ABA Supervision Skills

• Document No.

• Audit Title

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

• Select type of session (select all that apply). Answer remaining question based on session-type.

• Observation

• Assessment

• Program Review

• Meeting

• Number of types selected:

  1

  2

  3

  4

General Client Programming

• Number of Programs Observed (this is maxed at 5, as no more than this number should be targeted by in any specific session. Assess a max of 2 programs).

• Program Observed:

• Understands purpose of program

  Yes

  No

  N/A

• Program is individualized

  Yes

  No

  N/A

• Materials used/provided are relevant

  Yes

  No

  N/A

• Next steps have been identified

  Yes

  No

  N/A

• Program Observed:

• Understand purpose of program

  Yes

  No

  N/A

• Program is individualized

  Yes

  No

  N/A

• Materials are relevant

  Yes

  No

  N/A

• Next steps have been identified

  Yes

  No

  N/A

Client Programming Info

• Delivery of client program info:

  Select Uses basic language Is clear and concise Provides sufficient detail

  • Uses basic language
  • Is clear and concise
  • Provides sufficient detail

• Answers staff questions

  Select Provides time for staff to ask questions Listens to staff questions Answers staff questions

  • Provides time for staff to ask questions
  • Listens to staff questions
  • Answers staff questions

• Openness to feedback from staff

  Select Gives staff opportunity to provide feedback Listens to staff feedback Provides rationale for accepting feedback Provides rationale for not accepting suggestion made

  • Gives staff opportunity to provide feedback
  • Listens to staff feedback
  • Provides rationale for accepting feedback
  • Provides rationale for not accepting suggestion made

Staff Feedback

• Delivers feedback that is:

  Select Clear Specific Offers solutions Provides training

  • Clear
  • Specific
  • Offers solutions
  • Provides training

• Select all solutions or training opportunities provided:

• Provides description of skill(s)

• Models required skill(s)

• Allows practice w/feedback

• Assigns activity

• Schedules follow-up

• Provides resource(s)

• Communication Style

  Select Uses appropriate tone Balances negative & positive Allows time for staff to respond

  • Uses appropriate tone
  • Balances negative & positive
  • Allows time for staff to respond

Data & Notes

• Notes were completed during session

• Notes were clear and easy to read

  Yes

  No

  N/A

• Notes focused on topics selected/discussed during session

  Yes

  No

  N/A

• Notes provided specific tasks

  Yes

  No

  N/A

Acknowledgement

• We have reviewed the results of the assessment.

• Assesor

  Sign

• Assessed Staff

  Sign