summary of required corrective action plans · little people’s school, inc. pr corrective action...

MA Department of Elementary & Secondary Education, Program Quality Assurance Services

Little People’s School, Inc. PR Corrective Action Plan

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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 June 6,

2012.

Mandatory One-Year Compliance Date: 06/07/2013

Summary of Required Corrective Action Plans

Little People’s School, Inc.

CPR/Program Review Onsite Year: 2011-2012

Programs under review for the agency A - Learning Prep School Day Program Criterion # Criterion Title CPR Rating Applies To CAP Status

8.8 IEP - Progress Reports Partially Implemented

A In Process

9.1(a) Student Separation Resulting from Behavior Management

Partially Implemented

A In Process

10.1 Staffing for Instructional Groupings Partially Implemented

A In Process

10.2 Age Range Partially Implemented

A In Process

11.3 Educational Administrator Qualifications Partially Implemented

A In Process

11.4 Teachers (Special Education Teachers and Regular Education Teachers)


A In Process

11.5 Related Services Staff Partially A In Process

https://www5.doemass.org/webmonitor/criteriaDesc.doe?crId=493

https://www5.doemass.org/webmonitor/pvtCapDetail.doe?sourcePge=CAPSUMMARY&criteriaId=493&reviewYearId=102&seltype=PCPR&pcapId=18

















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Implemented

11.6 Master Staff Roster Partially Implemented

A In Process

11.9 Organizational Structure Partially Implemented

A In Process

15.1 Parental Involvement and Parents' Advisory Group


A In Process

16.7 Preventive Health Care Partially Implemented

A In Process

PROGRAM REVIEW CORRECTIVE ACTION PLAN

Corrective Action Plan Detail

Little People’s School, Inc.

CPR/Program Review Onsite Year: 2011-2012

PS Criterion #8.8 - IEP - Progress Reports Program Review Rating

Partially Implemented Mandatory One-Year Compliance Date 06/07/2013

Program Review Finding

Student records and interviews indicate that while progress reports provide a comprehensive course description, they do not specifically reflect progress made towards the benchmarks and goals for each student as required.

* Indicates required field

District/Agency Corrective Action Plan

* Title/Role(s)

of Responsible

Person(s)

Cynthia DeAngelis, Executive Director

* Expected Date of

Completion

11/30/2012

* Description LPS will ensure that progress reports will provide a comprehensive course description that specifically reflects progress made towards the benchmarks and goals for each student as required. LPS will conduct trainings on the appropriate reporting of student progress which will include how to specifically reflect progress towards the benchmarks and goals for each student. These trainings will be mandatory for all staff responsible for preparing progress reports. The first term progress reports will be reviewed by the supervisor to ensure the progress reports reflect progress made towards the benchmarks and goals for each student. Supervisors will provide additional training if necessary.

* Evidence of LPS will submit the the sign in sheets for the Progress Report Training. LPS will submit to













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Completion of Corrective

Action

DESE a sampling of Progress Reports prepared by staff for the first term, that demonstrates compliance with progress reports that reflect student progress made towards the benchmarks and goals.

* Description of Internal

Monitoring Process

Progress Reports will be reviewed by supervisors before submission to ensure documentation compliance. Additional training will be provided to staff when necessary.

Complete

For PQA Use Only

Corrective Action Plan

Status

In Process

Plan Status

Date

07/13/2012

Correction Status

Not Corrected

Basis for Status

Decision

As requested LPS has submitted a plan to ensure that progress reports specifically address individual progress made toward the IEP goals and benchmarks for each student. Furthermore, LPS has submitted a statement assuring the Department that it has committed to providing the necessary training to all staff members in order to ensure school wide compliance.

