HomeMy WebLinkAboutEvaluation Form Checklist for Infants/Toddlers
(O)indicates compliance observed by DHR Licensing Representative
Of indicates not in compliance
(X)indicates not applicable
*Name of teacher/room#
*Age of children
*Number of children
*Number of staff
Additional Furnishings and Equipment
*Diapering area
*Sink,warm water,soap,paper towels
*Plastic-lined,covered container
Tub(portable plastic type acceptable)
*Feeding chairs
*Cribs in accordance with US Consumer Product C� S
Safe Act of 2008
*Cribs/2 feet of space between occupied cribs
*Waterproof mattress,sheets
*Indoor thermometer/Out of reach of children
*Shelvingforequipment and supplies/anchored
*Individual,labeled storage space for each child
*Furniture child size,clean,good condition
*Potty chairs cleaned/disinfected/emptied(Toddlers onlyFacilities
*Electrical outlets covered
*Barriers around heaters,fans
*Hazardous substances locked
*Containers labeled
*Medication locked
*Screens on windows which are opened
*Lighting adequate
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Checklist for 24 months up to 36 months
(O)indicates compliance observed by DHR Licensing Representative
(d)indicates not in compliance
X indicates not applicable hD.7 00
*Name of teacher/room#
*Age of children 2: 3
*Number of children
*Number of staff,
' Additional
*Dia erin area
*Sink,warm water,soap,paper towels RO
*Plastic-lined covered containers
*Tables ace and chair for each child
*Cots/sheets and covers
*Indoor thermometer/Out of reach of children
Written daily plan or schedule posted
*Labeled storage space at child level
*Shelving forequipment and supplies/anchored
Designated activity areas
Facilities
*Electrical outlets covered
*Barriers around heaters,fans
*Hazardous substances locked
*Containers labeled
*Medication locked
*Screens on windows which are opened
*Lighting adequate
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