Foster Home Safety Checklist Template (Page 4 of 4) in pdf

_____ First Aid kit is complete and stored in a conveniently reachable place. First Aid kit

must contain tweezers, scissors, tape, band aids, gauze, antiseptic wipes, antiseptic

ointment, thermometer (non mercury), cold pack, burn care packets, first aid non stick

pads, elastic bandages/ace bandages, health care gloves, first aid guide.

_____ Bathroom facilities are working properly, are clean and sanitary.

_____ Electrical appliances are not used or stored around sink or bathing areas.

_____ Adequate number of towels and linens are available for all household members.

GROUNDS

_____ Spa, if applicable, has a lockable cover or is surrounded by a 5 foot fence with a

lockable gate and is only used by children with adult supervision.

_____ Above ground pools must have a removable ladder that is removed when the pool is

not in use, or a barricade preventing access to pool.

_____ Swimming pool at the home, condo, apartment complex or sub-division, is fenced with

at least a five (5) foot high fence with a lockable gate. If a lockable cover is used, it

has to support the weight of an adult. The lock is no more than 6 inches from the top

of the gate. Toxic pool maintenance products are kept in locked storage. Life

preservers are readily accessible and the area is kept free of glass, sharp objects and

debris.

_____ Fence, if applicable, is in good condition with no broken parts, sharp edges or points.

_____ Yard is free of debris, spare auto parts, appliances, scrap, etc. Non-operational

vehicles are kept locked, repaired promptly or towed off premises.

_____ Check children’s home file for appropriate entries. (Medications, monthly

report

form, clothing inventory, etc.)

SIGNATURES

________________________________________

______________

Foster Parent

Date

________________________________________

______________

Social Worker

Date

CORRECTION PLAN: ________________________________________________________

___________________________________________________________________________

FFC (10/10 Updated)

Foster Home Safety Checklist Template Page 4