Department Order of

Corrective Action

Progress Reports

Required (Check all Due Dates

that apply)

Progress Report Due Date(s)

09/19/2012

10/19/2012

11/30/2012

Add Due Date

Required Elements of

Progress Report(s)

LPS must submit to the evidence that all staff who are responsible for writing progress reports have received training on the appropriate reporting of student progress. This documentation must include the name and job title of the person who conducted the training, the date of the training, the time of the training, the agenda of the training and the names and positions of all staff who participated in the training. For any staff who did not participate, LPS must list the names and positions of those staff members and describe how and when they will receive the training. Additionally, LPS must submit progress reports for 5 students from each level (Elementary, Middle and High School) that were issued to sending school districts, parents and other appropriate parties from the first quarter of the 2012/2013 school year.

PQA Review Complete



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PS Criterion #9.1(a) - Student Separation Resulting from Behavior Management Program Review Rating



A review of documentation and interviews indicated that the policies and procedures for Behavior Management did not contain all of the required elements, specifically: guidelines for staff utilizing time-out space; identification of the person responsible for implementing such procedures; a means of documenting the use of time-out for an individual student, including length of time, reason for the intervention, who approved the procedure, and who monitored the time out; and a statement assuring the time-out room will not be locked and that any room or space used for the practice of separation must be physically safe and appropriate to the population served by the facility.



* Title/Role(s)

of Responsible

Person(s)

Cynthia DeAngelis, Executive Director, Laura Carney, Dean of Students H

* Expected Date of

Completion

08/29/2012

* Description The revision of the policies and procedures for Behavior Management has taken place during a series of actions for revision by the Dean of Students. Before the revision was implemented there was a training for all staff with required elements including guidelines for staff utilizing time-out space; identification of the person responsible for implementing such procedures; a means of documenting the use of time-out for an individual student, including length of time, reason for the intervention, who approved the procedure, and who monitored the time out; and a statement assuring the time-out room will not be locked and that any room or space used for the practice of separation must be physically safe and appropriate to the population served by the facility.

* Evidence of Completion

of Corrective Action

There will be additional training at the orientation for all staff on August 27th to ensure all staff understand the revised policy and procedures. The revised Policies and Procedures for Behavior Management will be submitted to the DESE with the Behavior Management Training agenda and sign in sheet. Upon approval of the revised Behavior Management Policy, LPS will send the revised policy to all parents and LEAs of currently enrolled students. The new policy will be inserted in the Policy and Procedure Manual. The new policy will also be added to the admissions packet so all new students' parents and LEAs will be aware of the Behavior Management Policy prior to admission to LPS.


Monitoring Process

For internal monitoring the Executive Director will review the time out logs to ensure that the logs identify the names of the staff who approved/monitored the time out procedures. Tje Executive Director will provide feedback to the appropriate staff, when necessary. With this method LPS will be able to direct further training/monitoring to ensure on-going compliance.




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Complete

For PQA Use Only


Status

In Process

Plan Status

Date

07/13/2012

Correction Status

Not Corrected

Basis for Status

Decision

LPS has submitted a statement that the behavior management policy has been updated to include all necessary elements that are outlined in criterion 9.1(a).

Department Order of

Corrective Action

Progress Reports


that apply)


09/19/2012

10/19/2012

11/30/2012

Add Due Date


Progress Report(s)

LPS must submit a copy of the updated behavior management policy that includes all required elements. LPS must also submit evidence of staff training on the revised behavior management policy that includes the name and job title of the person who conducted the training, the date of the training, the time of the training, the agenda of the training and the names and positions of all staff who participated in the training. For any staff who did not participate, LPS must list the names and positions of those staff members and describe how and when they will receive the training on the revised behavior management policies. LPS must also submit copies of all time out logs for each level (Elementary, Middle and High School) that includes all required elements listed in this criterion.

PQA Review Complete

PS Criterion #10.1 - Staffing for Instructional Groupings Program Review Rating



Observations, documentation and interviews indicate that at the high school level some classes have up to 8 students with 1 Licensed Educator, exceeding the program's approved ratio of 6:1.






