HOME BASED

Due every Friday by 5PM

DOCUMENTS AND LINKS

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HOME VISITING

Home Visit Forms

1. My Home Visit Form (save to computer for fILLABLE version)

2. Prenatal Home Visit Form (save to computer for fILLABLE version)

3. HV Discussion Topic List

Curriculum Links

1. Parents as Teachers

2. VROOM

3. Partners for a Healthy Baby

4. Creative Curriculum Infants/Toddlers

   • Learning Games​

   • Mighty Minutes

5. ​Creative Curriculum & TS Gold Preschoolers​

   • ​Activity Pages- Bilingual

   • Weekly Guided Learning Plan- English

   • Weekly Guided Learning Plan- Spanish

6. Hatch Pre-K Resources for Learning at Home​

7. Virtual Home Visits Protocols​

8. Virtual Lab School

   • ELM CURRICULUM: BIRTH - 36 MONTHS

   • ELM CURRICULUM 3 - 5 YEARS

9. ASQ Learning Activities​

   • ASQ-3 Learning Activities Packet​  (Eng)  (Sp)

   • ASQ-3 Activities 2 mo-5 years​  (Eng)  (Sp)

   • ASQ: SE-2 Learning Activities Packet​  (Eng)  (Sp)

   • ASQ: SE-2 Activities 2 mo-5 years​ 

     • Packet #1  (Eng)  (Sp)

     • Packet #2 

Home Visit Topics

Attendance

1. Build the Habit of Good Attendance Early​  (Eng)  (Sp)

2. What Should I expect During a Home Visit  (Eng)  (Sp)

3. Help Your Child Succeed In Preschool  (Eng)   (Sp)

Benefits of Bilingualism & Biliteracy

1. The Benefits of Being Bilingual
     (English) (Spanish) (Arabic) (Russian) (Chinese)
     (Haitian Creole) (Brazilian Portuguese)

2. The Gift of Language
     (English) (Spanish) (Arabic) (Russian) (Chinese)
     (Haitian Creole) (Brazilian Portuguese)

3. Language at home and in the community for Families
     (English) (Spanish) (Arabic) (Russian) (Chinese)
     (Haitian Creole) (Brazilian Portuguese)

4. Dual Language Learners & Strategies
   ​     for Home Visitors

Health and Safety

1. Chemical and Medicine Safety  (Eng)  (Sp)

2. Lead Poisoning

   • Know the facts  (Eng)  (Sp)​

   • Are you pregnant?  (Eng)  (Sp)

3. Suspected Child Abuse & Neglect Policy & Procedure 

4. What is Amblyopia (optional handout)

5. Health and Safety Topics

   (Links will take you to multiple resources located on the Health and Safety Page)

   • ECLKC Health Tips for Families Series ​

   • Emergency Preparedness

   • Vehicle and Pedestrian Pedestrian Safety

Mental Health

1. Mental States You May Experience Today

2. The Anger Iceberg

3. The Anger Iceberg Revisited:
      Using a Trauma Informed Lens

4. The Feeling Wheel

Prenatal and postnatal resources

1. Postpartum Planning

2. Postpartum Affirmations

3. Guide to Visiting a New Mom

4. Postpartum Policy

Sharing of Data &

Protections for Privacy-Child Records​

Parental Annual Notice and Rights Child Records

• English​

• Spanish

SCHOOL READINESS

1. 29 Things Parents Can do to Promote School       Readiness.

