Form Ddd-1401c - Center Based Employment - Quality Assurance Review Page 2

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DDD-1401CFORFF (6-17) Page 2 of 6
MANAGEMENT LEVEL INTERVIEW
INTERVIEWEE’S NAME (Print)
INTERVIEWEE’S TITLE
DATE OF HIRE / TIME AT PROGRAM
DATE OF INTERVIEW
WHAT PAID WORK IS AVAILABLE TO MEMBERS?
HOW DO YOU HELP THE MEMBER REACH THEIR OUTCOMES/OBJECTIVES?
HOW IS INDIVIDUAL MEMBER PRODUCTIVITY ASSESSED AND RECORDED?
WHAT ALTERNATIVE ACTIVITIES ARE PROVIDED WHEN PAID WORK IS NOT AVAILABLE?
HOW ARE MEMBERS GIVEN AN OPPORTUNITY TO PARTICIPATE IN DIFFERENT TYPES OF WORK, INCLUD-
ING INTEGRATED WORK ENVIRONMENTS? (i.e. community integrated experience, visits to local businesses, guest
speakers, attendance at job fairs)
WHAT NEW CONTRACTS HAVE BEEN DEVELOPED SINCE THE LAST MONITORING VISIT?
WHAT DO YOU SEE AS YOUR PROGRAM’S STRENGTHS?

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