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* Title/Role(s) of Responsible

Person(s)

Cynthia DeAngelis, Executive Director, Cynthia Manning, Principal

* Expected Date of

Completion

09/30/2012

* Description LPS will ensure that all classes will comply with the program's approved ratio of 6:1. All classrooms will have a maximum of 6 students to 1 Licensed Educator.

* Evidence of Completion of

Corrective Action

LPS will submit the block schedules to DESE that will indicate the number of students per classroom demonstrating compliance of a maximum of 6 students to 1 Licensed Educator, per the DESE approved ratio of 6:1..


Monitoring Process

The Executive Director will review and approve all block schedules prior to implementation to ensure the classroom assignments do not exceed the program's approved ratio of 6 students to 1 Licensed Educator.

Complete

For PQA Use Only


Status

In Process

Plan Status

Date

7/13/2012

Correction Status

Not Corrected

Basis for Status

Decision

LPS submitted a statement noting that "all classes will comply with the program's approved ratio of 6:1. All classrooms will have a maximum of 6 students to 1 licensed educator." Based on the current pending 2012 Reconstruction it is expected that LPS is implementing new ratios of 8:1 instead of 6:1.

Department Order of

Corrective Action

Progress Reports


that apply)


09/19/2012

10/19/2012

11/30/2012

Add Due Date


Progress Report(s)

LPS must submit copies of block schedules that indicate the number of students and licensed educators in all classrooms. LPS must also submit a listing of all students by grade level and classroom. Additionally, the Department will conduct an onsite visit to verify that a staff to student ratio of 8:1 is being maintained.



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PQA Review Complete

PS Criterion #10.2 - Age Range Program Review Rating



A review of documentation indicates that there were instructional groupings of students who were beyond the 48 month age span requirement and the program had not requested a waiver by the Department in this regard.



* Title/Role(s)

of Responsible

Person(s)

Cynthia DeAngelis, Executive Director, Cynthia Manning, Principal

* Expected Date of

Completion

09/30/2012

* Description LPS will ensure that all instructional groupings of students shall not differ by more than forty-eight months.



LPS will ensure that all classroom assignments comply with the forty-eight month age span requirement. The block schedules will identify the birthdates of each student. LPS will submit the block schedules to DESE demonstrating classroom assignments comply with the 48 month age span requirement.


Monitoring Process

The Executive Director will review and approve all block schedules prior to implementation, to ensure the classroom assignments comply with the forty-eight month age span requirement.

Complete

For PQA Use Only


Status

In Process

Plan Status

Date

07/13/2012

Correction Status

Not Corrected

Basis for Status Decision

LPS submitted a statement noting that "LPS will ensure that all instructional groupings of students shall not differ by more than forty-eight months."

Department Order of

Corrective Action

Progress Reports Required





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(Check all Due Dates that apply) 09/19/2012

10/19/2012

11/30/2012

Add Due Date


Progress Report(s)

LPS must submit block schedules for all classrooms indicating the initials of students with corresponding birth dates.

PQA Review Complete

PS Criterion #11.3 - Educational Administrator Qualifications Program Review Rating



Documentation and staff interviews indicate that some of the job responsibilities of the Educational Administrator are being delegated to and implemented by staff who are not appropriately qualified to serve in this position.



* Title/Role(s)

of Responsible

Person(s)

Director of Educational Team Facilitators, Eleanor Sullivan

* Expected Date of

Completion

09/30/2012

* Description LPS has three Educational Administrators for 262 students, titled Educational Team Facilitator. One Educational Team Facilitator will be designated as Director of Educational Team Facilitators to ensure consistency in supervision of the provision of special education services. The Director of Educational Team Facilitators will be a member of the Administrative Management Team. The Director of Educational Team Facilitators and the other two Educational Team Facilitators will supervise the provision of special education services in the program and ensure that the services specified in each student's IEP are delivered.



