Virtual Programs Observation Report https://forms.gle/wVsQEPyT7Zh7BSfbA Loading… Observation Report - Virtual Logistics Please fill in the information below. Program Name: * Observation Date: * Program Sponsor: * UYP Representative: * Program Platform: * On-site Contact: Check-in process for visit: Required Documentation Please indicate if the following documents are on site and easily accessible. The documents are all required under Texas A&M University Rule 24.01.06.M1. Liability Waivers Accessibility * Yes No (Section 6.6.1) Notes on Liability Waivers: CPT Certificates Accessibility * Yes No (Section 4.1.3) TDSHS Form Submitted Prior to Program: Yes No (Section 4.1.1) Notes on CPT and TDSHS Form: Medication Distribution Forms Accessibility: * Yes No N/A (Section 6.10.1) Notes on Medical Forms: Background Check Verifications: * Yes No (Section 3.1) Verified that the following were background checked: Program Operations Supervision ratio observed: * (Section 6.2) Age range of participants: * When does staff receive emergency protocol training? How does staff communicate emergency protocol? What is the protocol? (Section 6.4) Risk Management Privacy Settings: Communication among Staff: Identification among staff, counselors, and participants: Event Review Strengths of the Event: Challenges of the Event: Opportunities for Future Events: Event Review Activities Observed: Submit
