Information
-
Document No.
-
Agency
-
Program/Site
-
Conducted on
-
Prepared by
-
Location
-
Personnel Present
-
Assessment Key: Exceeds Requirement (ER); Meets Requirement (MR); Continuous Improvement (CI); Non-Compliant (NC); Not Reviewed (NR)
Administrative
-
Program staffing levels are maintained
-
Comments/Documents Reviewed:
-
Program files quarterly programmatic reports in a timely manner as required by contract
-
Comments/Documents Reviewed:
-
Agency records document and support information submitted on most recent quarterly report
-
Comments/Documents Reviewed:
-
Staff background checks are current (level II)
-
Comments/Documents Reviewed:
-
Agency handles staffing changes as per contract
-
Comments/Documents Reviewed:
Program Management & Scope of Service
-
Maintains adequate (complete, current, orderly) client service records for planning, report and evaluation purposes
-
Comments/Documents Reviewed:
-
Program and services are accessible and are responsive to client needs, as documented by satisfaction surveys, client evaluations, or letters of testimony
-
Comments/Documents Reviewed:
-
Services are provided according to date, time, and location specified
-
Comments/Documents Reviewed:
-
Program maintains an adequate data collection system for collecting, recording and reporting performance information
-
Comments/Documents Reviewed:
-
Program outcome objectives are on target or ahead of target in relation to time of fiscal year
-
Comments/Documents Reviewed:
-
Program is effective in implementing strategies that encourage parental involvement
-
Comments/Documents Reviewed:
Community Relations
-
Program actively seeks and maintains cooperative relationships and collaborates with other agencies when appropriate
-
Comments/Documents Reviewed:
-
Program actively publicizes the program to neighborhoods, schools, community organizations and the media, including promotion of CSC
-
Comments/Documents Reviewed:
-
Program is maximizing resources in the community, including volunteers and in-kind resources (and are documented)
-
Comments/Documents Reviewed:
-
Program utilizes and displays current CSC logo on program brochures, print material, and website
-
Comments/Documents Reviewed:
Physical Site Observations
-
2x3 agency funded by CSC sign displayed
-
Add media
-
CSC decal displayed
-
Add media
-
Safety Issues
-
Add media
-
Cleanliness
-
Add media
-
Faith Issues
-
Visible/Easily Identifiable Staff
-
Children/Youth actively engaged
-
Visible Attendance Rosters
-
Number of Youth in Attendance:
-
Staff/Youth ratio:
