Title Page
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Document No.
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Audit Title
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Client initials / Site
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Conducted on
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Prepared by
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Location
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Personnel
Rules & Regulations
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Staff member has passed all location requirements
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Staff adheres to location dress code
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Staff can state location rules & regulations
Collaborative/Professional Relationship
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Talks to staff in respectful and professional manner
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Does not interact with other children unless it applies to client or is asked to support.
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Listens to staff both in direct and indirect (is aware of cues given) situations
Shadowing
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Lets teacher/staff present Sd
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Uses prompts that encourage responding to staff
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Prompts used:
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Asks staff to represent SD
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Non-vocal prompts
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If invasive prompts used, fades prompt
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Provides feedback/suggestions to staff that can support setting
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Collects data in the moment
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Uses appropriate reinforcement for setting
Behaviors
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Behaviors Reported
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Provides simple data collection or reinforcement systems
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Provides basic easy to implement suggestions
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Gathers info from staff
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Behaviors Observed
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Collects data
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Identifies potential function
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Implements setting appropriate interventions
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Record interventions used
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Provides staff with support/suggestions
Direct Instruction
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Uses all 3-components of DTT
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Uses all 3-components of NET
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Uses setting appropriate reinforcement
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Collects data in the moment
Acknowledgement
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We have reviewed the results of this assessment.
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Assessor
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Assessed Staff