The three Educational Administrators are appropriately qualified to serve in this position. Given the number of students and number of services specified in each student's IEP, the Educational Administrators may delegate the responsibility of review of the progress notes to Department Heads. Any delegation of the job responsibilities of the Educational Administrator will only be to staff that are appropriately qualified to serve in this position. The Department Heads or any other staff assigned responsibilities of the Educational Administrator will possess licensure as a special educational administrator or possess all of the following: License as a special educator, a minimum of a master's degree in special education or a related field; and a minimum of one year of administrative experience. The




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Department Head job description will include the above qualifications. LPS will submit the Department Head job Descriptions, the names of the staff and the appropriate documentation to DESE demonstrating the staff assuming responsibilites of the Educational Administrator are qualified to serve in the position.


Monitoring Process

The Executive Director will ensure that the delegation of the job responsibilities of the Educational Administrator will be to staff appropriately qualified to serve in this position by approving the staff prior to the delegation of the responsibilities. The Executive Director will require documentation indicating the staff have licensure as a special educational administrator or possess all of the following: License as a special educator, a minimum of a master's degree in special education or a related field; and a minimum of one year of administrative experience.

Complete

For PQA Use Only


Status

In Process

Plan Status

Date

07/13/2012

Correction Status

Not Corrected

Basis for Status

Decision

LPS has submitted a plan to ensure that the job responsibilities of the Educational Administrator are only being implemented by staff members who are appropriately qualified to serve in this position.

Department Order of

Corrective Action

Progress Reports


that apply)


09/19/2012

10/19/2012

11/30/2012

Add Due Date


Progress Report(s)

LPS must submit the names and qualifications of the designated Educational Administrator, as well as the names and job descriptions of all staff members who perform some or all job functions on behalf of the Educational Administrator. This information must be submitted by 9/19/2012. By 11/30/2012, LPS must submit copies of sign-in sheets for all IEP meetings that occur during the first quarter of the 2012/2013 school year, highlighting the person from LPS who served in the role of Educational Administrator.

PQA Review Complete



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PS Criterion #11.4 - Teachers (Special Education Teachers and Regular Education Teachers) Program Review Rating



Documentation, a review of staff records and interviews indicate that two teachers are not appropriately licensed or on approved waivers as required.



* Title/Role(s)

of Responsible

Person(s)

Executive Director, Cynthia DeAngelis, Program Director

* Expected Date of

Completion

09/30/2012

* Description LPS will ensure that all teachers are appropriately licensed or on approved waivers as required.



For teachers/instructors/counselors providing special education services, such services shall be provided, designed or supervisor by a special educator. The counselors providing HSI are supervised by the Supervisor of Counseling and the curriculum is designed by a Special Education Teacher. The Program Director will supervise the elective instructors. The Program Director will be SPED certified or a special educator will design the curriculum for the electives. There will also be a tracking mechanism to ensure that all staff are appropriately licensed or on approved waivers. Evidence of the two teachers identified as not appropriately licensed or on an approved waiver or catorgorized will be sent to DESE to show compliance. LPS will submit the Teacher Roster to DESE and corresponding documentation.


Monitoring Process

The internal monitoring of compliance with the appropriately licensed or on approved waivers of teachers is and willl be monitored by the Executive Director and discussed with the appropriate staff supervisors to ensure compliance. LPS will only hire Teachers that are appropriately licensed or on approved waivers.

Complete

For PQA Use Only


Status

In Process

Plan Status

Date

07/13/2012

Correction Status

Not Corrected

Basis for Status

Decision

As requested LPS submitted information that stated "that all teachers are appropriately licensed or on approved waivers as required."

Department Order of

Corrective Action

The LPS statement "for teachers/instructors/counselors providing special education services, such services shall be provided, designed or supervised by a special educator" should be removed or amended to read "to the extent that teaching staff is providing special education services, such services shall be provided, designed or supervised by a




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special educator." Additionally, LPS must note that they will maintain an 8:1 student to licensed educator ratio that is in the process of being approved through Reconstruction.

