Foster Care - Home Inspection Checklist
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5Foster Care – Home Inspection Checklist
Foster Parent:
License Address:
Inspection Type:
Probationary Initial
Renewal
Monitoring
Inspection Date:
Are there currently placements in this home? Yes No
Home Safety Inspection Items (Initial and Renewal all license types):
Address visible and home is accessible
501-12-6-16
Interior/Exterior maintained and safe
501-12-6-1
Hazards abated
501-12-6-12 (see licensor reference guide)
Test smoke detector on each level
501-12-6-2
Carbon monoxide detector on each level
501-12-6-3
Check charge on extinguisher (min rated 2A-10BC) accessible on main level
501-12-6-4
Bathrooms have locks
501-12-6-5
Working appliances/plumbing
501-12-6-11
Chemicals locked
Where?
501-12-7-8/501-12-3-12 (see licensor reference guide)
chemicals stored in original packaging OR
chemicals stored in compliant containers labeled with manufacturer directions/warnings
Where?
Flammable substances (gas, kerosene etc) locked in ventilated area separate from living areas
R-501-12-7-9
Where?
Medications (prescription, over the counter, vitamins, supplements) are locked
501-12-10-7
Where?
Medications remain in original packaging
R-501-12-10-8
Alcohol is inaccessible to foster children
N/A OR where kept?
R-501-12-7-7
Telephone (recognizable by 9-1-1 system) on-site with foster children at all times
501-12-7-3
If family uses only mobile or internet phones, how will they ensure onsite phone at all
times?
Emergency numbers posted visible to children
501-12-7-3
2 exits on each level adequately sized for emergency personnel
501-12-6-14
Multi-level has automatic fire suppression system OR
Escape ladder OR Stairway OR Other egress to ground level describe:
Outlet covers Safety gates Fireplace gates Other
First aid kit in home (meds locked separately)
501-12-7-4
Pets that are required to be vaccinated by state or tribal law must be vaccinated against diseases that
can transmit to humans, including rabies. N/A Comments:
Parents do not smoke with foster children present.
N/A
501-12-7-1
Smoking plan:
Nov. 2014
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