Visit Preparation Checklist

• Agency Badge
• Gas in Car
• Car Seats
• Charged Cell Phone
• Service Delivery Record with Contact Information
• Caregiver signature form
• Map + Directions
• A list of phone numbers for your PCV Team
• First Aid Kit
• Pen + Notebook

Visit Guidelines

• Verify participants
• Review contracted agency visit guidelines
• Survey room and sit in direct line of sight and sound in least intrusive location
• Supervise visit as directed in the referral
• Remain focused on safety and well-being of the child
• Document observed behaviors
• Intervene or redirect as needed
• Follow bathroom guidelines
• Allow time for transition and closure

Bathroom Guidelines for Supervised Visits

• Supervised visits require the Visit Supervisor to supervise the parent while they take all children into the bathroom if one needs to go.
• The parent assists the child who needs changed/to use the toilet.

Visit Services with Evidence-Based Practice (EBP) Providers

The Visit Supervisor may be asked to provide visit services for a family receiving a therapeutic intervention during the visit, in these cases your role is to:

• Transport the child to and from the visit.
• Monitor the visit when the professional is working with the family.
• Supervise the visit when the professional has finished their session with the family.

Children’s Administration, DCYF. “Visit Services: Pre-Service Training for Contracted Providers.” 2014. Powerpoint presentation.