FS SITE VISIT

• Audit Title

• Document No.

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

ENROLLMENT

• REVIEWED REPORT 2001

  Yes

  No

  N/A

• FULLY ENROLLED EARLY HEAD START

  Yes

  No

  N/A

• FULLY ENROLLED HEAD START

  Yes

  No

  N/A

• CLASSROOM CAPACITY WITHIN STANDARDS

  Yes

  No

  N/A

• WAITLIST MAINTAINED FOR EHS

  Yes

  No

  N/A

• WAITLIST MAINTAINED FOR HS

  Yes

  No

  N/A

• TRANSITION SERVICES PROVIDED<br>

  Yes

  No

  N/A

• OTHER

  Yes

  No

  N/A

ATTENDANCE

• REVIEWED REPORT 2301

  Yes

  No

  N/A

• REVIEWED REPORT 2330

  Yes

  No

  N/A

• 85% ADA MAINTAINED

  Yes

  No

  N/A

• OTHER

  Yes

  No

  N/A

DISABILITY

• REVIEWED REPORT 3501 (NOV +)

  Yes

  No

  N/A

• REVIEWED REPORT 2125 (ARE THEY GROUPED DISABILITY?)

  Yes

  No

  N/A

• 10 PERCENT ENROLLMENT MET

  Yes

  No

  N/A

• OTHER

  Yes

  No

  N/A

MENTAL HEALTH

• COMMUNICATION WITH CONSULTANT

  Yes

  No

  N/A

• OBSERVATIONS COMPLETED WITHIN 45 DAYS

  Yes

  No

  N/A

• REFERRALS MADE

  Yes

  No

  N/A

• OTHER

  Yes

  No

  N/A

FAMILY SERVICES

• REVIEWED REPORT 4002 (NOV +)

  Yes

  No

  N/A

• FPA GOALS COMPLETED/FOLLOW-UP

  Yes

  No

  N/A

• FAMILY CONCERNS/CRISIS

  Yes

  No

  N/A

• CONTACT NOTES

  Yes

  No

  N/A

• CHILD ABUSE REPORTS<br> # of reports in last 30 days<br>

  Yes

  No

  N/A

• HOME VISITS COMPLETED<br> # of HVs in last 30 days

  Yes

  No

  N/A

• CRISIS INTERVENTIONS<br> # of crisis interventions in last 30 days

  Yes

  No

  N/A

• OTHER

  Yes

  No

  N/A

COMMUNITY PARTNERSHIPS

• LIST MEMBERSHIP WITH BOARDS/ADVISORY COUNCILS/MEETINGS

  Yes

  No

  N/A

• BOARDS/ADVISORY COUNCILS/MEETINGS ATTENDED IN LAST 30 DAYS<br>

  Yes

  No

  N/A

• OTHER

  Yes

  No

  N/A

PARENT ENGAGEMENT

• REVIEW TRAINING SCHEDULE

  Yes

  No

  N/A

• REVIEWED PARENT ENGAGEMENT NOTEBOOK

  Yes

  No

  N/A

• FLIERS OK

  Yes

  No

  N/A

• NEWSLETTERS (BR/HSN) SENT

  Yes

  No

  N/A

• PARENT COMMITTEE MINUTES IN NOTEBOOK

  Yes

  No

  N/A

• PARENT COMMITTEE MEETINGS SCHEDULED/CONDUCTED

  Yes

  No

  N/A

• SOCIAL EVENTS

  Yes

  No

  N/A

• FEDERAL SHARE/SPECIAL PROJECTS

  Yes

  No

  N/A

• RESOURCES APPROPRIATE

  Yes

  No

  N/A

• OTHER

  Yes

  No

  N/A

HEALTH AND NUTRITION

• ANY NEW SPECIAL HEALTH NEEDS

  Yes

  No

  N/A

• ANY NEW ALLERGIES

  Yes

  No

  N/A

• ANY NEW MEDICATION BEING ADMINISTERED

  Yes

  No

  N/A

• IF YES, DOCUMENTATION OF MEDICATION

  Yes

  No

  N/A

• IF YES, ADMINISTERED TRAINING

  Yes

  No

  N/A

• IMMUNIZATIONS CURRENT

  Yes

  No

  N/A

• 45 DAY SCREENINGS COMPLETED (Developmental, Vision, Hearing, and Speech)

  Yes

  No

  N/A

• 90 DAYS SCREENINGS COMPLETED (IHP, Nutrition, Health History, Hgb, BP, Lead, Sickle, and Dental)

  Yes

  No

  N/A

• TREATMENTS SCHEDULED

  Yes

  No

  N/A

• FOOD SERVICE ISSUES

  Yes

  No

  N/A

• SNACKS/MEALS CONCERNS

  Yes

  No

  N/A

• OTHER

  Yes

  No

  N/A

COMMENTS/FOLLOW-UP

• PROFESSIONAL DEVELOPMENT REQUESTED

  Yes

  No

  N/A

• CHILD PLUS ISSUES

  Yes

  No

  N/A

• COMPUTER ISSUES

  Yes

  No

  N/A

• DISTRICT UPDATE<br> What's Going Well<br> Any Struggles/Concerns<br> Info Need to Share With Central Office<br> Questions From Districts

  Yes

  No

  N/A

• PERSONNEL ISSUES

  Yes

  No

  N/A

• EHS CROSS VISIT MEETING COMPLETED

  Yes

  No

  N/A

• COMPONENT REFERRAL REQUESTED<br>

  Yes

  No

  N/A

MONTHLY TASK LIST

• REVIEWED CURRENT MONTH TASK LIST

  Yes

  No

  N/A

• PRIOR MONTH TASKS COMPLETED

  Yes

  No

  N/A

• PLANS MADE FOR NEXT MONTH'S TASKS

  Yes

  No

  N/A