GLEAMNS HEAD START/EHS PROGRAM



GLEAMNS HEAD START/EHS PROGRAM

Health and Safety Monitoring Checklist

Date: _______________ Center:___________________________________ Classroom: ________

| |Area # 1: CLASSROOMS |C |N |NA |

| |Sanitation and hygiene procedures for diapering have been adopted that adequately protect the health and safety of children served by | | | |

|1. |the program and staff. | | | |

| |The diaper changing area is located away from areas used for cooking, eating, or children’s activities. | | | |

|2. | | | | |

| |All infant bottles are labeled with their names, date, time formula was prepared and type of formula. | | | |

|3. | | | | |

|4. |Diapers are disposed of in a safe and sanitary manner. | | | |

|5. |Toilet training equipment is available for children being toilet trained. | | | |

|6. |Non-porous gloves are available for use when dealing with bloody fluids. | | | |

| |ALL CLASSROOMS |C |N |NA |

|7. |Staff promotes effective dental hygiene (tooth brushing) in conjunction with meals. | | | |

|8. |Toys are stored in a “safe and orderly fashion.” | | | |

| |All dangerous/poisonous materials are stored in original, labeled containers, separate from food, and locked out of the reach of | | | |

|9. |children, including bathrooms. | | | |

|10. |Toys, materials, and furniture are safe, durable, and in good condition. | | | |

| |Center space is organized into functional areas that can be recognized by children and that allow for individual activities and social | | | |

|11. |interactions. | | | |

| |Staffing patterns support regulations regarding class size and number of adults per class. | | | |

|12. | | | | |

| |Staff, volunteers, and children wash their hands with soap and running water after diapering or toilet use, before food-related | | | |

|13. |activities, whenever hands are contaminated with blood or other bodily fluids. | | | |

|14. |Staff/Volunteers purses are stored and locked out of children’s reach. | | | |

| |Special diets/care plans are listed and posted in accordance with confidentiality policy. | | | |

|15. | | | | |

| |Staff and volunteers wash their hands with soap and running water before and after giving medications, before and after treating or | | | |

|16. |bandaging a wound and after assisting a child with toilet use. | | | |

|17. |Bathroom facilities are clean, in good repair and easily reached by children. | | | |

| |Bathroom facilities are separated from areas used for cooking, eating or children’s activities. | | | |

|18. | | | | |

| |Indoor premises are cleaned daily and kept free of undesirable and hazardous materials and conditions. | | | |

|19. | | | | |

|20. |Garbage and trash are stored and disposed of in a safe, sanitary manner. | | | |

|21. |Cleaning and Sanitation Schedule are used daily (must review actual documentation) | | | |

| |AREA #2: INDOOR FACILITIES - SAFETY |C |N |NA |

| |The facility has approved, working fire extinguishers and an appropriate number of smoke detectors that are tested regularly | | | |

|22. | | | | |

| |Window and glass doors are constructed, adapted, or adjusted to prevent injury to children. | | | |

|23. | | | | |

|24. |Electrical plugs accessible to children are covered. | | | |

| |The heating/cooling system is insulated to protect children and staff from potential burns. (Note: look at pipes and/or radiators) | | | |

|25. | | | | |

Healthy & Safety Monitoring Checklist

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| |There is an absence of flammable furnishings, decorations, or materials that emit toxic fumes. | | | |

|26. | | | | |

|27. |Drawers and cabinet doors are closed to prevent tripping or bumping. | | | |

| |Appropriate licenses are seen: Center License; Fire; Food/Sanitation (kitchen); copy of staff CPR/First Aid training posted in the | | | |

|28. |classroom. | | | |

| |Facility Layout and Environment |C |N |NA |

|29. |If necessary, there is a safe and effective heating and cooling system. | | | |

| |There is at least 35 sq. ft. of usable indoor space per child (not including bathrooms, halls, kitchens, staff office space, and | | | |

|30. |storage places). | | | |

|31. |Facilities enable the safe and effective participation of children with disabilities. | | | |

|32. |Rooms are well lit. | | | |

|33. |The indoor area is free of toxic plants. | | | |

| |Provisions for Emergencies |C |N |NA |

| |Emergency telephone numbers are clearly posted in each classroom. (e.g., EMS, Fire, Police, Poison Control) | | | |

|34. | | | | |

| |Policies and plans of action for emergencies that require rapid response on the part of staff (e.g., a child choking, medical and | | | |

|35. |dental emergencies, seizures, etc.) | | | |

|36. |Emergency lighting is available in each classroom and in working order. | | | |

|37. |Fire and emergency drills (e.g., fire drills, etc.) | | | |

| |A well-supplied first-aid kit is available, accessible to staff and out of reach of children (all classrooms, kitchens, office staff, | | | |

|38. |etc.). | | | |

|39. |Daily Health Checks are conducted (must review actual documentation) | | | |

| |Medication Administration |C |N |NA |

| |All medications are properly labeled. (e.g., name of child/staff, name of medication, dosage, name/number of pharmacy/physician). | | | |

|40. | | | | |

|41. |Are medication expiration date(s) current? | | | |

|42. |Was Physician’s Written Order obtained? (must review actual documentation) | | | |

|43. |Was Parent/Guardian Written Authorization obtained?(must review actual documentation) | | | |

|44. |Was the administration of each medication recorded in the Medication Log Book? | | | |

|45. |Are medications under lock and key and out of the reach of children? | | | |

| |Monitoring documentation |C |A |NA |

|46. |Can classroom staff provide documentation for monthly health & safety checks? | | | |

|47. |Can Center Coordinator provide current documentation for health & safety monitoring in the center and in each classroom? | | | |

|48. |Any follow-up documentation provided for deficiencies found in classroom and/or center? | | | |

| |OTHER |C |A |NA |

|49. | | | | |

|50. | | | | |

Key: C – Compliance N – Non-Compliance NA – Not Applicable

Comments/Notes: __________________________________________________________________________________________________________________________________________________________________

Staff Person Completing Form ______________________________ Position _________________

Revised: 3/08

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