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NONPUBLIC SCHOOL ON-SITE REVIEW (OSR) REPORT Revised 082812 Page 1 of 41 California Department of Education, Special Education Division Interagency-Nonpublic Schools/Agencies Unit 1430 N Street, Suite 2401 Sacramento, CA 95814 916-327-0141 2012-13 NONPUBLIC, NONSECTARIAN SCHOOL ON-SITE REVIEW REPORT School: Plumfield Academy CDS Code: 49-70938-7069768 County: Sonoma Physical Address: 9360 Occidental Rd Sebastopol,CA 95472 Administrator: Darcee Drakulich Email Address: [email protected] Telephone: 707-824-1414 Fax: 707-824-1475 Mailing Address: (If different) Type of Visit: Certification Complaint Follow-up Scheduled Unannounced Dates Visited: October 8-10, 2012 Reviewer: Kathleen Halvorson Reviewer: Judy Reichle Reviewer: Reviewer: Approved Conditional Suspended Revoked Denied Recommend NPS for 2012-13 Certification Follow-up Review? Yes No

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NONPUBLIC SCHOOL ON-SITE REVIEW (OSR) REPORT

Revised 082812 Page 1 of 41

California Department of Education, Special Education Division Interagency-Nonpublic Schools/Agencies Unit

1430 N Street, Suite 2401 Sacramento, CA 95814

916-327-0141

2012-13 NONPUBLIC, NONSECTARIAN SCHOOL

ON-SITE REVIEW REPORT

School: Plumfield Academy

CDS Code: 49-70938-7069768 County: Sonoma

Physical Address:

9360 Occidental Rd Sebastopol,CA 95472

Administrator: Darcee Drakulich Email

Address: [email protected]

Telephone: 707-824-1414 Fax: 707-824-1475

Mailing Address: (If different)

Type of Visit: Certification Complaint Follow-up

Scheduled Unannounced

Dates Visited: October 8-10, 2012

Reviewer: Kathleen Halvorson Reviewer: Judy Reichle

Reviewer: Reviewer:

Approved Conditional Conditional Suspended Revoked Denied Suspended Revoked Denied

Recommend NPS for 2012-13 Certification Follow-up Review? Yes No

NONPUBLIC SCHOOL ON-SITE REVIEW (OSR) REPORT

Revised 082812 Page 2 of 41

Primary disabling conditions served by NPS:

AUT Autism ID Intellectual Disability (Moderate to Severe)

DB Deaf / Blind OHI Other Health Impaired

DEAF Deaf OI Orthopedic Impairment

ED Emotional Disturbance SLI Speech or Language Impairment

HI Hearing Impaired SLD Specific Learning Disability

MD Multiple Disabilities TBI Traumatic Brain Injury

ID Intellectual Disability (Mild to Moderate)

VI Visual Impairment

EMD Established Medical Disability (ages 3-5 only)

NPS Demographics

Population Served: Male Female Coed

Grade Levels Served: Birth – 3 yrs. Pre K K 1st 2nd 3rd 4th 5th

6th 7th 8th 9th 10th 11th 12th Up to 22 yrs.

Program Capacity: 36 # of Contracted Students: 26

# of Certified Classrooms: 3

Related Services Provided:

Adapted Physical Education Orientation and Mobility Instruction

Assistive Technology Services Parent Counseling and Training

Audiological Services Physical Therapy Services

Behavior Intervention Including Dev. & Planning Psychological Services (Other than assessment and IEP Development)

Behavioral Intervention Implementation of BIPs Recreation Services

Counseling and Guidance Services Social Worker Services

Early Education Programs for Children with Disabilities

Specialized Driver Training Instruction

Educational Interpreter Specialized Services for Low Incidence

Health and Nursing Services Specially Designed Vocational Educ. & Career Dev.

Instruction in the Home or Hospital Transcriber Services

Language and Speech Development and Remediation Vision Services

Non-Medical Care and Room and Board Other:

Occupational Therapy Services Other:

NONPUBLIC SCHOOL ON-SITE REVIEW (OSR) REPORT

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Property Description

Plumfield Academy is located on eight acres of well-landscaped land in rural Sonoma County. Four wooden yurts comprise the school. All buildings have large windows allowing students opportunity to observe wildlife. The classrooms are organized by subject area and the students rotate to different rooms throughout the day. Laptop computers are available in all classrooms. School walls display student-work written about wildlife and student-made masks. Annual school pictures of students and staff wearing hand-made themed costumes while participating in local parades and musical shows are also displayed. The grounds include wooden walking paths, a bridge, boardwalks and a greenhouse all built by previous NPS students. There is a fruitful vegetable garden tended by students. Large open fields and biking and jogging paths allow the all-male student population room for exercise.

