NC Residential Services Unsupervised Time Assessment 2009-2025 free printable template

Resident: Record #: Unsupervised Time Assessment The purpose of this assessment is to determine if a resident could benefit from having opportunities to be unsupervised by support staff in their home

How to fill out NC Residential Services Unsupervised Time Assessment

How to fill out NC Residential Services Unsupervised Time Assessment

1. Begin by gathering all necessary personal information of the individual being assessed, including full name, date of birth, and contact information.
2. Review the specific guidelines or criteria established for the assessment to ensure compliance.
3. Fill out the sections that assess the individual's current living situation, including details about their residence and the presence of support staff if applicable.
4. Complete the sections regarding the individual's daily routines and activities, paying attention to times when they are unsupervised.
5. Indicate any previous assessments or evaluations that have been conducted, along with their outcomes.
6. Provide insights or observations regarding the individual's ability to manage themselves during unsupervised time, citing specific skills or challenges.
7. Review all sections for accuracy and completeness before submitting the assessment form.

Who needs NC Residential Services Unsupervised Time Assessment?

1. The NC Residential Services Unsupervised Time Assessment is necessary for individuals receiving residential services who require evaluation for their capacity to manage unsupervised time safely and effectively.
2. It is typically required for individuals with developmental disabilities or mental health challenges living in group homes or similar settings.

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What is NC Residential Services Unsupervised Time Assessment?

The NC Residential Services Unsupervised Time Assessment is a tool used to evaluate the amount of unsupervised time that individuals residing in NC residential services spend outside of structured supervision, assessing their ability to manage such time safely.

Who is required to file NC Residential Services Unsupervised Time Assessment?

Individuals receiving residential services in North Carolina and their care providers are required to file the NC Residential Services Unsupervised Time Assessment.

How to fill out NC Residential Services Unsupervised Time Assessment?

To fill out the NC Residential Services Unsupervised Time Assessment, providers and guardians should provide details about the individual's daily routines, levels of supervision, length of unsupervised periods, and specific needs related to safety and independence.

What is the purpose of NC Residential Services Unsupervised Time Assessment?

The purpose of the NC Residential Services Unsupervised Time Assessment is to ensure the safety and well-being of individuals during unsupervised time, helping to identify potential risks and plan appropriate support and supervision.

What information must be reported on NC Residential Services Unsupervised Time Assessment?

The information that must be reported includes the individual's name, date of assessment, current living situation, duration and frequency of unsupervised time, supervision strategies in place, and any incidents or concerns related to unsupervised periods.