Completed by. Xxxxxxxx Xxxxxx 1 Cal. Gov. Code §§81000 et seq.; FPPC Regs. 18700.3 and 18704. 2 Chula Vista Municipal Code §§2.02.010-2.02.040. 3 Cal. Gov. Code §§53234, et seq.
Completed by. In year 1 of their evaluation cycle, Educator submits to Evaluator the PAC Evaluation Plan. October 1 In year 1 of their evaluation cycle, Evaluator meets with Educators to review Educator Plans (Educator Plan may be established at Summative Evaluation Report meeting in prior school year) October 15 In year 1 of their evaluation cycle, final PAC Evaluation Plan approval. October 30 Evaluator completes 1 announced and at least 2 unannounced observation(s) Any time during the 2- year evaluation cycle, but must be spread over the 2 years Educator should submit any applicable evidence of progress towards standards and goals May 15 of Year 1 Evaluator completes and delivers Formative Evaluation Report to Educator June 1 of Year 1 Formative Evaluation signed and Formative Evaluation Meeting held, if any. Meeting will occur if an Evaluator anticipates a negative change in the Educator’s rating. June 10 of Year 1 Educator should submit any applicable evidence of progress towards standards and goals The Friday following April school vacation Evaluator completes Summative Evaluation Report Evaluator conducts Summative Evaluation Meeting, if any. Meeting will occur if the rating is changed to Needs Improvement or Unsatisfactory. Seven days prior to the last day of school Evaluator and Educator sign and return Summative Evaluation Report, and provides any written response By the last day of school PROFESSIONAL STAFF EVALUATION TOOL
Completed by. Xxxx Xxxxxxx
Completed by. Initial/on-going assessment Indicator Yes No Details CONSIDER RISK Woman comes from a community known to practice FGM Woman has undergone FGM herself Husband/partner comes from a community known to practice FGM A female family elder is involved/will be involved in care of children/unborn child or is influential in the family Woman/family has limited integration in UK community Woman and/or husband/partner have limited/ no understanding of harm of FGM or UK law Woman’s nieces of siblings and/or in-laws have undergone FGM Woman has failed to attend follow-up appointment with an FGM clinic/FGM related appointment. Woman’s husband/partner/other family member are very dominant in the family and have not been present during consultations with the woman Woman is reluctant to undergo genital examination SIGNIFICANT OR IMMEDIATE RISK Woman already has daughters have undergone FGM Woman requesting reinfibulation following childbirth Woman is considered to be a vulnerable adult and therefore issues of mental capacity and consent should be considered if she is found to have FGM Woman says that FGM is integral to cultural or religious identity Family are already known to social care services – if known, and you have identified FGM within a family, you must share this information with social services ACTION: If unsure whether the level of risk requires referral at this point, discuss with your named/ designated safeguarding lead. If the risk of harm is imminent, contact Social Services/CAIT team/ Police/MASH URGENTLY. In all cases:– •Share information of any identified risk with the patient’s GP •Document in notes •Discuss the health complications of FGM and the law in the UK Patient’s details Appendix 6: Non-Pregnant woman (This is to help decide whether any female children are at risk of FGM, whether there are other children in the family for whom a risk assessment may be required or whether the woman herself is at risk of further harm in relation to her FGM).
Completed by. Initial/on-going assessment Indicator Yes No Details CONSIDER RISK CHILD/YOUNG ADULT (under 18 years old) Girl has difficulty walking, sitting or standing or looks uncomfortable Girl finds it hard to sit still for long periods of time, which was not a problem previously Girl presents to GP or A & E with frequent urine, menstrual or stomach problems Increased emotional and psychological needs eg withdrawal, depression, or significant change in behaviour Girl avoiding physical exercise or requiring to be excused from PE lessons without a GP’s letter Girl has spoken about having been on a long holiday to her country of origin/another country where the practice is prevalent Girl spends a long time in the bathroom/toilet/long periods of time away from the classroom Girl talks about pain or discomfort between her legs SIGNIFICANT OR IMMEDIATE RISK Girl asks for help Girl confides in a professional that FGM has taken place Mother/family member discloses that female child has had FGM Family/child are already known to social services – if known, and you have identified FGM within a family, you must share this information with social service ACTION: If one or more indicators are identified, refer to Social Services/CAIT team/ Police/MASH, in accordance with your local safeguarding procedures. If unsure whether the level of risk requires referral at this point, discuss with your named/ designated safeguarding lead. If the risk of harm is imminent, contact Social Services/CAIT team/ Police/MASH URGENTLY In all cases:– •Share information of any identified risk with the patient’s GP •Document in notes •Discuss the health complications of FGM and the law in the UK Appendix 3 Safeguarding Children Information Sharing Guidance: Child Sexual Exploitation (CSE) This document has been developed to provide guidance to RBH frontline professionals involved in information sharing discussions at multi agency locality CSE operational meetings. The guidance aims to provide: • confidence that CSE cases continue to be dealt with in line with established child protection procedures • a consistent approach to information sharing • clarity for front line staff Introduction In order to ensure safeguarding, information sharing is an important part of frontline practitioners’ job when working with children and young people. This guidance gives a practical overview of sharing information relating to Child Sexual Exploitation, to enable practitioners to feel confident in sharing information w...
Completed by. Ongoing until contract is closed. Budget: $4000 (plus $1000 DPW match) Deliverables: 1. Final project work program.
