Discipline Flow Chart Verbal Counseling (Site Directors is responsible for this step) PERFORMANCE IMPROVED YESNO WRITTEN WARNING & ACTION PLAN CELEBRATE SUCCESS YES CELEBRATE SUCCESS PERFORMANCE IMPROVED NO FINAL WRITTEN WARNING (Program Supervisor is responsible for this step) CELEBRATE SUCCESS YES PERFORMANCE IMPROVED NO DISCIPLINARY SUSPENSION (Program Supervisor is responsible for this step) CELEBRATE SUCCESS YES PERFORMANCE IMPROVED NO TERMINATION (Program Supervisor is responsible for this step) An employee written warning is simply a memorandum to a member of your staff, explaining that his or her job performance has been unsatisfactory. (Site Directors is responsible for this step) ACTION PLAN ISSUE GOAL ROOT CAUSE OPTION WHAT”S NEXT I G R O W OR INCIDENT TWO VERBAL COUNSELING Verbal counseling is the first step in the process of progressive discipline. Use this action to address substandard performance when the procedure violation is of a minor nature or when it is the first occurrence. INCIDENT ONE INCIDENT THREE INCIDENT FOUR INCIDENT FIVE

Sacramento START VERBAL COUNSELING DOCUMENTATION FORM Incident Information Date/Time of Incident:_____________________________________________________________________ Location of Incident:_______________________________________________________________________ Incident Information Date/Time of Incident:_____________________________________________________________________ Location of Incident:_______________________________________________________________________ EMPLOYEE INFORMATION: Staff Member: ________________________________ Home Site: __________________________________ Position: ______________________________________ Date: __________________________________ ___ Incident Number Summary of Violation: _________________________________________________________________ _______________________________________________________________________________________ _______________________________________________________________________________________ _______________________________________________________________________________________ Summary of corrective plan: _______________________________________________________________________________________ _______________________________________________________________________________________ _______________________________________________________________________________________ _______________________________________________________________________________________ FOLLOW UP DATE(S): _______________ _______________ _______________ _______________ Staff’s Signature:______________________________________________ Date: __________________ Site Director’s Signature: _____________________________________Date: __________________ Program Supervisor’s Signature:_______________________________ Date: __________________ Summary of Violation: _________________________________________________________________ _______________________________________________________________________________________ _______________________________________________________________________________________ _______________________________________________________________________________________ Summary of corrective plan: _______________________________________________________________________________________ _______________________________________________________________________________________ _______________________________________________________________________________________ _______________________________________________________________________________________ FOLLOW UP DATE(S): _______________ _______________ _______________ _______________ Staff’s Signature:______________________________________________ Date: __________________ Site Director’s Signature: _____________________________________Date: __________________ Program Supervisor’s Signature:_______________________________ Date: __________________ The following counseling has taken place: (Check and give details under explanation) [ ] Absence [ ] Tardiness [ ] Violation of Company Policy [ ] Horseplay [ ] Smoking in unauthorized areas [ ] Failure to follow instructions [ ] Unauthorized use of equipment, materials [ ] Harassment [ ] Dishonesty [ ] Violation of safety rules [ ] Leaving work without authorization [ ] Poor performance [ ] Insubordination [ ] Falsification of records [ ] Other

Sacramento START DISCIPLINE DOCUMENTATION FORM Incident Information Date/Time of Incident:____________________________________________________________________________ Location of Incident:______________________________________________________________________________ __________________________________________________________________________________________________ Witnesses to Incident:_____________________________________Phone Number:_________________________ Was this incident in violation of a company policy? Yes No Description of Incident. ____________________________________________________________________________________________________ ____________________________________________________________________________________________________ ____________________________________________________________________________________________________ ____________________________________________________________________________________________________ Incident Information Date/Time of Incident:____________________________________________________________________________ Location of Incident:______________________________________________________________________________ __________________________________________________________________________________________________ Witnesses to Incident:_____________________________________Phone Number:_________________________ Was this incident in violation of a company policy? Yes No Description of Incident. ____________________________________________________________________________________________________ ____________________________________________________________________________________________________ ____________________________________________________________________________________________________ ____________________________________________________________________________________________________ EMPLOYEE INFORMATION: Staff Member: ________________________________ Home Site: __________________________________ Position: ______________________________________ Date: __________________________________ ___ Written Warning ___ Final Written Warning (Incident Number: ____________) Corrective Action Taken What action will be taken against the employee? [ ] ADDITIONAL TRAINING [ ] PEER MENTORING [ ] STAFF IN NEED PROGRAM [ ] PROGRAM SUPERVISOR MEETING Has the impropriety of the employee’s actions been explained to the employee? Yes No Did the employee offer any explanation for the conduct? If so, what was it? _____________________________ ________________________________________________________________________________________________________ ___________________________________________________________________________________________ Consequences if corrective action not taken: Corrective Action Taken What action will be taken against the employee? [ ] ADDITIONAL TRAINING [ ] PEER MENTORING [ ] STAFF IN NEED PROGRAM [ ] PROGRAM SUPERVISOR MEETING Has the impropriety of the employee’s actions been explained to the employee? Yes No Did the employee offer any explanation for the conduct? If so, what was it? _____________________________ ________________________________________________________________________________________________________ ___________________________________________________________________________________________ Consequences if corrective action not taken: [ ] STANDARDS OF CONDUCT [ ] EMPLOYEE CONDUCT AND WORK PERFORMANCE [ ] AVAILABILITY FOR WORK [ ] ABSENTEEISM AND PUNCTUALITY [ ] CONFLICTS OF INTEREST [ ] SAFETY [ ] SUBSTANCE ABUSE [ ] HARASSMENT [ ] OTHER [ ] PERSONAL APPEARANCE [ ] NEATNESS OF WORK AREA [ ] COMMUNICATION - PROBLEM RESOLUTION [ ] EMPLOYEE RELATIONS [ ] CONFIDENTIALITY OF SACRAMENTO START INFORMATION [ ] VIOLENCE AND WEAPONS POLICY [ ] SOLICITATION AND CONTRIBUTIONS [ ] MANDATORY MEETINGS AND TRAININGS [ ] PERSONAL TELEPHONE CALLS AND TEXT MESSAGING If no improvement(s) are shown in your job performance, other administrative actions will be taken. This may include, but are not limited to:. More training(s). Appointed to a mentoring site for assistance. Appointed to substitute status, until improvements are made; PC and PS must approve of status return. Release from position Thank you for your immediate action and attention to this matter. We are working to assist you in your success regarding your position with Sacramento START. Site Director’s Signature: ____________________________________________________ Date: __________________ Staff’s Signature:_____________________________________________________________ Date: __________________ Program Supervisor’s Signature:______________________________________________ Date: __________________ If no improvement(s) are shown in your job performance, other administrative actions will be taken. This may include, but are not limited to:. More training(s). Appointed to a mentoring site for assistance. Appointed to substitute status, until improvements are made; PC and PS must approve of status return. Release from position Thank you for your immediate action and attention to this matter. We are working to assist you in your success regarding your position with Sacramento START. Site Director’s Signature: ____________________________________________________ Date: __________________ Staff’s Signature:_____________________________________________________________ Date: __________________ Program Supervisor’s Signature:______________________________________________ Date: __________________

