_____ 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)
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