Intermittent and 24 Hour Apartment Cilasettings

MILESTONE, INC.

Team Leader Evaluation

Intermittent and 24 hour Apartment CILASettings

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. Works with assigned individuals within a schedule that is satisfactory to them.
5. Assists individuals in using and maintaining all adaptive equipment including
gait belts and walkers safely. Uses lifts safely, if applicable.
6. Assists individual in dressing in his/her own clothing that is clean and neat, and fits. Documents and discusses with supervisor any individual preferences that interfere with this.
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). Documents and discusses with supervisor any individual preferences that interfere with this
8. Monitors and encourages appropriate and healthy diets including special diets ordered by physician. Documents and discusses with supervisor any individual preferences that interfere with this
9. Teaches cooking skills and encourages trying new recipes and foods that promote a healthy diet.
10. Leads group activities and outings as assigned or requested by individuals, making sure all are involves and are enjoying activity. Uses praise and encouragement for participation.
11. Does individual programs correctly and charts immediately. Praises performance or attempts.
12. Uses BDP’s for all individuals as written and charts immediately. Correctly uses reinforcements.
13. Teaches housekeeping skills encouraging maintenance of a clean and neat living environment. Assists with cleaning as needed and/or assigned.
14. Does what supervisor asks and is courteous to supervisor and co-workers.
15. Cleans up office area and staff apartment as needed..
16. When done with all assignments, asks for and does additional work.
17. Teaches laundry skills as needed.
18. Teaches skills in and assists with budgeting as needed recognizing individual choice/control over how money is allocated.
19. Ensures individual choice in all outings encouraging/trying new things and participation.
20. Follows all procedures on outings including driving in a very safe manner at all times.
21. 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.
22. Ensures individual safety at all times, obtaining prompt medical help when needed and completing reports.
23. 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).
24. Assists and supports individuals in use of community programs related to health education and living skills
25. Assists and supports individuals in participation in volunteering in the community
26. Assists and supports individuals in maintaining a circle of friends both within the agency and in the community.
27. Helps structure environment to maximize independent functioning in all possible situations.
28. Remains at work area, leaving only with prior approval of supervisor.
29. Monitors and deals with any issues regarding staff breaks and staff time away from work assignment.
30. Keeps new staff with him/her for first week of on-the-job orientation, teaching skills and observing performance of those skills
31. 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.
32. Trains existing staff on new programs/ procedures.
33. Meets regularly with all staff to make sure everyone is updated on all individual needs. Conducts positive and productive meetings including self-scheduling meetings
34. Makes staff assignments. Makes sure all are following daily routines and safety procedures.
35. Completes staff evaluations as scheduled with input of supervisor.
36. 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.
37. Communicates well and shares information with other shifts. Helps out other shifts whenever possible.
38. Reviews program and other required documentation and retrains staff as needed.
39. Completes program observations and quality assurance checks as required using them as a tool in staff evaluations

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.2fTL3/03