Sacramento START Staff Action Plan STAFF PROFILE Staff Member: _______________________________ Home Site: _______________________________ Position: _______________________________ Grade Level(s) _______________________________ Follow Up Date: _____________________________________ I GROW COACHING MODEL I Issue : A performance problem occurs when staff is failing to obtain the results expected of him or her, or falling short of the goals and objectives for the job. G Goal. Site Director and staff identify and agree on a number of clear and achievable goals (outcomes) for the discussion. This goal is not the longer-term objective that the staff has. This desired outcome is to be achieved within the limits of the discussion. Where would you like to be on a scale of 1-10? R Reality. Both Site Director and staff invite self-assessment and offer specific examples to illustrate their points and achieve the most accurate picture of the topic possible. If an ideal situation is 10, what number are you at now? O Options. In the options stage the Site Director’s intention is to draw out a list of what all that is possible for the staff to do without judgment and evaluation. Site Director elicits suggestions from the staff by asking effective questions and guides him/her towards making the right choices. What could you have done differently? W Wrap-up. In this stage the Site Director’s intention is to gain commitment to action. Site Director and staff select the most appropriate options, commit to action, define the action plan, the next steps and a timeframe for their objectives and identify how to overcome obstacles. What will it take for you to commit to that action? OBSERVATION NOTES: I need to check in with you…. A staff observation should be completed prior to meeting. Date: __________________. ____________________________________________________________________________________________ OBSERVATION NOTES: I need to check in with you…. A staff observation should be completed prior to meeting. Date: __________________. ____________________________________________________________________________________________ PERFORMANCE CONCERNS:. ____________________________________________________________________________________________ PERFORMANCE CONCERNS:. ____________________________________________________________________________________________

ROOT CAUSE “REALITY”: Why has this area become a challenge for you? Notes of the Root Cause:. ____________________________________________________________________________________________ ROOT CAUSE “REALITY”: Why has this area become a challenge for you? Notes of the Root Cause:. ____________________________________________________________________________________________ GOALS: I would like you to (name behavior to change) Notes of the Goals:. ____________________________________________________________________________________________ GOALS: I would like you to (name behavior to change) Notes of the Goals:. ____________________________________________________________________________________________ OPTIONS: How could you do this differently next time? Notes of the Options:. ____________________________________________________________________________________________ OPTIONS: How could you do this differently next time? Notes of the Options:. ____________________________________________________________________________________________ ISSUE DESCRIPTION: ____________________________________________________________________________________________ ISSUE DESCRIPTION: ____________________________________________________________________________________________

WRAP UP ACTION PLAN Starting Date: ____________ Strategies recommended to support staff: Materials/Resources needed to support staff: Check in time to observe improvements: Staff Signature: x______________________________ Site Director Support Signature: x______________________________ Date: _______________ Coach Signature: x______________________________ Program Supervisor Signature: x______________________________ Date: _______________ Follow Up Date: _____________________________________ What’s Next: What will you change? And when will you address this change? Follow Up: I’ll check back on you…

Sacramento START Staff Action Plan “Follow Up” ACTION PLAN FOLLOW UP: Date: Notes of the Progress:. ____________________________________________________________________________________________ ACTION PLAN FOLLOW UP: Date: Notes of the Progress:. ____________________________________________________________________________________________ STAFF PROFILE Staff Member: _______________________________ Home Site: _______________________________ Position: _______________________________ Grade Level(s) _______________________________ OBSERVATION NOTES: Date: __________________. ____________________________________________________________________________________________ OBSERVATION NOTES: Date: __________________. ____________________________________________________________________________________________ FOLLOW UP ACTION PLAN Starting Date: ____________ Strategies still needed to support staff: Materials/Resources still needed to support staff: Check in time to observe improvements: