Appendix Table of Contents 

Appendix A: Sample Job Description - Home-Based Supervisor
Appendix B: Job Description, Home Visitor
Appendix C: Home Visitor Interview Format
Appendix D: Home Visit Observation Guide
Appendix E: Home-Based Group Socialization Checklist
Appendix F: Sample Family Needs Assessment
Appendix G: Family Action Plan
Appendix H: Home Contact Form
Appendix I: Home Visitor Self-Evaluation/Personnel Evaluation
Appendix J: Common Pitfalls of the Home Visitor - An Assessment
Appendix K: Data Tracking System for Supervisor
Appendix L: Involving the Absent Adult
Appendix M: Personal Learning Plan
Appendix N: Home-Based Option Supervisor Competency Assessment
Appendix O: Are Home Visits Parent Focused?
Appendix P: Forming a Learning Partnership with Parents
Appendix Q: What Does the Home Have to Offer as a Learning Environment?
Appendix R: Supervision Factors which can Improve Leadership Performance

Note: These are basic requirements for the home-based supervisor. Local programs should adapt these requirements to their own needs. 


Appendix A
SAMPLE JOB DESCRIPTION -
HOME-BASED SUPERVISOR 
RESPONSIBILITIES:
  1. Assist in the development and evaluation of home-based policies and procedures.
  2. Coordinate the daily operations of the home-based option with other Head Start activities, while working closely with other component staff.
  3. Supervise home visitors through staffings, observations of home visits and parent activities, group socializations for parents and children, review of records, and enroll ment levels.
  4. Evaluate home visitors, develop with home visitors improvement/training plans, and make recommendations to home visitor based on evaluation.
  5. Help identify training needs for the home-based option and plan with appropriate program staff and other component coordinators the development and delivery of training to meet those needs.
  6. Model appropriate communication techniques.
  7. Provide program orientation and training for new home visitors.
  8. Coordinate the resource library for use by home visitors.
  9. Participate in the hiring process of home-based personnel.
  10. Coordinate the ordering of home-based supplies, materials, and equipment.
  11. Assist the Education Coordinator and other component coordinators in working with center parent groups and members of the Policy Council in relation to home base and parent education.
  12. Ensure that Head Start multicultural principles are reflected in local program practices.
  13. Follow all general staff responsibilities, in addition to specific job responsibilities.
MINIMUM QUALIFICATIONS:
  1. Education: Home Visitor Child Development Associate, Associate of Arts, or Bachelor of Science degree in social services, early childhood education, adult education, home economics, human development, or a related field.
  2. Experience in a program that emphasizes the parent's role in the child's development.
  3. Experience with low-income families and in working with persons of varied experience and ethnic backgrounds.
  4. Experience supervising adults and facilitating groups.
  5. Experience in preparing written reports and making oral presentations.
  6. Possess valid driver's license.
  7. Have strong oral and written language skills.
  8. Be knowledgeable of adult learning concepts.

Appendix B
JOB DESCRIPTION -
HOME VISITOR 

QUALIFICATIONS:

A. Experience/Education:

  1. Minimum age of 18.
  2. Education: Home Visitor Child Development Associate, Associate of Arts, or Bachelor of Science degree in Adult Education, Early Childhood Education, Home Economics, Human Development, or a related field.
  3. Previous experience providing direct services to low-income families.
B. Skills/Characteristics:
  1. Adaptable/flexible.
  2. Non-judgmental
  3. Resourceful
  4. Energetic
  5. Dependable
  6. Communication
  7. Friendly
  8. Confident
Major Duties/Functions/Responsibilities:

A. GENERAL:

  1. Assists families in identifying family resources and needs.
  2. Works with families and children on a scheduled one-to-one weekly basis in their homes for at least 90 minutes minimum.
  3. Maintains confidentiality of family records and information.
  4. Encourages and promotes the family's achievement of self-sufficiency.
  5. Is accompanied by the home-based supervisor on home visits as well as resource staff when deemed necessary.
  6. Participates in all appropriate training and meetings.
  7. Encourages parents to attend parent meetings and transports them when necessary.
  8. Integrates all Head Start components during home visits.
  9. Maintains and periodically up-dates Family Profiles with each family throughout the program year.
  10. Works with parents to develop weekly home visit and weekly activity plans based on each child's assessment and identified family needs.
B. PARENT INVOLVEMENT:
  1. Assists parents in developing and fostering healthy self-concepts for themselves and, having begun this effort, will begin assisting parents in becoming the prime family educator(s).
  2. Fosters the belief in parents that they are their child's first teacher and reinforces this concept with practical suggestions for its develop ment.
  3. Provides guidance and leadership in the planning of and participation in parent meetings scheduled at least once per month.
  4. Encourages families to keep an on-going file of weekly home visit plans.
C. SOCIAL SERVICE:
  1. Makes referrals and transports families when necessary to community services offices such as family planning, food stamps, employment, health services, vocational rehabilitation, psychological services, etc.
  2. Assists parents in utilizing fullyall available community resources.
  3. Acts as a liaison and advocate between community resources and Head Start families.
D. EDUCATION
  1. Assists parents in developing ways of using household resources in educational activities with their children.
  2. Provides parents and children with group socialization experiences.
  3. Provides ongoing assessment of parent of enrolled Head Start children with appropriate assessment tools.
E. HEALTH:
  1. Assists families when necessary in the arrangement and transportation of medical and dental appointments as required by Head Start, including designated foilowups.
  2. Must plan one nutrition activity as least once each month during a home visit.
  3. Conducts health checks on each home visit.
Employee Acknowledgement: __________________________
Date: ___________
Program Director Acknowledgement:_______________________
Date: __________

Appendix C
HOME VISITOR INTERVIEW FORMAT 
  1. What personal qualities do you think you would bring to this job?
  2. What job related and life experiences do you have that you feel are related to the job of home visitor?
  3. What are some advantages of working with families and children in the home?
  4. What concerns do you have about working with families and children in the home?
  5. How would you involve a parent with their child during a home visit? What approaches would you use?
  6. What would you do if a family member told you they were about to get evicted?
  7. How would you involve all family members during a home visit; e.g., grand mother, older sibling, and an infant?
  8. What are some of the things preschoolers learn from their parents? How would you, as a home visitor, assist them with this?

Appendix D
HOME VISIT OBSERVATION GUIDE 
Check (X) if yes:

_____ 1. The home visitor greets the family, checks in on events of the week, and is sensitive and attuned to the emotional tone of the home environment.
_____2. The home visitor uses a plan developed together with the parents. The plan is often referred to and used as a guide. The home visit format and content are flexible and adjusted as needed according to current needs and interests of the parent and child.
_____ 3. The home visitor individualizes approaches and activities with the parent and child in a way suited to their needs, skills, interests, and learning styles.
_____ 4. The home visitor involves the parent in an individualized and progressively more active way through the use of the Home Visit Plan (planning, discussion, activities, and evaluation).
_____ 5. The home visitor's language with the parent and child reflects knowledge and use of a variety of communication techniques (e.g., active listening, paraphrasing, and other empowerment techniques).
_____6. The home visitor intervenes appropriately through use of observation, discussion, and written suggestions.
_____ 7. The home visitor immediately addresses health and safety hazards.
_____8. All learning activities are developmentally appropriate, process-versus-product onented, and encourage the use of home materials. The parent is included in ongoing planning of all activities.
_____ 9. The home visitor facilitates parent and child interaction and does not do direct one-to- one teaching of the child (except for occasional modeling).
_____ 10. The home visitor discusses needs for services with family members, helps with referrals, and provides information and followup as needed.
_____ 11. The home visitor identifies, observes, and discusses social-emotional issues with families. S/he works to understand the parent's point-of-view and to increase the child's motivation. S/he discusses alternative management techniques which recognize the child's age, temperament, and family dynamics.
_____12. The home visitor is able to integrate new techniques, activities, and knowledge from such sources as traiings, resource materials, and supervisor feedback.
_____13. The home visitor understands her/his role as a facilitator of family change and does not become inappropriately involved in decision-making or advising about personal relationships.
_____14. Did the home visitor integrate Head Start component areas when appropriate?
_____15. Did the home visitor summarize and evaluate the visit with the parent?