   • ENGLISH​

   • SPANISH

ENROLLMENT

Re-Enrollment/Enrollment Guidelines

1. HB Enrollment Plan Summary 2021-2022

2. Re/Enrollment Schedule 2021-2022

3. Dually Enrolled Schedule 2021-2022

4. New Child Enrollment Schedule 2021-2022

5. New Child Enrollment Digital Visit Checklist coming soon

6. New Enrollment Visit Guidelines 2021-2022

7. New Enrollments Aug. 30th or LATER

Enrollment/No Contact Letters

1. New File/Drop File Procedures (see page 45 in the manual)

2. New Contact Letter  (Eng)  (Sp)

3. EHS First Letter  (Eng)  (Sp)

4. EHS Final (Drop) Letter  (Eng)  (Sp)

Enrollment Forms: EHS

1. Family Information Form

2. Emergency Contact and Medical Insurance

3. Participation Agreement

4. Health History

5. Well Child Exam Form

6. Health Concerns (if applicable)

7. Asthma Plan (if applicable)

8. Anaphylaxis Action Plan (if applicable)

9. Seizure Action Plan (if applicable)

10. Fluid Milk ONLY Substitution (if applicable)​​

11. Medical Statement for Accommodating     
        Disabilities (if applicable)

12. CIS Immunization Record (+ updates)

13. Health Screening Form

14. PHQ-9 (age 12 months and under) 
          (Eng)   (Sp)   (Other)

15. Oral Health Assessment (if applicable)

16. Fluoride Varnish Form (if applicable) 

    • D3 Dental Consent Form​

    • D3 Parent Letter

    • D3 Privacy Practices

17. Lead Screening Parent Questionnaire
             (Eng)   (Sp)   (Rus)   (Viet)

18. Home Based Consent Form

    • Digital Consent Form Instructions​

Enrollment Forms: HS

1. Family Information Form

2. Emergency Contact and Medical Insurance

3. Participation Agreement

4. Health History​

5. Health Care Provider Statement

6. Health Concerns (if applicable)

7. Asthma Plan (if applicable)

8. Anaphylaxis Action Plan (if applicable)

9. Seizure Action Plan (if applicable)

10. Fluid Milk ONLY Substitution (if applicable)​​

11. Medical Statement for Accommodating     
        Disabilities (if applicable)

12. CIS Immunization Record (+ updates)

13. Health Screening Form

14. Oral Health Assessment (if applicable)

15. Lead Screening Parent Questionnaire
           (Eng)   (Sp)   (Rus)   (Viet)

Enrollment Forms: Prenatal

1. Family Information Form

2. Emergency Contact and Medical Insurance

3. Participation Agreement

4. PHQ-9 (age 12 months and under) 
         (Eng)   (Sp)   (Other)
   
          PHQ-9 Timeline/Flowchart (see page 66 in the manual)

5. Prenatal Health History

6. Home Based Consent Form

HOME VISITOR RESOURCES

Home Visitor Manual

1. Albina Head Start Home Visitor Manual

Home Visitor Safety

1. Home Visiting Safety:
     Staying Safe and Aware on the Job

2. Oregon Home Visitor Safety Guide

3. Natural Gas Safety Video

Home Visitor Professional Development

1. NAEYC Code of Ethical Conduct
     & Statement of Commitment           (Eng)  (Sp)

2. Oregon Home Visiting Core Competencies 2015

3. Relationship-Based Competencies
     To Support Family Engagement

Timeline & Schedule

1. HV Timeline and Schedule Guide

Equity/Diversity & Anti-Bias

Home Visiting Practices

1. Useful Definitions 

2. Cultural background on Refugee &
    Cultural Groups

   • Bhutanese   (Eng)   (Sp)

   • Burma   (Eng)   (Sp)

   • Iraq   (Eng)   (Sp)

   • Somalia   (Eng)   (Sp)

3. Supporting the School Readiness and Success of Young African American Boys Project: Reflections on a Culturally Responsive Strength-Based Approach​

