Information
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Document No.
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Audit Title
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Client / Site
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Conducted on
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Prepared by
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Location
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Personnel
Home Visitor Facilitation of Parent Child Interaction
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Rarely helps parent respond to child's cue for interaction 1
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Ignores parent-child interactions 1
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Interacts with either parent or child but not both. 1
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Intrudes on ongoing parent-child interactions. 1
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Tries to facilitate interactions even if not always effectively. 3
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Tells parent to interact with child. 3
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Tells child- other to interact with child. 3
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Facilities some parent -child interactins. 5
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Observes parent-child interactions and gives feedback. 5
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Comments on child's cues for interactions. 5
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Prompts parent to engage in interaction with child. 5
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Brings materials or activities to the home to promote parent -child interactions. 5
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Consistently facilities parent-child interactions. 7
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Facilitates parent-child interactions that are rich and easy. 7
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Provides appropriate suggestions and encouragement for parent - child interaction. 7
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Uses materials already in the home to promote parent-child interaction 7
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Overall rating: Inadequate 1, Adequate 3, Good 5, Excellent 7
Comments:
Home Visitor Responsiveness to Family
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Instructs family rather than sharing activities with family 1
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Does not plan well for the visit forgets necessary materials 1
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Works primarily with child showing parent what to do. 1
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Responds to parent's input. 3
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Suggests activities to parent to support child Development. 3
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Shares activities with parent and child. 3
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Is prepared for activities of the home visit. 3
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Models appropriately 3
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Provides information on child development 3
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Gets more information by asking questions. 5
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Gets more information by observing parent and child. 5
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Asks parents about goals. 5
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Asks parents about activities for visit. 5
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Comments on child's developmental level. 5
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Gives developmental information relevant to this child. 5
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Comments on family's strengths or positive interactions. 7
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Follows parent and child's lead in activities. 7
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Helps parents plan activities for visits. 7
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Help parents plan how to meet goals. 7
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Gives developmental information relevant to activities. 7
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Overall rating: Inadequate 1 , Adequate 3, Good 5, Excellent 7
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Comments
Home Visitor Relationship with Family
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Does not appear to enjoy being in the home. 1
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Engages in little (or forced) conversations with family members. 1
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Is critical, condescending or tense. 1
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Seems distracted detached or bored. 1
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Ignores family members other than parents and child. 1
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Is engaged in the home visit. 3
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Interacts sociably with child. 3
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Interacts sociably with parent. 3
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Interacts with other family members. 3
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Is warm and respectful of the parents. 5
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Is relaxed in interacting with with both parent and child. 5
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Is accepting of the family system. 5
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Interacts with everyone present. 5
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Attempts to involve everyone in the room in the activities. 7
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Obviously enjoys being in the home. 7
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Is sensitive to various situation that arise. 7
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Show interest in what is happening with the family. 7
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Overall Rating:
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Comments:
Home Visitor Nonintrusiveness
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Is intrusive or directive. 1
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Overwhelms parent or child. 1
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Takes over activities. 1
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Plays or teaches child him or herself. 1
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Makes suggestions and directions but not excessively. 3
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Hands materials to child instead of parent. 3
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Reinforce child before parent does. 3
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Persists with activity too hard for parent and/or child. 3
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Persists with activity not interesting to parents or child. 3
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Usually facilitates but some faltering. 5
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Occasionally hands toys or materials to child instead of parent. 5
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Occasionally reinforces the child before the parent does even though parent shows ability to do it. 5
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Usually hands materials for child to parent instead of to child. 5
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Consistently sits back when parent -child interaction is ongoing. 7
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Is consistently responsive to parent and child cues. 7
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Is consistently responsive to parent ideas and interests. 7
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Consistently hands toy and others materials for child to parent instead of to child. 7
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Overall Rating:
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Comments:
Parent-Child Interaction During Home Visit
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Interaction is minimal, negative, or nonresponsive. 1
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Interaction not maintained due to child's noncompliance or temper trantrum. 1
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Interactions occurs infrequently. 1
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Interaction starts unengaged, but they get involved in activities on and off. 3
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Interaction starts engaged but then one of them become unengaged. 3
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Interaction is sometimes Positive, but less than half the time. 3
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Engage in eye contact fairly frequently 5
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Interact with some warmth 5
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Are in close physical contact during activities 5
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Parent occasionally allows child to take lead in activities 5
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Consistently are responsive to each other during the home visit. 7
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Obviously enjoy each other's time they spend together 7
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Interact with a great deal of warmth. 7
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Parent consistently allows child to take lad in activities. 7
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Overall Rating:
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Comments:
Parent-Engagement During Home Visiit
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Does not indicate interest in material or activities 1
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Does not initiate activities or conversations with child or home visitor 1
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Positions self away home visitor and child 1
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Is distracted, disinterested physically distant or involved in another activity 1
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Is available for interaction with home visitor and child 3
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Occasionally participates in activities 3
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Is in proximity to home visitor and child during most of the visit 3
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Shows some interest in materials or activities 3
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Answers questions but does not elaborate 3
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Appears interested in activities of home visits 5
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Initiates discussions on child's development or family. 7
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Engages in play and learning activities with child during visits. 7
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Asks questions or provides information related to discussion. 7
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Stays in proximity to child and home visitor throughout visit. 7
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Shows enjoyment of activities. 7
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Overall Rating:
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Comments:
Child-Engagement During Home Visit
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Does not participate home visit activities. 1
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Does not interact with parent and or home visitor. 1
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Cries when coaxed to participate in activities in the home visit. 1
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Is sometimes engaged in home visit activities. 3
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Appears only somewhat interested in the home visit activities. 3
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Sometimes interacts with the parent and /or home visitor through body language gaze, gestures or vocalizations. 3
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Is frequently engaged in home visit activities. 5
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Frequently shows interest in the home visit activities. 5
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Frequently interacts with the parent and/or home visitor through body language, gaze, or vocalizations. 5
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Consistently and enthusiastically interacts wit;h the parent and/or home visitor. 7
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Consistently and enthusiastically participates in home visits activities. 7
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Tries to initiate activities or interactions during home visit. 7
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Consistently shows enjoyment that the home visitor is in the home. 7
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Overall Rating:
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Comments:
