MIDDLESTATESASSOCIATIONOFCOLLEGESANDSCHOOLS

COMMISSIONSONELEMENTARYANDSECONDARYSCHOOLS

DESIGNINGOURFUTURE

ASelfStudyforAccreditationbytheMiddleStatesAssociation

NAMEOFSCHOOL
CITY,STATE

DATESOFTEAMVISIT

NAME
TITLEOFHEADOFSCHOOL

NAMES
INTERNALCOORDINATORS

3624MarketStreet2WestPhiladelphia,PA19104
Telephone:(267)2845000FAX:(215)6620957Email:info@cessmsa.org
www.msacess.org

TABLEOFCONTENTS

ORGANIZATIONFORGROWTHANDDEVELOPMENT

DESCRIPTIVESUMMARYOFTHESCHOOLSFOUNDATIONDOCUMENTS
TheStandardforMission

DESCRIPTIVESUMMARYOFTHESCHOOLCOMMUNITYANDITSSTUDENT
PERFORMANCE
TheStandardforAssessmentandEvidenceofStudentLearning

DESCRIPTIVESUMMARYOFSCHOOLLEADERSHIPANDORGANIZATION
TheStandardforGovernanceandLeadership
TheStandardforSchoolOrganizationandStaff

DESCRIPTIVESUMMARYOFEDUCATIONALPROGRAMANDRESOURCES
CURRICULARAREAS
Enteroneachrowthenameofeachcurricularareaintheschoolseducationalprogram
includedinthedescriptionandevaluationofcurricularareas.Addadditionalrowsif
needed.Deleteanyunusedrows.
o Art
o English/LanguageArts
o HealthandPhysicalEducation
o Mathematics
o Music
o Science
o SocialStudies
o Religion
o ComputerScience/Technology
o WorldLanguages
o
TheStandardforEducationalProgram
TheStandardforInformationResources

DESCRIPTIVESUMMARYOFSTUDENTSERVICESANDLIFE
TheStandardforStudentServices
TheStandardforStudentLifeandActivities

DESCRIPTIVESUMMARYOFMAINTENANCEANDOPERATIONS
TheStandardforFinances
TheStandardforFacilities
TheStandardforHealthandSafety

Page


SCHOOLIMPROVEMENTPLANNING
TheStandardforSchoolImprovementPlanning
ThePlanforGrowthandImprovement
o StudentPerformanceObjectivesandActionPlans
o OrganizationalCapacityObjectivesandActionPlans
o TechnicalReviewfromMSAAssociate

HEALTHANDSAFETY

A.

HEALTHANDSAFETY

A.1. Emergency and Crisis Plans: Complete the following table to indicate the schools
emergency and crisis plans. This should include plans for responding to emergencies such as:
fire, lockdown, and crisis intervention. Rate the effectivenessoftheplansusingS=Satisfactory,
NI=NeedsImprovement,andU=Unsatisfactory.

Effectivenessof
TypeofEmergency/CrisisPlan
Plans

S
NI
U
FireSafety

Health

Evacuation

Lockdown

N/A

CampusSecurity

Facilities

Provide a description of proposed improvements and/orcorrectiveactionsthatneedtobetakenif

a rating of Needs Improvement or Unsatisfactoryisassigned.Includeadescriptionofactions
thathavebeeninitiatedorareformallyplanned.

A.2. Emergency Drills: Complete the following table to indicate the type and frequency of
emergency drillsconducted. RatethequalityoftheresultsofthedrillsusingS=Satisfactory,NI
=NeedsImprovement,andU=Unsatisfactory.

Frequencyof
TypeofEmergencyDrill
QualityofDrills
Drills

S
NI
U

SemiMonthly

Monthly

Fire
3x/y

Annually

r.

SemiMonthly

NaturalDisaster(SevereWeather,Flooding,etc.)

Monthly

Annually

N/A

SemiMonthly

BombThreat

Monthly

N/A

ExternalThreat/Lockdown

InternalThreat

BusEvacuation

Other:

Other:

Annually
SemiMonthly
Monthly
Annually
SemiMonthly
Monthly
Annually
SemiMonthly
Monthly
Annually
SemiMonthly
Monthly
Annually
SemiMonthly
Monthly
Annually

N/A

N/A

N/A

Provide a description of proposed improvements and/orcorrectiveactionsthatneedtobetakenif

a rating of Needs Improvement or Unsatisfactoryisassigned.Includeadescriptionofactions
thathavebeeninitiatedorareformallyplanned.

