Staff Performance Review
Professional Staff Performance Review template for Adult Family Homes. Includes editable Word (.docx) and printable PDF formats.
[YOUR ADULT FAMILY HOME NAME HERE]
Staff Performance Review
TEMPLATE • Inspection-Ready AFH Standard
1. Employee Details & Evaluation Period
This agreement is entered into on this _____ day of ____________, 20___, between [ADULT FAMILY HOME NAME] (Provider) and [RESIDENT / POA NAME].
2. Core Competency Rating Matrix
FINANCIAL TERMSBase Rate & Payment Schedule: Resident agrees to pay Provider a monthly base fee of $______ payable in advance on the first (1st) day of each calendar month.
3. Performance Goals & Supervisor Action Plan
Provider Signature / Date
Resident / POA Signature / Date
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Document Section Breakdown (3 Sections)
Employee Details & Evaluation Period
Employee name, review date, supervisor, and review period (90-day/annual).
Core Competency Rating Matrix
Punctuality, resident care, MAR documentation, teamwork, and communication.
Performance Goals & Supervisor Action Plan
Strengths, areas for growth, goal timeline, and wage review recommendations.
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