Training Log Competency Checklist
Professional Training Log Competency Checklist template for Adult Family Homes. Includes editable Word (.docx) and printable PDF formats.
[YOUR ADULT FAMILY HOME NAME HERE]
Training Log Competency Checklist
TEMPLATE • Inspection-Ready AFH Standard
1. Core Competencies Evaluation Matrix
This agreement is entered into on this _____ day of ____________, 20___, between [ADULT FAMILY HOME NAME] (Provider) and [RESIDENT / POA NAME].
2. Continuing Education Unit (CEU) Tracker
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. Section 3: Discharge Protocols & Signatures
Provider Signature / Date
Resident / POA Signature / Date
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Document Section Breakdown (2 Sections)
Core Competencies Evaluation Matrix
Skills check for transfers, blood pressure, MAR documentation, and infection control.
Continuing Education Unit (CEU) Tracker
Annual 12-hour CEU topic log, completion dates, and certificate storage.
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