Item N/A Present Compliant Corrective Actions Comments Required Agency Caseload Capacity (CI, HVA) Maintain 85% of the agency caseload capacity Y N Y N Y N 1.1 Completed □ □ □ □ □ □ □ □ Home Visiting (HVA) 2.1 98% of participants receive their first home visit within 60 Y N Y N Y N Completed □ □ □ □ □ □ □ □ days of the referral. 2.2 75% of participants must receive at 75% of the home Y N Y N Y N Completed □ □ □ □ □ □ □ □ visits expected for their assigned home visitation level Supervision (HVA) 3.1 Parents as Teachers provide .08 FTE supervision for every Y N Y N Y N □ □ □Completed □ □ □ □ □ 1 FTE Home visiting staff 3.1.1 Parents as Teachers (PAT) supervisors will not supervise Y N Y N Y N □ □ □Completed □ □ □ □ □ more than 12 home visitors (regardless of part-time full time status) 3.1.2 Each month, PAT parent educators working more than .5 Y N Y N Y N Completed □ □ □ □ □ □ □ □ FTE participate in a minimum of two hours of individual reflective supervision and a minimum of two hours of staff meetings and parent educators working .5 FTE or less participate in a minimum of one hour of reflective supervision and two hours of staff meetings 3.2 Healthy Families America (HFA) provide .20 FTE Y N Y N Y N Completed □ □ □ □ □ □ □ □ supervision for every 1FTE home visiting staff 3.2.1 HFA home visitors working more than .5FTE receive a Y N Y N Y N Completed □ □ □ □ □ □ □ □ minimum of one hour reflective supervision per week Data Collection (CSD, CI and HVA) 4.1 Agencies must collect benchmark data and data should be Y N Y N Y N Completed □ □ □ □ □ □ □ □ entered into MIECHV database by the last day of each month. Coordinated Intake (CSD, CI and HVA) 5.1 100% of home visiting referrals should be processed by Y N Y N Y N Completed □ □ □ □ □ □ □ □ the coordinated intake worker
Item N/A Present Compliant Corrective Actions Required Comments Agency Caseload Capacity (CI, HVA) 1.1 Maintain 85% of the agency caseload capacity □ □ Y □ N □ Y □ N □ Y □ N □ Completed Home Visiting (HVA) 2.1 98% of participants receive their first home visit within 60 days of the referral. □ □ Y □ N □ Y □ N □ Y □ N □ Completed 2.2 75% of participants must receive at 75% of the home visits expected for their assigned home visitation level □ □ Y □ N □ Y □ N □ Y □ N □ Completed Supervision (HVA) 3.1 Parents as Teachers provide .08 FTE supervision for every 1 FTE Home visiting staff □ □ Y □ N □ Y □ N □ Y □ N □Completed 3.1.1 Parents as Teachers (PAT) supervisors will not supervise more than 12 home visitors (regardless of part-time full time status) □ □ Y □ N □ Y □ N □ Y □ N □Completed 3.1.2 Each month, PAT parent educators working more than .5 FTE participate in a minimum of two hours of individual reflective supervision and a minimum of two hours of staff meetings and parent educators working .5 FTE or less participate in a minimum of one hour of reflective supervision and two hours of staff meetings □ □ Y □ N □ Y □ N □ Y □ N □ Completed 3.2 Healthy Families America (HFA) provide .20 FTE supervision for every 1FTE home visiting staff □ □ Y □ N □ Y □ N □ Y □ N □ Completed 3.2.1 HFA home visitors working more than .5FTE receive a minimum of one hour reflective supervision per week □ □ Y □ N □ Y □ N □ Y □ N □ Completed Data Collection (CSD, CI and HVA) 4.1 Agencies must collect benchmark data and data should be entered into MIECHV database by the last day of each month. □ □ Y □ N □ Y □ N □ Y □ N □ Completed Coordinated Intake (CSD, CI and HVA) 5.1 100% of home visiting referrals should be processed by the coordinated intake worker □ □ Y □ N □ Y □ N □ Y □ N □ Completed
D101-%202015-2-27%20HV%20Deliverable%20QA%20Review%20Tool-Final.docx