Lesson Plans Other: please explain Area of Compliance Supporting Documentation Compliance Status Comments Program Design Activities are designed and implemented to help students meet standards in core subjects. Staff lesson plan/course outlines Student test/grades data Curricula materials Program Schedule Data tracking student progress Other: please explain Yes No In Progress Academic enrichment activities including arts and music are being provided. Program schedules Staff activity/lesson plans Student participation list Other: please explain Yes No In Progress Parental/sibling involvement activities that bring entire families into the program are provided. Parent letters/correspondence Parent handbook Advisory Council minutes Newspaper/public service announcements Program schedule sign in sheets Other: please explain Yes No In Progress Provide documentation that a series of parent education opportunities were offered. Parent correspondence Program Training Agenda Training/activity attendance logs Activity/Training evaluations Data System Program handouts Phone log Yes No In Progress
Area of Compliance Supporting Documentation Compliance Status Comments Student Attendance/Retention/Involvement Program is meeting the needs of low socio-economic students. Data based needs assessment Activity log/lesson plans Data tracking student progress Student or parent survey or focus group interview Yes No In Progress Program accommodates children with special needs and encourages their participation in the program. Special accommodation information Specially trained Student data Special Ed. staff correspondence Yes No In Progress The approach and entrance to the program site is safe and accessible for everyone. American with Disabilities Act certification (ADA) Pre-site observation checklist Program director confirmation (verified on monitoring visit) Yes No In Progress The layout of the building allows people with disabilities to obtain materials and services without assistance. American with Disabilities Act certification (ADA) Pre-site observation checklist Program director confirmation (verified on monitoring Yes No In Progress Restrooms are accessible to all participants. American with Disabilities Act certification (ADA) Pre-site observation checklist Program director confirmation (verified on monitoring visit) Yes No In Progress Program attendance is monitored. Data system Parent/student handbook policy Attendance policy Yes No In Progress Provide documentation of how many students are currently enrolled in program. Master list of students enrolled Data system Yes No In Progress Appropriate ratio exists for activities? Student daily attendance roster Staff daily attendance roster Program schedule Yes No In Progress
Participation of youth/family members involvement in program planning. Parent surveys Student surveys Parents serving on Advisory Council Other: please explain Yes No In Progress Provide documentation on how parents of participating students are notified of experiences, achievement and behaviors in the program. Correspondence Parent Meetings Phone logs progress reports Other: please explain Yes No In Progress Area of Compliance Supporting Documentation Compliance Status Comments Management/Staff Plan Management structure supports the achievement of the approved objectives within the approved timelines and budget. Program schedule Grant application Staffing chart Budget narrative Yes No In Progress Plans for staff development and staff input. Training agenda Professional dev. plan Staff sign in sheet Handouts/materials Description of the training Staff meeting minutes Yes No In Progress Volunteers are recruited and trained to work in the program. Volunteer sign in/timesheets Advertisement/PR Volunteer training agendas/plan Volunteer Handbook Yes No In Progress Communication is established between program and school day staff to supplement regular school day activities Faculty meetings minutes Staff Correspondence Staff Surveys Student Data Collaborative meetings Yes No In Progress
The program provides nutritional snacks/supper during program operation. Records of USDA snacks/supper implementation Yes No In Progress The program emergency contact information for students and staff is maintained in a central location. emergency contact information Student emergency contact information Yes No In Progress Parental consent is required for student surveys, student records/ information, pictures, Internet usage and field trips Teacher survey consent forms Permission slips Other consent forms Yes No In Progress The program has established procedures for authorized student and communicated these to staff and families. Parental release forms Parent/student handbook Registration form Sign-in/Sign out forms Other, please explain Yes No In Progress The students, and parents are informed of the program’s emergency readiness plan. Emergency Exit Plan Snow Closing Plan meeting minutes Program handbook Parent/Student handbook Correspondence Handouts Evacuation and relocation plan Disaster plan Other, please explain Yes No In Progress Addendum Site Monitor’s Form INSTRUCTION DOCUMENTATION COMMENTS CORRECTIVE ACTIVE REQUIRED Purchased Professional & Technical Services Contracts/Invoices, specific dates and rates of product or service. Other Purchased Services Contracts/Invoices, specific and rates of product or services.