NPS

Pool Computer Lab Library Vocational Center

Cafeteria Gym Recreation Center Other: Basketball courts/ bleachers with shade

Other: Kitchen Other: Bike and hiking trail

Commendations

Plumfield Academy is commended for the following: A school atmosphere that is calm and supportive. A sense of community and good citizenship skills are developed and demonstrated by students through a variety of activities. Student artistic expressions, physical fitness and problem solving are emphasized. A unique focus on student self-evaluation. Students determine whether their “points” were earned at the end of each class. Consequences are immediate. They miss recess or work-out time and instead write reflections on their behavior and how time may be better spent. Lunch hour is a supervised time to work on sportsmanship and social skills training. Students who have earned level three status can eat with their peers outside, in the patio area. Students are also given the opportunity to engage in team sports where socialization skills are taught and encouraged. Students are given the opportunity for musical expression (drumming) and several theatrical and parade opportunites annually at local community and district-wide events. Trophies and awards for these activities are displayed in the music room. A school-wide focus towards real world application of classroom learning, post-secondary goals and students' future which can be seen in posted photographs of graduates in their current careers - US Navy sailors in uniforms, for example. Record keeping is comprehensive, organized and tabed in binders with detailed progress reports and present levels of performance clearly stated in IEPs and triennial assessments.

NONPUBLIC SCHOOL ON-SITE REVIEW REPORT

Page 4 of 41

Observations and Recommendations

This section intentionally left blank.

NONPUBLIC SCHOOL ON-SITE REVIEW (OSR) REPORT

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Master Contracts Reviewed

Current? Current?

Local Education Agency (LEA) Y N Local Education Agency (LEA) Y N

Davis Joint USD

Sonoma County Office of Education

NONPUBLIC SCHOOL ON-SITE REVIEW REPORT

Page 6 of 41

IEPs Reviewed

LEA # LEA #

Cotati-Rohnert Park USD 1

Bennett Valley USD 1

Davis USD 1

Petaluma Joint Union High School 1

Sonoma County Office of Education (SCOE) 2

Prepared By: Judy Reichle

Signature: JUDY REICHLE Date of Report:

December 7, 2012

Evaluation Criteria – Items #1 through #53

Item #1 ADMINISTRATION

The nonpublic school (NPS) is open for instruction in accordance with grade level and contractual requirements.

EC 41420; EC 46111—46115; EC 46117; EC 46118(a); EC 46141—46142; EC 46146; EC 46200.5 ; EC 46201.1(d); EC 46201.2 ; EC46307

Evidence Reviewed: Interview:

School calendar School staff

Daily class schedule School principal

Master Contract(s) Local educational agency (LEA) staff

Individual Services Agreements (ISAs)

Other:

IEPs

Program observation

Other:

Findings: 176 days of instruction in the regular school year; 19 days of instruction in the extended school year

Conclusion: Compliant Noncompliant Not Applicable Cleared. No further action required.

NONPUBLIC SCHOOL ON-SITE REVIEW (OSR) REPORT

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Item #2 ADMINISTRATION

There are current Master Contracts between the NPS and LEAs. (Joint responsibility of the NPS and the LEA.) EC 56365(a); EC 56366; EC 56366(a)(2)(B);5 CCR 3062

Evidence Reviewed: Interview:

Master Contract(s) School staff

Other: School principal

Other:

Findings:

Conclusion: Compliant Noncompliant Not Applicable Cleared. No further action required.

Item #3 ADMINISTRATION

There is an ISA for each student served by the NPS. (Joint responsibility of the NPS and the LEA.) EC 56366(2)(A)

Evidence Reviewed: Interview:

ISAs School staff

List of all students currently enrolled School principal

Other: Other:

Findings:

Conclusion: Compliant Noncompliant Not Applicable Cleared. No further action required.

NONPUBLIC SCHOOL ON-SITE REVIEW (OSR) REPORT

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Item #4 ADMINISTRATION

There are appropriate procedures for reporting attendance, which are implemented. EC 56366(a)(7)

Evidence Reviewed: Interview:

Attendance reporting procedures School staff

Other: School principal

Other: Other:

Findings:

Conclusion: Compliant Noncompliant Not Applicable Cleared. No further action required.

Item #5 ADMINISTRATION

Attendance is kept in a register and absences are clearly indicated. EC 44809; EC 48222

Evidence Reviewed: Interview:

Attendance Register School staff

Master Contract(s) School principal

Other: Other:

Findings:

Conclusion: Compliant Noncompliant Not Applicable Cleared. No further action required.

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Item #6 ADMINISTRATION

The NPS shall report attendance of pupils receiving special education and designated instruction and services for purposes of submitting a warrant for tuition to each contracting LEA. EC 56366(a)(7); EC 56366.5

Evidence Reviewed: Interview:

Attendance register School staff

Billing records / invoices School principal

IEPs Other:

Master Contract(s)

ISAs

Other:

Findings: May 2012 and September 2012 billing records were reviewed.

Conclusion: Compliant Noncompliant Not Applicable Cleared. No further action required.

Item #7 ADMINISTRATION

Current Master Contracts between the NPS and each contracting LEA include all provisions pursuant to EC 56366. (A joint responsibility of the NPS and the LEA.) EC 56366(a)(1-7); 5 CCR 3062

Evidence Reviewed: Interview:

Master Contract(s) School staff

ISAs School principal

Other: Other:

Findings:

Conclusion: Compliant Noncompliant Not Applicable Cleared. No further action required.

NONPUBLIC SCHOOL ON-SITE REVIEW (OSR) REPORT

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Item #8 ADMINISTRATION

There is documentation that the NPS has provided a copy of its sexual harassment policy to all new students, each faculty member, all members of the administrative staff, and all members of the support staff. A copy of the educational institution’s written policy regarding sexual harassment must be displayed in a prominent location in the main administrative building or other areas of the campus or school site. EC 212.5; EC 231.5

Evidence Reviewed: Interview:

Sexual harassment policy School staff

New employee handbook School principal

Student files / Signed forms Other:

Posters

Other:

Findings:

Conclusion: Compliant Noncompliant Not Applicable Cleared. No further action required.

Item #9 ADMINISTRATION

As required by the Master Contract, the NPS has procedures for record keeping and documentation, and maintenance of school records. EC 56366(a)(1)

Evidence Reviewed: Interview:

Record keeping procedures School staff

Master Contract(s) School principal

Other: Other:

Findings:

Conclusion: Compliant Noncompliant Not Applicable Cleared. No further action required.

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Item #10 INSTRUCTION AND CURRICULUM

The NPS has prepared a school accountability report card (SARC). EC 33126; EC 56366(a)(9)

Evidence Reviewed: Interview:

SARC School staff

Other: School principal

Other:

Findings:

Conclusion: Compliant Noncompliant Not Applicable Cleared. No further action required.

Item #11 INSTRUCTION AND CURRICULUM

The NPS offers/provides students with access to the following educational materials:

(1) For kindergarten and grades 1 to 8, inclusive, state-adopted standards-based core curriculum and instructional materials; and (2) For grades 9 to 12, inclusive, standards-based core curriculum and instructional materials used by any LEA that contract with the NPS. EC 33190(f)(2); EC 51014; EC 51210; EC 51220; EC 56366.10(b)(1)(A)(B)

Evidence Reviewed: Interview:

NPS curriculum School staff

NPS Instructional Materials Survey School principal

Classroom observations Other:

Other

Findings: At the time of the review, NPS was lacking 7th and 8th grade Science textbooks, as well as Geometry, World Geography, Civics, Economics, Sociology, World History, Biology, Earth Science and Physical Science textbooks in the upper grade levels. However, prior to this report being issued, evidence of purchase of these texbooks in sufficient number was provided.

Conclusion: Compliant Noncompliant Not Applicable Cleared. No further action required.

NONPUBLIC SCHOOL ON-SITE REVIEW (OSR) REPORT

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Item #12 INSTRUCTION AND CURRICULUM

The NPS’s written course of study meets or exceeds proficiency standards for graduation as required by the governing board of the high school district or equivalent thereof. EC 51412

Evidence Reviewed: Interview:

IEPs School staff

Course of study School principal

Dist. proficiency standards for graduation Other:

Other

Findings:

Conclusion: Compliant Noncompliant Not Applicable Cleared. No further action required.

Item #13 INSTRUCTION AND CURRICULUM

The NPS has written procedures to ensure that pupils receive the appropriate high school graduation credits they have earned. EC 56366(a)(1)

Evidence Reviewed: Interview:

Student files School staff

Progress reports / Report cards School principal

Transcripts: Other:

Other

Findings:

Conclusion: Compliant Noncompliant Not Applicable Cleared. No further action required

NONPUBLIC SCHOOL ON-SITE REVIEW (OSR) REPORT

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Item #14 INSTRUCTION AND CURRICULUM

Services are provided to the student based upon goals and objectives written in the individualized education program (IEP).

EC 56043(i)

Evidence Reviewed: Interview:

IEPs School staff

Student portfolios School principal

Progress notes/logs Other:

Lesson plans

Billing statements

Other

Findings:

Conclusion: Compliant Noncompliant Not Applicable Cleared. No further action required.

Item #15 INSTRUCTION AND CURRICULUM

There are procedures in place for measuring progress of the pupil toward meeting annual goals as required by the IEP.

34 CFR 300.320(a)(3); EC 56345(a)(3)

Evidence Reviewed: Interview:

Procedures for measuring progress School staff

Progress reports / /Report cards School principal

IEPs Other:

Other

Findings:

Conclusion: Compliant Noncompliant Not Applicable Cleared. No further action required.

NONPUBLIC SCHOOL ON-SITE REVIEW (OSR) REPORT

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Item #16 INSTRUCTION AND CURRICULUM

The NPS offers/provides career preparation and vocational training consistent with transition plans and law to the extent that they are consistent with each pupil’s IEP. EC 56366.10(b)(4)

Evidence Reviewed: Interview:

IEPs School staff

Course of study – Career / Voc. Training School principal

Resource materials and handbooks Other:

WorkAbility Program

Other

Vocational class

Findings:

Conclusion: Compliant Noncompliant Not Applicable Cleared. No further action required.

Item #17 STUDENT RECORDS

There are procedures in place for reporting to the LEA on a quarterly or trimester basis the progress demonstrated by a pupil residing in a licensed children’s institution (LCI) or a foster family home. EC 56157(d)

Evidence Reviewed: Interview:

Procedures for reporting progress to LEAs Other:

Progress reports

Master Contract(s)

IEPs

Other:

Findings:

Conclusion: Compliant Noncompliant Not Applicable Cleared. No further action required.

NONPUBLIC SCHOOL ON-SITE REVIEW (OSR) REPORT

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Item #18 STUDENT RECORDS

There is a current listing of names and positions of employees who have routine access to confidential records.

34 CFR 300.623(d)

Evidence Reviewed: Interview:

List of staff who have access to records School staff

Other Other:

Findings:

Conclusion: Compliant Noncompliant Not Applicable Cleared. No further action required.

