Canadian Accreditation Council

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ON-SITE REVIEW


The on-site review is conducted by a team of reviewers who will interview staff, board members, contractors, volunteers, students and persons served, will review the files as well as conduct on-site observations of materials and facilities.

The team will be made up of your CORE Support, one Team Lead, and two or more Reviewers. These individuals will come on site from anywhere between 2 to 5 days, depending on the number and size of the programs that are to be reviewed. The CORE Support will put together the schedule with the help of the program to be used as a guideline for the timeframe.

A few days before the on-site begins, the Team Leader or the CORE Support will contact the program with the names of staff who will be interviewed and files to be reviewed, and they will also review the schedule with the program. The program will have the opportunity to choose the persons served who will be interviewed. The team will try its hardest to stay within the schedule and not keep interviewees waiting, but the schedule can be changed to accommodate anything that happens on-site.

The on-site itself will begin with an introductory meeting, in order to introduce the team and staff members, receive a brief overview of the programs to be reviewed, ensure that the lines of communication are clear, ensure that everyone is using the same language and terms, review the schedule, understand any issues that may influence the team, and identify the program contact person available to the team.

When on-site, the team will require a private space to meet and discuss findings, other spaces to interview staff and persons served, access to telephones, and a designated staff to be able to explain the way that files are organized, respond to questions, coordinate interviews, locate file documents, and direct the team to any pieces of documentation that might be missing from the files.

It is the responsibility of the program to ensure that all consents have been obtained from staff and persons served before the team is on-site. This is important because if the sample size is not large enough, CAC will not be able to provide thorough findings.

When the on-site is complete, the team will conduct an exit interview in order to share the findings, have the program initial that they have read the On-Site Report, and discuss what will happen after that point. A copy of the report will be left with the organization and they will have a chance to prepare a response within 30 days to be presented to the Accreditation Panel along with the report. The review team cannot grant accreditations to programs - only the Accreditation Panel can do that. But the on-site will be complete as soon as the report has been delivered and the team leaves the program.

 

Accreditation Process

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