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Absolutely love this site, you only need to use this one site to find plenty of activities for use in aged care homes.
Gail Parker Lifestyle Coordinator Australia
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It seems to be self-assessment for Allied Health staff in general; not only for Activity Coordinators. You must find out with your manager if this is the one you should fill in. Here is the link:
https://www.agedcarequality.gov.au/providers/assessment-processes/self-assessment#selfassessment%20tool%20guidance%20and%20template