Item #19 STUDENT RECORDS Records of access are maintained for individual files, which include name of party, date, and purpose of access. 34 CFR 300.614; EC 49064

Evidence Reviewed: Interview:

Record Access Form in each student file School staff

Other: School principal

Other:

Findings:

Conclusion: Compliant Noncompliant Not Applicable Cleared. No further action required.

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Item #20 PERSONNEL

Each special education teacher holds an appropriate CTC credential authorizing service for the student population.

34 CFR 300.18; EC 44265.1; EC 56366.1(n)(1); 5 CCR 3064

Evidence Reviewed: Interview:

Credentials School staff

Staff list School principal

CTC Credential Authorization Grid Other:

Other

Findings:

Conclusion: Compliant Noncompliant Not Applicable Cleared. No further action required.

Item #21 PERSONNEL

There are appropriately credentialed/licensed personnel employed to provide related services as specified by the IEP, Master Contract, ISA, and law. EC 56366.1(n)(1); 5 CCR 3065

Evidence Reviewed: Interview:

Staff list School staff

Credentials / Licenses School principal

IEPs Other:

Other

Findings:

Conclusion: Compliant Noncompliant Not Applicable Cleared. No further action required.

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Item #22 PERSONNEL

There are appropriate instructional adult-to-child ratios for preschool children with exceptional needs between the ages of three and five. EC 56441.5

Evidence Reviewed: Interview:

Master Contract(s) School staff

Staff list School principal

Classroom observation Other:

Other

Findings:

Conclusion: Compliant Noncompliant Not Applicable Cleared. No further action required.

Item #23 PERSONNEL

An employer shall not employ a person until the Department of Justice (DOJ) completes its check of state and federal criminal history files as set forth in EC 44237. EC 44237

Evidence Reviewed: Interview:

Staff list School staff

Criminal background clearance School principal

ATI Number Other:

Other

Findings: Custodian of Record (CoR) is Cheryl Koch.

Conclusion: Compliant Noncompliant Not Applicable Cleared. No further action required.

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Item #24 PERSONNEL

All personnel have signed a statement acknowledging their understanding of the reporting requirements in cases of observed or suspected child abuse. Penal Code 11165.7; 11166; 11166.5

Evidence Reviewed: Interview:

Signed assurance statement School staff

Staff handbook School principal

Personnel records Other:

Other

Training sign-in sheets

Findings:

Conclusion: Compliant Noncompliant Not Applicable Cleared. No further action required.

Item #25 PERSONNEL

There is documentation that the NPS has notified the Superintendent (CDE) and contracting LEAs in writing within 45 days of any credentials/licensed personnel changes. 5 CCR 3062(h)

Evidence Reviewed: Interview:

Master Contract(s) School staff

Email or letter to CDE and LEAs School principal

Other: Other:

Findings:

Conclusion: Compliant Noncompliant Not Applicable Cleared. No further action required.

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Item #26 PERSONNEL The NPS has qualified and trained staff to administer statewide testing under the STAR program, which will measure academic performance. EC 56366(a)(8)(B); EC 60640

Evidence Reviewed: Interview:

List of trained and qualified staff School staff

Documentation of training School principal

Other: Other:

Findings: Alexa Peake was trained to adminster STAR testing April 2012.

Conclusion: Compliant Noncompliant Not Applicable Cleared. No further action required.

Item #27 RIGHTS AND PROTECTIONS Parents are apprised in writing of pupil progress, as specified in the IEP, Master Contract, and ISA. 34 CFR 300.320(a)(3); EC 56345(a)(3)

Evidence Reviewed: Interview:

IEPS School staff

Master Contract(s) School principal

ISAs Other:

Progress reports / Report cards

Other:

Findings:

Conclusion: Compliant Noncompliant Not Applicable Cleared. No further action required.

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Item #28 RIGHTS AND PROTECTIONS

The NPS implements its policies and procedures for Positive Behavioral Intervention, including prohibitions and emergency interventions. EC 56520; EC 56523; 5 CCR 3052

Evidence Reviewed: Interview:

IEPS School staff

Behavioral Intervention Plan (BIP) School principal

Behavioral Support Plan (BSP) Other:

Behavioral Emergency Reports

Proof of staff training, as required

Procedures for implementing BIP regs.

Observation

Other:

School-wide behavioral support system

Findings:

Conclusion: Compliant Noncompliant Not Applicable Cleared. No further action required.

Item #29 RIGHTS AND PROTECTIONS

An NPS shall ensure private and confidential communication between a pupil and any member of the IEP team, at the pupil’s discretion. EC 56366.12

Evidence Reviewed: Interview:

Signed statements School staff

Other: School principal

Other:

Findings:

Conclusion: Compliant Noncompliant Not Applicable Cleared. No further action required.

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Item #30 SUSPENSION/EXPULSION

The site principal of the NPS is aware of their responsibilities and duties with respect to the suspension of pupils.

EC 48911; EC 48911.5

Evidence Reviewed: Interview:

Master Contract(s) School staff

Other: School principal

School policy Other:

Findings:

Conclusion: Compliant Noncompliant Not Applicable Cleared. No further action required.

Item #31 HEALTH AND SAFETY There is documentation that the school has a fire drill:

Not less than once every calendar month at the elementary level.

At least four times every year at the intermediate level.