Bibliography
Selected Supervision Topics 

Staff Development and Adult Learners:

Brown, J. F., Administering Programs for Young Children, National Association for the Education of Young Children. 1990.

Dodge, D. T., Colker, L. J., The Creative Curriculum for Family Child Care, Teaching Strategies, Inc. 1991.

Jorde-Bloom, P., A Great Place to Work: improving Conditions for Staff in Young Children's Programs. National Association for the Education of Young Children.

Orlich, Donald C., Staff Development. Enhancing Human Potential, Allyn and Bacon. 1989.

Schiller, P., and Dyke, P., Managing Ouality Child Care Centers: A Comprehensive Manual for Administrators, Teachers College Press, Vermont. 1990

Communication:

Be a Better Speaker!, Channing L. Bete Company, Massachusetts.

How to Have Successful Meetings, Channing L. Bete Company, Massachusetts.

How to improve Your Listening Skills, Channing L. Bete Company, Massachusetts.

Improving Your Interpersonal Skills, Channing L. Bete Company, Massachusetts.

Beach, D. M., and Reinhartz, J., Supervision. Focus on Instruction, New York: Harper and Row. 1989. Chapter 5.

Bolton, R., People Skills, Simon & Schuster, New York. 1977.

Mandel, S., Effective Presentation Skills, Crisp Publications, Inc. 1987.

Vanderslice, V., Communication for Empowerment: A Facilitators Manual of Empowering

Teaching Techniques. Family Matters Project, Cornell University. 1984.

Fox, W.M., Effective Group Problem Solving, Jossey-Bass Inc., Publishers. 1987.

Leadership:

Leadership, Examining the Elusive. 1987 Yearbook of the Association for Supervision and Curriculum Development. Chapters 6 and 7.

Blanchard, K., and Hersey, P., Management of Organizational Behavior. Utilizing Human Resources, 5th Edition, Prentice-Hall, Inc. 1988. (6th Edition to be printed early 1993.)

Dunst, C., Trivette, C., and Deal, A., Enabling and Empowering Families. Principles and Guidelines for Practice, Brookline Books, Cambridge, Mass. 1988.

Kouzes, J. M., and Posner, B. Z., The Leadership Challenge: How to Get Extraordinary Things Done in Organizations, San Diego University Associates, CA. 1991.

Morrison, E. K., Working with Volunteers: Skills for Leadership, Red Leaf Press, St. Paul, MN 1988.

Neugebaurer, R. (1989). When Friction flares -- Dealing with Staff Conflict. Child Care Information Exchange 65, 3-6.

Quick, T., Inspiring People at Work, Executive Enterprises Publications Co., Inc. Revised 1991.

Stress/Burnout:

Chemiss, C., Staff Burnout. Job Stress in the Human Services, Sage Publications. 1982.

Selye, H., Stress Without Burnout, Harper and Row. 1974.

Time Management:

Anastasi, R. E., Martin, J. B., McKay, A. B., Shipman, N. J., Effective Time Management Techniques for School Administrators, Prentice-Hall, Inc. 1983.

 
Appendix E
HOME-BASED GROUP SOCIALIZATION CHECKLIST 

Site: ________________________________________________________ Date: ___________

Check (X) if yes:
___1. Were parents involved in planning the socialization activity?
___2. Were parents involved in a meaningful way; i.e., leading an activity?
___3. Were children given an opportunity to play in large or small groups with other children and/or adults?
___4. Were activities planned which foster cooperation and other social skills; i.e., taking turns, following directions, sharing.
___5. Were activities planned which do not regularly happen on home visits; i.e., block play, water play, easel painting, field trips?
___6. Were safety measures followed?
___7. Were standard nutrition guidelines for group activities followed?
___8. Did parents informally evaluate the activity at its conclusion?
___9. Did parents have the opportunity to interact with other parents?
___10. Did the home visitor work to involve parents who were reluctant to participate?
___11. Did planning include home visitors and parents greeting incoming parents and children?
___12. Were parents provided guidance regarding observation of children before and during the activity?
___13. Were parents helped with child management techniques by discussion before activity, prompting during the activity, and positive modeling by the home visitor?
___14. Did the home visitor discuss the group socialization on the next home visit? (with questions such as: Did you enjoy the activity? How do you think your child benefitted? How could the activity have been im proved?)


