Boys & Girls Club ASP Observation Audit - SSD

• Document No.

• Audit Title

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

PHONE CALL LOG

• Reason for phone call:

• Were you able to conduct a program site visit without interruptions from another school site?

  Yes

  No

  N/A

• What is the plan of action?

STUDENT & STAFF SAFETY:

• Was the Site Coordinator on campus?

  Yes

  No

  N/A

• Were all employees following proper dress code?

  Yes

  No

  N/A

• Was there inappropriate Physical Interaction?

  Safe

  At Risk

  N/A

• Does the program meet the recommended number of student to staff ratio?

  Yes

  No

  N/A

• Does the Activity Leader use appropriate Classroom Safety Awareness (i.e., scanning classroom, court vision, facing the students, setting expectations, follow through, etc.)

  Yes

  No

  N/A

• Were release time procedures handled properly?

  Yes

  No

  N/A

CLASSROOM MANAGEMENT:

• Did the Activity Leader engage all students?

  Yes

  No

  N/A

• In reviewing the Activity Leaders lesson plans, were the lesson plans current and appropriate?

  Yes

  No

  N/A

• Were transitions fluid?

  Yes

  No

  N/A

• Does the site have bathroom and water fountain usage procedures and are they followed?

  Yes

  No

  N/A

• Are attention getters used?

  Yes

  No

  N/A

• Is student discipline clear, consistent and fair?

  Yes

  No

  N/A

• Did you observe the use of Positive Re-Direction when needed?

  Yes

  No

  N/A

PROFESSIONALISM:

• Are all staff members arriving on time daily?

  Yes

  No

  N/A

• Are time sheet logs prepared daily?

  Yes

  No

  N/A

• Are all staff members wearing district issued badge and lanyard?

  Yes

  No

  N/A

• Did staff members follow the non-use of personal cell phone policy at the site?

  Yes

  No

  N/A

• Were activity leaders using allocated prep time appropriately?

  Yes

  No

  N/A

• Did staff members follow their lesson plan?

  Yes

  No

  N/A

• Was proper walkie talkie etiquette used?

  Yes

  No

  N/A

• Was there effective communication with program staff?

  Yes

  No

  N/A

WRAP UP

• During this visit was school administration available to meet?

  Yes

  No

  N/A

• What are your commendations or suggestions for improvement?

  Suggestions

• Were there any Site Celebrations?

  Celebrations

• Any other notes:

  Notes

• Add signature

  Sign