A.3. Health and Safety Inspection Schedule: Complete the following table to indicate who
conducts health and safety inspections. Identify the frequency and results of these inspections
usingS=Satisfactory,NI=NeedsImprovement,andU=Unsatisfactory.

Resultsof
TypeofInspection
Frequency
Inspections

S
NI
U
FireAlarmSystem
FoodServices(outsidecontractor)
Elevator(s)
InternalCommunicationsSystem/Emergency
Lighting
TechnologyArts/IndustrialArtsEquipment
AthleticEquipment

SemiMonthly
Monthly
Annually
SemiMonthly
Monthly
Annually
SemiMonthly
Monthly
Annually
SemiMonthly
Monthly
Annually
SemiMonthly
Monthly
Annually
SemiMonthly

N/A

N/A

PlaygroundEquipment
WaterSupply
SwimmingPoolWater(outsidecontractor)
Other:
Other:

Monthly
Annually
SemiMonthly
Monthly
Annually
SemiMonthly
Monthly
Annually
SemiMonthly
Monthly
Annually
SemiMonthly
Monthly
Annually
SemiMonthly
Monthly
Annually

Provide a description of proposed improvements and/orcorrectiveactionsthatneedtobetakenif

a rating of Needs Improvement or Unsatisfactoryisassigned.Includeadescriptionofactions
thathavebeeninitiatedorareformallyplanned.

A.4. Summary of Health Screenings: Completethetablebelowtoindicatetheschoolspolicy

onexaminationsandscreeningforstudents.

ScreeningFor
ConductedBy
Frequency

Vision

Hearing

Dental

Physical

Other:

Vaccinationsaredoneinthecentersor
privatehospitals.FitnessorHealthReport
arerequiredstartingthisyearforG1,G6
andG9studentsasrequiredbythe
MinistryofHealth.

Other:

N/A

N/A

N/A

N/A

SemiMonthly
Monthly
Annually
SemiMonthly
Monthly
Annually
SemiMonthly
Monthly
Annually
SemiMonthly
Monthly
Annually
SemiMonthly
Monthly
Annually

SemiMonthly
Monthly

Annually

A.5. Summary of Inoculations: Complete the tablebelowtoindicatetheschoolsrequirements

forinoculationsforstudents.

InoculationFor

InGradeLevel(s)

HepatitisA
HepatitisAandTDAPVaccine

G7
G7and8

A.6. Provisions for Health and Safety: In the table below, rate the quality of the schools
provisions for the health and safety issues listed using S = Satisfactory, NI = Needs
Improvement,andU=Unsatisfactory.

HealthandSafetyIssue

Adequatehealthcareservicesatalltimes.
Healthcareatschoolfunctionsthattakeplaceawayfromthe
schoolspremises.
Meanstocommunicateinternallyineventofpowerfailureof
evacuationofbuilding.
Meanstocommunicateexternallyineventofpowerfailureof
evacuationofbuilding.
Place(s)toassembleduringanevacuation.
Properandsafestorageofdangeroussubstances.
Fireblanketsand/oreyewashstationsinrequiredareas.
Automaticexternaldefibrillatorsavailableandstaffpersonnel
trainedtousethem.
Panicbuttonsfordangerousequipment.
Provisionsforpreventingthespreadofinfectioussubstancesand
diseases.
Safetylinesinrequiredareas.
Studentsandthestaffwearingeyeandearprotectionindangerous
areas.
Fireextinguishersavailableinallareas.

QualityandAdequacy
S
NI
U

N/A


Firealarmpullstationsinallareas.

Evacuationnoticeanddirectionspostedinallroomsandspaces.

Other:

Other:

Other:

Provide a description of proposed improvements and/orcorrectiveactionsthatneedtobetakenif

a rating of Needs Improvement or Unsatisfactoryisassigned.Includeadescriptionofactions
thathavebeeninitiatedorareformallyplanned.

A.7. Health and Safety Staff: In thetablebelow,indicatestaffingforhealthandsafety.Ratethe

adequacy of the types and numbers of the staffusingS=Satisfactory,NI=NeedsImprovement,
andU=Unsatisfactory.

Qualityand
TypeofHealthandSafetyPersonnel
Number
Adequacy

S
NI
U
97336331
CertifiedNurseJewelElago

930
97336415
NursesAssistantMarjorieEsguerra

654
Housekeeping/Healthand
97336542

SafetySupervisorJonathanMedallon
858

LocalPoliceSecurityOfficer

AthleticTrainer
Other:11FirstAidersnamely,Jewel,Marjorie,Jonathan,Ali,
Elaine,Anna,Sheryl,Cres,Masooma,NadiaandShaker.
Other:

A.