Progress Reports


that apply)


09/19/2012

10/19/2012

11/30/2012

Add Due Date


Progress Report(s)

LPS must submit an updated Teacher Roster for all UFR 115's, Special Education Teachers and UFR 116's, Regular Education Teachers on the ESE required Teacher Roster Form that can be found in the Document Library in WBMS. On the Teacher Roster, LPS must also indicate the two staff who were not appropriately licensed or on approved waivers from the Program Review, as well as any Special Education or Regulation Education Teachers (UFR 115's or 116's) that have been hired since the Program Review.

PQA Review Complete

PS Criterion #11.5 - Related Services Staff Program Review Rating



A review of documentation and interviews indicate that not all Speech and Language Pathologists are appropriately licensed as required.



* Title/Role(s)

of Responsible

Person(s)

Executive Director, Cynthia DeAngelis, Program Director

* Expected Date of

Completion

09/30/2012

* Description LPS will ensure all Speech and Language Pathologists will be appropriately licensed.



LPS will submit to DESE all licenses, and or certifications, and or registrations of the Speech and Language Pathologists, demonstating they are appropriately licensed to provide Speech and Language services. LPS will only hire Speech and Language Pathologists that are appropriately licensed. LPS will submit the Related Services Roster and corresponding documentation.


Monitoring Process

The internal monitoring of compliance with the appropriately licensure for SPL is and will be monitored by the Executive Director. The Executive Director will approve the hiring of all SPLs to ensure they are appropriately licensed.

Complete




12

For PQA Use Only


Status

In Process

Plan Status

Date

07/13/2012

Correction Status

Not Corrected

Basis for Status

Decision

LPS stated that they "will ensure all Speech and Language Pathologists will be appropriately licensed."

Department Order of

Corrective Action

Progress Reports


that apply)


09/19/2012

10/19/2012

11/30/2012

Add Due Date


Progress Report(s)

LPS must submit a copy of the Related Services Roster for all Related Services Staff that can be found in the Document Library of WBMS. LPS must only submit copies of licenses and/or Massachusetts State Board of Registration certificates for those staff serving in the role of Speech and Language Pathologist, as well as any Related Services Staff who have been hired since the Program Review.

PQA Review Complete

PS Criterion #11.6 - Master Staff Roster Program Review Rating



Documentation and interviews indicate that the most recently approved staffing plan is not being accurately implemented due to the job titles and functions of certain positions not being appropriately categorized based on the Uniform Financial Report (UFR) definitions.



* Title/Role(s)

of Responsible

Person(s)

Executive Director, Cynthia DeAngelis

* Expected Date of

Completion

11/30/2012

* Description LPS has revised the Master Staff Roster with the Organizational chart that will efficiently




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represent the approved DESE staffing plan. The revised Master Staff Roster accurately reflects job titles and functions appropriately categorized per the UFR definitions. Additionally, the lines of supervision are clearly delineated on the Organizational Chart and all staff understand the lines of supervision.



At the orientation 08/27/2012 the revised Master Staff Roster and Organizational Chart will be presented to all staff. LPS will revise all job descriptions to incorporate the organizational changes; title changes, responsibilities, supervisor, supervisees, UFR number and qualifications. All Staff will recieve a copy of their revised job descriptions. Supervisors will meet with staff individually to discuss the changes in their jobs. LPS will submit the Master Staff Roster, Organizational Chart and all revised Job Descriptions. LPS will revise all policies and procedures that are impacted by these changes. LPS will submit the revised policies and procedures to DESE for approval and then to parents and LEAs when necessary.


Monitoring Process

The internal monitoring of compliance with the assurance that the lines of supervision are clear is and will be monitored by the Executive Director. The Executive Director will work with the CFO to ensure all positions are appropriately categorized per the UFR definitions.

