HC-FRM-011: First 100 days check-in record

Standards › Standard 29 › Forms

Form · HC-FRM-011 · Version 1.0 · Approved by the ASF Expert Committee

Supports: 29.33

Purpose

Records each check-in with a new caregiver in the first 100 days, and any schedule or support change.

How to complete

• Record each check-in date.
• Record the support given and any schedule change.
• Record the reason for any leaving.

Checks

Check	Entry
Caregiver ID and start date	Yes
Check-in dates (week 1, month 1, day 100)	Yes
Support given and schedule change	Yes
Reason for leaving (if left)	Yes

Evidence

Reference	Note
E-006	ASF Policy Framework v1.2. Adapted.
E-009	ASF Expert Committee consensus.

Change history

Version	Date	What changed	Approval
1.0	—	Initial release	Approved by the ASF Expert Committee

E-learning for this document

• Governance & Staffing for Home-Based Care (HC-07)

References

• Accréditation Sans Frontières (2026). ASF Policy Framework v1.2. (E-006)
• Accréditation Sans Frontières (2026). ASF Expert Committee consensus on Standard 29. (E-009)