N/A

SelfAssessment of Adherence totheStandardforHealthandSafety

INDICATORSOFQUALITY

Instructions:
1. Report the results of the school's selfassessment ofthedegreetowhichitmeetsthisStandardfor
AccreditationanditsIndicatorsofQuality.
2. In the tables below, report the results of the selfassessment by providing for each Indicator of
Qualityanaverageoftheratingfortheschoolprovidedbyallstakeholdergroups.
3. Additionally,iftheschoolusessurveymonkey.comtoconducttheselfassessment,itmaychooseto
include the results of the selfassessment by stakeholder subgroups (e.g., students,parents,staff,


etc.). If the school chooses to include this information, import the data as reported on
surveymonkey.comandaddittotheendofthisSection.

TheschoolmustmeetthisStandardforAccreditationtobegrantedAccreditationbytheMiddleStates
Association. The Indicators of Quality for the Standard identify the types of evidence that, when taken
together, indicate whether the school meets the Standard. The school may indicate other types of
evidence particular to the school in the Other section provided below. Rate the degree to which the
schoolmeetseachIndicatorbyusingthefollowingscale:

RatingofAdherencetotheIndicator
1.DoesNotMeet
ThereisnoevidencetoindicatethattheschoolmeetstheIndicator
2.InNeedof
The evidence indicatesthattheschoolpartiallymeetstheexpectationsofthis
Improvement
Indicatorandisinneedofimprovement
3.Meets
TheevidenceindicatestheschoolmeetstheexpectationsofthisIndicator
4.Exceeds

TheevidenceindicatestheschoolexceedstheexpectationsofthisIndicator

N/A

ThisIndicatordoesnotapplytoourschool

HEALTHANDSAFETYSTANDARDFORACCREDITATION

The Standard: The school provides a safe, orderly, and healthy environment for teaching and
learning that meets the health and safety requirements of the civil jurisdiction(s) in which the school
operates. The school has and implements policies and/or procedural guidelines to ensure thehealthand
safety of students, the staff, and visitors to the school. The school has and implements plans for
respondingtoemergenciesandcrises.

IndicatorsofQualityforallschools

IndicatorofQuality
1 2
Thegoverningbodyandleadershipensurethattheschool:
Regularly reviews and updates its written policies and/or procedural
7.1
guidelines governing the schools provisions for the health and safety of
itsstudents,staff,andvisitors.
Regularly reviews and updates its plans for responding to emergencies
7.2

andcrises.
Has and implements written procedures and functional equipment with
7.3
which to communicate during fire and other emergencies, to summon
assistance,andtoevacuatetheschoolsfacilities.
Conducts drills of its emergency and crisis plans regularly, maintains
7.4
written records of drills, andbasedontheoutcomesofthedrills,assesses
theeffectivenessofitsplansandrevisesthemaccordingly.
Provides appropriate and adequate health care for its students during the
7.5
school day and makes provisions for appropriate health care at school
functionsthattakeplaceawayfromtheschoolspremises.

3 4 N/A


7.6
7.7
7.8
7.9
7.10
7.11
7.12
7.13
7.14
7.15
7.16

Provides appropriate training for all staff members on implementing the

schools emergencyandcrisisplans,handlingaccidentsandillnesses,and
universalprecautionsforpreventingthespreadofinfectiousdiseases.
Has and implements written policies and/or procedural guidelines to
managethestorageandadministrationofstudentmedications.
Has and implements a system to account for the whereabouts of its
studentsatalltimes.
Has and implements policies and/or procedural guidelines for
maintaining and sharing medical records and health information of
studentsandmembersofthestaffincompliancewithapplicablelaws.
Provides to its staff uptodate on relevant health, wellness, and safety
informationandpracticespertainingtotheschoolsstudentsandstaff.
Maintains positive working relationships with local health and safety
authoritiesandhealthserviceproviders.
Includes in its educational program and activities opportunities for
students to develop knowledge, attitudes, and practices necessary for
personalwellnessandahealthylifestyle.
Has an effective system to control access to the school by visitors and
othernonschoolpersonnel.
Has and implements expectations for members of the staff to model
positivehealthandsafetypractices.
Makes safe drinking water available for the students, the staff, and
visitorstotheschool.
Implements practices and/or programs topromoteawareness,prevention,
and responsiveness to issues related to the social and emotional well
beingofthestudents.

