Form Ddd-1404c - Employment Support Aide - Quality Assurance Review Page 5
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6DDD-1404CFORFF (6-17) Page 5 of 6
MEMBER FILES REVIEW
MEMBER’S NAME (Print)
DATE OF FILE REVIEW
YES
NO
N / A
COMMENTS
Is there a current ISP with employment outcome?
Are quarterly progress reports completed?
Do individual Member ISP outcomes match
the outcomes in the quarterly progress
reports?
Are there progress notes?
Is there a current Behavior Treatment Plan? (If
applicable)
Is there a medical emergency contact on file?
MEMBER FILES REVIEW
MEMBER’S NAME (Print)
DATE OF FILE REVIEW
YES
NO
N / A
COMMENTS
Is there a current ISP with employment outcome?
Are quarterly progress reports completed?
Do individual Member ISP outcomes match
the outcomes in the quarterly progress
reports?
Are there progress notes?
Is there a current Behavior Treatment Plan? (If
applicable)
Is there a medical emergency contact on file?
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Parent category: Legal