Completed by. May 2004 Budget: $5000 (plus $2000 DPW match) Deliverables: 1. 100% complete designs and specifications
Completed by. Your Learning Schedule For you to benefit from this e-learning, there must be a commitment from both yourself and your manager. Discuss and agree on a learning schedule in regard to when you can learn and how much time weekly / monthly is expected for you to meet your set learning goals. • To ensure privacy while learning please use the banner tape provided, switch your phone to voicemail, and avoid casual interruptions by asking people to respect your learning time • Utilize your e-mail calendar to schedule a regular learning ‘appointment,’ set up a reminder and if you can’t make it, reschedule another time • Remember you can access the e-learning at a time convenient to you and from home if appropriate • It is recommended that students complete one hour of learning at a time to maximize retention My e-Learning day/s of the week will be: Time: Your Learning Goals By developing a learning schedule and setting goals you will be closer to meeting your commitment to this program. Discuss and agree on your learning goals and expected outcomes with you manager to ensure the learning is relevant, timely, and workplace oriented. Learning Objective (what is the aim of this learning) Expected Outcomes (how will you display the new skills acquired) Signed: Participant Signed: Manager Date: / / Date: / / Please Note: • You will be notified by email once you have been registered as a user, this will take up to one week. • Your access to e-learning will be monitored by your: Circle one: Manager HR Skillsoft Administrator • This document will be taken into consideration during your performance appraisal and career development discussions.
Completed by. Evaluator meets with educator to assist in self-assessment & goal setting process. Educator submits self-assessment and proposed goals October 1 Evaluator meets with educators in teams or individually to establish Educator Plans (Educator Plan may be established at Summative Evaluation Report meeting in prior school year October 15 (November 1 for 2013 – 2014 school year) Evaluator completes Educator Plans November 1 (November 7 for 2013 – 2014 school year) Evaluator completes unannounced observation(s) Any time during the 2- year evaluation cycle Educator submits evidence on parent outreach, professional growth, progress on goals (and other standards, if desired) Any time during the first year of the 2-year evaluation cycle, but prior to May 1 Evaluator completes Formative Evaluation Report June 1 of Year 1 Evaluator conducts Formative Evaluation Meeting at request of Evaluator or Educator June 1 of Year 1 Educator submits evidence on parent outreach, professional growth, progress on goals (and other standards, if desired) Any time during the 2- year evaluation cycle, but prior to April 15 of the second year Evaluator completes and delivers Summative Evaluation Report May 15 of Year 2 Evaluator meets with educators whose overall Summative Evaluation ratings are Needs Improvement or Unsatisfactory June 1 of Year 2 Evaluator meets with educators whose overall Summative Evaluation ratings are proficient or exemplary at request of Evaluator or Educator June 10 of Year 2 Educator signs Summative Evaluation Report and adds any response June 15 of Year 2 Self-Directed Growth Plan: Educators with PTS on One-Year Plan: • Educators who have been rated proficient or exemplary and after 2013-2014 whose impact on student learning is low. ACTIVITY COMPLETED BY: Evaluator meets with educator to assist in self-assessment & goal setting process Educator submits self-assessment and proposed goals, one of which must address low outcomes. October 1 Evaluator meets with Educators in teams or individually to establish Educator Plans (Educator Plan may be established at Summative Evaluation Report meeting in prior school year October 15 (November 1 for 2013 – 2014 school year) Evaluator completes Educator Plans November 1 (November 7 for 2013 – 2014 school year) Evaluator completes unannounced observation(s) Any time during the evaluation cycle Educator submits evidence on parent outreach, professional growth, progress on goals (and other standards, if desired) January 15 Evalu...
Completed by. Date: Completed monitoring forms and a copy of the invoice can be returned electronically via: Email: xxxxxxxxxxxxxxxxxxxxxxxxx@xxxxxxxx.xxx.xx Invoices and monitoring forms should be received no later than 10 working days following the final day PLEASE NOTE: Invoices without relevant monitoring forms or incomplete forms will cause delay in payment. Please ensure ALL forms are sent together Q1 (Apr-Jun) Q2 (Jul - Sept) Q3 (Oct - Dec) Q4 (Jan - Mar) LEVEL 2 SMOKING CESSATION SERVICE 2017-2018 RETURN FORM Please tick quarter to which this form relates: Provider Name: Provider Code: PLEASE ENSURE ALL QUESTIONS ARE RESPONDED TO FULLY. All Clients Socio-economic Classification Pharmacotherapy Treatment Received Intervention Received Client No Partial Post Code Age at Quit Date Gender Ethnicity Quit Date Set Successfully Quit Not known/ lost to follow- up CO validation less than 10 ppm Socio-economic Status Treatment Type Intervention Type Intervention Setting 001 002 003 004 005 006 007 008 009 010 011 012 013 014 015 016 017 018 019 020 021 022 023 024 025 026 027 028 029 030 Gender Male Female Ethnicity British Irish Any other White background White and Black Caribbean White and Black African White and Asian Any other Mixed background Indian Pakistani Bangladeshi Any other Asian background Caribbean African Any other Black background Chinese Any other Black background Socio-economic Groups Manual/Routine Workers Pregnant Women Mental Health Other Pharmacotheraphy Treatment Champix NRT Zyban Other Intervention Type Intervention Settings 1 to 1 Session Community Setting Group Session GP Pharmacy Other 1 | P a g e
