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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 WhwL� fv 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 g