Complete

For PQA Use Only


Status

In Process

Plan Status

Date

07/13/2012

Correction Status

Not Corrected

Basis for Status

Decision

LPS has stated that the Master Staff Roster has been revised to reflect the approved DESE staffing plan. Additionally, LPS has stated that the "revised Master Staff Roster accurately reflects job titles and functions appropriately categorized per UFR definitions."

Department Order of

Corrective Action

Progress Reports

Required (Check all Due

Dates that apply)


09/19/2012

10/19/2012

11/30/2012

Add Due Date



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Progress Report(s)

LPS must submit a copy of the most recently approved Program Budget and an updated Master Staff Roster that corresponds to the 2012 Reconstruction. The Master Staff Roster can be found in the Document Library of WBMS.

PQA Review Complete

PS Criterion #11.9 - Organizational Structure Program Review Rating



A review of documentation and interviews shows that the organizational structure of the program does not provide for the effective and efficient operation of the school, supervision of school staff, and supervision of students as required. In particular, the lines of supervision are not clear or understood by most staff and staff who are not appropriately qualified to serve in certain positions supervise other staff.



* Title/Role(s)

of Responsible

Person(s)

Executive Director, Cynthia DeAngelis

* Expected Date of

Completion

11/30/2012

* Description LPS has reorganized the program to demonstrate that its structure provides for the effective and efficient operation of the school, supervision of school staff and the supervision of students.



The reorganization provides for the effective and efficient operation of the school, supervision of school staff and supervision of students. The lines of supervision are clear and will be understood by all staff. The reorganization of the program will be presented to staff at the orientation 8/27/2012, including the Organizational Chart and revised job descriptions. LPS will also present any policies and procedures that were revised based on the reorganization of the program. LPS will submit to DESE, the new Organizational Chart, revised job descriptions, and the sign in sheet of the training on the reorganization, Master Staff Roster, Teacher Roster, Related Services Roster, staff roster identifying all direct care supervisors (criterion 11.10)


Monitoring Process

The internal monitoring of compliance with the effective and efficiency of the school is and will be monitored by the Executive Director. The Executive Director will continue to review the organizational structure to ensure it provides for the effective and efficient operation of the school, supervision of school staff and supervision of students.

Complete

For PQA Use Only


In Process

Plan Status

07/13/2012

Correction Status

Not Corrected




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Status Date

Basis for Status

Decision

LPS has submitted information stating that they have "reorganized the program to demonstrate that its structure provides for the effective and efficient operation of the school, supervision of school staff, and the supervision of students." LPS also noted that "the reorganization of the program will be presented to staff at the orientation 8/27/2012".

Department Order of

Corrective Action

Progress Reports


that apply)


09/19/2012

10/19/2012

11/30/2012

Add Due Date


Progress Report(s)

LPS must submit a copy of the new organizational chart that demonstrates the effective and efficient operation of the school, supervision of school staff and supervision of students. The organizational chart must include the program position titles for all staff. LPS must also submit revised job descriptions for all positions, highlighting any changes that have been made for all positions. Finally, LPS must submit evidence of staff training on the revised job descriptions and organizational structure that includes the name and job title of the person who conducted the training, the date of the training, the time of the training, the agenda of the training and the names and positions of all staff who participated in the training. For any staff who did not participate, LPS must list the names and positions of those staff members and describe how and when they will receive the training on the revised organizational structure and their updated job description. Additionally, the Department will conduct an onsite visit to verify lines of staff supervision are being implemented as represented by LPS.

PQA Review Complete

PS Criterion #15.1 - Parental Involvement and Parents' Advisory Group Program Review Rating



Documentation and interviews indicate that while the program has a Parent Council that organizes many social events and opportunities for student involvement, they do not have a Parent Advisory Group that advises the program on matters that pertain to the education, health and safety of the students as required.






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* Title/Role(s)

of Responsible

Person(s)

Executive Director, Cynthia DeAngelis, Gail O'Mara EMS Prin, Cynthia Man

* Expected Date of

Completion

09/30/2012

* Description LPS will establish a Parent Advisory Group that advises the program on matters that pertain to the education, health and safety of the students as required. The Principals are designated as the staff person to support the Parent's Advisory Group.



