Home Based Wandering Response System Please note the documents and records which will be required for the Consumer files and/or Employee files to be reviewed at the time of On Site Evaluation EMPLOYEE Records Review Provider Date Monitor Start Date & Termination Date, if applicable Number of reference checks Check Orientation: Date Job Description(s) Licenses/Certificate of Training, if applicable. Current/expired? Ongoing training: dates CPR: latest dates, if applicable First Aid: latest dates, if applicable Current/expired? Physical: latest date, if applicable (if applicable) Performance Appraisal Date: OIG monthly check TB: latest date Comments
Home Based Wandering Response System Please note the documents and records which will be required for the Consumer files and/or Employee files to be reviewed at the time of On Site Evaluation EMPLOYEE Records Review Provider Date Monitor Start Date & Termination Date, if applicable Number of reference checks Check Orientation: Date Job Description(s) Licenses/Certificate of Training, if applicable. Current/expired? Ongoing training: dates CPR: latest dates, if applicable First Aid: latest dates, if applicable Current/expired? Physical: latest date, if applicable (if applicable) Performance Appraisal Date: OIG monthly check TB: latest date Comments
HomeBased-Wandering-Response-System.docx