Current through Register Vol. 45, No. 52, December 27, 2023
(a)
Comprehensive review procedures.
(1)
Institutions that seek initial accreditation or renewal of accreditation shall
be subject to the requirements of this subdivision.
(2) Application. Institutions seeking initial
accreditation shall be required to apply for such accreditation on forms as may
be prescribed by the commissioner. Institutions seeking renewal of
accreditation shall submit a letter of intent seeking such renewal at least 18
months prior to the end date of the current accreditation period.
(3) Self-study. Institutions shall be
required to conduct an in-depth self-study substantiating compliance with the
standards for accreditation set forth in this Subpart and plans for
improvements pertinent to such standards and shall submit such self-study to
the department. The department shall review the self-study to determine whether
the self-study is sufficient in depth and breadth to form a reasonable basis
for a site review. The department may require the institution to submit
additional information related to the self-study and/or submit additional
self-study materials.
(4) Site
visit. If the department determines that the self-study is sufficient in depth
and breadth to form a reasonable basis for a site review, the department shall
conduct a site visit to the institution to assess compliance with the standards
for institutional accreditation prescribed in this Subpart.
(5) Public notice and opportunity for
comment. The department shall publish in the New York State Register, or its
successor publication, a notice that an institution is being considered for
accreditation action and invite public written comment concerning the
institution's qualifications for accreditation.
(6) Compliance report. The department shall
prepare a compliance report and provide a copy to the institution. The
institution shall be given the opportunity to respond in writing to the
compliance report within 30 days of the date it was sent by the
department.
(7) Department's
recommendation. The department shall prepare its recommendation and provide a
copy to the institution. Such recommendation shall address whether the
institution has met each of the standards set forth in sections
4-1.3
and
4-1.4
of this Subpart and shall include a copy of the compliance report and the
institution's response to such report.
(8) Advisory council.
(i) The department shall notify the
institution by first class mail return receipt requested of the date, time and
location of the advisory council meeting at which the council will review the
department's recommendation with respect to accreditation action.
(ii) The institution may submit to the
department by first class mail, express mail, or personal service, a written
response to the department's recommendation at least 20 days before the
scheduled advisory council meeting.
(iii) The advisory council shall review the
department's recommendation with respect to accreditation action. The
department shall transmit to the advisory council the written response by the
institution pursuant to subparagraph (ii) of this paragraph, if any, and the
record upon which the department made its recommendation, which shall include,
but need not be limited to, the compliance report, the institution's response
to the compliance report and the Department's recommendation, the institution's
self-study, the institution's application for accreditation and additional
documentation submitted by the institution in support of the application. The
advisory council shall invite staff of the department, the institution being
reviewed, and at the council's discretion other interested parties to make oral
presentations at the meeting. The advisory council shall base its determination
upon the record before the department, as described in this subparagraph, and
the testimony at the advisory council meeting. A record of the testimony before
the advisory council related to the accreditation review shall be maintained,
but no stenographic transcript shall be required and a recording shall be
deemed a satisfactory record.
(iv)
When it concludes its review, the advisory council shall prepare a
recommendation on accreditation action to the commissioner and the Board of
Regents, together with a report of the findings in support of that
recommendation based upon the record and testimony considered by the advisory
council. The department shall transmit a copy of the advisory council's
recommendation to the institution by first class mail, return receipt
requested.
(v) In the event that
neither the institution nor the deputy commissioner appeals the recommendation
of the advisory council, as prescribed in paragraph (9) of this subdivision,
the commissioner shall adopt said recommendation as the commissioner's
recommendation to the Board of Regents.
(9) Appeal of advisory council
recommendation.
(i) The institution and the
deputy commissioner shall have the right to appeal to the commissioner the
recommendation of the advisory council. The institution shall have the right to
be represented by counsel during the appeal.
(ii) Within 10 days of the date that the
institution receives notification of the recommendation of the advisory
council, the institution shall notify the commissioner in writing, by first
class mail, express delivery, or personal service, of their intention to appeal
pursuant to clause (iii)(a) of this paragraph or the deputy commissioner shall
notify the commissioner in writing, by first class mail, express delivery, or
personal service, of their intention to appeal pursuant to clause (iii)(b) of
this paragraph.
