revised policy. 9.1(a) Student Separation Resulting from Behavior Management 18.05(5)(i); 46.02(5)(b) Student Record Review Interviews Observation At the time of the 2010 Program Review, New Directions Day Program submitted a revised policy and procedure on student separation resulting from behavior management as part of their corrective action plan. This plan specified that students in a time out room would be monitored by staff at At the time of the Review, interviews and observation indicate that students cannot be observed in all parts of the time out room as required when staff are observing through the peep hole in the door. In addition, interviews By December 21, 2012, New Directions Day Program must submit a copy of the written policies and procedures regarding behavior management specific to student separation and include how the procedures have been changed so that when the time out door is closed the
all times and in all parts of the room. In addition, while staff may not close the time out door, students may request to have the door closed. In the event a student requested the time out door to be closed, the staff would be required to observe the student in the peep hole in the door that had just recently been installed. indicate that when a student requests the time out door to be closed, staff allow the light to be turned off and a staff may wait some time before observing a student due to the behavior of the student at the time. Therefore, the student cannot be observed at all times and in all parts of the room as required. Documentation review further indicates that the reason for intervention is not reflected on the time staff are able to observe the student in all parts of the room and that the lights remain on at all times. New Directions Day Program must also submit copies of completed time out logs containing all required information, including the reason for intervention, for five students who have required separation resulting from behavior management prior to this progress report submission date.
out log as required. 10.1 Staffing for Instructional Groupings 28.06(6)(d); 28 09(7)(e) Interviews At the time of the Review, interviews indicate that New Directions Day Program includes students from the Residential Program that is not approved by the Department who attend day schools at alternate sites to be included in the approved Day Program when alternate sites are not in session for weather related circumstances or half days. By December 21, 2012, New Directions Day Program must submit a statement of assurances that students from the unapproved Residential Program will not participate in the Department approved Day Program due to scheduling difficulties within their own day programs. 11.11 Documentation The examination of this
are trained on the new policies and are currently implementing them. 15.5 Parent Consent and Required Notification 18.05(5)(c); 18.05(8); 18.05(9)(f)(1); 18.05 (9)(j); M.G.L. c. 71, § 32A Student Record Review Interviews At the time of the 2010 Program Review, student records revealed documentation of restraint consents to be inconsistent. During the Mid-cycle Review, a review of student records and interviews indicate that restraint consents are now obtained annually as required.