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RE: Melina Booth OSPI Case Number: A09-02-035 Document: Denial of Certification Regarding your request for information about the above-named educator; attached is a true and correct copy of the document on file with the State of Washington, Office of Superintendent of Public Instruction, Office of Professional Practices. These records are considered certified by the Office of Superintendent of Public Instruction. Certain information may have been redacted pursuant to Washington state laws. While those laws require that most records be disclosed on request, they also state that certain information should not be disclosed. The following information has been withheld: Public employees Address; Phone; Email SSN; Driver s License The residential addresses, residential telephone numbers, personal wireless telephone numbers, personal electronic mail address, social security numbers, driver s license numbers, identicard numbers, and emergency contact information of employees or volunteers of a public agency. RCW 42.56.250(3). If you have any questions or need additional information regarding the information that was redacted, if any, please contact: OSPI Public Records Office P.O. Box 47200 Olympia, WA 98504-7200 Phone: (360) 725-6372 Email: PublicRecordsRequest@k12.wa.us You may appeal the decision to withhold or redact any information by writing to the Superintendent of Public Instruction, OSPI P.O. Box 47200, Olympia, WA 98504-7200.

IN THE MATTER OF THE EDUCATION ) APPLICATION OF ) OPP No. A09-02-035 ) Melina Booth ) DENIAL ORDER DOB: 1983 ) FOR CERTIFICATION ) COMES NOW the Office of Superintendent of Public Instruction (OSPI), under the authority granted by the laws of the state of Washington, having reviewed the file of the above-referenced case, and having considered the entire evidence contained therein, does hereby deny the education application of based on the Findings of Fact and Conclusions of Law set forth below: FINDINGS OF FACT 1. Melina Booth applied for a Washington education certificate on February 3, 2009. 2. On the Character and Fitness Supplement, a part of the application process, Melina Booth answered yes to questions 8, 9, 10 and 11, Section II, Professional Fitness regarding having been dismissed from employment involving children or dependent adults; having resigned or otherwise left employment while allegations of misconduct pending; having been disciplined by an employer; and having been the subject of any investigation or inquiry by an employer because of allegations of misconduct. DENIAL ORDER FOR CERTIFICATION -1-

3. As part of the character and fitness supplement, Melina Booth submitted a written explanation regarding her yes answer. 4. Melina Booth signed a consent form allowing the Office of Professional Practices (OPP) contact with Intermountain Center for Human Development (ICHD). Melina Booth again submitted a written explanation to OPP which included additional information regarding the reason for discipline. 5. On March 23, 2009, the Intermountain Center for Human Development provided information to OPP regarding the allegations of misconduct and termination of Melina Booth. 6. The ICHD supervision logs for Melina Booth show that group counseling sessions for residential staff were held on July 18, 2006 and July 25, 2006. These sessions covered client review, boundariesethical concerns and addressed consistency and follow-through with house rules. 7. The ICHD supervision logs for Melina Booth show an individual counseling session was conducted on July 24, 2006, addressing boundariesethical concerns; specifically addressing an incident over the weekend and requesting Melina Booth attend boundary in-service on July 26, 2006. 8. An individual counseling session was conducted on July 28, 2006 with Melina Booth, which addressed boundariesethical concerns. This included a written warning regarding Melina Booth taking clients to her home, the issue that she did not attend boundary in-service, and her agreement to a work plan. DENIAL ORDER FOR CERTIFICATION -2-

9. On August 1, 2006, a staff meeting was held addressing boundariesethical concerns. Staff was provided the ICHD guidelines for staff behavior. 10. On August 17, 2006, Melina Booth was terminated from ICHD. The termination form indicates she is not eligible for rehire stating the following: Employee has demonstrated a pattern of unprofessional behavior which stands in contrast to ICHD program standards. Despite one written counseling session and several verbal warnings during supervision, employee continues to have inappropriate boundaries with clients such as taking clients to her home and rough-housing with clients. Employee is not responding to work plan related to these issues. 11. On August 28, 2006, a memorandum was submitted to Human Resources at ICHD indicating that additional incidents of inappropriate conduct were reported to staff following Melina Booth s departure from ICHD. 12. On July 16, 2009, OPP requested Melina Booth submit her ICHD personnel file. Melina Booth did not respond to this request. 13. Good moral character and personal fitness is a requirement to attain a Washington education certificate. DENIAL ORDER FOR CERTIFICATION -3-

CONCLUSIONS OF LAW 1. OSPI has jurisdiction over Melina Booth and over the subject matter of this action. 2. Melina Booth has failed to provide clear and convincing evidence of good moral character or personal fitness to receive a Washington education certificate, Washington Administrative Code (WAC) 181-86-170. DENIAL ORDER FOR CERTIFICATION -4-

ORDER THEREFORE, it is hereby ordered that the application for certification of Melina Booth is denied. This order may be appealed within thirty (30) calendar days from the date of receipt, pursuant to Chapter 181-86 WAC, copy enclosed. This order will become final thirty days after it is received, unless it is appealed within the thirty day period. Appeals should be addressed to: Superintendent of Public Instruction Office of Professional Practices PO Box 47200 Olympia, WA 98504 DATED this 4th day of September, 2009. RANDY I. DORN Superintendent of Public Instruction State of Washington Signed: Martin T. Mueller Assistant Superintendent Student Support DENIAL ORDER FOR CERTIFICATION -5-