(iii) Within 25
days of the date that the institution receives notification of the
recommendation of the advisory council, the institution may commence an appeal
pursuant to clause (a) of this subparagraph or the deputy commissioner may
commence an appeal pursuant to clause (b) of this subparagraph.
(a) Appeal by the institution. The
institution may commence an appeal of the recommendation of the advisory
council by filing an appeal with the commissioner by first class mail, express
delivery, or personal service , with an affidavit proving the service of a copy
thereof upon the deputy commissioner by first class mail, express delivery, or
personal service. The deputy commissioner shall transmit to the commissioner
the record before the advisory council and its recommendation. The deputy
commissioner may also file a written response with the commissioner by first
class mail, express delivery, or personal service within 30 days of service of
such appeal upon the deputy commissioner, with an affidavit proving the service
of a copy thereof by first class mail, express delivery, or personal service
upon the institution.
(b) Appeal by
the deputy commissioner. The deputy commissioner may commence an appeal of the
recommendation of the advisory council by filing an appeal with the
commissioner by first class mail, express delivery, or personal service , with
an affidavit proving the service upon the institution by first class mail,
express delivery, or personal service of a copy thereof. The deputy
commissioner shall transmit to the commissioner the record before the advisory
council as described in paragraph (8) and the record of its deliberations and
its recommendations. The institution may file a written response with the
commissioner by first class mail, express delivery, or personal service within
30 days of service of such appeal upon the institution, with an affidavit
proving the service of a copy thereof by first class mail, express delivery, or
personal service upon the deputy commissioner.
(c) In the event that both the institution
and the deputy commissioner commence an appeal to the commissioner within the
time period prescribed in this section, such appeals shall be automatically
consolidated and each party shall be permitted to file a written response with
the commissioner by first class mail, express delivery, or personal service
within 30 days of the mailing or the personal service of the other party's
appeal upon the party, with an affidavit proving the service of a copy thereof
by first class mail, express delivery, or personal service upon the other
part.
(iv) The
commissioner shall review any appeal , written responses filed, the record
before the advisory council, , and its recommendation. If the only remaining
deficiency noted by the agency is the institution's failure to meet any agency
standard pertaining to finances, the commissioner shall also consider any new
financial information submitted by the institution as part of its appeal if the
information was unavailable to the institution until after the decision subject
to the appeal was made and the financial information is significant as
determined by the commissioner, and bears materially on the financial
deficiencies identified by the agency.
An institution may seek the review of new financial
information only once and any determination on the new financial information
does not provide a basis for appeal. The commissioner may affirm, reverse,
remand or modify the recommendation of the advisory council. Such determination
shall constitute a recommendation regarding accreditation action to the Board
of Regents.
(10)
Regents decision. The Board of Regents shall review all of the materials
described in subparagraphs (8) or (9), as applicable. At a regularly scheduled
public meeting, the Board of Regents shall consider the recommendation of the
commissioner and make the determination of accreditation action. If the Board
of Regents determination includes an adverse accreditation action or
probationary accreditation, the Board of Regents shall notify the institution
of its right to a hearing before the institutional accreditation appeals board
to appeal the determination of the Board of Regents only in limited
circumstances where such determination is arbitrary or capricious or affected
by an error of law or facts.
(11)
Appeal of a determination of adverse accreditation action or probationary
accreditation to the institutional accreditation appeals board.
(i) An institution may appeal a Regents
determination of adverse accreditation action or granting probationary
accreditation to the institutional accreditation appeals board in accordance
with the requirements and procedures of this paragraph. The institution shall
have the right to be represented by counsel during such an appeal.
(ii) Within five days of the date of a
Regents determination of adverse accreditation action or granting probationary
accreditation, the institution shall notify the Board of Regents in writing, by
first class mail, express delivery, or personal service, of its intention to
appeal, with an affidavit proving the service of a copy thereof upon the deputy
commissioner by first class mail, express delivery, or personal
service.