Not less than twice yearly at the secondary level. EC 32001

Evidence Reviewed: Interview:

Fire drill log or documentation School staff

Monthly: School principal

Quarterly: Other:

Bi-Annually:

Other:

Findings:

Conclusion: Compliant Noncompliant Not Applicable Cleared. No further action required.

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Item #32 HEALTH AND SAFETY

First aid kits are available as appropriate. EC 32040; EC 32041

Evidence Reviewed: Interview:

Classrooms School staff

Office School principal

Nurse’s station Other:

Kitchen

Transportation vehicles

Other:

Findings:

Conclusion: Compliant Noncompliant Not Applicable Cleared. No further action required.

Item #33 HEALTH AND SAFETY

If the NPS provides transportation, there is documentation that each student has received instructions in vehicle emergency procedures and passenger safety. EC 39831.3; EC 39831.5

Evidence Reviewed: Interview:

Vehicle emergency / Passenger safety proc. School staff

Signed forms School principal

Other: Other:

Findings:

Conclusion: Compliant Noncompliant Not Applicable Cleared. No further action required.

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Item #34 HEALTH AND SAFETY

Personnel shall have a current TB clearance every four years in accordance with the California Health and Safety Code. Health and Safety Code 121525–121555

Evidence Reviewed: Interview:

Staff list School staff

Valid TB Clearance School principal

Other: Other:

Findings:

Conclusion: Compliant Noncompliant Not Applicable Cleared. No further action required.

The following items are the primary responsibility of the contracting local educational agencies (LEA). Per federal and state laws, the LEA and its IEP team are responsible for developing, monitoring, evaluating, and making revisions to services specified by each child’s IEP. These items will be examined to ensure that the

LEA is in compliance with federal and state laws.

Please Note: Noncompliant findings in items 35-53 may be subject to additional corrective actions as determined appropriate by the CDE Focused Monitoring and Technical Assistance (FMTA) Units.

Item #35 IEPs / STUDENT FILES

Each student has a current IEP. EC 56001(e); EC 56345; EC 56346

Evidence Reviewed: Interview:

IEPs School staff

Other: School principal

Other: Other:

Findings:

Conclusion: Compliant Noncompliant Not Applicable Cleared. No further action required.

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Item #36 IEPs / STUDENT FILES

Each individual is reassessed at least every three years to determine eligibility, or more frequently when requested by the parent or teacher. 34 CFR 300.303(b)(2); EC 56320; EC 56320.1; EC 56381(a); EC 56381(b)(2)(A)

Evidence Reviewed: Interview:

Student records School staff

Triennial psycho-educational assessment School principal

Other: Other:

Findings: There was no evidence of a current triennial assessment for Joe W. - Cotati Rohnert Park USD.

Conclusion: Compliant Noncompliant Not Applicable Cleared. No further action required.

Item #37 IEPs / STUDENT FILES

Assessments are conducted by persons knowledgeable in the area of suspected disability. 34 CFR 300.304(c)(iv); EC 56320; EC 56320(g)

Evidence Reviewed: Interview:

Student records School staff

Job title of the assessor School principal

Other: Other:

Findings:

Conclusion: Compliant Noncompliant Not Applicable Cleared. No further action required.

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Item #38 IEPs / STUDENT FILES

The assessment process ensures that no single procedure is the sole criterion for determining the appropriate educational program. 34 CFR 300.304(b)(2); EC 56320(e)

Evidence Reviewed: Interview:

Student records School staff

Psycho-educational assessments in various areas School principal

Other: Other:

Findings:

Conclusion: Compliant Noncompliant Not Applicable Cleared. No further action required.

Item #39 IEPs / STUDENT FILES

All students being assessed for initial and three-year review for special education services have a vision and hearing screening unless parental permission was denied. 34 CFR 300.304(c)(4); 5 CCR 3027

Evidence Reviewed: Interview:

Student records School staff

IEPs School principal

Assessment Report (psycho-educational) Other:

Parent correspondence

Medical records

Other:

Findings: There was no evidence of a current vision and hearing screening for Joe W. - Cotati Rohnert Park USD.

Conclusion: Compliant Noncompliant Not Applicable Cleared. No further action required.

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Item #40 IEPs / STUDENT FILES

The completed IEP shows a direct relationship between the present levels of performance, the goals, including academic and functional goals, and the specific educational services to be provided. 34 CFR 300.320(a)(1); EC 56345(a)(1–2); 5 CCR 3040(c)

Evidence Reviewed: Interview:

IEPs School staff

Other: School principal

Other:

Findings:

Conclusion: Compliant Noncompliant Not Applicable Cleared. No further action required.

Item #41 IEPs / STUDENT FILES

Parents or guardians shall be notified of the IEP meeting early enough to ensure an opportunity to attend. 34 CFR 300.322; EC 56341.5(b)

Evidence Reviewed: Interview:

Student records School staff

Letter or email messages School principal

IEP signature page Other:

Other:

Findings:

Conclusion: Compliant Noncompliant Not Applicable Cleared. No further action required.

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Item #42 IEPs / STUDENT FILES

A meeting is held at least annually for the purpose of reviewing/revising the IEP, student’s progress, and/or assessment results, if requested by the parents or if the results so indicate. 34 CFR 300.324(b)(1)(i); EC 56343; EC 56381

Evidence Reviewed: Interview:

IEPs School staff

Other: School principal

Other:

Findings:

Conclusion: Compliant Noncompliant Not Applicable Cleared. No further action required.