4. Advancing Racial & Ethnic Equity in Head Start

5. ECLKC Resources​

FILES

1. EHS New File Procedure  (see page 45 in the manual)

2. Traveling File Set up Form (see page 63 in the manual)

3. Routing Slip

4. EHS New Child File Review 2021-2022

5. EHS Returning Child File Review 2021-2022

6. EHS New Prenatal File Review 2021-2022

7. EHS Returning Prenatal File Review 2021-202

8. EHS Aging Out File Procedure 2021 *NEW 6/16/21*

9. Not Returning File Box Storage List

10. HS Main Office File Review

ASSESSMENTS

ASQ/ASQ SE

1. ASQ Online Login

2. EHS: ASQ/ASQ SE Online Directions

3. HS: ASQ/ASQ SE Online Directions

4. ASQ/ASQ SE Video Directions

5. How to Open ASQ Summary Page

6. SharePoint: Questionnaires & Resources

ages & stages provider guides

1. Administering the ASQ-3 in Virtual Environments

2. ASQ-3 Materials and Item Adaptation Guide

3. Administering the ASQ:SE-2 in Virtual Environments

Referrals

Family Engagement

Early Head Start Family Outcomes

1. EHS ​Family Engagement Outcomes- English 

2. EHS Family Engagement Outcomes- Spanish 

3. Linking FPA/Needs Identified to
     Family Engagement Outcomes 
    

4. EHS Family Engagement Outcomes 
     PowerPoint 2018

Head Start HB Family Outcomes

1. HS Family Outcomes- English 

2. HS Family Outcomes- Spanish 

3. HS Family Outcomes Manual

4. Linking FPA/Needs Identified to
     Family Engagement Outcomes 

REPORTS

1. Monthly Report use weekly work expectations

2. HV Weekly Work Expectations Due every friday by 5pm

SOCIALIZATIONS

Forms

1. Daily Room Safety Checklist

2. Room Booker Instructions

3. Emergency Drill Record (Due Nov./Apr.)

4. Parent Meeting Schedule

5. Socialization Room Cleaning Check Off List

6. Socialization Observation

7. Socialization Overview (see page 18 in the manual)

8. Socialization Sign in Sheet

Planning

1. Individualized Parent-Child Socialization Plan

2. Parent Meeting Minutes- Sample

3. Virtual Socialization Power Point

4. Socialization Lesson Plan-Sample

Meal & Food Ordering

1. Socialization- Infant Meal Order Form

2. On-site Socialization Meal

3. Hot Food Socialization Request

4. Field Trip Sack Lunch Order Form

Field Trip Forms

OMSI

1. OMSI Guidelines update coming for 2020-2021

2. OMSI Parking Registration update coming for 2020-2021

3. OMSI Map

ZOO

1. Zoo Request Form

SCHOOL READINESS

DRDP

1. How to create a CECO account

2. Introduction to DRDP

3. DRDP and Home Based

4. Sample HVR with DRDP

5. DRDP Instructions: Setup

6. DRDP Instructions: Data Entry

7. Home Visitor Intro. to DRDP

8. DRDP Objective Observation Writing/Examples

EHS DRDP

1. EHS HB DRDP Assessment Schedule

2. Measures at a Glance  (Eng)  (Sp)

3. DRDP (2015) Infants/Toddlers (Eng)  (Sp)

HS DRDP

1. HS HB DRDP Assessment Schedule

2. DRDP (2015) Preschool  (Eng)  (Sp)

HS School Readiness

1. HS Assessment Deadline

2. School Readiness Assessment

CHILDPLUS

1. ChildPlus Manual 2019-2020  

2. ChildPlus 2020-21 PowerPoint

3. ChildPlus Enrollment Tracking Tip Sheet

4. HB Re-Enrollment Digital Visit Guidelines 2021-2022

5. Resource & Referral
     ChildPlus Tips and Hints Sheet

6. ChildPlus Mobile Login Page

7. How to add ChildPlus to Mobile Devices

8. H HX Lead Instructions

9. Emergency Form Processing Procedures

10. Socialization Lesson Planning Print Out

RECRUITMENT

1. Eligibility Worksheet

2. Community Outreach Form

3. Recruitment Follow Up Form

OTHER

1. Maintenance Request

2. Parent Emergency Assistance Policy

3. Parent Assistance Forms

TRANSITION PLANNING

1. Transition and Enrollment Process

2. EHS HB Transition Plan

3. Transition Visit Flyer coming 2021

CHILD ABUSE & NEGLECT

1. Policy and Procedure   (Eng)   (Sp)   (Both)

2. Report Form

HB HEALTH

Hearing Screening

1. Introduction to OAE Hearing Screening

2. How OAE Screening Works

3. OAE Hearing Screening:
     Explanation to Parent/Guardian

4. MADSEN Alpha OAE Quick Guide for Testing

Vision Screening

1. What does it mean if:
     Your child is referred by a vision screening?
    

2. PlusOptix Vision Screening:
     Explanation to Parent/Guardian

3. PlusoptiX S12

   • How to perform a good Vision Screening 

   • Checking and documenting measurement Results 

Other Health Forms

ehs

1. Health Fax Cover Sheet 

2. Health History

3. Health Screening Form

4. Oral Health Assessment (EHS)

5. Well Child Exam (EHS)

6. Vision Screen Tool 6 Weeks-12 Months

hs

1. Health Fax Cover Sheet

2. Health History​

3. Health Screening Form

4. Oral Health Assessment (HS)

5. Physician's Statement (HS)

both

1. Health Concerns

2. Asthma Action Plan

3. ​Seizure Policy and Procedure and Seizure Action Plan

4. Growth Pamphlets

5. Food Substitution Forms​

   • Medical Statement for accommodating Disabilities 

   • Milk Substitution

     • How to complete food subs

       • Milk Substitution ​Instructions

       • Medical Statement Instructions

         • Cultural, Religious or Food Intolerance Reasons

         • Part II: Medical Statement

         • Part II: Alternative Milk Substitution

6. ​Food Sub Fax Cover Sheet 

Supervisor/

Supervision Forms

Supervisor

1. EHS New File Procedure  (see page 45 in the manual)

2. Lead Home Visitor Packet

3. Supervisor's Monthly Report Checklist

4. Training Certificate Submissions (Supervisors Only)

Supervisor Responsibilities & Timeline

1. Home Based Supervisor Responsibilities

2. Home Based Coordinator Timeline

EHS & HS Evaluations

Semi Annual & Annual Evaluation Feedback

• Performance Feedback: Home Visitor