(iii) Within 20 days of
the date of a Regents determination of adverse accreditation action or granting
probationary accreditation, the institution may commence an appeal of such
determination to the institutional accreditation appeals board by filing an
appeal with the Board of Regents by first class mail, express delivery, or
personal service , with an affidavit proving the service of a copy thereof upon
the deputy commissioner by first class mail, express delivery, or personal
service.
(iv) The Board of Regents
shall transmit the appeal to the institutional accreditation appeals board
within 20 days of receipt of such appeal.
(v) The Board of Regents may file a written
response with the institutional accreditation appeals board by first class
mail, express delivery, or personal service within 30 days of receipt of the
appeal.
(vi) The institutional
accreditation appeals board shall provide the institution, the commissioner and
the Board of Regents, with at least 10 days' written notice of the time and
place of the appeal before the institutional accreditation appeals
board.
(vii) Hearing
procedures.
(a) Burden of proof.
The institution shall have the burden of establishing the Board of Regents
decision was arbitrary or capricious or affected by an error of law or
facts.
(b) Conduct of hearing.
The institution shall have the right to come before the institutional
accreditation appeals board and present its arguments. The appellate
presentation made to and the review by the institutional accreditation appeals
board is not an adjudicatory proceeding and the technical rules of evidence do
not apply. The parties are not permitted to conduct discovery, present or cross
examine witnesses. The procedural determinations of the chair of the
institutional appeals accreditation board shall be final. The chair may
establish time limits on presentations by the parties. The decision of the
institutional accreditation appeals board is limited to consideration of
information in the written appeal submitted by the institution, written
responses filed by the Board of Regents, and the entire record upon which the
determination of the Board of Regents was based. The institutional
accreditation appeals board may also consider any new financial information
that was unavailable to the institution or program until after the decision
subject to appeal was made if the financial information is significant and
bears materially on the financial deficiencies identified by the Board of
Regents and the only remaining deficiency cited by the Board of Regents in
support of a final adverse action decision is the institution's or program's
failure to meet an agency standard pertaining to finances.
(c)
Record of hearing. All testimony given must be recorded verbatim. The chair of
the institutional accreditation appeals board may use whatever means he or she
deems appropriate, including, but not limited to the use of stenographic
transcriptions or recording devices.
(viii) The
institutional accreditation appeals board shall hold a due process hearing,
wherein the institution shall have the right to come before the institutional
accreditation appeals board and present its arguments. The appeals board shall
review any appeal papers, written responses filed, and the entire record upon
which the Regents determination was based, which may include but not be limited
to: the record before the advisory council, the record of the advisory
council's deliberations and its findings and recommendations, any appeal papers
and written responses filed for an appeal of the findings and recommendations
of the advisory council, the commissioner's recommendation to the Board of
Regents regarding accreditation action, and the Regents determination. By
majority vote, the institutional accreditation appeals board shall affirm,
reverse, remand or amend the Board of Regents' determination of adverse
accreditation action or granting probationary accreditation and notify the
institution in writing of its decision and of its findings within 30 days of
its decision. In a decision that is remanded to the Board of Regents for
further consideration, the institutional accreditation appeals board shall
identify specific issues that the Board of Regents must address. In a decision
that is remanded to the Board of Regents, the Board of Regents shall act in a
manner consistent with the appeals board's decision or instructions.
(ix) While a
properly filed appeal is pending, the Regents determination of adverse
accreditation action or granting probationary accreditation shall be held in
abeyance until the institutional accreditation appeals board makes a
determination on the matter and acts to affirm, amend, reverse, or remand such
determination.
(b) Compliance review procedures.
(1) The department may institute a compliance
review at any time during the institution's accreditation period to determine
whether the institution is in compliance with standards prescribed in this
Subpart, including but not limited to the standards prescribed in sections
4-1.3
and
4-1.4
of this Subpart. Such review may be initiated at the discretion of the
department for good cause, which may be based on one or more complaints against
the institution relating to such standards; or an adverse action or a placement
on probation by another nationally recognized accrediting agency; or financial
or compliance audits or program reviews conducted by the U.S. Secretary of
Education relating to the institution's HEA title IV program responsibilities;
or other information obtained by the department that the institution may not be
in compliance with standards prescribed in this Subpart, among other
reasons.