Appendix F:
Sample Family Needs Assessment
How Can we Help You? 

Agencies I am using, have used, or need:
 
 
 
Using
Used
Needs
Rehab program
WIC
Job Training
Supplemental Foods
AFDC
Community Schools
Legal services
Disability office
SSI
Speech therapy
Employment services
Public health nurse
Family support center
Housing assistance
Social services
Counseling services
Food stamps
Other
Are you having problems getting help at any of these agencies or serivecs? ___yes ___no

Would it be helpful to you if our Social or Health Services Staff could find resources for :
 
 
Locating a new place to live?
Locating food for emergency situations?
Locating clothes for your family?
Finding planned parenthood information?
Additional medical care for other members of your family?
Additional information about physical development?
Information on special clinics, counseling, and health service agaencies?
Other:
Sometimes I need some help or someone to talk to about:
 
Marital problems
Problems with my children
Personal problems
Financial problems
Medical needs
Helping with my children are home
Knowing and understanding my child better
Being aware of services available
Developing patience with my child
Understanding what my child is learning
Getting to know other parents
Other:
Parent education is an important part of the Head Start program. In order to provide class dicussion groups that will benefit you, please check the topics that are of interest to you:
 
Child growth and development
Child/spouse abuse
Nutrition-meal planning
Child behavior and disciplive
First Aid, including CPR
Being a single parent
Cooking
Sewing
Basic repair
Career development skills
Literacy
Self-improvement
Preventive health care
Infant development
Working with a disable child
Poison control and home safety
GED
Family budgeting
Other:
How can you help the program and other families? Things I am able to share with other families include:
 
Child care exchange
Transportation
Special skills (cooking,etc.)
Music and singing
Stories and customes from my culture or family
Other:
Other comments, questions, or suggestions:
 
 

Parent Signature:_____________________________ Date:____________________________
Address:______________________________________ Phone #: ______________________



Bibliography
Selected Supervision Topics 

Staff Development and Adult Learners:

Brown, J. F., Administering Programs for Young Children, National Association for the Education of Young Children. 1990.

Dodge, D. T., Colker, L. J., The Creative Curriculum for Family Child Care, Teaching Strategies, Inc. 1991.

Jorde-Bloom, P., A Great Place to Work: improving Conditions for Staff in Young Children's Programs. National Association for the Education of Young Children.

Orlich, Donald C., Staff Development. Enhancing Human Potential, Allyn and Bacon. 1989.

Schiller, P., and Dyke, P., Managing Ouality Child Care Centers: A Comprehensive Manual for Administrators, Teachers College Press, Vermont. 1990

Communication:

Be a Better Speaker!, Channing L. Bete Company, Massachusetts.

How to Have Successful Meetings, Channing L. Bete Company, Massachusetts.

How to improve Your Listening Skills, Channing L. Bete Company, Massachusetts.

Improving Your Interpersonal Skills, Channing L. Bete Company, Massachusetts.

Beach, D. M., and Reinhartz, J., Supervision. Focus on Instruction, New York: Harper and Row. 1989. Chapter 5.

Bolton, R., People Skills, Simon & Schuster, New York. 1977.

Mandel, S., Effective Presentation Skills, Crisp Publications, Inc. 1987.

Vanderslice, V., Communication for Empowerment: A Facilitators Manual of Empowering

Teaching Techniques. Family Matters Project, Cornell University. 1984.

Fox, W.M., Effective Group Problem Solving, Jossey-Bass Inc., Publishers. 1987.

Leadership:

Leadership, Examining the Elusive. 1987 Yearbook of the Association for Supervision and Curriculum Development. Chapters 6 and 7.

Blanchard, K., and Hersey, P., Management of Organizational Behavior. Utilizing Human Resources, 5th Edition, Prentice-Hall, Inc. 1988. (6th Edition to be printed early 1993.)

Dunst, C., Trivette, C., and Deal, A., Enabling and Empowering Families. Principles and Guidelines for Practice, Brookline Books, Cambridge, Mass. 1988.

Kouzes, J. M., and Posner, B. Z., The Leadership Challenge: How to Get Extraordinary Things Done in Organizations, San Diego University Associates, CA. 1991.

