OMB 0970-0564 [valid through MM/DD/2024]
(Revised: 8/13/2020)
Staff Questionnaire – Program Director
Interview Details |
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Program Name: |
Past and Current Position(s) at Program:
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Level of Care: |
Date/Time of Interview: |
Full Name: |
Interviewer: |
*Note: Before beginning the interview and/or providing this questionnaire to staff, provide a brief introduction, including monitor role and purpose of monitoring visit, confidentiality of staff interview, and clarify any questions. See Introduction Prompt for Staff for additional guidance as needed.
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NOTES |
Provide a general overview of your program.
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Tell me about your role and main responsibilities.
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What changes do you envision for your program in the next year?
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How is ORR P&P and updates to the P&P communicated to program staff?
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Does the program have a system to assess ongoing staff training needs?
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What does trauma-informed care mean to you?
This is a chance to explore how the program is currently implementing trauma-informed care at the organizational level. Does the program need additional resources/tools to effectively put in place trauma-informed practices and techniques? |
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Describe how program staff deliver psychoeducation to sponsors and youth. (Ask about ORR-required service areas, such as education, legal services, mental health.)
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If the program has sub-recipients, what is your process for assigning cases to specific providers?
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Do you and/or members of your staff participate in community stakeholder meetings? If so, what is your agency’s role in these meetings? How does participation in these meetings contribute to client services?
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Explain the procedures currently in place to monitor and evaluate program operations.
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Describe actions taken when noncompliance is detected and provide examples (staff conduct for both onsite staff and/or sub-recipients, reporting, etc.). |
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How does the program incorporate input from minors, sponsors, staff, and program partners to assess the program?
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How is the program’s budget?
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How would you improve the program?
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What recommendations do you have that I bring back to share with ORR headquarters?
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Enter Additional Notes.
THE PAPERWORK REDUCTION ACT OF 1995 (Pub. L. 104-13) STATEMENT OF PUBLIC BURDEN: The purpose of this information collection is to allow ORR Monitoring Team staff to interview and document responses from program directors and assistant program directors during biennial site visits. Public reporting burden for this collection of information is estimated to average 1.0 hour per response (plus an additional 1.0 hour if the site visit is performed by a contractor monitor), including the time for reviewing instructions, gathering and maintaining the data needed, and reviewing the collection of information. This is a mandatory collection of information (Homeland Security Act, 6 U.S.C. 279). An agency may not conduct or sponsor, and a person is not required to respond to, a collection of information subject to the requirements of the Paperwork Reduction Act of 1995, unless it displays a currently valid OMB control number. If you have any comments on this collection of information please contact UCPolicy@acf.hhs.gov.
File Type | application/vnd.openxmlformats-officedocument.wordprocessingml.document |
Author | Persad, Amanda (ACF) (CTR) |
File Modified | 0000-00-00 |
File Created | 2023-11-20 |