(2) The department shall
notify the institution as to the commencement of the compliance review. Such
notification shall include but shall not be limited to a specification of the
standard or standards at issue, together with the department's reasons for
finding them at issue and shall require the institution to respond in
writing.
(3) The department shall
review the institution's response and determine whether there is good cause to
commence further review. In the event that the department determines that there
is no good cause to commence further review, the department shall notify the
institution of this determination and that accreditation shall continue to its
term. In the event that the department determines that there is good cause to
commence further review, the department shall conduct an evaluation to
determine compliance with the standards prescribed in sections
4-1.3
and
4-1.4
of the Subpart, which may include a site visit. The department may require the
institution to provide the department with information related to compliance
with such standards, including but not limited to evidence that the institution
is meeting the standard(s) or has taken immediate corrective action to meet the
standard(s).
(4) Compliance report.
The department shall prepare a compliance report and provide a copy to the
institution. The institution shall be given the opportunity to respond in
writing to the compliance report within 30 days of the date it was sent by the
department.
(5) Compliance report.
The department shall prepare a recommendation and provide a copy to the
institution. Such report shall address whether the institution has met each of
the standards at issue and shall include any comments by the institution
concerning the compliance report. In the event that the institution has met the
standard(s) at issue, the department shall notify the institution in writing of
this determination and that accreditation shall continue to its term. In the
event that the department determines that the institution has not met one or
more standards at issue, the department shall notify the institution and shall
transmit a copy of its recommendation with respect to accreditation action to
the institution and to the advisory council.
(6) Advisory council. The same procedures
prescribed in paragraph (a)(8) of this section shall be applicable.
(7) In the event that neither the institution
nor the deputy commissioner appeals the recommendation of the advisory council,
as prescribed in paragraph (8) of subdivision, the commissioner shall adopt
said recommendation as the commissioner's recommendation to the Board of
Regents.
(8) Appeal of advisory
council recommendation. The procedures prescribed in paragraph (a)(9) of this
section shall be applicable.
(9)
Regents decision. The procedures prescribed in (a)(10) of this section shall be
applicable.
(10) An institution may
appeal a Regents determination of adverse accreditation action or granting
probationary accreditation to the institutional accreditation appeals board in
accordance with the requirements and procedures of paragraph (a)(11) of this
section. The institution shall have the right to be represented by counsel
during the appeal.
(c)
Procedures for institutions on probationary accreditation.
(1) Probationary accreditation shall be for
the period of time prescribed for corrective action in accordance with the
requirements of section
4-1.3(d)
of this Subpart. The department shall review an institution on probationary
accreditation employing the procedures prescribed in this
subdivision.
(2) The department
shall require the institution to demonstrate compliance with the standards that
the institution needs to address through corrective action. The department
shall conduct a review of such compliance, which may include a site
visit.
(3) Public notice and
opportunity for comment. The department shall publish in the New York State
Register, or its successor publication, a notice that an institution is being
considered for accreditation action and invite public written comment
concerning the institution's qualifications for accreditation.
(4) Probationary review report. The
department shall prepare a probationary review report assessing compliance and
provide a copy to the institution. The institution shall be given the
opportunity to respond in writing to the probationary review report within 30
days of the date it was transmitted by the department.
(5) Department recommendation. The department
shall prepare a recommendation with respect to accreditation status and provide
a copy to the institution. Such report shall address whether the institution
has met the standards at issue and shall include any comments by the
institution concerning the probationary review report.
(6) Advisory council.
(i) The department shall notify the
institution by first class mail, return receipt requested of the date, time and
location of the advisory council meeting at which the council will review the
department's recommendation with respect to accreditation action.
(ii) The institution may submit to the
department by first class mail, express mail, or personal service a written
submission at least 20 days before the scheduled advisory council
meeting.
