MILESTONE, INC.
Team Leader Evaluation
CCI, ICF/DD, DT and Group Home Settings
Name Date Eval.Type: 90 DayAnnual
Date of Hire___/___/___Check One
TIME USAGE Yes No
1. Takes only paid time off. ______
2. On time to work and leaves on time. ______
3. Only takes breaks as scheduled. ______
For “no” answers, the following is
expected for improvement ______
______
______
TRAINING
Has completed Hab Aide training or is completing training & . ______
OJTS within allowed time frame. / Rec. Add. Trng., Perf. Still Needs Improv. / Needs Additional Training / Performance is Satisfactory / Performance Exceeds Expectations
1. Protects individuals from abuse or neglect at all times and immediately reports
any concerns.
2. Talks with individuals politely and positively during all activities.
3. Looks for possible injuries, seizures, changes in behavior that may mean a
health problem, reports immediately, ensuring medical attention, & documents.
4. Follows daily routine/classroom schedule all the time notifying supervisor if
there is a conflict.
5. Assists individuals in using and maintaining all adaptive equipment including
gait belts and walkers safely. Uses lifts safely, if applicable. Includes but not
limited to eye glasses, hearing aides, etc.
6. Dresses or assists in dressing assigned individual in his/her own clothing that is
clean and neat, and fits. Changes or ensures changing of anyone who is not.
7. Makes sure all individuals are clean, well groomed, and neat at all times(face &
hands clean, skin care done, hair clean and styled, teeth clean, breath fresh and
nicely shaven).
8. Provides care including bathing, teeth brushing, shaving, hair care, menstrual care, etc. if the individual cannot and does so protecting privacy and showing respect for personal preferences.
9. Does Eating Programs (and documents) or feeds individuals making sure person and area are neat and clean during meal, talking to individuals, and making mealtime pleasant.
10. Follows menus and diets correctly encouraging healthy eating habits and observing for and documenting individual preferences
11. Does group activities as assigned, making sure all individuals are involved andare enjoying activity. Uses praise and encouragement for participation.
12. Conducts individual self-care programs consistently and correctly and documents immediately. Praises successful performance or attempts.
13. Conducts individual social habilitation programs consistently and correctly and documents immediately. Praises successful performance or attempts.
14. Follows BDP’s for all individuals as written and documents immediately. Correctly uses reinforcements.
15. Follows supervisor’s instructions and is courteous to supervisor and co-workers.
16. Toilets or changes individuals as scheduled and documents. Remains with individuals who need help.
17. Cleans up area after meals and activities encouraging individual participation.
18. When done with all assignments, asks for and does additional work.
19. While doing routine household tasks (meal setup, cooking, laundry, household cleaning, kitchen duty, etc.),consistently has individuals doing, helping and/or learning these tasks.
20. Conducts meetings with individuals in their home/program as required focusing on individual participation and expression of preferences and choices.
21. Ensures individual choice in all outings encouraging participation and trying new activities.
22. Follows all procedures on outings including driving in a safe manner at all times and obeying all traffic laws.
23. Before arrival of individuals at home, when individuals are engaged in other activities, or after bedtime, completes any necessary cleaning tasks or other required tasks without being reminded.
24. Ensures individual safety at all times. Completes disaster drills as required. Knows whereabouts of individuals at all times.
25. Understands and promotes Milestone mission statement as evidenced by quality of work (allowing and encouraging individuals to function as independently as possible at all times).
26. Remains at work area leaving only with prior approval of supervisor.
27. Maintains equipment and activity items/supplies in a clean and organized manner and properly stored. Gets replacements and repairs done as needed.
28. Follows all policies and procedures regarding medication administration, if applicable.
29. Teaches skills in and assists with budgeting as needed, recognizing individual choice/control over how money is budgeted/spent. Accurately completes financial documentation.
30. Assists and supports individuals in use of community programs including those related to health and living skills.
31. Assists and supports individuals in participation in volunteering in the community.
32. Assists and supports individuals in maintaining a circle of friends both within the agency and in the community.
33. Remains on home. Monitors and deals with any issues regarding staff breaks and staff time away from home.
34. Keeps new staff with him/her for first week of on-home orientation, teaching skills and observing performance of those skills.
35. Continues training of new staff (after first week) making sure all tasks are trained before new staff does them alone with individuals. Delegates training to experienced staff as appropriate
36. Trains existing staff on new programs/ procedures.
37. Meets regularly with all staff to make sure everyone is updated on all individual needs. Conducts positive and productive meetings including self-scheduling meetings.
38. Makes staff assignments. Makes sure all are following daily routines and safety procedures.
39. Completes staff evaluations as scheduled with input of supervisor.
40. Addresses performance issues fairly and as they occur. In consultation with supervisor, issues disciplinary actions as needed. Rechecks issues, giving feedback to staff as needed and documents.
41. Communicates well and shares information with other shifts. Helps out other shifts whenever possible.
42. Reviews program and other required documentation and retrains staff as needed.
43. Completes program observations and quality assurance checks as required using them as a tool in staff evaluations
44. Keeps supervisor and QMRP informed of all issues affecting the operation of the home or the well-being of the individuals served.
For checks in “Needs Additional Training”, the following will be done:
For checks in “Rec’d Additional Training, But Performance Still Needs Improvement”, the following will be done.
Attendance or Training issues will be addressed as follows:
Additional comments/Supervisor
Employee Comments (continue on back if needed)
Supervisor(s) Date
Employee Date
Next Level Supervisor Date
Pe.2TL3/03