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Supervisor CHILD'S NAME PROBATION OFFICER AUDIT DATE SID NO.

LEFT SIDE Required Forms in File w/Data Entered, i.e: BH/MY Chronos (up to date) within 1 month Minimum required Face to Face contacts Home Visits

FOR ADDITIONAL COMMENTS AND CORRECTIVE ACTIONS, SEE REVERSE SIDE L Y = YES DEF N/A NE = Needs Explanation = Not Applicable = Defer Prosecution N = NO = Late
School Visits RIGHT SIDE Case Plan (Completed within 30 days) Case Plan Reviews (Completed within 180 days) Required Domains Completed Case Plans/Reviews Probation Conditions/Deferred Prosecution Contract Judgments in file folder Assessments Completed & Data Entered into JJIS PF & MAYSI's w/CHCS referral due to high scores School Records & signed copy of FERPA Program Referrals & Other pertinent forms

FOUR (4) MONTH REVIEW AUDIT SHEET

MS-EXCEL-FOUR MONTH AUDIT SHEET

SUPERVISOR'S COMMENTS AND AREAS OF CONCERN ON BELOW LISTED FILES CORRECTIVE ACTIONS 1

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DATE RESPONSE IS DUE

DATE RESPONE RECEIVED

D R A F T