Title Page
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Document No.
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Campus
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Conducted on
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Prepared by
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Personnel
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Follows procedures to avoid the spread of infectious illnesses
- Always
- Mostly
- Sometimes
- Rarely
- Never
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Follows emergency policies and procedures
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Greets youth on arrival or within activity
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Explains activities to youth
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Models activities
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Takes responsibility for participants safety by monitoring external visitors
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Takes responsibility for participants safety by adhering to ratio requirements
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Takes responsibility for participants safety by practicing line of sight
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Is aware of students coming and going from the program
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Adheres to confidentiality of participants behavior and health records
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Keeps materials organized and accessible
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Adheres to discipline policies set forth in handbook
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Dispenses rewards and consequences without bias
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Makes accommodations for youth with disabilities to allow participation and success
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Takes responsibility for participants emotional safety by not allowing bullying and exclusion behaviors
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Models respectful tone and voice
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Models empathy
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Maintains a positive and professional relationship with other staff members
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Communicates with families
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Listens to children and maintains eye contact
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Models appropriate body language
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Uses encouraging language
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Uses children's names
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Uses activities as opportunities to promote positive interactions among children
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Recognizes participants for positive behavior
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Recognizes participants for making responsible decisions
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Demonstrates respect for participants culture (s)
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Includes all youth in programming
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Fosters a sense of community among participants
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Develops strong and appropriate relationships with yourh
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Shows evidence of planning for activities
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Supports organizations Mission with activities
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Determines if participants needs are met
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Considers participants ages when planning activities
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Encourages participants to try new activities
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Helps participants find an appropriate activity
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Provides activities that are culturally sensitive
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Adheres to daily schedule
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Creates orderly and timely transitions
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Participates, assists, and provides constructive feedback to participants during activities
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Ensures that all youth are engaged
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Uses different grouping strategies
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Supports school day learning
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Attendance and absent tracker complete
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Roll is taken during sessions
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Staff members know numbers
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Is snack time organized
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Are gym activities organized and fun
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Are staff members monitoring computers
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Is there a quiet place for those who have homework
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Are medications stored properly
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Medication log filled out correctly
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Tuition log updated daily
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Staff members in dress code