(iii) The advisory council
shall review the department's recommendation with respect to accreditation
action. The department shall transmit to the advisory council the written
submission by the institution pursuant to subparagraph (ii) of this paragraph,
if any, and the record upon which the department made its recommendation, which
shall include but need not be limited to, the probationary report and any other
documentation upon which the department's recommendation was based. The
advisory council shall invite staff of the department, the institution being
reviewed and at the council's discretion other interested parties to make oral
presentations at the meeting. A record of the testimony before the advisory
council related to the accreditation review shall be maintained, but no
stenographic transcript shall be required and a recording shall be deemed a
satisfactory record.
(iv) Based
upon the record and testimony before the advisory council, the advisory council
shall prepare a recommendation on accreditation action to the commissioner and
the Board of Regents, together with a report of the findings in support of that
recommendation. The department shall transmit a copy of this recommendation to
the institution by first class mail, return receipt requested.
(7) In the event that neither the
institution nor the deputy commissioner appeals the recommendation of the
advisory council, as prescribed in paragraph (8) of this subdivision, the
commissioner shall adopt said findings and recommendation as the commissioner's
recommendation to the Board of Regents.
(8) Appeal of advisory council
recommendation. The procedures prescribed in paragraph (a)(9) of this section
shall be applicable.
(9) Regents
decision. The procedures prescribed in paragraph (a)(10) of this section shall
be applicable.
(10) An institution
may appeal a Regents determination of adverse accreditation action or granting
probationary accreditation to the institutional accreditation appeals board in
accordance with the requirements and procedures of paragraph (a)(11) of this
section. The institution shall have the right to be represented by counsel
during the appeal.
(d)
Procedures for a change in scope of accreditation.
(1) For purposes of this subdivision,
substantive change shall mean:
(i) any change
in the established mission or objectives of the institution;
(ii) any change in the legal status, form of
control, or ownership of the institution;
(iii) the addition of courses or programs
that represent a significant departure from the existing offerings of
educational programs, or method of delivery, from those that were offered when
the department last evaluated the institution for accreditation;
(iv) the addition of courses or programs of
study at a degree or credential level different from that which is included in
the institution's current accreditation;
(v) a change from clock hours to credit
hours;
(vi) a substantial increase
in the number of clock hours or credit hours awarded for successful completion
of a program;
(vii) the
establishment of an additional location or branch campus, as such terms are
defined in section
4-1.2 of this
Subpart;
(viii) if the
accreditation granted to the institution enables the institution to seek
eligibility to participate in title IV, HEA programs, the entering into a
contractual agreement with an entity not certified to participate in title IV,
HEA programs, that offers more than 25 percent of one or more of the
institution's program of study;
(ix) the establishment of an additional
location at which the institution offers at least 50 percent of an educational
program;
(x) the acquisition of any
other institution or any program or location of another institution;
or
(xi) the addition of a permanent
location at a site at which the institution is conducting a teach-out for
students of another institution that has ceased operating before all students
have completed their program of study.
(2) An accredited institution that has
experienced a substantive change, as defined in paragraph (1) of this
subdivision, shall be required to apply to the department for a change in the
scope of its accreditation in a format prescribed by the department.
(3) The commissioner and Board of Regents
shall have the authority to make the determination concerning approval or
disapproval of the institution's application for a change in the scope of
accreditation, based on a substantive change and shall provide the institution
with written notification indicating the approval and inclusion of the
substantive change in the institution's grant of accreditation. The effective
date of any substantive change shall be the date of the commissioner and Board
of Regents determination of an approved substantive change, which shall not be
retroactive.
(4) General review
requirements.
(i) The institution shall
document to the department that the proposed substantive change does not
adversely affect its capacity to meet the standards set forth in sections
4-1.3
and
4-1.4
of this Subpart.
(ii) The
institution shall document that all necessary State approval actions, including
but not limited to program registrations, master plan amendments, and charter
actions, have been completed favorably.
(iii) The department may conduct a site visit
in connection with the review of any proposed substantive change.
(5) Special review requirements.