Morrison, E. K., Working with Volunteers: Skills for Leadership, Red Leaf Press, St. Paul, MN 1988.

Neugebaurer, R. (1989). When Friction flares -- Dealing with Staff Conflict. Child Care Information Exchange 65, 3-6.

Quick, T., Inspiring People at Work, Executive Enterprises Publications Co., Inc. Revised 1991.

Stress/Burnout:

Chemiss, C., Staff Burnout. Job Stress in the Human Services, Sage Publications. 1982.

Selye, H., Stress Without Burnout, Harper and Row. 1974.

Time Management:

Anastasi, R. E., Martin, J. B., McKay, A. B., Shipman, N. J., Effective Time Management Techniques for School Administrators, Prentice-Hall, Inc. 1983.

 
Appendix G
Family Action Plan 

Family Name: ___________________________________ Date: _________________________
Child Name/D.O.B.:____________________________ Home Visitor:______________________
Family members involved in planning:________________________________________________
 
Summary of Assessment Findings
Parents interests and Concerns
Program Requirements/Staff Observations
1. Family Support Needs
2. Child Development Issues
3. Parent Child Interaction
4. Parent Involvement
5. Health and Nutrition
 
 
Activities
Review of Goals (please date)
Goals for the Child
Goals fo the Family


Appendix H
HOME CONTACT FORM 

DATE: ______

FAMILY MEMBERS PRESENT: ________________________________________________
HOME VISITOR:_____________________________________________________________
FAMILY CHECK IN AND EVENTS OF WEEK:_____________________________________

Followup information for family:

Preparation and review of parent-child activity planned on previous visit:

Discussion and evaluation of parent-child activities:

Parent-child activity plans for next visit:
(Special family concerns:)

Activities and followup during week:

Parent Signature: ___________________________ Home Visitor: ________________________


Appendix I
HOME VISITOR SELF-EVALUATION
and/or
PERSONNEL EVALUATION 
RESPONSIBILITIES FOR HOME VISiTOR
STRUCTURE AND FOCUS OF VISIT

Yes No

Comments:

FAMILY ORIENTATION

Yes No

Comments:

ENHANCEMENT OF PARENT CONFIDENCE AND INDEPENDENCE

Yes No

1.Home visitor provides positive feedback to parents on specific things they are doing, such as completing followup activities, willingness to discuss a child-rearing problems, etc.
2.Home visitor assists parents as needed so the parents can learn how to use local resources like the bus system, libraries, and social service agencies.
3.Home visitor is aware of parent strengths, such as ability to sew, do auto repairs, etc. Home visitor notices these and looks for ways that these skills can be used as a base for home visit activities, parent groups, or weekly followup.
4.Home visitor frequently inquires about parents' concerns, interests, and needs, and adjusts home visit content as needed to address these issues.
Comments:

FAMILY DEVELOPMENT, ADVOCATE FACILITATION, AND PROBLEM SOLVING

Yes No

Comments:

TECHNIQUES AND STRATEGIES USED

Yes No

1.Home visitor uses open-ended questions frequently.
2. When parents ask for advice, the home visitor ask questions to clarify the issue as well as to help the parents for their own conclusions. Home visitor re-states conclusions reached by the parents to be sure the parents have been properly understood.
3.When it is appropriate to offer information or ideas, the home visitor offers choices rather than answers
4. The home visitor frequently connects activities and remarks back to the parents' stated motivations; e.g., "Last week you said you were eager to learn a new way to get the boys down to nap."
5. The home visitor uses "I" statements rather than "You should" statements.
6. The home visitor points out concerns she/he has about the child's/family's welfare in a clear and caring way.
7. The home visitor uses a variety of techniques to involve parents in the visit.
8. Child activities are interrupted if parent leaves the room for any reason.
9. The home visitor discusses activities before and after they are done with the parent.
10. The home visitior summarizes what has happened on visits and helps parents take credit for what they have done during the visit.
Comments:
 

ADULT/FAMILY DEVELOPMENT

Yes No

Comments:

CHILD DEVELOPMENT

Yes No

1.The home visitor has a basic understanding of how children grow and develop and understands the importance of adult interaction in this development.
2.The home visitor knows how to select activities and playthings for chil dren of different ages.
3. The home visitor can explain and demonstrate how to promote problem solving and thinking in young children of different ages.
4. The home visitor can demonstrate and explain techniques of how to promote language development in young children, such as open-ended questions, expansion, etc.
5.The home visitor can demonstrate and explain at least four positive methods of guiding and disciplining young children, such as redirecting, explaining consequences, modifying the environment, and providing routines.
6. The home visitor understands and can explain how children's self esteem is related to learning.
7. The home visitor understands and can explain progression of develop ment in children for all goal areas.
8. The home visitor understands and can explain children's needs for active play.
9. The home visitor understands and can explain stages of social development in children.
Comments:

COVERAGE OF COMPONENT AREAS

Yes No

Comments:

MENTAL AND PHYSICAL HEALTH PROMOTION

Yes No

1. The home visitor knows basic safety hazards and incorporates appropriate safety education into home visit content.
2. The home visitor has basic knowledge and back-up material about child health and is familiar with immunization schedules, signs of illness, and common childhood illnesses.
3. Designs home nutrition and health education activities appropriate to individual needs of families and children.
4. The home visitor is able to name at least four indicators that might show that a family needs additional support or counseling.
5. The home visitor is able to observe family and child behaviors harmful to
health and bring up these concerns with family.
Comments:

PLANS AND CONDUCTS MONTHLY SOCIALIZATIONS(Classroom/field trip)

Yes No

1. Plans with parents and staff for socializations.
2. Activities planned follow established guidelines and are appropriate for the ages and capabilities of the children.
3. Activities reflect the purpose of socialization experiences and are documented on the "socialization plan."
4. Gives parents/volunteers specific instructions for what their role will be during the socialization, and advanced preparation for the parent is evident.
5. Uses acceptable and effective techniques when dealing with inappropriate behaviors that might occur. Prompts parents to do so as well.
6. Gives individual attention to children to maximize learning experiences.
7. Major focuses of socialization are socialization and activities that cannot be done in the home, like networking around parents.
Comments:

OBSERVATION, ASSESSMENT, AND PLANNING

Yes No

Comments:

PLANNING AND IMPLEMENTATION OF SERVICES

Yes No

Comments:

HOME LEARNING ENVIRONMENT

Yes No

Comments:

ENCOURAGEMENT OF SOCIAL NETWORKING

Yes No

Comments:

RECORD KEEPING

Yes  No

Comments:

SELF, TEAM, AND STAFF DEVELOPMENT

Yes No

Comments:


Appendix J
COMMON PITFALLS OF THE HOME VISITOR - AN ASSESSMENT 
Following is a list of common pitfalls to which home visitors can easily fall prey. The symptoms of these pitfalls are listed as a checklist for self-assessment purposes and/or for a monitoring supervi sor. Checkmarks in the FREQUENTLY, ALMOST ALWAYS, and ALWAYS columns should be cause for concern.
 
 
PITFALLS SYMPTOMS Never Sometimes Frequently Almost Always Always
Is over-involved with the family. Works overtime.
Provides specific services to family; i.e., transportation, child care, taking over family chores, etc.
Makes decisions that the family should be making.
Home visits are longer and more frequent then normally scheduled.
Is child-focused versus family-focused. Home visits content is child oriented.
Home visits interaction is with child versus parents.
Is called "teacher" by child and parents.
Parents are quiet or involved in other things during visit.
Is problem-solver to family versus facilitator. Gives advice and/or offers pre-packaged solutions.
Uses "You should," "Why don't you," etc., in conversations.
Has answers for everything.
Tries to provide information immediately versus asking questions to accquire further information.
Is judgemental. Critical of family during staff consequences.
Fails to obtain adequate information from family or take time to develop understanding.
Becomes upset or frustrated when family does not do what is expected.
Does not understand own role. Appears overly protective of family.
Does not seek support, information, or assistance from support team of coordinators.
Rarely makes referral to other agencies and view self as best source of support and assistance.
In many ways, becomes like a member of the family.
Does not take care of own needs. Appears to be under stress and show fatigue.
Never appears to have enough time.
Appears to be totally preoccupied with work and has few other interests or activities.
Worries excessively