The IEP contains the following required components:

Item #43a IEPs / STUDENT FILES

The present levels of the pupil’s educational performance. 34 CFR 300.320(a)(1); EC 56345(a)(1)

Evidence Reviewed: Interview:

IEPs School staff

Other: School principal

Other:

Findings:

Conclusion: Compliant Noncompliant Not Applicable Cleared. No further action required.

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Item #43b IEPs / STUDENT FILES

The annual measurable goals, including academic and functional goals. 34 CFR 300.320(a)(2)(i); EC 56345(a)(2)

Evidence Reviewed: Interview:

IEPs School staff

Other: School principal

Other:

Findings:

Conclusion: Compliant Noncompliant Not Applicable Cleared. No further action required.

Item #43c IEPs / STUDENT FILES

A statement of how the pupil’s progress toward the annual goals will be measured. 34 CFR 300.320; EC 56345(a)(4)

Evidence Reviewed: Interview:

IEPs School staff

Other: School principal

Other:

Findings:

Conclusion: Compliant Noncompliant Not Applicable Cleared. No further action required.

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Item #43d IEPs / STUDENT FILES A statement of the special education and related services and supplementary aids and services, to be provided to the pupil, or on behalf of the pupil, and a statement of the program modifications or supports for school personnel that will be provided to the pupil. 34 CFR 300.320(a)(4); EC 56345(a)(4)

Evidence Reviewed: Interview:

IEPs School staff

Other: School principal

Other:

Findings:

Conclusion: Compliant Noncompliant Not Applicable Cleared. No further action required.

Item #43e IEPs / STUDENT FILES

An explanation of the extent, if any, to which the pupil will not participate with non-disabled pupils in regular classes and activities. 34 CFR 300.320(a)(5); EC 56345(a)(5)

Evidence Reviewed: Interview:

IEPs School staff

Other: School principal

Other:

Findings: At the time of the review, there was no evidence of an explanation of the extent Laiken J. - SCOE will not participate with peers.

Conclusion: Compliant Noncompliant Not Applicable Cleared. No further action required.

NONPUBLIC SCHOOL ON-SITE REVIEW (OSR) REPORT

Revised 082812 Page 30 of 41

Item #43f IEPs / STUDENT FILES

The individual accommodations in the administration of statewide assessments of pupil achievement in order for the pupil to participate in the assessment. 34 CFR 300.320(a)(6); EC 60640; EC 56345(a)(6)

Evidence Reviewed: Interview:

IEPs School staff

Other: School principal

Other:

Findings:

Conclusion: Compliant Noncompliant Not Applicable Cleared. No further action required.

Item #43g IEPs / STUDENT FILES

The projected date for the beginning, anticipated frequency, location, and duration of the services and modifications included in the individualized education program. 34 CFR 300.320(a)(7); EC 56001(e); EC 56345(a)(7)

Evidence Reviewed: Interview:

IEPs School staff

Other: School principal

Other:

Findings:

Conclusion: Compliant Noncompliant Not Applicable Cleared. No further action required.

NONPUBLIC SCHOOL ON-SITE REVIEW (OSR) REPORT

Revised 082812 Page 31 of 41

Item #43h IEPs / STUDENT FILES

A statement of how the pupil’s parents or guardians will be regularly informed of their pupil’s progress (at least as often as the parents or guardians of non-disabled pupils). 34 CFR 300.320(a)(3); EC 56345(a)(3)

Evidence Reviewed: Interview:

IEPs School staff

Other: School principal

Other:

Findings: At the time of the review, there was not evidence of declaration of how the parents of Luke B., Bennett Valley and Isiah T., SCOE are informed of their child's progress. However, prior to this report being issued evidence was provided for both students.

Conclusion: Compliant Noncompliant Not Applicable Cleared. No further action required.

If appropriate, the IEP shall also include, but is not limited to, all of the following:

Item #44a IEPs / STUDENT FILES

For pupils in grades 7 to 12, inclusive, any alternative means and modes necessary for the pupil to complete the district’s prescribed course of study and to meet or exceed proficiency standards for graduation. 34 CFR 300.320(a)(6)(ii); EC 56345(b)(1)

Evidence Reviewed: Interview:

IEPs School staff

Student records School principal

Other: Other:

Findings:

Conclusion: Compliant Noncompliant Not Applicable Cleared. No further action required.

NONPUBLIC SCHOOL ON-SITE REVIEW (OSR) REPORT

Revised 082812 Page 32 of 41

Item #44b IEPs / STUDENT FILES

For individuals whose primary language is other than English, linguistically appropriate goals, objectives, programs and services. 34 CFR 300.304(c)(ii); EC 56345(b)(2)

Evidence Reviewed: Interview:

IEPs School staff

Student records School principal

Other: Other:

Findings:

Conclusion: Compliant Noncompliant Not Applicable Cleared. No further action required.

Item #44c IEPs / STUDENT FILES

Provision for the transition into the regular classroom program in a public school in any part of the school day. 34 CFR 300.320(a)(4)(iii); EC 56345(b)(4)(B); EC 56366(a)(2)(B)(ii)

Evidence Reviewed: Interview:

IEPs School staff

Master Contract(s) School principal

Other: Other:

Findings: At the time of the review there was not evidence of the transition to less restrictive environment for Laiken J. - Petaluma USD.