In addition to meeting the general review requirements prescribed in paragraph
(4) of this subdivision, the special review requirements prescribed in this
paragraph shall apply to substantive changes concerning changes of ownership
that effect a change in control of the institution, branch campuses, and
additional locations.
(i) Branch campuses.
(a) For instances in which the institution
seeks to extend its scope of accreditation to a branch campus, as defined in
section
4-1.2 of this
Subpart, the institution shall submit a business plan for the branch campus,
prior to such establishment. The business plan shall include, but need not be
limited to, the educational program or programs to be offered, the projected
revenues and expenditures and cash flow, and the operations, management and
physical resources at the branch campus.
(b) The department shall conduct a site visit
to the branch campus within six months of its establishment.
(c) The commissioner may extend accreditation
to the branch campus only after the department evaluates the business plan and
determines that the branch has sufficient educational, financial, operational,
management and physical resources to meet the standards prescribed in section
4-1.4
of this Subpart.
(ii)
Additional locations.
(a) For instances in
which the institution seeks to extend the scope of accreditation to additional
locations, as defined in section
4-1.2 of this
Subpart, the institution shall submit an application for the extension of the
scope of accreditation to include such locations prior to their establishment.
The department shall conduct a review, which shall include but not be limited
to, determining whether the institution has the fiscal and administrative
capacity to operate the additional location.
(b) Site visits.
(1) Such review shall include a site visit
within six months of establishment of the additional location, if the
institution: has a total of three or fewer additional locations; or has not
demonstrated to the department's satisfaction that it has a proven record of
effective educational oversight of additional location; or has been placed on
probationary accreditation or is subject to some limitation by the department
on its accreditation.
(2) The
department shall conduct a site visit of additional locations when the
department has evidence that a location or locations has experienced rapid
enrollment growth or that the institution has experience rapid growth in the
number of additional locations.
(3)
The department shall visit all locations as part of a site visit for
accreditation or renewal of accreditation.
(4) The purpose of the site visits prescribed
in this clause shall be to verify that an additional location has the
personnel, facilities and resources the institution stated that it had in its
application for approval of the additional location.
(iii) Change in ownership
effecting change in control. For instances in which the substantive change is
caused by a change in ownership, which effects a change in control of the
institution, the department shall conduct a site visit within six months of the
change in ownership.
(6)
Substantive change report. The department shall prepare a report on the
substantive change assessing compliance and provide a copy to the institution.
The institution shall be given the opportunity to respond in writing to the
report within 30 days of the date it was transmitted by the
department.
(7) Department
recommendation. The department shall send to the institution the determination
by the deputy commissioner concerning the change in the scope of accreditation,
together with the substantive change report. Such determination and report
shall address whether the institution has met the standards set forth in this
Subpart, and any comments by the institution concerning the substantive change
report.
(8) Procedures on denial of
change in scope of accreditation. Determinations to deny a change in the scope
of accreditation may be appealed with the following procedures:
(i) Within 15 days of receiving notice of the
determination to deny a change in the scope of accreditation, the institution
shall notify the Board of Regents in writing by first class mail, express mail,
or personal service, of its intention to appeal.
(ii) Within 60 days of receiving notice of
the determination to deny a change in the scope of accreditation, the
institution shall submit its appeal to the Board of Regents by first class
mail, express mail, or personal service. The appeal shall take the form of a
written statement that presents the institution's position on the determination
and the substantive change report and all evidence and information which the
institution believes is pertinent to the case. The appeal shall include a
statement and explanation of the specific grounds of the appeal. The
institution shall have the right to be represented by counsel during the
appeal.
(iii) Upon appeal by the
institution, the Board of Regents shall submit to the institutional
accreditation appeals board the documentation supporting the Board of Regents'
decision to deny the change in the scope of accreditation, including but not
limited to the institution's application, additional documentation submitted by
the institution in support of its application, the substantive change report
and any other documentation upon which the Board of Regents' decision was
based.
(iv) Within 60 days of
receiving the institution's statement of appeal, the institutional
accreditation appeals board shall issue a determination on the
appeal.
Amended
New
York State Register March 9, 2016/Volume XXXVIII, Issue 10, eff.
3/9/2016