SAFY Surveys:

IV-B Program Progress Survey

Introduction

To be completed by the DCS staff on each contracted service provider. Answer all the following questions in terms of the proposal as you understand and the program is to be administered. For each question that you answer with "Disagree" or "Strongly Disagree", please use the comment section below to provide details of concerns of the DCS and suggest a solution.

Program

Provider

Fiscal Year

Evaluation Start Date

Evaluation End Date

DCS Staff Name

DCS Staff Title

DCS County

Section I

Answer the following questions for the above program serving your county.

The service provider is cooperative, professional, and productive in carrying out this program for our county.

The service provider demostrates knowledge of all aspects of the job.

The service provider has a working knowledge of available services in the county / surrounding area and how to assist the clients in accessing them.

The service provider meets our expectations regarding scheduling and maintaining appointments with the referred clients and is prompt for all scheduled appointments.

The service provider provides adequate and timely verbal progress updates as well as written reports and is available for court testimony when requested by the referral source or court.

The service provider uses sound judgement is carrying out work activities.

The service provider initiates interaction and works effectively with the DCS director and staff, referred clients, and other agencies.

The program is utilized appropriately in regard to a reasonable length of service for each referral.

Feedback from clients referred to the program indicates that they are satisfied with the provider's scheduling practices, promptness for appointments, and overall method of service delivery.

The service provider initiates services within a reasonable time frame from the date of referral to the date of initial contact.

The service provider is responsive in addressing concerns of the DCS and / or referred client promptly that are brought to their attention.

Section II

Answer the following questions if this program provides "Family Preservation, Time Limited Reunification and / or Adoption Promotion Support" services; it has the goal of maintaining / reunifying families.

This program service meets our expectations of strengthening referred families skills and / or maintaining children safely in their own home.

This program assists in reducing the length of stay in substitute care and / or stabilizes reunification, when these are the goals.

Appropriate intervention plans are developed with input from the client and DCS Family Case Manager that support the goals and objectives of the child's case plan.

Use this section to provide comments or suggestions for any question where you answered "Disagree" or "Strongly Disagree".

SAFY Survey Engine

IV-B Program Progress Survey