Foster Home Inspection Checklist Template - Washington Department Of Social & Health Services Page 2
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3CHILDREN’S ADMINISTRATION
DIVISION OF LICENSED RESOURCES
Foster Home Inspection Checklist
APPLICANT / PROVIDER NAME
TELEPHONE NUMBER
INSPECTION DATE
1495
Smoking is prohibited in all living spaces and in car with children.
1500
Guns and ammunition are inaccessible to children and must be
kept in locked containers with guns and ammunition locked
separately. Describe weapons and location.
Unstring or unload other types of dangerous weapons, and store
them in locked containers out of reach of children.
Guns stored in an easily breakable container, must have a
locked cable or chain placed through the trigger guards.
Keep keys to locked storage area of weapons secure from
children.
1510
Family vehicles have seatbelts. All drivers have a current
Washington State license (exceptions for military) and insurance.
Family has car seats, booster seats, and/or other safety devices
for all passengers.
1520
Age appropriate furnishings and activities for children under
care.
Fire Safety
Comments / Notes / Corrections
1465
Multi-level homes must have escape from upper floor.
Bedroom windows for children in care are large enough for
emergency rescue.
Easy access to all rooms in case of emergency.
Smoke alarms are in good working condition to protect sleep
areas, play areas, and the basement.
Home has at least one working 2A10BC-rated 5lb. or larger ABC
fire extinguisher.
Fireplaces, wood stoves, heating systems have barriers for
under age six (6).
Bedrooms
Comments / Notes / Corrections
1470
Room has adequate privacy and floor space for safety and
comfort.
Bedrooms must have unrestricted direct access to outdoors as
well as direct access to common areas.
Each child has an appropriately sized separate bed with clean
bedding, and a mattress in good condition.
Provide waterproof mattress covers or moisture-resistant
mattresses, if needed. Each child’s pillow must be covered with
waterproof material or be washable.
Crib must have no more than 2 3/8 inches between slats.
Cribs or infant beds used for sleeping have waterproof mattress
materials.
Crib bumpers, stuffed toys, pillows not placed in cribs with
infants.
Infants are placed on their backs for sleeping.
Upper bunks not used by anyone who might be endangered.
Page 2 of 3
DSHS 10-183 (REV. 01/2015)
DISTRIBUTION: File Applicant
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