IndicatorsofQualityforschoolswithearlychildhoodprograms

TheseIndicatorsdonotapplytoourschool.

Instruction:IftheseIndicatorsdonotapplytoyourschool,youmaydeleteIndicators7.177.19.

IndicatorofQuality
1 2 3 4 N/A
Thegoverningbodyandleadershipensurethattheschool:
Provides care for infants that is consistent with current professional

7.17 practice, especially with respect to sleeping, bottlefeeding, diapering,

sanitation,nurturing,anddailyinteractions.
Regularly sanitizes surfaces where children eat and sleep and items they

7.18

canputintotheirmouths.

Consults regularly with health professionalsregardingthe healthrisksof

7.19

workingwithyoungchildren

Stakeholderscommentstosupporttheratings:


Instructions:
1. In the table below, report comments made by the school's stakeholders on the selfassessment
survey related to the degree the school meets this Standard for Accreditation. The categories
shown in the table are suggested possibilities forthesourcesofcomments.Theschoolmayaddto
orsubtractfromthesourceslistedtoreflectmoreaccuratelythesourcesusedbytheschool.
2. The school may list all comments made by stakeholders, or it mayorganizethecommentsbytype
and sources and report only those comments that are made by a several stakeholders. It is as
important to the school as it is to the Visiting Team that the comments reported are a true
reflectionoftheviewsandopinionsoftheschool'sstakeholders.
3. If the school conducted the selfassessment using the surveys available through
surveymonkey.com, the school may either copy the comments received into the table below or
attachedthecommentsasanappendixtotheselfstudydocument.
4. Add/deleterowsasneeded.

STANDARD:HEALTHANDSAFETY
Sourceof
Comments
Comments
Administrators


GoverningBody


Teachers


SupportStaff


Students


Parents


Community

Stakeholders

Others[Describe]:

Others[Describe]:

B.

SelfAssessment of the Health and Safety STANDARD FOR

ACCREDITATION

Instructions: After a rating has been assigned for each of the Indicators of Quality and after
considering those ratings in the aggregate, make a determination whether, based on the school
communitysselfassessment,theschoolmeetsordoesnotmeetthisStandardforAccreditation.

x
OurselfassessmentisthatourschoolMEETSthisStandardforAccreditation

OurselfassessmentisthatourschoolDOESNOTMEETthisStandardforAccreditationforthe
followingreason(s):

C.

ImplicationsforPLANNING

Instruction: Based onthetotalselfassessmentforthisStandardanditsIndicatorsofQuality,respondto

thefollowingrequirementsthatwillinformtheschool'splanningforgrowthandimprovement.

ListtheschoolssignificantstrengthsinmeetingtheHealthandSafetyStandard.

List the schools significant areas in need of improvement in meeting the Health and Safety
Standard.

N/A

Based on the strengths and areas for improvement identified, list any important next steps or
strategic priorities related to Health and Safety that should be included in the action plan in the
PlanforGrowthandImprovement.

D.

EVIDENCEtoSupporttheSelfAssessmentofthisStandard

Instructions:
1. The evidence listed in the table below, where applicable, should be referred to in the
selfassessment process. Please note thatsomeevidencelistedmayoverlapwiththoseidentifiedin
anotherStandard.
2. The evidence listed in the table below, where applicable, is to be provided to the VisitingTeamin
itsworkroomduringtheTeamsvisit.
3. Indicate by checking the types of evidence used by the school in its selfassessment of this
Standard.
4. Add any types of evidence that can support the schools adherence to this Standard but not
includedonthelistinthespacesprovided.

Evidence
School
Emergencyandcrisisplans

Recordsofmostrecenthealthandsafetyinspections

Recordofemergencydrills

EmergencyProceduressectionofFacultyHandbook


Policiesrelatedtohealthandsafety,including:
Emergency/crisisplanningandpractices
Healthcareforstudentsinschoolandatschoolactivities
Trainingofthestaffforemergencies/crises,handlingaccidentsandillnesses,
preventingspreadofinfectiousdiseases
Storageandadministrationofstudentmedications
Storageofschoolequipmentandsupplies
Studenthealthrecords
Relationshipswithcommunityhealth,safety,andfireagencies
Controllingaccesstotheschoolforvisitorsandothernonschoolpersonnel
Qualityofdrinkingwater
Accountingforthewhereaboutsofstudents