The Principals will develop a written plan for involving parents and establish a Parents Adviory Group that shall advise the school on matters pertaining to education, health and safety of the students. LPS will submit to DESE, the Parent Advisory Group Manual that includes, the parent involvement plan that describes outreach to parents and steps to be taken to seek parental input on matters pertaining to student health, education and safety. LPS will also submit the job description of the Principals and copies of the schedules and agendas for the meetings.


Monitoring Process

The Executive Director will review and approve the parent involvement plan. The Executive Director will review the agendas for the meetings and recieve written feedback form the Principals regarding the parental input on matters pertaining to student health, education and safety.

Complete

For PQA Use Only


Status

In Process

Plan Status

Date

07/13/2012

Correction Status

Not Corrected

Basis for Status

Decision

LPS submitted information stating that they have designated the principals as the staff members who will support the newly formed Parent Advisory Group. Additionally, LPS stated that the Parent Advisory Group will advise "the program on matters that pertain to the education, health and safety of the students as required."

Department Order of

Corrective Action

Progress Reports


that apply)


09/19/2012

10/19/2012

11/30/2012

Add Due Date



17


Progress Report(s)

By 9/19/2012, LPS must submit their new policy on the creation of the Parent Advisory Group, as well as their plan for involving parents in matters that pertain to the education, health and safety of the students enrolled in the program. By 11/30/2012, LPS must submit the schedule for the 2012-2013 school year Parent Advisory Group meetings, and copies of any meeting agendas and sign-in sheets for meetings that have taken place, as well as the job descriptions for the Elementary/Middle School Principal and the High School Principal reflecting their responsibilities related to the Parent Advisory Group.

PQA Review Complete

PS Criterion #16.7 - Preventive Health Care Program Review Rating



A review of student records indicates that the program does not maintain either evidence of dental examinations or any efforts to obtain such documentation as required.



* Title/Role(s)

of Responsible

Person(s)

Supervisor of Nurse, Nancy Conroy

* Expected Date of

Completion

09/30/2012

* Description LPS will, in cooperation with the student's parents and or human services agency, which is responsible for payment, shall make provision for each student to receive an annual comprehensive dental examination. LPS will require parents to submit evidence of the annual dental exams before the start of each school year.



The LPS has a form for Health History that must be filled out by the parents each year. On this form a statement has been added to include evidence from the parent of dental examination. If upon reciept of the Health History form there is no indication of a recent dental examination, LPS will send a letter to the parent and school district specifically requesting documentation of a dental examination, A copy of this letter will be kept in the students record. LPS will submit to DESE a copy of the Health History form and a sample letter that will be sent to parents and LEAs requesting documentation of dental examination.


Monitoring Process

The internal monitoring of compliance with the requirement of maintaining evidence of dental examinations and efforts to obtain such documentation will be by the School Nurse.

Complete

For PQA Use Only

Corrective In Process

Plan 07/13/2012

Correction Not Corrected




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Action Plan Status

Status Date

Status

Basis for Status

Decision

LPS has stated that they "will require parents to submit evidence of the annual dental exams before the start of each school year." Additionally, if there is no evidence of a recent dental examination LPS stated that they "will send a letter to the parent and school district specifically requesting documentation of a dental examination" and keep a copy of the letter in the student's file.

Department Order of

Corrective Action

Progress Reports


that apply)


09/19/2012

10/19/2012

11/30/2012

Add Due Date


Progress Report(s)

LPS must submit a copy of the health history form and a sample letter sent to parents and school districts requesting documentation of dental examination. In addition, LPS must conduct a self-assessment and report on the number of students whose dental examination information is outstanding at the time of submission to the Department, including next steps the program will take to obtain such information.

PQA Review Complete

summary of required corrective action plans · little people’s school, inc. pr corrective action...

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