Form Ddd-1402c - Group Supported Employment - Quality Assurance Review Page 7
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8ARIZONA DEPARTMENT OF ECONOMIC SECURITY
DDD-1402CFORFF (6-17) Page 7
Division of Developmental Disabilities (DDD)
Group Supported Employment - QUALITY ASSURANCE REVIEW
WORK-SITE OBSERVATION
SITE NAME
SITE LOCATION
HOURS OF OPERATION
Describe the activities that Members are performing.
How many individuals are in the group?
How many staff are serving the group?
What was direct support staff doing during this visit?
Does there appear to be an adequate number of staff available to meet Member needs?
Describe how the work site is integrated.
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