EHS RECAP - Quarter Child Family Specialist: Next HV Observation: Next Social Observation: Date: Next Recap: What’s Going Well? Eligibility, Recruitment, Selection, Enrollment and Attendance CP #4041 Participants CP #2025 Enrollment Priority (WL) Enrollment/ Drops & Adds: Transitions: *include siblings Dual Enrolled (EHS-HS): *FOT for dual enrolled due 11/30 & 5/31 Recruitment: Education and Early Childhood Dev. MyTSGold Reports: Doc. Status Class Profile Individual Profile Development & Learning Report CP # 3015 Filter for ASQ/eDeca Professional Development Goal: PAT Observations: My TSGold: Archive: Colorbands/Birthdays: 2017-18 EHS Program Focus Areas: Caseload Focus based on 8/31 Checkpoint: ASQ: eDeca: Parent Engagement Socializations: Socialization Observations and Goals: Parent Advisory Committee: October January April June Child Family Reflections Child #1 DOB Attendance Q1 FOT: Ex. 29 points 10.1.17 31 points 4.3.17, up 3 points in housing, down 1 point in transportation Family Goal:
Attendance Q2 Attendance Q3 Attendance Q4 Direct Services/Referrals: Mental Health/Social-Emotional: Health: Dental: Special Needs: Notes: Child #2 DOB Attendance Q1 Attendance Q2 Attendance Q3 Attendance Q4 FOT: Family Goal: Direct Services/Referrals: Mental Health/Social-Emotional: Health: Dental: Special Needs: Notes: Child #3 DOB Attendance Q1 Attendance Q2 Attendance Q3 Attendance Q4 FOT: Family Goal: Direct Services/Referrals: Mental Health/Social-Emotional: Health: Dental: Special Needs: Notes: Child #4 DOB Attendance Q1 Attendance Q2 Attendance Q3 Attendance Q4 FOT: Family Goal: Direct Services/Referrals: Mental Health/Social-Emotional: Health: Dental: Special Needs: Notes: Child #5 DOB Attendance Q1 Attendance Q2 Attendance Q3 Attendance Q4 FOT: Family Goal: Direct Services/Referrals: Mental Health/Social-Emotional: Health: Dental: Special Needs: Notes: Child #6 DOB FOT: Family Goal:
Attendance Q1 Attendance Q2 Attendance Q3 Attendance Q4 Direct Services/Referrals: Mental Health/Social-Emotional: Health: Dental: Special Needs: Notes: Child #7 DOB Attendance Q1 Attendance Q2 Attendance Q3 Attendance Q4 FOT: Family Goal: Direct Services/Referrals: Mental Health/Social-Emotional: Health Dental Special Needs: Notes: Child #8 DOB Attendance Q1 Attendance Q2 Attendance Q3 Attendance Q4 FOT: Family Goal: Direct Services/Referrals: Mental Health/Social-Emotional: Health: Dental: Special Needs: Notes: Child #9 DOB Attendance Q1 Attendance Q2 Attendance Q3 Attendance Q4 FOT: Family Goal: Direct Services/Referrals: Mental Health/Social-Emotional: Health: Dental: Special Notes:
and Partnership *safety concerns CP # 4140 HV Attendance CP # 4230 FOT Indiv. CP#4220 FOT Completion CP#3015 Health CP # 4110 Family Service History (Goals) CP #3501 Disability Conditions and Concerns Child #10 DOB Attendance Q1 Attendance Q2 Attendance Q3 Attendance Q4 FOT: Family Goal: Direct Services/Referrals: Mental Health/Social-Emotional: Health: Dental: Special Needs: Notes: Facilities, Materials and Equipment Safe Environment Checklist Social Goals: Materials/Supply Needs: Technology/Equipment: Facilities: Management Systems and Procedures Data Management (Child Plus): Time Management (Benepay): Follow Up or Supports Needed: CFS: PSC: Manager: Recap documents activity/updates for three consecutive months. Each quarter begin a new recap document* 01/18 p: hs/ehs/staff monitoring/ EHS Recap