- (Please create action steps for all of the areas that need improvement) ACTION STEP FOCUS AREA AREAS OF STRENGTH AREAS FOR POTENTIAL GROWTH REFLECTION (what, who and when) What did we do well? required yet) (Not What can we do better? Health and Safety Self-Assessment Date Completed: What did we do well? Family Survey (Required for Level 3 What can we do better? and Level 4) Date Completed: What did we do well? Staff Survey (Required for Level 3 What can we do better? and Level 4) Date Completed:
- (Please create action steps for all of the areas that need improvement) FOCUS AREA AREAS OF STRENGTH AREAS FOR POTENTIAL GROWTH ACTION STEP (what, who and when) REFLECTION Health and Safety Self-Assessment (Not required yet) What did we do well? What can we do better? Date Completed: Family Survey (Required for Level 3 and Level 4) What did we do well? What can we do better? Date Completed: Staff Survey (Required for Level 3 and Level 4) What did we do well? What can we do better? Date Completed:
CQIP_CBSB_5_2015_fillable_form_v2.docx