Internship Supervisee Weekly Log Of Activities (Page 2 of 2) in pdf

Internship Supervisee Weekly Log Of Activities Page 2

Section 1387.5 of the California Code of Regulations

Regarding Supervised Professional Experience Log

This section became effective August 27, 2005.

a) The supervisee shall maintain a written weekly log of all hours of SPE earned toward

licensure. The log shall contain a weekly accounting of the following information and shall be

made available to the board upon request:

1) The specific work setting in which the SPE took place.

2) The specific dates for which the log is being completed.

3) The number of hours worked during the week.

4) The number of hours of supervision received during the week.

5) An indication of whether the supervision was direct, individual, face-to-face, group, or

other (specifically listing each activity).

6) An indication of whether the SPE performed that week was satisfactory.

b) This log must also contain the following information:

1) The supervisee’s legibly printed name, signature and date signed.

2) The primary supervisor’s legibly printed name, signature, license type and number, and

date signed.

3) Any delegated supervisors’ legibly printed name, license type and number.

4) A description of the psychological duties performed during the period of supervised

professional experience.

5) A statement signed by the primary supervisor attesting to the accuracy of the

information.

c) When SPE is accrued as part of a formal internship, the internship training director shall be

authorized to provide all information required in Section 1387.5(b).

Internship Supervisee Weekly Log Of Activities Page 2