Engagement Protocol
Environmental Awareness
Car Seat Safety & Safe Sleep
Assessments and Service/Treatment Plans
Monthly Reports
100

When a client is a no-show, this is the very first action the DSP must take.

What is to call the client?

100

As a home-based service provider, this is the staff's essential focus to help keep both themselves and the children they serve safe.

What is being aware of your surroundings?

100

This is the specific letter of the Safe Sleep ABCD’s that means the baby should have no loose blankets, pillows, or toys in the sleep area.

What is A (for Alone)?

100

This is the maximum time frame, in months, before a new or revised Service/Treatment Plan must be completed and signed by the family.

What is 3 months?

100

Monthly reports must be completed and exported by this specific date of each month.

What is the 5th of each month?

200

If a client misses 2 scheduled appointments, the DSP must send an email to request this formal, multi-disciplinary meeting to realign service goals.

What is a CFTM (Child and Family Team Meeting)?

200

For cases impacting the immediate safety of the child(ren), a DSP should notify the FCM and supervisor, and may also contact law enforcement or make a report to this 1-800 number.

What is the Child Abuse Hotline?

200

A child safety seat should be secured so snugly that it moves no more than this measurement, back-to-front or side-to-side.

What is 1 inch?

200

This is the minimum number of goals that should be targeted on a Service Plan, and they should all be S.M.A.R.T.

What are two to three goals?

200

All goals documented in the client's Service or Treatment Plan must be included and addressed within this report.

What are all goals from the treatment/service plan?

300

After two consecutive No Shows, the DSP must leave one of these at the client's residence to advise them that a third No Show will result in services being discontinued.

What is a note?

300

The DSP must check that this specific safety item is accessible and working in the home, as its failure could endanger the occupants.

What is a smoke detector?

300

According to the Safe Sleep ABCD's, this letter indicates that a baby should always be placed on this part of their body when sleeping

What is B (for Back)?

300

This specific assessment tool is used to identify high and low-risk areas related to parenting attitudes and practices.

What is the AAPI (Adult-Adolescent Parenting Inventory)?

300

Providers are encouraged to complete monthly reports with who to review the progress made over the previous month and to prioritize goals for the next month.

Who are the clients?

400

The protocol outlines that if a client misses appointments totaling this percentage of scheduled service time over a two-week span, they are treated the same as having two consecutive no-shows.

What is 50%?

400

A DSP should observe and inform the FCM of any concerns regarding the cleanliness of the home or the lack of these, which should be functioning.

What are utilities?

400

The C in the Safe Sleep ABCD's stands for this, meaning the baby should always sleep on a separate, firm surface like a crib, bassinet, or portable play yard.

What is C (for Crib)?

400

This visual assessment tool uses circles, lines, and arrows to graphically represent the client's family connections to the outside world, like schools or employers.

What is an Eco-Map?

400

The monthly report for a closed case must not only cover the final month's activities but also this critical time frame to provide a complete picture.

What is the life of the referral/case?

500

After three consecutive no-shows, the DSP must seek this specific approval before the Termination Notice can be sent to the client.

What is FCM/Supervisor Approval?

500

Along with weapons and sharp objects, the DSP should check that these two common household items are stored safely and out of a child's reach.

What are medication and cleaning supplies?

500

This specific adjustable strap system on a car seat must be placed at or below the child's shoulders when the seat is rear-facing, and at or above the shoulders when forward-facing.

What is the Harness?

500

In S.M.A.R.T. goal setting, the R reminds us that goals should be practical, important to the client, and linked to the overall service plan.

What is Relevant?

500

This is the required written structure of the report, summarizing the client's activities and progress toward goals.

What is a narrative?