Conclusion: Compliant Noncompliant Not Applicable Cleared. No further action required.

NONPUBLIC SCHOOL ON-SITE REVIEW (OSR) REPORT

Revised 082812 Page 33 of 41

Item #44d IEPs / STUDENT FILES

For pupils with low incidence disabilities, specialized services, materials and equipment, consistent with guidelines established pursuant to EC 56136. EC 56026.5; EC 56345(b)(5)

Evidence Reviewed: Interview:

IEPs School staff

Low incidence materials & equipment materials (as required)

School principal

Other: Other:

Findings:

Conclusion: Compliant Noncompliant Not Applicable Cleared. No further action required.

Item #45 IEPs / TRANSITION

Students transitioning from preschool to kindergarten or to first grade are reassessed. EC 56445

Evidence Reviewed: Interview:

IEPs School staff

Student records School principal

Other: Other:

Findings:

Conclusion: Compliant Noncompliant Not Applicable Cleared. No further action required.

NONPUBLIC SCHOOL ON-SITE REVIEW (OSR) REPORT

Revised 082812 Page 34 of 41

Beginning not later than the first IEP to be in effect when the pupil is 16 years of age, and updated annually thereafter, the following shall be included

Item #46a IEPs / TRANSITION

Appropriate measurable postsecondary goals based upon age-appropriate transition assessments related to training, education, employment, and where appropriate independent living skills. 34 CFR 300.320(b)(1); EC 56345(a)(8)(A)

Evidence Reviewed: Interview:

IEPs School staff

Other: School principal

Other:

Findings: At the time of the review, there was no evidence of a transition assessment for Laiken J. - Petaluma USD.

Conclusion: Compliant Noncompliant Not Applicable Cleared. No further action required.

Item #46b IEPs / TRANSITION

The transition services, as defined in Section 56345.1, including courses of study, needed to assist the pupil in reaching those goals. 34 CFR 300.320(b)(2); EC 56345(a)(8)(B); EC 56345.1

Evidence Reviewed: Interview:

IEPs School staff

Other: School principal

Other:

Findings: At the time of the review, there was no evidence of any transition services planned for Laiken J. - Petaluma USD.

Conclusion: Compliant Noncompliant Not Applicable Cleared. No further action required.

NONPUBLIC SCHOOL ON-SITE REVIEW (OSR) REPORT

Revised 082812 Page 35 of 41

Item #47 IEPs / PARENTAL RIGHTS & SAFEGUARDS

There is documentation that parents are given a copy of their rights and procedural safeguards consistent with provisions of the Individuals with Disabilities Education Act (IDEA) and California Education Code. 34 CFR 300.504; EC 56041.5; EC 56301(d)(2)

Evidence Reviewed: Interview:

IEPs School staff

Student records School principal

Other: Other:

Findings: At the time of the review, neither Joe W. - Cotati Rohnert Park USD or Isiah T. - SCOE had evidence their parent was provided copy of their procedural safeguards.

Conclusion: Compliant Noncompliant Not Applicable Cleared. No further action required.

Item #48 IEPs / PARENTAL RIGHTS & SAFEGUARDS

Beginning at least one year before the pupil reaches the age of 18, a statement that the pupil has been informed of his or her rights under IDEA. 34 CFR 300.320(c); 34 CFR 300.520; EC 56345(g)

Evidence Reviewed: Interview:

IEPs School staff

Student records School principal

Other: Other:

Findings:

Conclusion: Compliant Noncompliant Not Applicable Cleared. No further action required.

NONPUBLIC SCHOOL ON-SITE REVIEW (OSR) REPORT

Revised 082812 Page 36 of 41

Item #49 IEPs / PARENTAL RIGHTS & SAFEGUARDS

A surrogate parent has been appointed in accordance with federal and state law. 34 CFR 300.519; GC 7579.5; EC 56050

Evidence Reviewed: Interview:

IEPs School staff

Student records School principal

Other: Other:

Findings:

Conclusion: Compliant Noncompliant Not Applicable Cleared. No further action required.

Item #50 IEPs / STUDENTS IN LCIs

The LEA considered services in programs operated by public education agencies for individuals with exceptional needs residing in LCIs or foster family homes prior to placement in a NPS. EC 56157(a)

Evidence Reviewed: Interview:

IEPs School staff

Assessment Reports/materials related to placement

School principal

Other: Other:

Findings: At the time of the review, there was no evidence other public education programs were considered for Andrew L. - SCOE prior to his placement at Plumfield Academy. However, prior to issuance of this report, evidence was provided.

Conclusion: Compliant Noncompliant Not Applicable Cleared. No further action required.

NONPUBLIC SCHOOL ON-SITE REVIEW REPORT

Revised 082812 Page 37 of 41

Item #51 IEPs / STUDENTS IN LCIs

If an individual with exceptional needs residing in an LCI or foster family home is placed in an NPS, the LEA that made the placement shall conduct an annual evaluation, in accordance with federal law, as part of the IEP process, of whether the placement is the LRE that is appropriate to meet the pupil’s needs. EC 56157(c)

Evidence Reviewed: Interview:

IEPs School staff

Assessment Reports/materials related to placement

School principal

Other: Other:

Findings:

Conclusion: Compliant Noncompliant Not Applicable Cleared. No further action required.

