Page 27 - I5O Guide

Organization, Responsibility and Control (SOP)
Process Name: Author (Date): Approver (Date): Comments
Annual Internal Review Process Kellie Hardee Teresa Hardee, EdD
(7.31.20) (11.27.20)

Responsible Audience References
CEO and President SOP Manual

This SOP's Purpose/Goal
To perform an annual review of the compliance requirements dictated by the IACET. This is reviewed at the annual organizational retreat.

Standard Operation:
1) Within the 3rd quarter of the fiscal year, the Accreditation Coordinator will prepare a letter denoting time period and objectives.
a) The Accreditation Coordinator will prepare a letter to be submit to CEO/President detailing the objectives, goals, and activities to be
conducted with the Self-Audit Checklist.

2) Approve letter for commencing annual review (CEO/President).

3) Determine if there were any updates to the IACET compliance standards.
a) The Accreditation Coordinator will visit ICAET website for any updates.
b) The Accreditation Coordinator will obtain/submit any mandatory training required.

4) Conduct assessment/Self-Audit Checklist.
a) The Accreditation Coordinator must review all policies and procedures to ensure all documents were reviewed and approved timely within
the fiscal year. This includes all I5O policies and procedures along with all Moodle and GoSignMeUp policies and procedures.
b) The Accreditation Coordinator will meet with the Senior Consultant to review any new courses offered during the fiscal year.
c) The Accreditation Coordinator will ensure all compliance documents such as the Course Design Document, Needs Analysis, Learning
Outcomes, Awarding CPEs, etc. were completed to ensure compliance with course offerings.
d) The Accreditation Coordinator will meet with the Senior Consultant to review any instructor, course, and/or learner/student feedback. The
Accreditation Coordinator will use this feedback to assess the I5O organization going forward and determine if changes are necessary.
e) The Accreditation Coordinator will schedule meeting to review evidence based on Self-Audit Checklist.

5) Document results of the assessment.
a) The Accreditation Coordinator will generate a draft report for review.
b) After submittal, the CEO/President will review the final report and denote any findings and/or recommendations.
c) The CEO/President will approve final report.

Revised By T. Hardee Revised Date 11.20.20