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DocuSign Envelope ID: 2F546B53- F2D1- 407D- A1C7- 26EB823DOFFD <br />Work Statement <br />o) Complete the Work Statement Chart to describe the worst to be performed. <br />This chart is used to document program activities, program goals, performance measures, <br />and actual results. (Add more rows as needed) if this is a new program, you will only document <br />the projected information. Every program is required to have AT LEAST 1 Program Activity, <br />which should be SMART (Specific, Measurable, Achievable, relevant and Time - bound. Click <br />on SMART Goals to learn more. <br />• Program Activities should outline major activities the agency implements to accomplish its <br />program goals. (i. e. Deliver meals to elderlyidisabled residents.) <br />• Program Goal should explain what the program is trying to achievelaccomplish. Goals are <br />statements about what the program should accomplish, (i.e. Deliver 100 meals per day, <br />Monday - Friday.) <br />• Performance Measures describe how you will evaluate the degree in which you achieved <br />the stated goals. (i.e. Will track the number of meals delivered each day.) <br />• Actual Program Results use program results to indicate the actual measureable <br />achievement of goals. If goals were not met, please explain. (i.e. Delivered an average of <br />105 meals per day.) <br />Work Statement Chart for Program Parent Aide Program <br />;' 1 ,rograirii 1�vftyIaris <br />Parent Aide Program - <br />Program Goal <br />Parents will improve parenting skills, parent/child interaction, and <br />increase problem-solving skills/ family functioning. <br />Performance Measures <br />Protective Factors Survey (Retrospective Post), North Carolina <br />Family Assessment Scale (Pre, Mid, Post), Adult Adolescent <br />Parenting inventor Pre /Post), Safe Care Assessments. <br />Previous Year Program Results 1 <br />9 out of 10 (93 %) families. <br />Current Year Estimated Results J <br />10 out of 11 (93 %) families. <br />Next Year Projected Results <br />16 out of 17 (94 %) families. <br />"')sihtti±ilVri <br />Parent Aide Program <br />Program Goal <br />Parents enhance home safety, increase linkages to <br />social/community supports, and improve their capacity to maintain <br />their child's health. <br />Performance Measures <br />Protective Factors Survey (Retrospective Post), North Carolina <br />Family Assessment Scale (Pre, Mid, Post), Adult Adolescent <br />Parenting Inventor (Pre/Post), Safe Care Assessments. <br />Previous Year Program Results <br />9 out of 10 (93 %) families. <br />Current Year Estimated Results <br />10 out of 11'(93 %) families. <br />Next Year Projected Results <br />16 out of 17 (94 %) families. <br />Program Goal <br />Performance Measures <br />Previous Year Program Results <br />Current Year Estimated Results <br />Next Year Projected Results <br />Program Goal <br />Performance Measures <br />Previous Year Program Results <br />Cu ent Year Estimated Results <br />Next Year Projected Results <br />PROGRAM INFORMATION 2/20/2018 5:52:50 PM Page 18 of 27 <br />