NONPUBLIC SCHOOL ON-SITE REVIEW REPORT

Revised 082812 Page 38 of 41

Out of State Nonpublic Schools

Item #52 OUT OF STATE

Before contracting with an NPS or a nonpublic agency (NPA) outside of the state, the LEA shall document its efforts to utilize public schools or to locate an appropriate NPS or NPA or both, within the state. EC 56365(e)

Evidence Reviewed: Interview:

IEPs School staff

Other: School principal

Other:

Findings:

Conclusion: Compliant Noncompliant Not Applicable Cleared. No further action required.

Item #53 OUT OF STATE

If an LEA decides to place a pupil with an NPS or NPA outside of the state, that LEA shall indicate the anticipated date for the return of the pupil to an NPS or NPA placement, or a combination thereof, located in the state, and shall document efforts during the previous placement year to return the student. EC 56365(g)

Evidence Reviewed: Interview:

IEPs School staff

Other: School principal

Other:

Findings:

Conclusion: Compliant Noncompliant Not Applicable Cleared. No further action required.

REQUIRED CORRECTIVE ACTIONS (RCAs)

Page 39 of 41

Review Date:

October 8-10, 2012 Location (City): Sebastopol, CA

NPS: Plumfield Academy

LEA: Cotati-Rohnert Park USD

Item # Noncompliant Finding Required Corrective Action RCA Due RCA

Cleared

36.

There was no evidence that Joe W. received a complete reassessment to determine his eligibility for special education services within the last three years.

The Cotati-Rohnert Park USD shall complete and submit to the California Department of Education, Special Education Division, Nonpublic Schools and Agencies Unit (SED-CDE), a complete and current psycho-educational evaluation for Joe. W.

Feb. 8, 2013

Accountable

Party NPS LEA

39.

There was no evidence that Joe W. had a vision and hearing screening or that parental permission was denied for this screening within the last three years.

The Cotati-Rohnert Park USD shall complete and submit to the SED-CDE, a current vision and hearing screening evaluation for Joe. W.

Feb. 8, 2013

Accountable

Party NPS LEA

47.

There is no documentation that parents of Joe W. were given a copy of their rights and procedural safeguards consistent with provisions of the Individuals with Disabilities Education Act (IDEA) and California Education Code.

The Cotati-Rohnert Park USD shall submit to the SED-CDE, evidence they provided a copy of their rights and procedural safeguards to the parents of Joe. W. Feb. 8,

2013

Accountable Party NPS LEA

Accountable

Party NPS LEA

REQUIRED CORRECTIVE ACTIONS (RCAs)

Page 40 of 41

Review Date:

October 8-10, 2012 Location (City): Sebastopol, CA

NPS: Plumfield Academy

LEA: Petaluma Joint Union High School District

Item # Noncompliant Finding Required Corrective Action RCA Due RCA

Cleared

43.e An explanation of the extent, if any, to which Laiken J. will not participate with non-disabled pupils in regular classes and activities was not given.

Petaluma Joint Union High School District (PJUHSD) shall complete and submit to the California Department of Education, Special Education Division, Nonpublic Schools and Agencies Unit (SED-CDE), a complete and current psycho-educational evaluation for Joe. W.

Feb. 8, 2013

Accountable

Party NPS LEA

44.c

There was no statement regarding Laiken J.’s possible transition into the regular classroom program in a public school in any part of the school day.

PJUHSD shall submit to the SED-CDE evidence of a statement regarding his readiness for transition to a regular classroom program for any part of the school day. Feb. 8,

2013

Accountable Party NPS LEA

46.a Although Laiken J. is 15 years old, he will turn age 16 before the next annual IEP and therefore appropriate measurable postsecondary goals based upon age-appropriate transition assessments related to training, education, employment, and where appropriate independent living skills should be in the IEP in effect when he turns age 16.

Prior to his 16th birthday, PJUGHSD shall submit to the SED-CDE evidence of Laiken J.’s postsecondary goals based upon age-appropriate transition assessments related to training, education, employment, and where appropriate independent living skills.

Jan. 9, 2013

Accountable

Party NPS LEA

46.b Additionally, there were no transition services, as defined in Section 56345.1, including courses of study, to assist Laiken J. in reaching his postsecondary goals.

Prior to his 16th birthday, PJUGHSD shall submit to the SED-CDE evidence of planned transition services to help Laiken J. reach his goals in training, education, employment, and where appropriate independent living skills.

Jan. 9, 2013

Accountable

Party NPS LEA

REQUIRED CORRECTIVE ACTIONS (RCAs)

Page 41 of 41

Review Date:

October 8-10, 2012 Location (City): Sebastopol, CA

NPS: Plumfield Academy

LEA: Sonoma County Office of Education

Item # Noncompliant Finding Required Corrective Action RCA Due RCA

Cleared

47. There is no documentation that parents of Isiah T. were given a copy of their rights and procedural safeguards consistent with provisions of the Individuals with Disabilities Education Act (IDEA) and California Education Code.

Sonoma County Office of Education shall complete and submit to the California Department of Education, Special Education Division, Nonpublic Schools and Agencies Unit (SED-CDE), evidence that the parents of Isiah T. were given a copy of their procedural safeguards.

Feb. 8, 2013

Accountable

Party NPS LEA

Accountable

Party NPS LEA

Accountable

Party NPS LEA

Accountable

Party NPS LEA